Effective July 1, 2026
The Department of Human Services (DHS) Office of Long-Term Living (OLTL) will be submitting an amendment for the CHC 1915(c) home and community-based services waiver with an effective date of July 1, 2026. The department proposes the following substantive and technical changes to the CHC waiver:
- Add a teleservice option to the following waiver services:
- Behavior Therapy
- Benefits Counseling
- Add language to specifically address teleservice delivery of waiver services and the Home and Community Based Settings Rule based on sections added to the waiver application.
- Remove and modify outdated language throughout waiver.
Comments
Interested persons are invited to submit written comments regarding the proposed waiver renewal to:
Department of Human Services
Office of Long-Term Living, Bureau of Policy Development and Communications Management
Attention: CHC 2026 Waiver Amendment
P.O. Box 8025
Harrisburg, PA 17105-8025
Comments may also be submitted to the Department at RA-waiverstandard@pa.gov. Please use “CHC 2026 Waiver Amendment” as the subject line. Comments received by close of business on March 1, 2026, will be reviewed and considered for revisions to the proposed waiver renewal. Please use the CHC Waiver Comment Form.
The CHC waiver renewal public notice was published on Saturday, January 31, 2026, in the Pennsylvania Bulletin. View the public notice here.
CHC Waiver Amendment Documents
(*) This Appendix contains proposed changes
- Side by Side Comparison of Proposed Changes
- Main Module*
- Appendix A: Waiver Administration and Operation*
- Appendix B: Participant Access and Eligibility
- Appendix C: Participant Services*
- Appendix D: Participant-Centered Planning and Service Delivery*
- Appendix E: Participant Direction of Services
- Appendix F: Participant Rights
- Appendix G: Participant Safeguards
- Appendix H: Quality Improvement Strategy
- Appendix I: Financial Accountability
- Appendix J: Cost Neutrality Demonstration