All Abilities staff has developed this list of frequently asked questions to help guide you through understanding our services. If you have a question that you would like to have answered, please contact us.
Answer: Service Coordination is a service that assists individuals who receive Office of Long-Term Living (OLTL) waiver funds in gaining access to needed waiver services and other State Medicaid Plan services, as well as medical, social and other services regardless of the funding source. Service Coordination also includes: completion of needs assessments, advocacy, arranging for services from local resources, and coordination of services so a participant can realize and work towards his/her identified goals for living independently in the community.
Answer: The eligibility guidelines for services indicate a person must be a resident of Pennsylvania and an adult 18 years or older. All Abilities provides service coordination for individuals who are physically disabled or with a severe developmental physical disability residing in the community or a Nursing Facility and who require care in three or more major life activities including self-care, understanding and use of language, learning, mobility, self-direction and Independent Living. Participants must also meet financial eligibility requirements.
Answer: For those applicants with physical disabilities who are at least 18 years of age, you may contact the PA Independent Enrollment Broker at 1.877.550.4227 to discuss enrollment. Once you are found eligible for services, All Abilities, Inc. can be selected as your Service Coordination provider.
Answer: The following services are coordinated by All Abilities’ Service Coordinators:
- Ensuring the LOC Determination are performed annually by AAA by sending the appropriate paperwork
- Maintaining current documentation of the participant’s eligibility for waiver services, copies of the participant’s Individual Service Plan (ISP) and service plan addendum, financial data and related information
- Providing information and assistance to participants regarding self-direction of services
- Informing participants of rights, responsibilities and liabilities when choosing a service model
- Monitoring the health and welfare of the participant and the quality of services provided to the participant through personal visits at a minimum of twice per year, telephone calls at least quarterly or as defined in the service plan – monitoring can be more frequent, but not less frequent than specified in this definition
- Providing information to the participant and direct service providers regarding the type, scope, amount, duration, and frequency of waiver services
- Working with the participant to develop a comprehensive person centered service plan – including risk identification and strategies to mitigate those risks– that meets their needs, preferences and goals
- Reviewing and updating the service plan at least once a year or more frequently, if the needs of the participant change
- Ensuring that services are provided as prescribed and delivered appropriately to meet the participant’s needs
- Assisting participants in gaining access to needed state plan and HCBS services, as well as needed medical, social, educational and other services, regardless of the funding source
- Tracking and conducting ongoing review of service delivery
- Documenting and recordkeeping including contacts with individuals, families and providers
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Question: What are Support Services Waivers – or waiver?
Answer: Waiver is a term for the Medicaid Home and Community Based Waiver Program. This program provides funding for supports and services to help you to live in your home and community. Waivers offer an array of services and benefits such as choice of qualified providers, due process and health and safety assurances.
The name waiver comes from the fact that the federal government "waives" Medical Assistance/Medicaid rules for institutional care in order for Pennsylvania to use the same funds to provide supports and services for people closer to home in their own communities.
In Pennsylvania, the Department of Human Services administers 10 Medical Assistance/Medicaid waivers. Each waiver has its own unique set of eligibility requirements and services. For more information on each waiver, click here
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Question: How does my service coordinator determine what services I need
Answer: Once you are determine eligible for a waiver and you are enrolled in the program, your Service Coordinator will schedule an Initial Visit. During the Initial Visit with All Abilities, the Service Coordinator will ask questions regarding the tasks and level of care needed in the participant’s home and/or community. The Service Coordinator will inform the participant of the services available under the waiver in which he/she is eligible and assess whether any other services may benefit the participant. The Service Coordinator will develop an Individualized Service Plan with the participant that identifies the services needed, the provider of the services, and the amount of services needed.
Answer: All Abilities, Inc. provides Service Coordination Services in 27 counties, which covers the Southwest and Northwest Regions of Pennsylvania.
Answer: The Medicaid Home and Community Based Waiver Program through the Pennsylvania Department of Human Services, Office of Long Term Living (OLTL) provides funding for supports and services to help you to live in your home and community.
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Question: What is a Service Coordinator’s role?
Answer: Service Coordinators work with the participant whenever possible to identify, coordinate, and facilitate all necessary services needed in order to remain living in their home and community.
Answer: Home Modifications (Adaptations) and Non-Medical Transportation Services
Answer: Home Adaptations are physical adaptations to the private residence of the participant, as specified in the participant's individual service plan (ISP) and determined necessary in accordance with the participant’s assessment, to ensure the health, welfare and safety of the participant, to make the home more accessible to the participant, and enable the participant to function with greater independence in the home. This includes primary egress into and out of the home, facilitating personal hygiene, and the ability to access common shared areas within the home. Home Adaptations consist of installation, repair, maintenance, permits, necessary inspections, extended warranties for the adaptations.
Answer: Non-Medical Transportation (NMT) services are services offered in order to enable individuals served on the waiver reduce isolation and to gain access to waiver and other community activities and resources, specified by the plan of care/service plan. All Abilities bills for coordination and monitoring of the NMT service and is a pass through for payment. However, this can be a direct billing with a vendor or a pass through vendor such as All Abilities.
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Question: How do I select All Abilities as my Service Coordination provider?
Answer: During the application process, two home visits occur - one with Area Agency on Aging and one with Maximus. During the second visit, Maximus will provide the applicant with a list of Service Coordination agencies in the applicant’s respective county. The applicant will be asked to choose three (3) Service Coordination agencies and rank the agencies by preference. Referrals to these top three agencies will be sent in the preferred order. Once a referral is accepted, the applicant will be contacted directly by that Service Coordination agency.
Answer: You can contact All Abilities, Inc. at 724-420-5291. You can also contact us by completing the electronic contact us form. We will respond to your question or request promptly.