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What services are offered under the Adult Autism Waiver?
In addition to Supports Coordination, there are 18 services:
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Descriptions of all these services may be found by clicking here. Adult Autism Waiver Service Descriptions
How are individual services determined for participants in the Adult Autism Waiver?
Individual needs and interests are used by the participant and their team to develop the Individual Support Plan (ISP). The ISP Team includes the Supports Coordinator, the individual, and anyone else the individual chooses to have involved. The ISP specifies the services a participant will receive, the reason(s) those services are needed, and the goals and objectives of the services. All plans must be reviewed and approved by the Bureau of Autism Services.
Is there a maximum amount (cap) of waiver- funded services a participant may receive?
No. There is no overall limit (cap) on waiver-funded services. Some services have limits on the number of service hours provided within a specific time frame. In addition, there is a lifetime limit on spending for home modification and assistive technology. Adult Autism Waiver participants receive services based on individual need. More information on service limits can be found at www.autisminpa.org.
Do services change over time? How?
Services in the Individual Support Plan (ISP) will change if the needs of the individual have changed. This is determined at the annual review or at other points during the year if service changes are needed to better support the individual.
Does the Adult Autism Waiver program pay for housing?
While the Residential Habilitation service in the Adult Autism Waiver does include a housing component, it is not designed as a housing alternative for waiver participants who do not need round-the-clock supervision. In order to receive Residential Habilitation services, a waiver participant must show this need during an annual assessment when the service plan is developed. Residential Habilitation is designed for participants who are unable to live at home, either alone, with family or with others, because they require awake support staff 24 hours a day, seven days a week. The intent of this service is to ultimately reduce the participant’s need for this degree of support by improving the participant’s capacity to perform activities of daily living (e.g., bathing, dressing, eating) and instrumental activities of daily living (e.g., communication, shopping, housework). The goal is for the participant to eventually move to a natural setting in the community.
A participant receiving Residential Habilitation services must contribute 72 percent of his or her monthly Supplemental Security Income (SSI) payment to the provider for room and board. Residential Habilitation providers in the Adult Autism Waiver must be licensed by the Department of Public Welfare’s Office of Developmental Programs as either a Family Living Provider (Title 55 PA Code Chapter 6500) or a Community Home (Title 55 PA Code Chapter 6400).
Do I keep my HealthChoices managed care plan for other medical services after I join the waiver?
Yes. You will continue to receive your physical and behavioral health care through your current health care plan(s). The Adult Autism Waiver does not cover those services.
