Frequently Asked Questions
Answers about HCBS, OLTL, and getting started
Straightforward answers about Pennsylvania Medicaid waiver programs, eligibility, and what it's like to work with Prestige Home Care. Don't see your question? Reach out and we'll walk you through it.
Common Questions
Everything you need to know
What is the HCBS program?
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.
Who is eligible for OLTL services in Pennsylvania?
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.
What OLTL waiver programs does Prestige Home Care support?
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.
What services does Prestige Home Care provide?
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
Can a family member get paid to provide care?
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.
Do I get to choose my caregiver?
Yes. OLTL programs emphasize participant choice and independence. You may:
- Choose your caregiver and agency
- Change caregivers if needed
- Help create your service plan
Is there a cost for OLTL services?
For eligible Medicaid participants, services are typically covered at no cost.
How do I apply for OLTL services?
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.
How long does the approval process take?
Approval timelines vary, but typically take 30–90 days, depending on completion of paperwork, assessment scheduling, and Medicaid eligibility status.
Which counties does Prestige Home Care serve?
Prestige Home Care serves multiple counties across Pennsylvania. Call us at 717-750-1980 to confirm service availability in your county.
Is Prestige Home Care licensed and compliant?
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
What languages does Prestige Home Care support?
We strive to provide culturally and linguistically appropriate services and can support participants who require interpretation or language assistance.
What if my needs change over time?
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.
How do I get started with Prestige Home Care?
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.
Bring non-skilled services to Medicaid members who are 18 years or older who have physical, cognitive, or developmental limitations that require assistance with ADL or IADL needs to live safely at home. We also provide ODP waiver services for individuals with intellectual disabilities and autism.