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Apply for long term services and supports (ltss) waiver Your power of attorney, legal guardian or care manager can call our office to schedule an intake assessment with our trained staff. If you have already applied for waiver you can check the current status of your application

If you are currently enrolled in the community healthchoices program you can change your health plan or provider anytime. • learn more about home and community based waiver services To begin the eligibility/enrollment process, please contact the pa independent enrollment broker

Above address is for the central office in harrisburg.

The pennsylvania department of human services (dhs) determines if you are eligible for community healthchoices 711) or enrolling online at paieb.com/en. They may do so in the following ways Someone can download an application from the website above and mail it to

Pa ieb, po box 61560, harrisburg pa 17106 Paper applications can also be requested by calling the phone number above. You can email any information to the pa ieb at paieb@maximus.com For example, if you have your completed application, this can be emailed to the pennsylvania independent enrollment broker at paieb@maximus.com.

To apply, complete the information referral tool found on our website and learn about the programs that you might find helpful

At the end of the short set of questions, you will be provided with contact information and an opportunity to contact agencies directly to start the enrollment process. Pa ieb will send your family doctor a physician certification form to fill out and send back At the visit, a representative from pa ieb will talk with you about your needs and abilities You will complete your medicaid application and other required forms.

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