Service Referral & Intake
Submit a referral for an individual with an intellectual or developmental disability enrolled in a PA Medicaid Waiver program.
Request Services
Use this secure form to submit a service referral for an individual with an intellectual or developmental disability enrolled in a PA Medicaid Waiver program. Our intake team will contact you within 2 business days.
Case managers and SCOs: Please have the participant's Medicaid ID and ISP documentation ready. For urgent referrals, call us directly at 412-339-7644.