Action is Needed!

Effective April 1, 2023, continuous enrollment for Medical Assistance and CHIP has ended. All Pennsylvania Medical Assistance and CHIP recipients will be required to complete an annual renewal to see if they are still eligible for coverage. Renewals will be based on the individual recipient’s eligibility date and will be completed over 12 months.

Health Partners Plans wants to ensure you are aware of the potential impact to your practice and to your patients if they do not submit their annual renewal application timely.

Practice Impact:

1. Patient’s inability to pay for care.
2. Reimbursement for services you provide to recipients who have lost their Medical Assistance coverage will end.

Patient Impact:

1. Auto-enrollment will cease and all recipients will be required to renew their Medical Assistance eligibility status. This includes Medicare beneficiaries who are also eligible for Medicaid.
2. Loss of coverage will impact your patient’s ability to access care, medications, and testing.

What your office can do to prevent your patients from losing their medical coverage:

1. Remind all your patients with Medical Assistance and CHIP coverage that they must renew their coverage starting in 2023.
2. To prevent a loss in coverage, HPP recommends that offices inform patients to:
   • Make sure their address is up to date with the Pennsylvania Department of Human Services. If their address has changed, inform the patient to contact DHS by using the free myCOMPASS PA mobile app, visit the COMPASS website at dhs.pa.gov/COMPASS or contact the Customer Service Center at 1-877-395-8930 or 215-560-7226 if they live in Philadelphia.
   • Look for their application to come in the mail
   • Return their application timely
   • Failure to complete this renewal application process may result in a loss of their coverage
3. Access the resources below to post in your office and share with your patients.

How can your office access redetermination information about your patients?
To assist providers, HPP has added a new data element to our patient roster to identify the redetermination date for your assigned Medicaid and CHIP patients. To access this roster, sign in to your HP Connect portal account at HPPlans.com/providerportal. From the Office Management dropdown, select “Document Manager” and search keyword “member roster” in the Name search field.

Resources:

• Keep Your Care Flyer, developed by HPP (PDF)
• DHS Benefit Update Flyer (PDF)
• DHS How to Keep Your Health Care Coverage Flyer (PDF)
• DHS Stakeholder Resources
• Family Fun Day with Health Partners Plans (PDF)