►
Description
The Joint Committees on The Disabled & Persons with Special Needs and on Aging of the Council of the City of Philadelphia held a Public Hearing on Monday, October 22, 2018 to hear testimony on the following item:
No. 160739
Resolution authorizing the Committee on Disabled & Persons with Special Needs and On Aging to hold hearings regarding Pennsylvania's Community HealthChoices initiative.
Committee on the Disabled and Persons with Special Needs
Chair: Councilman Derek Green (At Large)
Vice Chair: Councilwoman Helen Gym (At Large)
Committee on Aging
Chair: Councilman Al Taubenberger (At Large)
Vice Chair: Councilman Derek Green (At Large)
A
A
As
my
father
would
say,
this
is
an
interesting
opportunity
for
not
only
the
Commonwealth
would
also
City
infidel
fiha
and
really
want
to
educate
citizens
in
the
city
of
Philadelphia
about
the
changes
that
will
occur.
This
is
an
important
issue.
I
know
there
have
been
some
legal
dynamics
that
have
been
occurring
for
some
time.
A
I
would
like
to
get
the
perspective
of
how
the
Commonwealth's
moving
forward
on
this
issue,
as
well
as
how
the
city
of
Philadelphia
preparing
for
this
new
initiative
for
the
residents
of
the
city
of
Philadelphia
and
services
that
will
be
provided
at
this
point.
I
will
turn
the
microphone
over
to
my
colleague
councilman
al
Tom
Berger,
who
is
the
chair
of
the
Council
Committee
on
Aging?
To
see
these
any
comments
at
this
time.
B
Thank
You
councilman
green.
Thank
you
for
your
leadership
in
getting
this
resolution
through
City
Council,
but
also,
most
importantly,
in
having
this
hearing
I
look
forward
to
joining
with
yourself
and
and
other
members,
as
well
as
the
community
at
large,
to
hear
where
we
can
make
this
better
and
improve
the
ability
to
get
the
information
out
to
people.
I
think
that's
very,
very,
very
important.
B
C
E
My
name's
Heather
home
and
I'm
special
advisor
to
the
secretary
at
the
Department
of
Human
Services,
so
community
health
choices
as
a
Medicaid
managed
long-term
services
support
system,
and
that
system
will
include
individuals
who
are
21
and
older,
who
are
dually
eligible
for
both
Medicare
and
Medicaid,
and
we'll
also
include
individuals
with
physical
disabilities
who
need
the
level
of
a
care
provided
by
a
nursing
facility.
So
statewide
that's
about
four
hundred
and
twenty
thousand
individuals
in
the
southeast.
That
is
about
a
hundred
and
twenty
nine
thousand
people.
E
So
today
we're
gonna
focus
a
lot
on
what
we're
doing
to
communicate
these
changes
to
participants
so
back
in
so
I'll
talk
about
providers
and
participants.
We
started
talking
to
providers
about
this.
In
approximately
while
say,
we've
been
emailing
them
constantly
every
two
weeks
for
about
a
year
and
a
half,
but
we
held
nine
provider
sessions
in
the
southeast.
In
the
month
of
June,
we
had
over
I'm
going
to
2000
providers
who
attended
those
events,
and
it
was
a
day-long
event
for
each
one
of
them.
E
So
if
you
would
like
a
six-hour
presentation,
we're
willing
to
do
that
for
you
no,
but
so,
but
we
we
provided
those
communications
to
them.
We
also
started
talked
to
over
participants
at
that
time
who
needed
to
be
reassessed,
so
they
were
started.
Actually
we
started
talking
them
in
February
about
a
need
to
be
reassessed,
and
the
Philadelphia
corporation
on
Aging
did
an
amazing
job
of
having
those
reassessments
done,
so
that
we
could
identify
participants
that
would
move
into
community
health
choices
and
those
who
would
stay
in
the
Ober
waiver.
E
Proximately
75%
of
those
participants
actually
will
be
going
into
community
health
choices
in
July.
We
then
sent
an
informational
flyer
to
our
participants.
Saying
hey
community
health
choices
is
coming.
Please
call
this
telephone
number
or
go
to
this
website
to
learn
more
information
about
CHC.
We
we
additionally,
then
in
August
mailed
them
an
invitation
to
attend
74
per
to
community
events
so
that
they
could
come
and
learn
about
CHC
him
in
person.
I
believe
Philadelphia
Corporation
on
Aging
had
54
of
those
events
for
us,
which
is
amazing
and
beyond
our
expectations,
which
was
wonderful.
E
We
had
over
4500
people
registered
to
attend
those
events
and
so
that
they
could
learn
in
person
about
what
community
health
choices
is.
We
also
sent
them
a
notice
that
notice
tells
them
about
community
health
choices.
It
talks
to
them
about
needing
to
select
a
managed
care
organization,
and
it
also
tells
them
about
what
isn't
changing.
Big
thing
is
Medicare
people
are
very
confused
about
needing
to
change
their
medicare
plan
and
we
have
tried
to
communicate
that
multiple
times
to
them
that
they
do
not
need
to
change
their
Medicare
plan.
E
After
that
they
received
their
enrollment
packets
and
in
that
enrollment
packet
it
tells
them
about
the
three
plans.
Those
three
plans
you'll
actually
hear
from
today.
It
tells
them
about
those
plans
and
it
tells
them
how
they
can
select
a
plan
or
get
more
information
by
attending
a
community
event.
E
It
also
has
an
entire
piece
of
paper
that
tells
them
about
Medicare
not
changing,
because
we
want
them
to
make
sure
that
they
realize
that
this
is
not
their
Medicare
and
and
so
for
participants
now
they're
in
the
progress
of
making
those
plans
selections
they
have
until
November
14th,
but
if
they
don't
select
by
November
14th
and
will
at
that
time
make
a
plan
selection
for
them,
but
they
still
have
up
until
December
26th
to
make
a
final
choice
to
be
valid
for
January
1st.
Oh,
it's
December,
21st
Jill's,
correcting
me!
Thank
you.
E
So
they
have
until
December
21st
to
make
that
final
plan
selection
to
be
valid
for
January
1.
If
they
don't
make
a
plan
selection
or
if
they
don't
like
the
plan
that
they
did
select,
they
can
change
at
any
time
after
that,
just
based
on
our
dating
rolls.
It
takes
a
little
bit
of
time
for
the
files
and
for
the
change
to
actually
occur,
so
it
could
be
a
month
to
a
month
and
a
half
before
somebody
change
would
actually
occur.
So,
in
addition
to
that,
we've
also
held
nine
legislative
events
for
legislative
staff.
E
Members
and
legislators
to
learn
about
about
community
health
choices.
I
know
that
I
think
Jill
was
here
and
at
least
I
know
Kevin
Hancock,
who
is
our
deputy
secretary
for
long
term
living,
was
here
a
few
months
ago.
So
because
we
know
we
have
to
keep
it
short
and
sweet
I
shall
do
you
have
anything
to
add.
I
would
just
add
that
it
is.
A
E
A
E
That's
for
the
Oprah
waiver,
which
is
a
smaller
waiver,
so
that
waiver
will
remain
open
for
individuals
who
qualify.
It
has
a
different
level
of
care
than
community
health
choices,
so
if
their
nursing
facility
eligible
meaning
that
they
need
the
level
of
care,
whether
they're
in
their
home
or
in
a
nursing
facility.
Seventy-Five
percent
of
that
population
will
be
will
be
transitioning,
but
it's
a
much
smaller
population
than
the
entire
community
health
choices,
population,
okay,.
A
Understand,
have
choices
and
from
the
outreach
that
you've
done
already
says
seventy-five
community
events
under
PCA
than
50
for
those
community
events
I
think
that
nine
legislative
briefings,
one
was
here
I,
think
was
hosted
by
Councilman
Cindy
bass
in
the
caucus
room,
Apple
accounting
session.
I.
Guess
my
my
question.
A
concern
is:
how
are
you
reaching
it?
I
mean
you've
done
outreach
events,
but
the
concerns
when
you
have
a
new
initiative
and
you
have
a
population
that
may
not
be
as
versed
on
this
information.
A
I
have
a
concern
that
people
may
not
realize
what's
happening
and
as
of
January
1,
because
they
didn't
take,
maybe
the
necessary
actions
to
select
a
provider
and
they're
going
to
their
existing
provided
for
a
number
of
years.
They've
had
a
relationship
with
and
then
as
of
January
1
they've
been
put
into
a
another
provider
and
they
go
through
their
physician
that
they've
gone
to
for
a
number
of
years,
and
now
they
come
to
find
out
that
no
longer
can
provide
services.
So
how
do
you
account
for
those
issues
so.
E
They
are
not
changing
providers
they're
changing
from
our
fee-for-service
system
into
a
managed
care
organization.
We
have
for
community
health
choices.
We
have
a
continuity
of
care
period
so
for
60
days
for
physical
health
and
180
days
for
long-term
services
and
supports
this
is
where
it
also
gets
a
little
complicated
number
one.
We
require
all
of
our
managed
care
organizations
to
have
a
robust
network
of
providers,
so
they
are
currently
working
with
providers.
A
E
Availability
of
that
network
is
is
on
our
website
for
community
health
choices.
We
also
have
96%
of
our
94%
of
our
population
is
dually
eligible
for
both
Medicare
and
Medicaid,
which
means
that
the
majority
of
our
physical
health
services
are
covered
by
Medicare,
so
for
most
participants-
and
we
saw
this
in
the
southwest
when
the
continuity
of
care
period
ended
at
the
after
60
days.
E
We
had
absolutely
no
complaints
because
medicare
covers
most
of
those
services,
so
participants
didn't
see
any
changes
in
who
their
doctors
were,
because
they
were
able
to
keep
those
doctors
as
their
Medicare
doctors.
