Exciting Reading About Pennsylvania Pennsylvania Public Assitance Waivers and How Lindsay Lohan Does Not Qualify
The Adult Autism waiver was approved and implemented as of July 1, 2008. It expires June 20, 2011.
This waiver allows for autism services regardless of age. This waiver itself places a minimum age of 21 to participate.
The waiver may be applied towards home and community based services, day habilitation, residential habilitation, respite, supported employment, coordination supports, therapies, assistive technology, behavioral specialist services, community inclusion, community transition services, environmental modifications, family counseling, family training, job assessment and job finding, nutritional consultation, temporary crisis, and transitional work services. This effect of this waiver is expected to be cost neutral for the Public Welfare Department (or at least under $100,000 annually over three years).
The total cost of services was expected to be $11,487,563 in the first year (or $57,437 per participant), $19,416,367 in the second year (or $95,178 per participant), and cost $19,992,703 in the third year, Fiscal Year 2011-2012 (or $98,003 per participant).
This waiver is expected to serve a maximum of 200 at any point at a maximum of 204 unduplicated participants over a year (there are eight expected to need services during part of the year with 196 expected to need services all year). A participant would be required to be either low income, a social security insurance recipient, an optional state supplement recipient, or categorically need and/or disabled with an income at or below the Federal poverty level.
A Person / Family Directed Support waiver was originally approved on July 1, 1999, reapproved July 1, 2007, and is scheduled to expire on June 30, 2012.
This waiver provides for home and community habilitation, homemaker / chore, licensed day habilitation, prevocational, respite, supported employment, coordinated support, therapies and nursing, personal support, adaptive appliances and equipment, environmental accessibility adaptation, transitional work, and transportation for mentally retarded participants aged three or more.
A participant would be required to be either low income, a social security insurance recipient, an optional state supplement recipient, and categorically need and/or disabled with an income at or below the Federal poverty level, a working individual on Medicaid (either Basic Coverage or Medical Improvement Coverage Group), medically needy, or a member of a group under the State Plan
This waiver is projected to serve 12,045 in Fiscal Year 2010-11.
This is expected to cost $188,540,633 or $12,045 per participant in Fiscal Year 2011-2012.
A Consolidated waiver was originally approved July 1, 1990, was most recently renewed as of July 1, 2007, and expires on June 30, 2012.This is for supporting people with mental retardation to live independently.
This waiver was expected serve 16,942 to 17,646 unduplicated people maximum annually over its five year period.
The anticipated cost for the last year, Fiscal Year 2011-2012, is to cost $1,499,296,999 (or $17,646 per participant).
A participant would be required to be either low income, a social security insurance recipient, an optional state supplement recipient, and categorically need and/or disabled with an income at or below the Federal poverty level, a working individual on Medicaid (either Basic Coverage or Medical Improvement Coverage Group), medically needy, or a member of a group under the State Plan. Different qualifications exist for some specific types of programs.
A Consolidated waiver was originally approved July 1, 1990, was most recently renewed as of July 1, 2007, and expires as of June 30,2012. This is for mental retardation education support, home and community habilitation, homemaker and chore assistance, licensed day habilitation, prevocational assistance, residential habilitation, respite, supported employment and job finding, home accessibility adaptation, home finding, specialized supplies, transitional work, transportation, and vehicle accessibility adaptations.
This is projected to cost $1,434,277,350 in 2011-2010 (or $81,280 per person). It is expected to serve 17,646 unduplicated people in 2011-2012.
A participant would be required to be either low income, a social security insurance recipient, an optional state supplement recipient, and categorically need and/or disabled with an income at or below the Federal poverty level, a working individual on Medicaid (either Basic Coverage or Medical Improvement Coverage Group), medically needy, or a member of a group under the State Plan.
A Family Planning waiver was originally approved May 11, 2007, implemented June 1, 2007, and is scheduled to expire on June 1, 2012.
This provides for family planning services to women aged 18 to 44 who are at or below 185% of the Federal poverty level and who are not eligible for Medicaid, Medicare, or S-CHIP.
Services that would be provided would include contraception counseling and education, contraceptives, voluntary sterilization, office visits, office examinations, HIV blood screenings, sexually transmitted infection testing, and related laboratory and radiology procedures.
