Pennsylvania Office of Long Term Living

PA OLTL Program



Aging (Adult)


Physical Disability (Adult)


Chronically Ill (Adult)


Brain Injury (Adult)


Head and Spinal Cord Injuries (Adult)


Beginning May 6th, 2024, please note the change in PPL OLTL Office hours. The new office hours are Monday – Friday 9am-7pm and Saturday 9am-1pm ET. Please contact us if you need assistance!


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:

Community HealthChoices Waiver

OBRA Waiver

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. 

How to get started

Take the questionnaire


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


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


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.


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

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

Program Documents


Procedures & Information

2021 PA OLTL Year End Letter for OBRA & Act 150 Participants 2678 Form Instructions 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 Checklist To Complete I-9 Form Child Abuse Release Authorization Instructions Common Law Employer Monthly Reports Instructions For A Non Aging Participant Common Law Employer Monthly Reports Instructions For An Aging Participant Common Law Employer and Participant Services Change Form Consumer Guidebook For Self Directed Services DCW COVID Vaccine Letter DCW Change Of Information Form DCW Change Of Information Instructions DCW Info On Nonwithholding (Rev 419) Instructions DCW Local Services Tax Exempt Instructions DCW Orientation Postcard DCW Pre Service Orientation Information DCW Requalification Letter DCW Requalification Packet DCW Separation Of Employment DCW Unique ID Postcard To Cles DCW Unique Identification Information DOC Instructions Designated Representative Form Difficulty Of Care Training Direct Care Worker COVID 19 Essential Personnel Letter Download the full Hazard Pay Letter Employee’s Non-withholding Application Certificate (REV 419) 2022 Employer Confirmation Of Info Instructions FLSA Letter To Participants Fair Labor Standards Act Live In Exemption Fair Labor Standards Act Live In Exemption, Spanish Fingerprinting Application Instructions 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 New Employer Maximum Wage Sheet OLTL Bulletin For Service Coordinators PA Department of Health When to Seek Care PA OLTL Billable Pay Rate Letter PA OLTL Guide For Participants With An Existing Employer Identification Number PA OLTL Pay Schedule A 2024 PA OLTL Pay Schedule B 2024 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 SS4 Form Instructions Separation Of Employment Form Instructions State Police Check Instructions Tax Exemption Form Tax Exemption Form, Spanish Vendor Payment Request Form W-2 C Final Letter Worker Compensation Policy Contact Sheet

Contact Information