DRAFT FY1416 SPIL FOR PENNSYLVANIA

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1 State Plan for Independent Living (SPIL) for Pennsylvania for General Information Designated Agency Identification State: Pennsylvania Agency: and Industry Pennsylvania Office of Vocational Rehabilitation - Dept of Labor Plan for: Submitted in fiscal year: 2013 View grant H169A in the Grant Award screen. Part I: Assurances Section 1: Legal Basis and Certifications 1.1 The designated State unit (DSU) eligible to submit the State Plan for Independent Living (SPIL or the plan) and authorized under State law to perform the functions of the State under the State Independent Living Services (SILS) and Centers for Independent Living (CIL) programs. PA OVR 1.2 The separate State agency eligible to submit the plan and authorized under State law to provide vocational rehabilitation (VR) services to individuals who are blind. NA 1.3 The Statewide Independent Living Council (SILC) that meets the requirements of section 705 of the Act and is authorized to perform the functions outlined in section 705(c) of the Act in the State. PASILC 1.4 The DSU and, if applicable, the separate State agency authorized to provide VR services to individuals who are blind, and the SILC are authorized to jointly develop, sign and submit this SPIL on behalf of the State, and have adopted or otherwise formally approved the SPIL. 1.5 The DSU, and, if applicable, the separate State agency authorized to provide VR services to individuals who are blind, may legally carry out each provision of the plan and will comply with all applicable Federal statutes and regulations in effect with respect to the three-year period it receives funding under the SPIL. No 1.6 The SPIL is the basis for State operation and administration of the program. All provisions of the SPIL are consistent with State law. Page 1

2 1.7 The representative of the DSU and, if applicable, of the separate State agency authorized to provide VR services to individuals who are blind, who has the authority under State law to receive, hold, and disburse Federal funds made available under the SPIL and to submit the SPIL jointly with the SILC Section 2: SPIL Development 2.1 The plan shall be reviewed and revised not less than once every three years, to ensure the existence of appropriate planning, financial support and coordination, and other assistance to appropriately address, on a statewide and comprehensive basis, the needs in the State for: The provision of State independent living services; The development and support of a statewide network of centers for independent living; Working relationships between programs providing independent living services and independent living centers, the vocational rehabilitation program established under title I, and other programs providing services for individuals with disabilities. 2.2 The DSU and SILC conduct public meetings to provide all segments of the public, including interested groups, organizations and individuals, an opportunity to comment on the State plan prior to its submission to the Commissioner and on any revisions to the approved State plan. 2.3 The DSU and SILC establish and maintain a written description of procedures for conducting public meetings in accordance with the following requirements. The DSU and SILC shall provide: appropriate and sufficient notice of the public meetings; reasonable accommodation to individuals with disabilities who rely on alternative modes of communication in the conduct of the public meetings, including providing sign language interpreters and audio-loops; and public meeting notices, written material provided prior to or at the public meetings, and the approved State plan in accessible formats for individuals who rely on alternative modes of communication. 2.4 At the public meetings to develop the State plan, the DSU and SILC identify those provisions in the SPIL that are State-imposed requirements beyond what would be required to comply with the regulations in 34 CFR parts 364, 365, 366, and 367. Page 2

3 2.5 The DSU will seek to incorporate into, and describe in, the State plan any new methods or approaches for the provision of IL services to older individuals who are blind that are developed under a project funded under chapter 2 of title VII of the Act and that the DSU determines to be effective. 2.6 The DSU and SILC actively consult, as appropriate, in the development of the State plan with the director of the Client Assistance Program (CAP) authorized under section 112 of the Act. Section 3: Independent Living Services 3.1 The State, directly or through grants or contracts, will provide IL services with Federal, State, or other funds 3.2 Independent living services shall be provided to individuals with significant disabilities in accordance with an independent living plan mutually agreed upon by an appropriate staff member of the service provider and the individual, unless the individual signs a waiver stating that such a plan is unnecessary. 3.3 All service providers will use formats that are accessible to notify individuals seeking or receiving IL services under chapter 1 of title VII about: the availability of the CAP authorized by section 112 of the Act; the purposes of the services provided under the CAP; and how to contact the CAP. 3.4 Participating service providers meet all applicable State licensure or certification requirements. Section 4: Eligibility 4.1 Any individual with a significant disability, as defined in 34 CFR 364.4(b), is eligible for IL services under the SILS and CIL programs authorized under chapter 1 of title VII of the Act. Any individual may seek information about IL services under these programs and request referral to other services and programs for individuals with significant disabilities, as appropriate. The determination of an individual's eligibility for IL services under the SILS and CIL programs meets the requirements of 34 CFR Page 3

