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Authors Posts by Carol Ferenz

Carol Ferenz

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The Centers for Medicare & Medicaid Services (CMS) held a training session on the Incident Management Systems and Critical Incident Reporting Provisions of the Medicaid Access Final Rule on September 16, 2024. The webinar recording, transcript, and slides are now available on the Training Series: HCBS Provisions of the Medicaid Access Final Rule web page. Register for upcoming sessions in the training series here.

ODP Announcement 24-096 is to inform all interested parties that the Centers for Medicare and Medicaid Services (CMS) approved the 1915(b)(4) Performance-Based Contracting Waiver and the Consolidated, Community Living, and P/FDS Waiver amendments effective January 1, 2025.

As communicated in ODP Announcement 24-071, the waivers were submitted to CMS on July 26, 2024. Since that time, ODP has engaged in discussions with CMS. No substantive changes were made to the waivers based on those discussions. Information regarding Performance-Based Contracting for Residential Habilitation, Life Sharing, and Supported Living services delivered through the Consolidated and Community Living Waivers can be accessed at Performance-Based Contracting – MyODP. In addition to changes needed to implement Performance-Based Contracting, the following major changes were included in the Consolidated, Community Living, and P/FDS Waivers:

  • American Sign Language – English Interpreter service will be added.
  • Billable indirect activities will be added to the Benefits Counseling service and the fiscal year limit will increase from 15 to 24 hours.
  • Clarification about evaluations will be added to the Assistive Technology service.
  • The fiscal year limit for Music, Art and Equine Assisted Therapy will increase from 26 to 52 hours.

Each full waiver application, as well as a record of all substantive changes, is available online at:

ODP will be holding one webinar to provide a general overview of Performance-Based Contracting and additional major changes made in the approved waivers. There will be time during the session for presenters to answer questions submitted by participants during the webinar.

The date, time, and registration link for these webinars are as follows:
Consolidated, Community Living, and P/FDS Waiver Amendment Overview
Wednesday, October 30, 11:00 am to 12:00 pm — Register Here.

ODP Announcement 24-097 is to inform all interested parties that the Centers for Medicare and Medicaid Services (CMS) approved amendments to the AAW, effective January 1, 2025. The updated waiver is available on the Department of Human Services (DHS) website.

The following major changes were included in Adult Autism Waiver:

  • American Sign Language – English Interpreter service will be added;
  • Clarification about evaluations will be added to the Assistive Technology service; and
  • Revise and clarify the provider qualifications for Residential Habilitation: Residential Provider (Community Home) and Life Sharing.

The full waiver application, as well as a record of all substantive changes, is available online at: Adult Autism Waiver.

ODP will be holding one webinar to provide a general overview of the changes made in the approved waiver. There will be time during the session for presenters to answer questions submitted by participants.

The date, time, and registration link for the webinar is as follows:
AAW Amendments Overview, Friday, November 8, from 10:00 am to 11:00 am
Register Here

ODP will hold additional webinars and publish guidance and clarification specific to the new American Sign Language – English Interpreter service.

RCPA joined with other ID/A Associations, including The Alliance of Community Service Providers, The Arc of Pennsylvania, PAR, MAX and TPA, in a letter to Governor Shapiro to thank him for recognizing the strain on individuals, families, and service providers across the intellectual disability and autism (ID/A) community and to discuss ongoing changes that are needed in the way service rates are updated. These changes are necessary so that our system can always meet its duty of care.

The full letter is available here, and we encourage our members to share this letter with your legislators in order to gain their understanding and support of our systemic needs.

For any questions, contact Carol Ferenz, IDD Division Director.