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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 Council on Brain Injury (CoBI) has announced an upcoming webinar/clinical forum, “Caregiver Needs: Insights for Professionals,” on October 13, 2021 from 3:30 pm–5:00 pm. This lecture will address an often-overlooked group — the caregivers of those living with acquired brain injuries (ABI). Caregivers often step into their roles out of love, a sense of duty, or a lack of other options. They often don’t recognize themselves as “caregivers” and can end up neglecting their own needs, feeling exhausted and isolated, and at risk for health complications themselves. Elissa Lewin (of Nancy’s House) will discuss the importance of helping caregivers to recognize their own physical and emotional needs and how professionals can help. A live question and answer session will follow the presentation. Please register here.

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

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The following announcement/reminder was issued and directed to Personal Care Homes (PCH), Assisted Living Residences (ALRs), and nursing facilities (NFs) by the Department of Human Services (DHS)/Office of Long-Term Living (OLTL):

This message is to serve as a reminder that the deadline to apply for American Rescue Plan Act (ARPA) payments is Friday, October 15, 2021. If you have not yet submitted your Facility Acceptance Form, please do so on or before October 15 using the highlighted directions below. The facility acceptance form may be found on the DHS Long-Term Care Providers page. PCH and ALR providers that already submitted a Facility Acceptance Form do not need to resend a form.

This message is to update and replace the Listserv email sent on August 31, 2021 with the subject “American Rescue Plan Act (ARPA) One-Time Payments – Notification, Instructions, and Timelines.”

The Office of Long-Term Living has published revised lists of qualifying entities and payment amounts for personal care home (PCH) and assisted living residence (ALR) ARPA payments. The revised lists are available as of September 9, 2021, on the DHS Long-Term Care Providers page under the heading ‘American Rescue Plan Act (ARPA) Funding.’ Revisions include the addition of providers omitted from the original published list and corrected payment amounts for providers that experienced a change of ownership or a name change between April 1, 2020 and June 1, 2021. These revisions resulted in adjustments to payment amounts for all qualifying PCH and ALR providers.

PCH and ALR providers that already submitted a Facility Acceptance Form do not need to resend a form. 

American Rescue Plan Act (ARPA) One-Time Payments – Notification, Instructions, and Timelines

Governor Wolf signed Act 24 of 2021, which allocates $282 million of federal funding from the American Rescue Plan Act (ARPA) for payments to nursing facilities (NF), personal care homes (PCH), and assisted living residences (ALR). To qualify for the one-time payment, a facility must be in operation as of June 1, 2021.

These one-time ARPA funds must be used for COVID-19 related costs not otherwise reimbursed by federal, state, or other sources of funding. The Office of Long-Term Living (OLTL) sent a letter dated August 30, 2021, with details about the payments, including information about the approved use of and reporting on these funds. For reference, a sample of the letter, a list of qualifying entities and payment amounts, and a copy of the Facility Acceptance Form are available on the DHS Long-Term Care Providers page under the heading ‘American Rescue Plan Act (ARPA) Funding.’

Nursing Facility Payments

  • ARPA NF Payment #1 – Medical Assistance (MA) Days
    • The total funds available for a one-time payment to Non-Public and County NFs pursuant to Act 24 (ARPA NF Payment #1) is $198,000,000. Each facility’s ARPA NF Payment #1 is calculated by dividing the facility’s MA days, as reported for the NF Assessment for the third quarter of calendar year 2019, by 4,976,570, the revised total 2019 MA days for all facilities, as reported for the NF Assessment for the third quarter of calendar year 2019, to obtain an NF specific quotient. Each NF’s quotient is multiplied by $198,000,000 to determine its payment amount.
  • ARPA NF Payment #2 – Licensed NF Beds
    • The total funds available for a one-time payment to Non-Public and County NFs pursuant to Act 24 (ARPA NF Payment #2) is $49,000,000. Each facility’s ARPA NF Payment #2 is calculated by dividing the facility’s licensed NF beds as of March 31, 2020 by all licensed Non-Public and County NF beds as of March 31, 2020 to obtain an NF specific quotient. Each NF’s quotient is multiplied by $49,000,000 to determine its payment amount.