4 4.2 Service providers apply eligibility requirements without regard to age, color, creed, gender, national origin, race, religion or type of significant disability of the individual applying for IL services. 4.3 Service providers do not impose any State or local residence requirement that excludes any individual who is present in the State and who is otherwise eligible for IL services from receiving IL services. Section 5: Staffing Requirements 5.1 Service provider staff includes personnel who are specialists in the development and provision of IL services and in the development and support of centers. 5.2 To the maximum extent feasible, a service provider makes available personnel able to communicate: with individuals with significant disabilities who rely on alternative modes of communication, such as manual communication, nonverbal communication, nonverbal communication devices, Braille or audio tapes, and who apply for or receive IL services under title VII of the Act; and in the native languages of individuals with significant disabilities whose English proficiency is limited and who apply for or receive IL services under title VII of the Act. 5.3 Service providers establish and maintain a program of staff development for all classes of positions involved in providing IL services and, if appropriate, in administering the CIL program. The staff development programs emphasize improving the skills of staff directly responsible for the provision of IL services, including knowledge of and practice in the IL philosophy. 5.4 All recipients of financial assistance under parts B and C of chapter 1 of title VII of the Act will take affirmative action to employ and advance in employment qualified individuals with significant disabilities on the same terms and conditions required with respect to the employment of individuals with disabilities under section 503 of the Act. Section 6: Fiscal Control and Fund Accounting Page 4

5 6.1 All recipients of financial assistance under parts B and C of chapter 1 of title VII of the Act will comply with applicable EDGAR fiscal and accounting requirements and will adopt those fiscal control and fund accounting procedures as may be necessary to ensure the proper disbursement of and accounting for those funds. Section 7: Recordkeeping, Access and Reporting 7.1 In addition to complying with applicable EDGAR recordkeeping requirements, all recipients of financial assistance under parts B and C of chapter 1 of title VII of the Act will maintain records that fully disclose and document: the amount and disposition by the recipient of that financial assistance; The total cost of the project or undertaking in connection with which the financial assistance is given or used; the amount of that portion of the cost of the project or undertaking supplied by other sources; compliance with the requirements of chapter 1 of title VII of the Act and Part 364 of the regulations; and other information that the Commissioner determines to be appropriate to facilitate an effective audit. 7.2 With respect to the records that are required by 34 CFR , all recipients of financial assistance under parts B and C of chapter 1 of title VII of the Act will submit reports that the Commissioner determines to be appropriate. 7.3 All recipients of financial assistance under parts B and C of chapter 1 of title VII of the Act will provide access to the Commissioner and the Comptroller General, or any of their duly authorized representatives, to the records listed in 34 CFR for the purpose of conducting audits, examinations, and compliance reviews. Section 8: Protection, Use and Release of Personal Information 8.1 Each service provider will adopt and implement policies and procedures to safeguard the confidentiality of all personal information, including photographs and lists of names in accordance with the requirements of 34 CFR (a)(1-6). Page 5

6 Section 9: Signatures As the authorized signatories, we will sign, date and retain in the files of the state agency(ies) and the Statewide Independent Living Council the Part I: Assurances, 1-8, and the separate Certification of Lobbying forms ED (available in MS Word and PDF formats) for the state independent living program (Part B) and the centers for independent living program (Part C). The effective date of this SPIL is October 1, Part II: Narrative: Section 1 - Goals, Objectives and Activities Section 1: Goals, Objectives and Activities 1.1 Goals and Mission Describe the overall goals and mission of the State's IL programs and services. The SPIL must address the goals and mission of both the SILS and the CIL programs, including those of the State agency for individuals who are blind as they relate to the parts of the SPIL administered by that agency. Goal Name: Empowerment of the Youth Goal Description: It is the mission of the IL Program in Pennsylvania to empower individuals with disabilities to have the opportunity to choose to live independently. To develop mechanisms that promotes the empowerment of youth to be fully participating citizens in their communities. Lead Organization: Awardee of the YSI contracts Key Partners: DSU, PASILC Funding Source: Title VII, Part B Goal Name: Systems Change Goal Description: To target and impact existing systems that serve people with disabilities to increase independent living options or access. Lead Organization: Awardee of the SCB contracts Key Partners: DSU, PASILC Page 6

