Medicaid Transition Healthy PA to Health Choices 1

  • Slides: 16
Download presentation
Medicaid Transition Healthy PA to Health. Choices 1

Medicaid Transition Healthy PA to Health. Choices 1

The Transition All Pennsylvanians who are now receiving subsidized healthcare coverage through former Gov.

The Transition All 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. 2

The Transition There will be no gaps in coverage during the transition. Gaps NO

The Transition There will be no gaps in coverage during the transition. Gaps NO = Problems NO 3

The Transition This change to a traditional Medicaid expansion will make it easier for

The Transition 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. 4

The Transition These changes first affect adults age 21 and older who receive Medical

The Transition 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). 5

What is changing? Adults age 21 and older will get a new adult benefit

What is changing? Adults age 21 and older will get a new adult benefit package which includes: – Physical Health Services – Mental Health Services 6

When will the changes start? Health Partners (Medicaid) members in the Healthy Interim and

When will the changes start? 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 their current HPP ID cards. 7

What’s next 8

What’s next 8

HEALTHY PA PCO Transition The transition of members out of our Health Partners Essential

HEALTHY PA PCO Transition 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. 9

HEALTHY PA PCO Transition Phase 1 continued: • The changes to the impacted members

HEALTHY PA PCO Transition 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 benefit package under Health Partners (Medicaid). 10

HEALTHY PA PCO Transition Note: All Health Partners Essential members transitioning to Health Partners

HEALTHY PA PCO Transition 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). 11

HEALTHY PA PCO Transition New applicants will no longer be enrolled in the Health

HEALTHY PA PCO Transition 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). 12

HEALTHY PA PCO Transition Phase 2: • This phase will begin in July 2015

HEALTHY PA PCO Transition 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 enrollees will transition into Health Partners (Medicaid) by September 1, 2015. 13

HEALTHY PA PCO Transition It is important to note there will be members in

HEALTHY PA PCO Transition It is important to note there will be members in Health Partners Essential through September 1, 2015. Please be sure to check eligibility through our provider portal for current information. 14

HEALTHY PA PCO Transition Find out more on our website: Health. Partners. Plans. com

HEALTHY PA PCO Transition Find out more on our website: Health. Partners. Plans. com If you have other questions regarding these changes, please call our Helpline at 1 -888 -991 -9023 or 215 991 -4350 or contact your Network Account Manager (NAM) directly. 15

Questions 16

Questions 16

MEDICAID MEDICARE THIRDPARTY BILLER COMPLIANCE TRAINING MEDICAID MEDICAREMEDICAID MEDICARE THIRDPARTY BILLER COMPLIANCE TRAINING MEDICAID MEDICARE
Wyoming Medicaid Provider Web Portal Wyoming Medicaid ProviderWyoming Medicaid Provider Web Portal Wyoming Medicaid Provider
The State of Medicaid Programs Medicaid A PrimerThe State of Medicaid Programs Medicaid A Primer
MEDICAID DENTAL PROGRAM Policy Review Wyoming Medicaid isMEDICAID DENTAL PROGRAM Policy Review Wyoming Medicaid is
Medicaid Managed Care Initiatives December 2011 Medicaid ServiceMedicaid Managed Care Initiatives December 2011 Medicaid Service
Beginning Billing Workshop Practitioner Colorado Medicaid 2015 MedicaidBeginning Billing Workshop Practitioner Colorado Medicaid 2015 Medicaid
Ohio Medicaid 2019 EAPG Updates Agenda Ohio MedicaidOhio Medicaid 2019 EAPG Updates Agenda Ohio Medicaid
MEDICAID MEDICARE THIRDPARTY BILLER COMPLIANCE TRAINING MEDICAID MEDICAREMEDICAID MEDICARE THIRDPARTY BILLER COMPLIANCE TRAINING MEDICAID MEDICARE
2017 Medicaid Update Ohio Department of Medicaid External2017 Medicaid Update Ohio Department of Medicaid External
Medicaid Information Technology Architecture MITA Where Louisiana MedicaidMedicaid Information Technology Architecture MITA Where Louisiana Medicaid
Wyoming Medicaid Provider Information and Resources Wyoming MedicaidWyoming Medicaid Provider Information and Resources Wyoming Medicaid
MEDICAID ELIGIBILTY Trusts Promissory Notes and LLCs MEDICAIDMEDICAID ELIGIBILTY Trusts Promissory Notes and LLCs MEDICAID
Redesign Medicaid in New York State Implementing MedicaidRedesign Medicaid in New York State Implementing Medicaid
Medicaid Audit Results NYS Office of Medicaid InspectorMedicaid Audit Results NYS Office of Medicaid Inspector
Anthem Medicaid KY Medicaid Coverage Area The KentuckyAnthem Medicaid KY Medicaid Coverage Area The Kentucky
Wisconsin Medicaid Informational Series How Medicaid Changes inWisconsin Medicaid Informational Series How Medicaid Changes in
Medicaid Coverage for Methadone In Illinois AATOD MedicaidMedicaid Coverage for Methadone In Illinois AATOD Medicaid
FY 2013 Medicaid Budget Update Medicaid Advisory CommitteeFY 2013 Medicaid Budget Update Medicaid Advisory Committee
Medicaid Fraud Do we have to MEDICAID FRAUDMedicaid Fraud Do we have to MEDICAID FRAUD
Kentucky Department for Medicaid Services Magellan Medicaid AdministrationKentucky Department for Medicaid Services Magellan Medicaid Administration
One Thing Make Up Your Mind Choices ChoicesOne Thing Make Up Your Mind Choices Choices
Open URL Resolvers Choices Choices CAVEATS o oOpen URL Resolvers Choices Choices CAVEATS o o
Thinking Through Choices in TalentInvestment Choices in TalentInvestmentThinking Through Choices in TalentInvestment Choices in TalentInvestment
CHOICES Training Conversion CHOICES Objectives Convert traditional inseatCHOICES Training Conversion CHOICES Objectives Convert traditional inseat
CHOICES Name Lay Person Kairos WCI Choices OriginsCHOICES Name Lay Person Kairos WCI Choices Origins
Making Choices Simulation Activity 1 Making Choices SuppliesMaking Choices Simulation Activity 1 Making Choices Supplies
Choices 1 Choices about how to spend ourChoices 1 Choices about how to spend our
Lexicographic discontinuous choices Lexicographic choices Respondents base theirLexicographic discontinuous choices Lexicographic choices Respondents base their
1 Food Choices CHAPTER 1 Food Choices 11 Food Choices CHAPTER 1 Food Choices 1