Person/Family Directed Support Waiver

The Pennsylvania Person/Family Directed Support Waiver is designed to help individuals with an intellectual disability, autism, or developmental disability to live more independently in their homes and communities and to provide a variety of services that promote community living, including self-directed service models and traditional, agency-based service models. 

Eligibility criteria:

  • There is no age limit for individuals with an intellectual disability or autism. Individuals with a developmental disability with a high probability of resulting in an intellectual disability or autism are eligible from age 0 through 9.
  • Level of Care
    • Medical Evaluation
    • Diagnosis of an intellectual disability, autism, or developmental disability
  • Recommended for an intermediate care facility  (ICF) level of care based on a medical evaluation
  • Determined eligible for Medical Assistance (MA)
  • Meet the financial requirements as determined by your local County Assistance Office.
  • Individual cost limit of $33,000 per person per fiscal year
    • Excludes Supports Coordination and Supports Broker Services
    • The limit can be exceeded by $15,000 for Advanced Supported Employment or Supported Employment services


  • Advanced Supported Employment
  • Assistive Technology
  • Behavioral Support
  • Benefits Counseling
  • Communication Specialist
  • Community Participation Support
  • Companion
  • Consultative Nutritional Services
  • Education Support
  • Family/Caregiver Training and Support
  • Home Accessibility Adaptations
  • Homemaker/Chore
  • Housing Transition and Tenancy Sustaining Services
  • In-Home and Community Support
  • Music, Art, and Equine Assisted Therapy
  • Participant-Directed Goods and Services
  • Respite
  • Shift Nursing
  • Small Group Employment
  • Specialized Supplies
  • Supported Employment
  • Supports Broker
  • Supports Coordination
  • Therapy
    • Physical
    • Occupational
    • Speech
    • Language
    • Orientation, Mobility and Vision
  • Transportation
  • Vehicle Accessibility Adaptations


Person/Family Directed Support (P/FDS) Waiver Amendment, Effective July 1, 2017

Changes were made to the waiver renewal since it was posted in April based on corrections made as well as conversations with the Centers for Medicare and Medicaid Services (CMS). Following is a link where you can access a document that contains the changes made to the renewal based on the Informal Request for Additional Information from CMS as well as additional corrections made to the renewal.

Person/Family Directed Support (P/FDS) Waiver Renewal, Changes Made Since April 2017


Note: For historical and comparison purposes, the below link is accessible to view the previous approved Person/Family Directed Support (P/FDS) Waiver Amendment effective July 22, 2015. This Waiver will be available at the link below until October 1, 2016

Person/Family Directed Support (P/FDS) Waiver Amendment, Effective July 8, 2016