7 Funding Source: Title VII, Part B Goal Name: Improve Availability and Access to Independent Living Opportunities Goal Description: To empower individuals with disabilities to participate in systems change activities to improve availability and access to independent living opportunities Lead Organization: CILs Key Partners: DSU, PASILC Funding Source: Title VII, Part B Goal Name: Outreach to the Deaf-Blind Community Goal Description: Increase outreach and services to unserved and underserved persons who are both deaf and blind. Lead Organization: Awardee of the contract(s) Key Partners: DSU, PASILC Funding Source: Title VII, Part B, Social Security Funds 1.2 Objectives 1.2A. Specify the objectives to be achieved and the time frame for achieving them. Goal(s) from Section 1.1 Empowerment of the Youth Objective to be achieved Continue to develop and expand peer training and support the network for the targeted population. Lead Organization: Awardee of the YSI contracts Key Partners: DSU, PASILC Funding Source: Title VII, Part B Time frame start date Time frame end date 10/01/ /30/2014 Empowerment of the Youth Provide for a statewide youth leadership network coordinator to identify existing groups, resources, support activities, and gaps. 10/01/ /30/2014 Page 7

8 Systems Change Improve Availability and Access to Independent Living Opportunities Continue a series of pilot projects through a grant process to positively impact areas that will increase independent living options and access. Lead Organization: Awardee of the SCB contracts Key Partners: DSU, PASILC Funding Source: Title VII, Part B Aligning with the Statewide Network of Centers for Independent Living, empower individuals with disabilities by capturing their voices to identify local systems change priorities, based upon gaps in independent living opportunities. Activities: Successful applicants will identify, organize and support at least one new or existing local empowerment group. Develop and implement a local advocacy communication plan to collect and share education or action alerts focused on local systems change priority to be distributed at least six times per quarter. Empower local group members and CIL staff assigned to project, to join or develop 20 local partnerships to the identified systems change issue to empower the voice of individuals Empower local group members and CIL staff assigned to project, to organize and/or participate in at least ten public education activities per quarter, focused on local systems change priority. Empower local group members and CIL staff assigned to project, to organize and/or participate in at least ten grassroots advocacy activities, focused on local systems change 10/01/ /30/ /01/ /30/2016 Page 8

9 priority. Improve Availability and Access to Independent Living Opportunities Outreach to the Deaf- Blind Community Empower local group members and CIL staff assigned to project, to organize and/or participate in at least ten oral or written public testimonies, statements or letters, focused on local systems change priority. Receive and share educational or action alerts focused on statewide and national systems change to be communicated with local empowerment groups. Share and communicate local systems change priorities and activities with OVR, PASILC, and the Network of Centers for Independent Living, to identify education and action priorities at the state and national levels. Develop projects, aligning with the Statewide Network of Centers for Independent Living, through a grant process to positively impact areas that will increase independent living opportunities, based upon identified local systems change priority. Lead Organization: CILs Key Partners: DSU, PASILC Funding Source: Title VII, Part B Year 1: DSU and SILC will collect data and have dialog about gaps of services and solicit input from stakeholders. SILC and DSU will identify systems issues and meet with other stakeholders to increase access to existing services. SILC and the DSU will assess needs and gaps. SILC and the DSU will develop RFP and 10/01/ /30/ /01/ /30/2016 Page 9

