Domiciliary Care Services for Adults
         The Domiciliary Care or "Dom Care" program was created as part of Act 70 of June 1978 by the Commonwealth of Pennsylvania to provide a homelike living arrangement in the community for adults age 18 and older who need assistance with activities of daily living and are unable to live independently.  Dom Care providers open up their homes to individuals who need supervision, support and encouragement in a family-like setting. 
         Dom Care residents are matched to homes that best meet their special needs, preferences, and interests.  Dom Care homes are smaller than the traditional personal care home in that home providers care for no more than three Dom Care residents.  Unlike larger personal care homes, Dom Care homes are the individual provider's home.  They are inspected annually to ensure they meet health and safety standards.  If the home and provider passes this inspection, they become "Certified".  For more information on these standards and the other state regulations governing the Dom Care program click on the following link:
Who is a typical Dom Care resident?
         Dom Care residents are adults age 18 or older, who cannot live independently, and generally are low in income.  Most residents are either physically disabled, have demonstrated difficulties in social or personal situations that are usually associated with mental disability or mental retardation, or frail elderly persons.  They must be willing to live with a family.  Persons with extreme behavior problems or substance additions are not appropriate for Dom Care. 
         Dom Care residents are not so functionally impaired as to need nursing home care and must be mobile or semi-mobile.  Dom Care residents must be able to vacate the home in case of fire with minimal assistance.  The local Area Agency on Aging will determine if a consumer is appropriate for Dom Care.  To find your local Area Agency on Aging, click here.
Why become a Dom Care resident?
      Residents in the program receive much more than room and board.  Residents receive supervision with self-help skills such as personal hygiene and grooming, three nutritious meals a day, and housekeeping and laundry services.  If the resident takes medications, the home provider makes sure they get the correct dosage at the right times.  Because of the small, homelike setting, Dom Care residents are assured of caring and individualized attention.  Most importantly, Dom Care residents become part of a stable, caring "family" and can enjoy a sense of belonging and independence.
      Dom Care residents that receive Supplemental Security Income (SSI) are also eligible for a state supplement towards the cost of Dom Care and a personal needs allowance.  Residents receive on-going care management and monitoring, and involvement with day program activities is strongly encouraged.
Who is a typical Dom Care home provider?
      The success of the Dom Care program is dependent on nurturing individuals who are willing to open up their home and willing to provide the support and care a Dom Care resident requires.  Dom Care providers come from all walks of life.  Some are widows or older couples.  Others are families with young children, but all are willing to open their homes to people in need.
      Dom Care home provider applicants go through an extensive certification process to ensure that homes meet the health and safety requirements as stated in the regulations.  The local Area Agency on Aging is responsible for certifiying Dom Care homes in their area.  To find your local Area Agency on Aging, click here.  Some of these health and safety requirements include:
  • Be at least 21 years of age
  • Must own or rent your home or apartment
  • Live in the certified home with the consumer
  • Show the results of a tuberculosis test or chest x-ray
  • Hold current certification for both CPR and First Aid
  • Have criminal history clearances
  • Have satisfactory financial, medical, and personal references
  • Work as a team member with care managers and consumers
How much does the Dom Care resident pay the provider?
      Dom Care residents enter into a contract to pay the home provider on a monthly basis for the entirety of the Dom Care residential service.  Per regulation 21.41(6), the Pennsylvania Department of Aging is responsible for determining the monthly dollar amount the resident pays the provider.  This rate applies to all Dom Care consumers throughout the commonwealth.  The rate usually increases every January 1 along with the annual increase in SSI. As of January 1, 2014, the monthly Dom Care payment for an individual is $970.00 and $1708.00 for an SSI couple who reside together in the Dom Care home. 
Where do I go from here?
      Prospective Dom Care home providers and consumers should contact the local Area Agency on Aging for more information on the program.
Additional Online Resources:  (All files in Adobe pdf format)
      The Department of Aging created Dom Care 101 as a basic guide for anyone in the Dom Care program.
      The following forms may serve as an information source on the Dom Care program. 
NEW:  For AAA - The Department has updated the PA 745 Domiciliary Care Redetermination Report form for your use. The form can be obtained here.
To view a video on Domiciliary Care click here (file size is 80MB, video length is 8 minutes). 
To view a video with closed captioning on Domiciliary Care click here (file size is 80 MB, video length is 8 minutes).