Attendant Care Waiver/Act 150 – Pennsylvania
If you have a physical disability, the state-funded Act 150 program may be available to you to continue to live in your home and community with support and services.
Eligibility is based on a level of care asessment, a financial eligibility determination and program eligibility
To be eligible for Act 150 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
- Be capable of directing your own car
- 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
- Proceed through the eligbility process for the Medicaid (MA) progam and be determined financially ineligible
- To take advantage of the 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
Available Services
-
- Personal Assistance Services
- Personal Emergency Response System (PERS)
- Service Coordination
OBRA Waiver (Omnibus Budget Reconciliation Act) – Pennsylvania
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.
Eligibility criteria
- 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.
Available Services
- Adult Daily Living
- Employment Skills Development
- Job Coaching (Intensive and Extended Follow-along)
- Personal Assistance Services
- Residential Habilitation Services
- Respite
- Service Coordination
- Structured Day Habilitation Services
- Behavior Therapy Services
- Nursing Services
- Occupational Therapy Services
- Physical Therapy Services
- Specialized Medical Equipment and Supplies
- Speech and Language Therapy Services
- Community Integration
- Community Transition Services
- Counseling Services
- Home Adaptations
- Job Finding
- Non-Medical Transportation
- Nutritional Consultation
- Personal Emergency Response System
- Prevocational Services
- Supported Employment
- Vehicle Modifications
New Jersey Department of Health and Human Services: Division of Developmental Disabilities
Community Care Program – New Jersey
The Community Care Program is a Medicaid home and community-based services (HCBS) waiver program. It provides services for eligible individuals who live in a provider-managed setting, such as a group home or supervised apartment, or who live in their family home or their own apartment or home, to assist them to live as independently as
possible.
Eligibility criteria
To be eligible for the Community Care Program, an individual must:
- be reached on the CCP Waiting List or be determined by DDD to be at imminent risk of homelessness
- meet the functional criteria for eligibility for DDD services
- meet the additional Level of Care criteria for Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/ID)
- meet specific Medicaid requirements regarding income and resources (DDD works with individuals to help establish whether or not they meet these Medicaid requirements)
Available Services
Depending on an individual’s assessed level of support need, the following services are available in the Community Care program:
- Assistive Technology
- Behavioral Supports
- Career Planning
- Community Inclusion Services
- Community Transition Services
- Day Habilitation
- Environmental Modifications
- Goods & Services
- Individual Supports
- Interpreter Services
- Natural Supports Training
- Occupational Therapy
- Personal Emergency Response System (PERS)
- Physical Therapy
- Prevocational Training
- Respite
- Speech, Language and Hearing Therapy
- Support Coordination
- Supported Employment – Individual and Small Group
- Transportation
- Vehicle Modifications
Supports Program – New Jersey
The Supports Program is a Medicaid home and community-based services (HCBS) waiver program. It provides services for New Jersey adults with intellectual and developmental disabilities who live in their family home or their own apartment or home, to assist them to live as independently as possible.
Eligibility criteria
To be eligible for the Supports Program, an individual must:
- Be 21 years of age or older
- Be determined eligible for DDD services
- Be determined Medicaid eligible
- Not be enrolled on any other Medicaid waiver or waiver program
Available Services
Depending on an individual’s assessed level of support need, the following services are available in the Supports Program:
- Assistive Technology
- Behavioral Supports
- Career Planning
- Cognitive Rehabilitation Services
- Community-Based Supports
- Community Inclusion Services
- Day Habilitation
- Environmental Modifications
- Goods & Services
- Interpreter Services
- Natural Supports Training
- Occupational Therapy
- Personal Emergency Response System (PERS)
- Physical Therapy
- Prevocational Training
- Respite
- Speech, Language and Hearing Therapy
- Support Coordination
- Supported Employment – Individual and Small Group
- Supports Brokerage
- Transportation
- Vehicle Modifications
PFDS Waiver (Person/Family Directed Services)
The Pennsylvania Person/Family Directed Support Waiver is designed to help individuals with an intellectual disability, autism, or developmental disability to 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
- There is no age limit for individuals with an intellectual disability or autism. Individuals with a developmental disability with a high probability of resulting in an intellectual disability or autism are eligible from age 0 through 8.
- Level of Care
- Medical Evaluation
- Diagnosis of an intellectual disability, autism, or developmental 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.
