2017 PA Family Navigation Guide.pdf
Spanish Version of PA Family Navigation Guide
Magellan's "Welcome Letter"
English New Member Letter
Spanish New Member Letter
To view the current & archived Magellan's Member Newsletters - please click on link below
While you are in there be sure to sign up to receive the newsletters electronically
Lehigh County Behavioral HealthChoicesLehigh County Government Center 17 South Seventh Street Allentown Pennsylvania 18101 Phone: 610-782-3945 Fax: 610-820-3689
Behavior Specialist Consultant (BSC) Licensure - Department of Health Application (updated 3/1/13)
Behavior Specialist Consultant (BSC) Licensure - DPW Letter to Families (March 19, 2013)
Behavior Specialist Consultant (BSC) Licensure Notice
Lehigh County Family Respite Services - Program now accepting referrals
Self-Directed Care Summary Report
Frequently, not a day goes by that we don't hear about some kind of tragedy of violence occurring in our community.
Please reference the following links that can help children and others cope with the violence that can occur.
Helping Children Cope with Violence
School Violence - Coping with Anxiety
Tragedy - Taking care of Yourself
Trauma in the Community
For information related to Magellan Behavioral Health, HealthChoices Services, member handbook, eligibility, etc., please call the Lehigh Magellan member line at 1-866-238-2311 or for (TTY) 1-866-238-2313. Information can also be accessed by clicking on the following link: http://www.magellanofpa.com/
For concerns or comments about the Lehigh County HealthChoices Program and/or Magellan Behavioral Health, you can:
o Contact the Consumer and Family Satisfaction Team through Recovery Partnership at 610-861-2741 or,
o Contact HealthChoices staff member Liz Fox (email@example.com) at 610-782-3520 or,
o Contact HealthChoices staff member Erika Shoemaker (firstname.lastname@example.org) at 610-782-3842.
The Lehigh County HealthChoices Program is committed to ensuring that every person with serious mental illness and/or addictive disease, and every child and adolescent who abuses substances and/or has a serious emotional disturbance will have the opportunity for growth, recovery and inclusion in their community, will have access to services and supports of their choice, and enjoy a quality of life that includes family and friends.
The HealthChoices Programoffers medically necessary mental health and drug and alcohol services to Medical Assistance eligible children and adults. Individuals are offered a choice of providers for needed mental health or drug and alcohol treatment services. The Lehigh County HealthChoices program is managed by the Departments' Office of Human Services, which also includes the Offices of Mental Health / Intellectual Disabilities (formerly Mental Retardation) / and Drug and Alcohol. The HealthChoices program in Lehigh County is administered through a subcontract with Magellan Behavioral Health.
Please note that Physical Health services through the HealthChoices Program continues to be managed and overseen directly by the Office of Medical Assistance Programs and Department of Health. For information on the specific Physical Health Managed Care Organizations (PH-MCOs), please see the links at the bottom of the page.
Services provided include, but are not limited to:
For a complete list of services and the providers that offer them, please refer to the Magellan Behavioral Health Provider List. Please note that this list is subject to change.
Medical Necessity Criteria for Services
Any question(s) about services should be directed to Magellan B.H. at the following number:
1-866-238-2311 or (TTY) 1-866-238-2313
For information on complaints and grievances, how to file a complaint or grievance, or how to get help with such, please see the Section Links box at the top left corner of this webpage.
Lehigh County HealthChoices Fraud and Abuse Hotline - The following hotline is available to anyone who would like to report suspected fraud and/or abuse related to a Medical Assistance/HealthChoices program. Please call (610) 782-3440.
Dear Pennsylvania Families,
In Pennsylvania, your child’s autism-related services may be covered by private health insurance, Medical Assistance (MA) or the Children’s Health Insurance Program (CHIP) under Pennsylvania’s Autism Insurance Act (ACT 62). ACT 62 is a statewide insurance mandate specific to services provided to children and adolescents with Autism Spectrum Disorder (ASD).
The Department of Human Services (DHS), Pennsylvania Insurance Department (PID), and Department of State (DOS) are working together to fully implement Act 62. A number of new resources have been developed to provide guidance to families about ACT 62. Visit www.PAAutismInsurance.org for Act 62 information including fact sheets, answers to Frequently Asked Questions, updated guidance on how to appeal if your insurance company denies a claim, and contact information for DHS and the PID.
Please see the attached letter from DHS and PID as well as an infographic with guidance for families for more information.
Act 62 Gen Information For Families Infographic.pdf
DHS Insurance Act 62.pdf