If you have a physical disability, the state-funded Act 150 program may be available to you to continue to live in your home and community with support and services.

Eligibility is based on a level of care assessment, a financial eligibility determination and program eligibility

To be eligible for Act 150 Services, you must:

• Be a resident of Pennsylvania
• Meet the level of care needs for a Skilled Nursing Facility 
• Be between eighteen (18) and fifty-nine (59) years of age
• Be capable of a) hiring, firing, and supervising attendant care worker(s); b) managing your own financial affairs; and c) managing your own legal affairs
• Be capable of directing your own care
  
• Have a medically determinable physical impairment that is expected to last of a continuous period of not less than twelve (12) calendar months or that may result in death
• Proceed through the eligibility process for the Medicaid (MA) program and be determined financially ineligible
• To take advantage of the Act 150 Program, you may be assessed a minimal co-payment. This co-payment is based on your income and will not be more than the total costs of services

 Learn More

• View the Current Act 150 Guidelines

The OBRA Waiver is a Home and Community Based Waiver program that may help you if you have a developmental physical disability to allow you to live in the community and remain as independent as possible.

To be eligible, you must be:

• A resident of Pennsylvania.
• Age 18-59. Individuals who turn age 60 while in the waiver are able to continue to receive services through the OBRA Waiver until services are no longer needed. New applicants age 60 and older wil be referred to other programs.
  
• Have a severe developmental physical disability requiring an Intermediate Care Facility/Other Related Conditions (ICF/ORC) level of care.
• The disability must result in substantial functional limitations in three or more of the following major life activities:
• Self-care, communication, learning, mobility, self-direction and capacity for independent living.
• Meet the financial requirements as determined by your local County Assistance Office.

Other related conditions (ORCs) include physical, sensory, or neurological disabilities which manifested before age 22 and are likely to continue indefinitely.

• Personal Care
• Homemaking Care
• Meal Prep and Feeding
• Reminders
• Errands
• Companion Care
• Fall Prevention
• Transfers / Mobility Assistance
• Grocery Shopping
• Transportation and Escorting to appointments

View the Current OBRA Waiver