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Senior LIFE Offers Good Solution to Coming Changes in Medicaid

If you are a Medicaid recipient or may be in the future, you should know about the changes coming in Pennsylvania's Medicaid Healthcare Plan. The Commonwealth is implementing a new plan called Community HealthChoices. Enrollment in the plan for Southwest Pennsylvania will begin next year.

The purpose of the new plan is to provide opportunities for adults to receive the services they need to be able to remain living in their home and avoid institutional care. Under Community HealthChoices, adults on Medicaid must select either, the local LIFE Program (if eligible) OR a state-approved managed care organization (MCO) to coordinate their physical health care and long-term services and supports (LTSS).

Senior LIFE is the local LIFE Program in Washington, Fayette, Greene, Westmoreland, Cambria, Indiana, Blair and Somerset Counties. To reach Senior LIFE, call 1-800-877-998-LIFE (5433) or visit them online at SeniorLifePA.com.

The Community HealthChoices Program will be mandatory for Medicaid recipients who are;

  • Adults 21 and older;
  • Persons with physical disabilities
  • Persons who are dually eligible for Medicare and Medicaid

Current Programs Being Replaced The following programs will be replaced by Community HealthChoices. Pennsylvanians in these programs will be required to choose a LIFE Program (if eligible) or a managed care organization for their healthcare services.

  • Aging Waiver
  • Attendant Care Waiver
  • CommCare Waiver
  • Independence Waiver

The LIFE Program is a Medicare and Medicaid approved long-term care program that provides complete medical care and supportive services for persons 55 years and older so that they can remain living in their home. It is an alternative to nursing and personal care homes. There are no costs for any LIFE Program services for Medicaid eligible persons. Senior LIFE's services are customized to meet the specific needs of each individual and include physicians and specialists, nursing care, physical, occupational and speech therapies, personal and home care, medications, meals and nutritional counseling, eye, dental and foot care, durable medical equipment and other medically necessary services. Transportation is also included from the member's home to the LIFE Center and all medical appointments.

"We have been providing exceptional services and quality care for Senior LIFE members for many years," says Natalie Martin, Executive Director of Senior LIFE in Uniontown. "We work directly with each person and their family to develop a plan of care that meets their individual needs. Our members are our neighbors, and they're like family to us. We grew up around here and we live in this community. They know us, and they know that we will take good care of them."

For more information on Senior LIFE call 1-877-998-LIFE (5433) or visit us online at SeniorLifePA.com

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