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Welcome to the PA Independent Enrollment Broker (PA IEB) The PA IEB is a contracted statewide entity facilitating the enrollment process for Pennsylvania residents seeking home and community based services and supports as well as long term services and supports.
The PA-4 form will be used to assist the assessor in determining whether home and community based long-term care services can best meet the needs of the individual. Complete the top portion of the PA-4 with the individuals name, address, phone number, date of birth, veteran status, Social Security and Medicaid number.
Call the PA Independent Enrollment Broker (PA IEB) at 1-877-550-4227. Learn more about Home and Community Based Waiver Services. Tell PA IEB you want to apply for waiver services and schedule your first in-home visit. Read the list of papers you need for the first in-home visit.
The Independent Enrollment Broker is a contracted statewide entity to facilitate and streamline the eligibility/enrollment process for applicants seeking services for several Pennsylvania waivers/programs.
​Waiver Information The name waiver comes from the fact that the federal government waives Medical Assistance/Medicaid rules for institutional care in order for Pennsylvania to use the same funds to provide supports and services for people closer to home in their own communities.

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Maximus PA Independent Enrollment Broker program assists people with disabilities apply for home and community-based programs in southcentral PA.

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