Medicaid Waiver Services
in Smock

Quality Care in Smock

Smock families researching how to pay for in-home care often run into the term Medicaid waiver. It is worth understanding what the term actually covers. In Pennsylvania, the waiver framework is an umbrella that includes Community HealthChoices, the Aging Waiver, the OBRA Waiver, and several others. Community HealthChoices, known as CHC, is the program most older adults qualify under today. It funds personal care, companion services, and other home and community-based supports for participants who would otherwise need a nursing facility. Eligibility involves two parts. Financial eligibility is determined by income and asset limits set by Pennsylvania. Clinical eligibility is determined by a nursing-facility level-of-care assessment that looks at how much help the applicant needs with activities of daily living. Both must be met for approval. Applications begin with the state's Independent Enrollment Broker, Maximus. The phone number is 1-877-550-4227. Maximus completes a screening, schedules an in-home clinical assessment, and coordinates the financial determination with the County Assistance Office. Once approved, the participant selects a managed care plan from the CHC organizations operating in Fayette County and chooses a home care provider. Care Solutions is enrolled in the CHC network and serves waiver participants. We coordinate with the service coordinator assigned by the managed care plan and begin services when authorization is issued. Call (412) 341-7780. We serve Smock, Uniontown, and the rural communities of Fayette County.

Pennsylvania Medicaid Waiver programs allow eligible individuals to receive long-term care services in their homes and communities instead of in institutional settings. Our dedicated team in Smock ensures you receive personalized, high-quality care.