Am I eligible for services?
The eligibility guidelines for services indicates you 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 requirements.
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 provider.
When you select All Abilities as your provider, you are selecting a local and trusted service coordination provider who will help you develop the best plan for your unique needs and will partner with you every step of the way.
Step 1 – Contact PA Independent Enrollment Broker (PA IEB)
Contact the PA Independent Enrollment Broker (PA IEB)
- Find out more about Home and Community Based Waiver Services.
- Tell PA IEB you want to apply for waiver services.
If you have Medical Assistance, PA IEB starts your waiver application when you contact them.
Step 2 – Fill out Medical Assistance Forms
Fill out Medical Assistance forms if you do not have Medical Assistance
- Go to compass.state.pa.usand fill out the forms online, or
- Ask PA IEB to mail you the forms. Fill out the forms and mail them back to PA IEB.
If you do not have Medical Assistance, PA IEB starts your waiver application when they receive your forms.
Step 3 – Physician’s Certification Form
- Once PA IEB starts your waiver application, they send a Physician’s Certification Form to your doctor.
- Your doctor fills out the form and returns it to PA IEB.
- If PA IEB does not get the form back, they ask you to remind your doctor.
Have your first in-home visit
Once PA IEB starts your waiver application, they send a request to the Area Agency on Aging (AAA).
- AAA contacts you to schedule your first in-home visit.
- At your in-home visit, a person from AAA assesses your “clinical eligibility”—whether you qualify for waiver services based on the care you need. This is called a “Clinical Eligibility Determination.”
- After your in-home visit, AAA sends your Clinical Eligibility Determination to PA IEB.
PA IEB must receive both documents within 30 days after they start your waiver application.
Step 4 – Second Home Visit
Have your second in-home visit
- Once PA IEB has your Clinical Eligibility Determination and Physician’s Certification Form, they contact you. They schedule your second in-home visit.
- At your in-home visit, a person from PA IEB asks about your needs and abilities to see if waiver services or other programs will meet your needs.
- After your in-home visit, PA IEB sends your application to the County Assistance Office.
Step 5 – Send missing information to the County Assistance Office
Send missing information to the County Assistance Office
- The County Assistance Office (CAO) reviews your waiver application to see if you qualify financially.
- If any information is missing, CAO contacts you. They tell you how to send information to them.
- Once your application is complete, CAO approves or denies your application. They send a notice to you, PA IEB and your chosen Service Coordination Agency.
A decision about whether you qualify will be sent to you within 60 days after PA IEB starts your waiver application. If you do not get a decision within 90 days, you can ask for a fair hearing.
If the waiver application is approved, you are enrolled in Home and Community Based Waiver Services
If your waiver application is denied and you disagree with the decision, you can ask for a fair hearing.