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Enrolling Medicaid Home Care Program

The Home and Community-Based Services (HCBS) enrollment process has recently been updated to streamline the process and make it easier for individuals to access needed services. Here's a breakdown of the current steps:

Step 01

Eligibility Check:

Determine if you meet the eligibility criteria for Pennsylvania Medicaid. Eligibility is typically based on factors such as income, assets, age, disability, and citizenship status.
Applications Of Home Care
Application
Step 02

Application Submission:

Obtain an application form for Medicaid or HCBS from the County Assistance Office, or you can apply online through the COMPASS website (Commonwealth of Pennsylvania Access to Social Services). Complete the form accurately and provide all necessary documentation.
Step 03

Assessment and Evaluation:

After submitting your application, a caseworker or representative from the County Assistance Office will conduct an assessment or evaluation to determine your need for home care services. They will assess your medical condition, level of disability, and the type of assistance required.
Community Nursing Services
Community Nursing Program
Step 04

Plan of Care:

Based on the assessment, a personalized plan of care will be developed. This plan outlines the specific services and supports you are eligible to receive under the Medicaid Home Care Program. It may include services such as personal care, skilled nursing, therapy, and more.
Step 05

Provider Selection:

Once your plan of care is established, you can choose a provider or agency that participates in the Medicaid program and offers the services you require. The provider must be approved by Pennsylvania Medicaid to deliver home care services.
Community Nursing Program
Personal Home Care Services
Step 06

Approval and Start of Services:

After provider selection, your plan of care needs approval from Pennsylvania Medicaid. Once approved, home care services can commence based on the agreed-upon schedule and requirements outlined in your plan.
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