Pennsylvania offers Home and Community-Based Services (HCBS) Waivers to support individuals who prefer long-term care in their homes or communities instead of institutional settings. Designed under federal guidelines, these waivers enhance flexibility and choice in care, providing essential services such as:

- Selection of qualified service providers

- Protection of due process rights

- Assurance of health and safety standards

The term "waiver" indicates that the federal government allows states to bypass certain Medicaid regulations related to institutional care, enabling funds to be redirected toward home and community services.

The Pennsylvania Department of Human Services administers several Medical Assistance/Medicaid waivers tailored to different needs, including:

- Adult Autism Waiver (AAW)

-Community Living Waiver

- Consolidated Waiver

- Person/Family Directed Support Waiver

For detailed information on eligibility and the specific services offered under each waiver, please visit the [Office of Developmental Programs website](https://www.dhs.pa.gov/about/DHS-Information/Pages/Waiver-Information.aspx).

County MH/ID offices are crucial in determining eligibility for services. If you are found eligible, a supports coordinator will be assigned to you to:

- Discuss the support options and services available

- Assist with your application for the Medicaid Home and Community-Based Waiver Program

- Enroll you in necessary services

- Help develop your personalized support plan

- Connect you with community agencies and resources, including EmPowered Horizons

- Coordinate and oversee your support services.

To begin the application process for waiver services, contact your local County Mental Health/Intellectual Disabilities (MH/ID) office. If you are unsure of the location, the Department of Human Services, Office of Developmental Programs can assist you at 1-888-565-9435.

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