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Amplifying The Voices Of Direct Support Professionals
Wednesday, May 3 – Thursday, May 4, 2023

On May 3 and 4, the National Alliance for Direct Support Professionals (NADSP) will embark on its second national advocacy event to bring the direct support professional (DSP) perspective to the forefront of Congress and the Administration during a time of unprecedented workforce challenges. Hardships from the pandemic and recent legislation have provided new insights and opportunities for the direct support workforce that supports people with disabilities.

The NADSP recognizes the previous absence and critical importance of lifting the voices of DSPs to federal policymakers, so that public policy can be informed by the people who are on the front lines of supporting people with disabilities to live, work, and thrive in the community. On April 13, 2023, the NADSP will provide DSPs from all across the country with comprehensive advocacy virtual training. This will lead up to the 1.5-day virtual event in May that will culminate with virtual meetings with Congressional leaders and staff to educate and advocate on NADSP’s public policy priorities for 2023.

NADSP’s 2023 Policy Priorities

  • Establish a Standard Occupational Classification (SOC) for direct support professionals within the Bureau of Labor Statistics (BLS).
  • Assure effective implementation of workforce development initiatives, authorized through legislation, that leads to wages commensurate with the level of responsibility and the complexity of this work, as well as career ladder opportunities that lead to professional growth.

A detailed schedule of events along with the expectations of attendees is on the event landing page. Ready to answer their call to action? Use this link to learn more.

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The Office of Long-Term Living (OLTL) has issued an update on the American Rescue Plan Act (ARPA) Reporting Portal.

The OLTL ARPA Funding portal was launched September 30, 2022 for providers to submit costs associated with ARPA of 2021 funding in order to comply with the Department of Human Services’ (DHS’) reporting requirements. The reporting due dates were previously communicated and are outlined in the chart below. OLTL continues to work through portal access requests and data discrepancy issues. Due to these ongoing challenges, please be advised there will NOT be a penalty assessed for initial reports submitted after the 2/28/2023 due date.

Report Period  Due Dates 
07/01/2021–12/31/2021
01/01/2022–06/30/2022
07/01/2022–12/31/2022		 2/28/2023
01/01/2023–6/30/2023 8/30/2023
07/01/2023–12/31/2023 2/28/2024

As a reminder, the reporting portal is only accepting ARPA cost reports for funding allocated by the General Assembly in 2021. This includes allocations for:

  • Act 24 payments to nursing facilities (NF), personal care homes (PCH), and assisted living residences (ALR) for COVID-19 related costs not otherwise reimbursed by federal, state, or other sources of funding;
  • Strengthening the workforce funding for eligible Personal Assistance Services (PAS), Community Integration (CI), and Residential Habilitation (Res Hab) providers to assist with recruitment and retention of direct care workers; and
  • Funding to adult day providers to strengthen adult day services.

Additional detailed information about the distribution of the 2021 ARPA funding can be found on the DHS Long-Term Care Providers page.

Portal Training & Support
The DHS ARPA Reporting Portal User Guide is an additional resource to help navigate the reporting portal. For portal access requests or questions, please contact the OLTL Provider Helpline at 800-932-0939, Option 2 or via email for assistance.

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PA Family Network has several workshops coming up in March on Waivers and using the LifeCourse Framework. Also being offered are two support groups including a NEW Caregiver Support Group. The deadline to register for their free Emergency Preparedness Summits is March 6, 2023 and spots are limited! Visit this web page to secure your spot today!

  • 3/1/2023, Peace of Mind
  • 3/1/2023, Support Group
  • 3/2/2023, LEAD the way to Healthy Relationships
  • 3/6/2023, Deadline to Register for Emergency Preparedness Summits!
  • 3/6/2023, Waiver Basics Part 1
  • 3/6/2023, Waiver Basics Part 2
  • 3/7/2023, Community Safety Siblings
  • 3/8/2023, Waiver Advanced Part 1
  • 3/8/2023, Waiver Advanced Part 2
  • 3/9/2023, Life Transitions
  • 3/13/2023, Using LifeCourse to Plan and Problem Solve
  • 3/13/2023, Waiver Basics Part 1
  • 3/14/2023, Waiver Basics Part 2
  • 3/15/2023, South Central Summit – York
  • 3/20/2023, Waiver Basics Part 1
  • 3/20/2023, Waiver Basics Part 2
  • 3/20/2023, Sibling Good Life Group
  • 3/20/2023, Support Group
  • 3/20/2023, Central Summit – State College
  • 3/21/2023, Western Summit – Pittsburgh
  • 3/23/2023, Northeast Summit – Wilkes-Barre
  • 3/27/2023, Life Transitions
  • 3/27/2023, Waiver Basics Part 1 – SIBS
  • 3/27/2023, Southeast Summit – Philadelphia
  • 3/29/2023, Waiver Basics Part 2 SIBS
  • 4/4/2023, Northwest Summit – Erie

For more information and to register for our free upcoming Spring Summits on Emergency Preparedness, visit this web page.

