table of contents...the graphic below reflects the changes from july’s market share by mo to...

1. CHC Statewide Monthly Enrollments by MCO Page 2

2. CHC Monthly Enrollment by Zone and MCO Page 2

3. CHC Market Share Page 3

4. CHC June to July Market Share Changes Page 3

5. CHC Market Share by Population Group Page 3

6. Medicare Type for All CHC Participants by Zone Page 4

7. Medicare Type by CHC Zone and Plan Page 4

8. D-SNP Enrollments by Plan Page 5

9. Statewide LTSS Population and HCBS Percentage Page 5

10. Other OLTL Program Enrollment Page 6

11. LIFE Enrollments by County Page 6

12. Number of Personal Care Homes and Assisted Living Facilities by County Page 7

13. Contact Information Page 7

www.dhs.pa.gov 1

• AHC—Amerihealth Caritas • CHC—Community HealthChoices • D-SNP—Dual Special Needs Plan • HCBS—Home and Community-

Based Services • KF—Keystone First • LC—Lehigh/Capital • LTC—Long-Term Care

• LTSS—Long-Term Services and Supports

• MCO—Managed Care Organization

• NE—Northeast • NFI—Nursing Facility Ineligible • NW—Northwest

• OBRA—Omnibus Budget Reconciliation Act

• PHW—PA Health & Wellness • SE—Southeast • SW—Southwest • UPMC—University of Pittsburgh

Medical Center

This brief is based on the data for the

preceding month’s end.

Acronym Guide:

Table of Contents:

Total CHC enrollment as of August 2020 is

374,058 up from 371,361 in July. Waiver

growth continues on an upward trend,

while nursing facility enrollment continues

to decrease this month.

44,884 96,927 374,058

Total CHC Enrollment Total CHC HCBS Enrollment Total CHC LTC Enrollment

www.dhs.pa.gov 2

CHC Monthly Enrollment by Zone and MCO

16179

21882

45605

80357

31412

27189

22788

13233

15345

6749

6460

16061

29578

18144

23076

0 10000 20000 30000 40000 50000 60000 70000 80000 90000

AHC

PHW

UPMC

KF

PHW

UPMC

AHC

PHW

UPMC

AHC

PHW

UPMC

AHC

PHW

UPMC

Sout

hwes

tSo

uthe

ast

No

rth

ea

stN

ort

hwes

tLe

hig

h/C

apit

al

Date Period: August 2020

155,651

91,131

127,276

374,058

-

50,000

100,000

150,000

200,000

250,000

300,000

350,000

400,000

AHC/KF PHW UPMC All MCO's

CHC Statewide Monthly Enrollments by MCO

Data period: August 2020

The graphic below reflects the changes

from July’s market share by MCO to

August’s market share by MCO. All

fluctuations are 0.5% or less.

- 50,000 100,000 150,000 200,000 250,000

CHC-HCBS Duals

CHC-HCBS Non Duals

CHC-LTC Duals

CHC-LTC Non Duals

CHC-NFI

CHC-HCBSDuals

CHC-HCBS NonDuals

CHC-LTC DualsCHC-LTC Non

DualsCHC-NFI

AHC/KF 32,617 17,373 13,393 1,213 91,055

PHW 17,737 4,359 13,883 1,043 54,109

UPMC 18,665 6,176 14,244 1,108 87,083

AHC/KF PHW UPMC

The NFI population continues to account for the majority of the

population with 62%. The percentage of HCBS participants remains

at 25% and the LTC population remains at 12% of the population

from July.

www.dhs.pa.gov 3

CHC Market Share by Population Group

Data Period: August 2020

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

SW SE NE NW LC Statewide

19.3%

57.8%

44.4%

23.1%

41.8% 41.6%

26.2%

22.6%

25.8%

22.1%

25.6% 24.4%

54.5%

19.6%29.9%

54.9%

32.6% 34.0%

AHC/KF PHW UPMC


CHC Market Share Chart

AHC/KF PHW UPMC

SW

SE

NE

NW

LC

State

CHC July to August Market

Share Changes

Medicare Type by CHC Zone and Plan


In August, the statewide

percentage of non-duals

remained at 8.3%. The

percentage of

participants in aligned D-

SNPs increased by 0.2%,

while the percentage of

participants in FFS

Medicare (-0.2%) and

other Medicare

Advantage (-0.1%)

decreased slightly.

www.dhs.pa.gov 4

Medicare Type for All CHC Participants by Region

Data Period: August 2020 * Includes records where Medicare Eligibility or Medicare Type couldn't be confirmed

www.dhs.pa.gov 5

Statewide LTSS Population and HCBS Percentage

*This chart contains CHC, OBRA, Act150 and LIFE program participants.

64.6% 65.0% 65.1% 65.3% 65.8% 65.9%66.4% 66.8% 67.1% 67.4%

68.1% 68.8% 69.2% 69.3%

0

20,000

40,000

60,000

80,000

100,000

120,000

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%

Jul-19 Aug-19 Sep-19 Oct-19 Nov-19 Dec-19 Jan-20 Feb-20 Mar-20 Apr-20 May-20 Jun-20 Jul-20 Aug-20

HCBS Participants 94,042 94,738 95,459 96,265 98,165 98,458 99,485 100,497 101,586 102,608 103,311 103,854 104,638 104,778

LTC Participants 51,490 51,094 51,147 51,071 50,959 50,960 50,313 49,865 49,764 49,551 48,334 47,095 46,619 46,502

Statewide HCBS 64.6% 65.0% 65.1% 65.3% 65.8% 65.9% 66.4% 66.8% 67.1% 67.4% 68.1% 68.8% 69.2% 69.3%

Statewide LTSS Populations Plus HCBS Percentage (Legacy)

Source: EDW Standard CHC Monthly and Legacy Monthly Reports



D-SNP Enrollments by Plan

D-SNP enrollment

continues to grow.

There was a 1.2%

increase growth in

D-SNP participants

from July to

August. Since the

beginning of 2020,

D-SNP participants

have increased

9.2%.

www.dhs.pa.gov 6

Other OLTL Program Enrollment


www.dhs.pa.gov 7


Questions regarding this data brief can be directed to:

The Office of Long-Term Living Abigail Coleman

Director, Division of Program Analytics [email protected]
mailto:[email protected]

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