Melinda Piechoski, RN · RN Director of Nursing · PA License RN641214
40+ years clinical experience in home health and geriatric nursing · May 2026
If your child has been diagnosed with autism spectrum disorder and you spend your days providing hands-on care, you may qualify to receive payment for the work you’re already doing. Pennsylvania has several programs designed to help families of children with autism access funding, support, and paid caregiver options, including programs that allow parents and family members to become paid caregivers.
This guide explains the programs available in Pennsylvania, who qualifies, and how A-Team Home Care helps Philadelphia and Bucks County families get connected to the right support.
Can Parents Get Paid to Care for a Child with Autism in Pennsylvania?
Yes. Under certain Medicaid waiver programs administered by Pennsylvania’s Office of Developmental Programs (ODP), family members — including parents — may qualify to be paid as direct support professionals or personal care providers for their child with autism.
This is not automatic. The child must qualify for the specific waiver program, and the parent or family caregiver must meet the hiring and training requirements. Working with a licensed home care agency like A-Team Home Care can help families understand eligibility and navigate the enrollment process.
Pennsylvania Programs That Pay Family Caregivers of Children with Autism
PA ODP Home and Community-Based Waivers
Pennsylvania’s Office of Developmental Programs administers Home and Community-Based Services (HCBS) waivers for individuals with intellectual disabilities and autism. These include:
- Consolidated Waiver (CW): The most comprehensive waiver, providing residential support, day programs, and in-home care.
- Community Living Waiver (CLW): Focused on residential and community-based support for individuals living in the family home or community settings.
- Person/Family Directed Support (P/FDS) Waiver: Designed for individuals who live in the family home, this waiver may allow family members to be paid as support workers in eligible circumstances.
Waitlists for ODP waivers can be lengthy. Families should apply as early as possible through their county’s Administrative Entity (AE), which manages waiver enrollment.
Community HealthChoices (CHC)
Community HealthChoices is Pennsylvania’s Medicaid managed care program for individuals who qualify for long-term services and supports. CHC covers a range of home and community-based services, including personal assistance and in-home support for children with significant care needs.
Eligibility is determined through a functional eligibility assessment, and a service coordinator is assigned to help families navigate available services and funding options.
Direct Support Professional Roles Through Licensed Home Care Agencies
Many families work with a licensed home care agency to access trained Direct Support Professionals (DSPs) who provide consistent in-home support for their child. A-Team Home Care serves Philadelphia and Bucks County with caregivers experienced in autism-related care, behavioral support, and daily living assistance.
Family members who wish to become paid caregivers through a home care agency typically must meet training requirements set by the agency and the state.
What Qualifies a Child with Autism for Paid Caregiver Programs?
To access Pennsylvania’s waiver programs and paid caregiver arrangements, a child generally must:
- Have a documented diagnosis of autism spectrum disorder from a licensed healthcare provider
- Meet medical or functional eligibility criteria for the specific waiver program
- Qualify for Medicaid or become eligible through the waiver enrollment process
- Be enrolled or apply through their county’s Administrative Entity
A formal evaluation is typically required to determine the level of support needed. Early diagnosis and early application are strongly encouraged, as program waitlists can be significant in Pennsylvania.
Applied Behavior Analysis (ABA) and In-Home Support for Children with Autism
Applied Behavior Analysis (ABA) is a widely used, evidence-based therapy for autism spectrum disorder. In Pennsylvania, ABA therapy is covered by Medicaid and is required to be covered by most private health insurance plans under Pennsylvania’s autism insurance mandate.
ABA can be delivered in the home, school, or community setting. When provided at home, a Board Certified Behavior Analyst (BCBA) designs the treatment plan and trained therapists implement it under supervision.
In-home ABA combined with personal care support from a licensed home care agency creates a comprehensive structure for the child and reduces caregiver burden on the family.
Respite Care for Families of Children with Autism in Pennsylvania
Caring for a child with autism requires sustained time and energy. Respite care provides temporary relief for primary caregivers, allowing them to rest while their child receives professional in-home support.
Respite care in Pennsylvania may be funded through ODP waiver programs, the Pennsylvania Department of Human Services’ Family Support Program, or county-based family support programs. A-Team Home Care provides in-home respite care in Philadelphia and Bucks County, connecting families with caregivers who understand autism-related care needs. Call (215) 490-9994 to schedule a consultation.
How to Start Getting Paid as a Caregiver for Your Child with Autism
If you want to explore paid caregiver options in Pennsylvania, here are the general steps families follow:
- Obtain a formal autism diagnosis from a licensed psychologist, developmental pediatrician, or other qualified provider.
- Apply for Medicaid if your child is not already enrolled. Medicaid eligibility is the gateway to most waiver programs.
- Contact your county’s Administrative Entity (AE) to apply for ODP waiver services and get on the waiting list.
- Request a functional eligibility assessment to determine your child’s support needs and level of care.
- Work with a licensed home care agency like A-Team Home Care to understand paid family caregiver arrangements or to hire professional support staff.
- Develop a Person-Centered Support Plan with your service coordinator once waiver enrollment is approved.
Frequently Asked Questions
Can I be paid to care for my own child with autism in Pennsylvania?
In some circumstances, yes. Certain Pennsylvania ODP waiver programs allow family members, including parents, to be paid as support workers. Eligibility depends on the specific waiver program and county guidelines. A licensed home care agency or service coordinator can help clarify your options.
How long does it take to get approved for a PA autism waiver?
ODP waiver waitlists can range from several months to a few years depending on the county and specific waiver. Applying early is strongly recommended. Some families access other Medicaid-funded services while waiting for waiver enrollment.
Does Pennsylvania Medicaid cover in-home autism therapy?
Yes. Pennsylvania Medicaid covers Applied Behavior Analysis (ABA) therapy and in-home support services for eligible individuals with autism spectrum disorder. Private insurers in Pennsylvania are also required to cover ABA under the state’s autism insurance mandate.
Does A-Team Home Care serve families with children who have autism?
Yes. A-Team Home Care provides pediatric home care services in Philadelphia and Bucks County, including personal care, companionship, and respite care for families of children with autism. Call (215) 490-9994 for more information.
Learn more about our personal care services, companion care, Philadelphia home care, and Bucks County home care for families across the region.
