We welcome Attorney Jill Fisher, Esquire, as an expert contributor on compliance issues. Read this article in the July 2009 Counterpoint, the Official Publication of the Pennsylvania Defense Institute "ADA Amendments Act - What you NEED to know!" written by leading experts Janet Fiore, CEO and Jill Fisher, Esquire.

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Understanding Medicaid Waivers


The following list of Waivers are available for eligible individuals in Pennsylvania.

Attendant Care / Act 150

Information for mentally-alert Pennsylvanians with physical disabilities. The purpose of the Pennsylvania Attendant Care Program is to enable individuals with physical disabilities to perform activities of daily living. Consumers have ultimate control of their attendant care services including the right to recruit, hire, train, supervise, pay and, if necessary, terminate their attendants.

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COMMCARE Waiver

Home and community-based program developed for individuals who experience a medically determinable diagnosis of traumatic brain injury. The COMMCARE Waiver is a Home and Community-Based program developed for individuals with a medically determined diagnosis of traumatic brain injury (TBI). COMMCARE prevents the institutionalization of individuals with TBI and helps them to remain as independent as possible.

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Community Choice

Community Choice is a new way to help people with disabilities of all ages and older adults to enroll in Home and Community Based Services (such as Attendant Care and CSPPPD) within three days if needed. Community Choice helps people to live in their homes and avoid going into nursing homes by giving them faster access to services. Community Choice is also available to people who are moving from nursing homes back into their communities. Currently, Community Choice is available only in Chester / Delaware, Cumberland, Dauphin, Fayette, Greene, Montgomery, Perry, Philadelphia and Washington Counties in Pennsylvania on a trial basis.

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Community Services Program for Persons with Physical Disabilities (CSPPPD)

The Community Services Program for Persons with Physical Disabilities (CSPPPD) provides services to people with severe developmental physical disabilities, such as cerebral palsy, epilepsy, or similar conditions. Individuals must have an other related condition which manifests at least three sub stan tial functional limitations in the areas of mobility, communication, self-care, learning, self-direction, or capacity for independent living.

Within this family of Waivers exist two sub-types that are defined briefly below – great detail is supplied on the link for this section.

The OBRA Waiver services include adult day, assistive technology, community integration, community transition, daily living, educational services, environmental adaptations, personal emergency response system, prevocational services, respite, service coordination, supported employment services, transportation as well as therapies (behavioral, occupational, speech and physical) and visiting nurse above state plan maximums.

Independence Waiver Services include assistive technology, community integration, community transition, daily living, educational services, environmental adaptations, personal emergency response system, respite, service coordination, transportation as well as therapies (behavioral, occupational, speech and physical) and visiting nurse above state plan maximums.

The following providers supply CSPPPD services for the counties outlined:

United Disabilities Services

1901 Olde Homestead Lane P.O. BOX 10485
Lancaster, PA 17605-0485

CSPPPD Program Manager: 717-397-1841 or 800-995-9581

UDS Covers the Following Counties: Adams, Allegheny, Armstrong, Beaver, Bedford, Blair, Butler, Cambria, Cameron, Centre, Clarion, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Elk, Erie, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Indiana, Jefferson, Juniata, Lancaster, Lawrence, Lebanon, Lycoming, McKean, Mercer, Mifflin, Montour, Northumberland, Perry, Potter, Snyder, Somerset, Union, Venango, Warren, Washington, Westmoreland, and York

Liberty Resources, Inc.

714 Market St.,
Philadelphia, PA 19106

CSPPPD Program Manager: 215-634-2000 or 888-634-2155
LRI Covers the Following Counties: Berks, Bradford, Carbon, Chester, Delaware, Lackawanna, Bucks, Luzerne, Monroe, Montgomery, Northampton, Lehigh, Philadelphia, Pike, Schuylkill, Sullivan, Susquehanna, Tioga, Wayne, and Wyoming

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Consolidated Waiver for Individuals with Intellectual Disabilities

The Consolidated Waiver for Individuals with Intellectual Disabilities provides services to eligible persons with mental retardation so that they can remain in the community. Services can include environmental accessibility adaptations, habilitation services (residential, day, prevocational, supported employment services, homemaker/chore services, adaptive equipment), permanency planning, respite care, specialized therapy, transportation services, and the provision of visiting nurses.

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Independence Waiver

Home and community based waiver program that provides services to persons with physical disabilities to allow them to live in the community and remain as independent as possible. Pennsylvanians ages 18 and older with a severe physical disability requiring a nursing facility level of care are potentially eligible. The disability must result in substantial functional limitations in three or more of the following major life activities: mobility, communication, self-care, self-direction, capacity for independent living, and learning.

The following providers supply INDEPENDENCE services for the counties outlined:

United Disabilities Services

1901 Olde Homestead Lane P.O. BOX 10485
Lancaster, PA 17605-0485

CSPPPD Program Manager: 717-397-1841 or 800-995-9581

UDS Covers the Following Counties: Adams, Allegheny, Armstrong, Beaver, Bedford, Blair, Butler, Cambria, Cameron, Centre, Clarion, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Elk, Erie, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Indiana, Jefferson, Juniata, Lancaster, Lawrence, Lebanon, Lycoming, McKean, Mercer, Mifflin, Montour, Northumberland, Perry, Potter, Snyder, Somerset, Union, Venango, Warren, Washington, Westmoreland, and York

Liberty Resources, Inc.

714 Market St, Suite 100
Philadelphia, PA 19106

CSPPPD Program Manager: 215-634-2000 or 888-634-2155

LRI Covers the Following Counties: Berks, Bradford, Carbon, Chester, Delaware, Lackawanna, Bucks, Luzerne, Monroe, Montgomery, Northampton, Lehigh, Philadelphia, Pike, Schuylkill, Sullivan, Susquehanna, Tioga, Wayne, and Wyoming

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Person/Family Directed Support Waiver

Person/Family Directed Support Waiver provides services to eligible persons with mental retardation so that they can remain in the community.

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