UNIQUE HOME CARE SERVICES - BRINGING A UNIQUE QUALITY TO HOME
What are Wavier Programs?
 
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. 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. Currently the Department of Public Welfare administers 12 HCBS programs. Each HCBS program has its own eligibility requirements and services.
 
To learn more click on the links:
 
PA Department of Aging (PDA) Waiver*Age 60 or older
*Meet nursing facility level of care criteria
*Wish to be treated in own home or other community setting
 *Adult Day Services Center
*Attendant Care
*Counseling
*Environmental modifications
*Home health care
*Specialized medical equipment and supplies
*Companion Services
*Respite Care
*Transportation
*Home delivered meals
*Extended physician services
*Personal care services
*Personal emergency response system

 Attendant Care Waiver*Age 18 through 59 (over age 59 conditional)
*Requires assistance with activities of daily living due to a medically determined physical impairment which can be expected to last for a continuous period of not less than 12 months
*Mentally alert and capable of selecting, supervising, and if needed, firing an attendant, and managing their own financial and legal affairs
*Be found in need of a basic service
 *Basic Service includes:
-Assistance with getting in and out of bed, wheelchair and/or motor vehicle
-Assistance with performing activities of daily living such as bathing, personal hygiene, feeding and health maintenance activities

 Independence Waiver*Age 18 and older
*Requires nursing facility level of care
*Persons with physical disabilities
*Disability results in at least 3 substantial functional limitations
*Disability is expected to continue indefinitely
*Not dependent on mechanical ventilator supports
 *Daily living services
*Environmental adaptations
*Assistive technology/ specialized medical equipment and supplies
*Community integration services
*Respite services
*Transportation

 Adult Community Autism Program (ACAP)*21 years or older
*Diagnosis of Autism Spectrum Disorder (Autistic Disorder, Childhood Disintegrative Disorder, PDD-NOS, Asperger Syndrome or Rett Disorder)
*Require Intermediate Care Facility (ICF) level of care
*Be able to live in a home or community setting without 16 hours or more per day of awake staffing and supervision
*Not have behaviors that are dangerous to yourself or others or that could cause harm to property
 *Physician, ICF, psychiatric, nursing facility, hospice services
*Dental, vision, speech, podiatry, chiropractic services
*Medical supplies and equipment
*Health promotion and disease prevention services
*Targeted case management
*Mental health crisis intervention services
*Adult day habilitation services
*Homemaker services
*Residential & behavioral support
*Respite care
*Supported employment
*Community transition services
*Environmental modifications
*Assistive technology
*Family counseling

 Adult Autism Waiver (AAW)*Age 21 or older
*Diagnosed with Autism Spectrum Disorder (Autistic Disorder, Childhood Disintegrative Disorder, PDD-NOS, Asperger Syndrome or Rett Disorder) 
*Meet Intermediate Care Facility level of care
 *Assistive technology
*Behavioral health services
*Community inclusion
*Community Transition Services
*Counseling
*Day & residential habilitation
*Environmental modifications
*Family counseling & training
*Job assessment and finding
*Nutritional consultation
*Occupational therapy
*Respite
*Speech/ language therapy
*Supported employment
*Supports coordination
*Temporary crisis services
*Transitional work services

 COMMCARE Waiver*Have a diagnosis of traumatic brain injury
*Age 21 and older
*Need Special Rehabilitation Level of Care
*Not dependent on mechanical ventilator supports
*Disability results in at least 3 substantial functional limitations
 *Coaching/ cueing
*Cognitive therapy
*Environmental adaptations
*Assistive technology/ specialized medical equipment and supplies
*Community integration
*Respite care
*Transportation
*Personal care services
*Supported employment services
*Educational services

 Infants, Toddlers and Families Waiver*Between birth and age 3
*In need of early intervention services
*Meet Intermediate Care Facility for Persons with Mental Retardation (ICF/MR) or Intermediate Care Facility for Persons with Other Related Conditions (ICF/ORC) level of care
 *Habilitation, which is a service provided in home and community settings to assist a child in acquiring, maintaining and improving self-help, domestic, socialization and adaptive skills
 
Person/Family-Directed Support (P/FDS) Waiver*Age 3 or older
*Require an ICF/MR level of care
*Sub-average intellectual functioning and impairments in adaptive behavior
*Does not reside in a mental retardation licensed community residential home or a mental retardation licensed family living home.
 *Homemaker/ chore
*Habilitation
*Respite services
*Physical adaptations
*Visual mobility therapy
*Behavioral therapy
*Visiting nurse
*Personal support
*Adaptive appliances and equipment services
*Extended State Plan services
 Consolidated Waiver*Age 3 or older
*Require an ICF/MR level of care
*Sub-average intellectual functioning and impairments in adaptive behavior
 *Community Habilitation
*Respite services
*Minor physical adaptations
*Permanency planning services
*Therapy services
*Transportation

 OBRA Waiver*Persons with developmental physical disabilities
*Disability results in at least 3 substantial functional limitations
*Disability manifested prior to age 22
*Age 18 or older
*Disability is expected to continue indefinitely
*Requires ICF/ORC level of care
 *Daily living services
*Environmental adaptations
*Assistive technology
*Community integration services
*Respite services
*Transportation
*Supported employment services
*Prevocational and educational services
  MA 0192 Waiver*Diagnosed as having AIDS or Symptomatic HIV
*Not enrolled in a managed care organization, health insurance organization or Hospice Program
*Age 21 or older
*Requires level of care provided in a hospital, skilled nursing facility, ICF
*Not residing in an institution or inpatient setting
 *Home health aide visits beyond Medicaid coverage.
*Specialized medical equipment, supplies and nutritional supplements.
*Nutritional consultations.
*Homemaker services.
*Transitional services.

 LIFE (Living Independence for the Elderly Program also known as LTCCAP)*Age 60 or older (Age 55-conditional)
*Meet eligibility requirements for nursing facility level of care
*Able to safely live in the community with services available through the provider
*Reside in locations where services are available
 *Adult day health services
*Transportation/ escort services
*Primary medical specialist care
*Nursing care/skilled nursing
*Dental, vision, podiatry, audiology care
*Social services/ case management
*Physical, occupational, speech therapies
*Recreational therapy
*Nutritional counseling/ education
*Laboratory/ diagnostic test, x-rays
*Pharmaceuticals
*Prosthetics, orthotics, durable medical equipment and supplies
*Psychiatric services
*Personal care
*Homemaker chore services
*Home delivered meals
*Hospital care/ hospice services
*Nursing facility services
*Services for hearing/speech impairments
*Translation services