NFs enrolled in MA do not need to submit requests for funding. All NFs enrolled in MA will receive the funding, provided they meet the criteria described above. OLTL will distribute the funding as a one-time gross adjustment. NFs enrolled in MA can expect to see the payment appear as a gross adjustment transaction/lump sum payment on the PROMISe remittance advice dated September 6, 2021, with payment occurring September 15, 2021.

NFs not enrolled in MA must complete the Facility Acceptance Form and return it by October 15, 2021, to DHS. Providers may also fax the completed form to the OLTL Bureau of Finance at 717-787-2145. Checks will be issued and mailed in the order in which DHS receives Facility Acceptance Forms.

PCH/ALR Payments

  • ARPA PCH/ALR Payment #1 – Licensed Occupancy
    • The total funds available for a one-time ARPA payment to PCHs and ALRs pursuant to Act 24 (ARPA PCH/ALR Payment #1) is $27,000,000. Each PCH/ALR Payment #1 is calculated by dividing the licensed occupancy of the PCH or ALR, as determined by the most recent DHS inspection on or before April 1, 2020, by the total licensed occupancy of all PCHs and ALRs, including those with a special care designation, as determined by the most recent DHS inspection on or before April 1, 2020, to obtain a facility-specific quotient for each PCH and ALR. Each facility’s quotient is multiplied by $27,000,000 to determine its payment amount.
  • ARPA PCH/ALR Payment #2 – Supplemental Security Income (SSI) Residents Served
    • The total funds available for a one-time ARPA payment to PCHs and ALRs pursuant to Act 24 (ARPA PCH/ALR Payment #2) is $3,000,000. Each ARPA PCH/ALR Payment #2 is calculated by dividing the number of individuals for whom the PCH/ALR received a state SSI payment from DHS in March 2020 by the total of all PCH’s/ALR’s individuals for whom a state SSI payment was made in March 2020 to obtain a facility-specific quotient. Each PCH’s/ALR’s quotient is multiplied by $3,000,000 to determine its payment amount.

PCHs and ALRs must complete the Facility Acceptance Form and return it by October 15, 2021, to DHS. Providers may also fax the completed form to the OLTL Bureau of Finance at 717-787-2145. Checks will be issued and mailed in the order in which DHS receives the Facility Acceptance Forms. 

Act 24 of 2021 requires the ARPA funding to be obligated by December 31, 2024, and spent by December 31, 2026, or returned to the commonwealth. Additionally, these funds must be used for COVID-19 related expenses. Providers must keep documentation to prove that these funds were used for their response to the COVID-19 pandemic in case of an audit. Any person or entity accepting an ARPA payment agrees to provide documentation to DHS, upon request, for purposes of determining compliance with Act 24 requirements. Instructions on expenditure reporting will be provided at a later date.

DHS recommends that providers consult their accountants or attorneys for further clarification on acceptable uses of ARPA funding. DHS encourages providers to review guidance for eligible expenditures on the U.S. Department of the Treasury website in their Compliance and Reporting Guidance.

NFs that have questions about the information in this Listserv should contact the OLTL Provider Helpline at 800-932-0939.

PCHs and ALRs that have questions about the information in this Listserv should contact the Operator Support Hotline at 866-503-3926 or via email.

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The Office of Long-Term Living (OLTL) has issued a notice announcing the extension of various regulatory provisions under the state disaster emergency declaration that are currently in effect and which were set to expire on September 30, 2021. These are now extended until further notice. A list of the regulations that were suspended in whole or in part and their current status is available here.

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The Centers for Medicare and Medicaid Services (CMS) recently announced the creation of a new Technical Expert Panel (TEP) consisting of 8-15 individuals that will focus on the maintenance and development of vaccination-related items and measures within each post-acute care (PAC) setting (inpatient rehabilitation facilities, home health agencies, skilled nursing facilities, and long-term care hospitals). The TEP will focus on reviewing and identifying potential improvements to existing vaccination measures and the development of a COVID resident/patient-level measure for each PAC setting.

