​HealthChoices Publications

HealthChoices General Information

• HealthChoices Weekly Report — September 11-15, 2023
  View the weekly numbers to see how many Pennsylvanians are enrolled in Medicaid due to the expansion. This report includes a breakdown of the numbers by county.
• 2023 HealthChoices Agreement including Exhibits and Non-financial Appendices
  
• Flyer: How to Apply — English
  
• Flyer: How to Apply — Spanish
  
• Medical Assistance Quality Strategy for Pennsylvania
• HealthChoices Audit Guide
• HealthChoices Performance Trending Report 2022
  
• Medical Assistance Citizenship Frequently Asked Questions 
• Flyer: MCO Special Needs Units
• HealthChoices 2021 Model Member Handbook
  
• MCO Accreditation Status
  

Transition Letters from Physical Health MCO to Community HealthChoices MCO for the Southeast Region:

• Aetna Better Health
  
• Health Partners Plans
  
• United HealthCare Community Plan of Pennsylvania
  
• Keystone First
  

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HealthChoices Physical Health Databooks

CY 2024 Contract Year

• All Zones HealthChoices CY 2024 Contract Year — Databook
  
• All Zones HealthChoices CY 2024 Contract Year — Historical Data

CY 2023 Contract Year

• All Zones HealthChoices CY 2023 Contract Year — Databook
  
• All Zones HealthChoices CY 2023 Contract Year — Historical Data

CY 2022 Contract Year

• All Zones HealthChoices CY 2022 Contract Year — Databook
  
• All Zones HealthChoices CY 2022 Contract Year — Historical Data

2023

2022

2021

2020

2019

2018

Consumer Guides

2022 Consumer Guides

• Consumer Guide Rate Chart
  
• Lehigh/Capital Zone
  
• Northeast Zone
  
• Northwest Zone
  
• Southeast Zone
  
• Southwest Zone
  

2022 Spanish Consumer Guides

• Zona Lehigh/Capital
  
• Zona Noroeste
  
• Zona Noreste 
  
• Zona Sureste 
• Zona Suroreste 
  

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Quality Measures

2022 Quality Measures

• 2022 CAHPS Performance Measures Rate Chart
• 2022 HEDIS Performance Measures Rate Chart
• 2022 ICP Performance Measures Rate Chart
• 2022 PA Performance Measures Rate Chart

2022 External Quality Review Reports

• 2022 Annual Technical Report — Aetna Better Health
  
• 2022 Annual Technical Report — AmeriHealth Caritas Pennsylvania 
  
• 2022 Annual Technical Report — Geisinger Health Plan
  
• 2022 Annual Technical Report — Health Partners Plans
  
• 2022 Annual Technical Report — Highmark Wholecare
  
• 2022 Annual Technical Report — Keystone First
  
• 2022 Annual Technical Report — United Healthcare Community Plan
  
• 2022 Annual Technical Report — UPMC for You
  
• 2022 Annual Technical Report — Statewide
  

2021 External Quality Review Reports

• 2021 Annual Technical Report — Aetna Better Health
  
• 2021 Annual Technical Report — AmeriHealth Caritas Pennsylvania 
  
• 2021 Annual Technical Report — Gateway Health
  
• 2021 Annual Technical Report — Geisinger Health Plan
  
• 2021 Annual Technical Report — Health Partners Plans
  
• 2021 Annual Technical Report — Keystone First
  
• 2021 Annual Technical Report — United Healthcare Community Plan
  
• 2021 Annual Technical Report — UPMC for You
  
• 2021 Annual Technical Report — Statewide
  

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Managed Care Operations Memorandums