Health Choices
Medicaid Program in Pennsylvania
- Programs Type
Mandatory Managed Care
- Target Audience
Families, children, pregnant women, adults with low income
- Key Services Covered
Preventive care, specialist visits, hospitalizations
- Primary Agencies to Target
PA Dept. of Human Services – OMAP
- Quick Information
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
- Managed Care Organizations (MCOs)
UPMC for You, Keystone First, Health Partners Plans, etc.
- Reimbursement Model
Capitation
- Website / Source
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