Personal Care & Hygiene
Support with bathing, dressing, grooming and toileting — offered with dignity, and structured to build independence where it's possible.
ODP · In-Home & Community Supports · Licensed PA Provider
In-Home & Community Supports in Philadelphia
Personalized support for everyday living.
Hands-on help with daily living for people with intellectual disabilities, autism and developmental delays — delivered at home and out in the community, and always aimed at building independence rather than replacing it.
What is In-Home & Community Supports? IHCS is an ODP waiver service that provides direct, hands-on assistance with everyday activities — personal care, cooking, cleaning, safety, community errands — for a person with a disability. The distinguishing idea is that support is meant to teach and build skills wherever possible, so the person becomes more independent over time, not more reliant.
Real Help at Home. Real Independence Everywhere Else.
Some days need a hand with the basics — getting washed and dressed, making a meal, keeping the apartment liveable, remembering the medication. Other days it's about getting to the pharmacy, managing money at the shop, or handling a situation that got overwhelming. In-Home & Community Supports covers all of it.
What sets it apart from just "doing things for someone" is the goal. Wherever it's realistic, our staff support the person to do the task with help rather than having it done for them — because every skill learned is one less thing that needs a paid hand tomorrow.
All of it runs through the Individual Support Plan and your Supports Coordinator, so the help at home connects directly to the outcomes your team already agreed on. And because Miracle Makers is a licensed Pennsylvania provider serving every county in the state, families don't lose their provider when life moves them across a county line.
ODP Office
Philadelphia
9118 Frankford AvePhiladelphia
Philadelphia, PA 19114
(484) 229-3455
[email protected] Monday – Friday · 9:00 AM – 5:00 PM
Serving all 67 Pennsylvania counties
What This Support Actually Covers
Built around the individual's own goals — not a fixed checklist.
Meals & Household
Cooking together, planning meals, laundry, tidying and keeping the home safe and liveable — learning the routine, not just the result.
Routines & Time Management
Building a daily rhythm — waking, meals, appointments, sleep — that gives structure and reduces the stress of an unplanned day.
Health & Safety at Home
Medication reminders, recognising when something's wrong, and knowing what to do and who to call in an emergency.
Errands & Getting Around
Shopping, the pharmacy, appointments, and practising the bus or train routes that make independent travel possible.
Money & Self-Advocacy
Handling cash and cards, budgeting for the week, and speaking up — the practical adult skills that make independence real.
Two Settings. One Plan. Zero Gaps.
The name says it: this service works both inside the home and out in the community, and most people use a mix of both.
In the Home
- Morning and evening personal-care routines
- Cooking, cleaning and keeping the home safe
- Medication reminders and health routines
- Building a daily structure that works
Out in the Community
- Shopping, banking and running errands
- SEPTA travel training and safe independent travel
- Getting to appointments and handling them
- Practising money and social skills in real settings
Looking for group activities, volunteering and friendship-building specifically? That's our Community Participation Support service.
Getting Started Takes One Call
Four steps — and we handle the coordination on most of them.
1
Reach out
Call (484) 229-3455 or send the request form. Tell us what kind of help is needed and when.
2
Check the ISP
We contact your Supports Coordinator to confirm In-Home & Community Supports is authorized in the Individual Support Plan, and for how many hours.
3
Match the right person
We pair a support professional based on the specific needs, the personality fit and the schedule — not simply who's free that week.
4
Start and adjust
Services begin, usually within two weeks of authorization. We review what's working with you and adjust as goals shift.
Licensed. Qualified. Statewide.
The credentials that matter when you're trusting someone with a family member's care.
LicensedPennsylvania Home Care Agency
3ODP Waivers Accepted — P/FDS, Community Living & Consolidated
67Pennsylvania Counties Served
100+Individuals & Families Supported
Questions Families Ask Us
In-Home & Community Supports (IHCS) is a Pennsylvania ODP waiver service. It provides direct, hands-on help with everyday activities — personal care, meals, household tasks, health and safety, errands and getting around — for a person with an intellectual disability, autism or developmental delay. The support is delivered both at home and in the community, and it's designed to build the person's own skills wherever possible rather than simply doing things for them.
Individuals with an intellectual disability, autism or a developmental delay who are enrolled in one of Pennsylvania's ODP waiver programs. Eligibility itself is determined by the county Administrative Entity and ODP — not by the provider. If you're not sure whether your family member is enrolled or where they stand, call (484) 229-3455 and we'll help you figure out the next step, even if that step isn't with us.
