Home & Community Base Program

Community-Base Program Design



Community-based program design

Community-based program design is a social method for designing programs that enables social service providers, organizers, designers and evaluators to serve specific communities in their own environment. This program design method depends on the participatory approach of community development often associated with community-based social work and is often employed by community organizations. From this approach, program designers assess the needs and resources existing within a community, and, involving community stakeholders in the process, attempt to create a sustainable and equitable solution to address the community's needs.  

Is there a Medicaid waiver program in Pennsylvania?

Support Services Waiver -- or simply waiver -- is a shortened term for the Medicaid Home and Community Based Waiver Program. This program provides funding for supports and services to help you to live in your home and community. Waivers offer an array of services and benefits such as choice of qualified providers, due process and health and safety assurances.

The name waiver comes from the fact that the federal government "waives" Medical Assistance/Medicaid rules for institutional care in order for Pennsylvania to use the same funds to provide supports and services for people closer to home in their own communities.

What programs assist people who have disabilities in Pennsylvania? The following programs assist persons with disabilities in Pennsylvania: The Autism Waiver; Person/Family Directed Support (PFDS) Waiver; Independence Waiver; and Attendant Care Waiver. The Person/Family Directed Support (PFDS) Waiver serves people with intellectual disabilities. The Independence Waiver; and Attendant Care Waivers serve people who have physical disabilities. If a person is determined eligible for more than one HCBS program, the person cannot receive services under two or more such programs at the same time. The person must choose one HCBS program and receive the services provided by it.

Aging Waiver



Aging Waiver

Home and Community-Based Services Waiver for Individuals Aged 60 and Older 

Aging Home and Community-Based Waiver Services may be available to Pennsylvanians over the age of 60 to enable them to continue to live in their homes and communities with support and services.

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.

Who Qualifies for Assistance?



What is considered a developmental disability in Pennsylvania? Pennsylvania defines a developmental disability as a severe, ongoing disability which: Occurs before the age of 22; Affects an individual’s physical and/or mental ability; Limits an individual’s ability to do activities such as the following: self-care, communication, learning, mobility, independent living, daily decision making, and work; Requires an individual to have continuing support in order to accomplish tasks of daily tasks and achieve life goals

Are there income limits to receive waiver services in Pennsylvania? Financial eligibility for waiver programs requires that individuals must have countable income below $2,250 per month and countable resources below $8,000 (including savings accounts and investments). 

How old do you have to be to start receiving waiver services in Pennsylvania? Age requirements vary by program. Person/Family Directed Support (PFDS) Waiver serves individuals who are age 3 and older with an intellectual disability. The Independence Waiver serves individuals who are 18 and over with a physical disability likely to continue indefinitely. The Attendant Care Waiver serves individuals between the ages of 18 and 59 who have a medically determinable physical impairment that is expected to last at least 12 months. The Autism waiver serves individuals who are 21 and older with a diagnosis of Autism Spectrum Disorder.  

A Brand New Age Home Care Offers Quality Services Provided to help you stay independent in your home. Make a referral today at            215-474-3000 or take a tour @ABrandNewAgeHomeCare.com