On September 16, 2015, The Pennsylvania Department of Human Services and The Pennsylvania Department of Aging released a joint concept paper detailing the state's managed long-term services and supports program entitled Community HealthChoices (CHC). Pennsylvania plans to coordinate health and long-term services and supports (LTSS) through CHC managed care organizations (CHC-MCOs). The CHC rate model will include value-based incentives to increase the use of home and community-based services (HCBS) and meet other program goals. CHC will serve an estimated 450,000 individuals who are currently receiving LTSS in the community and in nursing facilities . . .