MEDICARE WAIVER PROGRAM
Premier Choice Service Coordination Agency is approved by the OLTL (Office of Long-Term Living) to provide services for the following programs.
Attendant Care/ACT 150 Program
This program provides services to eligible persons with physical disabilities in order to prevent institutionalization and allows them to remain as independent as possible.
Eligibility: For Attendant Care program, recipients must be between the ages 18–59, physically disabled, mentally alert, and eligible for nursing facility services. For ACT 150 Program, recipients either do not meet the level of care for a federally supported waiver or do not meet the financial limitations for the Attendant Care Waiver.
Aging Waiver (Formerly PDA Waiver/Bridge Program)
This program provides services to eligible persons over the age of 60 in order to prevent institutionalization and allows them to remain as independent as possible.
Eligibility: Recipients must be 60 years of age or older, meet the level of care needs for a Skilled Nursing Facility, and meet the financial requirements as determined by the County Assistance Office (CAO).
Community Care Waiver (COMMCARE)
This program was designed to prevent institutionalization of individuals with traumatic brain injury (TBI) and to allow them to remain as independent as possible.
Eligibility: Pennsylvania residents age 21 and older who experience a medically determinable diagnosis of traumatic brain injury and require a Special Rehabilitative Facility (SRF) level of care. Traumatic brain injury is defined as a sudden insult to the brain or its coverings, not of a degenerative, congenital or postoperative nature, which is expected to last indefinitely.
Independence Waiver
This program provides services to eligible persons with physical disabilities in order to prevent institutionalization and allows them to remain as independent as possible.
Eligibility: Recipients must be 18 years of age and older, suffer from severe physical disability which is likely to continue indefinitely and results in substantial functional limitations in three or more major life activities. Recipients must be eligible for nursing facility services, the primary diagnosis cannot be a mental health diagnosis or mental retardation, and the recipients cannot be ventilator dependent.
Omnibus Budget Reconciliation Act Waiver (OBRA Waiver)
Also known as the Community Services Program for Persons with Disabilities, provides services to persons with developmental disabilities so that they can live in the community and remain as independent as possible (this includes relocating or diverting individuals from a nursing home to a community setting).
Eligibility: Recipients must be developmentally disabled, the disability manifests itself before age 22, and the disability is likely to continue indefinitely which results in substantial functional limitations in three or more major life activities. The recipient can be a nursing facility resident determined to be inappropriately placed. The primary diagnosis cannot be a mental health diagnosis or mental retardation and community residents who meet ICF/ORC level of care (high need for habilitation services) may be eligible.