Medicaid waiver
Community HealthChoices (CHC)
Checked
- Who qualifies
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People 21 or older enrolled in Medicaid who qualify for long-term services and supports through Medicaid because they need the level of care a nursing facility provides. Services at home include personal assistance services, participant-directed community supports and respite.
People with an intellectual or developmental disability who receive services beyond supports coordination through the Office of Developmental Programs, and residents of state-operated nursing facilities, are not eligible.
Source: Apply for Community HealthChoices (CHC) (Pennsylvania Department of Human Services)Checked
- Can a family member be paid
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Yes. Yes. Family members can provide Respite, Personal Assistance Services and Participant-Directed Community Supports, except the participant's spouse, legal guardian, Representative Payee or Power of Attorney. Family members must meet the same provider qualification standards as other direct care workers.
A service plan with more than 40 hours a week of these services from one person, family or not, must be reviewed and approved by the CHC managed care organization.
- Can a spouse be paid
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No. No. The CHC Waiver will not pay for services furnished by the participant's spouse.
- Can a legal guardian be paid
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No. No. The CHC Waiver will not pay for services furnished by a legal guardian, a Representative Payee or a Power of Attorney.
- Pay rate
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In the participant-directed model, the participant is the common-law employer, and the fiscal/employer agent pays the direct care worker at the rate the employer established.