medicaid transition healthy pa to healthchoices 1

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Medicaid TransitionHealthy PA to HealthChoices

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The TransitionAll Pennsylvanians who are now receiving subsidized healthcare coverage through former Gov. Tom Corbett’s Healthy PA program,will be transitioned to the state’s traditional Medicaid plan by Sept. 1, 2015.

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There will be no gaps in coverage duringthe transition.

Gaps = Problems

NO NO

The Transition

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This change to a traditional Medicaid expansion will make it easier for eligible families to get access to health care by streamlining the current system.

The Transition

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These changes first affect adults age 21 and older who receive Medical Assistance under the Healthy Interim and Healthy Plus benefit packages and then those who are enrolled in a Private Coverage Option (PCO).

The Transition

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Adults age 21 and older will get a new adult benefit package which includes:

– Physical Health Services– Mental Health Services

What is changing?

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Health Partners (Medicaid) members in the Healthy Interim and Healthy Plus benefit packages were notified via a member mailing the week of March 23, 2015, that their benefits would change to the Adult benefit package effective APRIL 27, 2015.

Note: Members will use theircurrent HPP ID cards.

When will the changes start?

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What’s next

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The transition of members out of our Health Partners Essential plan (Healthy PA PCO) will occur in two phases:

Phase 1:This phase began in April 2015 with notification to the impacted members.

HEALTHY PA PCO Transition

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Phase 1 continued:• The changes to the impacted members in this phase

will be effective June 1, 2015.

• These are members who were enrolled in General Assistance and Select Plan programs in December 2014. They will be transitioned from Health Partners Essential to the new adult benefitpackage under Health Partners (Medicaid).

HEALTHY PA PCO Transition

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Note: All Health Partners Essential members transitioning to Health Partners (Medicaid) will be issued new cards once they begin receiving coverage under Health Partners (Medicaid).

HEALTHY PA PCO Transition

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New applicants will no longer be enrolled in the Health Partners Essential plan and will be enrolled in the new adult benefit package with coverage under Health Partners (Medicaid).

HEALTHY PA PCO Transition

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Phase 2:• This phase will begin in July 2015 with notification

to impacted members and be completed by September 1, 2015.

• All remaining Health Partners Essential enrolleeswill transition into Health Partners (Medicaid) by September 1, 2015.

HEALTHY PA PCO Transition

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It is important to note there will bemembers in Health Partners Essentialthrough September 1, 2015.

Please be sure to check eligibilitythrough our provider portal forcurrent information.

HEALTHY PA PCO Transition

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Find out more on our website:

HealthPartnersPlans.com

If you have other questions regarding these changes,please call our Helpline at 1-888-991-9023 or 215 991-4350or contact your Network Account Manager (NAM) directly.

HEALTHY PA PCO Transition

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Questions