Additionally,
our
managed
care
organizations.
The
Department
of
Health
has
to
certify
that
they
have
a
robust
network
of
providers
so
that
those
participants
can
continue
to
see
either
their
doctor
or
have
a
large
list
of
doctors
that
they
can
go
to
the
managed
care
organizations
will
work
with
them.
If
save
for
some
reason,
they
do
need
to
change
their
provider.
A
E
E
So
this
one
reason
that
we've
built
in
that
continuity
of
care
period
for
participants
who
are
who
have
physical
disabilities
and
are
in
our
waiver.
We
have
required
the
service
coordination
entities
that
work
with
them
to
be
trained
in
to
be
trained
about
community
health
choices.
To
be
it
and
then
also
to
have
one-on-one
conversations
with
their
participants.
E
To
explain
this
to
them,
because
we've
recognized
it's
harder
for
them
to
get
to
the
in-person
events
that
we
held,
and
we
want
to
make
sure
that
it's
also
somebody
that
they
trust
they
talk
to
their
service
coordinator
on
a
regular
basis,
and
so
then
they
can
have
those
one-on-one
conversations
with
them.
So
we
have
been
having
those
conversations.
E
E
We
realized
that
in
the
southeast
learned
lesson
learned
from
the
Southwest
we've
been
reaching
out
to
the
to
the
Medicare
plans
so
that
they
can
talk
to
their
doctors
and
make
sure
they
understand
what's
going
on
with
community
health
choices
so
that
there
isn't
this
confusion
about
which
plan
pays
for
what
and
recognizing
that
the
Medicare
hasn't
changed,
which
pays
for
the
majority
of
these
participants.
We
actually
have
participants
in
the
Southwest
that
didn't
even
realize
that
they
were
on
Medicaid,
because
Medicare
pays
for
almost
everything
that
they
need.
E
So
those
are
things
that
you
know.
We've
been
talking
to
the
providers
about
that.
If
you
have
contacts
with
certain
providers,
it
would
be
wonderful
not
only
for
you
to
encourage
them
to
to
contract
with
the
managed
care
organizations,
but
we'd
be
happy
to
go
out
and
talk
to
them
ourselves
to
make
sure
that
they're
educated
on
what's
going
on
because
they're
the
ones
who
have
those
day-to-day
conversations
with
our
with
our
clients,
of
our
participants
and.
E
Now
remember
that
94%
of
these
participants
Medicare
as
their
primary,
so
therefore
that
doesn't
really
impact
them
at
the
end
of
that
continuity
of
care
period
for
long-term
service
and
supports
us
180
days
for
continuity
of
care,
LTSs,
yes
and
then
for
nursing
facility.
If
a
participants
in
a
particular
nursing
facility,
January
1,
they
may
remain
in
that
nursing
facility
for
as
long
as
they
remain
eligible
for
nursing
facility
services.
A
Then
one
last
question:
I
have
for
the
state:
is
there
any
type
of
either
hotline
or
other
customer
service
perspective
that
you're
getting
the
word
out
so
that
if
I
am
a
constituent
just
confused
about
a
situation,
I
can
call,
and
someone
can
I
can
talk
to
someone
and
explain
this
process
to
me.
Yes,.
E
So
a
couple
of
different
ones:
we
have
one
that
we
have
set
up
that
when
we
had
sent
out
that
initial
touch.
Point
flyer
that
I
talked
about
in
July.
We
have
one
that's
set
up
to
be
able
to
answer
just
very
basic
questions
about
community
health
choices.
In
addition
to
that,
our
office
of
long-term
living
has
the
participant
hotline
that
they
have
always
had,
and
that
will
continue
to
be
able
to
answer
questions
about
CHC.
E
D
Morning,
chairman,
greening
and
the
members
of
the
disabled
and
Persis
a
special
needs
committee
and
the
aging
committee
I'm
levian
done
this
Vale
is
deputy
managing
director
for
aging
and
I'm
here
to
provide
testimony
regarding
resolution
number
one:
six:
zero,
seven,
three:
nine.
This
resolution
authorizes
hearings
regarding
Pennsylvania's
Community,
Health
choices,
initiatives.
Thank
you
for
this
opportunity
to
share
information
and
perspective
on
this
very
important
transition
that
will
impact
Philadelphia
residents.
By
way
of
background.
The
city
of
Philadelphia
is
a
prize
program
council
seniors
on
the
Medicare
options.
D
It
sees
over
1700
persons
on
a
yearly
basis,
and
one
recurrent
issue
is
the
impact
of
dual
eligibility.
With
this
experience,
I
will
address
the
concerns
at
this
transition.
As
of
January
2019
to
community
health
choices,
the
migration
to
the
community
health
choices
managed
care
entities
will
require
a
focused
and
tailored
effort,
as
the
characteristics
of
Philadelphia
are
unique.
First
I
want
to
note
that
many
seniors
in
Philadelphia
are
not
English
dominant.
D
The
diversity
of
first
languages
amongst
our
residents
is
significant,
especially
when
obtaining
the
necessary
information
to
make
the
decision
of
which
health
care
plan
to
choose.
There
must
be
an
ability
for
non
English
dominant
seniors
to
reach
information
in
a
language
that
promotes
intentional
understanding
of
the
choices
before
them.
Another
concern
is
the
enrollment
process.
Prior
efforts
for
enrollment
in
the
waiver
programs
were
fraught
would
delay
and
confusion,
resulting
in
at-risk
seniors
waiting
months
for
their
services.
D
These
delays
were
detrimental
to
the
quality
of
life
of
these
seniors
and
the
great
stress
on
their
loved
ones.
The
positives
of
true
and
effective
coordination
of
services
cannot
be
overstated
for
many
seniors.
Obtaining
the
services
that
would
enable
and
empower
them
to
live
in
a
safe
and
effective
environment
will
ensure
quality
of
life
that
we
want
for
all
our
seniors
I'm
happy
to
answer
any
questions.
Thank.
A
You
for
your
testimony,
I,
guess
I'm
concerned
and
you
act,
and
your
testimony
provides
some
of
the
questions
and
concerns.
I
had
a
somewhat
raised
earlier,
especially
one
I
want
to
delve
into
a
little
bit
more
from
the
language
perspective
from
your
observation
in
reference
to
some
of
the
operators
already
occurring
has
that
information
provided
in
multiple
languages
are
primarily
English,
and
what
have
you
been
seeing
from
your
perspective?
We've.
D
Been
seeing
first
of
all,
PCA
did
a
great
job
of
including
Spanish
and
Russian
in
their
outreach
efforts,
which
are
two
major
communities
with
the
populations
that
are
being
impacted
by
this
right
now.
The
appris
program,
for
example,
is
our
prize
folks
have
been
fielding
over
30
calls
a
day
from
different
seniors
and
many
of
them
with
language
issues.
D
They're
seniors
are
already
disconnected
because
the
transition
or
the
having
to
leave
their
home
country,
for
whatever
reason,
created
a
situation
now
they're
here
and
they're
getting
information
so
they're.
There
really
does
need
to
be
a
very
focused
and
careful
approach
to
those
families
and
those
seniors
who
are
dual
eligible
and
not
English
dominant,
because
even
when
you're
English
dominant
many
people
have
lived
in
the
United
States
for
many
many
years
have
worked,
etc.
D
A
Guess
when
I
come,
what
level
are
you
see
any
future
opportunities?
I
know
we
have
a
short
window
between
now
and
January
1,
but
opportunities
of
collaborating
with
the
city
in
reference
to
trying
cuz
I
think
the
goal
is
trying
to
get
as
much
information
as
possible,
because
this
is
a
somewhat
significant
change
and
it
represent
how
this
health
care
provided
in
letting,
as
many
people
know
as
possible.
Yes,.
E
So
a
couple
of
things,
one
thing
that
I
did
forget
to
say
is
that
we
did
now
our
notices
and
they
were
all
my
packets
and
the
five
dominant
languages,
which
is
the
first
time
that
we've
done
that
at
the
Commonwealth
level,
so
and
I
had
to
write
them
down
so
I
remembered
Vietnamese,
Russian,
Spanish,
Arabic
Chinese,
and
we
actually
added
Cambodian,
because
Cambodian
was
one
of
the
dominant
or
and
then
it
went
down
and
rankings.
So
we
continued
to
mail
in
that
language
because
we
had
it.
E
In
addition
to
that,
we,
in
addition
to
Spanish
and
Russian,
we
had
the
community
events,
also
in
in
Cantonese
and
in
Chinese,
and
we
additionally,
if
a
language
was
requested
aging
well,
who
was
who
has
the
contract
of
the
common
law
to
do
that?
Did
attempt
to
to
make
that
happen
if
it
was
possible
and
I
think
they
were
able
to,
in
every
instance,
accommodate
somebody's
request
to
have
it
in
a
different
language
we
additionally
are
having.
We
are
contracting
with
it.
E
We
will
be
contracting
with
a
minority
outreach
vendor
and
that
will
be
doing
personal
contacts
with
different
organizations
within
the
southeast
to
get
to
to
really
get
into
that
population
and
be
able
to
communicate
with
participants
and
communicate
with
with
those
organizations.
So
we
will
be
doing
that
and
recognizing
that
it
is
a
short
time
period,
but
we
really
want
to
make
sure
that
we
get
to
those
populations
and
that
they
understand
what
is
going
on
with
community
health
choices.
Does.
E
I
won't
say
that
they're
going
to
be
big
events
like
we
had
and
we
sent
out
invitations
that
will
probably
be
more
of
those
local
events
trying
to
get
into
a
Senior,
Center
and
and
getting
in
with
different
organizations
who
hold
who
hold
meetings
and
while
their
participants
are
there
being
able
to
talk
to
her
about
what's
going
on
community
health
choices
and
then
also
speaking
to
those
leaders
of
that
community,
so
that
they
can
then
communicate
that
with
their
participants.
