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Pennsylvania offers Medicaid waiver programs under the Community HealthChoices (CHC) umbrella and the Pennsylvania Department of Aging (PDA) Waiver (often referred to as the PA Council on Aging Waiver). These programs help older adults and individuals with physical disabilities remain in their homes or community settings instead of entering nursing facilities. CHC and the PDA Waiver provide long-term services and supports (LTSS) based on assessed functional needs, emphasizing assistance with ADLs and IADLs. Covered services may include personal care assistance, adult day services, home-delivered meals, transportation, home modifications, assistive technology, and respite care for family caregivers. In addition, Pennsylvanias CHC Waiver offers Participant-Directed Services that allow participants to hire and manage their own caregivers, including family members. To qualify, applicants must be Medicaid-eligible, at least 60 years old (for PDA Waiver) or 21+ (for CHC), and require a nursing facility level of care as determined through a standardized functional assessment of ADLs/IADLs. In this article, we explain what Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs) are and how needing help with these tasks is central to qualifying for Pennsylvanias Medicaid waivers like CHC and the PDA Waiver.What Are ADLs (Activities of Daily Living)?Activities of Daily Living (ADLs) are fundamental self-care tasks that a person must perform daily to maintain independence. Difficulty with ADLs often signals a need for supportive services. Core ADLs include: Mobility (Ambulating/Transferring): Safely walking, getting up from a chair, or transferring from a bed to a wheelchair. Dressing: Selecting and putting on appropriate clothing (including handling fasteners) without assistance. Eating: Feeding oneselfusing utensils to get food from a plate to the mouth and consuming it. Personal Hygiene: Bathing or showering and performing grooming activities like shaving, brushing teeth, and combing hair on ones own. Toileting (Continence): Independently using the toiletgetting to the toilet, transferring on and off, and cleaning oneself afterward. When someone can no longer perform several ADLs without help, it indicates that ongoing care or support is likely needed.What Are IADLs (Instrumental Activities of Daily Living)?Instrumental Activities of Daily Living (IADLs) are more complex tasks that allow a person to live independently in the community. While not necessarily performed daily, they are essential for managing ones household and life. Key IADLs include: Shopping for Essentials: The ability to shop for groceries, pick up prescriptions, or purchase clothing and other necessities. Meal Preparation: Planning and cooking mealsgathering ingredients and safely using kitchen appliances. Housekeeping: Keeping the home clean and livable tasks like cleaning, laundry, and taking out the trash. Money Management: Handling finances, such as paying bills on time, managing bank accounts, and budgeting. Transportation: Getting around or arranging transportationdriving oneself or using public transit or rides to run errands and attend appointments. Medication Management: Managing and taking medications properly remembering to take the correct medicines at scheduled times and refilling prescriptions. Communication: Using the phone or computer to communicatelooking up phone numbers, making calls, sending emails, and staying in touch with others. Trouble with IADLs is often one of the first signs that someone needs more support, even if basic ADLs are unaffected.Why ADLs and IADLs Matter for Medicaid Waiver EligibilityIn Pennsylvania, needing help with ADLs and IADLs is a central eligibility criterion for the CHC and PDA Waiver programs. These waivers serve individuals who would otherwise qualify for nursing facility care but prefer to remain in their own homes or community settings. Eligibility is determined through both financial and functional assessments. The functional assessment evaluates whether an individual requires hands-on assistance with ADLs and/or significant help with IADLs, thereby meeting a nursing facility level of care. Pennsylvania uses standardized toolsoften the Pennsylvania LongTerm Care Assessment System (PaLTAS) or the Minimum Data SetHome Care (MDSHC)to score independence in ADLs and IADLs.During the functional evaluation, an assessor reviews abilities such as transferring from bed to chair, walking safely, eating, toileting, meal preparation, housekeeping, medication management, and managing money. Cognitive issuessuch as memory problems due to dementiaare also considered since they impact daily functioning. If an individual