HealthChoices Program

Magellan's Member Newsletter

To view the current & archived Magellan's Member Newsletters - please click on link below

 http://magellanofpa.com/benefits-services-pa/member-newsletter.aspx

While you are in there be sure to sign up to receive the newsletters electronically

 

        

Magellan Voice to Vision (V2V) Campaign

Member Voice to Vision (V2V) Campaign

YOUTH AND FAMILY SERVICES COUNCIL
Wednesday, Wednesday, June 1, 2016  @ 6:00 p.m.
Raub Middle School
102 S. St. Cloud Street, Allentown, Pa. 18104

ADULT SERVICES COUNCIL
Wednesday, May 25, 2016  @ 3:30 p.m.
Goodwill Clubhouse of Lehigh County
1437 W. Gordon Street, Allentown, Pa. 18102


For more information regarding the Magellan Voice to Vision (V2V) Campaign, please see section links "Member Voice to Vision (V2V) Campaign"

        

Contact

Lehigh County Behavioral HealthChoices
Lehigh County Government Center
17 South Seventh Street
Allentown Pennsylvania 18101

Phone: 610-782-3945
Fax: 610-820-3689

        

Dealing with Trauma in the Community

Frequently, not a day goes by that we don't hear about some kind of tragedy of violence occurring in our community.
Please reference the following links that can help children and others cope with the violence that can occur.

Helping Children Cope with Violence

School Violence - Coping with Anxiety

Tragedy - Taking care of Yourself

Trauma in the Community

        

Health Choices

For information related to Magellan Behavioral Health, HealthChoices Services, member handbook, eligibility, etc., please call the Lehigh Magellan member line at 1-866-238-2311 or for (TTY) 1-866-238-2313. Information can also be accessed by clicking on the following link: http://www.magellanofpa.com/

For concerns or comments about the Lehigh County HealthChoices Program and/or Magellan Behavioral Health, you can:

o   Contact the Consumer and Family Satisfaction Team through Recovery Partnership at 610-861-2741 or,

o   Contact HealthChoices staff member Liz Fox (lizabethfox@lehighcounty.org) at 610-782-3520 or,

o   Contact HealthChoices staff member Erika Shoemaker (erikashoemaker@lehighcounty.org) at 610-782-3842.


        

HealthChoices Program

Philosophy
The Lehigh County HealthChoices Program is committed to ensuring that every person with serious mental illness and/or addictive disease, and every child and adolescent who abuses substances and/or has a serious emotional disturbance will have the opportunity for growth, recovery and inclusion in their community, will have access to services and supports of their choice, and enjoy a quality of life that includes family and friends.

Program Description
The 
HealthChoices Programoffers medically necessary mental health and drug and alcohol services to Medical Assistance eligible children and adults. Individuals are offered a choice of providers for needed mental health or drug and alcohol treatment services. The Lehigh County HealthChoices program is managed by the Departments' Office of Human Services, which also includes the Offices of Mental HealthIntellectual Disabilities (formerly Mental Retardation) / and Drug and Alcohol. The HealthChoices program in Lehigh County is administered through a subcontract with Magellan Behavioral Health.

Please note that Physical Health services through the HealthChoices Program continues to be managed and overseen directly by the Office of Medical Assistance Programs and Department of Health. For information on the specific Physical Health Managed Care Organizations (PH-MCOs), please see the links at the bottom of the page.

Services provided include, but are not limited to:

  • Inpatient psychiatric hospitalization
  • Inpatient drug and alcohol detoxification and rehabilitation
  • Psychiatric outpatient and partial hospitalization
  • Outpatient drug and alcohol services
  • Family-based mental health services (21 years of age and younger)
  • Target case management (intensive case management and resource coordination)
  • Certified Peer Support
  • Behavioral health rehabilitation services for children and adolescents
  • Residential treatment services (21 years of age and younger)
  • Non-hospital drug and alcohol residential detoxification and rehabilitation
  • Methadone & Levo - Alpha - Acetyl - Methanol (LAAM)
  • Crisis Intervention Services

For a complete list of services and the providers that offer them, please refer to the Magellan Behavioral Health Provider List. Please note that this list is subject to change.

Medical Necessity Criteria for Services

*Information on Complaints and Grievances*

Any question(s) about services should be directed to Magellan B.H. at the following number:

1-866-238-2311 or (TTY) 1-866-238-2313

For information on complaints and grievances, how to file a complaint or grievance, or how to get help with such, please see the Section Links box at the top left corner of this webpage.

Lehigh County HealthChoices Fraud and Abuse Hotline - The following hotline is available to anyone who would like to report suspected fraud and/or abuse related to a Medical Assistance/HealthChoices program. Please call (610) 782-3440.

        

Medicaid Program

Pennsylvania Transitions 121,234 into New Expanded Medicaid Program
All Future Applications Will Now Go Through New System

Harrisburg, PA - Governor Tom Wolf announced the successful transition of 121,234 individuals from the previous Healthy PA plan to a traditional Medicaid expansion plan called HealthChoices. This transition provides greater health care coverage in a simpler and streamlined manner to Pennsylvanians who are most in need. In addition to those existing clients who were transitioned, all future applications will now go through the new simplified HealthChoices system.

The changes put in place will make it easier for hundreds of thousands of Pennsylvanians to get access to the health care they need.  These changes get rid of the unnecessary red tape and complex processes that existed in the previous system,” said Governor Tom Wolf.

The HealthChoices expansion moves Pennsylvania to a single, comprehensive Adult benefit package that provides individuals enhanced coverage for both physical and behavioral health.  The Department of Human Services (DHS) completed the update to its data systems that enabled the transition to HealthChoices this weekend.  

The transition to HealthChoices is taking place in two phases. 

 Phase One implementation:

  • Healthy PA system have been discontinued. All individuals in these plans have been moved to the simplified and streamlined single Adult benefit package.

  • Individuals enrolled in the Healthy PA Private Coverage Option (PCO have been moved into Medicaid and receive the Adult benefit package.  This first group includes all PCO recipients who were in Medicaid as of December 2014.
  • There were 121,234 individuals in these categories.


    What are the next steps?

     
    There are 137,723 individuals who are still enrolled in the PCO. These PCO recipients will transition gradually at different times over the next few months

    The transition will be complete and their new coverage in the Medicaid HealthChoices plan will start by September 1.

    Visit www.HealthChoicesPA.com to see a copy of the notices and a draft of the new Adult benefit package.

    MEDIA CONTACT:           Kait Gillis, DHS, 717-425-7606

    One Pager for Transition
    Co-Payments
    Benefit Package Coverage
    Recipient Benefit Packages
    Additional Resources