PTC-MEETING-MINUTES Archives

Pharmacy and Therapeutics Committee Meeting Minutes

PTC-MEETING-MINUTES@LISTSERV.DHS.PA.GOV

Options: Use Classic View
Hide Table of Contents

New URL for Provider Directory
New URL for Provider Enrollment Application
PLEASE DISREGARD: New URL for TPL Tools Application
New URL for TPL Tools Application
New URL for PROMISe Internet Portal
September 2023 Pharmacy and Therapeutics Committee Meeting Minutes and PDL document
PROMISe URL Domain Changes
1115 Program Administrator RFI - Bridges to Success: Keystones of Health for Pennsylvania
DHS website migration update
September 2022 Pharmacy & Therapeutics Committee Meeting recommendation documents
September 2021 P&T Minutes - PDL Document with Highlighted Changes
Important Plan Selection Reminder
August 2020 P&T Minutes - PDL Document with Highlighted Changes
August 2020 P&T Minutes for Listserv
Redesigned MMIS 2020 Platform website announcement
Pharmacy and Therapeutics Committee Meeting Minutes - 06/21/19
Community HealthChoices Fact Sheet: Medicare/Medicaid Billing
Community HealthChoices Fact Sheet: Third Party Liability & Coordination of Benefits
Redesigned DHS Website
Community HealthChoices Fact Sheet: Eligibility
Community HealthChoices Fact Sheet: Complaints and Grievances
Community HealthChoices Fact Sheet: Service Coordination
Electronic Visit Verification Public Meeting Registration
Community HealthChoices Fact Sheet: Behavioral Health
Community HealthChoices Fact Sheet: Continuity of Care
Pharmacy and Therapeutics Committee Meeting - 05/15/19
DHS Website Navigation Testing
Community HealthChoices Fact Sheet: CHC-Provider Relationships
Pharmacy and Therapeutics Committee Meeting - 11/27/18
DHS Website Navigation Testing
Community HealthChoices Phase Three Provider Session Registration Now Open
Stakeholder Presentation Invitation
Community HealthChoices Fact Sheet: Coordination with Medicare
RFI - Comprehensive Services and Information Resources
Community HealthChoices Third Party Liability Fact Sheet
Pharmacy & Therapeutics Committee Meeting Minutes - 05/16/18
Checking the Eligibility Verification System (EVS) and Participant Identification Cards for Community HealthChoices (CHC)
CHC Continuity of Care
Pharmacy & Therapeutics Committee Meeting Minutes - 11/07/17
CHC Southeast Kickoff Communication
CHC Populations
Pharmacy & Therapeutics Committee Meeting Minutes - 05/17/17
CHC: Eligibility
CHC Participant Communications
CHC: Continuity of Care
New School Vaccination Requirements
CHC - How to talk to participants
CHC Service Coordination
Electronic Visit Verification
CHC Third Party Liability
Community HealthChoices SW Provider Summits
CHC Provider Relationship
Pharmacy & Therapeutics Committee Meeting Minutes - 11/10/16
Community HealthChoices Waiver Transitions
DHHS Letter Regarding PA House Budget
Understanding Community HealthChoices vs. HealthChoices
Pharmacy & Therapeutics Committee Meeting Minutes - 05/17/16
Provider MAB Listserv Inoperative
Pharmacy & Therapeutics Committee Meeting Minutes - 05/20/15
Pharmacy & Therapeutics Committee Meeting Minutes - 11/05/14
HealthChoices Expansion Update
Pharmacy & Therapeutics Committee Meeting Minutes - 05/28/2014
Healthy Pennsylvania Update
Healthy Pennsylvania
Pharmacy & Therapeutics Committee Meeting Minutes - 11/05/13
Pharmacy & Therapeutics Committee Meeting Minutes - 05/16/13
Pharmacy & Therapeutics Committee Meeting Minutes - 11/07/12
Pharmacy & Therapeutics Committee Meeting Minutes - 05/23/12
Pharmacy & Therapeutics Committee Meeting Minutes - 11/09/11
Pharmacy & Therapeutics Committee Meeting Minutes - 05/05/11
Pharmacy & Therapeutics Committee Meeting Minutes - 02/25/09
Pharmacy & Therapeutics Committee Meeting Minutes - 08/20/08

PW, OMA ListServ
Tue, 22 Oct 2024 13:46:31 +0000
Reply
The following Provider Directory (web page) URL domain name has changed:

https://provider.directory.dhs.pa.gov

Please be sure to update your saved links or Favorites.

NOTICE: This confidential message/attachment contains information intended for a specific individual(s) and purpose. Any inappropriate use, distribution or copying is strictly prohibited. If received in error, notify the sender and immediately delete the message.
Reply
No Replies
PW, OMA ListServ
Tue, 22 Oct 2024 13:32:32 +0000
Reply
The following Provider Enrollment application (web page) URL domain name has changed:

https://provider.enrollment.dhs.pa.gov/

Please be sure to update your saved links or Favorites.

NOTICE: This confidential message/attachment contains information intended for a specific individual(s) and purpose. Any inappropriate use, distribution or copying is strictly prohibited. If received in error, notify the sender and immediately delete the message.
Reply
No Replies
PW, OMA ListServ
Fri, 18 Oct 2024 20:33:30 +0000
Reply
Please disregard the notice for the URL change for persons using the TPL Tools Application. This change was a backend change and requires NO change of your current procedures for accessing the TPL Tools Application.

NOTICE: This confidential message/attachment contains information intended for a specific individual(s) and purpose. Any inappropriate use, distribution or copying is strictly prohibited. If received in error, notify the sender and immediately delete the message.
Reply
No Replies
PW, OMA ListServ
Fri, 18 Oct 2024 12:16:18 +0000
Reply
The following TPL Tools application (web page) URL domain name has changed:

https://tools.tpl.dhs.pa.gov

Please be sure to update your saved links or Favorites.

NOTICE: This confidential message/attachment contains information intended for a specific individual(s) and purpose. Any inappropriate use, distribution or copying is strictly prohibited. If received in error, notify the sender and immediately delete the message.
Reply
No Replies
PW, OMA ListServ
Thu, 17 Oct 2024 15:36:23 +0000
Reply
The following provider application (web page) URL domain name has changed:
PROMISe(tm) Internet Portal > Home
https://promise.dhs.pa.gov/portal/provider/Home/tabid/135/Default.aspx
Please be sure to update your saved links or Favorites.

