Pennsylvania Office of Long Term Living

PA OLTL Program

PROGRAMS FOR

A

Aging (Adult)

PD

Physical Disability (Adult)

CI

Chronically Ill (Adult)

BI

Brain Injury (Adult)

HSCI

Head and Spinal Cord Injuries (Adult)

IMPORTANT PROGRAM NOTICES

Please participate in an important survey for Public Partnerships (PPL) that will help us gain valuable insights and improve our services.

The survey is hosted on Microsoft Forms and should only take around 5 to 10 minutes of your time. Please go to the PA OLTL website under Program Notices and click on the link for the Annual survey.

PPL Annual Survey Link

Thank you in advance for your time and input. If you have any questions, don’t hesitate to reach out to Customer Service at 1-877-908-1750.

Best regards,

Public Partnerships

OLTL Team

Public Partnerships LLC (PPL) is happy to announce the start of our quarterly Support Coordinator training for the OLTL Program. The training will be hosted by PPL Account Managers Tiffany Angel & Elise Mercer and cover a variety of topics from enrollment, navigating BetterOnline, Electronic Visit Verification (EVV), and supporting the CLE with their responsibilities.

Click here for times and weblinks in 2026

WHAT’S NEW

  • Public Partnerships LLC (PPL) is happy to announce the start of our quarterly Support Coordinator training for the OLTL Program.

    The training will be hosted by PPL Account Managers Tiffany Angel & Elise Mercer and cover a variety of topics from enrollment, navigating BetterOnline, Electronic Visit Verification (EVV), and supporting the CLE with their responsibilities.
Click here for Registration Links

Overview

The Pennsylvania Office of Long Term Living (OLTL) program assists elderly people and adults with disabilities through the Attendant Care Act 150 program and these two Medicaid waivers:

OBRA Waiver

Act 150 Program

Participants can 

Work with your service coordinator to develop a care plan that meets your needs and goals and change your plan if your needs change.

Choose your Direct Care Worker (DCW).

Use BetterOnline to monitor your DCW’s hours and spending.

Use BetterOnline or Time4Care to review, approve, and submit your DCW’s timesheets.

Purchase approved goods and services, only available under Services My Way.

Manage your own DCW.

Services include

Payroll – We process payroll for your DCW using money from your budget/authorization.

Employment tax requirements – We handle all employment-related taxes for you, including federal, state, local, and unemployment.

Enrollment support – We help you and your DCW with enrollment and training through your enrollment specialist.

Customer service – Our friendly and professional customer service agents are available five days a week to help you with any questions.

Service reports – With our reports you’ll always have a clear picture of the services you’ve received. 

Frequently Asked Questions

Answers for Participants, Common Law Employers (CLEs), Service Coordinators (SCs), and your Direct Service Workers (DCWs):

If you are on the Consolidated Waiver, Community Living Waiver or the Person/Family Directed Support (P/FDS) Waiver you can choose to self-direct your Waiver. Please reach out to your Supports Coordinator (SC) and ask them to submit a referral. If they need assistance in submitting a referral they can reach out to our Customer Service at 1-800-249-0861.

If you are not on a Waiver program and would like more information, please reach out to our Concierge Team for more information email learn@pplfirst.com.

The Difficulty of Care is a Federal Income exclusion. If the provider provides services to the participant in the participant’s home, they do not have a separate home where they live, and it is the home where they perform private life, including sharing meals and holidays, they qualify for Difficulty of Care. This means the provider will not have federal income taxes withheld.

There could be a couple of reasons why your time entry was not paid on time:
If the time entry is not approved by the Service Shift Deadline date on the payroll schedule, it will not be paid on time. The payroll schedule can be found under Payroll Documents.
The time entry pended; which means it did not pass all requirements to be paid. You should be able to see the reason for the pended time entry within the Time4Care app.

ACRONYM — DESCRIPTION
CLE — COMMON LAW EMPLOYER
DCW — DIRECT CARE WORKER
EVV — ELECTRONIC VISIT VERIFICATION
ISP — INDIVIDUAL SERVICE PLAN
PA OLTL– PENNSYLVANIA OFFICE OF LONG-TERM LIVING
SC — SERVICE COORDINATOR
SCO — SERVICE COORDINATION ORGANIZATION
PPL — PUBLIC PARTNERSHIPS, LLC
ES — PPL ENROLLMENT SPECIALIST
CS — PPL CUSTOMER SERVICE

If you are a CLE making changes to your personal information; you will need to complete this form: https://pplfirst.wpenginepowered.com/wp-content/uploads/2024/02/cle-address-phone-change-form.pdf

If you are a DCW making changes to your personal information; you will need to complete this form: https://pplfirst.wpenginepowered.com/wp-content/uploads/2024/02/dcw-change-of-information-form.pdf

  • PPL IDs must be on each form and include the full number including letters, if applicable.
  • Whiteout cannot be used.
  • Include identifying information on non PPL forms, for example a certificate or diploma. Please write or type your name and PPL ID at the top of the document.
  • Please fill in each field on each document to ensure that it is processed. Incomplete documents will be returned for completion.

Answers for Participants, Common Law Employers (CLEs), and Service Coordinators (SCs):

Referrals are submitted on paper forms for the PA OLTL program:
new-participant-fms-referral-form-with-options-transfer.pdf

Participant Referral Checklist
Once completed, the Service Coordinator (SC) will email to padpw-oltl@pplfirst.com

Please fill out this form and email to the email address on the document.

