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Pennsylvania Home Care

Allegheny County Resources Worth Knowing About

The phone numbers that actually help, what each one does, and the order to call them in. Most of this exists already and is barely used.

Cyanjel Home Care Published Updated 5 min read

A great deal of help exists in Allegheny County that families never reach, and the reason is rarely eligibility. It is that nobody knows the programs are there, or which of the several plausible-sounding offices is the one that answers this particular question.

This is a working list rather than a directory. Program details and amounts change, so treat the phone numbers as reliable and the specifics as questions to ask when you call.

Start here: SeniorLine

If you only make one call, make this one.

SeniorLine, 412-350-5460, weekdays 8:30am to 4:30pm. This is the front door to the Allegheny County Area Agency on Aging, which serves county residents aged 60 and over. Anyone can call, including an adult child calling about a parent, and information and referral is free.

SeniorLine is staffed by care managers rather than a switchboard, which is the part that surprises people. They can answer questions about in-home services, care management, support for caregivers, senior centers, transportation, help with prescriptions and utilities, and property tax and rent rebates. Where something is not theirs, they know whose it is.

The mistake families make is calling SeniorLine as a last resort, once the situation is acute. It works far better as the first call, when you are still trying to understand what exists. There is no cost and no obligation to accept anything.

What to expect if you ask for services: an assessment, usually in the home, of what somebody can and cannot manage. That assessment is the gateway to most of what follows. Our guide to how to actually use your Area Agency on Aging covers what happens next in more detail.

Help paying for care at home

The OPTIONS program provides in-home services to people who are struggling with everyday activities such as bathing, dressing and grooming, and who cannot pay privately for help. There is generally a contribution based on income rather than a flat charge. Access is through the Area Agency on Aging.

Community HealthChoices is Pennsylvania’s Medicaid program covering long-term services and supports for adults, at home as well as in a facility. It is a different route with its own eligibility tests, covered in our article on paying for home care in Pennsylvania.

These are not alternatives to try in parallel so much as a sequence: the assessment tells you which one you are dealing with.

Support for the family caregiver, not the care receiver

The Caregiver Support Program is aimed at the person doing the caring, which makes it unusual and widely overlooked.

Administered through the Area Agency on Aging, it can provide respite so a caregiver gets a break, reimbursement toward the costs and supplies of caregiving, and help with home modifications and assistive devices. A care manager visits, assesses what the caregiver as well as the care receiver needs, and builds a plan around it.

Reimbursement is cost-shared, with the proportion calculated from income, and both the monthly reimbursement and the lifetime amount for home modifications are capped. Those figures are set at the state level and change, so ask what the current amounts are when you apply rather than relying on a number from an article.

Caregivers routinely dismiss this one on the assumption that help is only for the person being cared for. The program is named after them. Call and ask.

If you are the person holding all of this together, our piece on caregiver burnout is worth reading before you decide you are coping fine.

Prescriptions, and the program with the odd name

PACE and PACENET, 1-800-225-7223. Pennsylvania’s prescription assistance programs for residents aged 65 and over, funded through the Lottery. PACE covers those on lower incomes and PACENET extends further up the scale, which is why people who assume they earn too much are frequently wrong.

Eligibility is worked out from the previous calendar year’s income and requires Pennsylvania residence for at least 90 days before applying. Income limits change, so the sensible move is to call the number and let them tell you rather than deciding for yourself in advance.

Getting about without driving

ACCESS paratransit, 412-442-2000. Shared-ride, door-to-door, advance-reservation transport across Allegheny County, serving people with disabilities, agency clients and people aged 65 and over.

Free and reduced fares on regular buses and light rail are also available to older Pennsylvanians through the state’s senior transit program, which requires a card obtained with proof of age. Fares, service areas and the card system itself are subject to change, so confirm the current position with Pittsburgh Regional Transit before relying on it. Our article on getting around Allegheny County without driving goes through the options and how to register.

Home, heat and property

Assistance with heating costs, weatherization, and the Property Tax and Rent Rebate program all exist for older Pennsylvanians on limited incomes, and all are routinely left unclaimed. SeniorLine can point you to the right application for each, which is generally faster than working out the correct office yourself.

When something is wrong

Pennsylvania elder abuse hotline, 1-800-490-8505. Staffed 24 hours a day, seven days a week, for reports concerning abuse, neglect, exploitation or abandonment of an older adult, whether at home or in a facility. Reports may be anonymous, and people who report in good faith are protected from retaliation.

You do not need proof. Suspicion is the threshold, and the professionals who investigate would far rather look at something that turns out to be fine.

The Ombudsman program, reached through the Area Agency on Aging, advocates for people receiving long-term care and helps resolve problems short of a formal complaint.

Department of Health home care complaint line, 1-866-826-3644, for concerns about a licensed home care provider. What that covers is set out in your rights as a home care client.

The order that works

Call SeniorLine first and describe the situation rather than asking for a specific program, because the assessment usually opens more doors than a specific request does. Ask explicitly about the Caregiver Support Program if a family member is providing care. Call PACE separately, since prescriptions run on their own track. And keep the abuse hotline number written down somewhere, because the moment you need it is not the moment to start searching.

None of this is charity and none of it is unusual to claim. It is ordinary infrastructure that happens to be badly signposted. If you want to talk through what paid support at home would involve alongside these programs, our personal care page sets out what is included, and we will tell you when the right answer is one of the numbers above instead.

Working out what applies here?

We know how these programs fit together in Allegheny County. Call and we will tell you which door to knock on, even when it is not ours.

Mon–Fri, 10:00am–5:00pm · No obligation, and no pressure on the call.