The Pennsylvania Department of Human Services (DHS) issued a
Request for Information (RFI) to gather stakeholder feedback before re-procuring the Community HealthChoices (CHC) managed care program. DHS is seeking recommendations on how to strengthen the program, improve participant outcomes, enhance long-term services and supports (LTSS), and better integrate healthcare services.
Responses are due July 15, 2026. The RFI includes:
1. Program Design and Service Delivery
2. Financial and Value-Based Purchasing (VBP) Requirements
3. Reporting and Administrative Requirements
4. Program Structure and Procurement Design
5. Medicare-Medicaid Integration
6. Artificial Intelligence (AI) and Innovation
View the RFI at
e-Marketplace; you can also view the
full RFI text here.
Key Implications for LTSS and HCBS Providers
For home care, personal assistance, and HCBS providers, the most significant opportunities to influence the future CHC program involve:
- Service coordination requirements;
- Self-direction policies;
- Workforce supports;
- Transportation access;
- Housing-related services;
- Value-based purchasing design;
- Reporting burden reduction;
- Medicare integration; and
- Provider network requirements.
The RFI signals DHS's interest in broader system integration, increased use of technology, enhanced participant-directed services, and potential restructuring of the managed care model as part of the next CHC procurement.
To prepare the RCPA response, we will have several work group sessions. All Physical Disabilities and Aging Division Members are invited to register and participate in meetings, which will be held over the next four weeks on Tuesdays at 3:00 pm – 4:30 pm.
Join the meetings via this link.
If you have any questions, please contact
Fady Sahhar or
Melissa Dehoff.
