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Authors Posts by Fady Sahhar

Fady Sahhar

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Fady is responsible for policy and regulatory matters related to Physical Disabilities and Aging, with primary focus on personal assistance, employment services, and service coordination. Emphasis is placed on engaging the Office of Long-Term Living and the Community HealthChoices Managed Care Organizations, coordination of care with Behavioral HealthChoices MCOs, and collaborations with other advocacy and provider associations. Fady is also the President / CEO of ProVantaCare, an RCPA-affiliated company focused on contracting with MCOs, and is the President of XtraGlobex, a consulting firm focused on Value-Based Payment contracting. He brings extensive experience in the advocacy and operations of human services providers in physical disabilities and aging, from his role at Liberty Resources, Inc., and his service with a number of nonprofit services providers. He earned an MBA in Marketing from The University of Tennessee and a PhD in Organizational Leadership from Capella University.

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The Office of Long-Term Living (OLTL) issued the following update to Service Coordination Entities of the Annual Review process in Home and Community Services Information System (HCSIS) for the Act 150 Program and OBRA Waiver. Found here are the procedures and instructions for entering these service plans in HCSIS, starting Tuesday, April 1, 2025.

The Annual Review process is a good time to review your caseloads and finalize any dis-enrollments or inactive service plans. The Waiver/Program Transfer instructions can be found here for your convenience. Please also reference the attached “OLTL Fiscal Year 2025/26 Annual Review Instructions for HCSIS” for additional information on how file closures may impact the current Annual Review process.

If you have any additional questions or wish to receive the attached forms in alternate format, please contact Brian Lester at (717) 346-0716 or via email.

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PennDOT recently published Phase 1 of the Shared-Ride Transportation Study. The shared-ride public transportation system is available in all 67 Pennsylvania counties. As the 40-year-old system is currently designed, service providers rely on passenger fares to pay for their operating costs. By sharing a vehicle, the average fare per passenger is lower than it would be if the passenger rode alone. Passengers are commonly seniors, Persons with Disabilities, and low-income recipients of Medical Assistance (MA, Medicaid). Shared-ride provides Pennsylvanians with more than four million passenger trips annually to life-sustaining community services. The executive summary can be found here, and the complete text of the Phase 1 study can be found here.

This phase of the study concluded that the status quo is unsustainable. The most vulnerable citizens of Pennsylvania rely on shared-ride service, which is often the only form of public transportation in rural counties. A solution that ensures its sustainability must balance the needs and limitations of the customer, service provider, and funding partner.

The Shared-Ride Transportation Study Phase 2 will build on this effort to identify and evaluate a range of funding, service delivery, and customer experience alternatives, their tradeoffs, and the likelihood of remaking shared-ride service into a sustainable model.

PennDOT proposes to reconvene the Shared-Ride Pilot Steering Committee created by Act 89 of 2013 to evaluate alternative shared-ride models considering experiences over the last decade. The Steering Committee has representation from customer advocacy groups, service providers, the state legislature, and executive branch funding agencies. These perspectives will be necessary to find and implement tomorrow’s sustainable shared-ride funding and service delivery model.

If you have any questions, please contact Fady Sahhar.

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The Office of Long-Term Living (OLTL) has published responses to questions brought up at the Long-Term Services and Supports (LTSS) Subcommittee meeting held on February 5, 2025.

The highlights include:

  • All consumer questions about the specifics of the Assisted Living In Lieu of Services should be addressed to the MCOs.
  • The information about Personal Needs Allowance in Personal Care Homes has been corrected. “SSI recipients will receive a PNA deduction of $52.10 ($30 SSI plus the individual state supplement of $22.10).”
  • Any organization who is interested in participating in the Direct Care Worker Quality Grant should contact Abigail Peslis, Director of Penn State Harrisburg Continuing Education.

If you have any questions, please contact Fady Sahhar.

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Young caregiver helping older lady to stand up

The Office of Long-Term Living (OLTL) recently shared additional guidance for providers related to the Centers for Medicare & Medicaid Services (CMS) Home and Community-Based Services (HCBS) Settings Final Rule.

This clarification applies to Residential Habilitation and Personal Care Home Providers.

Regulations at 42 CFR 441.301(c)(4)(vi)(B) require that participants in residential settings have the ability to close and lock doors within their living units. As a part of the Office of Long-Term Living (OLTL) residential provider reviews, it was found that several sites did not meet this requirement. As remediation, some providers opted to have participants sign a form stating that they do not wish to have a lock on their doors, which OLTL’s settings review panel accepted as compliant.

The Centers for Medicare & Medicaid Services (CMS) has reviewed OLTL’s oversight activities and has deemed that participant sign-off waiving installation of locks does not sufficiently satisfy the requirement. CMS has determined that all doors with access to participant units or private spaces (such as a bedroom) must have locks installed. The participant’s choice is whether to utilize the lock or not. Based on this feedback, as OLTL moves forward with ongoing oversight of HCBS settings requirements, all doors to participant units/private spaces in residential settings will be required to have working locks in order to be deemed compliant for future settings reviews.

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The Long-Term Services and Supports (LTSS) Subcommittee has released its agenda for the February 5 virtual meeting. The meeting will have no onsite options for attendance and will be held via webinar at 10:00 am – 1:00 pm. You can view the agenda, which includes the webinar link, here.

The key agenda items are:

  • Office of Long-Term Living (OLTL) Updates
  • Assisted Living Residences — In Lieu of Services Policy Updates
  • Assisted Living Residences and Personal Care Homes — MCO Updates
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