NOTICE: This confidential message/attachment contains information intended for a specific individual(s) and purpose. Any inappropriate use, distribution or copying is strictly prohibited. If received in error, notify the sender and immediately delete the message.
Reply
No Replies
PW, OMA ListServ
Wed, 11 Sep 2024 15:24:03 +0000
Reply
Attached are the Pharmacy & Therapeutics meeting minutes and PDL document from September 12 and 13, 2023 meetings.

NOTICE: This confidential message/attachment contains information intended for a specific individual(s) and purpose. Any inappropriate use, distribution or copying is strictly prohibited. If received in error, notify the sender and immediately delete the message.
Reply
No Replies
PW, OMA ListServ
Fri, 2 Aug 2024 20:29:44 +0000
Reply
Good afternoon,

In accordance with DHS rebranding and the Governor's Office Customer Service Transformation Initiative, the Office of Medical Assistance Programs will be implementing changes to the old URLs to reach PROMISe hosted applications and websites. The old URLs, using a domain naming convention of dpw.state.pa.us, will be changing to dhs.pa.gov in phased implementations beginning August 7th, 2024, and wrapping up in October 2024. Please review the attached pdf containing the impacted production environment URLs.

[More ...]
Reply
No Replies
PW, OMA ListServ
Fri, 19 Jul 2024 15:13:40 +0000
Reply
View In Browser<https://maestro.pa.gov/list/k3hdw2n4/240718C/7os582xzsu6y.vib?a2=5scbc7ua&a1=stmeyer%40PA.GOV&a0=325>

[https://maestro.pa.gov/list/img/pic?t=HTML_IMAGE&lui=k3hdw2n4&j=240718C&i=lyrgxyur5argi90jne2]
Bridges to Success:
Keystones of Health for Pennsylvania

1115 Program Administrator RFI

[https://maestro.pa.gov/list/img/pic?t=HTML_IMAGE&lui=k3hdw2n4&j=240718C&i=lyrh24vn6vsfju78kuj]

1115 Program Administrator RFI

The Department of Human Services has released a new Request for Information (RFI) to assist in determining possible implementation needs for the Commonwealth’s proposed 1115 Demonstration Waiver titled, Bridges to Success: Keystones of Health for Pennsylvania. This RFI will help inform a potential scope of work for private, public, and non-profit organizations that could serve in the future as a Program Administrator for the program. If approved and implemented, Keystones of Health would bring new resources to Pennsylvania’s Medicaid

[More ...]
Reply
No Replies
PW, OMA ListServ
Tue, 28 May 2024 17:53:28 +0000
Reply
Good afternoon,

In partnership with the Governor's Office and the Commonwealth's web development vendor, the Department of Human Services will move to a new public-facing website platform. Deployment of the new platform is scheduled for this evening, Tuesday, May 28. This transition will only affect dhs.pa.gov, and will not affect COMPASS, CWIS, PROMISe, PELICAN, or any other custom developed platforms.

[More ...]
Reply
No Replies
PW, OMA ListServ
Wed, 13 Sep 2023 20:21:53 +0000
Reply
Attached are the Pharmacy & Therapeutics meeting recommendation documents from the September 13 and 14, 2022 meetings.

NOTICE: This confidential message/attachment contains information intended for a specific individual(s) and purpose. Any inappropriate use, distribution or copying is strictly prohibited. If received in error, notify the sender and immediately delete the message.
Reply
No Replies
PW, OMA ListServ
Thu, 15 Sep 2022 14:32:18 +0000
Reply
Attached are the Pharmacy & Therapeutics meeting minutes and highlighted changes document from the September 14 and 15, 2021 meetings.

NOTICE: This confidential message/attachment contains information intended for a specific individual(s) and purpose. Any inappropriate use, distribution or copying is strictly prohibited. If received in error, notify the sender and immediately delete the message.
Reply
No Replies
PW, OMA ListServ
Mon, 1 Aug 2022 17:25:19 +0000
Reply
The Department of Human Services is issuing an important reminder that major changes are being made to the HealthChoices Physical Health Managed Care Organizations (MCOs) offering Medical Assistance benefits on September 1, 2022.

A large number of Medical Assistance consumers must select a new MCO by August 16, 2022. If they do not make a selection, a new MCO will be automatically chosen for them.

[More ...]
Reply
No Replies
PW, OMA ListServ
Wed, 16 Feb 2022 17:09:36 +0000
Reply
NOTICE: This confidential message/attachment contains information intended for a specific individual(s) and purpose. Any inappropriate use, distribution or copying is strictly prohibited. If received in error, notify the sender and immediately delete the message.
Reply
No Replies
PW, OMA ListServ
Fri, 17 Sep 2021 18:01:58 +0000
Reply
NOTICE: This confidential message/attachment contains information intended for a specific individual(s) and purpose. Any inappropriate use, distribution or copying is strictly prohibited. If received in error, notify the sender and immediately delete the message.
Reply
No Replies
PW, OMA ListServ
Thu, 29 Oct 2020 15:22:48 +0000
Reply
Good Morning,

We are pleased to announce the MMIS 2020 Platform Project website is now live! The direct link to the MMIS 2020 homepage is: 30T30TUUhttps://www.dhs.pa.gov/MMIS/Pages/default.aspx<https://www.dhs.pa.gov/MMIS/Pages/default.aspx>UU30T30T.

You may have also noticed the previous MMIS 2020 webpage link, located within the 30T30TProviders > Sort by Industry section<https://www.dhs.pa.gov/providers/Pages/Sort-by-Industry.aspx>30T30T of the DHS website, now appears as "*New* MMIS 2020." This link will now take you to the new MMIS 2020 website.

