Contents
What is Pennsylvania Independent Enrollment Broker?
The Independent Enrollment Broker is a contracted statewide entity to facilitate and streamline the eligibility/enrollment process for applicants seeking services for several Pennsylvania waivers/programs.
What is the PA IEB?
The PA IEB, or Pennsylvania Independent Enrollment Broker is contracted by the state of Pennsylvania. They are an intermediary that facilitates enrollment and eligibility for CHC. The PA IEB is managed and run by Maximus, a private company hired by the state of Pennsylvania.
How to get a waiver in PA?
- Call the PA Independent Enrollment Broker (PA IEB) at 1-877-550-4227.
- Eligibility Determination.
- Determination within 86 days of the first in-home visit.
- STEP 2 Have your first in-home visit.
- Have your second in-home visit.
- The CAO reviews your waiver application and makes a decision.
What is an Enrollment Broker?
Enrollment broker means an individual or entity that performs choice counseling or enrollment activities, or both. Enrollment services means choice counseling, or enrollment activities, or both.
What is the waiver program?
A waiver program allows the state to waive some requirements to meet the needs of individuals. For example, a waiver may help a person with an increased likelihood of requiring long-term care, such as those with behavioral issues or technologically dependent children.
What is the Aging Waiver Program?
The Multipurpose Senior Services Program (MSSP) Waiver provides Home and Community-Based Services (HCBS) to Medi-Cal eligible individuals who are 65 years or older and disabled as an alternative to nursing facility placement. The MSSP waiver allows the individuals to remain safely in their homes.
What is Act 150 in PA?
Pennsylvania’s Act 150 Program enables adults 18 through 59 years of age who are mentally alert and have physical disabilities to perform activities of daily living (such as eating, personal hygiene, and transporting themselves).
Who is eligible for the waiver program?
Generally, states offer HCBS waivers to elderly people (aged 65 or over), physically disabled people, adults and children with developmental disabilities, and medically fragile people (who require life support or other extensive medical equipment).
What is the Act 150 program?
How soon can someone choose their MCO?
You may change MCOs for any reason within the first 90 days of initial enrollment. If you do not change within 90 days, you must remain with your MCO for 12 months before you can change again. You can change your Medicaid MCO once a year.
What is a 1915 B waiver?
The term, 1915 (b)/(c) Medicaid Waiver, refers to two sections of the Social Security Act that allow states to apply for waivers from federal Medicaid policy. The (b) Waiver allows Medicaid beneficiaries to enroll in managed care plans and allows Medicaid to limit the provider network based upon needs of recipients.
What is a PCA Waiver?
Government program assists low income adults age 64 and younger with any type of disability remain independent in their own homes by providing a personal care assistant.
How to contact the Pennsylvania independent enrollment broker?
If you need to fax information to the Pennsylvania Independent Enrollment Broker, you can fax them at 1-888-349-0264. This can be done if you have application information to send into Maximus, for example
What is the phone number for the Pennsylvania IEB?
The Pennsylvania Independent Enrollment Broker’s phone number is 1-877-550-4227. Does the PA IEB have a fax number? What is the PA Independent Enrollment Broker (IEB) fax number? Yes. If you need to fax information to the Pennsylvania Independent Enrollment Broker, you can fax them at 1-888-349-0264.
Who is the PA Medicaid IEB managed by?
This is for interested individuals that are seeking services under the Community HealthChoices Pennsylvania waiver programs. The PA IEB is managed and run by Maximus, a private company hired by the state of Pennsylvania. Does the PA IEB oversee the process of getting set up for Medicaid waiver services in Pennsylvania?
How to enroll in Medicaid in Pennsylvania, PA?
To be eligible to enroll, practitioners in Pennsylvania must be licensed and currently registered by the appropriate state agency. Out-of-state practitioners must be licensed and currently registered by the appropriate agency in their state, and they must provide documentation that they participate in that state’s Medicaid program.