You can find phone numbers for all of the programs we work with on our contact page.

Answers for Direct Service Workers (DCWs):

To update your payment type, please complete the Payment Change Form. Please forward the form to the email address listed on the form.

If you haven’t submitted it, you can edit your time through Time4Care, click here for instructions.
If you have submitted it, the Participant/CLE should reject it so an updated time entry can be submitted.
If the Participant/CLE has approved it, they will need to contact PPL Customer Service to get the time entry denied.

This depends:

If there is not a live-in exemption: Authorized overtime (over 40 hours a week) is paid at 50% of the regular pay rate. Your pay stub has one line showing the amount of regular pay, and another for the 50% overtime pay.

If there is a live-in exemption: Individuals who live with the participant can work over 40 hours a week but are not paid overtime because of the live-in exemption Department of Labor rule. OR

  • Reviewing job applications, interviewing, checking references, and hiring Deciding tasks and schedules
  • Doing background checks, if required (we’ll do this for you)
  • Teaching your employees about your needs
  • Treating your employees with dignity and respect
  • Reviewing and approving timesheets accurately and promptly
  • Providing feedback on job performance
  • Disciplining and firing when necessary
  • In some states, determining the hourly wage

DCWs are required to complete an FBI check if they have lived out of the state of Pennsylvania for more than 2 years or if there is a child in the Participant’s home.

DCWs must complete the following:

  • If there is a child in the Participant’s home, a child abuse check is required.
  • If the DCW has lived out of the state of Pennsylvania for more than 2 years or if there is a child in the Participant’s home, an FBI check is required.
  • All DCWs are required to get a Criminal Background Check.
  • All DCWs are required to get an Office of Inspector General (OIG) check.

The billable rate includes taxes, unemployment, worker’s comp, and other state taxes. The CLE can click on My Providers, then Services & Rates, click on billable rate under the correct service code to see the breakdown.

How to get started

Take the questionnaire

Time4Care™

Both participants (employers) and caregivers (employees) have lots of timekeeping to do when working in a self-direction program.

Time4Care is our highly rated mobile solution for Apple and Android smart devices.

Reminders to submit timesheets

Timesheet submission and approval alerts

Timesheet error checking

Offline time entry

Simple calendar interface

Privacy features

Documentation

Instant timesheet approval

Works right in the MyAccount/BetterOnline portal

Electronic Visit Verification (EVV)

Electronic Visit Verification (EVV) is used in your program. Submit and approve timesheets with Time4Care EVV, our easy-to-use mobile app.

Download on App Store Download on Google Play

Here are some things that will help you learn more about EVV and how to use the Time4Care mobile app:

EVV and Time4Care FAQ Time4Care Quick Guide

BetterOnline™

Better Online is a web-based app that keeps you organized and gives you the tools and info you need to manage your self-direction journey. Handle timesheets, check how much you spend each month, and get answers when you need them. It’s easy to use and available from any internet-connected device.

Log in

Select the system to go to the login page.

Time4Care™

Log time and review, approve, and submit timesheets with ease.

Learn more about the benefits of Time4Care

Download on App Store Download on Google Play
BetterOnline™

Fill out, approve, and submit timesheets, complete enrollment paperwork, and run reports 

Program Documents

FILTER DOCUMENTS

Procedures & Information

2678 Form Instructions Announcement – EVV Compliance Application For Difficulty Of Care Federal Income Tax Exclusion Application For Difficulty Of Care Federal Income Tax Exclusion, Spanish Application For Tax Exemptions Instructions Application Request Form Instructions CLE Address Phone Change Form CLE Address Phone Change Form Instructions CLE Agreement Instructions Common Law Employer and Participant Services Change Form DCW Change Of Information Form DCW Change Of Information Instructions DCW Info On Nonwithholding (Rev 419) Instructions DCW Local Services Tax Exempt Instructions DCW Pre Service Orientation Information DCW Requalification Letter DCW Requalification Packet DCW Separation Of Employment DCW Unique Identification Information DOC Instructions Designated Representative Form Employee’s Non-withholding Application Certificate (REV 419) 2022 Employer Confirmation Of Info Instructions Fair Labor Standards Act Live In Exemption Fair Labor Standards Act Live In Exemption, Spanish Form W 4 Instructions Glossary Of Terms How To Determine DCWs Maximum Wage IRS DOC Q&A For Caregivers Live In Exemption Training Local Services Tax Exemption Form New Direct Care Worker (DCW) Application Request Cover Letter New Direct Care Worker (DCW) Application Request Cover Letter, Spanish New Direct Care Worker (DCW) Application Request Form New Direct Care Worker (DCW) Application Request Form, Spanish PA Department of Health When to Seek Care PA OLTL Complaint Grievance Form PA OLTL Complaint Grievance Form Large Print PA OLTL Guide For Participants With An Existing Employer Identification Number Payment Change Form Instructions Pharmacy Benefit Physician Panel Requirements Program Rule Reminders Qualified Worker Rate Change Form Qualified Worker Rate Change Form Instructions Qualified Worker Rate Change Form, Spanish Residency Certification Form (CLGS 32 6) Instructions Risk Management Resources Separation Of Employment Form Instructions State Police Check Instructions Tax Exemption Form Tax Exemption Form, Spanish Worker-Compensation-Info-Sheet pa-oltl-existing-ein-tool-kit

Contact Information