[More ...]
Reply
No Replies
PW, OMA ListServ
Tue, 18 Aug 2020 20:42:35 +0000
Reply
NOTICE: This confidential message/attachment contains information intended for a specific individual(s) and purpose. Any inappropriate use, distribution or copying is strictly prohibited. If received in error, notify the sender and immediately delete the message.
Reply
No Replies
PW, OMA ListServ
Tue, 21 Jan 2020 21:47:13 +0000
Reply
[Logo - Community Health Choices]

Community HealthChoices (CHC) is Pennsylvania's mandatory managed care program for individuals who are 21 years of age or older and have both Medicare and Medicaid or receive long-term services and supports through Medicaid. One of CHC's goals is to improve coordination between Medicare and Medicaid so participants experience better services and outcomes. Billing will not change for Medicare services, but it may change how service providers bill Medicaid and Medicare for coinsurance and deductibles. For more information on Medicaid and Medicare billing, view the attached fact sheet.

[More ...]
Reply
No Replies
PW, OMA ListServ
Mon, 18 Nov 2019 18:46:42 +0000
Reply
[Logo - Community Health Choices]

Community HealthChoices (CHC) is Pennsylvania's mandatory managed care program for individuals who are 21 years of age or older and have both Medicare and Medicaid or receive long-term services and supports through Medicaid. Third party liability (TPL) is when responsibility for all or part of a participant's health care expenses rests with an individual entity or program other than the CHC managed care organization (CHC-MCO), such as Medicare or commercial insurance. For more information on TPL and coordination of benefits, view the attached fact sheet.

[More ...]
Reply
No Replies
PW, OMA ListServ
Thu, 14 Nov 2019 20:29:46 +0000
Reply
Over the next few weeks, the Department of Human Services will launch a redesigned website. The format of this website will match other state agencies under the Governor's jurisdiction. At this time, this migration only affects pages under the www.dhs.pa.gov website. Our homepage will still be accessible at www.dhs.pa.gov, but existing hyperlinks will change under the new structure. If you have bookmarked pages, they may no longer work. If you are trying to access a page and the link no longer works, please go to the DHS homepage at www.dhs.pa.gov and use the search function to find the page you 

[More ...]
Reply
No Replies
PW, OMA ListServ
Wed, 28 Aug 2019 16:53:17 +0000
Reply
[Logo - Community Health Choices]

Community HealthChoices (CHC) is Pennsylvania's mandatory managed care program for individuals who are dually eligible for Medicare (Part A and/or Part B) and Medicaid. CHC also covers individuals 21 years of age or older with physical disabilities who receive long-term services and supports through Medicaid.

For more about who is eligible for CHC, view the attached fact sheet.

[More ...]
Reply
No Replies
PW, OMA ListServ
Mon, 12 Aug 2019 12:36:49 +0000
Reply
[cid:image001.png@01D54B9A.78C96910]
(Logo, Community HealthChoices)
Community HealthChoices (CHC) is Pennsylvania's mandatory managed care program for individuals who are dually eligible for Medicare and Medicaid and individuals 21 years of age or older with physical disabilities who receive long-term services and supports through Medicaid. CHC participants have protections if they do not agree with a CHC managed care organization's (CHC-MCO) decision to deny, decrease, or approve a service or item different than what was requested. Participants can also voice dissatisfaction with their CHC-MCO or a provider. These concerns or issues can be voiced through the complaints and grievance process.

[More ...]
Reply
No Replies
PW, OMA ListServ
Tue, 23 Jul 2019 16:06:58 +0000
Reply
[cid:image001.png@01D5414F.1F6FF370]
(Logo, Community HealthChoices)
Community HealthChoices (CHC) is Pennsylvania's mandatory managed care program for individuals who are dually eligible for Medicare and Medicaid and individuals 21 years of age or older with physical disabilities who receive long-term services and supports through Medicaid. Under CHC, long-term care services and each participant's person-centered service plan are managed by a service coordinator. Service coordinators work with the CHC managed care organizations as a single point-of-contact to help participants obtain health services and supports.

[More ...]
Reply
No Replies
PW, OMA ListServ
Fri, 12 Jul 2019 14:59:43 +0000
Reply
Please register for EVV Public Meeting on Jul 16, 2019 1:00 PM EDT at:

https://attendee.gotowebinar.com/register/2796917188088350987

After registering, you will receive a confirmation email containing information about joining the webinar.

NOTICE: This confidential message/attachment contains information intended for a specific individual(s) and purpose. Any inappropriate use, distribution or copying is strictly prohibited. If received in error, notify the sender and immediately delete the message.
Reply
No Replies
PW, OMA ListServ
Fri, 12 Jul 2019 14:15:51 +0000
Reply
[cid:image001.png@01D5389A.C68AC580]
(Logo, Community HealthChoices)
Community HealthChoices (CHC) is Pennsylvania's mandatory managed care program for individuals who are dually eligible for Medicare and Medicaid and individuals 21 years of age or older with physical disabilities who receive long-term services and supports through Medicaid. Through this program, individuals previously served by the Aging Waiver and individuals residing in a nursing facility are eligible for behavioral health services through Behavioral HealthChoices.

[More ...]
Reply
No Replies
PW, OMA ListServ
Fri, 5 Jul 2019 19:36:03 +0000
Reply
[cid:image003.png@01D52D99.D3E5B2F0]
(Logo, Community HealthChoices)

On June 30, 2019, the continuity of care period for long-term services and supports in the Southeast Region ended. This impacts approximately 50,000 participants.

This may prompt questions from CHC participants on:
* A change to their service provider due to the managed care organization (CHC-MCO) ending their contact with a provider;
* A change in service coordinator due to their CHC-MCO ending its contract with a service coordination entity;
* A change to the amount, duration, or frequency of service they are receiving.
A CHC-MCO must alert the Office of Long-Term Living in writing of

[More ...]
Reply
No Replies
PW, OMA ListServ
Wed, 26 Jun 2019 12:21:42 +0000
Reply
NOTICE: This confidential message/attachment contains information intended for a specific individual(s) and purpose. Any inappropriate use, distribution or copying is strictly prohibited. If received in error, notify the sender and immediately delete the message.
Reply
No Replies
PW, OMA ListServ
Wed, 29 May 2019 13:43:06 +0000
Reply
Valued partner,
Thank you for your initial feedback on draft updates to the Department of Human Services' website. We are now seeking opinions on a second option developed from this initial feedback. Can you please take this brief survey<https://pa-interactive.optimalworkshop.com/questions/dhs_wayfinding> (https://pa-interactive.optimalworkshop.com/questions/dhs_wayfinding) to help us evaluate a potential navigation design?

