Department of Human Services Announces Selection Period for Medicaid New Physical Health Choices Plan

Harrisburg, Pennsylvania – Today, the Department of Human Services (DHS) announced that the plan selection period for Medicaid (also called Medical Assistance or MA in Pennsylvania) will be June 22 through August 16.

The selection period precedes the implementation of new physical health managed care agreements that will take effect on September 1. The new agreements will require some consumers to choose a new physical health plan, and all consumers will be able to review options and select a new health plan. if they want to make a change.

“This is an important step in continuing our efforts for higher quality of care and services for vulnerable Pennsylvanians, and as we move through the plan selection period,” said the acting secretary of the DHS, Meg Snead. “I strongly encourage all Medicaid recipients to review their options, research plans that include the doctors you use and hospitals in your area, and choose a plan that best meets your individual needs before August 16. .”

Notices are mailed to all Medicaid beneficiaries enrolled in a managed physical health care plan. The letter explains whether or not a person’s current plan will continue to be available after September 1, all health plan options in their area, important dates, and how to choose or change their plan.

About 500,000 Medicaid consumers will have to select a new physical health plan by Aug. 16 or be automatically affected due to the agreement changes. All Medicaid enrollees can change their plan at any time, but the plan selection period allows for changes if a person’s plan will no longer be available or if they have new options in their area. All registrants can change their plan at any time. If a person’s current plan remains available and they don’t switch plans, their current plan will continue after September 1. While no consumer will lose coverage, if someone who needs to choose a new PH plan doesn’t do so by the deadline, they will automatically be assigned to a new plan. Pennsylvanians can review all options, changes to plans in their area, and learn how to select a new fitness plan at www.dhs.pa.gov/planselection.

These changes will not impact members of the Children’s Health Insurance Program (CHIP) or who have Special Needs Eligible Dual Plan (DSNP) coverage, or members enrolled in Community HealthChoices. (CHC) or a Behavioral HealthChoices plan.

PA Enrollment Services, the Commonwealth’s independent enrollment service, is here to help Medicaid consumers review their options and choose the best health plan for their needs. Visit PA Enrollment Services for advice on choosing a health plan and compare health plans to find a plan that includes preferred doctors and providers during this enrollment period.

Medicaid consumers should contact PA Enrollment Services to choose a new physical health plan or switch from one physical health plan to another. Contact PA Enrollment Services by:

  • Choose a plan online at www.enrollnow.net

  • By using the PA Enrollment Services mobile app (available for free via the Apple Store or Google Play), or

  • Choose a plan by phone at 1-800-440-3989 (TTY: 1-800-618-4225) and select option 6 to speak with a representative. Hours of operation are Monday through Friday, 8 a.m. to 6 p.m.

To learn more about the Medicaid physical health plan selection period, visit www.dhs.pa.gov/planselection. To apply for Medicaid and other assistance programs in Pennsylvania, visit www.dhs.pa.gov/compass.

MEDIA CONTACT: Brandon Cwalina – [email protected]

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Lance B. Holton