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July Addition

Arc, Fayette County
80 Old New Salem Road, Uniontown, Pa 15401    Telephone: 724-438-9042
Fax: 724-438-2405   TTY: 724-438-9041   www.arcfayette.org

The new fiscal year began July 1, 2010, and the Arc as well as other agencies are and will be facing difficult issues that will affect our agency as well as the entire
Mental Health/Developmental Disabilities system. Everyone is talking
about the economy, watch any news show, go online, read the newspaper,
in every aspect of our lives and everyday operation of our agency we will be
asked to do more with less resources. Change is always a hard process. Kathy Morris, CEO of Fayette Resources, says they are going to be proactive and look at ways to improve services and supports in a cost effective way, while retaining quality. I agree completely.

Let's talk,let's communicate. We have monthly staff meetings, let's discuss what is happening in a positive manner and look for ideas/suggestions on how to adapt to these changes.

I have always and will continue to support and respect the Arc staff. Many of you have supported our individuals for many, many years. Thank you!!

There's a small window of time for interested Pennsylvanians to submit applications so that someone has the best chance to qualify and get enrolled when coverage begins. It appears that the Pool will use a lottery system when the program opens for applications on August 1st.

The Patient Protection and Affordable Care Act requires states or the federal government to develop High Risk Pools that will provide coverage to people with pre-existing health conditions who are not otherwise able to get health insurance. These pools will exist through December 2013. On January 1, 2014, it will be illegal for private health insurance carriers to deny coverage, impose a waiting period, or charge higher premiums for someone with a pre-existing condition.

Funding for the High Risk Pool is limited. Pennsylvania will receive $160 million in federal funds for 2010-2013 for its program, which will provide health insurance coverage for approximately 5,000 eligible individuals.

To quality for Pennsylvania's High Risk Pool, an individual must meet citizenship requirements, be uninsured for six (6) months, and have a qualifying pre-existing condition, or be someone that experienced problems getting private coverage due to a preexisting condition. Qualifying individuals (who submit a timely application and are selected through the lottery) will receive a broad package of benefits including prescription drugs, durable medical equipment, maternity care, mental health care for serious mental illness, and other inpatient and outpatient services.

Qualified individuals who are enrolled for coverage will pay $168/month if their income is under 200% FPL ($21,600/year for a single person and $44,100/year for a family of four.) Individuals with higher incomes will pay $68/month for coverage.

Details about how people can apply are not yet available. Pennsylvanians are expected to have the choice of submitting an application by paper (via US mail)or online. PHLP will post additional information as it becomes available at www.phlp.org.

For more information, contact the Helpline at 1-800-274-3258 or the Department of Insurance at 1-877-881-6388.

 Reprinted from the Health Law PA News with Permission from the PA Health Law Project