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Authors Posts by Jim Sharp

Jim Sharp

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As your teams begin working on completing the RCPA Work Force Survey, we received a request to have a master list of questions that can be referenced. The Master List of survey questions includes all service line areas, questions on the program operations, and vaccinations.

Again, we thank you for your efforts to complete the survey. Please contact RCPA Children’s Division Director Jim Sharp if you have any questions or concerns.

The COVID-19 pandemic has created existential challenges for agencies that provide supports and services to individuals who have disabilities and/or health issues. Staffing has been an area that has been significantly affected. Legislative and State Stakeholders have requested RCPA to quantify the impact of the pandemic on our workforce so that we might effectively lobby for the welfare of the agencies that support and serve individuals with disabilities and health issues.

The work force survey will examine work force topics for a diverse range of programs, including Mental Health, IDD/Autism, Brain Injury, Drug & Alcohol, Inpatient Rehabilitation Facilities (IRF), and others. The survey responses seek to gather data related to hiring, retention, vacancy rates, pay structures, vaccinations, and COVID-19 impacts on programs as well as access to care associated with the pandemic.

RCPA is making the survey available to providers across Pennsylvania, not just RCPA members. Please be assured that response data will be de-identified and aggregated for reporting by an independent research entity, and your individual data will be shared with no one. A copy of the results of this survey will be available to all participants at the conclusion of the study. Please follow the link to the survey.

We thank you in advance for your time in completing this survey and would ask that you share this information with your colleagues, fellow leaders, and Human Resources teams. The more information collected, the more we will be able to provide to stakeholders, which will affect not only RCPA members but all providers within the Commonwealth.

If you have any questions, please contact Director of Children’s Services Jim Sharp or your RCPA Policy Director.

The Pennsylvania Department of Labor & Industry has announced several grants geared to workforce development. Throughout the commonwealth and the nation, there are numerous grants and financial aid resources available that can assist individuals and organizations in meeting their goals.

PAsmart Apprenticeship Grants

Throughout the commonwealth and the nation, numerous grants and financial aid resources available can assist individuals and organizations in meeting their goals. The grants and financial aid information below is provided with the intent to help you begin the search, not an all-inclusive link to resources that may be available. Learn more about L&I’s other grants and related programs.

PAsmart grant funds are used to support the growth of Registered Apprenticeship and Pre-Apprenticeship Programs, creating opportunities in new industries and occupations for Pennsylvania workers to advance along career pathways. This grant program will support schools, students, workers, and businesses across the Commonwealth and reach underrepresented populations, including women, minorities, individuals with disabilities, veterans, socio-economic disadvantaged individuals, individuals who speak English as a second language, individuals who were previously incarcerated, or individuals experiencing multiple barriers to employment. Ultimately, PAsmart will help Pennsylvanians develop the skills they need for the job they want, and in turn, support businesses by creating a skilled workforce to hire. Learn more about PAsmart Apprenticeship Grants.

Applications must be submitted by 5:00 pm on Wednesday, October 13, 2021.

In an effort to assist Infant/Toddler Programs and their contracted EI service providers to clear suspended claims from the PROMISe™ system, the Office of Child Development and Early Learning (OCDEL) has released guidance on the procedures for Early Intervention claim filing. Correct billing practices require adherence to correct filing procedures and time limits. All relevant information and instructions can be found in the PA PROMISe™ Provider Handbook for the 837 Professional/CMS-1500 Claim Form.

Time Limits for Claim Submission

DPW must receive claim forms for submissions, resubmissions, and adjustment of claim forms within specified time frames; otherwise, the claim will reject on timely filing related edits and will not be processed for payment.

Service providers (including service coordination entities) are required to submit original claims within 180 calendar days of the initial date of service. Claims which are received within 180-days of the date of service and subsequently denied may be resubmitted up to 365 calendar days from the original date of service.

Suspended Claims/180-Day Exception Request Process

ALL claims that are past the 180- or 365-billing day cycle AND directly associated to a reported PELICAN-EI systems issue are to be billed electronically through the PROMISe system. The claims filed will result in a “suspended” status. These suspended claims will be manually reviewed and approved by a Bureau of Early Intervention services staff member.

