Managed Care/Freedom of Choice Waiver Programs

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    The structure of the services index and definitions of the terms contained herein were originally published in A Taxonomy of Human Services: A Conceptual Framework with Standardized Terminology and Definitions for the Field by the Information and Referral Federation of Los Angeles County, Inc., 3035 Tyler Ave., El Monte, CA 91731; Copyright (c) 1983, 1987, 1991. No part of this listing of human services terms and definitions may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electrical, mechanical, photocopying, recording or otherwise without the prior written permission of the Information and Referral Federation of Los Angeles County, Inc.

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    Taxonomy Code: NL-5000.5000-800.50

    State Medicaid programs operating under a Section 1915(b) waiver that permits them to mandate Medicaid enrollment into managed care or otherwise limit individuals' choice of provider under Medicaid; or create a "carve out" delivery system for specialty care, such as behavioral health care. Programs operating under this waiver cannot negatively impact beneficiary access or quality of care of services; and must be cost effective.

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    There are 6 matching records.
    Service NameDescriptionLocationProgramAgency
    Area Agency on Aging , Aging Waiver Program - Westmoreland CountyUtilizes Medicaid funds to provide case management and home care services for eligible individuals as a means of avoiding premature institutionalizationWestmorelandWestmoreland County Area Agency on Aging Waiver Program for Stay at Home CareWestmoreland County Area Agency on Aging
    Medicaid Waiver-Columbia Montour Aging OfficeProgram offers the older adult an opportunity to remain in their home, in lieu of nursing home care. To qualify, the older adult must be 60 years of age or older, a resident of Columbia or Montour county, and must meet both medical and financial eligibility. Medically the older adult must require the level of care that a nursing facility would provide. Financial determination is made through the local county assistance office. The staff at Columbia-Montour Aging Office, Inc. seeks to develop and implement creative alternatives to placing Medicaid-eligible individuals in medical facilities such as nursing homes and Community Residential Facilities (CRF).ColumbiaCasework ServicesColumbia-Montour Aging Office
    Medicaid Waiver-Columbia Montour Aging OfficeProgram offers the older adult an opportunity to remain in their home, in lieu of nursing home care. To qualify, the older adult must be 60 years of age or older, a resident of Columbia or Montour county, and must meet both medical and financial eligibility. Medically the older adult must require the level of care that a nursing facility would provide. Financial determination is made through the local county assistance office. The staff at Columbia-Montour Aging Office, Inc. seeks to develop and implement creative alternatives to placing Medicaid-eligible individuals in medical facilities such as nursing homes and Community Residential Facilities (CRF).MontourCasework ServicesColumbia-Montour Aging Office
    PDA Waiver ProgramThis program provides home and community based long-term care services to individuals as an alternative to nursing home placement. Services are funded through a special federal waiver, which allows Medicaid payments typically used for nursing home care to be used for home care services.MifflinMJAAA ServicesMifflin Juniata Area Agency on Aging
    Pennsylvania Office of Developmental Programs Western Region OfficeResponsible for planning, organizing and directing a comprehensive intellectual and developmental disability service system in the western region of PA. Inspects and recommends license approval for community residential, adult day care, family living, and vocational facilities for persons with disabilities. No direct service to individuals.AlleghenyPennsylvania Department of Human Services, Office of Developmental Programs, Western Region OfficePennsylvania Department of Human Services
    Waiver Services - Luzerne Wyoming County MHDS ServicesUnder Developmental Services there are three types of PA Medicaid Waiver Services that an individual with intellectual disability, autism or developmental disability can be eligible to allow them to be independent and support them in their home and community. These three waivers are: The Consolidated Waiver, Person/Family Directed Support Waiver (P/FDS) and the Community Living Waiver. The Consolidated Waiver has no annual service cap, but the Person/Family Directed Support Waiver and the Community Living Waiver have an annual service cap.LuzerneLuzerne-Wyoming Counties Mental Health and Developmental ServicesLuzerne-Wyoming Counties Mental Health and Developmental Services

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