HealthChoices General Information
- HealthChoices Weekly Report — Sept. 2-6, 2024
View the weekly numbers to see how many Pennsylvanians are enrolled in Medicaid due to the expansion. This report includes a breakdown of the numbers by county. - 2024 HealthChoices Agreement including Exhibits and Non-financial Appendices
- Flyer: How to Apply — English
- Flyer: How to Apply — Spanish
- Medical Assistance Quality Strategy for Pennsylvania
- HealthChoices Audit Guide
- HealthChoices Performance Trending Report 2022
- Medical Assistance Citizenship Frequently Asked Questions
- Flyer: MCO Special Needs Units
- HealthChoices 2021 Model Member Handbook
- MCO Accreditation Status
Transition Letters from Physical Health MCO to Community HealthChoices MCO for the Southeast Region:
HealthChoices Physical Health Databooks
CY 2025 Contract Year
- All Zones HealthChoices CY 2025 Contract Year — Databook
- All Zones HealthChoices CY 2025 Contract Year — Historical Cost Data
CY 2024 Contract Year
- All Zones HealthChoices CY 2024 Contract Year — Databook
- All Zones HealthChoices CY 2024 Contract Year — Historical Data
CY 2023 Contract Year
Monthly Physical Health Managed Care Program Enrollment Reports
2024
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2023
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2022
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2021
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2020
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2019
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2018
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Consumer Guides
2023 Consumer Guides
- Consumer Guide Rate Chart
- Lehigh/Capital Zone
- Northeast Zone
- Northwest Zone
- Southeast Zone
- Southwest Zone
2023 Spanish Consumer Guides
Quality Measures
2023 Quality Measures
- 2023 CAHPS Performance Measures Rate Chart
- 2023 HEDIS Performance Measures Rate Chart
- 2023 ICP Performance Measures Rate Chart
- 2023 PA Performance Measures Rate Chart
2023 External Quality Review Reports
- 2023 Annual Technical Report — AmeriHealth Caritas Pennsylvania
- 2023 Annual Technical Report — Geisinger Health Plan
- 2023 Annual Technical Report — Health Partners Plans
- 2023 Annual Technical Report — Highmark Wholecare
- 2023 Annual Technical Report — Keystone First
- 2023 Annual Technical Report — United Healthcare Community Plan
- 2023 Annual Technical Report — UPMC for You
- 2023 Annual Technical Report — Statewide
2022 External Quality Review Reports
- 2022 Annual Technical Report — Aetna Better Health
- 2022 Annual Technical Report — AmeriHealth Caritas Pennsylvania
- 2022 Annual Technical Report — Geisinger Health Plan
- 2022 Annual Technical Report — Health Partners Plans
- 2022 Annual Technical Report — Highmark Wholecare
- 2022 Annual Technical Report — Keystone First
- 2022 Annual Technical Report — United Healthcare Community Plan
- 2022 Annual Technical Report — UPMC for You
- 2022 Annual Technical Report — Statewide