waiver transitions january 2018 - pennsylvania transitions . january 2018. independence. waiver....

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WAIVER TRANSITIONS JANUARY 2018 INDEPENDENCE WAIVER ATTENDANT CARE WAIVER AGING 1 WAIVER COMMCARE WAIVER OBRA 2 WAIVER CHC WAIVER • Phase 1 Aging Waiver participants. • Phase 1 Attendant Care Waiver participants ages 21 and older; participants under 21 will transition to the OBRA Waiver. • The COMMCARE Waiver will become the CHC Waiver; Phase 2 & 3 COMMCARE participants will transition to the Independence Waiver. • Phase 1 Independence Waiver participants ages 21 and older; participants under 21 will transition to the OBRA Waiver. • Phase 1 OBRA Waiver participants ages 21 and older who are nursing facility clinically eligible; participants under 21 or not nursing facility clinically eligible will remain in OBRA. Transitioning to LIFE: Participants 55 and older who are nursing facility clinically eligible may choose to enroll or remain in a LIFE program instead of CHC. Transitioning to the CHC Waiver: PHASE 1 PHASE 2 PHASE 3 UNDER 21 UNDER 21 21 AND OLDER 21 AND OLDER 1 Participants will receive behavioral health services through the Behavioral Health Managed Care Organizations. 2 Participants will receive an updated clinical eligibility determination. Northwest Southwest Northeast Lehigh/Capital Southeast

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Page 1: WAIVER TRANSITIONS JANUARY 2018 - Pennsylvania transitions . january 2018. independence. waiver. attendant. care. waiver. aging. 1. waiver. commcare. waiver. obra. 2. waiver. chc

WAIVER TRANSITIONS JANUARY 2018

INDEPENDENCEW A I V E R

ATTENDANTCAREWA I V E R

AGING1

W A I V E R

COMMCAREW A I V E R

OBRA2

W A I V E R

CHCW A I V E R

• Phase 1 Aging Waiver participants.• Phase 1 Attendant Care Waiver

participants ages 21 and older;participants under 21 will transition tothe OBRA Waiver.

• The COMMCARE Waiverwill become the CHC Waiver;Phase 2 & 3 COMMCAREparticipants will transitionto the Independence Waiver.

• Phase 1 Independence Waiverparticipants ages 21 and older;participants under 21 will transition tothe OBRA Waiver.

• Phase 1 OBRA Waiver participantsages 21 and older who are nursingfacility clinically eligible; participantsunder 21 or not nursing facilityclinically eligible will remain in OBRA.

Transitioning to LIFE: Participants 55 and older who are nursing facility clinically eligible may choose to enroll or remain in a LIFE program instead of CHC.

Transitioning to the CHC Waiver:

PHASE 1

PHASE 2

PHASE 3

UN

DER

21

UNDER 21

21 AND OLDER

21 AND OLDER

1 Participants will receive behavioral health services through the Behavioral Health Managed Care Organizations.2 Participants will receive an updated clinical eligibility determination.

Northwest

Southwest

Northeast

Lehigh/Capital

Southea

st

Page 2: WAIVER TRANSITIONS JANUARY 2018 - Pennsylvania transitions . january 2018. independence. waiver. attendant. care. waiver. aging. 1. waiver. commcare. waiver. obra. 2. waiver. chc

WAIVER TRANSITIONS JANUARY 2019

PHASE 1

PRECEDING TRANSITION

PHASE 2PHASE 3

CHCW A I V E R

AGING1

W A I V E R

ATTENDANTCAREWA I V E R

INDEPENDENCEW A I V E R

OBRA2

W A I V E R

Transitioning to the CHC Waiver:• Phase 2 Aging Waiver participants.• Phase 2 Attendant Care Waiver

participants ages 21 and older; participants under 21 will transition to the OBRA Waiver.

• Phase 2 Independence Waiver participants ages 21 and older; participants under 21 will transition to the OBRA Waiver.

• Phase 2 OBRA Waiver participants ages 21 and older who are nursing facility clinically eligible; participants under 21 or not nursing facility clinically eligible will remain in OBRA.

Transitioning to LIFE: Participants 55 and older who are nursing facility clinically eligible may choose to enroll or remain in a LIFE program instead of CHC.

21 AND OLDER

21 AND OLDER

21 AND OLDER

UNDER 21

UN

DER

21

1 Participants will receive behavioral health services through the Behavioral Health Managed Care Organizations.2 Participants will receive an updated clinical eligibility determination.

Northwest

Southwest

Northeast

Lehigh/Capital

Southea

st

Page 3: WAIVER TRANSITIONS JANUARY 2018 - Pennsylvania transitions . january 2018. independence. waiver. attendant. care. waiver. aging. 1. waiver. commcare. waiver. obra. 2. waiver. chc

WAIVER TRANSITIONS JANUARY 2020

CHCW A I V E R

AGING1

W A I V E R

ATTENDANTCAREWA I V E R

INDEPENDENCEW A I V E R

OBRA2

W A I V E R

Transitioning to the CHC Waiver:• Phase 3 Aging Waiver participants.• Phase 3 Attendant Care Waiver

participants ages 21 and older; participants under 21 will transition to the OBRA Waiver.

• Phase 3 Independence Waiver participants ages 21 and older; participants under 21 will transition to the OBRA Waiver.

• Phase 3 OBRA Waiver participants ages 21 and older who are nursing facility clinically eligible; participants under 21 or not nursing facility clinically eligible will remain in OBRA.

Transitioning to LIFE: Participants 55 and older who are nursing facility clinically eligible may choose to enroll or remain in a LIFE program instead of CHC.

21 AND OLDER

21 AND OLDER

UNDER 21

UN

DER

21

PHASE 1

PRECEDING TRANSITION

PHASE 2PHASE 3

1 Participants will receive behavioral health services through the Behavioral Health Managed Care Organizations.2 Participants will receive an updated clinical eligibility determination.

Northwest

Southwest

Northeast

Lehigh/Capital

Southea

st

DATE: NOVEMBER 2017