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Authors Posts by Carol Ferenz

Carol Ferenz

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Preparing for Performance-Based Contracting and Becoming a Data Driven Provider
Friday, June 7, 2024
11:00 am – 12:00 pm
Register Here

The transition to Performance-Based Contracting for Intellectual/Developmental Disability providers in PA is quickly approaching. RCPA would like to provide our members with resources to assist you in preparing for this systemic change.

Please join us for a discussion with Rob Labatch, President and CEO of Hope Enterprises, Inc., and Scott Bachik, CEO of The BI Collaborative, regarding how to create the infrastructure necessary to be efficient, optimize quality, and drive cost and revenue improvements critical for Performance-Based Contracting.

Image by StockSnap from Pixabay

ODP Announcement 24-049 announces that the recording of the live virtual training sessions held in February and March 2024 regarding implementation of the Residential ISP Staffing approach for Program Specialists is now available on MyODP.

The recorded training session is provided for Residential Provider Program Specialists who contribute to ISP development but were unable to attend the live, virtual training. The training focuses on Program Specialist expectations in ISP development and ensuring consistent, statewide implementation of the Residential ISP Staffing approach.

Program Specialists are responsible for providing critical and up-to-date information to the ISP team so that the ISP is person-centered and mitigates risks to health and safety.

All participants must complete the current prerequisite online training (Residential ISP Staffing: It’s About the Person, Not the Numbers) before being able to view the recordings.

As a reminder, the public comment period ends next Tuesday, June 4, 2024, for the proposed implementation of Performance-Based Contracting for Residential Services, Waiver amendments, and proposed rates for services, which are effective July 1, 2024.

RCPA staff have participated in various listening sessions and met with members to hear your concerns regarding the proposed changes and rates. We will be sending our comments later this week and want to be sure that we are representing your interests. Please contact Carol Ferenz with any thoughts you have regarding these significant changes by close of business Wednesday, May 29, 2024.

Thank you for sharing your concerns. We strongly recommend that you take advantage of this opportunity to provide your own comments to ODP as well.

The Department of Health and Human Services (HHS) Office for Civil Rights (OCR) has issued a Final Rule to advance equity and bolster protections for people with disabilities. The final rule, Discrimination on the Basis of Disability in Health and Human Service Programs or Activities, updates, modernizes, clarifies, and strengthens the implementing regulation for Section 504 of the Rehabilitation Act of 1973. Section 504 prohibits discrimination on the basis of disability in programs and activities that receive Federal financial assistance.

The historic rule provides robust civil rights protections for people with disabilities in federally funded health and human services programs, such as hospitals, health care providers participating in CHIP and Medicaid programs, state and local human or social service agencies, and nursing homes. Reflecting on over 50 years of advocacy by the disability community, it advances the promise of the Rehabilitation Act and helps to ensure that people with disabilities are not subjected to discrimination in any program or activity receiving funding from HHS. This final rule is consistent with Section 504 statutory text, congressional intent, legal precedent, and the Biden-Harris Administration’s commitment to advancing equity and civil rights.

The Office of Developmental Programs (ODP) has received approval from the Centers for Medicare & Medicaid Services (CMS) to make one-time payments for workforce recovery efforts. Payments will be calculated at 6% of the fee schedule revenue received for services rendered between July 1, 2023, through December 31, 2023, for the waiver services listed in the announcement. Don’t miss this opportunity for additional funding for your organization!

The intent of these funds is to assist providers in covering costs related to staffing programs and services. Other than the restriction that payments may not be used to increase or supplement compensation for agency executive staff, there are no specific restrictions, timeframes, or reporting due for these funds other than completing the ODP Workforce Recovery Supplemental Payments survey. ODP has indicated that this revenue would be considered similar to any other service revenue and advises providers to keep a record of how funds were used in the event that they are reviewed as part of the normal claim review process.

As of the morning of May 6, 2024, ODP has received requests from 350 providers. If your MPI is on this file, this will serve as confirmation that your agency’s request has been received. ODP will release a similar file next week prior to the deadline. Late requests will not be accepted. Providers must request the subject payments no later than May 15, 2024. See ODP Announcement 24-041 for additional information.

For any questions, contact Carol Ferenz.