10 award up to 3 grant(s) to begin in year 2. Year 2: DSU, with SILC participation, will lead coordination of implementation by up to 3 grant recipient(s). Successful applicant(s) will identify approximately 50 individuals statewide to be targeted by this goal. At least 50% of the target group will be identified to receive new services or assistance. Grantee(s) will begin initiating local meetings to address gaps. Grantee(s) in partnership with DSU and SILC will collect data and have dialog about gaps of services and solicit input from stakeholders. Grantee(s) will advocate to increase access to support services providers DSU and SILC will develop a monitoring tool for the grant recipient(s). Year 3: All members of the target group will be educated and offered at least one new service not previously available to them. Monitoring results and outcome measures will be analyzed for replication in other geographic areas. Planning will be completed to sustain services. Analyze the reports collected for the locals meetings and develop a systems change plan. Grantee(s) will share best outreach practices with DSU, SILC and CILs Page 10

11 1.2 Objectives 1.2B Describe the steps planned regarding outreach to populations in the State that are unserved or underserved by programs under title VII, including minority groups and urban and rural populations. Identify the populations to be designated for targeted outreach efforts Pennsylvania is a state with 2.1 millions persons with disabilities living in large metropolitan areas medium sized cities and rural agricultural communities. Due to the vast differences in the population it is necessary to determine where the designated population resides. 1. Deaf / Hard of Hearing 2. Latinos with disabilities 3. Disabled youths as they transition from school to adulthood and/or ideally to employment or further education. 4. Traumatic brain injuries. 5. Underserved populations under aged 25 and over aged Autism 7. Blind & visually impaired 8. Deaf/ Blind Identify the geographic areas (i.e., communities) in which the targeted populations reside With each goal the PASILC will work with the Lead Organization and Key Partners to identify the specific geographic area for implementation of the objectives and activities to reach the identified unserved/underserved population. Describe how the needs of individuals with significant disabilities from minority group backgrounds will be addressed The PASILC believes that plans for outreach to individuals with significant disabilities from minority group backgrounds are best handled at the local level. Strategies that CILs may consider for implementation include: 1. Work with county officials, disability organizations, and other local contacts in underserved counties 2. Work with community organizations serving underserved disability types (i.e. mental illness blind and deaf), minority (i.e. Latino, African American or Native American). 3. Recruit board and staff members from underserved disability types and/or minority groups. 4. Promote outreach activities in nursing homes or other institutions serving individuals with significant disabilities. Page 11

12 1.3 Financial Plan Describe in sections 1.3A and 1.3B, below, the financial plan for the use of Federal and non- Federal funds to meet the SPIL objectives. 1.3A Financial Plan Tables Complete the financial plan tables covering years 1, 2 and 3 of this SPIL. For each funding source, provide estimated dollar amounts anticipated for the applicable uses. The financial plan table should include only those funding sources and amounts that are intended to support one or more of the objectives identified in section 1.2 of the SPIL. To the extent possible, the tables and narratives must reflect the applicable financial information from centers for independent living. Refer to the SPIL Instructions for additional information about completing the financial tables and narratives. Year Approximate funding amounts and uses Sources SILC resource plan IL services General CIL operations Other SPIL activities Title VII Funds Title VII Funds Chapter 1, Part B Title VII Funds Chapter 1, Part C Title VII Funds Chapter 2, OIB (only those provided by the OIB grantee to further a SPIL objective) Other Federal funds - Sec. 101(a)(18) of the Act (Innovation and Expansion) Other Federal funds - other Non-Federal funds - State funds Non-Federal funds - Other ARRA Funds Part C Total Year Page 12

13 Approximate funding amounts and uses Sources SILC resource plan IL services General CIL operations Other SPIL activities Title VII Funds Title VII Funds Chapter 1, Part B Title VII Funds Chapter 1, Part C Title VII Funds Chapter 2, OIB (only those provided by the OIB grantee to further a SPIL objective) Other Federal funds - Sec. 101(a)(18) of the Act (Innovation and Expansion) Other Federal funds - other Non-Federal funds - State funds Non-Federal funds - Other ARRA Funds Part C Total Year Approximate funding amounts and uses Sources Title VII Funds SILC resource plan IL services General CIL operations Other SPIL activities Title VII Funds Chapter 1, Part B Title VII Funds Chapter 1, Part C Title VII Funds Chapter 2, OIB (only those provided by the OIB grantee to further a SPIL objective) Other Federal funds - Sec. 101(a)(18) of the Act (Innovation and Expansion) Page 13

