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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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LBFC Study in Response to Act 2020-93: A Review of the Emergency Medical Services Operating Fund

On April 13, 2022, the Legislative Budget and Finance Committee (LBFC) released their report highlights on their study in response to Act 2020-93, which directed them to review court records to ensure that revenues for the Emergency Medical Services Operating Fund (EMSOF) are being properly collected and deposited. Overall, EMSOF collections continue to decline. This report highlights the findings of the study and includes recommendations.

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The Centers for Medicare and Medicaid Services (CMS) recently announced the next Hospital/Quality Initiative open door forum has been scheduled for April 26, 2022, from 2:00 pm – 3:00 pm. Agenda topics that will be covered during this open door forum include:

  • Fiscal Year (FY) 2023 Inpatient/Long-Term Care Prospective Payment System (IPPS/LTC PPS) Proposed Rule
    • Hospital Quality Updates:
      • Background/Context on Health Equity and Maternal Health
      • Inpatient Quality Reporting (IQR) Program
        • Equity and Maternal Health Measures
        • Other IQR Measures and eCQM Reporting Requirements
        • Hospital Designation on Maternal Care
        • Requests for Information (RFIs) Re: Health Equity and Maternal Health
      • Measure Suppressions Due to the Impact of the COVID-19 Pandemic
      • Promoting Interoperability Program and Advancing Trusted Exchange Framework and Common Agreement (TEFCA) RFI
      • Hospitals and Critical Access Hospital (CAH) Conditions of Participation (CoPs) – Required COVID-19 Reporting Until December 2024, and Reporting in Future Public Health Emergencies (PHEs)
    • IPPS and Long-Term Care Hospital (LTCH) Update
    • RFI on Resource Costs for N95 Masks
  • IPPS Wage Index Timeline Update

There will also be an open question and answer (Q&A) session included during the hour. This call will be a conference call only.

To participate by phone:
Dial: 888-455-1397 & Reference Conference Passcode: 5109694
Instant Replay: 866-416-1185, Conference ID: No Passcode Needed

Instant Replay is an audio recording of this call that can be accessed by dialing 866-416-1185 beginning 1 hour after the call has ended. The recording expires after April 28, 2022.

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The Bureau of Human Services Licensing (BHSL) recently issued updated information on the Plan of Correction (POC) process. Beginning on May 1, 2022, the following will be implemented:

  • A new one page Effective Plan of Correction Guide, which the licensing representative will review and leave behind at each Exit Conference;
  • The availability of staff to schedule a phone consultation for technical assistance prior to the submission of the initial Plan of Correction;
  • One reminder phone call and email for any overdue initial or revised Plans of Correction;
  • Return of unacceptable initial submissions of the Plan of Correction in Sanswrite with specific comments on what is required on the resubmission for the Plan to be accepted;
  • One phone call and email to schedule an appointment to walk through the Plan of Correction process for any unacceptable second submission of Plans of Correction; and
  • The opportunity to request an extension of due dates for initial and revised submissions of Plans of Correction.

These actions have been taken so that providers have every opportunity to submit an acceptable POC and, when possible, avoid a directed POC.

Other changes that BHSL is implementing to address quality, consistency, and timeliness include:

  • Initial POC that are missing information or do not adequately address the violation will not be accepted or directed. If the Plan is missing any of the required information, such as when the corrective action will be implanted or who is responsible, OR the plan is inadequate to correct for the violation, the plan will be returned with comments in Sanswrite, even for minor errors.
  • If a POC has not been received past the due date, BHSL will direct the POC no sooner than three business days after one reminder phone call and email have been made. BHSL may accept the provider’s late submission of a POC if a directed POC has not yet been started.

To request technical assistance at any point in the process or an extension of due dates, providers should contact their licensing supervisor (or licensing representative in the Central region) prior to the POC due date. Additional information on submitting an acceptable POC is also available at Personal Care Home Licensing under “Plans of Correction.”

