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Authors Posts by Melissa Dehoff

Melissa Dehoff

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Melissa Dehoff is responsible for all medical rehabilitation and brain injury service issues. Ms. Dehoff attends multiple state-level meetings to advocate on behalf of members on brain injury and rehabilitation issues and is a member of the Department of Health Traumatic Brain Injury Advisory Board.

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The next Financial Management Services (FMS) Stakeholder meeting has been scheduled for August 5, 2022, from 1:00 pm – 2:30 pm.

This public meeting is being held to discuss upcoming changes for the administration of FMS under the Community HealthChoices (CHC), OBRA Waiver, and Act 150 Programs. Representatives from the Office of Long-Term Living (OLTL) and Community HealthChoices Managed Care Organizations (CHC MCOs) will be in attendance to discuss upcoming changes.

Please register using this registration link. After registering, you will receive a confirmation email containing information about joining the webinar.

If you choose to use your phone to call in, please use the numbers below:
Dial in: (415) 930-5321
Access Code: 264854023#
Audio PIN: shown after joining the webinar

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On July 7, 2022, the Centers for Medicare and Medicaid Services (CMS) released the proposed Medicare Physician Fee Schedule (MPFS) for calendar year (CY) 2023. In this proposed rule, CMS is proposing an approximately 4 percent reduction to the base payment factor for all services for 2023. The specific level of adjustment providers may see will depend on changes CMS finalizes to other factors. CMS is also proposing to expand the list of codes that can be provided via telehealth through 2023 to include some therapy codes. Modifications to the Quality Payment Program (QPP), which includes the Merit-Based Incentive Payment System (MIPS), to allow for additional pathways for participation for certain specialties is also being proposed. The proposed rule will appear in the July 29 Federal Register.

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Information and registration for the August Managed Long-Term Services and Supports (MLTSS) Subcommittee meeting was recently released by the Office of Long-Term Living (OLTL). The meeting will be held on August 3, 2022, from 10:00 am – 1:00 pm. Attendees can participate via webinar or in person at the PA Department of Education Building’s Honors Suite at 333 Market Street in Harrisburg.

To participate in the meeting via webinar, please register via the link below. Those participating by webinar are encouraged to register early. When registering, please verify that you entered your email address correctly. You will receive a confirmation email containing information about joining the webinar if you registered correctly.

Webinar Registration Link
If you have trouble accessing the webinar registration through the Internet Explorer or Safari web browsers, please try accessing it through a different web browser such as Chrome or Edge.

Dial In Number:
The dial-in number is:  (415) 655-0052
Access Code: 205870515#

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The Centers for Medicare & Medicaid Services (CMS) has approved the Office of Long-Term Living’s (OLTL) Community HealthChoices (CHC) Waiver amendment that transfers oversight of Financial Management Services (FMS) from an OLTL-held contract to an administrative function of the CHC-MCOs and revises waiver performance measure AA-5. The amendment became effective on July 1, 2022.

The current approved CHC 1915(c) Waiver document with the FMS amendment can be viewed here. The link can be found under the heading “Community HealthChoices 1915(b) Managed Care and 1915(c) Home and Community-Based Waivers.”

Questions about the CHC Waiver amendment should be sent via email.

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Image by Shotkitimages from Pixabay

Temple University Harrisburg recently announced their fall 2022 online training that is approved to meet the personal care home (PCH) and assisted living residence (ALR) annual training requirements.

Information about the online training sessions (including registration links) are provided below:

Those interested in participating only need to register for one session for each topic. Please read the training announcements in full before registering to ensure you are able to meet the participation requirements. Participation is limited for each course. If you register and later discover you are unable to participate, please cancel your registration to create space for other participants.

Questions about the online trainings or assistance with registration should be sent via email. If you would like information about additional trainings available for PCH and ALR administrators, please contact the Bureau of Human Services Licensing Operator Support Hotline.

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The Office of Long-Term Living (OLTL) will be presenting a live, interactive webinar series on housing issues. This five-session series will be offered twice (see schedule below). The webinars will include targeted content, including question and answer (Q&A) sessions with housing experts and OLTL staff. Each session is scheduled for 90 minutes to allow for interaction and Q&A segments.

The webinar series targets Service Coordinators, Managed Care Organizations, and Service Coordination Entity support staff who assist program participants in securing and maintaining affordable, accessible housing. This series builds on information already provided in the Online Housing Training Modules and the Self-Determination Housing of Pennsylvania (SDHP)/Inglis’s Prepared Renter Program (PREP) curriculum.

This series of webinars is designed to be taken in order. The content in each session builds on prior content. Participants will get the most out of the program by taking all the sessions in order. Although individuals are not required to complete the sessions in order, to keep the sessions focused, the webinar leader may opt to table questions that were covered in prior sessions.

The series will be presented twice:

  • August 16 – September 13 (every Tuesday) from 1:30 pm – 3:00 pm
  • September 21 – October 19 (every Wednesday) from 9:00 am – 10:30 am

2022 OLTL Housing Series Curriculum

Webinar 1: Understanding and Navigating Housing Nuances

  • 10 Housing-Sector Nuances
  • 3 Main Pathways to Housing Resources

Webinar 2: Recommended Relationships and Resources in the Housing Sector

  • 5 Key Partnerships to Cultivate
  • Top 6 Housing Resources

Webinar 3: Funding Sources and Clarifying Affordability Frequently Asked Questions (FAQs)

  • 6 Kinds of Funding Sources
  • 3 Concepts to Understand About Affordability and Income-based Eligibility

Webinar 4: Legal Issues Related to Housing

  • Criminal Justice System Involvement
  • Fair Housing and Reasonable Accommodation

Webinar 5: Keeping Participants Housed and Landlord Engagement Techniques

  • 6 Key Concepts in Keeping Participants Housed
  • Landlord Engagement Techniques and Resources

To register for the Housing Webinar Series, please go to the OLTL Housing Webinars registration page.

