OBRA Waiver
OLTL uses an independent enrollment broker (IEB), which is currently a company called MAXIMUS, to coordinate applications for the OBRA Waiver and the other Waivers it administers for older people and those with physical disabilities. To apply for the OBRA Waiver, an individual should contact the IEB by calling 877-550-4227 (voice) or 877-824-9346 (TTY). The IEB will begin the process, letting the individual know what forms need to be completed and arranging for a home visit by the county Area Agency on Aging (“AAA”) to evaluate eligibility.
Functional Eligibility Requirements:
- Persons with developmental physical disabilities
- Disability results in at least 3 substantial functional limitations
- A disability manifested prior to age 22
- Age 18 or older
- Disability is expected to continue indefinitely
- Requires ICF/ORC level of care
Adult Autism Waiver
The Adult Autism Waiver is administered by ODP’s Bureau of Autism Services (BAS). To seek services under this Waiver, call 866-539-7689 (voice) and follow the prompts to select the Adult Autism Waiver and then leave a message with the name and contact information of the person wishing to apply and (if different) the name and contact information of the caller. An enrollment coordinator from BAS will be in contact within 14 days to get more information. BAS will send a Status Letter notifying the person seeking services that she or he has been placed in one of two categories: (1) “Priority 1” (meaning individuals are not in Priority 2); or (2) “Priority 2” (meaning individuals who currently live in state-funded or Waiver-funded residential settings, such as ICFs/IID, state hospitals, nursing homes, residential treatment facilities, or mental health residential programs, and individuals enrolled in other HCBS Waiver programs).
The Aging Waiver
The Aging Waiver, also known as the Home and Community-Based Services (HCBS) Aging Waiver, provides older adults in Pennsylvania with the support needed to remain in their homes and communities instead of moving to nursing homes. This program offers a range of services designed to enhance the quality of life for seniors, helping them maintain independence and receive necessary care in a familiar environment.
Community Living Waiver
Functional Eligibility Requirements:
- No age limit for Intellectual disability or autism
- Development disability with a high probability of resulting in an intellectual disability or autism is eligible from 0 through 8
- Require an ICD/ID or ICF/ORC level of Care
Act 150 (State-Funded Program)
Functional Eligibility Requirements:
- Age 18 through 59 (over age 59 conditional)
- Meet the level of care needs for a Skilled Nursing Facility
- Not financially eligible for Medicaid
- Have a medically determinable physical impairment that is expected to last of a continuous period of not less than twelve (12) calendar months or that may result in death