- Individual cost limit of $33,000 per person per fiscal year
- Excludes Supports Coordination and Supports Broker Services
- The limit can be exceeded by $15,000 for Advanced Supported Employment or Supported Employment services
Available Services
- Advanced Supported Employment
- Assistive Technology
- Behavioral Support
- Benefits Counseling
- Communication Specialist
- Community Participation Support
- Companion
- Consultative Nutritional Services
- Education Support
- Family/Caregiver Training and Support
- Home Accessibility Adaptations
- Homemaker/Chore
- Housing Transition and Tenancy Sustaining Services
- In-Home and Community Support
- Music, Art, and Equine Assisted Therapy
- Participant-Directed Goods and Services
- Respite
- Shift Nursing
- Small Group Employment
- Specialized Supplies
- Supported Employment
- Supports Broker
- Supports Coordination
- Therapy
- Physical
- Occupational
- Speech
- Language
- Orientation, Mobility and Vision
- Transportation
- Vehicle Accessibility Adaptations
Waiver:
Note: For historical and comparison purposes, the below links are accessible to view the previous approved Person/Family Directed Support Waivers:
Community Living Waiver
The Community Living Waiver supports individuals with an intellectual disability, autism or developmental disability to live more independently in their homes and communities through the provision of a variety of services that promote community living, employment, communication, self-direction, choice and control.
Eligibility Criteria
- There is no age limit for individuals with an intellectual disability or autism. Individuals with a developmental disability with a high probability of resulting in an intellectual disability or autism are eligible from age 0 through 8
- Level of Care
- Medical Evaluation
- Diagnosis of an intellectual disability, autism, or developmental 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
- Individual cost limit of $70,000 per person per fiscal year (Supports Coordination is excluded from this limit)
Available Services
- Advanced Supported Employment
- Assistive Technology
- Behavioral Support
- Benefits Counseling
- Communication Specialist
- Community Participation Support
- Companion
- Consultative Nutritional Services
- Education Support
- Family/Caregiver Training and Support
- Home Accessibility Adaptations
- Homemaker/Chore
- Housing Transition and Tenancy Sustaining Services
- In-Home and Community Support
- Life Sharing (Needs Groups 1 and 2, or less than 30 hours per week)
- Music, Art, and Equine Assisted Therapy
- Participant-Directed Goods and Services
- Respite
- Shift Nursing
- Small-Group Employment
- Specialized Supplies
- Supported Employment
- Supported Living (Needs Groups 1 and 2)
- Supports Broker
- Supports Coordination
- Therapy
- Physical
- Occupational
- Speech
- Language
- Orientation, Mobility, and Vision
- Transportation
- Vehicle Accessibility Adaptations
Waiver Information
- Community Living Waiver Amendment Effective October 1, 2019
Consolidated Waiver
Side-By-Side of Substantive Changes Made to the Waivers
Note: For historical and comparison purposes, the below links are accessible to view the previous approved Community Living Waivers
Consolidated Waiver
The Pennsylvania Consolidated Waiver is designed to help individuals with an intellectual disability, autism or developmental disability to 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
- There is no age limit for individuals with an intellectual disability or autism. Individuals with a developmental disability with a high probability of resulting in an intellectual disability or autism are eligible from age 0 through 8.
- Level of Care
- Medical Evaluation
- Diagnosis of an intellectual disability, autism or developmental 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
Available Services
- Advanced Supported Employment
- Assistive Technology
- Behavioral Support
- Benefits Counseling
- Communication Specialist
- Community Participation Support
- Companion
- Consultative Nutritional Services
- Education Support
- Family/Caregiver Training and Support
- Home Accessibility Adaptations
- Homemaker/Chore
- Housing Transition and Tenancy Sustaining Services
- In-Home and Community Support
- (Licensed and Unlicensed) Life Sharing
- Music, Art and Equine Assisted Therapy
- (Licensed and Unlicensed) Residential Habilitation
- Respite
- Shift Nursing
- Small Group Employment
- Specialized Supplies
- Supported Employment
- Supported Living
- Supports Broker
- Supports Coordination
- Therapy
- Physical
- Speech/Language
- Occupational
- Orientation, Mobility and Vision
- Transportation
- Vehicle Accessibility Adaptations
Waiver
Note: For historical and comparison purposes, the below links are accessible to view the previous approved Consolidated Waivers