Effective September 1, 2022, there will be changes to the Medicaid physical health managed care plans available in Pennsylvania. These changes only apply to people who get their Medicaid through the physical HealthChoices system – they do not apply to Community HealthChoices. They also do not apply to the Medicaid behavioral health plans. As such, this guide shares tips on choosing a physical HealthChoices plan, and does not address Community HealthChoices or behavioral health plans.
Over 450,000 Medicaid consumers will need to choose a new health plan this summer. Some existing plans will no longer be offered after September 1, 2022. Consumers who do not choose a new health plan by August 17th will be auto-enrolled into one.
Even people whose plan is not going away will have new plan options available, should they decide to change plans. They could decide to switch to a new managed care plan after reviewing the newly available plans.
Everyone impacted by these Medicaid plan changes should get a letter in early-to-mid June 2022 explaining their new health plan choices. You will have until August 17th to choose a plan. If you select a plan by August 17, your new plan coverage will start September 1.
Download the Tips for Choosing a Health Plan document!