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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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A Joint Statement of Policy was released in the Pennsylvania Bulletin on January 13, 2024, by the Pennsylvania Department of Health, the State Board of Nursing, and the Department of Human Services (DHS) regarding the application of Pennsylvania’s partial implementation of the Nurse Licensure Compact Act. The partial implantation of the Nurse Licensure Compact Act (2021 Act 68) allows Registered Nurses (RN) and Licensed Practical Nurses (LPN) who hold current multistate licenses from other compact states to practice in the Commonwealth of Pennsylvania without obtaining a license from the Pennsylvania State Board of Nursing, so long as the licensee’s principal place of residence is not in this Commonwealth.

What does this mean for Personal Care Homes (PCH) and Assisted Living Residences (ALR)?

The Joint Statement of Policy clarification on the partial implementation of the Nurse Licensure Compact Act means that PCH/ALR providers may consider a RN or LPN with a multistate license who does not have their principal place of residence in the Commonwealth of Pennsylvania to be equivalent to a RN or LPN who holds licensure through the Pennsylvania State Board of Nursing. Any reference to “Registered Nurse,” “RN,” “Licensed Practical Nurse,” “LPN,” or “nurse” in 55. PA Code Chapter 2600 and 55. PA Code Chapter 2800 and their corresponding Regulatory Compliance Guides (RCG) may be interpreted to include eligible multistate licensed nurses, regardless of whether or not the regulation specifically indicates that licensure is required by the Pennsylvania State Board of Nursing.

All other statutory and regulatory requirements continue to apply. All nurses being utilized in PCH/ALR settings must be able to provide services at the physical location if their job description, facility policies and procedures, and/or resident needs require direct resident assessment, evaluation, or treatment.

Visit here for more information on multi-state nurse licensure, including identification of states participating in the compact. Questions about this communication may be directed via email.

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The PA Department of Health (DOH) will be publishing two notices in the Pennsylvania (PA) Bulletin on January 20, 2024, regarding the Traumatic Brain Injury (TBI) Advisory Board.

The first notice announces the renaming of the TBI Advisory Board to the Brain Injury Advisory Board:
The Traumatic Brain Injury (TBI) Advisory Board (Board) was instituted in August 2001 by the Secretary of Health as a requirement of section 1252 the Federal TBI Act of 1996 (42 U.S.C. § 300d-52) and the Health Resources and Services Administration (HRSA) Federal TBI Planning Grant, presently known as the Administration for Community Living (ACL) TBI State Partnership Program Grant. There is no requirement for the Board to be specifically called the TBI Advisory Board. Until 2021, the grant stipulated that the Board must have 50% of its voting members exclusively represent individuals with a TBI. With this limited scope, individuals with a nontraumatic brain injury (nonTBI) could not be considered as voting members. It created gaps in representation and understanding, hindering the Board’s ability to address the diverse needs of the broader brain injury community. As awareness of nonTBI evolved and service needs increased for individuals with a nonTBI, ACL expanded the scope of the Board to allow all individuals with nonTBI brain injury to serve as voting members. On August 4, 2023, the Board convened and voted unanimously to change its name to the Brain Injury Advisory Board. This adjustment underscores a strategic initiative toward inclusivity. It acknowledges the various origins of brain injuries and aims to bridge the current gap in representation. The change also aligns the Board’s nomenclature with its commitment to comprehensive advocacy, facilitating a more nuanced understanding and responsive approach to the diverse challenges encountered by individuals affected by all forms of acquired brain injuries.

The second notice provides information about the next board meeting. The Brain Injury Advisory Board will hold their next public meeting on February 2, 2024, from 10:00 am – 3:00 pm in person at the Pennsylvania Training and Technical Assistance Network (PaTTAN), 6340 Flank Drive, Harrisburg, PA 17112, in the Cambria conference room.

Meeting materials will be sent out before the meeting and will also be available on their website and at the meeting location. Questions about the meeting should be directed to Nicole Johnson.

The DOH’s Head Injury Program (HIP) strives to ensure that eligible individuals who have a brain injury receive high quality rehabilitative services aimed at reducing functional limitations and improving quality of life. The Board assists the DOH in understanding and meeting the needs of persons living with acquired brain injuries, both traumatic and nontraumatic, and their families. This quarterly meeting will provide updates on a variety of topics including the number of people served by HIP. In addition, meeting participants will discuss budgetary and programmatic issues, community programs relating to traumatic and nontraumatic brain injuries, and available advocacy opportunities.

