The county percentage of those served in an Office of Long Term Living (OLTL) waiver (Attendant Care, OBRA, Independence, and Aging) as compared to those served in a Nursing Facility.
Attendant Care/Act 150
If you have a physical disability, the Attendant Care Waiver and state funded Act 150 program may be available to you to continue to live in your home and community with support and services.
Eligibility
To be eligible for Attendant Care Services, you must:
Be a resident of Pennsylvania
Meet the level of care needs for a Skilled Nursing Facility
Be between eighteen (18) and fifty-nine (59) years of age
Be capable of a) hiring, firing, and supervising attendant care worker(s); b) managing your own financial affairs; and c) managing your own legal affairs
For the Medicaid Home and Community Based Waiver Services Attendant Care Program, meet the financial requirements as determined by your local County Assistance Office.
Have a medically determinable physical impairment that is expected to last of a continuous period of not less than twelve (12) calendar months or that may result in death
To take advantage of the Attendant Care Act 150 Program, you may be assessed a minimal co-payment. This co-payment is based on your income and will not be more than the total costs of services
Services that may be available to you include:
Community Transition Services (available only through Medicaid Home and Community Based Waiver Services)
Participant-Directed Community Supports
Participant-Directed Goods and Services
Personal Assistance Services
Personal Emergency Response System (PERS)
Service Coordination

The Omnibus Budget Reconciliation Act (OBRA), also known as the Nursing Home Reform Act of 1987, has dramatically improved the quality of care in the nursing home over the last twenty years by setting forth federal standards of how care should be provided to residents.

Independence Waiver
If you are an adult with a severe physical disability, the Independence Waiver may be able to help you live or remain in the community and remain as independent as possible.
To be eligible for the Independence Waiver you must:
Be a Pennsylvania resident
Be 18-60 - Individuals that turn 60 while in the waiver will be able to continue to receive services through the Independence Waiver.
Individuals who are physically disabled (but not individuals with an intellectual disability or have a major mental disorder as a primary diagnosis, or who are ventilator dependent), who reside in a Nursing Facility (NF) or the community but who have been assessed to require services at the level of nursing facility level of care.
In addition, the disability must result in substantial functional limitations in three or more of the following major life activities:
Self-care, understanding and use of language, learning, mobility, self-direction and/or capacity for independent living.
Meet the financial requirements as determined by your local County Assistance Office.
Services available may include:
Adult Daily Living Services
Accessibility Adaptations, Equipment, Technology and Medical Supplies
Benefits Counseling
Career Assessment
Community Integration
Community Transition Services
Employment Skills Development
Financial Management Services
Home Health
Job Coaching
Job Finding
Non-Medical Transportation
Personal Assistance Services
Personal Emergency Response System (PERS)
Respite
Service Coordination
Therapeutic and Counseling Services

Aging Waiver
Home and Community-Based Services Waiver for Individuals Aged 60 and Older
Aging Home and Community-Based Waiver Services may be available to Pennsylvanians over the age of 60 to enable them to continue to live in their homes and communities with support and services.
To be eligible for the Aging Waiver, you must:
Be a resident of Pennsylvania
Be a U.S. citizen or a qualified Non-citizen
Have a Social Security Number
Be 60 years of age or older
Meet the level of care needs for a Skilled Nursing Facility
Meet financial re