This program is eligible for 1 hour of CLE credit in 60-minute states. In 50-minute states, this program is eligible for 1.2 hours of CLE credit. Credit hours are estimated and are subject to each state’s approval and credit rounding rules.
Overview
This presentation explores often-overlooked, innovative approaches for Pennsylvanian adults under 65 to access vital home- and community-based services beyond the traditional waiver eligibility route. We'll delve into three key alternatives:
• Leveraging MAWD (Medical Assistance for Workers with Disabilities) and the Workers with Job Success program to gain entry to Pennsylvania’s Medicaid waivers, including the Community HealthChoices (CHC) Waiver.
• Overcoming Medicaid waiver income limits using a qualified pooled income trust.
• Utilizing Act 150 as an alternative means of service access. We’ll provide an overview of eligibility criteria for each approach, compare benefits and provide tips for selecting the most suitable program and the timing for doing so. Discover how these options not only expand who can access essential community-based services but also promote opportunities for financial growth. Join us to unlock pathways that empower adults with disabilities to thrive in their communities while building a more secure future.
Recorded in February 2026.
Faculty
Amy E. Lowenstein, Esq.
Amy Lowenstein is the director of policy and a supervising attorney at the Pennsylvania Health Law Project. She works to improve and strengthen Medicaid coverage and services for Pennsylvanians through policy analysis, systems advocacy and direct representation; and provides training and support to community-based organizations. Prior to joining PHLP, Amy represented health care consumers and people with disabilities in New York through policy advocacy, litigation and direct services. Amy received her J.D. from Columbia Law School and her B.A. in history from Wesleyan University.

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