[log in to unmask]">
On June 30, 2018, the continuity of care period for long-term services and supports in the Southwest Region ended. This impacts approximately 19,000 participants.
This may prompt questions from CHC participants on:
· A change to their service provided due to the managed care organization (CHC-MCO) ending their contact with a provider;
· A change in service coordinator due to their CHC-MCO ending its contract with a service coordination entity;
· A change to the amount, duration, or frequency of service they are receiving.
A CHC-MCO must alert the Office of Long-Term Living in writing of its intent to terminate contracts with a provider and services that a provider provides 90 days before the termination’s effective date. Procedures to address the termination’s impact on participants should be in place and participants must be notified in writing 45 days before the effective date.
OLTL will continue to monitor notification requirements, service plan changes, service denial notices, complaints, and grievances despite the continuity of care period ending. CHC-MCOs will be held accountable for meeting notification requirements to ensure participants are properly informed and continue to receive necessary services without unexpected disruption.
Participants with questions or concerns about changes to services or service delivery should contact their CHC-MCO. If questions remain, after talking with their CHC-MCO, participants can contact the OLTL at 1-800-757-5042.
Please read the two attached fact sheets on continuity of care for more information.
A listserv has been established for ongoing updates on the CHC program. It is titled OLTL-COMMUNITY-HEALTHCHOICES, please visit the ListServ Archives page at http://listserv.dpw.state.pa.us to update or register your email address.
Please share this email with other members of your organization as appropriate. Also, it is imperative that you notify the Office of Long-Term Living for changes that would affect your provider file, such as addresses and telephone numbers. Mail to/pay to addresses, email addresses, and phone numbers may be updated electronically through ePEAP, which can be accessed through the PROMISe™ provider portal. For any other provider file changes please notify the Bureau of Quality and Provider Management Enrollment and Certification Section at 1-800-932-0939 Option #1.
To ensure you receive email communications distributed from the Office of Long-Term Living, please visit the ListServ Archives page at http://listserv.dpw.state.pa.us to update or register your email address.