Waivers Eligibility for Adult Home

Independence Waiver
For individuals with physical disabilities allows them to live in the community and remain as independent as possible. Nursing Services available to individuals who are medically fragile.

OBRA Waiver:
Home and community based services to individuals with physical disabilities to allow them to live in the community and remain as independent as possible. Nursing and Residential services are available.

Commcare Waiver:
An individual must have a medically determinable diagnosis of traumatic brain Injury. Must require Nursing  Services.

Consolidated Waiver:
Designed to help individuals with an intellectual disability live more independently in their homes and communities and to provide a variety of services that promote community living, including self-directed service models and traditional, agency-based service models.​


Individuals age 21 and older who are medically fragile and physically disabled, with a nursing need. Each consume must be on an Independence, OBRA, Commcare or the Consolidated Waiver.

(Please refer to the right column for definition of Waivers.)


Firely Adult Services Case Management consists of RN's who act as advocates for the Consumers. Case Management is responsible for, but not limited to:

-Coordinating the care and services delivered to the Consumer by our staff while working directly with the  Consumer, Family, charge nurse and the Physician.

-Create a Plan of Care (POC) that includes all medical care and ongoing support.

​-Working closely with the Supports Coordinator, charge nurse Staff and House Manager in delveloping the ISP.

-Keeping documents in the home and main office correct and up to date.

-Maintaining an open line of communication with their assigned Consumer, Physician, Staff and Family.


Firely Adult Services is commited to meeting the needs of our Consumers and will do everything possible to provide all the coverage prescribed in the Consumers ISP (individual service plan).

A scheduling coordinator is available full time and on call to work on your scheduling needs. Any schedule changes or issues can easily be addressed with a phone call to the scheduler and/or case manager.


Our Specialty Team
Our teams work together in the home of our consumer, creating a caring and loving environment. The team consists of a Case Managers, Social Worker, and Skilled Nurses with Extensive Respiratory Training. Additionally, we contract with PT and OT services.

​​​​Nursing Services include but not limited to:

  • Daily Assessments
  • Medication Administration
  • Trach/Vent
  • Enteral Feeds
  • Central Lines/TPN
  • Ostomy Care/Wound Care
  • Seizures
  • O2 Therapy/Pulse Ox Monitoring/IPV/Coffalator/CPT Vest
  • Diabetic Monitoring
  • Foley Bags
  • IPV/Coffalator/CPT Vest


Find us on facebook

Firely Pediatric and Adult Services

 Please feel FREE to contact Laura Miscioscia, BS at 215-513-7455 ext. #213 for more information regarding these services!