cannot perform multiple ADLs without assistance or has significant deficits in IADLs, they are likely to meet the level-of-care requirement and become eligible for waiver services.Community HealthChoices (CHC) WaiverCommunity HealthChoices (CHC) is Pennsylvanias comprehensive HCBS waiver program for individuals aged 21 and older who require a nursing facility level of care. Administered by the Office of Long-Term Living (OLTL), CHC is a managed care program that combines physical health, long-term services and supports, and pharmacy benefits under a single plan (with behavioral health carved out). To qualify for CHC: Be age 21 or older. Meet Medicaid financial eligibility guidelines. Require a nursing facility level of care (confirmed through functional assessment). Live in a setting that meets HCBS requirements (e.g., home, apartment, assisted living). Be a Pennsylvania resident. Once enrolled, participants receive a comprehensive package of services tailored to their needs. Covered services may include personal assistance, home-delivered meals, adult day services, behavioral support, professional nursing, home modifications, assistive technology, transportation, and respite care. CHC also offers Participant-Directed Services, allowing participants to recruit, hire, train, and supervise their own caregiversoften family membersto assist with ADLs (bathing, dressing, toileting) and IADLs (meal preparation, medication reminders).PDA Waiver (Council on Aging Waiver)The Pennsylvania Department of Aging (PDA) Waiver, also called the Council on Aging Waiver, serves seniors aged 60 and over who require nursing facility level of care but choose to remain at home or in other community-based settings like domiciliary care homes. To qualify: Be age 60 or older. Meet Medicaid financial eligibility requirements. Be assessed as requiring nursing facility level of care (through the functional assessment). Live in a qualifying community setting. Covered services under the PDA Waiver may include personal care assistance, home-delivered meals, homemaker services, personal emergency response systems, respite care, adult day services, minor home modifications, and transportation. Like CHC, the PDA Waiver emphasizes managing ADL and IADL needs to keep participants safely in their homes.Participant-Directed ServicesBoth CHC and the PDA Waiver offer Participant-Directed Services, which empower participants to choose and manage their own caregivers, including family members, friends, or neighbors. Under this model, participants develop a service plan with guidance from a care coordinator, set schedules, and handle payroll tasks. This flexibility helps ensure that personal care and IADL support align with participants preferences and routines.Signs That Your Loved One May QualifyBelow are practical indicators that someone may be eligible for Pennsylvanias CHC or PDA Waiver due to difficulty with ADLs and IADLs: Trouble with Personal Care: Skipping showers, unkempt hair, or wearing dirty clothes may indicate difficulties with bathing and dressing (ADLs). Malnutrition or Weight Loss: An empty fridge or significant weight loss suggests issues with meal prep or feeding oneself (ADLs/IADLs). Mobility Decline and Falls: Struggling to walk without assistance, needing help to stand, or experiencing frequent falls signals reduced mobility (ADL: transferring/ambulating). Medication Errors and Memory Problems: Missing doses, mixing up pills, or forgetting appointments point to challenges with medication management and scheduling (IADLs). Household Neglect: Piles of mail, unpaid bills, or a cluttered home reflect trouble with housekeeping and money management (IADLs). A combination of needing help with several ADLslike bathing and toiletingand difficulties with IADLssuch as meal prep and housekeepingstrongly indicates a nursing facility level of care. Document these challenges for the functional assessment to demonstrate eligibility.Were Here to Help: Next Steps and Contact InformationNavigating Pennsylvanias Medicaid waiver programs can be complex, but you dont have to go it alone. At Passion to Care, we specialize in guiding Pennsylvania families through the CHC and PDA Waiver application processesfrom the initial functional assessment of ADLs and IADLs to completing paperwork and coordinating services once approved. If you notice your loved one struggling with daily tasks or if a professional has recommended nursing facility care, it may be time to explore CHC or the PDA Waiver. Our compassionate, family-first team ensures your loved ones needs are met with dignity and respect. Call us or contact us today to learn how to get started with Pennsylvanias Medicaid waivers for home and community-based services.

