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2019 Community HealthChoices (CHC)
Waiver Renewal

Effective January 1, 2020

The Department of Human Services (DHS) Office of Long-Term Living (OLTL) will be submitting a renewal amendment to the CHC Waiver with an effective date of January 1, 2020. The Department proposes to renew the CHC waiver with an effective date of January 1, 2020, to align the waiver with the calendar year. In addition, the Department proposes the following substantive and technical changes to the CHC waiver:

 

    • Revise the Residential Habilitation service definition by modifying the number of hours that are defined as a day unit from a minimum of 12 hours to a minimum of 8 hours.
    • To the service definitions of Job Finding, Job Coaching, Employment Skills Development, Career Assessment and Benefits Counseling, add language that Office of Vocational Rehabilitation (OVR) services are considered to not be available if OVR has not made an eligibility determination within 120 days; and add language to address when employment services through the CHC waiver can be provided should OVR close the order of selection, thereby creating a waiting list for OVR services. 
    • Modify the qualifications for Service Coordinators and Service Coordinator supervisors.
    • Clarify that, if a CHC Managed Care Organization (MCO) identifies that a participant has not been receiving services for 5 or more days, and if the suspension of services was not pre-planned, then the CHC-MCO must communicate with the participant to determine the reason for the service suspension within 24 hours. If the participant’s health status or needs have changed, then the CHC-MCO must conduct a comprehensive needs reassessment of the participant’s needs within fourteen (14) days of identifying the issue.
    • Add that an emergency back-up plan must be included in the Person-Centered Service Plan.
    • Remove and modify language to reflect that the CHC waiver will be fully operational statewide as of January 1, 2020.
    • Update language to reflect that the Department utilizes IDEMIA as the data system to process fingerprint-based Federal Bureau of Investigation criminal record checks.
    • Update the OLTL bureau names and responsibilities.

 

Interested persons are invited to submit written comments regarding the proposed waiver amendments to the Department of Human Services, Office of Long-Term Living, Bureau of Policy Development and Communications Management, Attention: CHC Waiver Renewal, P.O. Box 8025, Harrisburg, PA 17105-8025. Comments may also be submitted to the Department at RA-waiverstandard@pa.gov.  Please use CHC Waiver Renewal as the subject line. Comments received by close of business on September 16, 2019, will be reviewed and considered for revisions to the proposed waiver amendments.

The CHC Waiver renewal public notice was published on Saturday, August 17, 2019, in the Pennsylvania Bulletin. View the public notice here.

(*) This Appendix contains proposed changes

CHC Waiver Comment Form