Medicaid & OLTL Coverage

Your Home Care May Be Fully Covered by Medicaid

CareLuxe Solutions accepts Pennsylvania Medicaid and the OLTL Waiver Program, meaning eligible individuals may receive professional home care at no out-of-pocket cost.

Steps to Apply for the Medicaid HCBS Waiver

The official 6-step guide from Pennsylvania Independent Enrollment Broker is the agency OLTL uses to process Home and Community Based Services waiver applications.

View Steps
Understanding Medicaid

What is Medicaid Home Care Coverage?

Medicaid is a joint federal and state health insurance program that helps low-income individuals cover the cost of health care, including home care services. In Pennsylvania, Medicaid may cover personal care, companionship services, and assistance with daily activities provided by a licensed home care agency like CareLuxe Solutions.

Eligibility is based on income, age, disability status, and medical need. Many Pittsburgh-area residents who need home care assistance qualify without realizing it.

Medicaid may cover:

  • Personal care such as bathing, dressing, and grooming
  • Companionship and social engagement
  • Meal preparation and planning
  • Light housekeeping and errands
  • Respite care for family caregivers
  • Assistance with activities of daily living
Pennsylvania Program

What is the OLTL Waiver Program?

Pennsylvania Office of Long-Term Living offers home and community-based waiver programs that help individuals receive care at home instead of a nursing facility.

Community HealthChoices

The primary Medicaid managed care program in Pennsylvania for individuals who need long-term services and supports.

OBRA Waiver

Supports adults ages 18-59 with physical disabilities who need nursing facility-level care but prefer to live in the community.

Independence Waiver

Designed for individuals who need nursing-level care and can be safely supported in their own home.

Family Caregiver Program

Your family can get paid to care for you.

Through Pennsylvania Medicaid, CareLuxe Solutions clients can choose a trusted family member as their caregiver. That family member joins CareLuxe Solutions as an official caregiver and gets paid through your Medicaid benefits.

Most of our clients and caregivers are family. You get care from someone who already knows and loves you, and they receive a paycheck at no cost to your family.

Qualification Criteria

Do You Qualify?

  • You are a Pennsylvania resident
  • You currently receive Medicaid or believe you may qualify
  • You have a functional need for help with daily activities
  • You are age 18 or older
  • You prefer to receive care in your home rather than a facility

Ready to check your eligibility?

Our team will help you understand your Medicaid options and get started with covered home care services.

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