And
they
understand
community
health
choices.
E
We'd
had
an
event
and
we
were
very
lucky
that
PCA
had
an
event
in
June.
While
we
were
out
here
for
the
provider
sessions
with
I
think
it
was
over.
A
hundred
different
organizations
were
represented
at
that
event
for
us
to
be
able
to
talk
to
them
about
CHC,
but
we
recognize
that
we
want
to
go
even
further
with
that
to
make
sure
that
they
really
understand
what's
going
on
and
that
they're
able
to
help
purchase
that
they
have
questions.
A
Considering
during
some
other
outreach
as
an
opportunity
to
partner
with
the
city
in
that
regard,
as
you're
doing
these
initiatives
or
just
add
to
that
more
communication
with
zero
that
we
can
have
on
the
city
website
so
were
using.
Multiple
resources
spoke
with
the
Commonwealth
level,
the
city
level,
to
get
information
out
regarding
and
the
changes
are
gonna
be
coming
regarding
healthcare.
We.
E
Always
welcome
extra
partnership
in
this,
and
so,
if
you
have
ways
in
which
we
can
get
out
and
communicate,
we
are
absolutely
happy
to
do
that
and
just
let
us
know-
and
additionally,
there
is
a
lot
of
information
on
our
community
health
choices
website.
Every
one
of
the
notices
that
we've
sent
anything
that
we
sent
a
participants
is
available
on
the
website.
We
also
have
training.
That
is
it's
a
recorded
training
that
we
shockingly
government
very
rarely
gets
positive
feedback
on
training,
we've
gotten
very
positive
feedback
on
this
training.
E
The
overview
is
about
thirty
minutes
and
we're
actually
developing
one
to
four
participants
specifically
targeted
to
participants
that
will
be
on
the
website.
Also,
so
we're
happy
to
share
any
of
that
information
with
you
and
if
you
also
have
suggestions
of
where
additional
communications
that
we
meet,
we're
always
willing
to
step
up
and
do
additional
outreach,
particularly
when
we
know
that
there
is
a
question
that
that
people
have.
We
try
to
write
a
fact
sheet
specifically
around
those
issues,
so
it's
easy
to
pull
up
and
understand.
What's
going
on
with
that
particular
issue.
Well,.
A
B
You,
mr.
chairman,
miss
vote.
Lily's
you
had
mentioned
about
the
languages
and
telephone
and
well
as
being
someone
who's
bilingual
I,
know
the
power
of
of
language,
but
also
it's
a
great
strength
to
this
city,
but
in
this
case,
could
be
a
logistical
nightmare.
Possibly
when
someone
calls
and
particular
I
would
in
listening
to
I,
think
Spanish
is
covered
pretty
easily,
but
other
languages
that
are
not
so
easily
covered.
What
what
could
happen
I
mean?
Could
the
person
make
an
appointment
over
the
phone
or
that's.
D
A
G
D
D
B
D
B
D
D
B
D
If
someone
makes
a
phone
call
and
leaves
a
message
today,
they're
going
to
get
a
call
back
as
soon
as
possible,
which
is
usually
within
24
hours.
So
they
will
probably
get
a
call
back
and
then
whatever
Arrangements
needs
to
be
made
can
be
made.
A
prize
works
on
volunteers
and
we
have
been
blessed
in
the
city
to
have
a
very
good
cadre
of
volunteers
who
are
willing
to
do
and
go
that
extra
mile
to
make
sure
that
all
those
phone
calls
are
within
the
24
hour.
B
I
think
the
language
diversity
is
there
with
that
question
once
again,
I
think
it's
a
great
strength
of
the
city.
It
can
be
a
nightmare
at
times
because
of
the
immediately
see
of
the
answers
needed
and
the
complexity
of
the
answers
needed,
but
on
the
other
hand,
you
are
absolutely
correct.
I
think
a
lot
of
people
want
to
be
of
help,
and
so
I've
always
had
a
great
spirit
of
volunteerism
and.
D
D
B
D
It's
just
amazing
how
many
times
when
we
do
an
outreach
and
we
ask
people,
how
did
you
hear
about
it
and
seniors
will
tell
us
you
know
I,
couldn't
sleep
I
turn
on
the
TV
I
was
channel
and
all
of
a
sudden
I
saw
your
announcement
and
that's
why
I'm
calling
today?
So
that's
it
very
that's
a
good
tool
for
many.
It's.
B
A
powerful
tool
we
have
I'm
not
always
convinced
we
use
it
to
the
strengths
that
can
be
used,
but
the
improvements
are
always
gonna
be
done,
but,
yes,
I,
think
it's
it's
great
and
we're
gonna
I'm
gonna
do
my
part
as
well
as
urging
others,
because
it
is
something
that
we
have.
We
have
our
TV
stations.
Oh
great,
thank
you.
Thank
you.
Thank
you.
All.
A
G
E
In
addition
to
that,
the
pre-enrollment
packets
have
been
translated
into
all
of
those
language
except
for
Cambodian,
and
in
addition
to
that
and
trying
to
think
what
else
that
the
notices
that
we
had
sent
back
in
July
were
also
translated
into
most
of
those
languages
and
I
believe
that
it
was
not
translated
into
Arabic.
But
it
was
also
it
was
in
Nepali
and
part
of
the
reason
for
that
is
we
had
done
that
in
the
southwest.
E
G
Then
so
a
couple,
so
there
are
no
african
languages
that
are
being
translated.
Is
that
right
and
you
don't
have
South
Asian
so
like
or
do
or
any
of
the
other
South
Asian
languages
or
Bengali
I
mean
our
fastest
growing
population
in
Philadelphia's
of
Bangladeshi
community
and
the
Bhutanese
community.
So
those
are
two
areas
that
we
may
be
looking
at
interpretation
at
translation
that
might
end
up
being
at
the
city
level.
But
but
I
am
surprised
at
state
why
there
wouldn't
be
a
South,
Asian
language
or
an
African
language.
That's
so.
E
Impress
Lee
when
the
council
member
said
that
he's
bilingual,
like
I,
took
series
of
Spanish
and
I
am
horrible
at
it.
So
I
apologize
because
I
am
NOT
a
language
expert
but
I
recognize
the
importance
of
this
issue
yeah.
So
we
are
based
on
the
what
the
numbers
tell
us
of
how
many
participants,
and
so
it
is
based
on
the
five
prevalent
languages
that
are
in
in
Pennsylvania
mm-hmm.
G
Okay
and
Haitian
Creole
isn't
one
of
them
like
they're
French.
No,
it
was
it's
not
considered,
so
I
think
you
know
it
may
call
us
to
account
that
there's
a
number
of
languages
where
the
city
of
Philadelphia
has
a
vibrant
population
and
may
need
more
interpretation.
Do
you
is
the
state
doing
robo
calls
as
well.
You
know
I'm
curious
about
whether
there's
opportunities
you
know
I'm
concerned
about
homebound
individuals
who
are
just
you
know,
not
super
active
they're,
not
gonna,
be
able
to
go
out
to
meetings.
They're,
not
gonna,
get
all
these
things.
G
E
Independent
enrollment
broker
will
do
robo
calls
for
participants
that
don't
select
their
plan
so
they're,
so
once
they
get
their
notice
in
their
enrollment
packet.
A
couple
of
weeks
later,
though,
we'll
get
a
robo
call,
they
will
then
receive
an
additional
letter.
Saying
hey.
You
still
need
to
select
your
plan
and
I
believe
there
is
a
second
Robo
call.
They
will
also
go
into
participants
home
if
the
participant
requests
it,
so
they
will
do
face
to
face
at
the
request
of
that
participant,
and
there
was
something
else
that
oh
I
did
want
to
say.
E
We
have
so
participants
when
they
sign
up
for
Medicaid
it's
at
the
state.
They
tell
us
their
language
preference
and
so
we're
happy
to
provide
to
you
what
we
have
as
the
prevalent
languages
for
the
community
health
choices
in
Philadelphia
for
those
participants.
So
you
can
understand
you
can
see
what
how
many
participants
it
is
for
each
of
those
languages,
yeah.
G
I
think
we
I'm
aware
of
I
think
we
have
like
some
a
significant
amount
of
data
about
you
know
language
need,
but
what
we're
looking
for
from
the
state
is
how
you
recognize
that
there
is
this
clear
need
and
what
the
states
doing
to
sort
of
match
it.
So
so
it's
not
so
much
that
we
need
to
know
the
statistics.
It's
the
challenge
of
getting
out
to
those
language.
Minority
communities,
I
think
the
most
prevalent
languages
don't
always
reflect
the
highest
amount
of
need
as
well.
G
So
our
more
recent
immigrants
are
going
to
not
necessarily
register
on
the
statewide
level,
but
they're
very
fastly
growing.
They
include
a
diverse
array
of
individuals
and
then
because
they
don't
have
the
concentration
of
population,
they
end
up
being
the
more
likely
to
be
skipped
over
because
there
just
isn't
that
kind
of
need.
So
I
think
that's
the
part
that
we're
struggling
with
a
lot
in
the
city
and
and
also
you
know,
for
the
state.
G
But
if
the
state
can
cover
well
the
larger
languages
that
allows
the
city
to
focus
in
or
use,
you
know
state
resources
and
use
it
as
a
kind
of
model-
I'm
not
entirely
clear.
Yet
you
know
so
if,
if
somebody
checks
off
that
they
have
a
language
preference
and
they
receive
a
notice
in
the
mail,
is
there
a
way
for
them
to
get
back
to
the
state
in
their
own
language
that
they
need
more
information?
They
need
a
robocall,
they
need
a
home
visit
or
something
along
those
lines.
Yes,.
