PHLP News Archive

2014 News

PHLP Releases Medical Assistance Eligibility Manual

PHLP has expanded and updated its Medical Assistance Eligibility Manual. Intended for health care advocates and the general public, this manual describes eligibility for Pennsylvania’s Medicaid Assistance (or Medicaid) program in plain language. Readers will learn Medicaid coverage “categories” as well as the program’s income and resource counting rules.

The updated Medical Assistance Eligibility Manual can be found here.

Benefit Change Letters Mailed to 800,000 Medicaid Households

On November 5, DPW began mailing all adult MA recipients a letter that describes upcoming benefit changes. Adults assigned to the “Healthy” or “Healthy PA Private Coverage Option” benefit package may need to request “Healthy Plus” to get a benefit package that meets their needs. For more information, see this PHLP alert.

Do You Need Health Insurance?

This flyer highlights the new insurance option available starting in January 2015. Because of Medicaid expansion, most low-income adults in Pennsylvania will soon qualify for Medicaid. Please share this information widely!

PHLP Offers Medicare 2015 Webinars

PHLP is offering free webinar trainings to educate providers, advocates and other professionals who work with dual eligibles (people who have both Medicare and Medicaid) and other low-income Medicare beneficiaries about upcoming changes to Medicare and other programs in 2015.

Each webinar will cover the following topics:

  • Medicare Part D plans and costs in 2015
  • Programs that help Medicare beneficiaries with their costs
  • Helping Medicare beneficiaries in times of transition, including becoming a dual eligible or losing their dual eligible status
  • Medicare and the Health Care Marketplace

To register for a webinar, click on one of the links below:

Space is limited-register today! Please share this announcement with others who may be interested in participating in one of the webinars.

PHLP Statement on Approval of Healthy Pennsylvania to Expand Medicaid

The agreement between the federal and Pennsylvania governments extends health coverage to nearly 600,000 low-income Pennsylvanians. “We’ve waited a long time for this agreement,” said Laval Miller-Wilson, Executive Director of PHLP. Read our full statement here.

Attention: CHIP Now Covers Replacement Glasses

CHIP now covers replacement glasses in all plans. The Department of Insurance issued a new Policy Clarification on July 28, 2014. The document affirms that CHIP will cover eyeglasses up to two prescriptions a year. This allows replacement of eyeglasses that are lost or broken beyond repair. The Policy Clarification can be found here.

Getting More Kids Covered: PHLP To Train Professionals in Family Courts, Pediatric Offices & Legal Aid Programs

Pennsylvania has a history of providing health insurance coverage to children in moderate- to low-income families. This coverage, through either Medicaid or the Children’s Health Insurance Program (CHIP), is free or subsidized for some at low-cost.

However, a small but significant percentage of eligible children are not enrolled.  This is harmful.  We’re working to change that thanks to a recent grant from the federal government.

Beginning this fall, PHLP will travel across the state to train family serving professionals about

  • the availability of children’s health insurance,
  • how to inform families about coverage options, and
  • where to refer families who need assistance applying for or renewing their coverage.

Some of the background papers for the targeted professional groups are posted on PHLP’s web site and can be found here: [Family Courts] [Legal Services Programs].



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