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Thursday, March 2, 2023
Start time: 10:00 am
End time: 3:00 pm
Break: 12:00 pm – 1:00 pm

This meeting will be hybrid, with the in-person portion held at the Best Western Premier in Harrisburg (800 E. Park Dr., Harrisburg, PA) and the virtual portion held via Zoom. The public is invited to attend in person or connect to this meeting using the following information:

You are invited to a Zoom webinar.
When: March 2, 2023, 10:00 AM Eastern Time (US and Canada)
Topic: PA State Board of Vocational Rehabilitation Quarterly Meeting
Please visit this link to join the webinar.
Passcode: 210559
Or One tap mobile:
US: +19292056099,,85656724729#,,,,*210559# or +13017158592,,85656724729#,,,,*210559#
Or Telephone:
Dial (for higher quality, dial a number based on your current location):
US: 1-929-205-6099 or 1-301-715-8592 or 1-305-224-1968 or 1-309-205-3325 or 1-312-626-6799 or 1-646-931-3860 or 1-669-444-9171 or 1-669-900-6833 or 1-689-278-1000 or 1-719-359-4580 or 1-253-205-0468 or 1-253-215-8782 or 1-346-248-7799 or 1-360-209-5623 or 1-386-347-5053 or 1-507-473-4847 or 1-564-217-2000
Webinar ID: 856 5672 4729
Passcode: 210559

CART and sign language interpreters will be available during this meeting. Those using a screen reader can connect via the following link: CART.

The agenda for this meeting can be found on the State Board’s web page. Anyone who would like to make public comment prior to the meeting may submit their comments via email. Additional auxiliary aids and services are available upon request to individuals with disabilities. Please send your request electronically.

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Photo by Copernico on Unsplash

The PA Family Network has a series of events happening this March and April – six in-person Summits on Emergency Preparedness. These summits will be regional, happening in York, Wilkes-Barre, State College, Philadelphia, and Cranberry, and will provide opportunities for individuals with disabilities, families, and interested individuals to learn more about Emergency Preparedness, Safety, Interactions With First Responders, and more.

There will be no fee to attend, and breakfast and lunch will be provided. Each day will be from 8:30 am – 4:00 pm.

The locations and dates of these events are:

  • March 15: South Central — Wyndham Garden York
  • March 20: Central — Penn Stater, State College
  • March 21: West — Pittsburg Marriot North
  • March 23: Northeast — Mohegan Sun Casino, Wilkes-Barre
  • March 27: Southeast — Rivers Casino Philadelphia
  • NEW!!! April 4: Ambassador Banquet and Conference Center, Erie, PA

For more information and to register for your local summit, visit here. Seminar sessions each day will include:

  • Interacting With Law Enforcement;
  • Tools to Use Before an Emergency;
  • I-PREPARE: Make a Plan Using This Unique Tool Created by a Self-Advocate;
  • Emergency Management & Red Cross: Not Just for Large-Scale Disasters; and
  • Panel Discussion and Q&A With LOCAL First Responders Police/Ambulance (EMS)/Fire/Emergency Management Agency.

Support staff are welcome and encouraged to attend, and breakfast and lunch will provided for FREE.

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Hole torn in a dollar bill with medicaid text

Because of the continuous coverage requirement, states were able to use additional money from the federal government during the federal public health emergency (PHE) for health care programs like Medicaid if they kept people covered. Therefore, Pennsylvanians did not lose their Medicaid/Medical Assistance (MA) or CHIP coverage if their income changed or they did not complete a renewal during the PHE.

However, starting April 1, 2023, Pennsylvania and other states will have to start disenrolling people if households are ineligible for MA at the time of their renewal or do not complete their renewal. The Pennsylvania Department of Human Services (DHS) will have to return to normal renewal processing procedures for Pennsylvanians enrolled in MA and the CHIP. Renewals will be completed over 12 months. Everyone with MA or CHIP coverage will need to submit a renewal to see if they are still eligible.

In Pennsylvania, approximately 3.5 million people rely on Medicaid. Last year, it was estimated that about 500,000 of those would lose coverage when the continuous coverage requirement ended, creating access issues for individuals and exacerbating financial challenges for providers.

The Pennsylvania Department of Human Services has created an online resource, including a stakeholder toolkit as well as a guide on how to become a helper, that provides resources for groups like providers to communicate ways for Pennsylvanians who receive MA or CHIP coverage to continue their coverage.

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ODP Announcement 23-012 shares an updated AAW Provider Information Table to reflect changes made with the January 1, 2023, waiver amendment. This information includes waiver language, guidance, and provider qualifications. The requirements in the AAW will become effective when Appendix K flexibilities expire, six months after the expiration of the federal COVID-19 public health emergency.

The updated Provider Information Table includes these highlights:

  • Providing information on the delivery of direct services using remote technology (teleservices);
  • Introducing the AAW Travel Policy;
  • Introducing Remote Services, a new service in the AAW;
  • Adding waiver language and guidance on relatives providing the Life Sharing component of Residential Habilitation;
  • Providing clarification on the requirements for Supports Coordinators and in-person monitoring;
  • Noting the responsibility of Residential Habilitation providers to complete and update the Health Risk Screening Tool (HRST) for the individuals they serve;
  • Including the Place of Service codes and Electronic Visit Verification information for each service definition;
  • Adding other changes designed to align the AAW, where practical, more closely with the Consolidated, Person/Family Directed Support and Community Living waivers; and
  • Expanding sections on provider qualifications for each service.

