Pennsylvania's Choice for Home Care

Navigating Home Care in Pennsylvania

Worried About the Cost of Home Care in Pennsylvania?

Home care in Pennsylvania is often covered through Medicaid, also called Medical Assistance, when eligibility requirements are met. Most services are delivered through Community HealthChoices (CHC) and approved Managed Care Organizations. Many families pay little to no out-of-pocket costs once services are authorized.

Want to Get Paid to Care for a Loved One?

Pennsylvania’s Medicaid long-term services and supports (LTSS) programs allow eligible participants to choose a trusted family member as a paid caregiver under consumer-directed care options. Compensation depends on CHC enrollment, service authorization, and meeting employment and background requirements.

Considering Switching Home Care Providers?

If you are receiving Medicaid home care through Community HealthChoices (CHC) but feel your needs are not fully supported, you have the right to change providers. We coordinate directly with your Managed Care Organization and Service Coordinator to ensure continuity of authorized services.

WHY MODANI?

Pennsylvania Medicaid-Focused Home Care Support

Modani Care works within Pennsylvania’s Medicaid and Community HealthChoices (CHC) systems to deliver authorized in-home services. We support seniors aged 65 and older, or adults older than 21 years with physical disabilities, and individuals who require assistance with Activities of Daily Living (ADLs) such as bathing, dressing, and mobility. We also guide families who are exploring paid caregiver options through Pennsylvania’s consumer-directed care programs.

Get Paid as a Family Caregiver

Pennsylvania’s Medicaid programs allow eligible individuals to choose a trusted family member or friend as their caregiver. We guide families through the full enrollment process, including documentation, onboarding requirements, and payroll setup, ensuring everything meets Pennsylvania Medicaid and Community HealthChoices compliance standards.

Help Finding a Caregiver

If you have not selected a caregiver, our team will help you identify qualified individuals who meet program requirements and align with your approved care plan and needs. We coordinate screening, onboarding, and scheduling to ensure services begin smoothly and match your authorized hours.

Medicaid & MCO Navigation Support

We work directly with your Managed Care Organization and Service Coordinator to confirm eligibility, secure service authorizations, and ensure your care plan is implemented correctly. Our team helps prevent delays, maintain compliance, and keeps communication clear throughout the process.

SERVICES PROVIDED THROUGH IN-HOME CARE

What can a caregiver help with?

Care plans are designed and personalized by your MCO service coordinator based on your needs and disabilities. Services are delivered in accordance with Pennsylvania guidelines and designed to help you remain safe, independent, and supported in your home environment.

Companionship

Companionship

Daily Activities

Daily Activities

Housekeeping

Housekeeping

Laundry

Laundry

Meal Preparation

Meal Preparation

Medication Management

Medication Management

Mobility Assistance

Mobility Assistance

Paying Bills

Paying Bills

Personal Care

Personal Care

Shopping

Shopping

*All services are delivered in accordance with Pennsylvania Medicaid guidelines.

Companionship

Companionship

Daily Activities

Daily Activities

Housekeeping

Housekeeping

Laundry

Laundry

Meal Preparation

Meal Preparation

Medication Management

Medication Management

Mobility Assistance

Mobility Assistance

Personal Care

Personal Care

Nursing

Nursing

Respite Care

Respite Care

Shopping

Shopping

HOW IT WORKS

A Clear, Step-by-Step Process

Navigating Pennsylvania Medicaid home care can feel overwhelming. We simplify the process.

Consultation

We discuss your situation, answer questions, and review potential eligibility for Pennsylvania Medicaid home care programs and Community HealthChoices services.

Eligibility Review

We verify Medicaid status, CHC enrollment, level of care needs, and Service Coordinator involvement, then explain required documentation and next steps.

Approval Coordination

We coordinate with your Managed Care Organization and Service Coordinator to confirm authorized hours and ensure paperwork is completed correctly and on time.

Ongoing Support

After services begin, we manage payroll, monitor compliance, and provide responsive communication to keep care aligned with your approved plan.

Call us today — you could be approved for paid home care in as little as 30 days.

