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Health Choices

Medicaid Program in Pennsylvania

Mandatory Managed Care

Families, children, pregnant women, adults with low income

Preventive care, specialist visits, hospitalizations

PA Dept. of Human Services – OMAP

State: Pennsylvania

Program Type:

Mandatory Managed Care

Waiver Program: N/A

Enrollment Volume: Very High

Automation Opportunity: Low – large-scale MCO systems already in place

EVV Required: Not 

UPMC for You, Keystone First, Health Partners Plans, etc.

Capitation

Disclaimer: The information provided has been compiled from various external sources. We do not claim ownership or responsibility for its accuracy or completeness.

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