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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 agenda for the July 2, 2024 Long-Term Services and Supports (LTSS) Subcommittee meeting has been released. Included in the agenda is the recent release of the Community HealthChoices (CHC) Waiver renewal and OBRA Waiver amendments proposed for January 2025. There will also be a discussion on the Mercer rate and wage study that will be coming up in the very near future.

As a reminder, the meeting is hybrid, held both in person and via webinar. The meeting is held in the Honors Suite, 1st floor, 333 Market Street, Harrisburg, PA 17126 from 10:00 am – 1:00 pm. The meeting information is provided below:

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The Centers for Medicare and Medicaid Services (CMS) recently announced that payments under the Accelerated and Advance Payment (AAP) Program for the Change Healthcare/Optum Payment Disruption (CHOPD) will end on July 12, 2024.

CMS has reported that CHOPD accelerated payments totaling more than $2.55 billion have been issued to over 4,200 Medicare Part A providers, and another 4,722 CHOPD advance payments, totaling more than $717.18 million, have been issued to Part B suppliers. CMS also states that providers of services and suppliers are now successfully billing Medicare, and to date, CMS has already recovered over 96% of the CHOPD payments. After July 12, providers that are having difficulty with billing or receiving payments should contact Change Healthcare and/or their Medicare Administrative Contractor (MAC) directly.

Additional information can be found on the Healthcare and Public Health Cybersecurity Performance Goals web page.

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The Centers for Medicare and Medicaid Services (CMS) has released the June 2024 inpatient rehabilitation facility patient assessment instrument (IRF-PAI) quarterly question and answer (Q&A) document. The document is located at the bottom of the IRF-PAI web page under “downloads.” It consolidates June 2020 to June 2024 quarterly Q&A’s in order to provide all IRF providers the benefit of the clarifications to existing guidance. The Q&A’s included are based on questions received through the IRF Quality Reporting Program (QRP) help desk. A Q&A on completing IRF-PAI items for pediatric patients is included on pages 2 and 3. CMS acknowledges concerns about coding certain assessment items for pediatric patients, but instructs providers to code each item based on the guidance regardless of the patient’s age.

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Save the Date!
RCPA’s Brain Injury Committee will conduct a separate meeting with representatives from the Office of Long-Term Living (OLTL), including Deputy Secretary Juliet Marsala, Director of the Bureau of Coordinated and Integrated Services Randy Nolen, and Director for the Bureau of Policy and Communication Management Jen Hale. Representatives from the Centers for Medicare and Medicaid Services (CMS) will also be in attendance.

This meeting was originally scheduled for May 22, but had to be rescheduled. The meeting has now been scheduled for Tuesday, July 30, at RCPA’s office from 1:00 pm – 2:30 pm. While this will be a hybrid meeting, members are encouraged to attend in person, if possible.

Please send topics and/or questions to Melissa Dehoff by July 9, 2024. Registration information will be sent out shortly.

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The meeting documents from the June 5, 2024, Long-Term Services and Supports (LTSS) Subcommittee meeting are now available. These documents include the transcript and PowerPoint presentations. You can view the documents below:

The next LTSS Subcommittee meeting is scheduled for July 2, 2024, from 10:00 am – 1:00 pm, in the PA Department of Education’s Honors Suite at 333 Market St. in Harrisburg, PA. The option to participate via webinar is also available.

To participate in the meeting via webinar, please register here. After registering, you will receive a confirmation email containing information about joining the webinar. If you plan to participate via phone, the dial-in number is: (562) 247-8422; PIN: 919 715 035#. Comments and questions may be sent electronically.

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RCPA’s Brain Injury Committee meeting with representatives from the Office of Long-Term Living (OLTL), which was rescheduled to June 26, 2024, is unfortunately being postponed again. This postponement is due to a scheduling conflict for staff within OLTL. RCPA is currently working on finalizing a new date for this meeting and will advise members as soon as this has been scheduled.

RCPA’s regularly scheduled bi-monthly Brain Injury Committee meeting is still being held as scheduled on June 12, 2024. If you have any questions, please contact Melissa Dehoff.

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Photo by Christina @ wocintechchat.com on Unsplash

The Centers for Medicare and Medicaid Services (CMS) has announced that the next hospital/quality initiative open door forum has been scheduled for June 4, 2024, from 2:00 pm – 3:00 pm. The agenda topics will include:

Register for the webinar.
Meeting ID: 160 823 4591
Passcode: 200020

After registering, you will receive a confirmation email containing information about joining the webinar.

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A publication ceremony is scheduled for 12:00 pm today, May 31, for Aging Our Way, PA. This is Pennsylvania’s Commonwealth-wide 10-year strategic plan for aging. The development of this plan involved more than 19,000 Pennsylvanians and was developed in partnership with more than 20 state agencies. To view the publication ceremony, visit the livestream link.

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RCPA’s Brain Injury Committee meeting with representatives from the Office of Long-Term Living (OLTL), originally scheduled for May 22, 2024, has been rescheduled to Wednesday, June 26, 2024, from 10:00 am – 12:00 pm. The meeting will include Deputy Secretary Juliet Marsala and Director of the Bureau of Coordinated and Integrated Services Randy Nolen. Additionally, representatives from the Centers for Medicare and Medicaid Services (CMS) advised they will be attending the meeting.

While this will be a hybrid meeting, members are encouraged to attend in person if possible. Register for the meeting here.

We are asking members to send topics and/or questions to Melissa Dehoff by Friday, May 31, 2024.

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