Individuals selected to be a part of the TEP will meet through webinar twice in November. The nomination form is located on the announcement page and should be sent via email by October 11, 2021.

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A Financial Management Services (FMS) Stakeholder meeting has been scheduled for October 1, 2021, from 1:00 pm–2:30 pm. This public meeting will be 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 CHC Managed Care Organizations (MCOs) will be in attendance to discuss upcoming changes. Meeting details are below:

Join from the meeting link

Join by meeting number
Meeting number (access code): 132 059 5101
Meeting password: dZTPV8HcT33

Tap to join from a mobile device (attendees only)
+1-408-418-9388,,1320595101## United States Toll
+1-202-860-2110,,1320595101## United States Toll (Washington D.C.)

Join by phone
+1-408-418-9388 United States Toll
+1-202-860-2110 United States Toll (Washington D.C.)
Global call-in numbers

Join from a video system or application:
Dial 1320595101@pa-hhs.webex.com
You can also dial 173.243.2.68 and enter your meeting number.

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The Centers for Medicare and Medicaid Services (CMS) will conduct a national stakeholder call tomorrow, September 17, 2021 at 12:30 pm. The call will be led by new Administrator, Chiquita Brooks-LaSure, and her leadership team, and will focus on key updates from her first 100 days in office. The Administrator’s vision is for CMS to serve the public as a trusted partner and steward, dedicated to advancing health equity, expanding coverage, and improving health outcomes. Members are encouraged to join this first national stakeholder call to learn more about how you can partner with CMS as they implement their vision.

Join the Call here:

OR

Call: 833-568-8864 (Toll Free)
Webinar ID: 161 910 6718
Passcode: 891135

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The Centers for Medicare and Medicaid Services (CMS) published a second Information Collection Request (ICR) notice in the September 8, 2021 Federal Register related to the proposed inpatient rehabilitation facility (IRF) Review Choice Demonstration. Similar to the original notice, CMS proposes that IRFs in certain states would be subjected to 100 percent pre- or post-claim review for Medicare Part A fee-for-service payments until the IRF meets the target affirmation or claim approval rate. The demonstration is set to begin in Alabama, followed by California, Texas and Pennsylvania. In conjunction with this notice, there is additional information that includes limited revisions from the initial December 2020 proposal, including expanding the language from “trained nurse reviewers” to instead include registered nurses, therapists, or physician reviewers and the elimination of some documentation requirements that were listed in the initial proposal.

Individuals are invited to submit comments regarding the burden estimate or any other aspect of this collection of information, including the necessity and utility of the proposed information collection for the proper performance of the agency’s functions, the accuracy of the estimated burden, ways to enhance the quality, utility, and clarity of the information to be collected, and the use of automated collection techniques or other forms of information technology to minimize the information collection burden. Comments must be submitted by October 8, 2021.

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The Centers for Disease Control and Prevention (CDC) has designed a new online concussion training for school professionals. This new free training, HEADS UP to Schools: Online Concussion Training for School Professionals, which takes 45-60 minutes to complete, is designed to help classroom teachers (grades K-12), school administrators, paraprofessionals, teacher’s aides, and other staff who work with students to understand the following:

  • How a concussion may affect a student’s learning, emotions, and behavior;
  • How to identify and monitor signs and symptoms of concussion; and
  • How to help students successfully return to school and recover from a concussion.

Preview the CDC HEADS UP Trainings on Concussion:

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Today, the Managed Long-Term Services and Supports (MLTSS) Subcommittee met via webinar for their monthly meeting. The agenda included:

  • An update from Jamie Buchenauer, Deputy Secretary, Office of Long-Term Living (OLTL), which focused primarily on updates on issues raised by the Statewide Advocacy Group;
  • A presentation on the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Health Plan Survey; and
  • Updates regarding PHW, UPMC, and AHC from the Community HealthChoices (CHC) Managed Care Organizations (MCOs) on CHC MCO Resource Tools.

In addition, there is a meeting transcript from the meeting.

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