Answers about HCBS, OLTL, and getting started

Home and Community-Based Services (HCBS), administered through Pennsylvania's Office of Long-Term Living (OLTL), help eligible individuals receive care at home or in the community instead of a nursing facility. Services are funded by Pennsylvania Medicaid.

Both are Pennsylvania Medicaid programs that pay for home-based care, but they serve different populations. The OLTL (Office of Long-Term Living) waiver, part of HCBS, supports older adults and adults with physical disabilities who need help with daily living. The ODP (Office of Developmental Programs) waiver funds services for individuals with intellectual disabilities and autism through the Consolidated, Community Living, P/FDS, or Base-Funded waivers. Prestige Home Care is an approved provider under both.

Yes. If your loved one doesn't have Medicaid, or Medicaid covers only some of the hours they need, Prestige Home Care offers private pay home care. We send trained, screened caregivers to your home to help with personal care, mobility, meal preparation, light housekeeping and companionship. Call (717) 750-1980 to talk about your family's needs.

Medicare is federal health insurance that generally covers short-term, medically necessary skilled care, like a nurse or physical therapist after a hospital stay, but it does not pay for ongoing, non-medical help with daily activities. Medicaid, through Pennsylvania's HCBS waiver programs (OLTL and ODP), is what funds the kind of long-term, non-skilled support Prestige Home Care provides: personal care, companionship, meal preparation, and more, delivered in your own home.

You may be eligible if you:

• Are 18 years or older
• Live in Pennsylvania
• Have Pennsylvania Medicaid
• Need assistance with daily activities due to age, disability, or chronic illness
• Meet nursing facility level of care requirements

Eligibility is determined by Independent Enrollment Brokers (IEB) and OLTL.

Prestige Home Care serves participants enrolled in the Community HealthChoices (CHC) Waiver. Availability may vary by county — contact us to confirm coverage in your area.

For eligible Medicaid participants, services are typically covered at no cost.

The process generally includes:

• Contacting the Independent Enrollment Broker (IEB)
• Completing a functional eligibility assessment
• Choosing a Managed Care Organization (MCO)
• Selecting Prestige Home Care as your provider

We can assist you every step of the way.

Approval timelines vary, but typically take 30–90 days, depending on completion of paperwork, assessment scheduling, and Medicaid eligibility status.

Yes. Many OLTL participants can choose a family member or trusted individual to be their paid caregiver through participant-directed services, as long as program requirements are met. Prestige Home Care helps guide families through this process.

Yes. OLTL programs emphasize participant choice and independence. You may:

• Choose your caregiver and agency
• Change caregivers if needed
• Help create your service plan

The Office of Developmental Programs (ODP) waiver is a Pennsylvania Medicaid program that funds in-home and community support services for individuals with intellectual disabilities and autism. It's a separate track from the OLTL/HCBS programs above, so if you or a loved one has an intellectual disability or autism diagnosis, the ODP waiver is likely the program that applies to you.

We're an approved provider under Pennsylvania's ODP Consolidated, Community Living, P/FDS, and Base-Funded waivers.

ODP waivers are for Pennsylvania residents with an intellectual disability or autism diagnosis, enrolled through their county's Administrative Entity under one of the Consolidated, Community Living, P/FDS, or Base-Funded waivers. Enrollment and level of care are determined by the county Administrative Entity and the Office of Developmental Programs, not by Prestige Home Care directly.

If you're not yet enrolled, start with your county's Administrative Entity for Intellectual Disability/Autism services — they can walk you through eligibility and enrollment. If you or a loved one is already enrolled in an ODP waiver, you can choose Prestige Home Care as your provider by letting your Supports Coordinator know, and we're happy to help with that conversation.

A Supports Coordinator (SC) helps individuals enrolled in Pennsylvania's ODP waivers plan and manage their services, including choosing a provider like Prestige Home Care. If you're already enrolled in an ODP waiver, you were assigned a Supports Coordinator through your county's Administrative Entity. If you're not yet enrolled, reach out to us and we can help point you toward the right first step.

We offer non-medical home care services, including:

• Personal care (bathing, dressing, grooming)
• Help with daily activities (ADLs & IADLs)
• Meal preparation and feeding assistance
• Light housekeeping
• Companionship and supervision
• Mobility and transfer assistance
• Respite care for family caregivers

ADLs (Activities of Daily Living) are basic self-care tasks like bathing, dressing, toileting, and mobility. IADLs (Instrumental Activities of Daily Living) are the everyday tasks needed to live independently, such as meal preparation, light housekeeping, and medication reminders. Our caregivers are trained to support both, for a complete, holistic level of care.

Prestige Home Care serves multiple counties across Pennsylvania. Call us at 717-750-1980 to confirm service availability in your county.

Yes. Prestige Home Care is:

• Pennsylvania-licensed
• Fully compliant with OLTL, DHS, and MCO regulations
• Committed to quality, safety, and participant rights
• Free of citations, deficiencies, or violations

We strive to provide culturally and linguistically appropriate services and can support participants who require interpretation or language assistance.

Your service plan can be updated at any time. Prestige Home Care works with you, your service coordinator, and your MCO to ensure services continue to meet your needs.

Home care is often the right fit when someone needs regular help with daily activities but wants to stay safely and comfortably in their own home rather than move to a facility. Pennsylvania's HCBS waiver programs exist specifically to make that possible for eligible Medicaid members. If you're unsure which level of care makes sense for your situation, we're happy to talk through your options, there's no obligation.

Getting started is easy — call us at 717-750-1980 or reach out through our contact form. We'll help you determine eligibility, apply, and begin services.

Yes. Participants in Pennsylvania's Medicaid waiver programs generally have the right to choose their own service provider, and that includes changing agencies if your current one isn't the right fit. If you'd like to switch to Prestige Home Care, contact your Service or Supports Coordinator to update your provider of choice, and we'll help guide you through the transition.