E
All
of
our
notices
do
you
have
the
tag
lines
on
the
envelope
for
the
prevalent
for
and
I
believe
it's
12
languages
I'm
not
positive.
How
many
are
on
the
actual
envelope,
so
that
they'll
know
where
they
can
call
to
be
able
to
talk
to
somebody,
and
it
uses
the
language
line
at
that
point.
So
then
they
can
communicate
with
our
staff
and
tell
them
what
their
need
is,
and
then
that
would
be
in
the
language,
but
it
would
be
through
the
language
line,
but
it
would
be
in
the
language
that
they.
H
E
G
Great
and
I
know
you
were
talking
about
a
minority
provider.
You
know
again,
I
think
it's
one
of
those
things
where
one
outfit
struggles
to
have
help
to
the
diversity
of
community.
So
are
you
looking
at
just
one
minority
provider?
Are
you
looking
to
cover
a
number
of
different
communities
through
multiple
providers,
probably
provider.
E
E
Actually,
it's
the
invitation
to
qualify
for
the
state
through
our
emarketer
Department
of
General
Services.
Different
organizations
can
apply
to
be
on
that
list
and
then
we
can
select
from
those
vendors
in
order
to
do
outreach.
So
we
selected
one
so
we're
looking
at.
Do
they
have
a
preference,
a
presence
in
Philadelphia?
Have
they
done
this
work
previously?
Those
kinds
of
things
so
that
we
make
sure
that
we
get
a
good
provider
to
do
it
and.
A
I'm,
just
a
quick
follow
as
you're
doing
this
outreach
and
I
know
you've
done
a
lot
of
work
with
PCA.
Are
you
reaching
out
to
other
organizations
that
have
a
broad
network
of
individuals,
something
they
are
PPA?
We've
done
a
lot
of
work
in
the
agent
community
I'm
an
aging
committee
getting
out
the
word
on
different
issues,
especially
expressed
as
it
relates
to
financial
fraud,
but
I
think
reaching
out
to
a
broader
net
of
organizations.
In
addition,
PCA
they
have
a
specific
focus
on
the
populations.
Excuse
me
that
would
be
most
impacted
by
this
change.
A
This
base
of
my
numbers
when
you
see
that
69%
of
129,000,
roughly
talking
to
almost
90,000
people,
which
it's
not
a
lot
of
people
from
a
combo
perspective.
But
when
you
start
looking
at
City
fidelity,
although
were
at
1.5,
you
know
you're
getting
closer
to
almost
10%.
So
that's
a
significant
population
of
people
who
are
a
little
more
seasoned
than
H.
A
I
Good
morning,
chairman
green
councilmember,
Blackwell,
councilmember,
taubenberger
and
council
member
again,
my
name
is
Norris
Benz
and
I'm.
The
vice
president
of
government
relations
at
PA,
health
and
wellness
phw
is
one
of
the
three
community.
Health
choices
managed
care
organizations
that
will
begin
serving
the
people
of
Philadelphia
and
surrounding
southeast
Pennsylvania
in
January
of
2019
phw
may
be
new.
To
many
of
you.
Phw
is
not
new
to
the
world
of
Medicaid
managed
long-term
care.
I
Phw
is
a
subsidiary
of
the
sentian
corporation.
Centene
is
a
fortune.
100
company
operates
health
plans
in
29
states
is
a
nation's
largest,
managed
long-term
supports
and
services
provider
serving
200,000
participants
in
nine
states
is
the
nation's
largest
Medicaid
managed
care
plan
in
the
nation's
largest
Affordable
Care
Act
provider,
along
with
the
Pennsylvania
Department
of
Human
Services
Office
of
long-term
living
and
our
fellow
community
health
choices.
M
cos
we
are
transforming
the
lives
and
health
outcomes
of
the
those
we
serve
one
person
at
a
time.
The
community
health
choices.
I
I
Phw
delivers
health
care
locally
in
the
communities
and
neighborhoods
in
which
we
live
and
work
backed
by
30,000,
managed
care
experts
across
the
country
and
internationally.
Our
local
partnerships
enable
meaningful,
accessible
health
care
for
not
only
our
participants
but
for
the
community
as
a
whole.
Concern
over
upcoming
changes
to
the
delivery
of
health
care
in
the
region
is
understandable.
I
Providers
worry
about
changes
to
their
payments
and
their
business
processes.
Participants
worried
that
they
won't
continue
to
get
the
services
they
receive.
Now
by
working
with
our
OLTL
partners,
phw
has
invested
countless
hours
and
resources
to
communicating
the
changes
and
the
opportunities
presented
by
a
community
health
choices.
Over
the
past
several
months,
phw
has
educated
nursing
facilities,
home
health
and
personal
attendant
services
providers,
physicians,
pharmacies
and
other
providers.
I
We
have
learned
from
the
Southwest
implementation
the
need
to
communicate
early
and
often
with
our
providers.
We
have
engaged
providers
advocates
and
other
stakeholders
and
meaningful
in
meaningful
dialogues
that
will
yield
positive
results
for
the
participants
we
serve.
Most
importantly,
most
importantly,
we
have
listened
to
the
concerns
that
providers
and
participants
alike
have
brought
to
the
table
and
adapted
policies
and
procedures
that
will
benefit
all
parties
at
phw.
We
have
a
responsibility
to
remove
barriers
and
make
it
simple
for
people
to
get
well
stay
well
and
be
well.
I
J
Good
morning,
I'd
like
to
thank
councilman
Clark,
the
Philadelphia
City
Council,
the
Committee
on
Aging,
the
Committee
on
disabled
and
persons
with
special
needs
and
chairperson,
stark,
green
and
now
Tom
and
Berger
respectively.
My
name
is
Christopher
Barret
I
am
the
director
of
provider
network
management
for
long-term
services
and
supports
for
Keystone
first
Community
Health
choices.
Keystone
first
is
a
part.
J
The
Mara
Health
Caritas
family
of
companies,
in
my
capacity
I,
have
oversight
for
the
LTSs
provider
network
and
and
part
of
the
implementation
team
that
is
preparing
for
the
January
1st
2019
South
East
launch
keystone
first
has
been
proud
to
serve
a
philadelphia
medical
assistance
recipients
for
over
35
years.
Since
our
beginnings
in
West
Philadelphia
in
1983,
our
family
of
companies
have
grown
to
serve
over
5.3
million
members
across
15
states
and
the
District
of
Columbia
through
Medicaid
Medicare,
behavioral
health,
long-term
services
and
supports
and
pharmacy
benefit
management
contracts.
J
We
have
a
successful
record
of
meeting
the
evolving
needs
of
our
medical
assistance
members
using
an
integrated
outcome.
Space
managed
care
model.
Our
commitments
delivering
high
quality
person-centered
healthcare
has
helped
us
to
achieve
a
place
among
the
highest
rated
Medicaid
health
plans
in
the
country
through
our
community
Keystone.
First
Community
Health
choices
and
a
Mara
Health
Caritas
Pennsylvania
community
health
choices,
health
plans.
J
We
provide
managed
care
services
under
the
community
health
choices
program
to
individuals
who
are
dually
eligible
for
Medicaid
and
Medicare,
as
well
as
individuals
who
qualify
for
long
term
services
and
supports
in
either
community
setting
or
nursing
facility.
Community
health
choices
was
implemented
in
the
southwestern
Pennsylvania
on
January
1st
2018,
the
southeast
region,
including
Philadelphia
Bucks,
Chester,
Delaware
and
Montgomery
counties
will
be
implemented
on
January,
1st
2019
and
the
remaining
regions
of
the
Commonwealth
will
be
implemented.
J
J
Service
plans
also
contain
a
list
of
covered
services
to
assist
participants
in
achieving
positive
healthcare
outcomes
and
retaining
their
independence.
Our
Keystone
first
Community
Health
traces
participants
will
have
the
opportunity
to
utilize
several
programs
designed
to
positively
affect
their
health
outcomes
on
specific
conditions
such
as
asthma,
diabetes,
hemophilia
and
sickle
cell
anemia.
J
We
support
the
office
of
long
term
livings
comment
that
Southwest
implementation
was
a
success
and
we
look
forward
to
serving
the
CHC
population
of
southeastern
Pennsylvania.
We
strive
to
work
with
our
participants
to
get
them
the
care
and
resources
they
need
when
they
need
it
and
where
they
need
it.
Among
top
priorities
is
helping
participants
remain
in
their
home
or
community-based
setting,
in
addition
to
physical
health
benefits
that
our
participants
receive.
J
C
Good
morning
my
name
is
Matt
Jennings
I'm
from
UPMC
I'm
just
want
to
say
thank
you
for
the
opportunity
to
provide
testimony
here
and
I'll.
Thank
you
also.
My
colleagues
for
over
viewing
the
program
very
well
speak
specifically
about
UPMC.
We
are
an
integrated
delivering
financial
system
here
in
Pennsylvania
we
have
an
academic
medical
center
hub
and
we
cover
3
million
people
through
our
insurance
product,
including
about
43,000
CHC
participants,
as
well
as
27,000
participants
in
our
D
snip,
which
is
one
of
the
highest-rated
in
the
country.
C
A
C
So
we've
one
of
the
metrics
that
we
look
at
was
a
large
number
of
active
selections
that
we
had
in
the
Southwest.
Our
focus
here
has
been
on
building
and
educating
our
provider
network.
To
date,
we've
had
six
provider
meetings
with
about
a
hundred
in
attendance
at
each
of
the
meetings
we
discuss
orientation
systems,
compliance,
including
billing
authorization
system
issue,
resolution
how
to
spot
and
report
fraud
waste
and
approve
abuse.
The
American
Disabilities
Act
critical
incident
reporting
on
other
topics.