For additional information, please refer to the Effective POC Guide and the Sample Acceptable Plans of Correction for Personal Care Homes (PCHs) and Assisted Living Residences (ALRs).

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Photo by Copernico on Unsplash

The Traumatic Brain Injury (TBI) Advisory Board, established under section 1252 of the Federal Traumatic Brain Injury Act of 1996 (42 U.S.C.A. § 300d-52), will hold a public meeting on May 6, 2022. The meeting will be held in person at the Pennsylvania Training and Technical Assistance Network (PaTTAN), 6340 Flank Drive, Harrisburg, PA 17112, in the Dauphin Conference Room from 10:00 am–3:00 pm. There will also be a virtual option available by means of Microsoft Teams. To join the Microsoft Teams meeting, call (267) 332-8737. The conference ID is 126 841 107#.

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

The Department of Health’s (DOH) Head Injury Program (HIP) strives to ensure that eligible individuals who have a TBI receive high quality rehabilitative services aimed at reducing functional limitations and improving quality of life. The Board assists DOH in understanding and meeting the needs of persons living with TBI and their families. This quarterly public 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 brain injury, and available advocacy opportunities.

For additional information, or for persons with a disability who wish to attend the public meeting and require an auxiliary aid, service, or other accommodation to do so, contact Nicole Johnson, Division of Community Systems Development and Outreach at (717) 772-2763, or for speech and/or hearing-impaired persons, contact V/TT (717) 783-6514 or the Pennsylvania Hamilton Relay Service at (800) 654-5984.

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A Financial Management Services (FMS) stakeholder meeting has been scheduled for May 6, 2022, from 1:00 pm–2:30 pm. The purpose of this public meeting is 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 (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.

Those participating via phone, please use the numbers below:
Dial in: (562) 247-8422
Access Code: 214973439#
Audio PIN: shown after joining the webinar

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The Office of Long-Term Living (OLTL) collected public comments on the Agency With Choice (AWC) Request for Information (RFI) from March 11, 2022, through March 25, 2022. After numerous requests from providers and associations (RCPA included), the public comments were posted on the Department of Human Services’ (DHS) Long-Term Care providers web page under the heading “Agency With Choice – Public Input.”

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Due to feedback shared with the Department of Human Services (DHS) regarding the importance of providing behavioral health services in nursing facilities and making sure nursing facilities know how to access these services, DHS has developed a webinar entitled “Behavioral Health Services for the Nursing Facility Population.” The webinars, which all contain the same material being presented, is a joint effort with the DHS’ Office of Long-Term Living (OLTL), Office of Mental Health and Substance Abuse Services (OMHSAS), the Behavioral Health (BH) Managed Care Organizations (MCO), and the Community HealthChoices (CHC) MCOs, and it is being hosted by the Pennsylvania Health Care Association (PHCA). Other collaborative partners include the PA Department of Health and LeadingAge PA.

The webinars are as follows:

Tuesday, April 26, 2022
2:00 pm–3:30 pm
1.5 CEUs for SNF
Please register using this registration link.

Tuesday, May 3, 2022
2:00 pm–3:30 pm
1.5 CEUs for SNF
Please register using this registration link.

The first webinar was conducted on April 12, 2022. The webinars will be interactive and are meant for nursing facilities to have the opportunity to ask questions and begin dialogue on how to improve behavioral health services in their facilities. The webinars will also allow the BH-MCOs, the CHC-MCOs, and the nursing facilities to further collaborate on this issue. The webinars will be recorded.

