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Special Needs Units
Working together to serve HealthChoices members
Overview
Each individual’s coordination needs and challenges are unique and they deserve the individualized attention necessary in order for those needs to be met. This is the role of our Special Needs Units. This resource provides information on the various managed care organizations and how members can successfully navigate them to receive timely and effective services.
Examples of MCO Special Needs Coordination:
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- Behavioral Health MCOs
- Other Physical Health MCOs & their Special Needs Units
- Medical Assistance Transportation Program
- Home and Community Based Services Waivers
- DHS Special Needs Staff
- Community Based Agencies
- Public Health Departments
- PA Government Agencies
- Other state, county and local agencies
- Waiver Providers
- Community Resources
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MCO Special Needs Units:
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- Each physical health managed care organization has a Special Needs Unit (SNU), stand alone or contained within their Integrated Care Management Unit
- Designated Special Needs Unit Coordinators
- Experienced Special Needs Unit Staff
- Dedicated Special Needs Hotline Numbers
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Coordination Within the MCO:
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- Member Services
- Provider Relations
- Pharmacy Services
- Disease Management
- Utilization Management/Quality Management
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MCO Special Needs Hotline Numbers:
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- Aetna Better Health 1-855-346-9828
- AmeriHealth Caritas PA 1-800-684-5503
- AmeriHealth Caritas Northeast 1-888-498-0766
- Geisinger Health Plan Family 1-855-214-8100
- Gateway Health Plan 1-800-392-1147
- Health Partners Plans 1-866-500-4571
- Keystone First Health Plan 1-800-573-4100
- United Health Care Community Plan 1-877-844-8844
- UPMC for You 1-866-463-1462
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This resource created by Pennsylvania Department of Human Services