HealthChoices

Eligibility

The HealthChoices Program is comprised of two (2) components, a behavioral health benefit and a physical health benefit.  Individuals can apply for coverage through the County Assistance Office.  Most individuals who would be eligible for the Medical Assistance benefit, will be enrolled in the HealthChoices Program, however there are some exceptions such as those in nursing homes.  To apply for Medical Assistance and to see if you will be enrolled in the HealthChoices Program, you may apply on line at: https://www.humanservices.state.pa.us/Compass.Web/CMHOM.aspx

 

York County Assistance Office

130 N. Duke Street

York, PA 17405-7041

Phone 717-771-1100

Toll Free: 800-991-0929
Adams County Assistance Office

225 S. Franklin Street

Gettysburg, PA 17325-2506

Phone: 717-334-6241

Toll Free: 800-638-6816


If you have the HealthChoices benefit, you may be eligible to receive the following behavioral health services.

Children

  • Inpatient Psychiatric Hospital
  • Psychiatric Outpatient
  • Partial Hospitalization
  • Outpatient D&A Services
  • Family-Based Mental Health Services
  • Targeted Case Management (Intensive Case Management and Resource Coordination)
  • Behavioral Health Rehabilitation for Children and Adolescents (BHRS)
  • Residential Treatment Facility
  • Non-Hospital Drug & Alcohol Residential and Rehabilitation
  • Crisis Intervention Services
  • Multisystemic Therapy (MST)
  • Multidimensional Treatment Foster Care (MTFC)
  • IFS-Intensive Family Services

Adults

Mental Health Services
  • Inpatient Psychiatric (Hospitalization
  • Community Treatment Team
  • Crisis Diversionary Program
  • Partial Hospitalization
  • Psychiatric Rehabilitation
  • Outpatient Services
  • Targeted Casemanagement
  • Peer Support
  • Crisis Intervention
Drug & Alcohol Services
  • Hospital Based Detox and Rehab
  • Non-Hospital Detox and Rehab
  • Halfway House
  • Intensive Patient
  • Outpatient
  • Methadone Maintenance


To determine if you are eligible for these services, your Managed Care Organization (MCO), Community Care, will utilize Medical Necessity Criteria to see if you qualify to receive services.  In most cases, Community Care will ask your proposed agency to provide information as to why you need these services.    Community Care will review your request and make a clinical determination regarding your eligibility.  For more information on services, providers in your area, or eligibility, you may contact Community Care’s member line at: 1-866-662-4228, 1-877-8773580 (TTY) or 1-866-229-3187 (En Espanol); York County members:  1-866-542-0299; Adams County members: 1-866-738-9849.