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Authors Posts by Carol Ferenz

Carol Ferenz

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ODP Announcement 20-031 provides information for Community Participation Support providers regarding retainer payments. The Office of Developmental Programs (ODP) included Retainer Payments for Community Participation Supports (CPS) in Appendix K to help ensure the long-term stability of this essential service. The following details offer additional information to providers for planning purposes:

How will retainer payments be distributed?

  • Gross adjustments through PROMISe.
  • Begin the week of 3/30/2020.
  • Distributed monthly.
  • Will continue until further notice.
  • CPS providers do not need to request retainer payments. All CPS providers will receive monthly retainers.
  • The first retainer payment will cover 3/11/20 (pro-rated for effective date of Appendix K) through 3/31/20.
  • For providers with multiple service locations, gross adjustments will be applied to the service location which had the highest level of CPS billing this fiscal year through February 29.

How was the retainer payment calculated?
Retainer payments were calculated at 75% of the monthly average of the total CPS claims submitted 7/1/2019 – 2/29/2020.

The Centers for Medicare and Medicaid Services (CMS) requires that retainer payments are not duplicative of services provided during the timeframe covered by the retainer payment.

Reconciliation
Upon lifting the closure order for Older Adult, Adult Training, and Prevocational facilities, ODP is required to conduct an analysis and reconciliation where needed to ensure that no duplicate payments have been made.

  • Retainer payments are allowable in circumstances in which utilization for the CPS service location drops below 75% of the annual monthly average 7/1/19 to 2/29/2020.
  • Post COVID-19 response, ODP will ensure that no duplicative payments were made through the following logic:
  • For each month for which a retainer payment was made, providers (by MPI) that provided CPS at 25% or greater than the average monthly units billed between 7/2019 and 2/2020, will be subject to an adjustment/reconciliation.
  • Reconciliation calculation: Aggregate monthly units beyond 25% of prior monthly average utilization (7/1–2/28/2020) by MPI provided during the time period will be deducted from the total retainer payments at the rates in effect 7/1/19 – 3/10/2020.

Questions regarding these payments may be addressed via email to Rick Smith.

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On behalf of Douglas Trahey, Emergency Preparedness Coordinator/COOP Coordinator for ODP:

There are significant PPE supply shortages nationwide. Providers should continually be checking with vendors and retailers both online and brick-and-mortar to check on resource availability.

The resource request process direction provided by DHS and PEMA is for providers to contact their county emergency management agency (EMA) and submit a resource request. If the county cannot fill the resource request it will be forwarded to PEMA by the county EMA. Attached is the list of county EMC contacts provided by PEMA and directions to submit a resource request. In the directions is a link to a fillable resource request form to submit. Providers should contact their county EMA for assistance in submitting the resource request.

Douglas Trahey | HSPS – Emergency Preparedness Coordinator/COOP Coordinator
Department of Human Services
Office of Developmental Programs
Deputy Secretary’s Office
Room 502 | Health & Welfare Building
Harrisburg, PA 17120
Phone: 717.857.3173 | Work Cell: 717.856.8677 | Fax: 717.787.6583
www.dhs.pa.gov

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From ANCOR:

With the Senate’s COVID-19 funding bill stalled all of Monday, the House has had time to release its competing legislation. We’re hearing from Capitol Hill insiders that your advocacy is making a difference in ongoing negotiations between both chambers, so please keep the pressure on your members of Congress!

The Ask: Use this email tool to include intellectual / developmental disability (I/DD) supports in provisions creating emergency funds and small business loans.

The Details: Yesterday, the Senate Republican leadership did not receive enough votes for its proposed COVID-19 stimulus package, forcing negotiations to continue between Senate Democrats and Republicans, and open up to House Democrats as well who have introduced their own package.

We know these are stressful times for everyone and the frequent action alerts are exhausting, but you are being heard and now is the time to keep speaking up loudly and clearly. Please keep up the good work by taking action today!

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