​2023 Community HealthChoices (CHC) Waiver Amendment

Effective April 1, 2023

The Department of Human Services (DHS) Office of Long-Term Living (OLTL) will be submitting an amendment to the CHC 1915(c) home and community-based services waiver with an effective date of April 1, 2023. The Department proposes the following substantive and technical changes to the CHC waiver:

• Add Agency with Choice as a Financial Management Services model for the participant-directed services of Personal Assistance Services and Respite;
• Modify Service Coordinator and Service Coordinator Supervisor qualifications to align with the CHC Agreement;
• Amend the service definitions for the following CHC waiver services: Benefits Counseling, Nursing Services, Physical Therapy Services, Occupational Therapy Services and Speech and Language Therapy Services; and
• Revise waiver performance measures.

Interested persons are invited to submit written comments regarding the proposed waiver amendment to the Department of Human Services, Office of Long-Term Living, Bureau of Policy Development and Communications Management, Attention: CHC 2023 Waiver Amendment, P.O. Box 8025, Harrisburg, PA 17105-8025. Comments may also be submitted to the Department at RA-waiverstandard@pa.gov. Please use "CHC 2023 Waiver Amendment" as the subject line. Comments received by close of business on December 11, 2022, will be reviewed and considered for revisions to the proposed waiver amendment. Please use the CHC Waiver Comment Form at the bottom of this page.

The CHC waiver amendment public notice was published on Saturday, November 12, 2022, in the Pennsylvania Bulletin. View the public notice here.

(*) This Appendix contains proposed changes

• Side by Side Comparison of Proposed Changes
• Purpose of the Amendment*
• Main Module*
• Appendix A: Waiver Administration and Operation*
• Appendix B: Participant Access and Eligibility
• Appendix C: Participant Services*

• Service Definitions*

• Appendix D: Participant-Centered Planning and Service Delivery*
• Appendix E: Participant Direction of Services*
• Appendix F: Participant Rights
• Appendix G: Participant Safeguards
• Appendix H: Quality Improvement Strategy*
  

• Performance Measures*

• Appendix I: Financial Accountability
• Appendix J: Cost Neutrality Demonstration

CHC Waiver Comment Form