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Authors Posts by Jim Sharp

Jim Sharp

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Last Friday, at the state’s Act 62 External Work Group meeting, the Office of Mental Health and Substance Abuse Services (OMHSAS) released and reviewed the data collected by HealthChoices contractors during the April 2015 survey of autism spectrum disorder (ASD) service capacity. This point-in-time survey reflects what was at that time the level of ASD service capacity for the delivery of behavior specialist consultant and applied behavior analysis services.

Among the highlights in this data are service access trends as of April 2015, showing:

  • A 19% level of service access delays of more than 31 days, with delays ranging by managed care organizations from 14% to 30% for children that had been accepted, evaluated, and authorized for services.
  • The level and reasons given for staff recruitment challenges, showing a significant level of hiring challenges among providers, with the predominant reasons being the licensure requirements of
    • At least one year of experience involving functional behavior assessments of individuals under 21 years of age; and
    • At least 1,000 hours of in-person clinical experience with individuals with behavioral challenges or experience in a related field with individuals with an ASD.

During review and discussion of the data, OMHSAS Deputy Secretary Marion indicated that OMHSAS will begin to meet with the managed care organizations, to more closely analyze the data, and discuss approaches and solutions to the service access and professional labor pool challenges in provider networks.

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In an effort to promote “Government that Works,” the Office of Child Development and Early Learning (OCDEL) has made it a priority to integrate early childhood education services, so that providers can offer multiple OCDEL services to families without duplicating paperwork, and families can more easily access the services they need. To lead and promote this approach to improving and streamlining bureaucratic and operational challenges faced by providers and families, OCDEL has produced a short video overview with Deputy Secretary Michelle Figlar.

Providers are also being asked to share their experiences with OCDEL programs to help shape this work. It is critical for the RCPA Children’s Steering Committee and work groups to hear how OCDEL programs work for providers and families. Input from providers of early childhood care will significantly inform and influence this work. For RCPA members, it will be vital that providers of early childhood mental health, behavioral consultation, autism, and pediatric rehabilitation services, that need to be delivered in a coordinated and collaborative manner, help to inform this process. RCPA members who serve young children are encouraged to complete a short survey by Monday, February 8. The survey includes five pages of questions and should take an average of five minutes to complete. For more information, visit the PA Keys website.

OCDEL has made stakeholder engagement one of its priorities to assure high quality services for children and families. For a listing of all open stakeholder engagement opportunities, please visit the PA Keys website.

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The Physical Health Managed Care Organizations (PH-MCOs) serving Pennsylvania’s HealthChoices Medicaid program are now inviting psychiatric service providers to submit a response for the Telephonic Psychiatric Service (TiPS) Request for Proposals (RFP). The PH-MCOs will contract for TiPS that will provide real time telephonic consultative services to primary care providers (PCPs), and other prescribers of psychotropic medications, for children under the age of 21. A TiPS provider is responsible for establishing and maintaining a team of behavioral health professionals who will be available to respond to inquiries from PCPs seeking assistance in providing pediatric behavioral health care. Qualified applicants must have a TiPS staff which includes one full-time equivalent child psychiatrist, one full-time equivalent behavioral health therapist, and one full-time equivalent care coordinator. Now available are the RFP, and supplemental information, including pediatric membership by plan/zone, and a 2014 Health Affairs article on a similar program in Massachusetts. A vendor fair for interested respondents is being held on Tuesday, January 26 in Mechanicsburg. See the RFP for additional details. All questions should be directed to MCO Coalition Consultant, Emily Katz.

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The Office of Mental Health and Substance Abuse Services (OMHSAS) sent members of the OMHSAS Planning Council’s Children’s Committee the draft Training and Supervision Requirements for Therapeutic Staff Support (TSS) Workers bulletin, noting that the document is being distributed for public comment. Public comment on this bulletin is being accepted until Monday, January 11, 2016. RCPA has requested an extension of the period for stakeholder review and comment, given the extremely short time allotted by OMHSAS. OMHSAS is asking that comments be submitted via email.

RCPA will submit comments and will inform members if the time period for review and comment is extended by OMHSAS. In addition to sending your comments to OMHSAS, please also forward them to Connell O’Brien, director, RCPA Children’s Division.

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As previously reported, the Office of Mental Health and Substance Abuse Services (OMHSAS) is conducting work groups to develop recommendations for the development of youth-young adult peer support services and for youth-young adult psychiatric rehabilitation services. RCPA is participating in both work groups through the involvement of the Directors of the Children’s Division and the Mental Health Division. In January, RCPA will be scheduling a focused conference call with members providing Medicaid-funded peer support service, psychiatric rehabilitation services, and adolescent-young adult mental health services. The purpose of the conference call will be to review the status of the OMHSAS work groups and to gather input from the field with regard to service design, the development of service, supervision and program description standards/regulatory changes, and to better understand the operational and clinical care, cost, and compliance implications for these services.

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The Bureau of Autism Services (BAS) is conducting a preliminary survey to help inform the design of services for individuals with autism spectrum disorder (ASD) who are transitioning out of high school, including those who may have had justice intersections or psychiatric hospitalizations. This survey is designed to be completed by professionals with or without experience supporting individuals with ASD ages 18-25. BAS is asking for feedback on both surveys by Friday, January 1.

BAS has developed two versions of this survey; one for individuals and families, and another to be completed by professionals. The professionals survey can be completed here. Any questions about these surveys can be directed to the Bureau of Autism Services via email.

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The Pennsylvania Department of Human Services (DHS) and Office of Child Development and Early Learning (OCDEL) are inviting providers and others to review and provide comments on its draft State Plan for the Child Care Development Block Grant.

To submit comments, download and complete the response form by Friday, January 8, 2016, and email or mail to:

The Office of Child Development and Early Learning
Attn: State Plan
333 Market Street
Sixth Floor
Harrisburg, Pennsylvania 17126

The Child Care Development Block Grant is one of the primary federal funding sources for monitoring regulated child care programs, child care subsidy through Child Care Works, and child care quality improvement through Keystone STARS. Pennsylvania’s plan, once finalized, will address how the state will implement new requirements imposed by the reauthorization over the next three federal fiscal years. Key features of the plan include:

  • Supporting child development by providing greater opportunities for stable, quality child care.
  • Exploring payment rates to providers serving children receiving Child Care Works, to ensure equal access, and compensation for providers that is closer to the market rate.
  • Improving health and safety requirements for child care providers through child care regulations and inspections.
  • Reaffirming professional development requirements for providers participating in Keystone STARS.

The Office of Child Development and Early Learning has also posted and begun accepting public comment on a policy announcement, Reduction of Expulsion and Suspension in Early Childhood Programs in Pennsylvania. OCDEL will hold a webinar to review the public comments received to date and give the stakeholder community a final opportunity to provide feedback. OCDEL will also accept additional comments via email until Monday, January 18, 2016, at which time the public comment period will be closed.

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