Supplemental Security Income (SSI)
In Pennsylvania, Supplemental Security Income (SSI) is the primary way seniors on Medicaid finance assisted living costs. Medical Assistance provides the senior population of Pennsylvania with several waiver programs. These waivers don’t fund the costs of assisted living facilities, however, which are often referred to as personal care homes (PCHs).
The PA Department of Human Services is responsible for regulating licensed PCHs. Under the DHS guidelines, PCHs must provide shelter, supervision, meals and assistance with the activities of daily living (ADLs). If York seniors need financial assistance to fund long-term PCH care, they should consider applying for SSI. This program, which provides limited-resource individuals with a monthly income, can be used to fund PCH costs.
To receive SSI, York seniors must meet certain eligibility requirements:
- Individuals must be 65 years or older
- Individuals must have little to no monthly income
- Individuals must not possess property with a total value greater than $2,000 for individuals or $3,000 for married couples (The value of certain properties, such as homes and cars, is usually excluded from this calculation)
Eligible seniors who wish to reside in personal care homes will receive the
Personal Care Boarding Home (PCBH) monthly payment. This single payment, which includes federal and state funds, may total up to $1,210.30 (individual) or $2,114.40 (couple) per month. Included in this supplement is a Personal Needs Allowance (PNA). While most of the PCBH payment goes towards the recipient’s care, the PNA can be used for personal expenses.
To learn more, call (800) 772-1213.
Community HealthChoices Between 2018 and 2020, Pennsylvania’s Department of Human Services is transitioning away from its old system of Medical Assistance waivers. DHS is phasing in the
Community HealthChoices (CHC) Waiver. Seniors living in York may be impacted by
Phase 3 of the transition, which will be implemented in January 2020. CHC cannot be used to cover the costs of
room and board in assisted living facilities. However, seniors living in assisted living facilities can receive CHC services in that setting.
For more information on CHC, please call (866) 542-0299