As we continue implementation of Healthy PA, The Commonwealth remains dedicated to effectively serving the citizens of Pennsylvania through the final stages of federal approval. As part of this, we want to ensure that you have the information and resources you need.
The Department has issued a Medical Assistance Bulletin outlining an interim benefit plan and scope of benefits for those individuals currently eligible for the Healthy benefit plan. Effective January 1, 2015 and until CMS approves the proposed Healthy benefit plan, the Department will apply the State’s current categorically needy scope of benefits and limits and benefit limit exception (BLE) process as the interim Healthy benefit plan. A summary of the scope of benefits and limits available under the interim Healthy benefit plan is described in the Benefit Plan Comparison chart attached to the bulletin. Both are enclosed.
Please take a few minutes to familiarize yourself with these interim procedures. As always, thank you for your partnership and dedication to serving the people of Pennsylvania.
Department of Human Services