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:
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 ProgramThis site provides a more detailed description of the program and a variety of information of interest.Flyer Recruiting Stakeholders Magellan - English version - Spanish versionHealthChoices Medical Necessity Criteria available. Please see links below:
The medical necessity criteria for various levels of service can be accessed through Magellan's website http://www.magellanprovider.com/media/47553/mnc2016.pdf