How To Qualify

In order to be eligible for Home- and Community-Based Services (HCBS) waiver services, one must be 21 years of age or older and a resident of Pennsylvania. Additionally, one must be both clinically eligible and financially eligible.

Income Guidelines for Home- and Community-Based Services (HCBS) waiver services

  • For individual:  Your income must be less than $2,382.00 per month. 
  • If Married: you and your spouse combined income must be less than $3259.50 per month 
  • You cannot have no more than $8,000 in your banking account(s) 
  • If you have an Insurance Policy, Your CASH OUT value can’t be over $8,000 

Are you clinically eligible?

  • Your physician will be sent a form to complete and sign on your behalf.  

Yes, I am clinically and financially eligible. How do I get started?

  • Contact our office @ 267-297-7395 
  • You will be appointed a case manager to guide you through the entire worry free process, and will initiate the application process 

I am clinically eligible; however I am not financially eligible.

  • We do offer private pay services.  
  • Our Private pay pricing is $23.00 per hour and for a couple its 33.00 per hour 4 hour minimum.  
  • The Commonwealth of Pennsylvania offers a wide selection of support services and agencies that may be able to provide help to you if you are not found eligible for in home services through a waiver. Contact us we will talk to you about other programs available. 

If you have any questions or concerns. Please call our office we are happy to assist. Get started today! 

Fill out the form to qualify.

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Patient's information


Emergency Contact

Emergency Contact Name
Emergency Contact Name

Medical History

Check the symptoms that you' re currently experiencing:
Are you currently taking any medications?
Do you have any known medical allergies?
Are you currently under medical treatment?
Have you been admitted to hospital or had surgery within the last 2 years?
Do you use any kind of tobacco or have you ever used them?
Do you use any kind of illegal drugs or have you ever used them?
How often do you consume alcohol?

Family History

Check the conditions that apply to you or any member of your immediate family:
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