Pennsylvania MLTSS: What the State Gets Right and Where the Model Still Falls Short

How Pennsylvania structures access, coordination, and long-term services through Community HealthChoices

July 18, 2026 – Pennsylvania is an important state to watch in any discussion of managed long-term services and supports (MLTSS) because its MLTSS model, Community HealthChoices (CHC), is built around two distinct but often overlapping populations. The first includes dual-eligible participants who are enrolled in both Medicare and Pennsylvania Medical Assistance. The second includes people who qualify for Medicaid-funded long-term services and supports because they need the level of care typically provided in a nursing facility [read full blog].