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1. CHC Statewide Monthly Enrollments by MCO Page 2
2. CHC Monthly Enrollment by Zone and MCO Page 2
3. CHC Market Share Page 3
4. CHC June to July Market Share Changes Page 3
5. CHC Market Share by Population Group Page 3
6. Medicare Type for All CHC Participants by Zone Page 4
7. Medicare Type by CHC Zone and Plan Page 4
8. D-SNP Enrollments by Plan Page 5
9. Statewide LTSS Population and HCBS Percentage Page 5
10. Other OLTL Program Enrollment Page 6
11. LIFE Enrollments by County Page 6
12. Number of Personal Care Homes and Assisted Living Facilities by County Page 7
13. Contact Information Page 7
www.dhs.pa.gov 1
• AHC—Amerihealth Caritas • CHC—Community HealthChoices • D-SNP—Dual Special Needs Plan • HCBS—Home and Community-
Based Services • KF—Keystone First • LC—Lehigh/Capital • LTC—Long-Term Care
• LTSS—Long-Term Services and Supports
• MCO—Managed Care Organization
• NE—Northeast • NFI—Nursing Facility Ineligible • NW—Northwest
• OBRA—Omnibus Budget Reconciliation Act
• PHW—PA Health & Wellness • SE—Southeast • SW—Southwest • UPMC—University of Pittsburgh
Medical Center
This brief is based on the data for the
preceding month’s end.
Acronym Guide:
Table of Contents:
-
Total CHC enrollment as of August 2020 is
374,058 up from 371,361 in July. Waiver
growth continues on an upward trend,
while nursing facility enrollment continues
to decrease this month.
44,884 96,927 374,058
Total CHC Enrollment Total CHC HCBS Enrollment Total CHC LTC Enrollment
www.dhs.pa.gov 2
CHC Monthly Enrollment by Zone and MCO
16179
21882
45605
80357
31412
27189
22788
13233
15345
6749
6460
16061
29578
18144
23076
0 10000 20000 30000 40000 50000 60000 70000 80000 90000
AHC
PHW
UPMC
KF
PHW
UPMC
AHC
PHW
UPMC
AHC
PHW
UPMC
AHC
PHW
UPMC
Sout
hwes
tSo
uthe
ast
No
rth
ea
stN
ort
hwes
tLe
hig
h/C
apit
al
Date Period: August 2020
155,651
91,131
127,276
374,058
-
50,000
100,000
150,000
200,000
250,000
300,000
350,000
400,000
AHC/KF PHW UPMC All MCO's
CHC Statewide Monthly Enrollments by MCO
Data period: August 2020
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The graphic below reflects the changes
from July’s market share by MCO to
August’s market share by MCO. All
fluctuations are 0.5% or less.
- 50,000 100,000 150,000 200,000 250,000
CHC-HCBS Duals
CHC-HCBS Non Duals
CHC-LTC Duals
CHC-LTC Non Duals
CHC-NFI
CHC-HCBSDuals
CHC-HCBS NonDuals
CHC-LTC DualsCHC-LTC Non
DualsCHC-NFI
AHC/KF 32,617 17,373 13,393 1,213 91,055
PHW 17,737 4,359 13,883 1,043 54,109
UPMC 18,665 6,176 14,244 1,108 87,083
AHC/KF PHW UPMC
The NFI population continues to account for the majority of the
population with 62%. The percentage of HCBS participants remains
at 25% and the LTC population remains at 12% of the population
from July.
www.dhs.pa.gov 3
CHC Market Share by Population Group
Data Period: August 2020
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
SW SE NE NW LC Statewide
19.3%
57.8%
44.4%
23.1%
41.8% 41.6%
26.2%
22.6%
25.8%
22.1%
25.6% 24.4%
54.5%
19.6%29.9%
54.9%
32.6% 34.0%
AHC/KF PHW UPMC
Data Period: August 2020
CHC Market Share Chart
AHC/KF PHW UPMC
SW
SE
NE
NW
LC
State
CHC July to August Market
Share Changes
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Medicare Type by CHC Zone and Plan
Data Period: August 2020
In August, the statewide
percentage of non-duals
remained at 8.3%. The
percentage of
participants in aligned D-
SNPs increased by 0.2%,
while the percentage of
participants in FFS
Medicare (-0.2%) and
other Medicare
Advantage (-0.1%)
decreased slightly.
www.dhs.pa.gov 4
Medicare Type for All CHC Participants by Region
Data Period: August 2020 * Includes records where Medicare Eligibility or Medicare Type couldn't be confirmed
-
www.dhs.pa.gov 5
Statewide LTSS Population and HCBS Percentage
*This chart contains CHC, OBRA, Act150 and LIFE program participants.
64.6% 65.0% 65.1% 65.3% 65.8% 65.9%66.4% 66.8% 67.1% 67.4%
68.1% 68.8% 69.2% 69.3%
0
20,000
40,000
60,000
80,000
100,000
120,000
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
90.0%
100.0%
Jul-19 Aug-19 Sep-19 Oct-19 Nov-19 Dec-19 Jan-20 Feb-20 Mar-20 Apr-20 May-20 Jun-20 Jul-20 Aug-20
HCBS Participants 94,042 94,738 95,459 96,265 98,165 98,458 99,485 100,497 101,586 102,608 103,311 103,854 104,638 104,778
LTC Participants 51,490 51,094 51,147 51,071 50,959 50,960 50,313 49,865 49,764 49,551 48,334 47,095 46,619 46,502
Statewide HCBS 64.6% 65.0% 65.1% 65.3% 65.8% 65.9% 66.4% 66.8% 67.1% 67.4% 68.1% 68.8% 69.2% 69.3%
Statewide LTSS Populations Plus HCBS Percentage (Legacy)
Source: EDW Standard CHC Monthly and Legacy Monthly Reports
Data period: August 2020
Data period: August 2020
D-SNP Enrollments by Plan
D-SNP enrollment
continues to grow.
There was a 1.2%
increase growth in
D-SNP participants
from July to
August. Since the
beginning of 2020,
D-SNP participants
have increased
9.2%.
-
www.dhs.pa.gov 6
Other OLTL Program Enrollment
Data Period: August 2020
-
www.dhs.pa.gov 7
Data Period: August 2020
Questions regarding this data brief can be directed to:
The Office of Long-Term Living Abigail Coleman
Director, Division of Program Analytics [email protected]
mailto:[email protected]