We would appreciate your feedback by Friday, May 31. If you have technical difficulties with the survey, please email [log in to unmask]<mailto:[log in to unmask]> and our staff will try to assist, but this is a test platform so issues will not be reflected in any future changes DHS' website.

[More ...]
Reply
No Replies
PW, OMA ListServ
Wed, 29 May 2019 13:01:56 +0000
Reply
[cid:image001.png@01D515FD.28486540]
Community HealthChoices (CHC) is Pennsylvania's mandatory managed care program for individuals who are dually-eligible for Medicare and Medicaid and individuals 21 years of age or older with physical disabilities. Managed care is new for long-term services and supports, but Pennsylvania has provided physical and behavioral health care through a managed care model for many years.

[More ...]
Reply
No Replies
PW, OMA ListServ
Mon, 20 May 2019 11:27:27 +0000
Reply
NOTICE: This confidential message/attachment contains information intended for a specific individual(s) and purpose. Any inappropriate use, distribution or copying is strictly prohibited. If received in error, notify the sender and immediately delete the message.
Reply
No Replies
PW, OMA ListServ
Fri, 10 May 2019 14:02:01 +0000
Reply
Valued partner,
The Department of Human Services is evaluating options to make our website more accessible for citizens, providers, and stakeholders. This is a long-term transition, and changes will not be implemented until Fall 2019. As we consider options, we want to consider feedback from partners who use our website most often. Can you please take this brief survey (https://pa-interactive.optimalworkshop.com/questions/dhs_sitemenu) to help us evaluate a potential navigation design? We would appreciate your feedback by Friday, May 17.
Thank you for your assistance!
The Department of Human Services Communications Office

[More ...]
Reply
No Replies
PW, OMA ListServ
Wed, 10 Apr 2019 16:17:13 +0000
Reply
[cid:image001.png@01D4EF97.5320DDB0]

(Logo, Community HealthChoices)

Registration is now open for the upcoming Community HealthChoices (CHC) Educational Provider Sessions for Phase Three regions. Locations for each region are available at the RSVP pages:

* May 13-15: Lehigh/Capital Region Provider Summits<https://docs.google.com/forms/d/e/1FAIpQLScTzVMnKnPTUOnABeneogbhyBExfbe_KIOpBeywhPgxZIz-Eg/viewform?usp=sf_link>

* May 20-22: Northwest Region Provider Summits<https://docs.google.com/forms/d/e/1FAIpQLSeVpPTG5iUqdKEqSEDron0faLogVAYP714CmTvMjX5VDWqpDw/viewform?usp=sf_link>

* June 4-6: Northeast Region Provider Summits<https://docs.google.com/forms/d/e/1FAIpQLSfvmIFmbLZCMvrxcuuXEUJIcEaHuqxKZ9I4HUtkI70Bq7kaBQ/viewform?usp=sf_link>

Additionally, one day-long transportation summit will be held in each region. RSVP for this summit here<https://docs.google.com/forms/d/e/1FAIpQLScouLqGWRfH1GZ_9ERsnsSGlxvdOOO6ADV3Pk3uXP3WH182uQ/viewform?usp=sf_link>.

[More ...]
Reply
No Replies
PW, OMA ListServ
Fri, 1 Feb 2019 16:06:01 +0000
Reply
NOTICE: This confidential message/attachment contains information intended for a specific individual(s) and purpose. Any inappropriate use, distribution or copying is strictly prohibited. If received in error, notify the sender and immediately delete the message.
Reply
No Replies
PW, OMA ListServ
Fri, 4 Jan 2019 17:18:43 +0000
Reply
[cid:image001.png@01D4A427.A0609130]
(Logo, Community HealthChoices)
Approximately 94 percent of Community HealthChoices (CHC) participants are dually eligible for both Medicare and Medicaid. Better coordination between both entities is one of the primary goals of CHC.

Under CHC, Medicaid remains the payer of last resort for dual-eligibles, and providers who previously billed frequently to Medicaid must enroll in Medicaid per federal guidance. The CHC Managed Care Organization (CHC-MCO) will encourage providers to enroll. CHC-MCOs will also offer companion managed care plans for dually eligible participants.

[More ...]
Reply
No Replies
PW, OMA ListServ
Wed, 12 Dec 2018 13:21:16 +0000
Reply
Dear valued stakeholder,

The Department of Human Services (DHS) recently released a Request for Information (RFI) to explore existing individual or family needs assessments, methods of connecting individuals and families to community resources, and models for providing whole-person or whole-family case management. Our goal is to build a system that addresses each family's needs and amplifies the work of health care providers and community organizations.

[More ...]
Reply
No Replies
PW, OMA ListServ
Thu, 29 Nov 2018 12:23:05 +0000
Reply
NOTICE: This confidential message/attachment contains information intended for a specific individual(s) and purpose. Any inappropriate use, distribution or copying is strictly prohibited. If received in error, notify the sender and immediately delete the message.
Reply
No Replies
PW, OMA ListServ
Wed, 28 Nov 2018 14:58:54 +0000
Reply
NOTICE: This confidential message/attachment contains information intended for a specific individual(s) and purpose. Any inappropriate use, distribution or copying is strictly prohibited. If received in error, notify the sender and immediately delete the message.
Reply
No Replies
PW, OMA ListServ
Fri, 12 Oct 2018 12:06:39 +0000
Reply
[cid:image001.png@01D46202.7CDEF470]

(Logo, Community HealthChoices)
The PROMISe Eligibility Verification System (EVS) enables providers to determine a participant's Medical Assistance eligibility, as well as the participant's scope of coverage. It is vital for providers to check EVS to verify a participant's eligibility each time services are provided because a participant's eligibility is subject to change. EVS methods, inquiries, and response formats will not change with the implementation of Community HealthChoices (CHC).

[More ...]
Reply
No Replies
PW, OMA ListServ
Fri, 6 Jul 2018 11:58:23 +0000
Reply
[cid:image001.png@01D414FF.19C76160]
(Logo, Community HealthChoices)

On June 30, 2018, the continuity of care period for long-term services and supports in the Southwest Region ended. This impacts approximately 19,000 participants.

