SERVICES IN THE DEVELOPMENTAL DISABILITIES (DD) SYSTEM

Non-Waiver and Waiver Services

FOUR CATEGORIES OF INDIVIDUALS IN THE DD SYSTEM

SC Only Base PFDSW (Person/Family Direct Support

Waiver) Consolidated Waiver

SC ONLY AND BASE Supports Coordinator (SC) will locate,

coordinate and monitor needed services. Locating – helping finding community

programs, medical professionals, etc. Coordination - helping the family navigate

other service systems, such as the Medical Assistance system.

Monitor – monitor health and safety.

SOURCES OF FUNDING

The Federal Government

CMS – Centers for Medicare and

Medicaid Services

The Commonwealth of PA

Both independently and

in conjunction with CMS

WAIVER FUNDING

Person/Family Direct Support Waiver (PFDS/PFDSW)Consolidated Waiver

WAIVER ELIGIBILITYPerson/Family Direct Support

Waiver

• Be age three and older• Have a diagnosis of mental retardation• Require active treatment• Be recommended for an intermediate care facility level of care based on a medical evaluation• Determined eligible for Medical Assistance (MA)• $2,000 resource limit (does not apply to dependent children under age 21)• Income limit 300% of the Federal Benefit Rate

• Individual cost limit of $30,000 per person per fiscal year (excluding supports coordination)• Does not require Office of Developmental Programs licensed community residential services

Consolidated Waiver

• Be age three and older• Have a diagnosis of mental retardation• Require active treatment• Be recommended for an Intermediate Care Facility level of care based on a medical evaluation• Determined eligible for Medical Assistance (MA)• $2,000 resource limit (does not apply to dependent children under age 21)• Income limit 300% of the Federal Benefit Rate

WAIVER FUNDING Services provided by waiver are based on

Need. Need is determined through the PUNS

(Prioritization of Urgency of Needs for Services) PFDSW - all needs must be met under the

$30,000 cap (not including Supports Coordination) *no residential services*

Consolidated Waiver – no cap for services

WHAT SERVICES CAN WAIVER FUNDS BUY?

transportationhousin

g

Habilitation/

Companion

job coaching

nursing

day programs

respite

Assistive Technology

home adaptation

s

vehicle adaptations

HOUSING/RESIDENTIAL

Supported Living LifeSharing Residential

CLA *Waiver funded ICF/DD *State funded (Oversight by DOH)

DAY PROGRAMS/EMPLOYMENTOPPORTUNITIES TO EARN MONEY

OPPORTUNITIES TO DEVELOP SKILLS

Community Base Work Activity Center

(WAC) pre-vocation Transitional

Employment Programs (TEP)/Enclave

Competitive Employment

Adult Training Facilities (ATF)*

Senior Centers Adult daycare Volunteering

QUESTIONS