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This page is about Office of Developmental Programs (ODP) Home and Community-Based Services (HCBS) Waivers in Pennsylvania. HCBS Waivers are a type of Medicaid program that provides long-term services and supports to groups of people who need support to live in their communities.
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A Medicaid Waiver is a program offered through Medicaid that gives special services to certain groups of people. Each state creates and runs its own Medicaid Waiver programs. However, the federal government has to approve these programs.
However, states are allowed to have waiting lists for Medicaid Waivers. Also, states can allow waivers to cover services that are not paid for by traditional Medicaid, such as employment and community supports. These extra services are called home and community-based services.
States can decide what services people can get from their Medicaid Waivers. States also get to decide what group of people can be in a Medicaid Waiver. This means that the state can make a Medicaid Waiver for a specific group. Most Medicaid Waivers are for:
To get a Medicaid Waiver, people have to show that they need support in order to live and work in the community. States will do an assessment to learn how much support a person needs. This assessment will determine if the person is eligible for a Medicaid Waiver.
Medicaid Waivers are meant to serve people in their homes and communities instead of in an institution. Many people with disabilities, like autism, need home and community-based services to be able to live independently in their communities.
BCS uses a prioritization system to sort those on the waiting list based on their level of need. This system is called the Prioritization of Urgency of Need for Services (PUNS). PUNS collects information about your current and future service and support needs. PUNS helps the County MH/ID and state plan for your needs in comparison to others.
Important Note: Some services may need approval before program participants can get them. The services that program participants get are based on their individual needs. Also, the availability of providers by service may be different by county. Check the program provider directories to learn more.
The Adult Community Autism Program (ACAP) is a managed care program available in four counties in Pennsylvania: Chester, Cumberland, Dauphin, and Lancaster. Participants in ACAP can get the following services:
Important Note: There is a waiting list to receive the Medicaid waivers/programs in Pennsylvania. Individuals must be enrolled in one of the waivers/programs listed below to get these services. Some services may need approval before program participants can get them. The services that program participants get are based on their individual needs and must be approved and authorized in their plans. Also, the availability of providers by service may be different by county. Check the program provider directories to learn more.
There is a $41,000 cost limit per participant per year in the P/FDS Waiver for services. This does not limit Supports Coordination and Supports Broker Services. Participants can go over the cost limit by $15,000 for Advanced Supported Employment or Supported Employment services.
For additional information about the services offered in the Medicaid waiver/programs for adults with autism in Pennsylvania, visit the Pennsylvania Office of Developmental Programs website: www.myodp.org.
To be eligible for waiver services, a person has to show that they need a certain level of support in order to live and work in the community. The level of support is measured by having substantial limitations in 3 or more major life activities:
Functional eligibility for the ODP waivers is measured when you apply for waiver services at your county Mental Health/Intellectual Disability (MH/ID) Office. The MH/ID office will determine functional eligibility by using an adaptive functioning assessment. There are two adaptive functioning assessments that counties use: the Vineland Adaptive Behavior Scale and the Adaptive Behavior Assessment System (ABAS).
If you or your family member has a recent Vineland or ABAS, you may be able to share that with your county MH/ID office. They will use those results to determine if you or your family member meet functional eligibility requirements for the ODP waivers.
If you do not have a recent Vineland or ABAS, you can call your County MH/ID to help you find out where you or your family member can get one of these assessments. If you or your familymember are still in school, you may be able to get one of these assessments done by the school psychologist.
In Pennsylvania, every county has a Mental Health/Intellectual Disability (MH/ID) office. The MH/ID office in your county is where you go to enroll yourself or your child in many different mental health or developmental services. This resource will help you learn about how your county MH/ID office can help you apply for and get the services and supports that you or your child needs, if you are found eligible .
Each county has an MH/ID office. Sometimes multiple counties share one MH/ID office. For example, the Armstrong-Indiana Behavioral and Developmental Health Services Office serves both Armstrong and Indiana county. To find your county MH/ID office visit: www.paautism.org/mhid, and select your county from the list. You can also contact the ASERT Resource Center (info@paautism.org or 1-877-231-4244) to help you find your county MH/ID office.
In Pennsylvania, Medicaid-funded mental health and developmental services are administered at the county level. To apply for these services in your county, you need to contact your county MH/ID office. If you or your child need services, your county MH/ID office will be able to help you apply, enroll, and get services if you or your child are eligible.
Documents with an Autism Diagnosis: A signed evaluation from a doctor or licensed clinician (i.e., licensed psychologist, developmental pediatrician, certified school psychologist, psychiatrist, licensed physician, licensed physician assistant or certified registered nurse practitioner) that indicates an autism diagnosis.
Adaptive Functioning Assessment: Indication of skill deficits in three or more areas (self care, receptive and expressive language, learning, mobility, self-direction, capacity of independent living) based on either:
Copy of MA Card and Other Insurance Cards if You are Also Covered by Private Insurance or Medicare: The MA card might be an ACCESS card or a card from a Managed Care Organization. Some examples of Managed Care Organizations are AETNA Better Health, AmeriHealth Caritas, Gateway Health Plan, etc.
Una Exención de Medicaid es un programa que se ofrece a través de Medicaid y que proporciona servicios especiales a ciertos grupos de personas. Cada estado crea y dirige sus propios programas de Exención de Medicaid. Sin embargo, el gobierno federal tiene que aprobar esos programas.
Sin embargo, los estados pueden tener listas de espera para las Exenciones de Medicaid. Además, los estados pueden permitir a las exenciones cubrir servicios que el programa Medicaid tradicional no paga, como el apoyo para conseguir empleo o los apoyos comunitarios. Estos servicios adicionales se denominan servicios basados en el hogar y la comunidad.
Los estados pueden decidir qué servicios pueden obtener las personas a través de sus Exenciones de Medicaid. Asimismo, los estados deciden qué grupos de personas pueden beneficiarse con una Exención de Medicaid. Eso significa que el estado puede establecer una Exención de Medicaid para un grupo específico. La mayoría de las Exenciones de Medicaid son para:
Para obtener una Exención de Medicaid, las personas tienen que demostrar que necesitan apoyo para vivir y trabajar en la comunidad. Los estados llevan a cabo evaluaciones para saber cuánto apoyo necesita una persona. Esa evaluación determinará si la persona es elegible para obtener una Exención de Medicaid.
El propósito de las Exenciones de Medicaid es proporcionar servicios a las personas en sus hogares y comunidades, en lugar de hacerlo en una institución. Muchas personas con discapacidades como el autismo necesitan servicios basados en el hogar y la comunidad para poder vivir de manera independiente en sus comunidades.
Estas exenciones tienen distintos requisitos de elegibilidad, ofrecen diferentes servicios, ofrecen diferentes beneficios y tienen distintos límites. Sin embargo, todos ellos tienen el propósito de ayudar a las personas a vivir de manera independiente en sus hogares y comunidades. Todas estas exenciones se administran a través de la Oficina de Programas para el Desarrollo (ODP) de Pensilvania. 2ff7e9595c
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