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Authors Posts by Jim Sharp

Jim Sharp

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As the Federal Public Health Emergency unwinds, more than a million Pennsylvanians on the Medicaid rolls will have their eligibility determinations reviewed. RCPA has been a part of the MA/CHIP Watch Group, an advocacy partnership focused on this process for children and families to ensure coverage for services. The partnership is a group of Pennsylvania health, law, and policy advocates who work directly with and on behalf of Medical Assistance (MA) and Children’s Health Insurance Program (CHIP) enrollees. For approximately one year, the group has been meeting regularly with DHS staff to discuss DHS’ plans to resume regular operations when the federal provision for continuous coverage, put into place in March 2020 at the onset of the COVID-19 pandemic by the Families First Coronavirus Response Act (FFCRA), ends.

DHS has an unprecedented task ahead: conducting MA eligibility checks for an estimated 1.1 million MA enrollees, who either no longer appear to be eligible or have overdue renewals. The group remains very concerned about the enormous administrative workload the County Assistance Offices (CAOs) will face when redetermining eligibility for this large volume of cases while resuming regular operations after three years, and how that is likely to translate into individuals losing coverage, though remaining eligible.

Recently, the group presented a letter of recommendations to DHS Secretary Dr. Val Arkoosh outlining these concerns and pathways to ensure transitional care and coverage for children. Additionally, RCPA in their meetings with DHS continues its advocacy and support for the recommendations outlined in the letter to Secretary Arkoosh.

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 year, RCPA and other system stakeholders once again teamed with the County Commissioner Association of Pennsylvania (CCAP) through the Mental Health Safety Net Coalition. The mission and vision of this campaign continues to promote awareness of the critical funding needs of mental health services for vulnerable Pennsylvanians. As RCPA and the Mental Health Safety Net Coalition continue our efforts, we ask our members, stakeholders, and partners to join us in this collaborative effort by engaging with your legislators. “County mental health services provide a critical piece to the public safety net for people in need,” notes Richard S. Edley, PhD, President and CEO of RCPA. “The system sustained cuts over a decade ago with little relief since then. It is time to restore those dollars and further enhance the system. Not only will it provide critical funding for the individuals receiving services, but there are positive benefits — both financially and clinically — to the entire community.”

The Coalition welcomes the many new partners for this 2023–24 initiative, as the time to act is now for engaging with your representative. Local communities and providers have 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.

View our first of many communications that will go out on behalf of the Coalition as an open call to the PA General Assembly and stakeholders. This will provide you with strategic talking points for our outreach. If you have additional questions or would like to join the Mental Health Safety Net Coalition, please contact RCPA Policy Director Jim Sharp.

Photo by Giorgio Trovato on Unsplash

The Dennis Marion Impact Award recognizes local and state government employees whose initiatives, processes, and projects have led to significant improvements in Pennsylvania’s behavioral health service delivery system.

Background:
The Dennis Marion Impact Award was established in 2017 in honor of Dennis Marion’s commitment to public service throughout his distinguished career, which spanned over three decades. Dennis served as Deputy Secretary for Pennsylvania’s Department of Human Services’ Office of Mental Health and Substance Abuse Services from 2013 to 2017. Prior to his state employment, Dennis served Cumberland County, Pennsylvania for 31 years in various positions, such as County Administrator, Director of the Drug and Alcohol Commission, and Director of the Office of Mental Health and Intellectual Disabilities.

Just like Dennis Marion, whose strong leadership, passion for public service, and commitment to the people he served did not stop at the boundaries of his work in any single county or agency, the Dennis Marion Impact Award recognizes strong performers who bridge disparate missions and drive towards a single goal of excellence in public service.

Purpose:
The purpose of the Dennis Marion Impact Award is to recognize outstanding and meritorious achievement in working for state or local government, encourage the highest standards of performance in Pennsylvania’s public sector, attract outstanding individuals to a career in public service, and highlight public awareness of the value of public service and its impact on the behavioral health and quality of life of individuals and communities.

Eligibility Criteria:
Any current state and/or local government employee in Pennsylvania that has made an outstanding contribution in the area of behavioral health (mental health and/or substance use disorders) in Pennsylvania is eligible for nomination for the Dennis Marion Impact Award. Individuals that have built effective, collaborative partnerships across different organizations, agencies, and/or other stakeholders to define and solve problems, or reach agreements on a course of action, will be given priority consideration for this award.  Nominees’ contributions may be on a sustained basis or through a single, exceptional accomplishment. Nominations will be judged on three measurements: innovation, implementation, and outcomes.

Instructions:
The completed nomination form must be submitted electronically to Lindsay Graves via email by 5:00 pm EST on March 24, 2023. The nomination period is open from February 17, 2023, to March 24, 2023.. Nominations will not be accepted before or after the nomination period. Note that individuals may not self-nominate.

The award will be announced during Pennsylvania’s May 2023 Mental Health Awareness Month events. Questions regarding this award may be directed to Lindsay Graves via email.

Sponsoring Organizations:
Pennsylvania Department of Human Services — Office of Mental Health and Substance Abuse Services
Mental Health Association in Pennsylvania
Pennsylvania Association of County MH/DS Administrators
Rehabilitation and Community Providers Association
Pennsylvania Association of County Drug and Alcohol Administrators
Pennsylvania Mental Health Consumers’ Association

Photo by Markus Winkler from Pexels

Laval Miller-Wilson will join the Pennsylvania Department of Human Services (DHS) on Monday, March 13 as the Deputy Secretary for the Office of Children, Youth, and Families (OCYF), which supervises the county-operated child welfare and juvenile justice systems. Miller-Wilson, an attorney, is deeply committed and passionate about ensuring that vulnerable populations get the care they need and deserve.

