​2021 Community HealthChoices (CHC)
Waiver Amendment

Effective January 1, 2021

The Department of Human Services (DHS) Office of Long-Term Living (OLTL) will be submitting an amendment to the CHC waiver with an effective date of January 1, 2021. The Department proposes the following substantive and technical changes to the CHC waiver:

• Revise service definitions, service limitations and/or provider qualifications for the following CHC waiver services: Assistive Technology, Career Assessment, Cognitive Rehabilitation Therapy Services, Community Transition Services, Home Adaptations, Job Coaching, Job Finding, Nutritional Consultation, Participant-Directed Community Supports, Participant-Directed Goods and Services, Personal Assistance Services, Personal Emergency Response System (PERS), Respite, Specialized Medical Equipment and Supplies and Vehicle Modifications;
• Amend the responsibilities of the Fiscal/Employer Agent; and
• Revise waiver performance measures.

Interested persons are invited to submit written comments regarding the proposed waiver amendment to the Department of Human Services, Office of Long-Term Living, Bureau of Policy Development and Communications Management, Attention: CHC Waiver Amendment, P.O. Box 8025, Harrisburg, PA 17105-8025. Comments may also be submitted to the Department at RA-waiverstandard@pa.gov. Please use "CHC 2021 Waiver Amendment" as the subject line. Comments received by close of business on August 24, 2020, will be reviewed and considered for revisions to the proposed waiver amendments. Please use the CHC Waiver Comment Form at the bottom of this page.

The CHC waiver amendment public notice was published on Saturday, July 25, 2020, in the Pennsylvania Bulletin. View the public notice here.

(*) This Appendix contains proposed changes

• Side by Side Comparison of Proposed Changes
  
• Purpose of Amendment*
  
• Main Module*
  
• Appendix A: Waiver Administration and Operation*
  
• Appendix B: Participant Access and Eligibility
  
• Appendix C: Participant Services*
  
• Service Definitions*
  
• Appendix D: Participant-Centered Planning and Service Delivery
  
• Appendix E: Participant Direction and Services*
  
• Appendix F: Participant Rights
  
• Appendix G: Participant Safeguards
  
• Appendix H: Quality Improvement Strategy
  
• Performance Measures*
  
• Appendix I: Financial Accountability*
  
• Appendix J: Cost Neutrality Demonstration