The waiver estimated having serving 119,036 to 126,339 annually at a 2011-2012 cost per participant of $196. For 2011-2012, it is estimated this may cost $24,762,444. These costs are considered cost savings as they should reduce future Medical Assistance prenatal care costs by greater amounts. Other states have estimated net savings per birth averted ranging from $2,632 (New Mexico in 1998-99) to $6,631 (Arkansas in 1998-99). This also targets a population with a higher than average low birth rate and should produce healthier babies at birth.
The state pays for 10% of direct family planning services.
An Attendant Care waiver was originally approved July 1, 1995, reapproved as for July 1, 2008, and is scheduled to expire on June 30, 2013.
This provides for personal assistance, coordination support, fiscal management systems, participant directed community supports, participant directed good and services, community transition, and personal emergency response system s for people aged 18 to 59.
The waiver is expected to serve 9,136 unduplicated people in FY 2011-2012 and 9,834 unduplicated people in FY 201-2013,
This is projected to cost $240,866,499 in Fiscal Year 2011-2012 or $26,364 per participant.
A Home and Community Based Services Aging waiver was approved July 1, 1995, reapproved July 1, 2008, and is scheduled to expire on June 30, 2013.
This provides for adult daily living, home health care, home support, personal care, respite, specialize medical equipment and supplies, fiscal management services, participant directed community supports, participant directed goods and services, community transition, companion, counseling, environmental needs, home delivered meals, personal assistance , personal emergency response systems, teleCare, and transportation for people age 65 and above.
This is expected to serve 12,045 unduplicated participants each year.
A participant would be required to be either low income, a social security insurance recipient, an optional state supplement recipient, and categorically need and/or disabled with an income at or below the Federal poverty level, a working individual on Medicaid (either Basic Coverage or Medical Improvement Coverage Group), medically needy, or a member of a group under the State Plan.
This is projected to cost $194,855,125 or $16,177 per participant in Fiscal Year 2011-2012.
A Medicaid Waiver and Demonstrations List was originally approved on January 1, 1992, was most recently reapproved on January 1, 2010, and is scheduled to expire on January 31, 2014.
This provides for home health services, specialized medical equipment and supplies, nutritional consultation, and personal assistance services to adults with AIDS. These services are provided by the state’s Office of Long Term Living.
This will serve 800 unduplicated people annually.
Eligibility would require a person be low income, a social security insurance recipient, an optional state supplement recipient, a categorically needy elderly or disabled person who is at or below the Federal poverty, a working individual who buys Medicaid (Basic Coverage Group or Medical Improvement Coverage Group), or medically needy.
In Fiscal Year 2011-2012, it is estimated this waiver will cost $1,945,080 or $2,431 per participant.
An Independence waiver was originally granted on July 1, 1997, reapproved July 1, 2010, and expires on June 30, 2015.
This provides for education, personal assistance services, respite, service coordination, supported employment, home health, fiscal management systems, accessibility adaptations / equipment / and medical supplies, adult daily living, community integration, community transition services, non-medical transportation, personal emergency response services, therapeutic, and counseling for physically disabled people aged 18 to 60. These services are provided by the state Office of Long Term Living.
A participant would be required to be either low income, a social security insurance recipient, an optional state supplement recipient, and categorically need and/or disabled with an income at or below the Federal poverty level, a working individual on Medicaid (either Basic Coverage or Medical Improvement Coverage Group), medically needy, or a member of a group under the State Plan.
During Fiscal Year 2011-2012, this waives is forecast to serve 3,221 participants.
In Fiscal Year 2011-2012, it is estimated this waiver will cost $211,954,459 or $42,775 per partipant.
A COMMCARE waiver was originally approved on April 1, 2002, reapproved on July 1, 2010, and is scheduled to expire on June 30, 2015.
This provides for education, personal assistance, prevocational, respite, service coordination, supported employment, home health, fiscal management systems, accessibility adaptations / equipment / technology / medical supplies, adult daily living, community integration, community transition, non-medical transportation, personal emergency response services, residential habilitation, therapeutic and counseling for adult with brain injuries.
An eligible participant must be low income a social security recipient, a recipient of an optional state supplement, a categorically needy elderly or disabled at or below the Federal poverty level, a working individual with Medicaid (Basic Coverage Group or Medical Improvement CoverageO0 and medically needy. It is projected this will serve 706 unduplicated participants during Fiscal Year 2011-2012.
In Fiscal Year 2011-2012, it is projected this will cost $50,630,429 or $71,714 per participant.
Former waivers are the following:
Access Plus (2004-2006) for primary care case management and disease management for children in primarily rural areas.