This may prompt questions from CHC participants on:

* A change to their service provided due to the managed care organization (CHC-MCO) ending their contact with a provider;
* A change in service coordinator due to their CHC-MCO ending its contract with a service coordination entity;
* A change to the amount, duration, or frequency of service they are receiving.
A CHC-MCO must alert the Office of Long-Term Living in writing of

[More ...]
Reply
No Replies
PW, OMA ListServ
Thu, 17 May 2018 16:01:23 +0000
Reply
PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE
Pharmacy & Therapeutics Committee Minutes
November 7th, 2017

Committee Members Present:
Ivonne Acrich, M.D. Ad Hoc Child/Adolescent Psychiatrist
Cheston Berlin, Jr., M.D Pediatrician
Christopher Casella, Pharm. D. Health Partners of Philadelphia Pharmacist
Terri Cathers, Pharm.D.,Chair OMAP Pharmacy Director
Sharon Connor, Pharm.D. Academic Pharmacist
Jessica Daw, Pharm.D. UPMC For You Pharmacist
Donald Gerhart, R.Ph. Community Pharmacist
Heather Gross, Pharm.D. Aetna Clinical Pharmacist
James Hancovsky, R.Ph., MBA United Health Care Pharmacy Director
David Haverstick, M.D. Family Practitioner
David Kelley, M.D. OMAP Chief Medical Officer
Jaymie Lako, R.Ph. Gateway Health Plan Pharmacist
Andrew Maiorini, Pharm.D. Keystone/AmeriHealth Perform Rx

[More ...]
Reply
No Replies
PW, OMA ListServ
Thu, 5 Apr 2018 18:41:18 +0000
Reply
NOTICE: This confidential message/attachment contains information intended for a specific individual(s) and purpose. Any inappropriate use, distribution or copying is strictly prohibited. If received in error, notify the sender and immediately delete the message.

[cid:image002.jpg@01D3CCEC.264D61B0]

Bucks, Chester, Delaware, Montgomery,
and Philadelphia counties.
Community HealthChoices (CHC) is coming in January 2019.

Here is what you need to know:

[More ...]
Reply
No Replies
PW, OMA ListServ
Fri, 19 Jan 2018 14:17:06 +0000
Reply
The Wolf Administration is committed to serving more people in the community. Community HealthChoices (CHC) is a new initiative that will increase opportunities for older Pennsylvanians and individuals with physical disabilities to remain in their homes that rolled out in the southwest region on January 1, 2018.

CHC was developed to: (1) enhance access to and improve coordination of medical care and; (2) create a person-driven, long-term support system in which people have choice, control, and access to a full array of quality services that provide independence, health, and quality of life. Long-term services and supports help eligible individuals to

[More ...]
Reply
No Replies
PW, OMA ListServ
Wed, 8 Nov 2017 18:01:33 +0000
Reply
DEPARTMENT OF HUMAN SERVICES
Pharmacy & Therapeutics Committee Minutes
May 17, 2017

Committee Members Present:
Cheston Berlin, Jr., M.D Pediatrician
Gene Bishop, M.D. Internist/Consumer Advocate
Terri Cathers, Pharm.D.,Chair OMAP Pharmacy Director
Jessica Daw, Pharm.D. UPMC For You Pharmacist
Donald Gerhart, R.Ph. Community Pharmacist
Heather Gross, Pharm.D. Aetna Clinical Pharmacist
David Haverstick, M.D. Family Practitioner
David Kelley, M.D. OMAP Chief Medical Officer
Jaymie Lako, R.Ph. Gateway Health Plan Pharmacist
Joshua Liao, M.D. Internist
Andrew Maiorini, Pharm.D. Keystone/AmeriHealth Perform Rx Clinical Pharmacist
Michele Musheno, R.Ph., M.S. Academic/ Hospital Pharmacist
Ian Paul, M.D. Pediatrician
James Schuster, M.D., Vice Chair Psychiatrist
Kevin Szczecina, R.Ph.

[More ...]
Reply
No Replies
PW, DPW ListServ Admins
Thu, 19 Oct 2017 19:27:01 +0000
Reply
Please find the attached Community HealthChoices (CHC) one pager on eligibility.
Additionally, please click here<http://www.healthchoices.pa.gov/info/about/community/commpart/index.htm> to find our most recent participant document, "CHC: Here's What You Need to Know." That document is available for download in English and Spanish.
If you have any questions, please visit www.HealthChoices.pa.gov<http://www.HealthChoices.pa.gov> or call our CHC Provider Hotline at 833-735-4417.

[More ...]
Reply
No Replies
PW, OMA ListServ
Tue, 26 Sep 2017 15:24:24 +0000
Reply
[cid:image001.png@01D336BA.00E215B0]

Coming to the Southwest Zone in January 2018
The Department of Human Services (DHS) is committed to open and frequent communication to educate and inform individuals who will move to Community HealthChoices (CHC). It is critical that they are aware of the upcoming changes and are able to make an informed decision on their plan selection. We are using multiple channels to get the message out, and want to ensure that you are aware of upcoming information that potential participants will receive.

[More ...]
Reply
No Replies
PW, OMA ListServ
Thu, 24 Aug 2017 19:00:28 +0000
Reply
Community HealthChoices includes provisions to help maintain continuity of care and avoid interruptions of service for participants when they are first enrolled, as well as when choosing to switch from one managed care organization (CHC-MCO) to another.
Please find the attached one pager on continuity of care.

NOTICE: This confidential message/attachment contains information intended for a specific individual(s) and purpose. Any inappropriate use, distribution or copying is strictly prohibited. If received in error, notify the sender and immediately delete the message.
Reply
No Replies
PW, OMA ListServ
Tue, 8 Aug 2017 17:57:00 +0000
Reply
In March 2017, the Pennsylvania Department of Health amended its regulations to school immunizations, which became effective Aug. 1, 2017. The regulations changed the department's existing requirements for school immunizations, and are based in part upon recommendations of the Advisory Committee on Immunization Practices (ACIP), an advisory committee of the federal Centers for Disease Control and Prevention (CDC). 

[More ...]
Reply
No Replies
PW, OMA ListServ
Wed, 2 Aug 2017 19:34:11 +0000
Reply
Later today we will mail out the attached flyer to Community HealthChoices (CHC) participants in the Southwest - the first to transition to CHC in January 2018.