C
We
currently
have
two
other
meetings
scheduled
in
Valley
Forge
and
anticipate
having
about
250
provider
representatives
there.
In
addition
to
the
provider
meetings
we
hold
ongoing
webinars
were
holding
joint
MCO
trainings
with
our
MCO
partners
here
around
h,
h
exchange,
which
is
a
common
billing
system
that
we're
using
for
community
health
choices,
and
we
provide
new
provider
orientation
to
providers
that
will
join
us
within
the
next
year.
C
We've
also
been
connecting
with
community
organizations
here
in
especially,
we
have
identified
the
language
and
cultural
diversity
here
is
both
a
barrier
but
also
an
opportunity.
So
we've
been
working
with
community
organizations
to
provide
education
as
well
as
learning
about
the
services
they
provide
and
the
resources
that
they
have
available
here
in
Philadelphia
as
a
program
goes,
live
we'll
be
shifting
focus
to
our
participants,
outreach
you
to
them
and
hearing
their
feedback.
C
We
have
two
councils,
we
have
the
participant,
Advisory
Council,
as
well
as
the
Health
Education
Advisory
Council,
that's
running
here
in
the
southwest,
currently
that
we'll
have
in
the
southeast
as
well,
and
it's
been
an
effective
way
for
us
to
get
feedback
from
our
participants.
I
think
the
best
example
of
this
is
around
the
person-centered
planning
process,
which
received
feedback
very
early
on
that
we
weren't
doing
enough
on
that
front,
and
so
we,
in
conjunction
with
DHS,
implemented
a
person-centered
mini
assessment.
C
A
Thank
you,
I'm.
All
of
you
for
your
testimony
earlier.
You
probably
heard
of
my
colloquy
to
represent
us
here
from
the
Commonwealth
that
concerns
about
those
who
may
be
part
of
that
number
of
89,000
in
the
city
of
Philadelphia,
who
may
not
become
enrolled,
my
December
21st
and
get
put
into
one
of
your
three
planes.
J
For
Keystone
first,
we
do
realize
that
there
are
going
to
be
a
number
of
individuals
that
will
be
Auto
assigned
to
one
of
the
3m
cos
that
don't
make
a
selection.
We
have
a
team.
That's
part
of
our
service
coordination
outreach
as
well
as
what
our
team
is
called
personal
care
connectors.
They
will
be
providing
outreach
to
individuals
that
are
dually
enrolled,
that
that
may
be
enrolled
with
Keystone,
first
with
and
also
with
our
aligned,
Keystone
first
VIP
D
snip,
or
with
another
D
snip
or
Medicare
fee
for
service.
J
So
we
are
not
isolating
our
outreach
to
just
aligned
individuals.
We
will
be
working
together
with
those
other
d
snips
that
are
unaligned
and
not
part
of
our
organization
to
help
improve
that
communication,
as
we
work
together
with
them
to
implement
this
program
from
a
language
concern
and
barrier.
We
do
realize
that
that
is
a
barrier
here
in
Philadelphia,
as
well
as,
through
the
other,
the
rest
of
the
Commonwealth
similar
to
Philadelphia.
J
We
do
have
a
language
line,
translation
service
that
is
available
through
our
contact
center,
as
well
as
our
service
coordination
coordinators
would
be
able
to
access
that
language
line
to
be
able
to
help
provide
translation
services.
While
discussing
and
educating
the
individuals
on
community
of
choice
is
and
Keystone
first
community
health
choices
program.
C
Would
also
add
to
that
we're
working
with
community
organizations
to
hire
navigators
and
some
of
the
cultural
and
ethnic
communities
that
tend
to
be
a
little
harder
to
reach.
Some
one
of
the
organizations
were
working
with
is
Penn
Asian
Senior
Services,
which
serves
participants
that
speak
up
to
I,
think
twenty
two
different
of
age
languages
and
we'll
be
providing
education
to
them,
which
they
can
then
filter
down
to
the
people
that
they
serve.
I
And
I'll
just
add
that
we
similarly
work
really
closely
with
community
partners.
We
work
with
centers
for
Independent
Living,
but
very
closely
with
the
Pennsylvania
Court
pressure
for
aging,
and
one
of
the
great
aspects
of
this
program
is
that
participants
can
change
plans
at
any
time,
they're
not
locked
in
for
the
year.
I
If
they
want
to
change,
they
can
change
every
month
if
they
want
to
so
that
I
think
is
a
really
unique
aspect
of
this
program
and
another
component
and
miss
Holman
addressed
this
a
little
bit
early
in
her
testimony
that,
during
the
during
the
enrollment
process,
that
participants
can
can
change
plans
and
they
have
the
opportunity
and
the
Medicare
is
a
primary
payer
so
that
the
overwhelming
majority
of
the
services
that
participants
receive
Medicare
will
be
the
primary
payer.
So
there
will
be
little
disruption
at
all
in
their
provider
of
choice.
A
Thank
you
just
have
some
additional
questions:
Keith
Mary
health,
characterized
Keystone
first
you've
been
in
this
community
for
a
number
of
years,
Penn,
Health,
PA,
health
and
wellness
part
17
is
new
to
the
falafels
market
and
UPMC
is
somewhat
new
to
the
market.
I
know
all
of
you
have
done
advertising
in
a
broad
context.
In
a
macro
context,
kind
of
introducing
your
branch
or
continuing
to
maintain
the
presence
in
the
community
represent
izing.
Do
you
anticipate
any
specific,
more
targeted
type
of
advertising
around
on
a
community
of
choices,
initiative.
A
Yeah
I
mean,
for
the
most
part,
I
mean
all
three
organizations
do
kind
of
broad
advertising
about.
There's
ap
health
wellness
UPMC
around
America
Caritas
at
Keystone
first,
but
I
do
anticipate
any
more
specific
targeted
marketing,
especially
within
this
time
period,
as
we've
run
up
into
January
1.
So.
J
A
Okay,
that
disappears
I'm
just
trying
to
see
in
this
time
period
as
I
was
asking
to
represent
us
here
from
the
Commonwealth
without
partnering
with
the
city.
You
know
it's
the
extent
we
can
get
as
much
information
out
as
possible.
This
type
window
of
getting
more
information
but
I
understand
the
limitations.
Okay,
councilman
burger,
Thank.
B
I
I,
unfortunately,
is
easy,
but
I
think
that
the
process
is
is
as
easy
as
it
as
it
can
be.
It's
the
participant
if
they
they
decide
to
change
plans
prior
to
that
I.
Believe
it's
the
15th
of
the
month.
The
change
is
effective,
the
first
day
of
the
following
month.
If
they
decide
to
make
a
change
after
the
15th,
then
it
would
take
place
the
neck
the
month
after
so
they
decide
on
January
14th.
I
They
want
to
change
the
change
to
be
effective,
February
1st
they
decide
after
the
15th,
and
it
would
take
effect
March
1st.
So
they
can
let
the
independent
enrollment
broker
know
they
can
let
their
service
coordinator
know
they
could
call
the
state
so
that
there
are
a
lot
of
there's
no
wrong
door
for
a
participant
to
indicate
that
they
would
like
to
change
plan
so
I'd
like
to
think
that
I
think
the
this
and
and
we
as
well
as
my
asthma,
as
my
colleagues
try
to
make
that
process
as
easy
as
possible.
So
we.
I
No,
if
that
well,
we
know
from
from
our
experiences
in
the
southwest
and
that-
and
we
believe
that
well
I'll
speak
for
PA
health
and
wellness
that
that
that
process
has
gone
relatively
smoothly
with
participants
when
they
indicate
their
decision
to
change
plans.
We
all
try
to
make
that
process
as
easy
and
seamless
as
possible,
but.
B
B
I
B
A
J
I
I
think
the
numbers
are
consistent
with
what
you
see
in
the
health
choices
program,
which
is
the
existing
Medicaid
managed
care
port,
which
also
allows
members
to
change
plans
every
month
that
they
desire
and
I
think
I.
Don't
think
the
numbers
and
community
health
choices
are
significantly
larger
than
maybe
in
the
first
couple
of
months,
but
I
think
the
numbers
have
sort
of
stabilized
and
they're
roughly
can
system
with
what
you
see
in
the
health
choices
program.
I
One
of
the
big
biggest
takeaways
support,
PA
health
and
wellness,
is
to
is
to
get
out
and
talk
to
providers
early
and
often
and
provide
them
with
training
early.
We
last
year,
train
started
I,
guess
in
December
and
we're
starting
much
earlier
this
year,
because
the
thinking
last
year
was
that
we
didn't
want
to
put
too
much
information
at
them
prior
to
open,
enrollment
starting,
but
we're
doing
it
much
more.
We
started
earlier
and
we're
doing
it
much
more
having
much
more
sessions
this
year
than
we
did
last
year.
J
Similar
for
America
Caritas
is
the
earlier
provider
sessions.
We've
we've
held
a
number
of
face-to-face
sessions
and,
along
the
lines
of
individuals
being
able
to
switch
em,
cos
learning
to
stress
certain
areas
of
importance
and
and
education
to
the
provider
community,
whereas
prior
to
community
health
choices,
they
know
the
eligibility
was
through
the
office,
long
term
living
and
would
check
the
state
system
now
they
need
to
make
sure
that
they
are
ensuring
that
they
are
checking
and
and
validating
which
MCO
the
individual
has
chosen
for
that
particular
month.
J
C
I
would
the
only
thing
I
think
I
would
add
to
that
in
terms
of
detail.
Is
we
found
it
very
hopeful
to
focus
not
only
on
Medicaid
but
on
Medicare
as
well
and
how
it
the
two
products
kind
of
interact
with
each
other,
because
there
is
a
lot
of
confusion
around
you
know.
People
are
afraid
that
they'll
lose
their
Medicare
and
so
making
sure
the
providers
understand
that
and
can
explain
it
to
their
participants.
