If you’re not sure which service you need, or how to get it… You’re in the right place!
There are several things you need to do to apply, but our Referral Specialists are experts at getting people enrolled. Our guide below gives a brief summary of the referral process.
The CAO reviews your waiver application and makes a decision.
• The CAO reviews your waiver application to see if you qualify financially.
• If anything is missing, the CAO will send a letter to tell you how to send it to them.
• Once your application is complete, the CAO approves or denies it.
• The CAO sends a notice to you, to PA IEB, and to your chosen Managed Care
Organization/Service Coordination Agency.
• You get the decision about whether you qualify within 90 days after
PA IEB starts your waiver application.
⊲ If you do not get a decision within 90 days, you can ask for a fair hearing.
*Please contact our Referral Specialist, Erica Lau: (814) 915-4249 with any questions.
PA IEB reviews your Physician’s Certification Form and Functional
Eligibility Determination.
• PA IEB needs your Physician’s Certification Form and Functional Eligibility
Determination within 86 days of the first in-home visit.
• If your doctor has not sent the certification form after your second in-home visit,
PA IEB calls your doctor and you.
• Once PA IEB has your Physician’s Certification Form and Functional Eligibility
Determination, they review both to find if you qualify.
⊲ If both forms meet program eligibility, PA IEB sends your application to the CAO.
*Please contact our Referral Specialist, Erica Lau: (814) 915-4249 with any questions.
Have your second in-home visit.
• After your first in-home visit, PA IEB sends a request to the Area Agency on Aging (AAA).
• AAA calls you to schedule your second in-home visit.
• At this visit, a person from AAA does a Functional Eligibility Determination to find out
whether you qualify for waiver services based on the care you need.
⊲ After your second in-home visit, AAA sends the results to PA IEB.
*Please contact our Referral Specialist, Erica Lau: (814) 915-4249 with any questions.
Have your first in-home visit.
• At your first in-home visit, you talk with a person from PA IEB about your needs and
abilities to see if waiver services or other programs meet your needs.
• Complete the Medical Assistance application (PA 600) and other required forms.
⊲ If there are any missing forms, The County Assistance Office (CAO) will send a letter
to tell you how to send the forms.
Go to www.compass.state.pa.us and fill out the forms online or
*Please contact our Referral Specialist, Erica Lau: (814) 915-4249 with any questions.
Contact our Referral Specialist:
Erica Lau: (814) 915-4249
She will walk you through the process and call PA IEB with you.
Contact the PA Independent Enrollment Broker (PA IEB)
You will begin a waiver application in a three-way phone call with our Referral Specialist.
• Learn more about Home and Community Based Waiver Services.
• Tell PA IEB you want to apply for waiver services and schedule your first in-home visit.
• Read the list of papers you need for the first in-home visit.
⊲ PA IEB sends a Physician’s Certification Form to your doctor to fill out and send to PA IEB.
If your doctor does not send the form, PA IEB asks you to remind your doctor.
You are enrolled in Home Community Based Waiver Services with an agency of your choice.
And you disagree with that decision, you can ask for a fair hearing.