Providers are reminded that they are responsible for being aware of any changes to definitions of services they provide and ensuring that individuals who furnish direct services are fully qualified prior to providing services to AAW participants. Questions or comments about this communication should be addressed to Tom Flynn.

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Image by StockSnap from Pixabay

The Office of Development Programs held a webinar to provide an overview of the Adult Autism Waiver Amendment that went into effect January 1, 2023. The session was recorded and will be available for viewing in the near future.  Many of the changes will go into effect six months after the Public Health Emergency and Appendix K flexibilities end. The slides from the session provide clarification regarding Remote Supports, Teleservices and Assistive Technology.

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Join the Disability Employment Technical Assistance Center (DETAC) for a webinar about how Centers for Independent Living (CILs) and their programs serve ticket holders in the Ticket to Work program. The webinar will cover the structure of the Ticket to Work program, how involvement can lead to diversified funding for CILs, and how the program can help people with disabilities find employment in the community.

Speakers 

  • Robert Pfaff, Social Security Administration
  • Kris Carrier, New Horizons Independent Living Center

The webinar will take place Tuesday, February 14, 2023, from 3:00 pm – 4:00 pm. Register here to attend the webinar.

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Greenspace Health has their next educational panel in the calendar, focused on a topic relevant to all of you — the value of therapeutic alliance. Dr. Brent Mallinckrodt, co-author of the 18-item “Brief Revised Working Alliance Inventory” (BR-WAI), will share the importance of the client-clinician relationship, the three vital components of a strong therapeutic alliance, and how to best use the BR-WAI in practice. To round out the conversation will be Emily Miller, a Master’s Level Psychotherapist and National Clinical Counselor from Pinebrook Family Answers in Pennsylvania, speaking on her experience of using the BR-WAI in practice and the impact it’s had on her clients’ outcomes.

You won’t want to miss this opportunity to learn more about one of the most important predictors of positive symptom change for people in care: the working alliance.

Register here: How To Measure and Improve Therapeutic Alliance — February 23 at 1:00 pm EST.

Watch this short video for highlights from the last educational panel hosted by Greenspace Health, featuring the Yale Measurement-Based Care Collaborative!

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On January 30, the Biden Administration announced that the COVID-19 national emergency and public health emergency (PHE) will both expire on Thursday, May 11, 2023. Under Act 30 of 2022, the Department of Drug and Alcohol Programs’ (DDAP) regulatory suspensions that are “related to federal exemptions granted under the federal public health emergency declaration” were extended until “the last day federal exemptions granted under the federal public health emergency declaration are authorized.” In other words, Act 30 aligned the timing for DDAP’s regulatory suspensions with the deadline for flexibilities granted by the Substance Abuse and Mental Health Services Administration (SAMHSA) and the Drug Enforcement Administration (DEA) — not with the deadline of the PHE itself.

Below is a description of each currently suspended regulation and what DDAP knows about efforts to make these changes permanent at the federal level.

Methadone Take-Home Supply

Current regulatory suspension: Under the federal PHE, SAMHSA is currently allowing up to 28 days of take-home medications for patients on stable dosages, as deemed appropriate by their physician. DDAP’s regulation 28 Pa. Code § 715.16(e) (prohibiting narcotic treatment programs [NTPs] from permitting a patient to receive more than a two-week take-home supply) is currently suspended under Act 30.

Expiration of the PHE: In November 2021, SAMHSA announced that the methadone take-home flexibilities will be extended for one year after the end of the PHE (now May 11, 2024). DDAP submitted its written concurrence with this exemption in February 2022. Furthermore, SAMHSA issued a notice of proposed rulemaking in December 2022 that proposes modifying regulations related to methadone take-home supply up to 28 days, among other changes.

Buprenorphine Telehealth

Current regulatory suspension: Under the federal PHE, SAMHSA and the DEA are currently allowing initial evaluations for a patient who will be treated with buprenorphine to be completed via telehealth. DDAP has two related regulations that are currently suspended under Act 30:

  • 28 Pa. Code § 715.9(a)(4): Requires NTPs to make a face-to-face determination before admission to treatment for those clients who will receive medication to treat opioid use disorder (OUD).
  • 28 Pa. Code § 715.6(d): Requires NTPs to have narcotic treatment physician services onsite.

Expiration of the PHE: In March 2022, the DEA announced that it is currently working to make its teleprescribing regulations permanent. In June 2022, SAMHSA announced to State Opioid Treatment Authorities that flexibilities around telehealth evaluations before buprenorphine treatment at NTPs, specifically, will be extended for one year after the end of the PHE (now May 11, 2024).

SAMHSA and DEA have made clear that support for these flexibilities has been overwhelmingly positive, decreased stigma associated with OUD, and enhanced care for patients. Given the information above, DDAP does not anticipate any lapses in these flexibilities at either the federal or state level but will continue to provide updates and guidance as available.

Resources

If you have any further questions, please contact the Bureau of Program Licensure at (717) 783-8675 or via email.

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