A
C
That's
a
really
good
question,
so,
in
terms
of
in
terms
of
cost
difference,
there
is
a
pretty
significant
cost
difference
generally.
What
we're
seeing
in
the
Southwest
is
around
forty
five
hundred
per
member
per
month
for
home
and
community-based
member,
whereas
that
is
closer
to
around
six
thousand
before
the
spend-down
for
nursing
facility.
However,
the
DHS
has
done
a
good
job
in
designing
the
program
from
a
financial
perspective
where
we
receive
a
blended
rate,
whether
someone's
in
the
community
or
in
a
nursing
home,
and
so
from
the
state's
perspective.
C
J
Make
sure
that
I
understand
something
if
I,
if
it
was
myself
and
I,
had
a
choice
of
going
into
a
nursing
home
or
staying
in
my
current
property
the
obligation
to
continue
to
pay
if
I
had
a
mortgage
real
estate
taxes,
insurance
maintenance?
Who
for
who
has
to
pay
for
that
I
do?
Is
that
paid
by
the
insurance?
That's.
J
C
J
C
B
You,
mr.
chairman,
mr.
Benzes,
this
is
directed
at
you,
but
if
anyone
on
the
panel
would
like
to
answer
it,
please
please
feel
feel
free.
It
is
now
my
it's
my
understanding
that
if
you
do
not
pick
a
plan
by
the
end
of
this
December
that
you
will
be
assigned
one,
that's
correct,
okay,
and
if,
by
chance
that
person
finds
out,
you
know
this
is
really
the
wrong
plan.
I
want
something
different
well
for
whatever
reason.
So
then
it's
actually
easy
for
them
to
change.
Correct.
I
And
they
can
and
if
they
can
change
up
to
December
21st,
which
will
take
effect
January
1st,
so
they
say
they.
They
realize
on
December
20th
that
they've
been
assigned
to
plan
that
there
that
they
don't
want
to
be.
In
that
plan
they
can
change
to
a
different
planet.
It
will
take
effect.
January
1st.
B
I
J
A
J
So
for
individuals
that
are
newly
coming
on
for
the
southeast
we
are,
we
are
not
allowed
to
contact
them
prior
to
five
days
on
their
effective
date,
so
they
would
not
receive
anything
from
the
MCO
s
until
the
end
of
December,
but
they
will
be
receiving
documents
and
communications
from
the
independent
enrollment
broker
through
the
state.
They
would
not
be
receiving
that
from
the
MCS
and.
A
K
As
you
know,
your
consumers
are
elderly,
disabled
and
frail,
so
no
amount
of
community
education
and
outreach
is
enough,
as
you
have
heard,
the
Department
of
Human
Services,
all
of
the
three
managed
care
companies,
as
well
as
PCA
and
other
groups
in
the
community,
have
held
many
meetings
to
talk
to
providers
to
talk
to
consumers
to
talk
to
families.
There
are
still
a
lot
of
confusion,
whether
you
speak
English
or
one
of
the
other
many
languages
that
we
have
here
in
Philadelphia,
whether
you
have
an
advocate
or
whether
you
attend
yourself.
K
There
is
still
a
great
deal
of
confusion,
so
we
are
very
concerned
about
holding
additional
outreach
and
education
meetings
and
and
holding
additional
group
meetings
with
senior
centers
and
other
facilities.
The
Pennsylvania
Department
of
Human
Services
has
developed
community
health
choices
and
it's
a
good
program
to
they.
We
are
about
maybe
20th
of
many
states
that
already
have
this
type
of
program,
so
our
state
has
had
the
opportunity
to
learn
from
other
states.
K
I
think
they've
avoided
some
of
the
pitfalls
and
and
and
some
of
the
confusion,
but
when
you're
an
older,
frail
person,
you
don't,
if
you
don't
have
a
family
to
depend
on
it's
still
confusing
what
what
is
more
important
than
your
health
care.
What
is
more
important
than
your
doctor
than
your
hospital
and
we're
still
concerned
that
there
is
a
lot
of
confusion,
even
though
this
program
will
not
change
the
person's
Medicare.
So
we've
worked
very
closely
with
the
Department
of
Human
Services.
We
have
had
50
for
outreach
meetings.
K
The
meetings
were
at
senior
centers
at
churches,
all
throughout
Philadelphia.
We
have
used
translators.
We
have
translated
the
information
into
many
languages,
but
again
we're
concerned
that
we
need
to
do
more.
Community
outreach
and
education.
I
commend
City
Council
for
holding
this
hearing
today.
I
hope
that
all
of
your
other
council
members
and
the
constituent
services
staff
will
call
and
find
out
more
information,
because
January
1st,
when
mrs.
Jones
doesn't
get
her
ride
to
the
doctor,
when
mr.
K
Smith
doesn't
get
his
ride
to
the
pharmacy
to
pick
up
his
medication
and
ends
up
back
in
the
hospital.
That's
a
problem
we
at
PCA,
we
have
a
lot
of
social
workers
that
have
been
trained
in
this
program.
If
the
person
is
a
consumer
of
PCA
services
in
their
home,
their
social
worker,
their
service
coordinator,
will
tell
them
about
this
program.
We're
not
allowed
to
pick
any
of
the
three
managed
care
companies,
of
course,
but
we
will
tell
them
about
the
program.
Then
they
have
to
call
the
independent
enrollment
broker.
K
Somebody
on
the
phone
that
may
or
may
not
know
their
condition.
We're
also
concerned
that
sometime
in
December,
as
you
heard,
December
to
the
December
21st,
everybody
will
be
enrolled,
whether
they
choose
the
program
or
whether
they're
automatically
enrolled
they.
They
still
may
not
know
what
providers
that
they
will
have.
They
know
that
they
chose
one
of
the
managed
care
companies.
K
We
at
PCA
will
have
a
contract
for
the
service
coordination
for
the
Social
Work
that
goes
into
the
home
of
the
older
person,
but
if
they
become
more
frail
or
more
disabled
or
they
experience
some
kind
of
chronic
illness
or
chronic
confusion,
we
still
need
to
help
them
on
an
individual
basis.
The
numbers
are,
the
numbers,
you've
heard
87,000
older
people
and
disabled
people
will
be
enrolled
in
this
program
in
Philadelphia.
K
So
in
closing,
we
welcome
the
opportunity
to
work
with
you
and
your
staff
we're
concerned
about
the
elderly
and
the
adult
disabled.
We
have
a
45
year
history
of
helping
seniors
in
their
homes.
We
have
held
meetings
at
all
of
the
senior
centers.
We
will
continue
to
hold
meetings
with
the
Senior
Center
staff
and
with
your
offices,
and
you
can
call
my
office
anytime
to
get
more
information
thanks.
H
Hi
good
morning,
my
name
is
Pam
walls
and
I
am
a
supervising
attorney
in
the
aging
and
disabilities
unit
at
community
legal
services.
My
unit
focuses
on
the
legal
needs
of
older
adults
and
people
with
disabilities.
One
of
our
main
areas
of
focus
is
access
to
long
term
services
and
supports,
and
we
represent
low-income
seniors
in
Philadelphia
and
people
with
disabilities
in
appeals
where
they
are
trying
to
access
services
that
they've
been
denied
through
the
long-term
services
programs.
We
also
represent
nursing
home
residents
in
a
range
of
different
issues.
H
I
want
to
focus
my
comments
this
morning
on
four
particular
concerns
that
that
we
have
that,
in
addition
to
the
many
that
have
been
touched
on
here
this
morning,
the
first
is
about
outreach,
the
department
and
its
NPCA
and
its
other
sub
contracts.
Some
contractors
have
put
a
huge
effort
into
outreach
in
its
in
their
community
education
sessions
throughout
Philadelphia.
However,
there
are
a
lot
of
people
who
are
not
able
to
get
to
any
of
those
sessions.
H
We're
especially
concerned
about
homebound
individuals,
and
especially
about
people
who
are
in
the
long
term
services
and
supports
programs,
the
waiver
programs,
most
of
whom
are
homebound
and
couldn't
get
to
any
of
those
questions.
We're
really
concerned
about
how
they're
gonna
find
out
that
this
is
happening,
what
it
means
for
them,
and
these
are
petite
people
who
are
particularly
dependent
on
on
these
services.
The
department's
plan
is
for
these
folks,
their
service
coordinators,
to
provide
education
to
them,
and
the
departments
created
an
online
training
for
service
coordinators
to
prepare
them
to
do
this.
H
The
answer
this
question
is
yes,
as
long
as
the
provider
is
treating
them
for
a
Medicare
covered
service,
but
on
the
other
hand,
for
services
that
are
covered
only
by
Medicaid
participants
are
going
to
need
to
choose
providers
in
the
CHC,
managed
care
network
and
for
enrollees
who
don't
have
Medicare.
They
are
also
going
to
have
to
choose
providers
or
in
this
network.
H
First,
there's
a
great
needs
for
supports,
like
an
ombudsman
program,
to
help
people
navigate
the
CHC
program
and
to
help
them
understand
how
CHC
functions,
how
it
interacts
with
their
Medicare
and
their
other
coverage,
what
their
rights
are
and
how
to
file
Appeals
if
they
get
denied
services
that
they
need,
there
will
also
be
a
need
for
legal
representation
for
CHC
enrollees.
In
these
appeals,
the
enrollee
is
entitled.
If,
if
the
plan
denies
someone
a
service
that
they
need,
the
enrollee
is
entitled
to
an
appeal.
But
this
is
a
protection.
H
That's
much
more
likely
to
be
meaningful
if
they
have
legal,
especially
since
the
managed
care
plans
will
be
represented
by
counsel
at
hearings
based
on
our
experience
with
the
existing
managed
care
plans.