14 Other Federal funds - other Non-Federal funds - State funds Non-Federal funds - Other ARRA Funds Part C Total B Financial Plan Narratives 1.3B(1) Specify how the part B, part C and chapter 2 (Older Blind) funds, if applicable, will further the SPIL objectives. NA 1.3B(2) Describe efforts to coordinate Federal and State funding for centers and IL services, including the amounts, sources and purposes of the funding to be coordinated. The DSU develops and manages all grants to the PASILC and state-funded CILS. The DSU also manages the funds distribution in accordance with commonwealth policies and procedures. While it is necessary to maintain separate funding streams, the DSU and PASILC work cooperatively to assure consistency of services, based on local needs, statewide irrespective of whether a CIL is state-funded or Part C funded. 1.3B(3) Describe any in-kind resources including plant, equipment or services to be provided in support of the SILC resource plan, IL services, general CIL operations and/or other SPIL objectives. NA 1.3B(4) Provide any additional information about the financial plan, as appropriate. In year 1, goals will be continued from previous SPIL. For years 2 and 3 of this SPIL the DSU plans to redirect a portion of its reimbursements from SSA to the goal and objectives related to increased/improved services to persons who are deafblind. The balance of the budget will be funded through Part B projects designation. $50,000 per year. Year 2 and 3: Goal: Improve Availability and Access to Independent Living Opportunities Page 14

15 Methods: Provide funding to all 18 CILs in PA. Part B funds allocated for Independent Living services in the amount of $316, to be divided equally to the CILs in the amount of $17,558 Abilities In Motion Anthracite Region CIL Center for Independent Living Opportunities CIL of Bucks County CIL of Central Pa CIL of South Central PA Community Resource for Independence Disability Empowerment Center Disability Options Freedom Valley Disability Enablement Lehigh Valley Center for Independent Living Liberty Resources Life & Independence for PA Northeast PA Center for Independent Life Road to Freedom CIL of North Central PA Three Rivers CIL Services Tri-County Patriots for Independent Living Voices for Independence 1.4 Compatibility with Chapter 1 of Title VII and the CIL Work Plans 1.4A Describe how the SPIL objectives are consistent with and further the purpose of chapter 1 of title VII of the Act as stated in section 701 of the Act and 34 CFR SPIL objectives are consistent with the purpose of the act and constitute a full spectrum of initiatives. For example, Goal 1: To develop mechanisms that promotes the empowerment of youth to be fully participating citizens in their communities. Similarly, the other enumerated goals, developed by, with and for members of Pennsylvania s disability community, promote and implement the philosophy and action that all citizens must have all the benefits that society offers along with the means and preparations to meet all the responsibilities that society requires. 1.4B Describe how, in developing the SPIL objectives, the DSU and the SILC considered and incorporated, where appropriate, the priorities and objectives established by centers for independent living under section 725(c)(4) of the Act. The PASILC and DSU worked together throughout the SPIL development process by holding regular face to face meetings as well as teleconference calls. Goals were developed as a committee based on comments received from two public Page 15

16 forums, public hearings and SPIL trainings. The PASILC and DSU incorporated SPIL writing with the CIL association in order to consider the planning of all parties. 1.5 Cooperation, Coordination, and Working Relationships Among Various Entities Describe the steps that will be taken to maximize the cooperation, coordination and working relationships among the SILS program, the SILC, and centers; the DSU, other State agencies represented on the SILC and other councils that address the needs of specific disability populations and issues; and other public and private entities determined to be appropriate by the SILC. The description must identify the entities with which the DSU and the SILC will cooperate and coordinate. Employment: Increase employment options and opportunities for individuals with disabilities. Objective: Discuss with OVR along with state and federal public policymakers for realignment of existing vocational programs and increased funding for employment services that lead to job creation and supported employment. Activities: Contact the National Disability Rights Network (NDRN), National Council on Independent Living (NCIL) and all Statewide Independent Living Councils to determine the scope of the social issues. Implement communications strategy in coordination with State Rehabilitation Council (SRC), and other interested stakeholders to promote the message to the public and to policymakers that people with disabilities want to work. Outcome: Develop a statewide strategy that would serve as a model to drive changes in national law with the US Department of Labor Office of Disability Employment Policy (ODEP). Funding Source: Existing SILC budget Key Partners: National Disability Rights Network (NDRN), National Council for Independent Living (NCIL), Statewide Independent Live Councils (SILCs) and PA Rehabilitation Council (PaRC) Transportation: Promote increased access to accessible affordable public transportation for citizens with disabilities in Pa. Emergency Preparedness: Insure that People with Disabilities are Included in Emergency Preparedness Activities. Page 16