Eligibility Requirements

You may qualify for Pennsylvania Medicaid home care if:

You are enrolled in Pennsylvania Medical Assistance (Medicaid)

You are 65+ or an adult age 21 and older with a qualifying disability

You require help with daily activities (bathing, dressing, mobility, meals)

You qualify for long-term services and support (LTSS)

You are enrolled in a Managed Care Organization (CHC participant)

You meet Pennsylvania Medicaid income guidelines

For paid caregiver programs:

The caregiver must meet employment requirements

Background clearances may be required

Obtain negative tuberculosis (TB) tes

Not Sure If You're Eligible?

If you are unsure whether you qualify for Consumer Directed Services (CDS) in Missouri, we can help you review your MO HealthNet status and explain how the program may allow you to receive care from someone you know and trust, such as a family member or friend.

Eligibility is determined through financial screening and a functional assessment conducted by state-authorized agencies. You can request a free eligibility review to better understand your options.

  • Free eligibility reviews
  • Clear explanation of CHC and waiver programs
  • Enrollment guidance
  • Support if Medicaid application is still pending
  • Alternative options if you do not yet qualify

Currently serving 67 counties

Bradford Clarion Lackawanna Mifflin Montour Sullivan Warren Cameron Centre Crawford Erie Franklin Huntingdon Juniata Luzerne Mercer Monroe Northampton Snyder Susquehanna Union Venango York Berks Carbon Columbia Forest Fulton Lebanon Lycoming Perry Tioga Wyoming Bedford Clinton Cumberland Dauphin Lancaster Lehigh McKean Schuylkill Wayne Northumberland Pike Adams Blair Cambria Elk Indiana Potter Armstrong Allegheny Beaver Bucks Chester Clearfield Delaware Fayette Lawrence Philadelphia Somerset Washington Butler Greene Jefferson Westmoreland Montgomery
  • Allegheny
  • Armstrong
  • Beaver
  • Blair
  • Butler
  • Bucks
  • Cambria
  • Chester
  • Clearfield
  • Delaware
  • Elk
  • Fayette
  • Greene
  • Indiana
  • Jefferson
  • Lawrence
  • Montgomery
  • Philadelphia
  • Potter
  • Somerset
  • Washington
  • Westmoreland

Frequently Asked Questions

  • Does Medicaid cover home care in Pennsylvania?

    Yes. Pennsylvania Medicaid, also called Medical Assistance, covers in-home care services for eligible individuals who require help with daily activities. Services are provided through Community HealthChoices (CHC) and long-term services and support (LTSS) programs. Coverage depends on medical necessity, functional needs, and program eligibility requirements.
  • Can a family member be paid as a caregiver in Pennsylvania?

    Yes. Pennsylvania Medicaid programs allow eligible participants to choose a trusted family member or friend as their paid caregiver. The individual receiving care must qualify for long-term services and supports, and the caregiver must meet employment, documentation, and background screening requirements established by Federal and state guidelines.
  • What is Community HealthChoices (CHC)?

    Community HealthChoices (CHC) is a mandatory Pennsylvania Medicaid managed care program for dually eligible (Medicare and Medicaid) individuals and those with physical disabilities. It coordinates physical health benefits and long-term services and supports (LTSS), aiming to help people live independently in their homes rather than nursing facilities.
  • How long does it take to get approved for Medicaid home care in PA?

    Approval timelines vary based on Medicaid enrollment status, level-of-care assessments, and documentation completion. Once eligibility is confirmed and services are authorized through Community HealthChoices, home care can begin. Delays typically occur when paperwork or assessments are incomplete.
  • What does Modani Care do in Pennsylvania?

    Modani Care coordinates Medicaid-authorized home care services across Pennsylvania. We guide families through eligibility verification, assist with paid caregiver enrollment, manage payroll processing, and work with Managed Care Organizations to ensure services follow Pennsylvania Medicaid regulations and approved care plans.

Get started today

If you or a family member may qualify for home care under Pennsylvania Aged and Disabled (AD) Waiver, our team can provide clear guidance on eligibility, Medicaid enrollment steps, and program coordination.

Call or submit a request through our contact form to begin the process.

Submit your request

Thank You!

for Reaching Out
to MODANI!

Stay connected with us

For any assistance, contact our customer support at intake.pa@modanicare.com. or call us at 215.929.8497