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We Can Help With
Medicaid / Community Health Choice (CHC) Application Process
AVAILABLE MEDICAID / Community Health Choice (CHC) PROGRAMS
FIND OUT AVAILABLE PROGRAMS AND CHECK YOUR ELIGIBILITY
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COVERED SERVICES
WHETHER YOU REQUIRE SKILLED NURSING OR HOME AIDE ASSISTANCE WE ARE HERE TO HELP
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MEDICAID / Community Health Choice (CHC) PROGRAMS
ATTENDANT CARE / ACT 150
This program is designed for people with a physical disability who would like to continue to live in the comfort of their own home. The Attendant Care Waiver and state-funded Act 150 allows you to receive appropriate support and relevant services as required
Eligibility Criteria
• Meet the level of care needs for a Skilled Nursing Facility for the Medicaid Waiver. Those who do not meet the Skilled Nursing Facility level of care MAY qualify for the PA State funded Act 150 Program
• 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
AGING WAIVER
Available to Pennsylvania residents over the age of 60, this Home and Community-Based Services Waiver enables approved individuals to continue to live in their home and community with appropriate support and services provided by our experienced staff
Eligibility Criteria
• 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.
INDEPENDENCE WAIVER
Independence Waiver Program is designed for adults with a severe physical disability who require assistance in order to live at home independently. Available to residence of Philadelphia, Bucks, Chester, Delaware and Montgomery counties
Eligibility Criteria
• Be a resident of Pennsylvania
• 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), 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.
OBRA WAIVER
This Home and Community Based Waiver program is available to people with developmental physical disability and designed to assist people to stay as independent as possible and live in the comfort of their own home.
Eligibility Criteria
• 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.
• Other related conditions (ORCs) include physical, sensory, or neurological disabilities which manifested before age 22 and are likely to continue indefinitely.
• Meet the financial requirements as determined by your local County Assistance Office.
COMMCARE Waiver
This program is designed for individuals with medically determined diagnosis of traumatic brain injury (TBI). Administered by HCBS, COMMCARE Waiver can help you to remain as independent as possible for as long as possible.
Eligibility Criteria
• 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.
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Example of services that can be covered by a Medicaid / CHC Waiver program
ATTENDANT CARE / ACT 150
• Community Transition Services
• Participant-Directed Community Supports
• Participant-Directed Goods and Services
• Personal Assistance Services
• Personal Emergency Response System (PERS)
• Service Coordination
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
• Provides on-going support and assistance from the local Area Agency on Aging
INDEPENDENCE WAIVER
• Adult Daily Living Services
• Accessibility Adaptations, Equipment, Technology and Medical Supplies
• Community Integration• Community Transition Services
• Home Health
• Non-Medical Transportation
• Personal Assistance Services
• Personal Emergency Response System (PERS)
• Service Coordination
• Respite
• Service Coordination
• Supported Employment
• Therapeutic and Counseling Services
OBRA WAIVER
• Adult Daily Living
• Accessibility Adaptations, Equipment, Technology and Medical Supplies
• Community Integration
• Community Transition 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
COMMCARE Waiver
• Accessibility Adaptations, Equipment, Technology and Medical Supplies
• Adult Daily Living
• Community Integration
• Community Transition 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
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In-Home Consultation Form