Fady Sahhar • September 15, 2026

Act 150 Service Coordination Entities H.R. 1 Bill Updates

Author

Fady Sahhar

Date

September 15, 2026

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The Office of Long-Term Living (OLTL) notified Act 150 Service Coordination Entities (SCE) that, due to changes in federal law related to immigration status, the County Assistance Offices (CAO) and Community HealthChoices (CHC) Managed Care Organizations (MCO) have sent letters to notify participants about rapidly approaching impacts to Medical Assistance (MA) and Home and Community-Based Services (HCBS). Impacted participants are being asked to submit immigration documents to the CAO to determine continued eligibility for MA. If a participant is found ineligible for MA, they will be disenrolled from their HCBS program effective October 1, 2026.

 

Affected individuals under the age of 60 are encouraged to apply for the Act 150 Program. As a result of these changes, SCEs may see an increase in new Act 150 participants across the Commonwealth, with the largest increases expected in the Philadelphia and Erie areas.

 

The Independent Enrollment Broker (IEB) may submit a higher volume of SCE acceptance requests, and OLTL is requesting that SCEs respond to these requests in a timely manner. The Department of Human Services (DHS) will continue to prioritize continuity of care throughout this process.

 

If your agency is not currently enrolled to provide Service Coordination under Act 150 and would like to enroll, you may do so by submitting an updated Provider Enrollment Information Form to the Enrollment and Certification Resource account. Once your request has been received and processed, OLTL will issue an updated approval email confirming that Act 150 has been added to your provider profile. 

 

SCEs with questions about this process should contact the Division of Provider Operations at 800-932-0939, Option 1, or via email. If participants have questions about navigating this transition, they should contact the IEB at 877-550-4227.

 

OLTL is currently assessing the need for additional support, and SCEs should expect further communication.

 

If you have any questions, contact Fady Sahhar.

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