Pennsylvania

Pennsylvania currently has three waivers that serve children, all of which are home and community based 1915(c) waivers. All waive parent income when determining eligibility. See Pennsylvania’s Medicaid Waiver page for more information. Pennsylvania also has a state-based program that is much like a TEFRA program and provides coverage to any child in the state with a disability.

Pennsylvania also has many adult-only waivers, including Attendant Care,HCBW for Individuals Aged 60 & Over, AIDS, COMMCARE, Independence, Adult Autism, and OBRA.

Pennsylvania Advocacy Organizations:

Programs in Pennsylvania

CONSOLIDATED WAIVER
  • Target Population: Children and adults who have an intellectual disability.
  • Ages: 3+
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: Yes, the waiver is based on the child's income only.
  • Waiver Type: 1915(c)
  • Spots: 18,097
  • Expiration Date: 6/30/2017
  • Description from medicaid.govProvides education support, home and community habilitation (unlicensed), homemaker/chore, licensed day habilitation, prevocational, residential habilitation, respite, supported employment-job finding/support, supports coordination, nursing, therapy services, supports broker services, assistive technology, behavioral support, companion, home accessibility adaptations, specialized supplies, transitional work, transportation, vehicle accessibility adaptations for individuals with IID, ages 3-no max age.
  • Online State Information: Consolidated Waiver
  • How to Apply: Call the Customer Service Hotline at 1-888-565-9435 or contact your county Mental Health / Intellectual Disabilities Office.
  • Waiting List: There are 18,308 people with developmental disabilities on Pennsylvania's waiting list, but they are primarily adults.
  • Advocacy/Support Group: Let us know if there is one.
PERSON/FAMILY DIRECTED SUPPORT
  • Target Population: Children and adults who have an intellectual disability.
  • Ages: 3+
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: Yes, the waiver is based on the child's income only.
  • Waiver Type: 1915(c)
  • Spots: 11,900
  • Expiration Date: 6/30/2017
  • Description from medicaid.govProvides education support services, home and community habilitation (unlicensed), homemaker/chore, licensed day habilitation, prevocational, respite, supported employment-job finding/support, supports coordination, nursing services, therapy services, supports broker, assistive technology, behavioral support, companion, home accessibility adaptations, specialized supplies, transitional work, transportation, vehicle accessibility adaptations for persons with IID, ages 3-no max.
  • Online State Information: Person/Family Directed Support
  • How to Apply: Call the Customer Service Hotline at 1-888-565-9435 or contact your county Mental Health / Intellectual Disabilities Office.
  • Waiting List: There are 18,308 people with developmental disabilities on Pennsylvania's waiting list, but they are primarily adults.
  • Advocacy/Support Group: Let us know if there is one.
MEDICAID WAIVER FOR INFANTS, TODDLERS AND FAMILIES
  • Target Population: Young children who have a developmental or intellectual disability.
  • Ages: 0-2
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: Yes, the waiver is based on the child's income only.
  • Waiver Type: 1915(c)
  • Spots: 7062
  • Expiration Date: 6/30/2016 renewal in progress
  • Description from medicaid.govProvides habilitation to IID/DD children ages 0-2.
  • Online State Information: Infants and Toddlers and Families Waiver
  • How to Apply: Call 717-346-1119, or call the Customer Service Hotline at 1-888-565-9435, or contact your county Mental Health / Intellectual Disabilities Office.
  • Waiting List: There are 18,308 people with developmental disabilities on Pennsylvania's waiting list, but they are primarily adults.
  • Advocacy/Support Group: Let us know if there is one.
PH-95 LOOPHOLE

This state-based program grants Medicaid coverage to more than 60,000 children of all incomes in Pennsylvania, including children with autism, developmental disabilities, and complex medical needs.

  • Target Population: Any child with a disability as defined by Social Security Disability criteria.
  • Ages: 0-18
  • Levels of Care: not applicable
  • Income Waiver: Yes, the waiver is based on the child's income only.
  • Waiver Type: state-based
  • Spots: unlimited
  • Expiration Date: NA
  • Description: Medicaid coverage only.
  • Online State Information: See this overview from the state or this independent guide on the PH-95 Loophole.
  • How to Apply: Apply for Medicaid using a paper application or online.
  • Waiting List: none
  • Advocacy/Support Group: Let us know if there is one.
OTHER PROGRAMS