HOW TO APPLY FOR OLTL AND CHC WAIVERS

HOW TO APPLY FOR OLTL/CHC WAIVERS


Waiver programs offer tangible support for individuals looking to stay safely immersed in the home and community. To be considered to participate in one of these Medicaid-funded programs to receive services, one must apply and meet certain eligibility criteria. Once eligible, the State will "waive" funding for a nursing home and spend those funds, instead, on assisting an individual to live in the community. These waiver services, also called Home and Community-Based Services (HCBS), include long-term services and supports (LTSS) which are offered through several State waivers. Each waiver has different eligibility requirements and varying services that they offer.

It is important to take time to gain knowledge in options that exist, besides living in a nursing home. PA Health Management can assist individuals who are interested in learning more about applying for waiver services. We are available to share our knowledge and experience in the waiver application process and waiver service delivery.

A list of waivers for receipt of services in the home and community is included below, along with their eligibility requirements and services provided. Contact us if we may assist in learning about waiver services or starting the application process.

APPLYING FOR WAIVER SERVICES

Access this course, Applying for Waiver Services, to learn the Steps to Apply for Waiver Services, to view the timeline for enrollment listed by the Department of Human Services, and for access to the sites and contact information of the Independent Enrollment Broker.

Steps to Apply for Waiver Services

PA Independent Enrollment Broker

Website to Learn About and Enroll in Community HealthChoices (CHC)

WAIVERS COVERED


View eligibility requirements and services an individual may be eligible for through the following waivers and program here:

COMMUNITY HEALTHCHOICES (CHC) WAIVER

Learn more

OBRA WAIVER

Learn more

Attendant Care Waiver and the ACT 150 Program

Learn more

We also provide Supports Coordination for the Adult Autism Waiver offered through the Bureau of Autism Services, the Office of Developmental Programs. For more information on our Adult Autism Waiver Services, visit our Supports Coordination for the Adult Autism Waiver page.


SERVICES PER WAIVER

Included below is a breakdown of the services an individual may be eligible for through each waiver and program. The Community HealthChoices (CHC) Waiver is currently available to all eligible individuals with the assignment of a Managed Care Organization.

The Community HealthChoices (CHC) Wavier:

Community HealthChoices (CHC) Adult Benefit Package

Community HealthChoices (CHC) Long-Term Services and Supports Benefit Guide

The Aging Waiver, Independence Waiver, Attendant Care Waiver/ACT 150 Program and the OBRA Waiver:

Health Plan Comparison Chart

SERVICE AREA

PA Health Management provides In-Home and Community Supports (IHCS), Companion Services, Respite in all 67 counties of Pennsylvania and our team lives locally in the areas they provide service to. A complete list of counties covered is listed below.

Entire Pennsylvania State-wide Coverage

Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, Clarion, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Delaware, Elk, Erie, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Indiana, Jefferson, Juniata, Lackawanna, Lancaster, Lawrence, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mercer, Mifflin, Monroe, Montgomery, Montour, Northampton, Northumberland, Perry, Philadelphia, Pike, Potter, Schuylkill, Snyder, Somerset, Sullican, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York

MANAGED-CARE ORGANIZATIONS

The Department of Human Services has selected three Managed-Care Organizations (MCOs) to deliver Managed Long-Term Services and Supports (MLTSS) through the Community HealthChoices (CHC) Waiver. The CHC waiver began in Pennsylvania on January 01, 2018 and will be offered across the entire state of Pennsylvania by January 01, 2020. All individuals approved for the CHC waiver will be offered a choice of the following Managed-Care Organizations (MCOs) and individuals are able to change their MCO at any time.

Health Plan Comparison Chart:

contact us

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1-844-952-7296

E-mail

info@pahealthmanagement.org

Headquarters

2141 Oregon Pike
Lancaster, PA 17601

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