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The ID/A Provider Associations of PA have joined together to request a meeting with Deputy Secretary Kristin Ahrens. We specifically want the opportunity to address concerns we have with the implementation of Performance-Based Contracting. These concerns include:

  • Ensuring Network Adequacy;
  • Ensuring workforce sustainability;
  • Ensuring Timely disputes, and/or appeals; and
  • Protecting Available funds from potential political pressures.

The Deputy Secretary has agreed to meet with us in the near future, and we will keep members apprised of any developments as a result of our discussion.

Contact Carol Ferenz for any questions regarding association concerns with Performance-Based Contracting.

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Despite opposition and concerns from substance use disorder (SUD) treatment providers, single county authorities, primary contractors, and behavioral health managed care organizations, the Pennsylvania Department of Drug and Alcohol Programs (DDAP) will begin licensing telehealth-only SUD treatment providers.

DDAP will issue a licensing alert on Wednesday, December 4, detailing the new licensure category.

Organizations newly licensed under this tele-only category will be able to provide intake, evaluation, and referral services, as well as outpatient treatment, including partial hospitalization services, via telehealth only, without a physical plant location in Pennsylvania.

DDAP’s intention in licensing telehealth-only providers is to hold them to the same standards as facility-based providers as a way to ensure equity and maintain operational standards. DDAP will continue to monitor complaints and unusual incidents for all licensed providers, as well as the number of telehealth-only license applications that are made over time, looking for any trends that could require additional action.

RCPA and its provider members opposed creation of the new license, citing patient safety and quality concerns, as well as potential erosion of the community-based provider system. RCPA hosted DDAP for a discussion about its concerns, met one-on-one with the department, and provided written feedback to DDAP. In addition, RCPA met with the governor’s Policy Office, to discuss provider concerns.

DDAP will attend RCPA’s next SUD Committee meeting at 11:00 am on Tuesday, December 10. RCPA has asked DDAP to discuss the new license category. RCPA members wanting to attend this meeting can register here.

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The Office of Developmental Programs (ODP) has announced the release of the Guide to the ODP Deaf, Hard of Hearing, DeafBlind Services. ODP is committed to effectively supporting d/Deaf, hard of hearing, and DeafBlind (DHHDB) individuals. The guide provides information, guidance, and combines all the current announcements (ODPANN 21-055, ODPANN 22-097, and ODPANN 22-099) into one document for ease of use. It can be found under the Deaf, Hard of Hearing, DeafBlind Required Training on the MyODP website.

Please view the announcement, ODPANN 24-118, for addition information and details.

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As RCPA previously communicated, the Drug Enforcement Administration (DEA), jointly with the U.S. Department of Health and Human Services (HHS), has extended the temporary COVID-19 telemedicine flexibilities through December 31, 2025. These flexibilities enable prescribing of controlled medications via telemedicine. As such, the Pennsylvania Department of Drug and Alcohol Programs’ (DDAP) suspension of 28 Pa. Code § 715.9(a)(4), which allows an initial evaluation for a person who will be treated by an opioid treatment program (OTP) with buprenorphine to be completed via telehealth, is also extended.

DDAP’s complete Information Bulletin 03-2024 is available here.

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Thursday, January 16, 2025
1:00 pm – 2:00 pm EST; 12:00 pm – 1:00 pm CST;
11:00 am – 12:00 pm MST; 10:00 am – 11:00 am PST
Register Here

Samantha Bohl, OD

Presenter Bio:
Dr. Bohl earned her Doctor of Optometry degree from the University of the Incarnate Word Rosenberg School of Optometry in San Antonio, Texas, and completed a residency in neuro-optometric rehabilitation through the State University of New York College of Optometry. Dr. Bohl joined the team at Madonna Rehabilitation Hospital in 2017, where she supports individuals with vision impairments in the rehabilitation setting.

Objectives: At the end of this session, the learner will:

  • Review the visual system and areas of the brain used for vision;
  • Identify common visual issues found in the pediatric population; and
  • Describe several treatments for pediatric vision deficits, including vision therapy.

Audience: This webinar is intended for all interested members of the rehabilitation team.

Level: Beginner

Certificate of Attendance: Certificates of attendance are available for all attendees. No CEs are provided for this course.

Complimentary webinars are a benefit of membership in IPRC/RCPA. Registration fee for non-members is $179. Not a member yet? Consider joining today.

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The Office of Long-Term Living (OLTL) has announced new services that will be available as a result of the Community HealthChoices (CHC) Waiver renewal and OBRA Waiver renewal. Effective January 1, 2025, the following services will be available:

Chore Services – CHC Only

  • Provider Type: 59
  • Specialty Code: 431
  • Procedure Code: S5131

Teleservice Cognitive Rehabilitation Therapy – CHC and OBRA

  • Provider Type: 59
  • Specialty Code: 207
  • Procedure Code: W0176

Teleservice Counseling Services – CHC and OBRA

  • Provider Type: 59
  • Specialty Code: 231
  • Procedure Code: W0175

Teleservice Nutritional Consultation – CHC and OBRA

  • Provider Type: 59
  • Specialty Code: 230
  • Procedure Code: W0170

The rates for the OLTL Home and Community-Based Services (HCBS) rates, effective January 1, 2025, are available here.

Additional information on the licensure and certification requirements can be found in the Service Definitions under Appendix C of the waivers. Please note that these documents have not received final approval from the Centers for Medicare & Medicaid Services (CMS). Once approval is received, a ListServ message will be sent with links to the final approved waiver applications.

The Fee for Service rates for Teleservice Cognitive Rehabilitation Therapy, Teleservice Counseling Services, and Teleservice Nutritional Consultation have been added to the fee schedule attached to the ListServ.

For existing OLTL providers to enroll in the services listed above a request must be submitted to the enrollment and certification resource account. The required documentation should include an updated Provider Enrollment Information Form (PEIF), a copy of the required license or certification, and a copy of the job description for the service you are requesting to add to your provider profile. If you have any questions related to the new services you can reach out to the enrollment and certification unit at 1-800-932-0939, option 1, or via email.

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