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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) has announced two waiver amendments that are open for public comment. The amendments detail the Community HealthChoices (CHC) waiver renewal and the OBRA waiver amendments. Information on the CHC waiver and OBRA waiver are available individually as well as in the June 15, 2024, PA Bulletin. Comments are due July 15, 2024.

Those interested in submitting comments can do so in the following ways:

  1. For the CHC waiver:
    1. Send a letter to the Department of Human Services, Office of Long-Term Living, Bureau of Policy Development and Communications Management, Attention: Keeley Anglin—CHC Waiver Renewal, PO Box 8025, Harrisburg.
    2. Submit comments to the department via email. Use “CHC Waiver Renewal” in the subject line.
    3. Please use the CHC Waiver Comment Form.
  2. For the OBRA waiver:
    1. Send a letter to the Department of Human Services, Office of Long-Term Living, Bureau of Policy Development and Communications Management, Attention: Keeley Anglin—OBRA Waiver Amendment, PO Box 8025, Harrisburg.
    2. Submit comments to the department via email. Use “OBRA Waiver Amendment” as the subject line.
    3. Please use the OBRA Waiver Comment Form.

Comments received by July 15, 2024, will be considered in subsequent revisions to the proposed renewal and amendment. For more information, please contact Fady Sahhar or Melissa Dehoff.

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The Office of Long-Term Living (OLTL) has announced the launch of a Rate Study to be conducted by Mercer for Personal Assistance, Adult Day, Structured Adult Day, Residential Habilitation, and Employment Services. This study is intended to inform the 2025/26 budget process. You can view details for the Rate Study here. Key dates for this process include:

  • June 2024: The release of the Provider Survey. RCPA will share it with members as soon as it becomes available.
  • June Provider Meeting: A discussion of the Rate Study components.
  • July 2: The LTSS Subcommittee Meeting.
  • July 18 Provider Meeting: Details to come and will be shared once available.
  • September 4: LTSS Subcommittee Meeting to discuss the Rate Study results.

For more information, please contact Fady Sahhar.

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Photo by Markus Winkler on Unsplash

The Office of Long-Term Living (OLTL) announced that the department will be releasing the CHC and OBRA Waivers Amendments, as well as the proposed Rate Refresh Study details, in early June. In light of this information, the PD&A meeting currently scheduled for May 29 will be rescheduled. A new date and time will be sent to members as soon as the dates of these releases are available.

If you have any questions, please contact Fady Sahhar.

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The US Department of Health and Human Services (HHS) has updated the regulations that prohibit discrimination based on disabilities to clarify obligations in several critical areas. Specifically, the rule:

  • Ensures that medical treatment decisions are not based on negative biases or stereotypes about individuals with disabilities, judgments that an individual with a disability will be a burden on others, or dehumanizing beliefs that the life of an individual with a disability has less value than the life of a person without a disability.
  • Prohibits the use of any measure, assessment, or tool that discounts the value of a life extension on the basis of disability to deny, limit, or otherwise condition access to an aid, benefit or service.
  • Defines what accessibility means for websites and mobile applications and sets forth a specific technical standard to ensure that health care and human service activities delivered through these platforms are readily accessible to and usable by individuals with disabilities.
  • Adopts the U.S. Access Board’s standards for accessible medical diagnostic equipment, like exam tables and mammography machines.
  • Details requirements to ensure nondiscrimination in the services provided by HHS funded child welfare agencies, including, but not limited to, reasonable efforts to prevent foster care placement, parent-child visitation, reunification services, child placement, parenting skills programs, and in- and out-of-home services.
  • Clarifies obligations to provide services in the most integrated setting, like receiving services in one’s own home, appropriate to the needs of individuals with disabilities.

Additionally, the Final Rule updates existing requirements to make them consistent with the American with Disabilities Act (ADA), as many HHS recipients are also covered by the ADA. This consistency will improve and simplify compliance.

View the full press release here. If you have any questions, please contact Fady Sahhar.

 

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Photo by Michael Schofield on Unsplash

The While House issued a press release announcing that the Access Final Rule will be released later today. These regulations include:

  • The Nursing Home Minimum Staffing Rule, which will require all nursing homes that receive federal funding through Medicare and Medicaid to have 3.48 hours per resident per day of total staffing, including a defined number from both registered nurses (0.55 hours per resident per day) and nurse aides (2.45 per resident per day);
  • Introducing the requirements of the rule in phases to make sure nursing homes have the time they need to hire staff, with longer timeframes for rural communities;
  • Ensuring adequate compensation for home care workers for HCBS operations of in-home care (both Personal Assistance Services and Community Habilitation) by “requiring that at least 80 percent of Medicaid payments for home care services go to workers’ wages. This policy would also allow states to take into account the unique experiences that small home care providers and providers in rural areas face while ensuring their employees receive their fair share of Medicaid payments and continued training as well as the delivery of quality care;”
  • The state requirement to be more transparent in how much they pay for home care services and how they set those rates, increasing the accountability for home care providers; and
  • The creation of a state home care rate-setting advisory group made up of beneficiaries, home care workers, and other key stakeholders to advise and consult on provider payment rates and direct compensation for direct care workers.

We will continue to monitor the details of these regulations and Pennsylvania’s plans to comply. If you have any questions, please contact Fady Sahhar.

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The Inglis Impact Accelerator is dedicated to fostering a more accessible and inclusive world by investing in entrepreneurs within, and allies to, the disability community with disruptive ideas and business ventures.

To that end, RCPA member Inglis is looking for six businesses to participate in a 15-week virtual program that concludes with a virtual pitch event. The program includes interactive webinars, workshops, and both one-on-one and group coaching sessions about refining and testing business ideas, attracting and engaging customers, optimizing sales funnels, and more.

Each business that successfully completes the program and pitches at the virtual pitch event will receive a $5,000 cash prize provided by Highmark Wholecare.

Eligibility requirements:

  • Founder must reside in Pennsylvania.
  • Founder will ideally have identified a target market and created a minimum viable product/service or prototype.
  • The program does not require a legal business entity to apply, but we are seeking businesses that plan to file in the near future if they haven’t already.
  • Our rigorous selection process will prioritize ideas in three core areas — housing accessibility, assistive technology, and innovative healthcare models, as well as founders who identify as having a disability.
  • At least one member of the founding team should expect to spend a minimum of 4-6 hours per week participating in programming and dedicated work efforts for the duration of the 15-week program.

If you know any founders whom you think might be interested in participating in the program, please share the flyer and link to apply.

If you have any questions, please contact Fady Sahhar.

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