The Community Service Program for Persons with Physical Disabilities (CSPPPD)
The COMMUNITY SERVICES PROGRAM FOR PERSONS WITH PHYSICAL DISABILITIES (CSPPPD) has been administered by TRCIL in 23 counties of the western region of the Commonwealth since its inception in 1988. In addition to the Headquarters office for TRCIL Services in Pittsburgh (Wilkinsburg), the program is also administered from three satellite offices in Washington, Greensburg and New Castle, PA, with a subcontract with Life and Independence For Today (LIFT) in St. Mary’s PA.
The CSPPPD was created by the PA Department of Public Welfare (DPW) to provide Home and Community-Based Services (HCBS) to people who meet specific eligibility requirements. The goal is to offer, and then coordinate, HCBS as an alternative to nursing homes. CSPPPD offers the following options:
- An Intermediate Care Facility for Persons with Other Relation Conditions (ICF/ORC) - Small 7 bed residential programs which provide intensive skills training prior to moving on to community living. Residents must participate in a daily program designed to meet their goals and needs.
- A Clustered Shared Living Arrangement (CSLA) – Two or more individuals living in their own homes or individual apartments which are “clustered” in close proximity with each other in order to share an on-call personal assistant during night time hours.
- An individual apartment or family home.
The CSPPPD’s Home and Community-Based Services are available to Medicaid-eligible individuals, regardless of living arrangement at the time of application, through the OBRA, Independence and COMMCare Waivers. Home and Community-Based Services are available to eligible individuals through the various Medicaid Waiver programs:
- OBRA Waiver
“Targeted” consumers, i.e. those whose disability occurred before the age of 22 who are residing in nursing facilities, are able to relocate to the community and receive home and community based services though this Waiver. The services available are: service coordination, daily living/home support, advocacy, skills training, peer support, community integration, day programming, daily living educational services, personal emergency response installation and maintenance, home modifications, assistive technology, transportation assistance, visiting nurse services, therapies, and respite.
- Independence Waiver
The age of onset of disability has been eliminated for this waiver. The consumer must have a physical disability that has impacted at least 3 major life functions and need more services and assistance than can be provided in the Attendant Care Program. These consumers are most often living in the community in their own home or apartment, or with their families. They are entitled to receive the same level of service as in the OBRA Waiver with the exception of any type of educational services.
- COMMCare Waiver
The newest of the Medicaid Waiver programs, is designed to serve individuals, 21 years of age or older, with traumatic brain injuries. Eligible individuals can receive many of the same services available in the waivers described above, as well as, coaching and cueing, night supervision, supported employment, prevocational, and educational services.
Waiver Services Offered by TRCIL May Include:
- Assistive Technology; specialized medical equipment and supplies; environmental adaptation
- Community integration and/or community transition services
- Personal assistance services/daily living needs
- Education services
- Personal Emergency Response System (PERS)
- Respite services; visiting nurse
- Service coordination
- Therapies (behavior, occupational, physical, speech)
- Non-medical transportation services
- Other services may be available
FOR MORE INFORMATION OR TO BEGIN THE ELIGIBILITY/ENROLLMENT PROCESS:
Effective December 1, 2010, the Office of Long-Term Living launched the PA Independent Enrollment Broker, a state-wide entity contracted to facilitate and streamline the eligibility/enrollment process for applicants between the ages of 18 – 59*. Call the toll free helpline at 1.877.550.4227 or TTY 1.877.824.9346.
*Area Agencies on Aging (AAA) provide eligibility/enrollment services for waiver program applicants over the age of 60. For more information contact the PA Department of Aging Long-Term Living helpline at 1.866.286.3636.