Medicaid HCBS Waiver in Reading, Pennsylvania

What is Medicaid HCBS Waiver?

Home and Community-Based Services (HCBS) waivers allow Medicaid to pay for home care, personal assistance, and support services instead of nursing home care. These waivers enable elderly and disabled individuals to remain in their homes and communities while receiving the care they need. Each state administers its own HCBS waiver programs with different names and eligibility requirements, but all share the common goal of supporting aging in place.

In Pennsylvania, this program is known as Pennsylvania OBRA Waiver / CHC Program. Pennsylvania's Community HealthChoices (CHC) program is the managed long-term care program for eligible Pennsylvanians. It covers personal care assistance, home health, adult day services, and other HCBS.

Eligibility Requirements in Pennsylvania

How to Apply in Reading, Pennsylvania

1. Contact Pennsylvania Department of Human Services at (717) 705-8218 to begin the application process
2. Request a functional eligibility assessment
3. Gather financial documentation (tax returns, bank statements, Social Security award letter)
4. Complete the Medicaid application through your state's portal or in person
5. If approved, work with a care coordinator to develop your care plan
6. Online application: You can start the application process online at Pennsylvania Department of Human Services's website.

Your local Area Agency on Aging - the Berks County Area Agency on Aging at (610) 478-6500 - can also help you navigate the application process at no charge.

Frequently Asked Questions About Medicaid HCBS Waiver in Reading

• What is the income limit for Pennsylvania OBRA Waiver / CHC Program in Pennsylvania?
  In Pennsylvania, the income limit for Pennsylvania OBRA Waiver / CHC Program is typically $2,742/month for a single person and $5,484/month for a married couple. Some income may be disregarded in calculations.
• How long is the waitlist for Pennsylvania OBRA Waiver / CHC Program in Pennsylvania?
  Waitlist times vary significantly. Contact Pennsylvania Department of Human Services at (717) 705-8218 for current waitlist status. Some states have open enrollment while others have waitlists of several months to years.
• What services does Pennsylvania OBRA Waiver / CHC Program cover in Pennsylvania?
  Covered services typically include personal care assistance, homemaker services, adult day health services, respite care, home health aide services, and skilled nursing visits. Specific services vary by program.
• Can I keep my Medicare coverage while on Pennsylvania OBRA Waiver / CHC Program?
  Yes. Medicaid HCBS waivers supplement but do not replace Medicare coverage. You may qualify for both programs simultaneously if you meet eligibility requirements for each.
• How are Medicaid assets calculated in Pennsylvania?
  In Pennsylvania, asset limits for Medicaid are typically $2,000 for an individual. Your primary home, one vehicle, personal belongings, and certain other assets may be exempt from this calculation.

Other Subsidies Available in Reading

Medicaid Waiver in Other Pennsylvania Cities