We
know
that
appellant
SAR
much
more
likely
to
succeed
if
they
have
a
lawyer,
because
attorneys
know
the
regulations
and
how
to
present
an
argument.
These
beneficiary
support
programs
haven't
been
fully
developed
yet
by
the
department
and
they
remain
a
big
need
that
needs
to
be
addressed.
H
Finally,
I
want
to
talk
a
little
bit
about
behavioral
health
care
in
community
health
choices.
Chc
represents
a
real
opportunity
for
participants
to
access
better
behavioral
health
care.
Until
now,
at
the
dual
eligible
population
and
people
sixty
and
over
who've,
been
in
the
waiver
programs
have
not
been
eligible
to
get
their
behavioral
health
services
from
community
behavioral
health
cbh.
Instead,
they
could
only
get
behavioral
health
services
through
the
fee-for-service
system.
H
The
problem
was
there
were
very
few
providers
enrolled
in
fee-for-service
and
in
nursing
home
residents
also
have
had
really
limited
access
to
behavioral
health
services
with
the
rollout
of
CHC.
All
of
these
populations
are
now
going
to
be
eligible
to
get
their
behavioral
health
services
from
CDH,
and
the
CDH
plans
are
required
under
their
contracts
to
coordinate
services
with
CDH.
H
So
this
is
a
great
opportunity
to
fill
a
big
need
in
order
to
really
realize
this
opportunity,
it's
going
to
become
it's
going
to
be
very
important
for
CDH
to
become
familiar
with
these
populations
and
their
needs
to
develop
and
make
appropriate
services
available
and
to
coordinate
with
the
CHC
plans,
the
nursing
homes
and
other
providers.
Thank
you
for
inviting
me
to
speak
today.
A
Real
quick
I
just
want
to
interject
real,
quick,
a
reference
to
behavioral
health
and
the
ability
under
a
managed
care
program,
as
opposed
to
the
traditional
provide
opportunities
and
the
original
provider
network.
The
ability
for
people
that
have
been
able
health
challenges
to
be
able
to
access
in
a
more
coordinated
way,
with
CH
from
your
observation
as
they've,
been
in
conversation,
the
discussion
that
regard
with
Joan
or
any
others
I
say
Hollies
and
shaking
it.
So
there
has
been
some
conversation
between
CB
h
and
the
MC
O's
I.
H
H
B
B
H
L
Good
morning
my
name
is
Kathy
cubit
and
I'm,
the
director
of
advocacy
initiatives
from
Kerry,
the
Center
for
advocacy
for
the
rights
and
interests
of
the
elderly,
Thank
You,
chairman
Greene,
chairman
Talman
Berger
and
members
of
the
committee's
for
the
opportunity
to
talk
about
community
health
choices.
Kerry
is
a
nonprofit
organization
based
in
Philadelphia
dedicated
to
improving
the
quality
of
life
for
frail
older
adults,
regardless
of
whether
they
live
at
home
or
in
a
facility
since
1977
carriers
work
to
promote
their
well-being,
rights
and
autonomy
through
advocacy
education
and
act.
L
Action
we've
had
the
privilege
of
working
with
many
of
your
offices
and
our
directors
pleased
to
serve
as
a
commissioner
on
the
mayor's
Commission
on
Aging.
My
written
remarks
include
a
very
brief
overview,
which
I
think
you've
heard
already
so
I'll
skip
that.
But
there's
two
points
like
they
want
to
make.
We
keep
hearing
about
the
December
21st
date.
People
participants
will
be
auto-enrolled
after
November
17th,
so
you
may
get
calls
from
your
constituents.
You
know
what's
this
about.
Why
am
I?
Getting
this
plan
information?
L
L
Many
consumers
worry
that
the
new
system
will
mean
big
changes
to
the
services
they
receive,
fearing
they
will
experience
problem
accessing
their
doctors,
interruptions
in
their
health
care
or
cuts
and
services
that
allow
them
to
live
at
home.
Others
may
be
using
a
managed
care
system
for
the
first
time
and
challenges,
as
we've
heard,
are
far
greater
for
those
who
struggle
with
lower
levels
of
literacy,
cognitive
impairment,
limited-english-proficiency
and
who
may
have
a
greater
need
for
culturally
competent
providers.
L
Carrie
recognizes
community
health
choices
as
a
daunting
change.
We
are
helping
with
the
transition
by
providing
outreach
and
education
as
well
as
developing
easy-to-understand
materials,
so
that
consumers
can
learn
more
about
CHC
on
their
rights.
I
have
fact
sheets
that
were
attached
to
my
written
remarks
and
on
your
table
and
we're
translating
these
into
multiple
languages
or
carry
lines
available
to
anyone
who
would
like
an
advocate
to
take
the
time
to
talk
about
these
changes,
answer
questions
and
troubleshoot
problems.
L
We
are
also
working
to
identify
problems
and
systemic
issues
to
advocate
for
any
needed
changes
and
our
resources
are
found
on
our
Resource
it--at
Carey
org,
slash
CHC,
and
our
number
is
in
the
testimony,
and
we
appreciate
your
interest
in
CHC
and
the
potential
impact
of
vulnerable
Philadelphians
we're
here
to
help
you
and
your
staff
ensure
that
the
new
community
health
choices
program
does
not
disrupt
the
health,
independence,
dignity
and
well-being
of
participants
and
I'm.
Happy
to
answer
any
questions
you
may
have.
F
Hello,
my
name
is
Amy
Lowenstein
I'm,
a
supervising
attorney
at
the
Pennsylvania
health
Law
Project.
Thank
you
for
this
opportunity.
The
Pennsylvania
Health
Law
Project
is
a
statewide
nonprofit
legal
organization.
That's
dedicated
to
improving
public
health
insurance
and
improving
both
the
services
that
are
available
and
the
access
to
those
programs.
We
do
this
through
policy
advocacy
litigation
as
well
as
individual
legal
representation.
F
We
have
been
involved
in
CHC
advocacy
since
the
program
was
announced
in
2015,
and
that
was
involved
in
advocating
for
what
the
program
would
look
like
in
our
views
on
what
what
the
best
ideas
for
how
participants
rights
could
be
protected.
Since
we
are
a
statewide
organization.
We've
also
been
involved
with
the
implementation
that
you've
heard
about
in
the
southwest,
and
that
has
involved
not
only
counseling
participants
about
what
was
coming
but
talking
to
them
about
the
problems
when
they
were
encountered
them
and
making
ourselves
available
for
legal
representation.
F
Now
my
colleagues
here
and
others
have
talked
about
some
concerns,
I'm
going
to
touch
on
them
briefly,
but
I
also
want
to
just
bring
in
some
of
the
Southwest
experience
that
we've
had.
So
we
can
kind
of
see
what
we
might
anticipate
in
the
southeast.
I
do
want
to
note
that
we
have
had
a
good
relationship
with
the
Office
of
long-term
living
throughout
this
process.
They
have
been
meeting
with
us
weekly
actually,
since
the
launch
at
the
southwest,
and
we've
now
started
talking
about
the
southeast
launch
as
well.
F
So
we
hope
to
continue
that
productive
relationship
going
forward,
and
my
colleagues
at
the
table
here
are
involved
in
that
as
well
now
pH
LP,
because
we
are
actually
on
all
the
notices
that
people
receive
when
they're
told
they're
gonna
go
into
C
HC
and
we're
also
listed
on
all
the
notices
if
somebody
receives
a
denial
of
a
service
or
a
change
in
a
service.
So
we
are
a
resource
at
before
your
constituents.
I
want
to
emphasize
that,
because
we
recently
learned
so
recently
one
of
the
plans
sent
out
about
153
notices
in
the
south.
F
We
at
West
denying
or
reducing
services.
Our
number
is
on
that
notice.
We
received
four
calls,
so
we
really
want
to
emphasize
that
if
you
guys
get
calls
you
can
reach
out
to
us,
you
can
reach
out
to
community
legal
services
if
these
are
about
changes
and
services.
We're
here
to
provide
legal
representation
for
constituents
so
quickly
on
the
southwest
I.
Do
echo
the
concern
about
confusion?
That
was
a
major
issue
for
people
when
they
were
trying
to
access
services.
F
It
was
an
issue
in
the
southwest
on
the
provider
side
and
the
constituents
side,
so
people
would
call
up
their
doctors
and
they
wouldn't
be
able
to
make
appointments.
This
is
not
everybody,
of
course,
but
people
had
trouble.
Making
appointments
people
had
appointments
cancelled,
they
would
go
to
the
pharmacy
and
leave
without
their
medication.
They'd
had
trouble
accessing
durable
medical
equipment.
This
is
largely
because
of
both
the
consumers
confusion
about
what
how
to
talk
about
what
the
change
was.
If
they
even
knew
there
was
a
change
and
provide
our
confusion.
F
This
is
mostly
medical
providers
about
what
community
health
choices
brings.
Now
we
do
know
that
the
state
has
done
a
lot
more
work
in
the
southeast
to
educate
providers
so
that
they
know
what's
coming,
but
we've
also
talked
to
providers
in
the
southeast,
who
really
still
don't
necessarily
understand
how
community
health
choices
works
for
their
constituents.
F
The
other
thing
I
want
to
mention
just
because
it's
a
Southwest
perspective
is
sort
of
a
fast-forward
to,
after
this
continuity
of
care
period
that
people
have
discussed
so
there's
a
continuity
of
care
period
for
people
who
are
getting
services
in
their
home
that
help
them
stay
in
the
home
and
stay
in
the
community,
and
that
includes
things
like
personal
assistance,
which
is
help
in
your
home
doing
daily
living
tasks.
Anything
from
transferring
getting
out
of
bed
cooking.
All
of
those
things
that
help
people
stay
in
the
community.
