TRIPIL - Tri-County Patriots For Independent Living Advocacy Leads To Change
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TRIPIL Services - Home and Community Based Services

Photo: Mike Cogley
Mike Cogley
Director

Home and Community Based Services are sometimes called Waiver Funded Services or Waiver Programs because they are provided under special conditions through federal approval whereby certain rules for Medical Assistance eligibility are waived.

Home and Community Based Services (HCBS) are services or other supports to help people with disabilities of all ages to live in the community. These services can be funded by private insurance, Medicaid, Medicare, or private pay.

Pennsylvania has a mix of programs and funding sources. The Medicaid program pays for many of these services. However, Pennsylvania also has the ACT 150 program that is funded with dollars from the State Legislature and fills the gap for people who are not Medicaid eligible.

Depending upon the particular scope of the funding, HCBS services include: case management, service coordination, homemaker, home health aide, personal care, peer support, home modification, skills training, transportation, adult day health care, habilitation, respite care, and other services. TRIPIL Services is a provider for the State of Pennsylvania for many of those services in Washington, Fayette, and Greene Counties.

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Costs of Long Term Care in Pennsylvania:

               Avg.Daily       Avg. Monthly     Home Health    Homemaker
              Nursing Home    Assisted Living    Aide Avg.    Service Avg.
                Rate           Facility Rate    Hourly Rate    Hourly Rate

Philadelphia    251.93          3,133.12           18.82          18.62 
Rest of State   212.73          2,205.29           27.84          16.71 
State Average   232.33          2,669.21           23.33          17.67 

Source: 2007 Cost of Care Survey, Genworth Financial, March 2007

Mission Statement:

“To establish a system whereby direct services are provided to individuals with disabilities and their families within the context of the Independent Living Philosophy of full intergration, consumer control, and choice; and to encourage individual and group advocacy on significant issues; to encourage self-determination; and to encourage people to develop an Independent Lifestyle.”
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