Pa. Announces Insurers for Physical HealthChoices Program; Selection Process Already Under Dispute

Last Updated: Jul 9, 2020

On July 8, 2020, the Pennsylvania Department of Human Services (DHS) announced that the insurers that have been selected through its procurement process for Physical HealthChoices, the state’s Medicaid physical health managed care program.

Pennsylvania-Map-articleThe applicants selected for each health service zone are as follows:

  • Southeast: Geisinger Health Plan, Health Partners Plans, UnitedHealthCare, UPMC for You, and Vista Health Plan (Keystone First)
  • Lehigh/Capital: Gateway Health, Geisinger Health Plan, Health Partners Plans, UPMC for You, and Vista Health Plan (AmeriHealth Caritas)
  • Northeast: Geisinger Health Plan, Health Partners Plans, UPMC for You, and Vista Health Plan (AmeriHealth Caritas)
  • Northwest: Geisinger Health Plan, Health Partners Plans, UPMC for You, and Vista Health Plan (AmeriHealth Caritas)
  • Southwest: Gateway Health, Geisinger Health Plan, Health Partners Plans, UPMC for You, and Vista Health Plan (AmeriHealth Caritas)

As of July 9, five bid protests have already been registered by applicants. DHS says that it may not take any further action on procurement and implementation until these protests have been resolved.

In the meantime, the state’s current Physical HealthChoices insurers will remain in effect.

Read DHS’ news release on the procurement process.

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