';
CLOSE
Authors Posts by Melissa Dehoff

Melissa Dehoff

477 POSTS 0 COMMENTS
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.

0 2165

On August 31, 2022, the Department of Human Services (DHS) Bureau of Human Services Licensing issued written guidance on the use of voice controlled electronic devices in personal care homes (PCH) and assisted living residences (ALR).

A webinar has been scheduled for October 7, 2022, at 11:00 am that will address the implementation of this written guidance, the responsibilities of PCH and ALR in implementing policies and procedures to ensure regulatory compliance, and the procedures that will be utilized by DHS staff while conducting licensing inspections. The webinar will be conducted by Jeanne Parisi, Bureau Director; Sheila Page, Operations Director; and Joshua Hoover, Training and Professional Development. To participate in this webinar, registration is required.

0 1483

Registration is now open for the October 4, 2022, Managed Long-Term Services and Supports (MLTSS) Subcommittee meeting. The meeting will be held in person and will also offer participation via webinar. The meeting will take place at the PA Department of Education’s Honors Suite, 333 Market Street in Harrisburg, from 10:00 am – 1:00 pm.

Public comments will be taken after each presentation. Questions can be entered into the chat box during the presentations, and these questions will be asked at the end of each presentation. There will be an additional period at the end of the meeting for any additional public comments. If participants have any concerns about alternative methods for submitting questions or comments during a subcommittee meeting, including options when no internet access is available, please email DHS.

The Department of Human Services (DHS), Office of Long-Term Living (OLTL) is using technology that allows individuals to participate in the webinar and listen through computer speakers instead of participating by dial-in. Dial-in will still be available if you do not choose to participate by webinar, but the number is no longer toll free.

To participate in the meeting via webinar, please register by visiting this link. We encourage those participating by webinar 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.

Dial-In Number: (914) 614-3221
Access Code: 803310710#

Remote Captioning and Streaming Link

0 2871

The Centers for Medicare and Medicaid Services (CMS) has issued a quarterly (consolidated from June 2020 to September 2022) inpatient rehabilitation facility patient assessment instrument (IRF-PAI) Question and Answer (Q&A) document in light of the release of the IRF-PAI 4.0. This document focuses on questions submitted to the IRF Quality Reporting Program (QRP) Help Desk related to the IRF-PAI version 4.0 and consolidates guidance from prior releases.

0 2348

The Centers for Medicare and Medicaid Services (CMS) has released a Request for Information (RFI) that seeks public input on accessing healthcare and related challenges, understanding provider experiences, advancing health equity, and assessing the impact of waivers and flexibilities provided in response to the COVID-19 Public Health Emergency (PHE).

The Make Your Voice Heard: Promoting Efficiency and Equity Within CMS Programs RFI furthers CMS’ commitment to engaging and learning from partners, communities, and individuals across the health system to inform how we can better support the populations we serve. In alignment with Executive Order 13985, Advancing Racial Equity and Support for Underserved Communities Through the Federal Government, the CMS Strategic Plan Pillar: Health Equity, and the CMS Framework for Health Equity (2022–2032), this RFI aims to gather feedback and perspectives related to challenges and opportunities for CMS to embed health equity into their efforts encouraging innovation, reducing burden, and creating efficiencies across the healthcare system.

CMS is seeking to better understand individual and community-level burdens, health-related social needs, and opportunities for improvement that can reduce disparities and promote efficiency and innovation across programs. CMS is requesting information related to strategies that successfully address drivers of health inequities, including opportunities to address social determinants of health and challenges underserved communities face in accessing comprehensive, quality care. For example, challenges accessing care may include understanding coverage options, receiving culturally and linguistically appropriate care, accessing oral health services, and accessing comprehensive and timely healthcare services and medication.

Through this RFI, CMS also seeks to better understand the factors impacting provider wellness and learn more about the distribution of the healthcare workforce. CMS is particularly interested in understanding the greatest challenges for healthcare workers in meeting the needs of individuals, and the impact of CMS policies, documentation, and reporting requirements, operations, and communications on provider experiences.

Comments received in response to the Make Your Voice Heard RFI will be used to identify opportunities for improvement and to increase efficiencies across CMS programs. In addition, CMS hopes to learn how specific programs have benefited providers, practices, and the people served.

