Long Term Waivers 

Aging Waiver

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. 

Attendant Care/Act 150

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 for 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 

OBRA Waiver

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 that 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
• Benefits Counseling
• Career Assessment
• Community Integration
• Community Transition Services
• Employment Skills Development
• Financial Management Services
• Home Health
• Job Coaching
• Job Finding
• Non-Medical Transportation
• Personal Assistance Services
• Personal Emergency Response System (PERS)
• Residential Habilitation Services
• Respite
• Service Coordination
• Structured Day Habilitation Services
• Therapeutic and Counseling Services 

Indepedence Waiver

 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 individuals with an intellectual disability 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
• Benefits Counseling
• Career Assessment
• Community Integration
• Community Transition Services
• Employment Skills Development
• Financial Management Services
• Home Health
• Job Coaching
• Job Finding
• Non-Medical Transportation
• Personal Assistance Services
• Personal Emergency Response System (PERS)
• Respite
• Service Coordination
• Therapeutic and Counseling Services 

CommCare Waiver

The CommCare Waiver serves individuals over the age of 21 who are nursing facility clinically eligible, have a traumatic brain injury and are financially eligible for MA waiver services. The following services are available through the CommCare Waiver:

· Adult Daily Living · Assistive Technology · Community Integration · Community Transition Services · Financial Management Services · Home Adaptations · Home Health · Non-Medical Transportation · Personal Assistance Services · Personal Emergency Response System (PERS) · Prevocational services · Residential Habilitation · Respite · Service Coordination · Specialized Medical Equipment and Supplies · Supported Employment · Structured Day Habilitation · Therapeutic and Counseling Services · Vehicle Modifications