Pennsylvania Medicaid Agency Opens Community HealthChoices Bid Process

Pennsylvania’s Bureau of Procurement released bid solicitations this week for the PA Department of Human Services’ Community HealthChoices (CHC) program. CHC is Pennsylvania’s mandatory managed care program, implemented in 2018, for dually eligible individuals and individuals with physical disabilities receiving home and community-based waiver services or nursing facility services. DHS is seeking to procure the services of Managed Care Organizations (MCOs) to operate the CHC program in the five CHC zones which cover all 67 counties of the Commonwealth, for a five-year term (with three one-year renewal options). The draft MCO agreement, exhibits (17 in all) and other important dates for compliance are here. Bids are due by March 15, 2024.