Start with your county Administrative Entity (AE) — they handle ODP registration, the eligibility determination and waiver enrollment. In Philadelphia that's Intellectual disAbility Services (IDS). The process involves documentation of the disability and an intake assessment, and some waivers carry waiting lists managed by the county. It can feel like a maze, so call (484) 229-3455 and we'll point you to the right office for your county and tell you what paperwork to gather before you call them.
They overlap but aim at different things. In-Home & Community Supports is about daily living — hygiene, meals, safety, errands, routines. Community Participation Support is about getting out into community life — volunteering, classes, social groups and friendships. Many people receive both, and the Individual Support Plan sets how the hours are split.
Yes — and it usually is. Many individuals pair In-Home & Community Supports with Community Participation Support, Companion Services or Life Skills Development. The Individual Support Plan sets which services are authorized and how the hours divide between them. Because Miracle Makers provides all of these under one roof, the same agency — and often the same familiar staff — can cover the whole plan without hand-offs between providers.
All three ODP waivers Miracle Makers is qualified under: the P/FDS Waiver, the Community Living Waiver and the Consolidated Waiver. Whether In-Home & Community Supports is authorized, and for how many hours, is set in the Individual Support Plan — not by the provider. Call (484) 229-3455 if you'd like help checking yours.
Hours are set in the Individual Support Plan (ISP), based on assessed need and the waiver's limits — they're not a flat number and they're not set by the provider. If the current hours no longer match reality, your Supports Coordinator can request a plan review at any time, and we're happy to document what we're seeing day-to-day to support that request.
Once the service is authorized in the ISP, we typically begin within two weeks — often faster when scheduling is flexible. The longer variable is usually the authorization itself, which runs through your Supports Coordinator. Call us early and we'll work that process in parallel instead of waiting in line behind it.
Yes. Every support professional clears the background checks Pennsylvania requires of licensed home care agencies before working with any individual, and completes training on the person's specific ISP goals before the first shift. We also work to keep the same professional with the same individual — consistency is part of quality, not a bonus.
Yes — that's the intent of the service, and consistency is one of its biggest benefits. Wherever staffing allows, we keep the same support professional across both settings, so the person isn't constantly adjusting to a new face.
You hear from us first — not the other way around. If your regular support professional is unavailable, our office arranges backup coverage from staff already briefed on the individual's ISP and routines, and we tell you who's coming before they arrive. A missed shift with no call is the number-one complaint families bring us from other providers, so reliable coverage and communication is a standard we hold ourselves to, not a perk.
Because everything ties back to the ISP goals, progress is measurable — not a feeling. Our staff document each visit against the specific outcomes in the plan (made breakfast independently, completed the bus route with prompting, managed the pharmacy pickup), and that documentation feeds directly into ISP reviews with your Supports Coordinator. If a goal is met, the plan moves to the next one. If something isn't working, we adjust the approach instead of repeating it.
As involved as you want to be. Family are part of the ISP team by design — you help set the goals, you see how visits are going, and you can raise concerns with our office at any time without going through a formal process. Support at home works best when the routines our staff build match the ones the family keeps, so we coordinate with you rather than around you.
No. ODP waiver services are funded through Pennsylvania Medical Assistance. Families approved for a waiver do not pay Miracle Makers directly for authorized services. Any cost-sharing is determined by the state.
Yes. Provider choice is your right under ODP and you can change at any time. Tell your Supports Coordinator you'd like to move to Miracle Makers Home Care — they handle the paperwork and we coordinate the transition so services aren't interrupted.
All 67 Pennsylvania counties. Our ODP office at 9118 Frankford Ave anchors Philadelphia — including Northeast neighborhoods like Torresdale, Holmesburg, Mayfair, Bustleton, Somerton and Fox Chase — and we serve families across the surrounding Southeast (Bucks, Montgomery, Delaware and Chester counties) and statewide. If you're in Pennsylvania, you're in our service area. Call (484) 229-3455 to confirm availability in your county.
Stop Guessing What Your Waiver Covers
Tell us what a typical day looks like and where the gaps are. In one call, we'll explain exactly what In-Home & Community Supports could cover — and help you find out what your waiver already pays for.
Request In-Home & Community Supports
Tell us about the individual and we'll follow up within one business day.