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The Centers for Medicare and Medicaid Services (CMS) recently issued updates associated with the inpatient rehabilitation facility (IRF) provider preview reports and the IRF Patient Assessment Instrument (PAI).

CMS has released the updated IRF Provider Preview Reports, which contain provider performance scores for quality measures and contain IRF-PAI data submitted by IRFs from Quarter 1 (Q1) 2021 through Quarter 4 (Q4) 2021, as well as CDC Clostridium Difficile (CDI) and Catheter-Associated Urinary Tract Infections (CAUTI) measures from Quarter 4 (Q4) 2020 through Quarter 3 (Q3) 2021, and Q4 2018 through Q1 2019 of the Healthcare Personnel (HCP) Influenza measure. The new HCP COVID-19 Vaccination Coverage measure will also be publicly reported on Care Compare in the September 2022 release and will reflect Q4 2021 data. Unlike prior September Care Compare refreshes, CMS will not be preforming the annual update to IRF claims-based measures, due to CMS only resuming the reporting of claims-based measures during the June 2022 refresh.

Providers have until July 15, 2022, to review their performance data. Providers can request CMS review their data during the preview period if they believe the scores are inaccurate. The final reports will be published on Care Compare and Provider Data Catalog during the September 2022 refresh of the website. Additional information is on the CMS IRF Quality Reporting Program (QRP) public reporting website.

CMS also published the IRF-PAI Quarterly Questions & Answers (Q&A) document that provides clarification to existing guidelines.

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The Council on Brain Injury (CoBI) released the following information regarding a free webinar they will be offering through their clinical forum series on brain injury and substance misuse that will feature opioid misuse. The webinar is scheduled for July 12, 2022, from 3:30 pm – 5:00 pm. Details are below.

CoBI Clinical Forum Series presents: Brain Injury and Substance Misuse, Featuring Opioid Misuse: Practical Implications for Brain Injury Providers (A Webinar)
A Presentation and Discussion With Monica Vaccaro
Tuesday, July 12, 2022   |   3:30 pm – 5:00 pm   |   Webinar

Monica Vaccaro is the Director of Programs for the Brain Injury Association of Pennsylvania (BIAPA), providing oversight and direction to multiple programs, including the Brain Injury Resource Line, NeuroResource Facilitation, Brain Injury and Opioids Training, and the BrainSTEPS School Re-Entry Program. In addition to her role with BIAPA, she is a Research Associate at Moss Rehabilitation Research Institute, with a particular interest in interventions for common effects of brain injury, including anger management, depression, and goal setting.

This session is intended for a professional audience. There is no cost to attend. 

Register Here

Questions? Please contact MJ Schmidt.

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The following updates have been released regarding the Personal Care Home (PCH) and Assisted Living Residence (ALR) ListServs:

  • As of 6/22/2022, the PCH and ALR ListServ(s) have been merged. This action was taken in order to maintain consistency and streamline the flow of information, as well as to decrease duplicate emails in your inbox.
  • As of 6/22/2022, all provider emails will be subscribed to the ListServ. Please maintain your subscription and ensure that your email servers are set up to accept emails from OLTL-ADULT-RESIDENTIAL-LICENSING@LISTSERV.DPW.STATE.PA.US, as well as emails from PA.GOV addresses.
  • Archives from the previous ListServ(s) can be accessed by visiting:
  • If we are unable to maintain email contact, you will undoubtedly miss information that is crucial to the operation of your facility. Any changes to facility administrator or email contact information should be reported to your regional office or to PWARL Headquarters.
  • Anyone who wishes to subscribe to the ListServ may do so by visiting OLTL Adult Residential Licensing ListServ.

Questions about this information should be addressed by calling the Operator Support Hotline at 866-503-3926 or by email.

**This communication was originally sent on 6/9/2022, but due to technical issues, the actions outlined below were not completed until 6/21/2022.**

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The Pennsylvania Department of Aging (PDA) marks World Elder Abuse Awareness Day (WEAAD) by launching two new online education resources.

The first resource is a new web page that focuses on the growing problem of financial exploitation of older adults. The new Financial Exploitation Resource Web Page features information for older adults, caregivers, and other aging professionals on warning signs, preventive measures, and an expandable menu of resources on key topics such as banking and finance, legal services, and dementia. Future resources will include short educational videos from their Financial Exploitation Task Force experts explaining financial exploitation topics in everyday terms, as well as a social media toolkit.

The second resource is an elder abuse awareness web-based training. This interactive module is available to Commonwealth employees, Pennsylvania’s aging network, and the public. The module was developed to reach a broad audience and covers the four major types of abuse and how to recognize them; signs to watch for, mandatory and voluntary reporting of abuse, when and how to report; and more. The training takes about 20 minutes to complete and is available on the PDA Learning Management System.

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