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Waiver is a short way of saying "Medicaid Home and Community Based Waiver Program."

Waivers pay for supports and services that eligible people need to live in the community instead of an institution. For Pennsylvanians with intellectual disabilities, there are two waivers run by the Office of Developmental Programs (ODP), the Person/Family Directed Support and the Consolidated Waivers.


Waivers Frequently Asked Questions

Waivers Frequently Asked Questions - available as text or audio


Consolidated and Person/Family Directed Supports (PFDS) Waiver Service Definitions

"Service Definitions" are descriptions of each service covered under the Consolidated and Person/Family Directed Support Waivers (P/FDS) and through other intellectual disability funding. Service definitions provide a standardized definition, unit and billing code for each service.

Explanation of Waiver Services (PDF)



Approved Intellectual Disabilities Waivers in PA

Pennsylvania submits an application to the federal government for each waiver which outlines how Pennsylvania will operate that waiver. The application explains eligibility, services, provider standards and other details about each waiver.

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Consolidated Waiver, amended 6-13 (PDF, 1.45MB)

PFDS Waiver, amended 6-13 (PDF, 1.43MB)

Waiver Amendment Announcement - ODP Communication Number 051-13 (PDF)



Waiver Renewal Information 2012

Federal rules require that every five years ODP must renew the Consolidated and PFDS Waivers. The federal Centers for Medicare and Medicaid Services (CMS) approved the ODP five year Waiver Renewals for the Consolidated and P/FDS Waivers on May 24, 2012. The approved Waiver Renewals are effective July 1, 2012. ODP has been communicating about the Waiver changes through memos and informational packets.

Overview of Waiver Renewal Changes Webcast


ODP Communications About Waiver Changes

ODP Memo 043-13: Fiscal Year (FY) 2013-2014 Consolidated and Person/Family Directed Support (P/FDS) Waivers Proposed Department Established Fees for waiver eligible services, residential ineligible services, and Targeted Services Management (TSM) - PDF

Memo #068-12: PROVIDER QUALIFICATIONS: Revisions to the Provider Qualification Process During Fiscal Year (FY) 2012-2013 (PDF)

Informational Packet #067-12: Waiver Renewal Implementation Request for Exception to Established Service Limits or Maximum Number of Service Units (PDF)

056-12 Informational Memo ISP Development Process

053-12 Informational Packet Right to be Free from Abuse Notification


049-12 Announcement on Regulations Update

- Regulations - Chapter 51 Office of Developmental Programs Home and Community-Based Services
- 55 Pa. Code Chapter 6211 amendments "Allowable Cost Reimbursement for Non-State Operated Intermediate Care Facilities for Persons with an Intellectual Disability"


051-12 Informational Memo Clarification of Appeal Rights and Rates 2012-13

025-12 Informational Packet FY 12-13 Renewals - Service Definition Changes


Waiver Service Requests

Waiver Service Request Form (DP 1022) is used when an individual or their family is requesting a new service or a change in services and the team cannot agree to add it to the ISP.

Waiver Service Request Form (DP 1022) (PDF)


Service Delivery Preference

Part of applying for services through the ID system is saying whether you want services in an ICF/MR (institutional setting) or in home and community settings. The form that you will fill out to state your choice is called the "HOME AND COMMUNITY-BASED OR ICF/MR APPLICATION AND SERVICE DELIVERY PREFERENCE FORM." If you want your services in the home and community, this form is also your application for those services.

Bulletin 00-08-03: Procedures for Service Delivery Preference (PDF)

Home and Community Based or ICF/MR Application and Service Delivery Preference Form (PDF)

Home and Community Based or ICF/MR Application and Service Delivery Preference Form (PDF) (User Friendly Version)

Form letter from ODP if Choice is Home and Community Based Services Waiver Service Preference (PDF)

Form letter from ODP if Choice is ICF/MR Waiver Service Preference (PDF)

Form letter from ODP if Didn't choose ICF/MR or Home and Community Based Services No Service Delivery Preference (PDF)


Individual Eligibility for Medicaid Waiver Services

ODP Eligibility and the process for determining eligibility for ID waivers is outlined in Bulletin 00-08-04.

Bulletin 00-08-04: Individual Eligibility for Medicaid Waiver Services (PDF)

Related attachments:


Previous Versions of Intellectual Disabilities Waivers

Consolidated Waiver, 7-1-09 (updated 5-4-11) (PDF, 1.23MB)

PFDS Waiver, 7-1-09 (updated 5-4-11) (PDF, 1.24MB)


Partnership Trainings About the Waivers

The Partnership offers several trainings that will help you understand the ID waivers including how to apply, the services available and your rights.

Understanding Intellectual Disability Waivers for self-advocates

What is an Intellectual Disability Waiver and How Do I Get One? for families

What I Do Once I Have an Intellectual Disability Waiver for families


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To find the full list of ODP Bulletins, please see the Publications section of our website.