It’s All About Self Care
It all begins with an idea.
What Are Home and Community-Based Services (HCBS)?
Home and Community-Based Services (HCBS) are available in all fifty states across the United States. This federally funded Medicaid program provides long-term services and supports (LTSS) that allow individuals to receive care in their own homes and communities rather than in institutional settings.
Funds are distributed through each state’s Managed Care Organizations (MCOs) and waiver programs. The goal of HCBS is to enhance quality of life by supporting independence, dignity, and inclusion for individuals who require long-term care.
Who Can Benefit From HCBS?
HCBS serves a wide range of populations, including:
Individuals with developmental and intellectual disabilities
Individuals with mental health conditions
People with physical disabilities
Individuals living with HIV/AIDS
People with Autism Spectrum Disorder
HCBS in Pennsylvania
In Pennsylvania, there are currently 12 HCBS programs. Each program has its own requirements and criteria. To qualify, applicants must meet both income and health guidelines, which vary depending on the program. Importantly, eligibility requires being considered “nursing home eligible.” This does not mean you must enter a nursing home—it simply means your health status requires long-term care. HCBS makes it possible to receive that care in your home and community instead.
Examples of HCBS Supports and Services
Services provided through HCBS can be tailored to meet individual needs. Examples include:
Employment Services (job search, job coaching, and retention support)
In-Home and Community Supports
Personal Assistance Services
Companion Services
Respite Care
Community Participation Supports
Skilled Nursing
Therapies (physical, occupational, speech, etc.)
Behavioral Supports
Assistive Technology
Home and Vehicle Accessibility Adaptations
Transportation Assistance
Life Sharing Programs
Supported Living
Adult Day Services
Home Health Care
Counseling
Specialized Medical Equipment and Supplies
Environmental Modifications
Home-Delivered Meals
Personal Emergency Response Systems (PERS)
How to Apply
If you or a loved one is in need of these services, you can apply through your local County Assistance Office or online through COMPASS.
You can also reach out to Regina Hutchings at 215-901-9701 for guidance and support navigating the process.
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