Medicare-Medicaid
Index|HealthChoices
General Information Fact Sheet | Voluntary
Managed Care Fact Sheet | ACCESS
Plus Fact Sheet |
Statewide
Managed Care Map
| Medicare
Part D Brochure, NAMI National
HealthChoices Program Fact Sheet
The HealthChoices Program is the name of one of Pennsylvania's
mandatory managed care programs for Medical Assistance recipients.
Through Physical Health Managed Care Organizations, recipients
receive quality medical care and timely access to all appropriate
physical health services, whether the services are delivered on
an inpatient or outpatient basis. The Department of Public Welfare's
Office of Medical Assistance Programs oversees the Physical Health
component of the HealthChoices Program.
Through Behavioral Health Managed Care Organizations, recipients
receive quality medical care and timely access to appropriate mental
health and/or drug and alcohol services. This component is overseen
by the Department of Public Welfare's Office of Mental Health and
Substance Abuse Services.
Beginning in 1997, the HealthChoices program was implemented using
a zone phase-in schedule. HealthChoices currently serves approximately
900,000 recipients in the following
zones:
- Southeast Zone - Bucks, Chester, Delaware, Montgomery and Philadelphia
counties
- Southwest Zone - Allegheny, Armstrong, Beaver, Butler, Fayette,
Green, Indiana, Lawrence, Washington and Westmoreland counties
- Lehigh/Capital Zone - Adams, Berks, Cumberland, Dauphin, Lancaster,
Lebanon, Lehigh, Northampton, Perry and York counties
The HealthChoices Program has three goals that guide the Department
of Public Welfare in its implementation efforts. These goals are:
- To improve access to health care services for Medical Assistance
recipients;
- To improve the quality of health care available to Medical Assistance
recipients; and
- To stabilize Pennsylvania's Medical Assistance spending.
|