17 Objective: PASILC will continue to work with federal, state, and local administrative agencies in coordination, education and outreach. Activities: Provide input and coordinate with Governor s office on future natural disasters. Communicate disability-related input to Pennsylvania Emergency Management Division. Continue to provide disability-related input to Pennsylvania Department of Health (Public Health Emergency and Response Preparedness). PASILC works closely with many of the Statewide Partners on policy issues through PASILC committees, as participants on external advisory committees, advocacy alerts, campaigns, and resource sharing on grassroots efforts. Frequently partner with other statewide disability organizations on coordinating events. PASILC continues to build relationships with the administration by inviting them to address council members at quarterly board meetings. This collaboration enables the statewide partners to share information with their local chapters, and in turn the PASILC will share information with the 18 CILs and PCIL to maximize the relationship statewide. The PASILC will have quarterly meetings with the DSU staff responsible for independent living programs and share pertinent information on a regular basis. The PASILC will begin and/or continue to coordinate with state agencies including but not limited to: Statewide Coalitions/Organizations/Advisory groups: The Pennsylvania Mental Health Consumers Association Pennsylvania Coalition Against Rape (PCAR) Pennsylvania Coalition Against Domestic Violence (PCADV) Disability Right Network of Pennsylvania (DRN) The Arc of Pennsylvania Client Assistance Program (CAP) Pennsylvania Assistive Technology Foundation State Agencies (outside OVR): Department of Aging Department of Community & Economic Development (DCED) Department of Public Welfare (DPW) Department of Transportation (PENNDOT) Developmental Disabilities (DD) Council Pennsylvania Housing & Finance Agency (PHFA) Pennsylvania Human Relations Commission (PHRC) Department of Education Department of Health National Organizations: National Council on Independent Living (NCIL) Page 17

18 National Council on Disabilities (NCD) Association of Programs for Rural Independent Living (APRIL) Federal Agencies: Housing & Urban Development (HUD) United States Department of Agriculture Rural Development-Rural Housing (USDA RD RH) Center for Medicare & Medicaid (CMS) Health & Human Services Administration (HHS) 1.6 Coordination of Services Describe how IL services funded under chapter 1 of title VII of the Act will be coordinated with and complement other services to avoid unnecessary duplication with other Federal, State, and local programs, including the OIB program authorized by chapter 2 of title VII of the Act, that provide IL- or VR-related services. The IL Program provides services and coordinates services provided by partner organizations. Because CILs meet the local needs of the community they serve they are often the first place that people with disabilities go to get information and referral on services they need regardless of provider. Below are programs that are not funded or administered by IL or VR. However, they are services that are IL related that are coordinated for maximum benefit for each consumer: Home and Community Based Services programs under the Department of Public Welfare (DPW) for individuals with mental health disorders, intellectual disabilities (ID) and /or other developmental disabilities (DD): Office of Mental Health & Substance Abuse Services (OMHSAS) Office of Developmental Programs (ODP-formerly Office of Mental Retardation or OMR) Services that are under County Mental Health and Intellectual Disabilities or independently contract with DPW include: Case Management/Independent Supports Coordination Family Support Services Vocational Rehabilitation Early Intervention Residential Supports Page 18