CMS encourages comments from all interested stakeholders, in particular, patients and their families, providers, clinicians, consumer advocates, and healthcare professional associations. CMS also encourages comments from individuals serving and located in underserved communities and from all CMS stakeholders serving populations facing disparities in health and healthcare. The RFI is open for a 60-day public comment period.

Comments must be received by November 4, 2022, to be considered.

0 1706

The Department of Human Services (DHS) has announced that they are preparing for the end of the federal Public Health Emergency (PHE). Included in this preparation is a webinar planned for October 24, 2022, at 2:30 pm. Register for the webinar at the link below:

https://padhs19.webex.com/padhs19/j.php?RGID=re51d9b2a4909630f736cfdbb2c6a0dad

When the PHE ends, DHS will resume closing Medicaid cases for ineligible recipients. DHS has stressed that they want all recipients that remain eligible to keep their coverage and complete their renewals in a timely manner. Providers can assist by making sure that they are prepared to aid the individuals to complete their renewal when it is due, now and after the PHE ends.

0 4222

Last week, H.R.8746 — Access to Inpatient Rehabilitation Therapy Act of 2022 was introduced to ensure Medicare beneficiaries in inpatient rehabilitation facilities (IRFs) are able to access all skilled, medically necessary rehabilitation therapies that are most appropriate for their condition. This bill, also known as the “three hour rule bill,” would expand the current three hour rule in which Medicare requires IRF patients to be able to participate in, and benefit from, three hours of rehabilitation therapy per day, five days a week (or 15 hours over a seven day period). The current regulation only allows physical therapy (PT), occupational therapy (OT), speech therapy, and orthotics and prosthetics care to count towards the three hour requirement. As a result, many patients have difficulty accessing additional forms of therapy that may be more appropriate.

During the COVID-19 public health emergency (PHE), the three hour rule has been waived in its entirety. If the Access to Inpatient Rehabilitation Therapy Act is enacted, it would ensure that IRFs maintain flexibility after the expiration of the PHE. Most importantly, the legislation would allow certain therapies, including recreational therapy, cognitive therapy, and respiratory therapy, to count towards the three hour rule after the patient’s admission. These additional therapies and skilled modalities would be identified by the Secretary of Health and Human Services (HHS). At the time of admission, the existing three hour rule would still apply, ensuring that IRF admissions do not increase (and thus add to underlying costs for the Medicare program) due to the new flexibility.

This legislative solution has been developed over several years with Members of Congress and a group of stakeholders, including the American Medical Rehabilitation Providers Association (AMRPA), the American Academy of Physical Medicine & Rehabilitation (AAPM&R), the Brain Injury Association of America (BIAA), and the American Therapeutic Recreation Association (ATRA).

For additional information, please refer to Congressman Courtney’s press release.

0 1771

On August 22, 2022, the Department of Human Services (DHS) announced the availability of Pennsylvania’s Final Statewide Transition Plan (STP) for the Home and Community-Based Services (HCBS) Rule for a 30-day public comment period. The announcement contained plans for DHS to record a presentation providing a general overview of the HCBS Rule and Pennsylvania’s Final Statewide Transition Plan to prepare stakeholders for public comment. The recording of this presentation is now available on the Home and Community-Based Services Statewide Transition Plan web page.

Pennsylvania’s Final Statewide Transition Plan and information about how to provide public comment, including during webinars specific to the Office of Child Development and Early Learning, Office of Developmental Programs, and Office of Long-Term Living, are also available on the HCBS STP web page.

0 1923

The Office of Long-Term Living (OLTL) has released a communication that provides clarification to Act 150 Service Coordination entities on the Act 150 to Community HealthChoices (CHC) Waiver Transfer procedure. This procedure outlines the steps the Act 150 Service Coordinator (SC) should take once the participant has been confirmed nursing facility clinically eligible (NFCE), and a financial eligibility determination is needed to confirm if the participant is to transfer to the CHC Waiver.

As detailed in the Act 150 Guidelines, the reevaluation process is to be conducted at least once each year within 365 days of the first level of care determination and each subsequent year.

Additional questions should be sent to OLTL’s Division of Fee for Service Operations electronically.

Prev1...394041...48Next Page 40 of 48
© 2021 - Rehabilitation & Community Providers Association