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Authors Posts by Jim Sharp

Jim Sharp

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The American Bar Association Center on Children and the Law invites you to attend their national conferences to be held in person April 5–8, 2022, in Tysons Corner, Virginia (a suburb of Washington, DC). Thanks to the generosity of the PA Department of Human Services’ Office of Children, Youth, and Families, the ABA Permanency and Education Barriers Projects are pleased to offer a 50% discount on registration fees for either one or both of these conferences to all attorneys or child welfare professionals currently practicing in Pennsylvania. Please see the flyer for more information, including a link to the agendas, registration information, and a hotel discount.

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PDE and DHS are offering the following policy clarification on the Head Start/Early Head Start vaccination mandate:

PDE and DHS are cognizant of the staffing challenges that many providers are facing. Providers are thus encouraged to work creatively to ensure that children continue to receive a free and appropriate public education during these trying times. In this regard, providers should examine whether unvaccinated individuals may continue to provide services in accordance with an allowable exemption, and, where appropriate, consider whether parental agreement to alternative delivery of services may be prudent.

OCDEL has clarified that this is to include all individuals working with Head Start enrolled children and families, including early intervention and behavioral health. OCDEL further requests that agencies work with Head Start partners to address this requirement and asks for support considerations, including; encouraging staff and contractors to become fully vaccinated; working to identify fully vaccinated EI personnel to support children in Head Start; when possible, working to provide written assurance to Head Start partners to only send fully vaccinated staff and contractors to go into classrooms; and exploring technological solutions to help support children within their Head Start classroom activities and routines.

The United States Department of Health and Human Services (HHS) has implemented an Interim Final Rule (IFR) requiring all staff who work with Head Start/Early Head Start (Head Start) children and families in any capacity to be vaccinated. According to HHS guidance, this includes those individuals who do not have any contact with children. The IFR also requires contractors whose activities involve contact with or providing direct services to Head Start children and families and volunteers in classrooms or working directly with Head Start children and families be vaccinated. The IFR is now understood to apply to all individuals working with Head Start children and families, including but not limited to services provided by Preschool Early Intervention, 0-3 Early Intervention, and behavioral health specialists in Head Start programs, including those provided pursuant to a memorandum of understanding or other agreement by which Head Start programs provide for or permit the provision of such services.

The Federal Office of Head Start (OHS) is responsible for ensuring compliance with the IFR through their identified monitoring processes. PDE or DHS is not responsible for monitoring programs for compliance with this mandate.

Head Start IFR and guidance do allow for exemptions for individuals who are not vaccinated. In the event individuals meet this exemption, OHS has issued guidance regarding circumstances in which unvaccinated individuals may be able to continue to work with Head Start children and their families.

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The Office of Mental Health and Substance Abuse Services (OMHSAS) has just published an FAQ on the Home & Community-Based Services (HCBS) workforce support payments. Any remaining questions may be sent to the RA Account.

Please note that after receiving anticipated payment amounts on the attestation forms that were sent to providers at the locations of qualifying services, some providers alerted us to apparent irregularities in the payment amounts. OMHSAS is pulling our data and rerunning our formulas to ensure that payments are based on proper calculations and a balanced distribution of funds. Revised attestation forms will be sent to any providers who may have been impacted in their total allocation (positively or negatively) with a new due date in early March.

RCPA continues to work with its members and OMHSAS on the attestation and allocation process. Please contact your RCPA Policy Director for guidance or questions.

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As the state’s primary contractor for Medicaid-funded behavioral health (BH) care services (HealthChoices), Allegheny County DHS is responsible for $420M in state-managed care funding to deliver behavioral health services to approximately 260,000 county residents through its contracted partnership with Community Care Behavioral Health.

Historically, as the primary contractor to the state for the HealthChoices program, DHS has delegated its oversight and monitoring functions for this program to Allegheny Health Choices, Inc. (AHCI), and AHCI has done tremendous work helping the county to meet state obligations over the years. Increasingly however, the county has determined that making a structural change to bring monitoring and oversight in-house can streamline those functions and further strengthen the HC program for Allegheny County.

For this reason, the county, together with DHS, has made the decision to transition HealthChoices oversight and monitoring functions from AHCI to DHS, with expected changes to occur in the first quarter of 2023.

See below for further information:

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Title: A Panel Discussion: Unpacking the Pediatric Behavioral Health Crisis and Key Steps to Address Short- and Long-Term Needs

Date: Thursday, January 27, 2022
11:00 am–12:00 pm EST

Registration: Attendees can register online for the event and add it to their calendar.

Description: Join us for a panel discussion highlighting aspects of the ongoing pediatric behavioral health crisis, seeking your input, and discussing a path forward for ways to better support children and families. As you likely know from your professional and/or personal experience, far too many children and youth across the country are unable to access timely, quality mental health care. What was a crisis before the pandemic has only worsened. According to the CDC, since March 2020, mental health visits have increased for children (ages 5–11) by 24% and youth (ages 12–17) by 31%. In the first half of 2021 alone, children’s hospitals reported cases of self-injury and suicide in ages 5–17 at a rate 45% higher than during the same timeframe in 2019.

This event will be recorded.

A national campaign, Sound the Alarm for Kids, is bringing together organizations calling on Congress to act now to prevent further unaddressed harm to our nation’s children. Every child in America should have the right to live up to their full potential. The mental health crisis is a national emergency – and we’re in the fight of our lives to end it. 

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