In order to better prepare you for the potential questions you, as providers, may receive, we drafted the attached "How to Talk to Participants about Community HealthChoices." Additional training information will be made available to you within the next few weeks.

[More ...]
Reply
No Replies
PW, OMA ListServ
Fri, 28 Jul 2017 12:36:00 +0000
Reply
Please find the attached document with information on the delivery of service coordination for Community HealthChoices (CHC).

Service coordination includes activities to identify, coordinate, and assist participants in obtaining access to needed health services and in-home supports, as well as social and housing services needed to help participants live in their communities. Under CHC, a service coordinator is a managed care organization's (CHC-MCO) designated, accountable point-of-contact for each participant receiving long-term care services, their person-centered service plan (PCSP), and service coordination.

[More ...]
Reply
No Replies
PW, OMA ListServ
Wed, 12 Jul 2017 19:27:14 +0000
Reply
[cid:image001.jpg@01D2FB23.55E6C560]

NOTICE: This confidential message/attachment contains information intended for a specific individual(s) and purpose. Any inappropriate use, distribution or copying is strictly prohibited. If received in error, notify the sender and immediately delete the message.
Reply
No Replies
PW, OMA ListServ
Wed, 14 Jun 2017 16:02:42 +0000
Reply
Attached please find a one-page summary on Third Party Liability (TPL). TPL is when the financial responsibility for all or part of a participant's health care expense rests with an individual entity or program other than the Community HealthChoices managed care organization, such as Medicare or commercial insurance. Please forward to all relevant parties in your organization. 

[More ...]
Reply
No Replies
PW, OMA ListServ
Wed, 7 Jun 2017 15:58:32 +0000
Reply
Community HealthChoices (CHC) is coming to the Southwest zone in January 2018. In preparation, we are hosting three Southwest Provider Summits in July.

The Southwest zone is comprised of Allegheny, Armstrong, Beaver, Bedford, Blair, Butler, Cambria, Fayette, Greene, Indiana, Lawrence, Somerset, Washington, and Westmoreland.

These events are open to all providers in the Southwest zone and will be held on the following dates/locations:

[More ...]
Reply
No Replies
PW, OMA ListServ
Fri, 2 Jun 2017 11:44:56 +0000
Reply
For years, Pennsylvania has provided physical and behavioral health care through a managed care delivery model. That did not include long-term services and supports - that is changing. Pennsylvania will be providing services for older adults and persons with physical disabilities through three Community HealthChoices managed care organizations (CHC MCOs). The Department of Human Services (DHS) will have full, ongoing oversight and monitoring. DHS will review and approve processes, policies, manuals, and procedures of each CHC MCO. 

[More ...]
Reply
No Replies
PW, OMA ListServ
Thu, 18 May 2017 15:08:56 +0000
Reply
PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES
Pharmacy & Therapeutics Committee Minutes
November 10, 2016

Committee Members Present: Committee Members Not Present:
Ivonne Acrich, M.D. Ad Hoc Child/Adolescent Psychiatrist Jessica Daw, Pharm.D. UPMC For You Pharmacist
Dale Adair, M.D. OMHSAS Acting Chief Medical Officer David Kelley, M.D. OMAP Chief Medical Officer
Cheston Berlin, Jr., M.D Pediatrician Joshua Liao, M.D. Internist
Gene Bishop, M.D. Internist/Consumer Advocate Michele Musheno, R.Ph., M.S. Academic/ Hospital Pharmacist
Thuy Bui, M.D. Internist
Terri Cathers, Pharm.D.,Chair OMAP Pharmacy Director
Andrea Fox, M.D. Internist
Donald Gerhart, R.Ph. Community Pharmacist
Heather Gross, Pharm.D. Aetna Clinical Pharmacist
James Hancovsky, R.Ph., MBA United

[More ...]
Reply
No Replies
PW, OMA ListServ
Mon, 8 May 2017 18:26:06 +0000
Reply
Community HealthChoices (CHC) is a managed care program that will better coordinate the way participants receive their physical health services and long-term services and supports (LTSS) so that Pennsylvania can serve more people in their homes and their communities. CHC will serve Medicaid participants 21 years of age or older who also receive Medicare, need LTSS in their home or community, or are in nursing facilities. Today, there are five waivers in which participants receive LTSS. In the future there will be two ways. 

[More ...]
Reply
No Replies
PW, OMA ListServ
Fri, 5 May 2017 15:47:20 +0000
Reply
For your information, please find an attached letter that was sent to the House and Senate Appropriations Committees on April 26, 2017 expressing our concerns about the budget recently passed by the House Republican Caucus (House Bill 218, Printer's Number 1236).

NOTICE: This confidential message/attachment contains information intended for a specific individual(s) and purpose. Any inappropriate use, distribution or copying is strictly prohibited. If received in error, notify the sender and immediately delete the message.
Reply
No Replies
PW, OMA ListServ
Tue, 18 Apr 2017 18:09:44 +0000
Reply
The Wolf Administration is committed to serving more people in the community. Community HealthChoices (CHC) is a new initiative that will increase opportunities for older Pennsylvanians and individuals with physical disabilities to remain in their homes.

CHC was developed to: (1) enhance access to and improve coordination of medical care and; (2) create a person-driven, long-term support system in which people have choice, control, and access to a full array of quality services that provide independence, health, and quality of life. Long-term services and supports help eligible individuals to perform daily activities in their home such as bathing, dressing, preparing

[More ...]
Reply
No Replies
PW, OMA ListServ
Wed, 16 Nov 2016 15:47:25 +0000
Reply
NOTICE: This confidential message/attachment contains information intended for a specific individual(s) and purpose. Any inappropriate use, distribution or copying is strictly prohibited. If received in error, notify the sender and immediately delete the message.
Reply
No Replies
PW, OMA ListServ
Fri, 4 Dec 2015 14:04:55 +0000
Reply
The Department is experiencing a problem with the listserv that distributes Medical Assistance Bulletins (MAB) to providers. We do not have an estimated time of repair.

Until we can fix the MAB listserv, this email serves to outreach to our stakeholders on the MAAC and its subcommittees to explain the problem, and share links to the MAB's which have been published via the DHS website since the problem was identified.