Miller-Wilson has been the Executive Director of the Pennsylvania Health Law Project (PHLP) since 2009, a non-profit that protects and advances health care rights through free legal services, community education, and systems advocacy. At PHLP, he worked to make the health industry and policymakers more attuned to what people want and need — and more accountable for making it happen. He was lead counsel for Medicaid enrollees on Pennsylvania’s Medical Assistance (Medicaid) Advisory Committee, which advises the Commonwealth on the impact of current and proposed Medicaid policies and practices. He delivered consumer-informed perspective about the state’s implementation of the Affordable Care Act, performance of Medicaid managed care plans, and determinants of health.

Prior to joining PHLP, Miller-Wilson worked for 14 years at Juvenile Law Center (JLC) representing children in the child welfare, juvenile, and criminal justice systems. At JLC, he led their 2008 petition to the Pennsylvania Supreme Court to ensure accused youth in Luzerne County had the right to counsel (subsequently known as the “Kids for Cash” scandal), and federal litigation to improve the delivery of basic and special education to children in the criminal justice system. He was also the lead author of a 2003 assessment of children’s access to counsel and the quality of representation they receive in Pennsylvania’s juvenile justice system that required surveying and visiting juvenile courts across the Commonwealth.

Mark your calendars to join SAMHSA on May 11 for the 6th Annual Older Adult Mental Health Awareness Day Symposium!

This free, all-day, virtual event will feature an engaging plenary, informative sessions, and a diverse array of topics addressing the most pressing behavioral health needs in older adults.

Who should attend?

Public health practitioners, professionals in the aging network, mental health providers, substance use treatment providers, health care professionals, and anyone interested in ensuring the mental health of older adults. In partnership with the E4 Center of Excellence for Behavioral Health Disparities in Aging, NCOA will be offering continuing education for several disciplines.

The symposium is brought to you by the National Council on Aging, the Administration for Community Living, the Health Resources and Services Administration, and the Substance Abuse and Mental Health Services Administration.

Watch for updates by mid-March from RCPA for registration info.

The Office of Mental Health and Substance Abuse Services’s (OMHSAS) February 2023 Stakeholder webinar is scheduled for next Friday, February 24, 2023, from 1:00 pm – 2:00 pm. The February Stakeholder webinar was rescheduled due to conflicts with the quarterly Mental Health Planning Council (MHPC) meeting.

Register for the meeting here. After registering, you will receive a confirmation email containing information about joining the webinar.

Call-in Number: (914) 614-3221
Access Code: 458609184#

If you have any questions or would like RCPA to submit a topic for the webinar, please contact RCPA Policy Director Jim Sharp.

Pennsylvania is preparing for a major change in renewal processes for Medicaid and Children’s Health Insurance Program (CHIP) recipients.

Starting April 1, 2023, Pennsylvania is required by federal law to review Medicaid and CHIP recipients’ eligibility every year, which means that recipients must submit a renewal. While the Department of Human Services (DHS) still sent renewals during the height of the COVID-19 pandemic, most people were not disenrolled from Medicaid or CHIP because of a change in eligibility.

DHS encourages everyone to share the following information with Medicaid and CHIP recipients to help them stay informed about renewals.

What Should I Do Right Now?

The best thing that Medicaid and CHIP recipients can do right now to prepare for their renewal is to make sure that their contact information is up-to-date with DHS. By making sure that their information is current, recipients can receive timely updates about their renewal. They also can opt-in to receiving text and email alerts about their benefits.

  • Visit COMPASS and log into their My COMPASS Account.
  • Use the free myCOMPASS PA mobile app.
  • Call 877-395-8930 or 215-560-7226 (Philadelphia), Monday – Friday from 8:00 am – 4:30 pm.

What Else Do I Need to Know?

Completing Medicaid and CHIP Renewals
Renewals should be completed when they are received, even if recipients receive them before April 1, 2023. Recipients will receive a renewal packet in the mail when it is time to renew their coverage. Information about their renewal will start to arrive 90 days before it is due. It is very important that renewal forms are completed and returned even if nothing has changed. Completing a renewal allows DHS to determine eligibility for MA or CHIP coverage. Coverage will continue for recipients who are still eligible.
There are a few ways for recipients to complete a renewal:

  • Complete the forms DHS sends and mail them back in the envelope included in the packet.
  • Drop completed forms off at the local county assistance office (CAO).
  • Complete the renewal online.
  • Complete the renewal over the phone by calling 866-550-4355.

What is Continuous Coverage?

Under the continuous coverage requirement, individuals covered by Medicaid and/or CHIP have been able to keep their health coverage even if they would have otherwise become ineligible for the program based on other factors.

Evaluating Eligibility

Once the continuous Medicaid and CHIP coverage requirement ends, recipients will have to complete a renewal to maintain their coverage as long as they are eligible.

Are You Ineligible for Coverage?

DHS will provide instructions on how to re-enroll or share options for coverage if individuals are no longer eligible. Options for free or low-cost health coverage are available online.

Get more information and resources at DHS’s website.