The Omnibus Budget Reconciliation Act (OBRA) Waiver is a Pennsylvania Home and Community-Based Services (HCBS) program for adults with developmental physical disabilities. The OBRA Waiver provides services that help eligible individuals live independently in their homes and communities rather than in institutional settings such as nursing facilities.

The program supports individuals who require assistance with daily activities, personal care, and other services that promote independence and community participation.

• Must be a resident of Pennsylvania
   
• Must be between the ages of 18 and 59
   
• Must have a developmental physical disability that occurred before age 22
   
• Must meet the Intermediate Care Facility/Other Related Conditions (ICF/ORC) level of care
   
• Must have substantial functional limitations related to the disability
   
• Must meet Medical Assistance (Medicaid) financial eligibility requirements

The Act 150 Attendant Care Program is a Pennsylvania state-funded program that provides services to adults with physical disabilities who do not qualify for Medical Assistance. The program is designed to help individuals remain independent in their homes and communities by providing assistance with activities of daily living.

Act 150 services allow individuals to receive personal assistance and support so they can maintain independence, participate in their communities, and avoid unnecessary institutional placement.

• Must be a resident of Pennsylvania
   
• Must be between the ages of 18 and 59
   
• Must have a physical disability that substantially limits independent living
   
• Must require assistance with Activities of Daily Living (ADLs) such as bathing, dressing, mobility, or meal preparation
   
• Must be financially ineligible for Medical Assistance (Medicaid)

Community HealthChoices (CHC) is Pennsylvania’s Medicaid managed care program for individuals who need long-term services and supports. The program provides home and community-based services to eligible individuals so they can receive care in their homes and communities rather than in institutional settings such as nursing facilities.

Through Community HealthChoices, participants can access a variety of services designed to support independence, improve quality of life, and help individuals remain safely in their homes.

These services are coordinated through managed care organizations and may include personal assistance, home modifications, assistive technology, service coordination, and other supports that help individuals maintain independence in the community.

• Must be a resident of Pennsylvania
   
• Must be 21 years of age or older
   
• Must qualify for Medical Assistance (Medicaid)
   
• Must meet the Nursing Facility Level of Care (NFLOC) determination
   
• Must require long-term services and supports (LTSS) to safely live in the community or transition from a nursing facility
   
• Must be enrolled in a Community HealthChoices managed care organization