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Skip Navigation LinksNorthampton County Website DEPARTMENT of HUMAN SERVICES HEALTHCHOICES Commonwealth of Pennsylvania's HealthChoices

Skip Navigation LinksC_PA_HC Commonwealth of Pennsylvania's HealthChoices

 

The Commonwealth of Pennsylvania's mandatory Medicaid managed care program, called HealthChoices (HC), is the largest Medicaid (MA) program administered by the Department of Public Welfare (DPW). The HealthChoices program has three goals that guide the Department in its implementation efforts. These goals are as follows:

  • To improve access to health care services for MA recipients
  • To improve the quality of care available to MA recipients; and
  • To be cost effective with Pennsylvania's MA spending

Although these services are provided by separate contractors, the State requires coordination and interaction between all Physical Health and Behavioral Health Managed Care Organizations.

Magellan Provider Listing

HealthChoices Web site is a valuable resource of information about the Pennsylvania HealthChoices Program
This site provides a more detailed description of the program and a variety of information of interest.

Flyer Recruiting Stakeholders Magellan - English version - Spanish version
HealthChoices Medical Necessity Criteria available. Please see links below:

 HealthChoices Medical Necessity Criteria

​The medical necessity criteria for various levels of service can be accessed through Magellan's website  
http://www.magellanprovider.com/media/47553/mnc2016.pdf

 

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