SERVICES

Waiver Services…

  • Personal Assistance Services
  • Service Coordination
  • PERS (Personal Emergency Response Systems)
  • Adult Day Living Services
  • Non-Medical Transportation
  • Home Modifications
  • Respite Services
  • Home Health
  • Accessibility Adaptations, Equipment, Technology and Medical Supplies
  •  AND MANY MORE…

Waivers we Serve…

AGING Waiver
Attendant Care Waiver
Act 150 Waiver

Independence Waiver
COMMCARE Waiver
OBRA Waiver

Waiver Program


Aging Waiver ProgramIndependence WaiverAttendant Care/Act 150COMMCARE WaiverOBRA Waiver
The Pennsylvania Department of Aging Waiver is a long-term living program that provides older Pennsylvanians the help they need to live independently in their own homes and communities. 

Consider these benefits as you read about the Aging Waiver:
  • Provides a long term living opportunity other than a nursing facility;
  • Allows you to receive services in your home;
  • Offers a wide array of home health and personal care services;
  • Gives you a choice of approved services and providers;
  • Qualifies participants for other Medical Assistance benefits; and
  • Provides on-going support and assistance from the local Area Agency on Aging.
What services are available?
Home health and personal care services, home support, attendant care, respite care, adult day care, transportation, home modifications, specialized medical equipment and supplies, counseling, extended state plan physician services, home delivered meals, personal emergency response, and companions. Care management and service coordination is provided by the 
Area Agency on Aging.
 
Who is eligible?
You must be a resident of Pennsylvania, at least 60 years of age, and meet all of the following criteria:
  • Be clinically and financially eligible for MA services
  • Can be served in the community by available health and social services;
  • Meet the financial requirements, as determined by your local county assistance Office.
  • Agree to the requirements and responsibilities of the program.
How does the program work?
Each Aging Waiver participant will have the support of their 
Area Agency on Aging. The agency’s staff will regularly assess your needs; help develop and maintain an appropriate plan of care; assist in selecting Medical Assistance and program approved services and product providers, and monitor the quality of the services provided.
 
Contact your local Area Agency on Aging for more information regarding the Aging Waiver.

If you are an adult with a severe physical disability, the Independence Waiver may be able to help you live or remain in the community and remain as independent as possible.

To be eligible for the Independence Waiver you must:

  • Be a Pennsylvania resident
  • Be 18-60 - Individuals who are currently in the waiver prior to 7/1/2006 will age in place.  Individuals age 60 and older will be referred to the Aging Waiver.
  • Individuals who are physically disabled (but not with mental retardation or have a major mental disorder as a primary diagnosis, or who are ventilator dependent), who reside in a Nursing Facility (NF) or the community but who have been assessed to require services at the level of nursing facility level of care.
  • In addition, the disability must result in substantial functional limitations in three or more of the following major life activities:
    • Self-care, understanding and use of language, learning, mobility, self-direction and/or capacity for independent living.
  • Meet the financial requirements as determined by your local County Assistance Office.

Services available may include:

  • Assistive technology/specialized medical equipment and supplies
  • Community integration services
  • Community transition services
  • Education services
  • Environmental adaptations
  • Extended state plan - visiting nurse, physical therapy, speech therapy, occupational therapy, and behavior therapy
  • Non-medical transportation services
  • Personal assistance services
  • Personal Emergency Response Systems (PERS)
  • Respite services
  • Service coordination

If you have a physical disability, the Attendant Care Waiver and state funded Act 150 program may be available to you to continue to live in your home and community with support and services.

Eligibility

To be eligible for Attendant Care Services, you must:

  • Be a resident of Pennsylvania
  • Meet the level of care needs for a Skilled Nursing Facility
  • Be between eighteen (18) and fifty-nine (59) years of age
  • Be capable of a) hiring, firing, and supervising attendant care worker(s); b) managing your own financial affairs; and c) managing your own legal affairs
  • For the Medicaid Home and Community Based Waiver Services Attendant Care Program, meet the financial requirements as determined by your local County Assistance Office.
  • Have a medically determinable physical impairment that is expected to last of a continuous period of not less than twelve (12) calendar months or that may result in death
  • To take advantage of the Attendant Care Act 150 Program, you may be assessed a minimal co-payment. This co-payment is based on your income and will not be more than the total costs of services

Services that may be available to you include:

  • Community Transition Services (available only through Medicaid Home and Community Based Waiver Services)
  • Participant-Directed Community Supports
  • Participant-Directed Goods and Services
  • Personal Assistance Services
  • Personal Emergency Response System (PERS)
  • Service Coordination

A Home and Community-Based Services Waiver for Individuals with Traumatic Brain Injury (TBI).

If you have a medically determined Diagnosis of traumatic brain injury (TBI), the COMMCARE Waiver can help you remain as independent as possible.

Eligibility

To be eligible for the COMMCARE Waiver you must:

  • Be a Pennsylvania resident
  • Be 21 years of age or older
  • Have a medically determinable diagnosis of traumatic brain injury and require a Special Rehabilitative Facility (SRF) level of care
  • Your disability must result in substantial functional limitation in three or more of the following major life activities:
    • mobility
    • behavior
    • communication
    • self-care
    • self-direction
    • capacity for independent living
    • cognitive capacity (judgment, memory and reasoning).
  • Meet the financial requirements as determined by your local County Assistance Office.

Services available may include:

  • Adult Day Services
  • Behavioral Specialist Consultant
  • Chore Services
  • Coaching/Cueing
  • Cognitive Therapy
  • Community Integration
  • Community Transition Services
  • Counseling (Consumer and/or Family)
  • Educational Services
  • Environmental Adaptations
  • Extended State Plan Services
  • Habilitation and Support
  • Night Supervision
  • Non-Medical Transportation
  • Personal Care Services
  • Personal Emergency Response Systems (PERS)
  • Prevocational Services
  • Respite Care
  • Service Coordination
  • Specialized Medical Equipment/Supplies and Assistive Technology
  • Structured Day Program
  • Supported Employment

The OBRA Waiver is a Home and Community Based waiver program that may help you if you have a developmental physical disability to allow you to live in the community and remain as independent as possible.

To be eligible, you must be:

  • A resident of Pennsylvania.
  • Age 18 and older.
  • Have a severe developmental physical disability requiring an Intermediate Care Facility/Other Related Conditions (ICF/ORC) level of care.
  • The disability must result in substantial functional limitations in three or more of the following major life activities:
    • mobility
    • communication
    • self-care
    • self-direction
    • capacity for independent living
    • learning
  • Meet the financial requirements as determined by your local County Assistance Office.

Other related conditions (ORCs) include physical, sensory, or neurological disabilities which manifested before age 22 and are likely to continue indefinitely.

A limited number of individuals with an Autism Spectrum Disorder diagnosis can be served under the OBRA Waiver.

Services available to you may include:

  • Adult day services
  • Assistive technology/specialized medical equipment and supplies
  • Community integration services
  • Community transition services
  • Daily living services
  • Education services
  • Environmental adaptations
  • Personal Emergency Response Systems (PERS)
  • Prevocational services
  • Respite services
  • Service coordination
  • Support employment services
  • Therapies (behavior, occupational, physical, speech)
  • Transportation services
  • Visiting nurse