Section 602 - Life program.(a) Informational materials and department correspondence used by the department to educate or notify an eligible individual about long-term care services and supports, including an individual's rights, responsibilities and choice of managed care organization to cover long-term care services and supports, shall include the following: (1) A description of the life program.(2) A statement that an eligible individual has the option to enroll in the life program or a managed care organization under the community health choices program.(3) Contact information for life providers.(b) The department shall continue to provide training to the independent enrollment broker on the life program through the independent enrollment broker life module to better educate the independent enrollment broker.(c) At the end of each quarter, the department shall issue a report that tracks by county the enrollment of eligible individuals in long-term care service programs, including managed care organizations and life programs.(d) As used in this section, the following words and phrases shall have the meanings given to them in this subsection unless the context clearly indicates otherwise: "Eligible individual." An individual, age 55 or older, who is a resident of this Commonwealth and who requires long-term services or supports in order to remain living in the community and not in a nursing facility.
"Independent enrollment broker." A contracted statewide entity that facilitates the eligibility and enrollment process for individuals seeking home and community-based services and works with service coordination providers to respond to participants' needs.
"Life program." A program which is a managed care program that provides all-inclusive care for elderly individuals in this Commonwealth as established in accordance with 42 CFR Pt. 460 (relating to programs of all-inclusive care for the elderly (PACE)).
Added by P.L. TBD 2018 No. 40, § 3.2, eff. 7/1/2018.