Page Reviewed / Updated - Feb. 2019
A new managed care waiver program, Community HealthChoices (CHC), will impact individuals who are currently enrolled in the Pennsylvania Department of Aging (PDA) Medicaid Waiver. This program, which began in January 2018, isrolling out in three phases, and includes mandatory enrollment from PDA to CHC. The first phase (Southwestern PA) has already been completed, the second phase (Southeastern PA) began in January 2019, and the third phase (the rest of the state) will begin in January 2020. However, the same long-term care services provided by PDA will be provided by CHC. To learn more about CHC, click here.The Pennsylvania Department of Aging (PDA) Medicaid Waiver provides home and community based services (HCBS) to seniors who require nursing facility care but elect to live and receive care in their own homes or in other community living arrangements, such as a Domiciliary Care Home. This waiver is also referred to as the PA Council of Aging Waiver, the PDA Waiver, the Office of Long Term Living (OLTL) Waiver, and the Home and Community-Based Waiver for Individuals Aged 60 and Over. The program's objective is not just to reduce nursing home admissions, but also to help seniors to function independently in their homes. As such, several services are covered in addition to the basic personal care services. Support is available to help family members caring for loved ones, such as adult day care and respite care. The program also pays for home medical equipment and minor home modifications to improve home access (wheelchair ramps, stair glides) and home safety (walk-in bathtubs, safety bars). Under the PDA Waiver, certain goods, supports, and services can be participant-directed, or said another way, self-directed. This means the individual chooses from whom they purchase goods or care services. Participants in this waiver can elect to have even greater control of their care providers by requesting their services through the Services My Way Program.