Eligibility and Enrollment
What are Home and community based services?
HCBS provides for supports and services beyond those covered by the Medical Assistance (also referred to as Medicaid) program that enable a person to remain in a community setting rather than being admitted to a Long Term Care Facility. Pennsylvania administers multiple Home and Community-Based Services (HCBS) programs, each with its own eligibility requirements, covered services and program rules. Home and Community Based Services are also known as Waiver Funded Services or Waiver Programs. The name waiver comes from the fact that the federal government “waives” medical assistance rules for institutional care in order for Pennsylvania to use the funds for HCBS.
Do I Qualify?
Each Pennsylvania program has its own eligibility, enrollment, service authorization and oversight requirements. Eligibility and enrollment decisions are made by the appropriate Pennsylvania Department of Human Services or program entities.
PCC can help eligible participants understand program information, coordinate services and supports, and identify the appropriate next steps.
Each program has its own eligibility and enrollment requirements. PCC provides Service Coordination or Supports Coordination for eligible participants enrolled in the programs it supports.
PCC does not determine eligibility or approve benefits or services. Eligibility, enrollment, authorization and other program decisions are made by the appropriate state or program entities.
Questions About Eligibility or Enrollment
Eligibility and enrollment requirements vary by program. For the most current eligibility and enrollment information, please refer to the appropriate Pennsylvania program or Department of Human Services resources.
PCC can help participants understand program information and identify the appropriate next step, but PCC does not make eligibility, enrollment or service authorization decisions.
Have Other Questions or Want to Know
How To Apply For Services?
Call us today! PCC can help you understand program information and navigate the application process. Eligibility and service authorization decisions are made by the applicable state or program entities.