Webinar Presenters:

  • Jamie Buchenauer, Deputy Secretary, OLTL, DHS
  • Kristen Houser, Deputy Secretary, OMHSAS, DHS (April 12 and April 26)
  • Adair, Medical Director/Chief Psychiatric Officer, OMHSAS, DHS (May 3)
  • Kellie Mainzer, Director Western Operations, Bureau of Community and Hospital Operations, OMHSAS, DHS
  • Marjorie Faish, Program Analyst 3, Bureau of Policy Development and Communications Management, OLTL, DHS
  • Duncan Bruce, Director of MCO Integration, Community Care Behavioral Health
  • Rachel Lee-Price, Manager, Behavioral Health Clinical Services, Beacon Health Options of Pennsylvania, Inc.
  • Joe DiMeo, Jr., Behavioral Health Coordinator for Community HealthChoices, Community Behavioral Health
  • Lauren Keane, Magellan Behavioral Health
  • Dan Eisenhauer, Director of Operations, PerformCARE (April 26 and May 3)
  • Brian Gannon, Manager Behavioral Health Programs, PerformCARE (April 12)
  • John McFarland, Director, MCO Integration, Relations & Policy, UPMC CHC
  • Heather Clarke, Director Care Management, Complex Needs and Behavioral Health, PA Health & Wellness (April 12 and May 3)
  • Oliva Martin, Director of LTSS, PA Health & Wellness (April 26)
  • Sara Reitenauer, Manager of LTSS Behavioral Health and Collaborative Services, Community HealthChoices, AmeriHealth Caritas CHC/Keystone First CHC
  • Dyann M. Roth, President and CEO, Inglis
  • Tara Winter, Nursing Home Administrator, Former Senior Center Executive Director, Chapel Manor Genesis HealthCare®
  • Jessica Peacock, Director of Recovery and Community Outreach, Peerstar, LLC
  • Stacy Williams, Social Service Supervisor, Kane Regional-Scott

Questions should be directed to Marjorie Faish, OLTL.

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The next Managed Long-Term Services and Supports (MLTSS) Subcommittee meeting has been scheduled via webinar for May 10, 2022, from 10:00 am–1:00 pm.

To participate in the meeting via webinar, please register by visiting the link below. 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: Please note that if you have trouble accessing the webinar registration through the Internet Explorer or Safari web browsers, you should try accessing it through a different web browser, such as Chrome or Edge.

Dial In Number: (562) 247-8422
Access Code: 640768989#

Remote Captioning and Streaming Link

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The Centers for Medicare and Medicaid Services (CMS) recently announced that they plan to offer more than $110 million to expand access to home and community-based services (HCBS) through Medicaid’s Money Follows the Person (MFP) program. MFP, authorized since 2005, has provided states with $4.06B to support individuals who choose to transition out of institutions and back into their homes and communities. This new Notice of Funding Opportunity (NOFO) provides individual awards of up to $5 million available for more than 20 states and territories not currently participating in MFP. These funds will support initial planning and implementation to get the state/territory programs off the ground, which would ensure more people with Medicaid can receive high-quality, cost-effective, person-centered services in a setting they choose.

For states already participating in MFP, CMS also announced that the agency is increasing the reimbursement rate for MFP “supplemental services.” These services will now be 100 percent federally funded with no state share. Additionally, CMS is expanding the definition of supplemental services to include additional services that can support an individual’s transition from an institution to the community, including short-term housing and food assistance.

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An Innovative In-Home Rehabilitation Intervention for Persons with Chronic TBI and Their Families: A presentation and discussion with Dr. Helene Moriarty and Dr. Laraine Winter

Tuesday, April 26, 2022  |  3:30 pm – 5:00 pm  |  Webinar

Individuals with Traumatic Brain Injury (TBI) often experience ongoing symptoms and limitations for years after their injuries. The investigators have designed and tested a model of TBI rehabilitation that is delivered in the home and includes family members. They will describe their ongoing NIH-funded research testing these approaches for veterans and civilians with TBI and their families.

A presentation and discussion with:

  • Helene Moriarty: Professor at Villanova University, M. Louise Fitzpatrick College of Nursing, and Nurse Scientist at the Corporal Michael Crescenz Veteran Affairs Medical Center in Philadelphia
  • Laraine Winter: Senior Research Associate at Villanova University, M. Louise Fitzpatrick College of Nursing, and a Research Psychologist at the Corporal Michael Crescenz Veteran Affairs Medical Center

This session is intended for a professional audience. There is no cost to attend. Questions should be sent to MJ Schmidt. Use this link to register.

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