Home Modification and Repairs for Older Adults: Challenges and Opportunities for State Units on Aging: This report by the USC Fall Prevention Center of Excellence and ADvancing States reports on a national survey
PENNSYLVANIA DEPARTMENT OF AGING (State Unit on Aging)
State Units on Aging (SUAs) are designated state-level agencies that develop and administer state plans that advocate for and provide assistance, including home modifications or repairs, to older residents, their families, and adults with physical disabilities. SUAs administer funds, including Older Americans Act funds, which may be used to support home modification or repair services through local Area Agencies on Aging and other state and local entities.
1. Caregiver Support Program
Program Description: This program focuses on decreasing the stresses of caregiving by reimbursing primary caregivers for costs associated with caregiving, such as respite, caregiving-related services, and modifications to the environment that support caregiving. It is administered by local Area Agencies on Aging. In 2018, the state increased the lifetime limit for home modifications.
Population Served: Eligibility requirements vary by age of caregiver.
2. Help at Home: Options Program
Program Description: This program provides a variety of services to individuals 60 years and older to help them stay in their own homes. Supplemental Services include home modifications to improve safety and accessibility. In 2018, the state increased the lifetime limit for home modifications.
Population Served: Pennsylvania residents age 60 years and older who have an unmet need for services.
PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES: MEDICAID OFFICE
1. Home and Community-Based Services Waiver for Individuals Ages 60 and Older
Program Description: This waiver helps older Pennsylvanians continue to live in their homes and communities with support and services, including home adaptations.
Population Served: Pennsylvania residents 60 years and older who require a skilled nursing facility level of care.
2. Independence Waiver
Program Description: This waiver helps adults with severe physical disabilities remain at home or live in the community. Services include accessibility adaptations.
Population Served: Pennsylvania residents between the ages of 18-60 with a physical disability that limits three or more of the following major life activities: self-care, understanding and use of language, learning, mobility, self-direction and/or capacity for independent living. Financial requirements are determined by the county.
PENNSYLVANIA HOUSING FINANCE AGENCY
Access Home Modification
Program Description: This program provides deferred payment mortgage loans with no interest and no monthly payment to assist persons with disabilities (or households with a family member(s) with disabilities) who are purchasing a home that needs accessibility modifications. The loan becomes due and payable upon sale, transfer, or non-owner occupancy of the property. Home modifications include changes made to the bathroom, kitchens, and access areas to the home.
Population Served: Homebuyers with a permanent disability or who have a family member living in the household with a permanent disability who are purchasing a new or existing home.
Program Description: The Pennsylvania Lottery is the only state lottery that designates all proceeds to programs that serve older adults across a state. Funds are allocated through Area Agencies in Pennsylvania for a variety of services that include home modification.
Populations Served: Older adults in Pennsylvania.
PENNSYLVANIA STATE ASSISTIVE TECHNOLOGY PROGRAM
The State Assistive Technology Grant Program, funded under the Assistive Technology Act of 2004, supports comprehensive, statewide programs in each state that improve the provision of assistive technology (often home modification-related) to individuals with disabilities of all ages.
PENNSYLVANIA STATE FALL PREVENTION COALITION
Pennsylvania State Fall Prevention Coalition
For an up to date list of all state fall prevention coalitions, visit: https://www.ncoa.org/resources/list-of-state-falls-prevention-coalitions/