What is CHC (Community HealthChoices)?
CHC is Pennsylvania’s Medicaid waiver that pays for long-term services and supports at home. It “waives” institutional rules so adults who qualify can receive care at home instead of in a facility.
Who Qualifies
- Age/Status: 21+; dual-eligible or Medicaid-eligible.
- Level of Need: Must meet nursing facility level of care.
- Setting: Home or community.
2025 Income Limit: Around $2,901/month for an individual. If slightly over, ask about spend-down trusts.
What CHC Covers
- Personal Assistance Services
- Respite
- Home-delivered meals
- Transportation
- Assistive technology & home modifications
Step-by-Step: How to Apply in Lehigh County
- Call Lehigh County Aging & Adult Services: 610-782-3034. They direct you to the Independent Enrollment Broker (IEB).
- Eligibility checks: Clinical evaluation + Medicaid financial eligibility.
- Choose a Managed Care Organization (MCO).
- Create a Person-Centered Service Plan.
- Start services with a qualified provider like Home Care Concepts in Allentown.
Documents to Prepare
- ID and proof of PA residency
- Medical documentation
- Income verification
- Medicare/Medicaid cards
Timelines & Tips
- Expect 30–90 days from screening to service start.
- Ask about estate recovery (after age 55) and spend-down options.
VA Benefits That Can Work Alongside Care
- Homemaker/Home Health Aide
- Home-Based Primary Care
- Aid & Attendance / Housebound benefits
Local Help
- Lehigh County Aging & Adult Services: 610-782-3034
- Home Care Concepts – Allentown: Medicaid Waiver/VA support & staffing
FAQs
Does CHC Waiver pay family caregivers?
In some models, yes—ask your CHC plan or IEB.
Can I combine CHC Waiver with VA services?
Yes, if services don’t duplicate time/tasks.
What if I don’t qualify?
Ask about Act 150, LIFE, or PACE alternatives.