F
So
people
have
a
lot
of
concerns
that
those
services
may
be
cut
when
there
is
a
managed
care
plan
in
place
of
their
concern
that
the
bottom
line
will
be
I
can
save
money.
Maybe
if
I
cut
these
services-
and
we
haven't
seen
that
yet,
but
we
are
concerned
that
it
may
be
coming,
and
one
of
the
reasons
we
haven't
seen
it
is.
Continuity
of
care
has
essentially
continued
in
the
southwest
beyond
the
first
six
months
early
on
the
towards
the
end
of
continuity
of
care.
F
We
noticed
that
the
notices
people
get
when
they're
denied
a
service,
we're
not
explaining
why
the
service
was
changing
or
being
reduced,
and
so
we
went
to
the
state
and
they
very
quickly
told
the
plans
and
had
to
stop
issuing
notices,
changing
services.
So
they've
essentially
extended
continuity
of
care,
but
we
have
seen
what
some
of
the
notices
look
like
in
some
of
those
153
that
went
out
that
I
mentioned
those
were
all
rescinded.
F
They
weren't
supposed
to
go
out,
but
they
do
show
that
there's
cuts
in
personal
assistance
services
coming
and
that
people
need
to
be
alert
to
this
and
be
aware.
So
it's
it's
something
to
watch
out
for
we're
concerned.
We
want
the
notices
to
be
improved,
so
people
understand
what's
changing
and
be
able
to
challenge
those
decisions.
You
can't
really
challenge
a
decision
if
you
don't
understand
it,
so
that
is
one
thing
we're
concerned
about.
We're
also
concerned
about
the
person-centered
service
planning
that
was
mentioned
earlier.
F
This
is
for
the
people
who
are
getting
services
in
their
homes.
This
is
the
plan
that
says
what
services
they're
gonna
get
and
if
it's
not
done
properly
and
doesn't
include
their
goals,
then
they're
not
going
to
get
those
services,
so
those
plans
were
also
missing
things
like
goals
and
and
signatures,
and
it
wasn't
clear
that
there
was
really
a
true
process
going
on
so
again
to
the
state's
credit
they
put
the
plans
in
corrective
action
regarding
those
person-centered
service
plans
and
there's
they're
still
in
corrective
action
on
that.
F
So
basically
I
just
wanted
to
sort
of
say
that
your
constituents
need
to
know
that
you
know,
even
after
the
initial
bumps
that
are
going
to
be
inevitable
in
this
program.
They're
gonna
still
need
to
contact
you
and
reach
out
to
you
about
these
other
issues
about
changes
in
their
services,
and
we
want
to
show
that
we're
here
to
support
them,
but
we
need
to
keep
the
lines
of
communication
open
because
if
we
don't
know
what's
going
on
on
the
ground,
we
can't
communicate
that
to
the
state.
Thank
you.
A
Thank
you
all
for
your
testimony.
In
your
testimony,
you
talked
about
the
ongoing
communication
and
you've
been
having
with
the
Commonwealth
seemed
like
everyone
was
nodding
that
you're
having
freaking
almost
weekly
conversations
for
the
Commonwealth,
now
look
for
the
Southwest
row.
Laughter
now
in
preparation
in
southeast
I'm.
Well,
for
you
will
be
for
southeast,
be
a
mostly
rollout.
Have
you
also
had
communications
with
the
MCO
at
all
during
this
process,.
K
F
K
Think
all
of
us
all
of
us
have
stated
councilman
green,
that
we
need
additional
community
outreach
meetings.
I
think
all
of
your
office's
should
have
whether
you
can
use
the
computer
should
maybe
have
paper
copies
of
the
information.
Certainly
Kerri
has
done
a
great
deal
of
information
and
and
and
we've
participated
with
them
in
printing
a
lot
of
the
material.
Sometimes
people
can
respond
better
when
they
have
a
piece
of
paper
and
then
they
understand
better
than
looking
on
a
computer.
Many
of
our
elderly
don't
have
a
computer.
K
They
depend
on
an
advocate
or
their
family
to
go
on
the
website
to
learn
more
about
it.
There's
a
ton
of
information
on
the
website,
I
think
Department
of
Human
Services
has
done
a
great
job
in
putting
information
on
the
website,
but
again
many
elderly
and
disabled
don't
have
access
to
a
computer
or
or
they
they're,
just
not
good
with
technology.
So
we
plan
to
have
a
lot.
K
A
lot
of
information
available
in
in
our
offices
at
and
at
the
senior
centers
printed
materials
and
I
would
encourage
all
of
your
constituent
services
members
to
have
that
information
available,
because
they're
not
going
to
call
an
800
number
in
Harrisburg
they're.
Going
to
call
you
and
they're
going
to
call
me.
L
The
all
the
outreach
is
important,
but
we're
finding.
Sometimes
it
can
take
a
half
hour
on
the
phone
really
explaining
everything
to
people
about.
This
is
what's
happening
and
answering
their
questions.
That
doesn't
always
happen
at
some
of
the
not
to
say
they
shouldn't
be
happening,
but
they
they
off.
A
lot
of
people
do
need
these
one-to-one
interactions.
I.
H
Just
wanted
to
add
that
I
think
anything
that
the
department
can
do
to
reach
out
to
the
service
coordination
agencies
and
encourage
slash
pressure
them
to
actually
have
their
service
coordinators.
Reach
out
to
the
participants
would
be
really
really
important.
There
are
I,
keep
losing
track
of
how
many
service
coordination
agencies
170,
something
like
that
and
in
Philadelphia
and
and
they
need
to
be
getting
theirs
their
employees,
their
service
coordinators,
to
reach
out
to
the
people
they
serve.
K
The
service
coordination
agencies,
some
of
the
larger
ones
you
might
have
heard
of
and
there's
over
a
hundred
I,
don't
think
there's
a
hundred
and
seventy,
but
there
are
over
a
hundred.
Some
of
them
are
quite
small.
Pca
is
the
largest
and
liberty,
resources
and
jevs
are
also
two
of
the
largest
and
so
a
lot
of
the
service
coordinators
work
for
those
larger
agencies.
But
again
there
are
a
lot
of
smaller
agencies
that
they
also
work
for,
and
they
have
been
given
information
by
the
Department
of
Human
Services.
Then.
A
I
kind
of
follow
up
to
my
point,
because
the
triple
a
entities
are
getting
where
that's
kind
of
their
bread
and
butter
for
some
of
these
non-traditional
organizations
when
he
made
reference
to
actually
action,
wellness,
summary
service,
coordinating
agency,
it's
like
Jeff's,
others
would
be
good
organization
because
they
have
to
come
in
contact
with
people
who
are
going
to
be
eligible
for
these
services.
So
I
think
that's
once
again
a
way
of
broadening
the
outreach
that
we
think
of
some
of
the
non-traditional
organizations
that
provide
services.
A
You
mean
I,
think
from
them
from
a
perspective
dealing
with
people
who
are
senior
citizens
or
people
who
have
disabilities,
but
they
come
accounting
with
a
broad
group
of
people
they
provide.
Services
to
that
may
also
include
those
populations
that
has
important.
Had
there
been
any
public
service
announcement,
I
p--
information
has
been
put
out
by
the
Commonwealth
or
others
I
know
I
do,
and
one
of
the
suggestions,
I'm
thinking
is
that
I
might
do
a
lot
of
PSAs
on
our
TV
network.
This
sounds
like
a
prime
opportunities
to
do
that.
A
A
I
just
think
that
would
make
sense,
because
I
can
see
an
OP
in
a
PSA.
I
saw
some
of
the
material
that
you
had
from
Carrie
and
we
can
put
it
out
there.
Social
media
pretty
he's
pretty
quickly
but
I
think
having
us
come
from
a
multi-faceted
perspective,
because
someone
like
you
said
I,
think
someone
said
earlier.
Couldn't
sleep
get
up,
they
watch
channel
63
or
64
41.2,
and
they
see
it
or
they
have
a
relative.
A
It
was
a
son
or
daughter
who
see
something
in
a
newspaper
or
someone
else
see
something
on
a
website
or
see
something
social
media
I
think
trying
to
commit
this
from
different
perspectives.
In
addition
to
the
traditional
network
as
well
as
well
as
to
work
to
MCO
so
doing,
and
it's
work
that
the
Commonwealth's
is
doing
and
the
city,
okay,
counselor.
B
There's
one
more
comment,
and
this
is
getting
the
word
out
and
I
think
when
you
want
to
get
the
word
out.
You
tell
everyone,
you
know
and
everybody
you
know,
and
every
organization
you
know
I
was
just
wondering
if
anyone
knew
of
the
fact
that
I
think
Channel
six
ABC
News
has
a
segment
that
runs
every
so
often
called
the
art
of
Aging.
Has
anyone
reached
out
to
them
and
this
would
be
a
great
opportunity
to
do
it?
You
know
a
two-minute
the
sequel
orders.
They.
K
A
Along
along
a
similar
line,
I
know
some
of
the
other
networks.
In
addition,
channel
6
and
NBC
10
does
live
at
issue
like
my
wife
and
I
were
just
on
there
last
week
for
the
autism,
walk,
which
was
Saturday
so
I
think
looking
at
other
mini
outlets
that
have
any
type
of
public
interview,
type
concept
where
you
can
bring
an
issue
up
just
as
a
way
of
informing
people.
A
Okay,
seeing
no
other
questions
for
many
of
my
colleagues.
Thank
you.
All
I
think
this
provides
some
good
information.
I
knew
is
he'll.
Provide
me
some
more
context,
I
both
the
the
state
and
local
level,
as
well
as
what
the
MCS
are
doing
in
regard
to
the
rollout,
as
well
as
some
of
the
apps
and
organizations
are
doing
as
well
as
we've.
Let
people
know
what's
going
on.