Workforce Challenges & DDS Waiver Services Analysis
Individual Directed Goods & Services Definitions (5 of 5)
Pennsylvania Participant-Directed Goods and Services
Participant-Directed Goods and Services are services, equipment or supplies not otherwise provided through other services offered in this waiver, the Medicaid State Plan, or a responsible
third-party.
Participant-Directed Goods and Services must address an identified need in the participant's service plan and must achieve one or more of the following objectives:
Decrease the need for other Medicaid services.
Promote or maintain inclusion in the community.
Promote the independence of the participant.
Increase the participant's health and safety in the home environment.
Develop or maintain personal, social, physical or work-related skills.
Items and services must be used primarily for the benefit of the participant.
Participant-directed Goods and Services may not be used for any of the following:
Personal items and services not related to the participant's intellectual disability or autism;
Experimental or prohibited treatments;
Entertainment activities, including vacation expenses, lottery tickets, alcoholic beverages, tobacco/nicotine products, movie tickets, televisions and related equipment, and other items as
determined by the Department; or
Expenses related to routine daily living, including groceries, rent or mortgage payments, utility payments, home maintenance, gifts, pets (excluding service animals), and other items as
determined by the Department.
Items and services that are excluded from receiving Federal Financial Participation, including but not limited to room and board payments which include the purchase of furnishings and
services provided while a participant is an inpatient of a hospital, nursing facility, or ICF/ID.
Participant-directed Goods and Services are limited to $2,000 per participant per fiscal year.
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