If you are caring for an aging parent or loved one in Pennsylvania, you may have heard the term “CHC” and wondered what it means. Community HealthChoices (CHC) is a Medicaid-managed care program designed to help eligible individuals receive the care and support they need while remaining in their homes and communities whenever possible. Understanding how CHC works can help families navigate available services and make informed care decisions.

What Is Community HealthChoices (CHC)?

Pennsylvania Department of Human Services created Community HealthChoices to coordinate health care and long-term support services for eligible individuals in Pennsylvania.

The program is designed primarily for:

  • Older adults age 21 and older who qualify for Medicaid and Medicare

  • Individuals with physical disabilities who qualify for Medicaid long-term services and supports

  • People who need assistance with daily living activities due to health conditions or disabilities

The goal of CHC is to provide coordinated care while helping individuals remain safely at home instead of moving into a nursing facility whenever appropriate.

How Does CHC Work?

Under CHC, participants choose a managed care organization (MCO) to coordinate their care and services. These health plans help manage medical care as well as long-term support services.

Some CHC plans available in Pennsylvania include:

  • UPMC Health Plan

  • AmeriHealth Caritas Pennsylvania

  • PA Health & Wellness

How to Get Started?

Contact the PA Enrollment Broker at 1-877-550-4227 (TTY: 711). or visit their website at https://paieb.com/en
Once enrolled, a service coordinator works with the participant and family to assess needs and develop a care plan.
What Services Can CHC Cover?
Depending on eligibility and individual needs, CHC may cover services such as:

  • Personal care assistance

  • Help with bathing and dressing

  • Meal preparation

  • Light housekeeping

  • Transportation assistance

  • Home modifications

  • Nursing services

  • Therapy services

  • Medical equipment and supplies

Services are intended to help individuals remain independent and safe in their homes.

Who Qualifies for CHC?

Eligibility is based on factors such as age, disability status, financial qualifications, and medical need for long-term services and supports. Individuals generally must qualify for Medicaid and meet the clinical requirements for long-term care services.

How Home Care Agencies Help

Home care agencies that participate with CHC programs can provide in-home support services that are included in a participant’s approved care plan. These services may help individuals maintain independence while giving families peace of mind that their loved ones are receiving support at home.

Final Thoughts

Navigating long-term care options can feel overwhelming, but understanding programs like CHC can help families access valuable support and services.

For individuals who qualify, CHC can provide important resources that allow them to remain in familiar surroundings while receiving the care they need to maintain their quality of life.