Health Choices (2002-2006) for primary care, behavioral, specialty, and rehabilitation services in Southeastern and Southwestern Pennsylvania.
Lancaster County Health Plan (2003)
This waiver allows for autism services regardless of age. This waiver itself places a minimum age of 21 to participate.
The waiver may be applied towards home and community based services, day habilitation, residential habilitation, respite, supported employment, coordination supports, therapies, assistive technology, behavioral specialist services, community inclusion, community transition services, environmental modifications, family counseling, family training, job assessment and job finding, nutritional consultation, temporary crisis, and transitional work services. This effect of this waiver is expected to be cost neutral for the Public Welfare Department (or at least under $100,000 annually over three years).
The total cost of services was expected to be $11,487,563 in the first year (or $57,437 per participant), $19,416,367 in the second year (or $95,178 per participant), and cost $19,992,703 in the third year, Fiscal Year 2011-2012 (or $98,003 per participant).
This waiver is expected to serve a maximum of 200 at any point at a maximum of 204 unduplicated participants over a year (there are eight expected to need services during part of the year with 196 expected to need services all year). A participant would be required to be either low income, a social security insurance recipient, an optional state supplement recipient, or categorically need and/or disabled with an income at or below the Federal poverty level.
A Person / Family Directed Support waiver was originally approved on July 1, 1999, reapproved July 1, 2007, and is scheduled to expire on June 30, 2012.
This waiver provides for home and community habilitation, homemaker / chore, licensed day habilitation, prevocational, respite, supported employment, coordinated support, therapies and nursing, personal support, adaptive appliances and equipment, environmental accessibility adaptation, transitional work, and transportation for mentally retarded participants aged three or more.
A participant would be required to be either low income, a social security insurance recipient, an optional state supplement recipient, and categorically need and/or disabled with an income at or below the Federal poverty level, a working individual on Medicaid (either Basic Coverage or Medical Improvement Coverage Group), medically needy, or a member of a group under the State Plan
This waiver is projected to serve 12,045 in Fiscal Year 2010-11.
This is expected to cost $188,540,633 or $12,045 per participant in Fiscal Year 2011-2012.
A Consolidated waiver was originally approved July 1, 1990, was most recently renewed as of July 1, 2007, and expires on June 30, 2012.This is for supporting people with mental retardation to live independently.
This waiver was expected serve 16,942 to 17,646 unduplicated people maximum annually over its five year period.
The anticipated cost for the last year, Fiscal Year 2011-2012, is to cost $1,499,296,999 (or $17,646 per participant).
A participant would be required to be either low income, a social security insurance recipient, an optional state supplement recipient, and categorically need and/or disabled with an income at or below the Federal poverty level, a working individual on Medicaid (either Basic Coverage or Medical Improvement Coverage Group), medically needy, or a member of a group under the State Plan. Different qualifications exist for some specific types of programs.
A Consolidated waiver was originally approved July 1, 1990, was most recently renewed as of July 1, 2007, and expires as of June 30,2012. This is for mental retardation education support, home and community habilitation, homemaker and chore assistance, licensed day habilitation, prevocational assistance, residential habilitation, respite, supported employment and job finding, home accessibility adaptation, home finding, specialized supplies, transitional work, transportation, and vehicle accessibility adaptations.
This is projected to cost $1,434,277,350 in 2011-2010 (or $81,280 per person). It is expected to serve 17,646 unduplicated people in 2011-2012.
A participant would be required to be either low income, a social security insurance recipient, an optional state supplement recipient, and categorically need and/or disabled with an income at or below the Federal poverty level, a working individual on Medicaid (either Basic Coverage or Medical Improvement Coverage Group), medically needy, or a member of a group under the State Plan.
A Family Planning waiver was originally approved May 11, 2007, implemented June 1, 2007, and is scheduled to expire on June 1, 2012.
This provides for family planning services to women aged 18 to 44 who are at or below 185% of the Federal poverty level and who are not eligible for Medicaid, Medicare, or S-CHIP.
Services that would be provided would include contraception counseling and education, contraceptives, voluntary sterilization, office visits, office examinations, HIV blood screenings, sexually transmitted infection testing, and related laboratory and radiology procedures.
The waiver estimated having serving 119,036 to 126,339 annually at a 2011-2012 cost per participant of $196. For 2011-2012, it is estimated this may cost $24,762,444. These costs are considered cost savings as they should reduce future Medical Assistance prenatal care costs by greater amounts. Other states have estimated net savings per birth averted ranging from $2,632 (New Mexico in 1998-99) to $6,631 (Arkansas in 1998-99). This also targets a population with a higher than average low birth rate and should produce healthier babies at birth.