19 Adult Development Training Community services or supports: Infants, Toddlers and Families (ITF) Waiver- Provides habilitation services to children with intellectual disabilities and other developmental disabilities in need of early intervention services from birth until their third birthday who would otherwise need as the level of care provided in an Intermediate Care Facility (ICF) Consolidated Waiver (Intellectual Disability (ID) Services)- Provides respite care, habilitation, environmental accessibility adaptations, transportation, homemaker/chore services, nursing and specialized therapies to individuals with intellectual disabilities 3 years and older Person/Family Directed Support Waiver ((PFDS) for ID Services) Provides 11 community services to individuals age 3 and over who meet ICF/MR level of care, but do not require licensed intellectual disabilities community residential services Autism Waiver- This covers adults with autism ages 21 and older Adult Community Autism Program (ACAP-non waiver autism program)- This currently exists in 4 counties: Dauphin, Cumberland, Lancaster and Chester with future expansion possible. DPW-Office of Long Term Living (OLTL) programs: Act 150 (Attendant Care-non-waiver-under age 60) Serves individuals with physical disabilities who are mentally alert and between the ages of 18-59; no age of onset restriction who are not eligible for Medicaid Waivers currently. At this time, this program does not include Home Modifications as an available support. Aging (PDA) Waiver Provides service alternatives to elderly people with disabilities age 60 and over who have been assessed as being medically and financially qualified for nursing facility services Attendant Care Waiver (Ages 18-59) - Serves individuals with physical disabilities who are mentally alert and between the ages of 18-59; no age of onset restriction. Services include supports coordination, attendant care and personal emergency response system to individuals with either physical or other disabilities in this age group. At this time, this does not include Home Modifications as an available support. Community Care COMMCARE- Waiver- Home and Community Based program developed for individuals who experience medically determinable diagnosis of traumatic brain injury. Array of services includes case management, personal care, respite, habilitation (prevocational, supported employment and educational services), environmental adaptations, non-medical transportation, specialized medical equipment, supplies, and assistive technology, chore, personal emergency response system, physical therapy, occupational therapy, speech, Page 19

20 coaching/cueing, night supervision, structured day program, behavioral specialist, cognitive therapy, counseling, community integration, for individuals 21 and older Independence Waiver (formerly Office of Social Programs (OSP) Independence Waiver) Serves individuals with other related conditions ; eligible at age 18; no age of onset restriction; provides 12 community services: service coordination, daily living, respite, environmental access, special medical equipment and supplies, personal emergency response system, physical therapy, occupational therapy, speech, hearing language to adults with disabilities. Independence Waiver also provides community transition, allows families to provide daily living services and removes requirements that families obtain 3 bids for purchase of environmental modifications and assistive technology special medical equipment. Omnibus Budget Reconciliation Act (OBRA) Waiver Provides 13 community services; Prior to age 22 federally restricted age of onset restriction; include supports are: service coordination/resource management, daily living, respite, adult day services, habilitation, education and supported employment, community integration, environmental access adaption, transportation, personal emergency response system, physical therapy, occupational therapy, speech/language and visiting nurse services to individuals with developmental disabilities with other conditions /severe chronic diseases who do not have an intellectual disability or a major mental health disorder as a primary diagnosis. Department of Aging programs: Aging (PDA) Waiver Provides service alternatives to elderly people with disabilities age 60 and over who have been assessed as being medically and financially qualified for nursing facility services. Notes: Intellectual Disabilities (ID) is used in place of mental retardation (changes now a part of state and federal statutes). Michael Dallas Waiver no longer exists; participants were merged into other programs, as was the case with the Elwyn Waiver. At this time, Pennsylvania does not have an Assisted Living (AL) Waiver and there are limited AL residences. DPW is now in charge of most licensing for long term care facilities which now come under their Bureau for Human Services Licensing (BHSL). Office of Medical Assistance Programs (OMAP): AIDS / HIV Waiver Provides services to individuals with a diagnosis of HIV or AIDS related complex; no age limit. Services covered AIDS / HIV Waiver do not include Home Modifications Long Term Care Capitation Assistance Provides lifetime services to elderly, disabled individuals who are medically and financially qualified for nursing home services Medical Assistance Transportation Program (MATP)- This is a county-based program that provides transportation to medical services for Medical Assistance, OR MA, consumers who do not have other transportation available to them. The county will provide the type of Page 20

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