Approval of these suspended claims will require additional information submitted by the provider to the BEIS office via email. The email contents must include the following:

  • Provider name
  • MCI for the child
  • PELICAN-EI systems issue description and Help Desk Call Number

If the claim was suspended because it was past the filing limit and unrelated to a PELICAN-EI systems issue, you will need to provide an explanation for the delayed billing. Providing an explanation for the delayed billing will not automatically result in the claim being approved for payment. Each claim will be reviewed individually and considered for approval.

It is the responsibility of the billing entity to follow the requirements for timely billing as outlined in the PROMISe™ manual. Claims which have a suspended status will be denied unless the above procedures have been followed.

If you have any questions, please contact RCPA Children’s Policy Director Jim Sharp.

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The Department of Human Services’ Office of Children, Youth and Families (OCYF) has submitted Pennsylvania’s Family First Five-Year Prevention Services Plan to the Administration for Children and Families (ACF) for approval of the Pa. plan. At this time, the plan has not been approved by ACF, and RCPA will continue to update members as OCYF receives feedback from ACF and works towards finalization of the plan.

Please feel free to reach out to RCPA Children’s Policy Director Jim Sharp with any questions.

OMHSAS has released the following Telehealth Regulatory Waiver Request template in order to streamline regulatory waiver requests for the continued delivery of telehealth services following the 9-30-21 end date of statewide regulatory waivers based on the COVID-19 Emergency Declaration.

The waiver submission process will adhere to the revised OMHSAS Waiver Bulletin 16-13.

The waiver will cover deliverable considerations for the following services

  • Mental Health Intensive Case Management 55 Pa. Code § 5221.33(4)(iii)
  • Outpatient Psychiatric Services 55 Pa. Code § 1153.14(1)
  • Outpatient Drug and Alcohol Clinic Services 55 Pa. Code § 1223.14(2)

Each waiver request will remain in place for a 1-year period and will require providers also have documented policies in place for clinical appropriateness and the delivery of telehealth in emergencies. RCPA recommends agencies carefully review each section of the waiver request as they complete their submission.

The waiver will outline the following service considerations:

  • To ensure continuity of telehealth delivery of services by allowing this agency/facility to use audio-only service delivery for Outpatient Psychiatric Services, Outpatient Drug and Alcohol Clinic Services when the individual served does not have access to video capability or for an urgent medical situation.
  • To ensure continuity of telehealth delivery of services by allowing this agency/facility to accept verbal consent/verification for documentation where a signature cannot be obtained when delivering Mental Health Intensive Case Management Services.

Submission Considerations:

  • For all Mental Health Intensive Case Management and Outpatient Psychiatric Clinic Waivers: Please submit all waiver requests to the appropriate OMHSAS Regional Field Office with an attached letter of support from the County MH/ID Administrator where your primary licensed location is at.
  • For all Outpatient Drug and Alcohol Clinic Services Waivers: Please submit here. No letter of support is required for these waivers.

Providers may utilize the following language in your waiver request letter:

Kristen Houser, Deputy Secretary
OMHSAS
Commonwealth Tower, 11th Floor
303 Walnut Street, Harrisburg 17101

Dear Deputy Secretary Houser:

This letter is a request for a waiver of Department of Human Services regulation(s) to continue the delivery of services through telehealth after September 30, 2021, which is the end date of the Governor’s COVID -19 Emergency Disaster Declaration which authorized certain regulatory suspensions.  The details for this request for waiver are included in the form below.  In addition, a letter of support from the County MH/ID Administrator for this request for waiver is attached. (REMOVE if Outpatient D&A Clinic Waiver) 

Your consideration for approval is appreciated. I look forward to your response. If you have any questions or concerns regarding this regulatory waiver request, please contact me at (Phone and e-mail address.)

Sincerely,
(Signature)
(Name)

Members may contact RCPA Policy Director Jim Sharp or their respective Policy Director with questions or feedback.