During the 1980’s, Pennsylvania began participation in the Waiver Program by the Centers for Medicare and Medicaid Services (CMS). The Agency began opening small homes for former residents of state centers as well as members of the local community. The Early Intervention program became a true Pre-school with morning and afternoon sessions and Linkage Clinics for special therapies. The Adult Education Program became a licensed Day Program. Also, Respite Care became available to families in their own home or licensed settings.