Non-Waiver and Waiver Services

 SC Only  Base  PFDSW (Person/Family Direct Support Waiver)  Consolidated Waiver

 Supports Coordinator (SC) will locate, coordinate and monitor needed services.  Locating – helping finding community programs, medical professionals, etc.  Coordination - helping the family navigate other service systems, such as the Medical Assistance system.  Monitor – monitor health and safety.

The Federal Government CMS – Centers for Medicare and Medicaid Services The Commonwealth of PA Both independently and in conjunction with CMS

Person/Family Direct Support Waiver (PFDS/PFDSW) Consolidated Waiver

Person/Family Direct Support Waiver Be age three and older Have a diagnosis of mental retardation Require active treatment Be recommended for an intermediate care facility level of care based on a medical evaluation Determined eligible for Medical Assistance (MA) $2,000 resource limit (does not apply to dependent children under age 21) Income limit 300% of the Federal Benefit Rate Individual cost limit of $30,000 per person per fiscal year (excluding supports coordination) Does not require Office of Developmental Programs licensed community residential services Consolidated Waiver Be age three and older Have a diagnosis of mental retardation Require active treatment Be recommended for an Intermediate Care Facility level of care based on a medical evaluation Determined eligible for Medical Assistance (MA) $2,000 resource limit (does not apply to dependent children under age 21) Income limit 300% of the Federal Benefit Rate

 Services provided by waiver are based on Need.  Need is determined through the PUNS (Prioritization of Urgency of Needs for Services)  PFDSW - all needs must be met under the $30,000 cap (not including Supports Coordination) *no residential services*  Consolidated Waiver – no cap for services

 Supported Living  LifeSharing  Residential  CLA *Waiver funded  ICF/DD *State funded (Oversight by DOH)

OPPORTUNITIES TO EARN MONEY OPPORTUNITIES TO DEVELOP SKILLS  Community Base  Work Activity Center (WAC) pre-vocation  Transitional Employment Programs (TEP)/Enclave  Competitive Employment  Adult Training Facilities (ATF)*  Senior Centers  Adult daycare  Volunteering