If you are a nursing facility resident, Specialized Services may be available to help you. This service provides training, encouragement, and other tangible supports, which could enable you to acquire, regain, improve, or maximize your skills and abilities, to live a more productive and satisfying life as close to home as possible.


To be eligible for Specialized Services, you must:

  • Be a nursing facility resident
  • Have other related condition(s) occurring before the age of 22 as mandated by the Federal Nursing Home Reform Act (OBRA 87) and provided as agreed to in the Richardson Settlement Agreement
  • Other related conditions (ORCs) include physical, sensory, or neurological disabilities which manifested before age 22, are likely to continue indefinitely, and result in substantial functional limitations in three or more of the following areas of major life activity:
    • Capacity for independent living
    • Mobility
    • Self-direction
    • Learning
    • Understanding and use of language
    • Self-care

Additional eligibility requirements may apply.

Available Services

Services that may be available to you include:

  • Community integration activities
  • Consumer training
  • Equipment/assessment
  • Peer counseling and support groups
  • Supports coordination and advocacy
  • Transportation services


Long-Term Living Helpline toll-free 1-800-753-8827

Office of Long-Term Living Bureau of Individual Support: (717) 787-8091


Contact Information

OLTL Helpline

Call the toll-free Long-Term Living Helpline at 1-800-753-8827

Call the Helpline

Additional Support

If you need additional help finding information about services, please call the Office of Long-Term Living Bureau of Individual Support at 717-787-8091.