ECCM Statewide Impact on Managed Care in Pennsylvania
When it comes to managed care in Pennsylvania, ECCM’s reach goes far beyond its home base in Erie County. With a presence that spans across the entire state, our team is dedicated to providing comprehensive and accessible care to these communities — including those in rural areas where healthcare services can often be limited.
Through our diverse support programs, ECCM is here to ensure that all Pennsylvanians have the opportunity to lead healthier, more fulfilling lives.
Community Health Choices
Available in the following counties:
- Crawford
- Elk
- Cameron
- Jefferson
- Clearfield
- Centre
- Clinton
- Allegheny
- Washington
- Fayette
- Westmoreland
Community Health Choices (CHC) provides essential managed care in Pennsylvania to residents in need of health services. A Medicaid Expansion initiative, CHC aims to simplify the healthcare process and ensure that Pennsylvanians have greater access to the insurance they need.
CHC offers comprehensive care management services for children, adolescents, and high-risk adults. The program connects individuals with both physical and behavioral health services (as well as long-term support) so that all age groups can receive the tailored care they need.
Community Health Services for Children and Adolescents
Health Choices provides a wide array of mental and behavioral health services for children and adolescents, including:
- Family-Based Mental Health (FBMH)
- Behavioral Health Rehabilitation Services (BHRS)
- Residential Treatment Facility (RTF)
- Community Rehabilitative Residence (CRR) Host Home/Therapeutic Foster Care (TFC)
- Partial Hospitalization Services (PHP)
- Acute Partial Hospitalization (APHP)
- Psychological and Neuropsychological Testing
High-Risk Adult Care Management
For high-risk adults, ECCM offers specialized managed care in Pennsylvania to address complex healthcare needs. High-risk adults are identified based on their difficulty in following through with treatment, discontinuing care, or having special or complex needs. The programs available include:
- Mobile Psychiatric Rehabilitation (MPR)
- Mobile Medication Monitoring
- Assertive Community Treatment (ACT) teams
Intellectual Disabilities Supports Coordination and Autism Supports Coordination
Available in the following counties:
- Wyoming
- Luzerne
- Pike
- Monroe
- Carbon
- Schuylkill
- Lebanon
- Lancaster
- Dauphin
ECCM strives to help individuals with intellectual disabilities and autism achieve a more meaningful, independent life. The program works closely with state governments, local government agencies, and direct service providers to connect individuals with the support they need in a community setting — often in their own homes.
Support Services for Individuals with Intellectual Disabilities
Support coordinators help individuals navigate a system designed to meet their needs. They work with the person and their families to identify desired life goals and find service providers to achieve these outcomes. Services are typically funded through one of three Pennsylvania waivers: the Consolidated Waiver, the Community Living Waiver, or the Personal/Family Directed Supports Waiver.
Eligibility for intellectual disability services requires a diagnosis based on objective standardized testing, indicating significant impairments in daily functioning. ECCM's intake department assists individuals in navigating these guidelines, collecting necessary documentation, and determining eligibility.
Support Services for Individuals with Autism
ECCM provides support coordination to help individuals with autism realize their dreams of independence. This includes developing and maintaining an Individual Support Plan (ISP), identifying needed services, locating qualified providers, coordinating funding, and monitoring service delivery.
Eligibility for autism support coordination requires a diagnosis of Autism Spectrum Disorder (ASD) based on standardized testing, with evidence that the diagnosis occurred before the individual's 22nd birthday.
Full-Service Range of Managed Care in Pennsylvania
We offer our full range of services to residents of Erie County, each designed to support the community's diverse needs.
Early Childhood Intervention
Early Intervention services are for children experiencing developmental delays. This family-centered program focuses on early identification and treatment, ensuring that children receive the support they need during their most formative years.
Service coordinators work closely with families to develop personalized therapy plans, connect them with qualified providers, and monitor progress to ensure the best outcomes.
Services include:
- Developmental Screening
- Multi-Disciplinary Assessments
- Personalized Therapy Plans
- Teletherapy
- Connection to Additional Community Resources
Mental Health Services
ECCM provides a variety of mental health services aimed at helping individuals achieve recovery from behavioral health issues. These services are designed to support not only the individuals but also their families, ensuring a holistic approach to mental health care.
Services include:
Forensic Case Management
For individuals with serious mental illnesses involved in the criminal justice system, ECCM's Forensic Case Management program provides essential mental health services. The goal is to connect these individuals with the support they need to reduce recidivism and promote recovery.
Services include:
- Mental Health Screening and Assessment
- Development of Discharge Plans
- Connection to Community Resources
Homeless Persons Behavioral Health
We have health services available for homeless individuals, helping them access mental health treatment, rehabilitation, and housing resources. This program aims to break the cycle of homelessness by addressing the root causes.
Services include:
- Mental Health Assessment
- Shelter Plus Care
- Coordinated Entry
Administrative Case Management
Administrative case managers link individuals with mental health needs to the appropriate services and resources. They provide holistic assessments, develop service plans, and ensure timely access to necessary care.
Services include:
- System Information and Referral Support
- Service Plan Development
- Coordination of Support Services
Emergency Rental Assistance
The Erie County Emergency Rental Assistance Program (ERAP2) provides rental and utility assistance to those adversely affected by the COVID-19 pandemic. It helps eligible renters, landlords, and utility providers maintain housing stability.
Prioritization is given to households with significant financial hardship for up to 18 months of assistance.
Enhancing Accessibility to Services in Rural Pennsylvania
Access to managed care in Pennsylvania is challenging for rural areas; this is mainly due to geographic isolation, limited transportation options, and a shortage of healthcare providers. It is our mission to bridge these gaps so that all PA residents can receive the support they need, regardless of their location.
Mobile and Community-Based Services
ECCM offers several programs that bring essential services directly to individuals' homes or community centers, reducing the need for travel and ensuring consistent care.
For example, the Mobile Psychiatric Rehabilitation (MPR) program provides psychiatric rehabilitation services to individuals in their own homes, helping them develop skills to manage their mental health and improve their quality of life.
Telehealth and Remote Services
Telehealth has become an invaluable tool in increasing accessibility to healthcare services in rural areas. Our team leverages telehealth to provide remote consultations, therapy sessions, and follow-up appointments, ensuring that individuals can access care from the comfort of their homes.
Early Intervention Teletherapy is available for children with developmental delays, allowing families to receive support and guidance without the need for in-person visits. Additionally, ECCM provides mental health screenings, assessments, and therapy sessions via telehealth, making it easier for individuals in rural areas to access essential mental health care.
Managed Care Across Pennsylvania with ECCM
At ECCM, our ultimate goal is to make healthcare and support services accessible to all. As one of the leading Pennsylvania managed care organizations, we are committed to serving communities across the state. Contact us today to learn more about our programs and how ECCM can support you on your journey!