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and avert immediate threat to life

OBRA Home and Community-Based Waiver

Provides services to people with developmental physical disabilities to allow them to live in the community and remain as independent as possible

* Pennsylvania residents age 18 and older with substantial functional limitations in three or more of the following major life activities: mobility, communication, self-care, self-direction, capacity for independent living, and learning

* Other related conditions (ORCs) include physical, sensory, or neurological disabilities which manifested before age 22

* A limited number of individuals with an Autism Spectrum Disorder diagnosis can be served under the OBRA Waiver

Pennsylvania Department of Aging (PDA) Waiver

The PDA Waiver provides nursing facility eligible Pennsylvanians age 60 or older, services to live independently in their homes and communities

Person/Family Directed Support Waiver

The Person/Family Directed Support Waiver provides services to eligible persons with mental retardation so that they can remain in the community

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Appendix I: Special Health Conditions Programs & Clinics


The Pennsylvania Department of Health will reimburse medical care providers for medical services provided to eligible Pennsylvania residents who do not have the financial resources or health insurance coverage to enable them to access these services. Medical Payment Services are available to children and adults with the following conditions:

Services for Individuals under 22 years of age children and youth:

* Cardiac

* Child Rehabilitation

* Cleft Palate

* Galactosemia

* Hearing and Speech Impairment

* Orthopedic

* Maple Syrup Urine Disease (MSUD)

* Phenylketonuria (PKU)

* Ventilator Dependency

Any Age:

* Cooley’s Anemia

* Cystic Fibrosis

* Hemophilia

* Sickle Cell Disease

* Spina Bifida

* Chronic Renal Disease

Over 21 Years of Age:

* Traumatic Brain Injury

Services: Reimbursed services are limited by condition, but may include inpatient, outpatient, specialized therapies, laboratory, radiology, medications, medical equipment, supplies, and care coordination

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