The state pays for 10% of direct family planning services.
An Attendant Care waiver was originally approved July 1, 1995, reapproved as for July 1, 2008, and is scheduled to expire on June 30, 2013.
This provides for personal assistance, coordination support, fiscal management systems, participant directed community supports, participant directed good and services, community transition, and personal emergency response system s for people aged 18 to 59.
The waiver is expected to serve 9,136 unduplicated people in FY 2011-2012 and 9,834 unduplicated people in FY 201-2013,
This is projected to cost $240,866,499 in Fiscal Year 2011-2012 or $26,364 per participant.
A Home and Community Based Services Aging waiver was approved July 1, 1995, reapproved July 1, 2008, and is scheduled to expire on June 30, 2013.
This provides for adult daily living, home health care, home support, personal care, respite, specialize medical equipment and supplies, fiscal management services, participant directed community supports, participant directed goods and services, community transition, companion, counseling, environmental needs, home delivered meals, personal assistance , personal emergency response systems, teleCare, and transportation for people age 65 and above.
This is expected to serve 12,045 unduplicated participants each year.
A participant would be required to be either low income, a social security insurance recipient, an optional state supplement recipient, and categorically need and/or disabled with an income at or below the Federal poverty level, a working individual on Medicaid (either Basic Coverage or Medical Improvement Coverage Group), medically needy, or a member of a group under the State Plan.
This is projected to cost $194,855,125 or $16,177 per participant in Fiscal Year 2011-2012.
A Medicaid Waiver and Demonstrations List was originally approved on January 1, 1992, was most recently reapproved on January 1, 2010, and is scheduled to expire on January 31, 2014.
This provides for home health services, specialized medical equipment and supplies, nutritional consultation, and personal assistance services to adults with AIDS. These services are provided by the state’s Office of Long Term Living.
This will serve 800 unduplicated people annually.
Eligibility would require a person be low income, a social security insurance recipient, an optional state supplement recipient, a categorically needy elderly or disabled person who is at or below the Federal poverty, a working individual who buys Medicaid (Basic Coverage Group or Medical Improvement Coverage Group), or medically needy.
In Fiscal Year 2011-2012, it is estimated this waiver will cost $1,945,080 or $2,431 per participant.
An Independence waiver was originally granted on July 1, 1997, reapproved July 1, 2010, and expires on June 30, 2015.
This provides for education, personal assistance services, respite, service coordination, supported employment, home health, fiscal management systems, accessibility adaptations / equipment / and medical supplies, adult daily living, community integration, community transition services, non-medical transportation, personal emergency response services, therapeutic, and counseling for physically disabled people aged 18 to 60. These services are provided by the state Office of Long Term Living.
A participant would be required to be either low income, a social security insurance recipient, an optional state supplement recipient, and categorically need and/or disabled with an income at or below the Federal poverty level, a working individual on Medicaid (either Basic Coverage or Medical Improvement Coverage Group), medically needy, or a member of a group under the State Plan.
During Fiscal Year 2011-2012, this waives is forecast to serve 3,221 participants.
In Fiscal Year 2011-2012, it is estimated this waiver will cost $211,954,459 or $42,775 per partipant.
A COMMCARE waiver was originally approved on April 1, 2002, reapproved on July 1, 2010, and is scheduled to expire on June 30, 2015.
This provides for education, personal assistance, prevocational, respite, service coordination, supported employment, home health, fiscal management systems, accessibility adaptations / equipment / technology / medical supplies, adult daily living, community integration, community transition, non-medical transportation, personal emergency response services, residential habilitation, therapeutic and counseling for adult with brain injuries.
An eligible participant must be low income a social security recipient, a recipient of an optional state supplement, a categorically needy elderly or disabled at or below the Federal poverty level, a working individual with Medicaid (Basic Coverage Group or Medical Improvement CoverageO0 and medically needy. It is projected this will serve 706 unduplicated participants during Fiscal Year 2011-2012.
In Fiscal Year 2011-2012, it is projected this will cost $50,630,429 or $71,714 per participant.
Former waivers are the following:
Access Plus (2004-2006) for primary care case management and disease management for children in primarily rural areas.
Health Choices (2002-2006) for primary care, behavioral, specialty, and rehabilitation services in Southeastern and Southwestern Pennsylvania.
Lancaster County Health Plan (2003)
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