Choosing an assisted living community is a major decisionfor both seniors and their families. At Merritt Island Assisted Living, we understand that this transition is about more than just a change of address. Its about finding a safe, nurturing environment where each resident can live with dignity, enjoy daily life, and receive the right level of support tailored to their individual needs.Our community is thoughtfully designed to provide personalized care, promote independence, and offer peace of mind through 24/7 assistanceall in a warm, welcoming atmosphere on Floridas beautiful Space Coast.What Is Assisted Living?Assisted living bridges the gap between independent living and full-time medical care. Its ideal for individuals who may need help with daily activitiessuch as bathing, dressing, medication management, and mobilitybut still want to maintain their independence and enjoy a vibrant lifestyle.At Merritt Island Assisted Living, we empower residents to live life on their own terms, while providing the compassionate support they need to thrive.Personalized Support, When Its Needed MostOur assisted living residents receive customized care plans that evolve with their needs. From minimal assistance to more comprehensive support, we adjust our services to ensure comfort, safety, and quality of life. Our professional team is available around the clock, offering help with: Daily living activities (ADLs) Medication management Transportation to appointments Housekeeping and laundry Wellness checks and ongoing assessments We work closely with families and healthcare providers to ensure continuity of care and open communication at every stage.A Lifestyle That Promotes Connection and Well-BeingAssisted living at Merritt Island isnt just about careits about living well. Our residents enjoy a dynamic community life with enriching programs, engaging activities, and social opportunities every day. Whether its participating in group fitness classes, attending social events, enjoying live entertainment, or simply spending time in the garden, our community is built to support the emotional, mental, and physical well-being of every resident.Community Features Include: Private and semi-private apartments Three nutritious, chef-prepared meals per day Beautiful indoor and outdoor common spaces On-site salon and spa services Fitness and wellness programs Calendar of daily social activities and events Scheduled outings and transportation Why Families Trust Merritt Island Assisted LivingFamilies choose Merritt Island because we combine expert care with heart. We treat every resident like familybuilding trust through communication, kindness, and consistent, compassionate service. From the care team to the kitchen staff, everyone shares a commitment to enhancing the lives of those we serve.Schedule a Visit Today If you or your loved one are considering assisted living, we invite you to experience the difference at Merritt Island Assisted Living. Schedule a tour, meet our team, and see firsthand how we help residents live comfortably, confidently, and with purpose.

At Merritt Island Assisted Living, residents enjoy more than just a comfortable place to livethey experience a vibrant lifestyle built around convenience, connection, and personalized support. Designed to enhance daily life while promoting independence and peace of mind, our community offers a wide array of services and amenities tailored to meet the unique needs of every resident.Comfort Meets CareFrom the moment you walk through our doors, you'll feel the difference that thoughtful design and attentive service make. Our assisted living community provides 24/7 professional support, ensuring that every resident receives compassionate care while maintaining dignity and independence. Services include: Assistance with daily activities like bathing, dressing, and grooming Medication management and health monitoring Housekeeping, laundry, and linen services Scheduled transportation for medical appointments and local outings With these daily essentials handled by our dedicated staff, residents can focus on enjoying life to the fullest.Lifestyle Amenities That Inspire JoyWe believe senior living should be as enriching as it is supportive. Thats why Merritt Island Assisted Living offers amenities that promote social engagement, mental stimulation, and physical wellness: Chef-prepared meals served three times daily in a comfortable, restaurant-style dining room Fitness and wellness programs designed to keep residents active and energized On-site beauty and barber services, so looking and feeling your best is always convenient Activity and game rooms for socializing, puzzles, cards, and more Spacious common areas for gatherings, celebrations, and relaxation Beautiful outdoor spaces, including courtyards and walking paths perfect for enjoying the Florida sunshine Engaging Activities and EventsMerritt Island Assisted Living encourages residents to remain engaged and connected. Our events calendar is filled with diverse offerings that cater to a variety of interests: Music and movie nights Arts and crafts sessions Educational talks and guest speakers Holiday and birthday celebrations Group outings to local attractions, restaurants, and cultural venues Every activity is designed to bring joy, foster friendships, and enhance the overall well-being of our residents.Safe, Accessible, and SupportiveSafety and accessibility are priorities throughout our community. Our living spaces are thoughtfully designed with seniors in mind, including grab bars, emergency call systems, and mobility-friendly layouts. Residents and families can enjoy peace of mind knowing that assistance is always close at hand.Why Choose Merritt Island Assisted Living?When you choose Merritt Island Assisted Living, youre choosing a lifestyle built around warmth, wellness, and worry-free living. Our community services and amenities are thoughtfully created to ensure residents feel at homewhile receiving the personalized support they need to thrive. Come see how our amenities make every day easier, more comfortable, and more fulfilling. Schedule a tour today and discover the lifestyle you or your loved one deserve.