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Authors Posts by Jim Sharp

Jim Sharp

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Photo by Copernico on Unsplash

The Pennsylvania Commission on Crime and Delinquency (PCCD) is pleased to announce that registration is now open for the 2023 Statewide Crisis Intervention Team (CIT) Symposium! PCCD, in collaboration with the Office of Mental Health and Substance Abuse Services (OMHSAS) and Centre County CIT, will hold the annual Statewide CIT Symposium at the Wyndham Garden State College on April 20, 2023.

This one-day event will feature informative sessions covering topics on building a certified CIT program, first responders, and collecting data, as well as a special virtual reality session focused on the evolution of a CIT scenario. PCCD is pleased to host Brian Peete, Director with the Riley County Police Department in Manhattan, Kansas, who will provide attendees with information on tactical-based concepts to help increase survivability for both responders and the person in crisis, allowing for verbal de-escalation to start.

To register, view the agenda, and session descriptions, please follow the link to the CIT Symposium web page.

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The sustained funding of community-based mental health services, such as community residential programs, family-based support, outpatient care, and crisis intervention, are critical to the wellbeing of our constituents and our communities. Funding levels for county mental health services have direct impacts on whether these important community and family supports will be available. Yet for too many years, state funding for mental health services has lagged far behind its needs. Counties find themselves advocating for the prevention of funds being cut instead of achieving the increases that are needed to catch up from years of underfunding.

This week’s letter of advocacy, sent on behalf of the Coalition, stands as an open call to the PA General Assembly and stakeholders. As we await Governor Shapiro’s budget address, the “Time is Now” for action to sustain the funding of community-based mental health services and to create the legislation to move on the allocation of the $100 million dollars in funding as outlined by the Pennsylvania Behavioral Health Commission.

The Coalition is open to all new partners to join our mission of advocacy for this 2023–24 initiative, as the time to act is now for engaging with your representative. The Coalition will also be developing an advocacy toolkit for members to come together to sustain the safety net and serve those who need it most. The reality is that the demand for service far outweighs capacity and rate structures to serve this population.

If you have additional questions or would like to join the Mental Health Safety Net Coalition, please contact RCPA Policy Director Jim Sharp.

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RCPA invites members to participate in the Coalition for the Mental Health Safety Net meeting on Wednesday, March 29, 2023, from 1:00 pm – 2:00 pm. You can register for the meeting here.

The Coalition will also be meeting on the following dates:

Wednesday, May 3, 2023 • 1:00 pm – 2:00 pm
Wednesday, June 7, 2023 • 1:00 pm – 2:00 pm
Wednesday, July 12, 2023 • 1:00 pm – 2:00 pm

The Coalition is open to all stakeholder groups, and we encourage members to participate in these efforts of joint advocacy in protecting and preserving our mental health service delivery system. If you would like to join the collation or have any questions, please contact Jim Sharp.

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As part of the Centers for Medicare & Medicaid Services’ (CMS) ongoing efforts to provide up-to-date information to prepare for the end of the Public Health Emergency (PHE) for COVID-19, expected on May 11, 2023, we are providing a new overview fact sheet on CMS Waivers, Flexibilities, and the Transition Forward from the COVID-19 Public Health Emergency. COVID-19 efforts have been a significant priority for the current administration, and with the use of whole-of-government approach, the country is in a better place. Over the next several months, CMS will work to ensure a smooth transition back to normal operations.

The fact sheet provides clarity on several topics, including:

  • COVID-19 vaccines, testing, and treatments;
  • Telehealth services; and
  • Health care access.

There are several telehealth flexibilities listed within the document, including the continuation of virtual supervision to the end of the calendar year. See below for an excerpt from CMS’ PHE release:

Virtual Supervision

To allow more people to receive care during the PHE, CMS temporarily changed the definition of “direct supervision” to allow the supervising health care professional to be immediately available through virtual presence using real-time audio/video technology instead of requiring their physical presence. CMS also clarified that the temporary exception to allow immediate availability for direct supervision through virtual presence also facilitates the provision of telehealth services by clinical staff “incident to” the professional services of physicians and other practitioners. This flexibility will expire on December 31, 2023.

What is missing is guidance around the intersect of telehealth and the prescribing of buprenorphine as directed under the Ryan Haight Act of 2008. As part of the CMS Physicians Fee Schedule of 2023, CMS was in the process of writing language extending this as a flexibility. To date, there has been no guidance, though RCPA continues its advocacy efforts with the National Council for Mental Wellbeing, as well as state and federal stakeholders.

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