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Getting Medicaid Home Care Clients in Pennsylvania

By Adult Care Network ·

In Pennsylvania, Medicaid home care runs largely through Community HealthChoices (CHC) — the state’s managed long-term services and supports program. If you’re an agency growing census in PA, this is the system you’re operating in.

The program: Community HealthChoices (CHC)

CHC coordinates physical health and long-term services and supports for older adults and people with disabilities who are eligible for Medicaid. Personal assistance services — help with daily personal care at home — are a core benefit, delivered through CHC managed care organizations. Published agency rates for personal assistance have been around $20–21/hour, but rates vary and change, so confirm the current figure against the official source.

See the official details at PA Department of Human Services.

What this means for agencies

Because CHC is managed care, the managed care organizations (MCOs) sit between the state and the member. That shapes agency strategy in a few ways:

  • MCO relationships matter. Being in-network and responsive with the CHC plans operating in your region affects your flow of authorized hours.
  • Service coordinators are key referral partners. CHC service coordinators help members arrange services — building those relationships pays off.
  • Confirm the member’s plan and authorization. A lead is most actionable when you know the family’s CHC status and that services are (or can be) authorized.

Reaching Pennsylvania families efficiently

Alongside MCO and service-coordinator relationships, paid leads can add volume — but only when they’re screened for PA location, CHC/Medicaid eligibility, and genuine home-care need, and aren’t mass-sold.

Adult Care Network is live in Pennsylvania. We screen families against a written CHC standard, deliver each to your portal in real time, and cap distribution at no more than three matched agencies — flat fee per qualified lead, never per enrollment.

See Pennsylvania leads for agencies → · Run the ROI calculator →

General information for agencies, not legal or eligibility advice. Program rules and rates change — confirm current details with PA DHS.