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Authors Posts by Carol Ferenz

Carol Ferenz

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After reviewing hundreds of comments from stakeholders, the Office of Developmental Programs (ODP) has made some initial adjustments to the proposed Performance-Based Contracting waiver for Residential Services. Areas with high volumes of comments included:

  • Select/Clinically Enhanced Tiers being reserved for agencies serving 10 or more individuals;
  • Competitive Integrated Employment standards;
  • Populations served with average Needs Level 4.5+ and average Health Care Level 3.5+ (HCL is established using the Health Risk Screening Tool);
  • Primary providers being limited to Needs Group 1-3;
  • The number of measures; and
  • The timeline for implementation.

ODP is now offering Residential providers a choice of when they are assigned into a tier. This will be based on which data they chose for ODP to review and make a tier determination upon. The choices will be:

  • Calendar year 2023 data reviewed with notification of tier assignment occurring in November, to be effective January 1, 2025 – June 2026; or
  • Review of Calendar year 2024 data with notification of tier assignment occurring in May, to be effective July 2025 – July 2026.

ODP plans to continue their review of public comments and intends to publish additional information. On July 19, ODP hopes to submit amended the 1915(c) waivers and 1915(b)4 waiver as well as publish the following supporting documents:

  • Performance Standards;
  • Implementation Plan;
  • Attestation; and
  • Provider Data Submission Tool.

On January 1, 2025, ODP intends to begin Performance-Based Contracting (pending CMS approval).

ODP will conduct a webinar for residential providers on Monday, July 22, 2024, from 3:00 pm – 4:00 pm, to review publications, changes made as a result of public comment, and instructions for tier determination and data submission. Register here. This webinar will be posted on the PBC Resource Page located on the MyODP website.

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ODP Announcement 24-064 is to inform trainers and learners of an upcoming system upgrade for the Medication Administration system. The system will be undergoing an upgrade starting Thursday, July 25, 2024, and ending Friday, August 2, 2024. During this time, it will be completely unavailable to learners and trainers. Please finish any self-paced learning by Monday, July 22, 2024, including online lessons, quizzes, activities, post multiple choice, and post written documentation exams.

If you have questions about this upgrade or if you need assistance during this transition, you may contact the Medication Administration Help Desk website to log a ticket. The help desk will be available to address any concerns during this transition.

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This week is marked annually in honor of leading humanitarian Helen Keller’s birthday on June 27. Being deaf and blind herself, Keller’s work made a large difference in the lives of DeafBlind people. It is much more common than many people realize. Over 15 million people worldwide are estimated to be living with severe DeafBlindness. This week is a chance for us to raise awareness of deafblindness and make Pennsylvania a more DeafBlind-friendly place.

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ODP Announcement 24-062 is to inform all provider agencies employing DSPs that the Human Services Research Institute (HSRI) has extended the deadline for completing the 2023 National Core Indicators® (NCI) State of the Workforce Survey. The portal will now close on Wednesday, July 31, 2024.

HSRI is aiming for a 5% or lower margin of error (MoE) for each participating state. The lower the MoE, the more representative and impactful the data will be. Pennsylvania currently has a 5.5% margin of error, and ODP would like to see it reach the recommended level since it is within reach. Therefore, ODP strongly encourages eligible provider agencies to complete the survey if they have not already done so. A final reminder will be issued via the portal in mid-July.

For questions, contact Ms. Lee Stephens, ODP IM4Q/NCI Statewide Lead.

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Photo by Markus Winkler on Unsplash

Today, both the ISAC Performance Review Subcommittee and the Medical Assistance Advisory Committee (MAAC) meetings were held. During these meetings, the Office of Developmental Programs (ODP) announced that as a result of public comments received regarding Performance-Based Contracting, some adjustments are being made to the plans. Tomorrow, ODP will release an announcement with more details, but for now, we know the following:

  • Residential providers will be offered a choice of when they are assigned into a tier. This will be based on which data they chose for ODP to review and make a tier determination upon. The choices will be:
    • Calendar year 2023 data reviewed with notification of tier assignment occurring in November, to be effective January 1, 2025 – June 2026; or
    • Review of Calendar year 2024 data with notification of tier assignment occurring in May, to be effective July 2025 – July 2026.

ODP plans to submit the proposed waiver to CMS on July 19, 2024.

In addition, the presentation from the MAAC meeting can be found here.

Documents from the Performance Review Subcommittee can be found below:

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July 11, 2024
1:00 pm – 2:00 pm
Register Here

Join RCPA to learn about enabling technology to support independent living and how SimplyHome aligns with performance-based contracting. SimplyHome designs and installs innovative and affordable technology solutions that transform how we care for individuals with disabilities, aging adults, and veterans. Their technology empowers individuals to live their own self-determined lifestyle while addressing the concerns of caregivers.

We will hear from Kristie Ondisco, PA/OH Representative, and Matt Wright, Enterprise Director of Sales.

Register here for this informative session. If you have any questions, contact Carol Ferenz.

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Thursday June 20, the Office of Developmental Programs (ODP) held the fourth Provider Preparedness Summit for residential providers. Additional discussion on specific performance standards for Performance-Based Contracting took place.

The PowerPoint can be viewed here, and a recording of the session will be posted shortly on the MyODP website.

ODP staff answered many questions submitted by providers and will take questions/comments into consideration for change. The discussion was primarily focused on an overview of the performance standards, including Competitive Integrated Employment, Community Inclusion, and use of Remote Support Technology.

ODP staff referenced the ISP Manual, which contains useful information on Remote Supports.

ODP also polled participants for questions such as the possibility of postponing Provider Tier assignments until March, and acceptable referral process for individuals in Needs Group 4.

No changes have been made at this time, but ODP is interested in feedback from stakeholders.

Providers are encouraged to attend all four sessions as well as watch a pre-recorded webinar. All of these recordings and resources can be found on the MyODP website.

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