The Waiver Program offers individuals, aged 60 and over, a choice of community-based services as an alternative to Nursing Home placement. These programs are offered through the Pennsylvania Department of Aging.
Who is Eligible?
Residents of Luzerne and Wyoming Counties who can be cared for safely in their home may be found eligible to participate in the program if they meet all of the following requirements:
- Must be 60 years of age or older.
- Must be found medically eligible for Nursing Facility Services. A Medical Evaluation form (MA-51) must be completed by a physician. The Area Agency on Aging Options Unit will conduct a face-to-face assessment to determine the medical eligibility.
- Must be found financially eligible for medical assistance as determined by the local County Assistance Office.
- Income under 300% of Federal Benefit rate
- Resource limit (one person) - $8,000 (Note: The County Assistance Office will consider only the income and resources of the Waiver applicant in determining eligibility)
- Consumer is subject to MA Estate Recovery
- Must reside in a location where Waiver community slots are available, and are choosing community-based services rather than a nursing home.
What Services Can the Consumer Receive?
Once the applicant has been certified medically and financially eligible for the PDA Waiver Program, a care plan will be developed based on your unmet needs. Although this program provides a great deal of service, it does not provide for 24-hour care, thus it will be necessary for the consumer to have a back-up or contingency plan. The following service options may be available through this consumer-driven program:
- Companion Services
- Day Care
- Emergency Response
- Frozen Home-Delivered Meals
- Home Modifications
- Home Support
- Institutional Respite
- Medical Supplies
- Personal Care
- Physical, Occupational, Speech Therapies
- RN, LPN, Home Health Aide
- Transition from Nursing Home to Community
- Transportation, Van / Ambulance
Individuals certified for the PDA Waiver Program will receive a medical assistance Access Card. This can help pay for medical appointments, prescriptions and some medical supplies. Consumers in receipt of other services such as Medicare may also continue to receive services through the PDA Waiver Program.
How Do the Services Work?
Whenever possible, the consumer will choose the provider of service from a list of certified Medicaid providers. All providers agree to a set of standards set by the Department of Public Welfare for each service.
The Area Agency on Aging will contact providers and give them pertinent information needed to begin service. All services are authorized through the Area Agency on Aging.
Scheduled visits from assigned staff from the Area Agency on Aging will be conducted to ensure continued appropriateness of service.