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Physical, Mental and Emotional words on a venn diagram to illustrate total balance of mind, body and soul or spirit health and wellbeing

As the behavioral health field continues to move in the direction of integration efforts with physical health, RCPA is embarking on a series of discussions/webinars for 2023. Specifically, to inform our members, we want an open discussion on a range of topics such as:

  • Best practices in integration of care and current successes;
  • Clinical and financial implications;
  • Payer and provider vantage points;
  • How managed care models can evolve to support this effort and overcome barriers;
  • Future innovations;
  • Regulatory reform needed; and
  • Standards, consistency, accountability, and meaningful VBP models.

We would envision speakers from the BH-MCOs, Counties and primary contractors, legislators, providers, the administration, national groups (e.g., National Council, other states), and others.  This would culminate in a discussion at the RCPA Annual Conference in October.

We want the discussion to be an interesting and thought-provoking dialogue and to bring in speakers from a number of perspectives. We hope you will join in the discussion, and information on our first presentation will be coming out shortly. Please contact RCPA if you have ideas for topics or presenters as well.

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ODP Announcement 23-016 Update provides additional information regarding the National Core Indicators (NCI) survey. In mid-to-late March, providers will receive an invitation to participate in the SoTW survey. Those wishing to participate will be furnished with a unique login that will enable providers to directly enter survey responses into the HSRI database. Each invitation is linked to one Master Provider Index (MPI) number; for provider contacts who receive more than one invitation, they are listed as the contact for multiple agencies and would need to complete the survey for each agency.

In addition to the standard survey, ODP has added a series of questions to address several areas in which it has a specific interest. These questions are identified in the PA Supplement section and have PA attached to the question number. The data collected for these will not be analyzed by HSRI but ODP will complete its own analysis. The insertion of these questions requires HSRI to take additional time to customize the survey for Pennsylvania. Any questions can be directed to Ms. Lee Stephens, ODP NCI Statewide Lead.

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The sustained funding of community-based mental health services, such as community residential programs, family-based support, outpatient care, and crisis intervention, are critical to the wellbeing of our constituents and our communities. Funding levels for county mental health services have direct impacts on whether these important community and family supports will be available. Yet for too many years, state funding for mental health services has lagged far behind its needs. Counties find themselves advocating for the prevention of funds being cut instead of achieving the increases that are needed to catch up from years of underfunding.

This week’s letter of advocacy, sent on behalf of the Coalition, stands as an open call to the PA General Assembly and stakeholders. As we await Governor Shapiro’s budget address, the “Time is Now” for action to sustain the funding of community-based mental health services and to create the legislation to move on the allocation of the $100 million dollars in funding as outlined by the Pennsylvania Behavioral Health Commission.

The Coalition is open to all new partners to join our mission of advocacy for this 2023–24 initiative, as the time to act is now for engaging with your representative. The Coalition will also be developing an advocacy toolkit for members to come together to sustain the safety net and serve those who need it most. The reality is that the demand for service far outweighs capacity and rate structures to serve this population.

If you have additional questions or would like to join the Mental Health Safety Net Coalition, please contact RCPA Policy Director Jim Sharp.

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RCPA invites members to participate in the Coalition for the Mental Health Safety Net meeting on Wednesday, March 29, 2023, from 1:00 pm – 2:00 pm. You can register for the meeting here.

The Coalition will also be meeting on the following dates:

Wednesday, May 3, 2023 • 1:00 pm – 2:00 pm
Wednesday, June 7, 2023 • 1:00 pm – 2:00 pm
Wednesday, July 12, 2023 • 1:00 pm – 2:00 pm

The Coalition is open to all stakeholder groups, and we encourage members to participate in these efforts of joint advocacy in protecting and preserving our mental health service delivery system. If you would like to join the collation or have any questions, please contact Jim Sharp.

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As part of the Centers for Medicare & Medicaid Services’ (CMS) ongoing efforts to provide up-to-date information to prepare for the end of the Public Health Emergency (PHE) for COVID-19, expected on May 11, 2023, we are providing a new overview fact sheet on CMS Waivers, Flexibilities, and the Transition Forward from the COVID-19 Public Health Emergency. COVID-19 efforts have been a significant priority for the current administration, and with the use of whole-of-government approach, the country is in a better place. Over the next several months, CMS will work to ensure a smooth transition back to normal operations.

The fact sheet provides clarity on several topics, including:

  • COVID-19 vaccines, testing, and treatments;
  • Telehealth services; and
  • Health care access.

There are several telehealth flexibilities listed within the document, including the continuation of virtual supervision to the end of the calendar year. See below for an excerpt from CMS’ PHE release:

Virtual Supervision

To allow more people to receive care during the PHE, CMS temporarily changed the definition of “direct supervision” to allow the supervising health care professional to be immediately available through virtual presence using real-time audio/video technology instead of requiring their physical presence. CMS also clarified that the temporary exception to allow immediate availability for direct supervision through virtual presence also facilitates the provision of telehealth services by clinical staff “incident to” the professional services of physicians and other practitioners. This flexibility will expire on December 31, 2023.

What is missing is guidance around the intersect of telehealth and the prescribing of buprenorphine as directed under the Ryan Haight Act of 2008. As part of the CMS Physicians Fee Schedule of 2023, CMS was in the process of writing language extending this as a flexibility. To date, there has been no guidance, though RCPA continues its advocacy efforts with the National Council for Mental Wellbeing, as well as state and federal stakeholders.

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