Eligibility for CHC Medicaid waiver
In order to be eligible for CHC 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. Clinically eligible means that the person is determined to be eligible through evaluation of one’s needs from a medical perspective. Financially eligible means having very limited income and resources.
Applicants must require a nursing home level of care or be eligible for both Medicaid and Medicare to be deemed eligible for the program. In medical terms of the program that means the person gets a formal assessment and is nursing facility clinically eligible (NFCE).
The process for determining if someone is clinically eligible can be somewhat complex. However, it follows these general guidelines:
- The individual has an illness, injury, disability, or medical condition diagnosed by a physician and
- As a result of that diagnosed illness, injury, disability or medical condition, the individual requires care and services above the level of room and board, and
- A physician certifies that the individual is NFCE(Nursing Facility Clinically Eligible), and
- The care and services are either Skilled Nursing or Rehabilitation Services (For example, a nursing home) or health-related care and services that may not be as complex as Skilled Nursing or Rehabilitation Services, but which are needed and provided on a regular basis through medical and technical personnel.
View Our Full List of Services under Office of Long Term Living(OLTL) and Home and Community Based Services(HCBS)
The goal of Care & Help Home Care LLC’s experienced staff is to provide a high level of care to your loved one from the comfort of his or her home so they can enjoy a higher quality of life. Because each home care plan is tailored based upon individual needs, our caregivers are able to assist with various tasks. From preparing lunch to playing board games, Care & Help Home Care caregivers are here to help.
Use this Form Only if you need help applying for Waiver Services
Eligible Insurance Providers
A Trustworthy Home Care Provider
Care & Help Home Care, LLC is a home care provider serving the greater Philadelphia area through a network of highly experienced professionals in various fields of patient care, who coordinate and provide premium non-skilled, non-medical services to clients in the comfort of their own home. We encourage you to join our growing team so you can be paid to provide care for your loved ones and increase their quality of life.
Care & Help Home Care has partnered with the Pennsylvania Department of Human Services to increase opportunities for older Pennsylvanians and individuals with physical disabilities to remain in their homes. Learn more about the benefits of joining our team.