County Office of Services for the Aging (COSA)

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Phone: 610-490-1300


Our mission is to plan, develop, coordinate and administer a comprehensive and coordinated service system for older county residents, to provide well-being, and to maintain independence and dignity in a home environment for as long as possible.

Information and Referral

Information and Referral provides older adults, caregivers and the general public with information about available in-home and community resources and/or referrals to particular service programs or services.


The Aging Waiver Program is for people 60 years of age and older. Under the program, home and community-based long-term care services can be provided as an alternative to nursing home care. It is called a "Waiver" program because services are funded through a special waiver of certain Medicaid restrictions, allowing payments typically used for nursing home care to be used for in-home services.

To be eligible for the Aging Waiver, you must:

  • Be a resident of Pennsylvania
  • Be a U.S. citizen or a qualified Non-citizen
  • Have a Social Security Number
  • Be 60 years of age or older
  • Income and resource eligible
  • Meet the required level of care for a nursing facility

In-Home Services

If you are determined to be eligible, the following services may be available at no cost to you, enabling you to live more comfortably at home:

  • Adult Daily Living Services
  • Community Transition Services
  • Environmental Modifications
  • Financial Management Services
  • Home Delivered Meals
  • Home Health Services
  • Home Support Services
  • Non-Medical Transportation Services
  • Participant-Directed Goods and Services (Services My Way)
  • Participant-Directed Community Supports (Services My Way)
  • Personal Assistance Services
  • Personal Care Services
  • Personal Emergency Response System
  • Respite Services
  • Specialized Medical Equipment and Supplies
  • TeleCare

Once you are enrolled in the Aging Waiver Program, you will be assigned a Service Coordinator. An individual service plan is developed jointly by you and the Service Coordinator, after which services are authorized. You will then be able to choose any company or agency from a list of participating providers. All service providers are certified by the Pennsylvania Department of Human Services (DHS) to ensure that they meet Medicaid standards.

Adult Daycare

Adult Daycare Centers provide a protective environment for older adults who are not capable of full-time independent living. During daytime hours, participants can receive supervised care in a supportive, safe, and structured environment. Services may include basic medical services, nursing services, nutrition, occupational therapy, physical therapy, recreation, transportation and more intensive personal care but vary by location.

Contact Us

  •   201 West Front Street,
         Media, PA 19063
  •   8:30AM - 4:30PM
           Monday - Friday
  •   610-891-4000

About Delaware County

Delaware County, presently consisting of over 184 square miles divided into forty-nine municipalities is the oldest settled section of Pennsylvania.

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