[More ...]
Reply
No Replies
PW, OMA ListServ
Thu, 5 Nov 2015 20:21:04 +0000
Reply
DEPARTMENT OF PUBLIC WELFARE
Pharmacy & Therapeutics Committee Minutes
May 20, 2015

Committee Members Present: Committee Members Not Present:
Cheston Berlin, MD, Pediatrician Dale Adair, MD, Chief Psychiatrist OMHSAS (joined by phone for Hepatitis C discussion)
Gene Bishop, MD, Internist Thuy Bui, MD, Internist
Terri Cathers, PharmD, Chair (Tie-Breaker Vote Only) David Kelley, MD, OMAP Chief Medical Director (joined by phone for Hepatitis C discussion)
Donald Gerhart, RPh, Community Pharmacist Yvette Long, Consumer Sub Committee Chair
James Hancovsky, MBA, RPh, UnitedHealthcare Pharmacy VP James Schuster, MD, Vice Chair, Psychiatrist
David Haverstick, MD, Internist Andreas Wali, MD, Cardiologist
Andrew Maiorini, PharmD,

[More ...]
Reply
No Replies
PW, OMA ListServ
Wed, 15 Jul 2015 10:04:47 -0400
Reply
DEPARTMENT OF PUBLIC WELFARE
Pharmacy & Therapeutics Committee Minutes
November 5th, 2014

Committee Members Present: Committee Members Not Present:
Ivonne Acrich, MD, Ad Hoc Child/Adolescent Psychiatrist David Kelley, MD, OMAP Chief Medical Director
Dale Adair, MD, Chief Psychiatrist OMHSAS Michele Musheno, MS, RPh, Hospital Pharmacist
Cheston Berlin, MD, Pediatrician Yvette Long, Consumer Sub Committee Chair
Gene Bishop, MD, Internist
Terri Cathers, PharmD, Chair (Tie-Breaker Vote Only)
Donald Gerhart, RPh, Community Pharmacist
James Hancovsky, MBA, RPh, AmeriChoice Pharmacy VP
David Haverstick, MD, Family Practitioner
Rosemary Keffer, MD, Ad Hoc Adult Psychiatrist
Andrew Maiorini, PharmD, KMHP Clinical Pharmacist
Ian Paul, MD, Pediatrician


[More ...]
Reply
No Replies
PW, OMA ListServ
Thu, 19 Mar 2015 13:26:07 -0400
Reply
Traditional Medicaid expansion is coming to Pennsylvania! This will allow us to provide health care coverage in a streamlined manner to Pennsylvanians who are most in need.
There are several milestones that we want you to know about.

Public Notice of the Adult Benefit Package
Public notice of the new Adult benefit package is now available on the DHS website at http://www.dhs.state.pa.us/cs/groups/webcontent/documents/document/c_158047.pdf.
This notice begins the public comment period on the transition to the traditional Medicaid expansion and the new adult benefit package.
You are encouraged to make comments as early as possible to ensure we are able to address

[More ...]
Reply
No Replies
PW, OMA ListServ
Mon, 10 Nov 2014 13:09:55 -0500
Reply
DEPARTMENT OF PUBLIC WELFARE
Pharmacy & Therapeutics Committee Recommendations
May 28, 2014

Committee Members Present: Committee Members Not Present:
Dale Adair, MD, Chief Psychiatrist OMHSAS Ivonne Acrich, MD, Ad Hoc Child/Adolescent Psychiatrist
Cheston Berlin, MD, Pediatrician Rosemary Keffer, MD, Ad Hoc Adult Psychiatrist
Gene Bishop, MD, Internist David Kelley, MD, OMAP Chief Medical Director
Terri Cathers, PharmD, Chair (Tie-Breaker Vote Only) Yvette Long, Consumer Sub Committee Chair
Donald Gerhart, RPh, Community Pharmacist Andrew Maiorini, PharmD, KMHP Clinical Pharmacist
James Hancovsky, MBA, RPh, UnitedHealthcare Pharmacy VP James Schuster, MD, Vice Chair, Psychiatrist
David Haverstick, MD, Internist Valerie Weber, MD, FACP, Internist


[More ...]
Reply
No Replies
PW, OMA ListServ
Fri, 24 Oct 2014 12:06:11 -0400
Reply
Dear Stakeholders,

The Commonwealth has been working hard to get ready for the implementation of Healthy PA, getting the word out about the changes that are coming, and training staff so we are ready to help the people of Pennsylvania. As part of this, we want to ensure that you have the information and resources you need.

[More ...]
Reply
No Replies
PW, OMA ListServ
Thu, 28 Aug 2014 17:05:58 -0400
Reply
Dear Stakeholders,

I am thrilled to let you know that we have an agreement with the federal government to implement Healthy Pennsylvania. So many dedicated DPW staff worked for months and, in some cases, years to make this happen. I can't thank them, and you, enough for the continued commitment to helping improve the quality of life for Pennsylvania's individuals and families!

[More ...]
Reply
No Replies
PW, OMA ListServ
Wed, 6 Aug 2014 11:45:53 -0400
Reply
DEPARTMENT OF PUBLIC WELFARE
Pharmacy & Therapeutics Committee Minutes
November 5th, 2013

Committee Members Present: Committee Members Not Present:
Ivonne Acrich, MD, Ad Hoc Child/Adolescent Psychiatrist Dale Adair, MD, Chief Psychiatrist OMHSAS
Cheston Berlin, MD, Pediatrician Yvette Long, Consumer Sub Committee Chair
Gene Bishop, MD, Internist Andreas Wali, MD, Cardiologist
Terri Cathers, PharmD, Chair (Tie-Breaker Vote Only)
Donald Gerhart, RPh, Community Pharmacist
James Hancovsky, MBA, RPh, AmeriChoice Pharmacy VP
David Haverstick, MD, Internist
Rosemary Keffer, MD, Ad Hoc Adult Psychiatrist
David Kelley, MD, OMAP Chief Medical Director
Andrew Maiorini, PharmD, KMHP Clinical Pharmacist
Michele Musheno, MS, RPh, Hospital Pharmacist
Ian

[More ...]
Reply
No Replies
PW, OMA ListServ
Tue, 10 Dec 2013 12:28:46 -0500
Reply
DEPARTMENT OF PUBLIC WELFARE
Pharmacy & Therapeutics Committee Minutes
May 16, 2013