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The Centers for Medicare and Medicaid Services (CMS) has released the calendar year (CY) 2024 therapy services KX Modifier threshold amounts. The CY 2024 amounts are as follows:

  • $2,330 for physical therapy (PT) and Speech-language Pathology (SLP) services combined; and
  • $2,330 for occupational therapy service.

Additional information can be found on the following web pages:

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The Independent Regulatory Review Commission (IRRC) recently posted a proposed regulation from the Pennsylvania Department of State on behalf of the State Board of Physical Therapy (PT) for consideration.

The State Board of Physical Therapy (Board) proposes to amend §§ 40.1, 40.14, 40.15, 40.61, 40.63, 40.67, 40.163, 40.164, and 40.192. The proposed rulemaking will allow physical therapist (PT) students and physical therapist assistant (PTA) students to sit for the requisite examinations up to 90 days prior to graduation from their respective programs, and it will allow PTs and PTAs to receive a limited amount of continuing education credit for providing clinical instruction to student PTs and student PTAs at clinical facilities affiliated with accredited programs. Additionally, the proposed rulemaking will allow applicants to directly register for the national examination with the examination provider, by removing the requirement that the applicant first seek the Board’s permission. Lastly, it will allow applicants to sit for a third or successive examination, after two failures, without first seeking the Board’s permission.

The amendments will be effective upon notice or publication of the final-form rulemaking in the Pennsylvania Bulletin scheduled for January 27, 2024. The proposed regulation will be open for public comment upon publication, and comments will be accepted through February 26, 2024. Written comments, recommendations, or objections regarding this proposed rulemaking should be sent to Thomas M. Davis, Board Counsel, at P.O. Box 69523, Harrisburg, PA 17106-9523 or by email within 30 days of publication of this proposed rulemaking in the Pennsylvania Bulletin. Please reference “Regulation No. 16A-6522 (Early Exam, CE for Clinical Instruction, and AAP)” when submitting comments. IRRC comments on the proposed regulation will be due by March 27, 2024.

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The Office of Long-Term Living (OLTL) has announced that they will be hosting a second Transportation Summit webinar on Wednesday, February 7, from 1:00 pm to 3:00 pm. This is an open forum for anyone interested in discussing transportation in the Community HealthChoices (CHC) Program. There will be staff from various programs on the call, including the managed care organizations (MCOs) and transportation brokers, Medical Assistance Transportation Program (MATP), Pennsylvania Department of Transportation (PennDOT), etc. They will be on the call to listen to your feedback and answer questions as they are able.

During the webinar, there will be three ways for individuals to ask questions. You can either submit your questions (to be read during the meeting) to OLTL in advance by emailing Cortney Alvord; use the “raise hand” feature during the webinar and you will be unmuted so you can ask your question; or you can type your question into the “chat” box located on the right side of your screen.

Please register here. After registering, you will receive a confirmation email containing information about joining the webinar. Questions about the webinar should be directed to Cortney Alvord.

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The Department of Health’s (DOH) Bureau of Family Health issued a flyer about planned events across the state related to Pennsylvania’s Title V Maternal and Child Health Services Block Grant. This grant serves to improve the health and well-being of the nation’s mothers, infants, children, and youth, including children and youth with special health care needs and their families.

Parents and caregivers, families with special needs, birthing people and their partners, and youth are all welcome and invited to participate in these events. Maternal and child health care, and other professionals and organizations serving this population in Pennsylvania, are also welcome to share their thoughts! Attendees are invited to help identify the seven to ten priorities that will drive Pennsylvania’s Title V programs.

Please refer to the flyer for additional information, including the dates, times, and locations of the upcoming events.

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On January 8, 2024, the Pennsylvania Department of Labor & Industry (L&I) announced the availability of $2.8M in reemployment funds for the Direct Care Worker Job Quality (DCWJQ) Grant. The grant funding is to be used to boost PA’s direct care workforce by improving job quality and increasing career advancement opportunities. Applicants may request awards of up to $600,000 each.

Additional information about this funding is posted on the L&I grant opportunity web page. This information includes the grant itself, the application form, project summary, budget form, and the Worker Protection and Investment Certificate form.

The application deadline for the DCWJQ Grant is February 29, 2024, at 4:00 pm ET.

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