Attendant Services

Consolidated / P/FDS Waivers
The Pennsylvania Consolidated and P/FDS Waivers are designed to help individuals with an intellectual disability live more independently in their homes and communities and to provide a variety of services that promote community living, including self-directed service models and traditional, agency-based service models.
Eligibility criteria:
• Age three and older
• Level of Care
• Medical Evaluation
• Diagnosis of an intellectual disability
• Recommended for an intermediate care facility (ICF) level of care based on a medical evaluation
• Determined eligible for Medical Assistance (MA)
• Meet the financial requirements as determined by your local County Assistance Office

Aging Waiver
Home and Community-Based Services Waiver for Individuals Aged 60 and Older
Aging Home and Community-Based Waiver Services may be available to Pennsylvanians over the age of 60 to enable them to continue to live in their homes and communities with support and services.
To be eligible for the Aging Waiver, you must:
• Be a resident of Pennsylvania
• Be a U.S. citizen or a qualified Non-citizen
• Have a Social Security Number
• Be 60 years of age or older
• Meet the level of care needs for a Skilled Nursing Facility
• Meet financial requirements as determined by the local County Assistance Office.
Services that may be available include:
• Accessibility Adaptations, Equipment, Technology and Medical Supplies
• Adult Daily Living Services
• Community Transition Services
• Home Delivered Meals
• Home Health Services
• Non-Medical Transportation Services
• Participant-Directed Community Supports
• Participant-Directed Goods and Services
• Personal Assistance Services
• Personal Emergency Response System (PERS)
• Respite
• Service Coordination
• TeleCare
• Therapeutic and Counseling Services
There is no cap on the services that Aging Waiver participants receive, no cost sharing and no contributions allowed.
Learn More
In order to qualify for Aging Waiver services, you must meet eligibility requirements. This includes a level of care assessment and a determination of financial eligibility. For more information, contact your local Area Agency on Aging.
• Area Agency on Aging
• View the Current Aging Waiver (an accessible version of this document is available upon request)
Contact
For Information: Office of Long-Term Living Bureau of Participant Operations (717) 787-8091
Toll free 1-800-753-8827
Enrollment: Area Agency on Aging

Attendant Care/Act 150
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
Learn More
• View the Current Attendant Care Waiver (an accessible version of this document is available upon request)
Contact
For Information: Office of Long-Term Living Bureau of Participant Operations (717) 787-8091
Enrollment: PA Independent Enrollment Broker at 1-877-550-4227

COMMCARE Waiver
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 Nursing Facility (NF) level of care
• Meet the financial requirements as determined by your local County Assistance Office.
Services available may include:
• Accessibility Adaptations, Equipment, Technology and Medical Supplies
• Adult Daily Living
• Community Integration
• Community Transition Services
• Financial Management Services
• Home Health
• Non-Medical Transportation
• Personal Assistance Services
• Personal Emergency Response System (PERS)
• Prevocational Services
• Residential Habilitation
• Respite
• Service Coordination
• Structured Day Habilitation Services
• Supported Employment
• Therapeutic and Counseling Services
Learn More
• View the Current COMMCARE Waiver (an accessible version of this document is available upon request)
Contact
For Information: Office of Long-Term Living Bureau of Participant Operations (717) 787-8091
Enrollment: PA Independent Enrollment Broker at 1-877-550-4227

Independence 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 that turn 60 while in the waiver will be able to continue to receive services through the Independence 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:
• Adult Daily Living Services
• Accessibility Adaptations, Equipment, Technology and Medical Supplies
• Community Integration
• Community Transition Services
• Financial Management Services
• Home Health
• Non-Medical Transportation
• Personal Assistance Services
• Personal Emergency Response System (PERS)
• Respite
• Service Coordination
• Supported Employment
• Therapeutic and Counseling Services
Learn More
• View the Current Independence Waiver (an accessible version of this document is available upon request)
Contact
For Information: Office of Long-Term Living Bureau of Paticipant Operations (717) 787-8091
Enrollment: PA Independent Enrollment Broker at 1-877-550-4227

OBRA Waiver
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 18-59. Age 18-59 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.
• 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:
• Self-care, communication, learning, mobility, self-direction and capacity for independent living.
• 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.
Services available to you may include:
• Adult Daily Living
• Accessibility Adaptations, Equipment, Technology and Medical Supplies
• Community Integration
• Community Transition Services
• Financial Management Services
• Home Health
• Non-Medical Transportation
• Personal Assistance Services
• Personal Emergency Response System (PERS)
• Prevocational Services
• Residential Habilitation Services
• Respite
• Service Coordination
• Structured Day Habilitation Services
• Supported Employment
• Therapeutic and Counseling Services
Learn More
• View the Current OBRA Waiver (an accessible version of this document is available upon request)
Contact
For Information: Office of Long-Term Living Bureau of Participant Operations (717) 787-8091
Enrollment: PA Independent Enrollment Broker 1-877-550-4227