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Authors Posts by Cathy Barrick

Cathy Barrick

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Photo by Markus Winkler on Unsplash

As an update, the Office of Developmental Programs (ODP) continues to work closely with the Treasury as they conduct their reviews of payments related to the Supports Coordination Organization (SCO) Pay-for-Performance initiative. While they cannot provide a timeframe for completion of the reviews, it should be noted that payment is generally seen by providers within 2–3 days of approval versus waiting for the next payment cycle. All Pay-for-Performance payments are under review; however, there is nothing specifically required from any SCOs at this point in time.

ODP will continue to monitor payment status and will send updates as they receive new information.

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Photo by National Cancer Institute on Unsplash

The Specialty Telehealth and Assessment Team (STAT) is a 24/7 telehealth service that provides health assessments. The service is consultative and provides disability specific advice of when to best seek additional or in-person medical treatment for the participants. This is a service that occurs in the participant’s private home or residential home to help assess their need for medical attention.

This service does not duplicate any service that is available through the state plan, and, very importantly, this service is not intended to replace in-person exams. The goal is not to prevent people from going to the emergency room or seeing a physician in person when needed. It is a support that can help to alleviate the burden of going to the emergency department or urgent care when it is not absolutely necessary for the individual to be seen in person.

The STAT waiver service is provided as a monthly service and billed in monthly units. One unit equals one month at 55 dollars a unit. All individuals that are involved in an ID/A waiver, Person/Family Directed Support (PFDS) waiver, Community Living waiver, and the Consolidated waiver are eligible for this service. The STAT waiver service is available for individuals of all ages and all living situations as long as they are enrolled in one of the ID/A waivers. In order to access this service, STAT must be added to the ISP via a critical revision or at the time of the annual ISP and must be authorized by the administrative entity prior to the service being used. STAT costs are included in the annual limit for P/FDS and Community Living waivers.

STAT is a unique and specialized service. The physicians that provide this service are educated in the guidelines for the provision of health care to individuals with intellectual and developmental disabilities. All staff who render the service have completed a specialized training curriculum on how to provide medical assessment, treatment interventions, and recommendations regarding the health care needs of individuals with intellectual disabilities, developmental disabilities, or autism. This service is provided and overseen by physicians who are licensed to practice medicine in the Commonwealth of Pennsylvania or have appropriate reciprocity.

The STAT waiver service has been available since March of 2024 and has grown steadily since. There are currently over 5,500 individuals using the service with two providers available, StationMD and Senacare. The service has maintained approximately a 94% treat in place rate since it became available, saving time and resources by avoiding unnecessary Emergency Department and urgent care visits.

We encourage SCs to provide education to individuals, families, and teams about how the STAT service can help.

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The Office of Developmental Programs (ODP) has been made aware that this week’s SCO waiver payments were impacted by Pay for Performance (P4P) payments. P4P Technology and Credentialing payments were included in the same remittance advice as waiver payments. Presently, the Treasury is conducting a post-audit of these transactions. As soon as the Treasury’s audit is completed, payments on the January 12, 2026, remittance advices will be released. Payments on subsequent RAs that do not include P4P payments are expected to pay in the usual time frames.

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Please share these important workshops and support groups with your networks! Register for upcoming events at PA Family Network’s website.

Good Life Group, Support Groups

LifeCourse Workshops

Waiver Workshops

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Bringing America Greatness — Serving the Disability Community With Cultural Competency/Do No Harm
February 19, 2026
10:00 am – 1:00 pm
Register Here

Session Description:

Cultural Competency is necessary for every American, regardless of age, race, religion, gender or sexual orientation, economic status, disability, or handicap. Being different does not guarantee the ability to relate positively to our diversity, in a personal or professional way. This training will help develop skills that focus on living-working-playing-learning together. These skills must be practiced and learned across all sectors of our society. Emphasis will be placed on equity as a right for all Americans embraced by leaders of people everywhere from birth to adulthood. Thus, cultural competency as a skill set is both beyond but essential to diversity and inclusion efforts, providing a chemistry for “greatness” in America.

The session is free, but registration is required, and attendance is on a first-come, first-served basis.

Please review the flyer for additional details.

The session will be offered virtually via the Zoom platform. The Zoom link for joining the session will be sent to the email you used to register. This link will be unique to your registration. Please do not share this link.

Send questions on registration electronically.

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The Office of Developmental Programs (ODP) and Temple University have developed a new online training lesson that provides an additional learning opportunity designed to enhance investigatory skills and supplies helpful resources to Certified Investigators (CI), Administrative Review Committee members, CI Peer Reviewers, Incident Management (IM) Reps, and others involved in the incident investigation process.

The Using Root Cause Analysis in the Development of Corrective Actions lesson has been added to the “Additional Learning Opportunities” section on the MyODP, PA ODP Certified Investigator Program Home page.

Please view ODPANN 26-012 for more details.

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The Office of Developmental Programs (ODP) is pleased to invite public comment on proposed changes for the renewal of the Adult Autism Waiver (AAW). The Centers for Medicare and Medicaid Services (CMS) approves waivers for a five-year period, and the current AAW expires on June 30, 2026. Therefore, ODP must submit a renewal for the AAW to CMS no later than April 1, 2026. The AAW renewal is anticipated to be effective on July 1, 2026. The public comment period starts on January 17, 2026, and ends on February 16, 2026, at 11:59 pm.

As part of this process, ODP is seeking your valuable feedback and comments on the AAW. Proposed substantive changes include:

  • Separating out Life Sharing and Residential Habilitation: Community Homes as distinct services.
  • Removing the lifetime funding limit on Assistive Technology devices and replacing it with a $3,000 annual limit. Participants who need Assistive Technology that exceeds this limit may request an exception.
  • Extending the re-authorization period for Career Planning services from 90 days to 6 months and removing time limitations for the Supported Employment service.
  • Clarifying the components of the Specialized Skill Development (SSD) service.
  • Removing Speech/Language service component from the Therapy service.
  • Enhancing Home Modification service to include additional allowances.

The proposed changes discussed in the section above are available to help all interested persons provide public comment. Public comments will be accepted via email, written comments, and verbal comments during a webinar held on February 9, 2026. All comments received by 11:59 pm on February 16, 2026, will be reviewed and considered for revisions to the AAW submitted to CMS.

Please review ODPANN 26-011 for more details.

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