Committee Members Present: Committee Members Not Present:
Dale Adair, MD, Chief Psychiatrist OMHSAS Ivonne Acrich, MD, Ad Hoc Child/Adolescent Psychiatrist
Cheston Berlin, MD, Pediatrician Donald Gerhart, RPh, Community Pharmacist
Gene Bishop, MD, Internist James Jones, MD, Adult Psychiatrist/Addictions Specialist
Terri Cathers, PharmD, Chair (Tie-Breaker Vote Only) Rosemary Keffer, MD, Ad Hoc Adult Psychiatrist
James Hancovsky, MBA, RPh, AmeriChoice Pharmacy VP Yvette Long, Consumer Sub Committee Chair
David Haverstick, MD, Internist Michele Musheno, MS, RPh, Hospital Pharmacist
David Kelley, MD, OMAP Chief Medical Director James Schuster, MD, Vice Chair,

[More ...]
Reply
No Replies
PW, OMA ListServ
Tue, 21 May 2013 07:40:42 -0400
Reply
DEPARTMENT OF PUBLIC WELFARE
Pharmacy & Therapeutics Committee Recommendations
November 7th, 2012

Committee Members Present: Committee Members Not Present:
Ivonne Acrich, MD, Ad Hoc Child/Adolescent Psychiatrist James Jones, MD, Adult Psychiatrist/Addictions Specialist
Dale Adair, MD, Chief Psychiatrist OMHSAS Yvette Long, Consumer Sub Committee Chair
Cheston Berlin, MD, Pediatrician Andrew Maiorini, PharmD, KMHP Clinical Pharmacist
Gene Bishop, MD, Internist Valerie Weber, MD, FACP, Internist
Terri Cathers, PharmD, Chair (Tie-Breaker Vote Only)
Donald Gerhart, RPh, Community Pharmacist
James Hancovsky, MBA, RPh, AmeriChoice Pharmacy VP
David Haverstick, MD, Internist
Mark Jacobson, DO, AccessPlus Medical Director
Rosemary Keffer, MD, Ad Hoc Adult Psychiatrist
David

[More ...]
Reply
No Replies
PW, OMA ListServ
Tue, 21 May 2013 07:39:18 -0400
Reply
DEPARTMENT OF PUBLIC WELFARE
Pharmacy & Therapeutics Committee Minutes
May 23rd, 2012

Committee Members Present: Committee Members Not Present:
Dale Adair, MD, Chief Psychiatrist OMHSAS Ivonne Acrich, MD, Ad Hoc Child/Adolescent Psychiatrist
Cheston Berlin, MD, Pediatrician Mark Jacobson, DO, AccessPlus Medical Director
Gene Bishop, MD, Internist Rosemary Keffer, MD, Ad Hoc Adult Psychiatrist
Terri Cathers, PharmD, Chair (Tie-Breaker Vote Only) Yvette Long, Consumer Sub Committee Chair
Donald Gerhart, RPh, Community Pharmacist Andrew Maiorini, PharmD, KMHP Clinical Pharmacist
James Hancovsky, MBA, RPh, AmeriChoice Pharmacy VP
David Haverstick, MD, Internist
James Jones, MD, Adult Psychiatrist/Addictions Specialist
David Kelley, MD, OMAP Chief Medical

[More ...]
Reply
No Replies
PW, OMA ListServ
Wed, 22 Aug 2012 15:15:40 -0400
Reply
DEPARTMENT OF PUBLIC WELFARE
Pharmacy & Therapeutics Committee Minutes
November 9th, 2011

Committee Members Present: Committee Members Not Present:
Ivonne Acrich, MD, Ad Hoc Child/Adolescent Psychiatrist Yvette Long, Consumer Sub Committee Chair
Dale Adair, MD, Chief Psychiatrist OMHSAS Andreas Wali, MD, Cardiologist
Cheston Berlin, MD, Pediatrician Lloyd Wertz, Behavioral Health Consumer Advocate
Gene Bishop, MD, Internist
Terri Cathers, PharmD, Chair (Tie-Breaker Vote Only)
Gayle Cotchen, RPh, MBA, PharmD, Hospital Pharmacist
Donald Gerhart, RPh, Community Pharmacist
James Hancovsky, MBA, RPh, AmeriChoice Pharmacy VP
David Haverstick, MD, Internist
Mark Jacobson, DO, AccessPlus Medical Director
James Jones, MD, Adult Psychiatrist/Addictions Specialist
Rosemary Keffer,

[More ...]
Reply
No Replies
PW, OMA ListServ
Wed, 22 Aug 2012 15:14:24 -0400
Reply
DEPARTMENT OF PUBLIC WELFARE
Pharmacy & Therapeutics Committee Recommendations
May 5th, 2011

Committee Members Present: Committee Members Not Present:
Dale Adair, MD, Chief Psychiatrist OMHSAS James Hancovsky, MBA, RPh, AmeriChoice Pharmacy VP
Cheston Berlin, MD, Pediatrician Yvette Long, Consumer Sub Committee Chair
Gene Bishop, MD, Internist Andrew Maiorini, PharmD, KMHP Clinical Pharmacist
Terri Cathers, PharmD, Chair (Tie-Breaker Vote Only) James Schuster, MD, Vice Chair, Psychiatrist
Gayle Cotchen, RPh, MBA, PharmD, Hospital Pharmacist Valerie Weber, MD, FACP, Internist
Donald Gerhart, RPh, Community Pharmacist
David Haverstick, MD, Internist
Mark Jacobson, DO, AccessPlus Medical Director
James Jones, MD, Adult Psychiatrist/Addictions Specialist
David Kelley,

[More ...]
Reply
No Replies
Warren, Bryan
Wed, 8 Sep 2010 08:10:19 -0400
Reply
NOTICE: This confidential message/attachment contains information intended for a specific individual(s) and purpose. Any inappropriate use, distribution or copying is strictly prohibited. If received in error, notify the sender and immediately delete the message.
Reply
No Replies
Warren, Bryan
Wed, 8 Sep 2010 08:10:11 -0400
Reply
NOTICE: This confidential message/attachment contains information intended for a specific individual(s) and purpose. Any inappropriate use, distribution or copying is strictly prohibited. If received in error, notify the sender and immediately delete the message.
Reply
No Replies

ATOM RSS1 RSS2