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ODP Announcement 22-009 states that, in an effort to implement best practices and streamline requirements and operations between Intermediate Care Facilities (ICF) and Home and Community-Based Setting (HCBS) service providers, the Office of Developmental Programs (ODP) intends to align incident management regulations and policies for ICFs with the already-existing regulations and policies for HCBS services.

Specifically, ODP plans to do the following:

  • Rescind the class 3 bulletin (statement of policy) that is currently codified at Pa. Code Chapter §§ 6000.901 — 6000.985 (relating to incident management) and issue a new class 3 bulletin that aligns with ODP Bulletin 00-21-02 (Incident Management for HCBS services) to the fullest extent possible.
  • Update Code Chapter 6600 to include new sections on definitions, incident management, and individual rights to align with the 55 Pa. Code Chapter 6100 regulations, to the fullest extent possible.

ODP is pleased to announce the release of the draft class 3 bulletin and the proposed 55 Pa. Code Chapter 6600 regulations for review and informal public comment in order to obtain meaningful input from stakeholders early on in the process of changing regulations. After the informal comment period ends, ODP will review and evaluate these comments, incorporating them when practical into the bulletin and regulations. The 30-day informal public comment period begins on February 2, 2022, and ends on March 4, 2022.

Interested persons are invited to submit written comments regarding the draft class 3 bulletin and Pa. Code Chapter 6600 regulations. Written comments should be addressed to Laura Cipriani, Department of Human Services, Office of Developmental Programs, 625 Forster Street, Room 510, Harrisburg, PA 17120. Comments may also be submitted to ODP via email using subject header “ICF Regulations.”

Questions about this communication should be directed to Laura Cipriani.

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ODP Announcement 23-011 states that Support Service Professionals/Supports Brokers who were initially certified two years prior to the effective date of this waiver must complete the Supports Broker Certification program on or before the end of the third-year anniversary of the initial certification. Supports Brokers who were initially certified three or more years prior to the effective date of this waiver must complete the Supports Broker Certification program on or before July 1, 2023.

The Temple University Institute on Disabilities will offer six one-day virtual recertification training sessions. Dates are listed in the announcement.

Please contact the Participant Directed Services (PDS) Regional Lead in your area if you have questions.

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Message from the Office of Developmental Programs:

Pennsylvania Department of Human Services (DHS) Acting Secretary Val Arkoosh today advised Pennsylvanians of upcoming changes to Supplemental Nutrition Assistance Program (SNAP) benefits. Due to the passage of the recent federal Consolidated Appropriations Act of 2023, starting in March, SNAP recipient households will no longer receive the Emergency Allotment (EA) additional payment created during the COVID-19 public health emergency and will resume receiving one SNAP payment per month.

This change will happen for all SNAP recipients, with households receiving letters via mail about the change in SNAP payments.

“We know this additional SNAP payment has been a lifeline for people over the past three years and that ongoing economic uncertainty and high food prices are contributing to food insecurity for many Pennsylvanians. There is help available for you and your family through Pennsylvania’s heroic charitable food partners,” said Acting Secretary Val Arkoosh. “I urge anyone who can donate food or resources, now is the time to help your local food assistance programs as they prepare to meet this potential additional need.”

With funds made available due to the federal COVID-19 emergency, DHS began providing EAs as a second monthly payment to SNAP recipient households that were receiving benefits since March 2020. The EAs increased the SNAP budget amount to the maximum available amount for their household size or, since early 2021, were a minimum of $95. These payments were distributed separate from the initial payment as an extra payment each month.

Due to federal legislation, this February will be the last month EAs are sent; and starting in March, SNAP recipients will only receive one regular SNAP payment.

Additionally, the 2023 cost of living adjustment for Social Security Income (SSI), which is also set by the federal government, prompted an 8.7 percent increase to SSI income. SNAP eligibility thresholds — also set at the federal level — did not rise proportionally. Because of this, approximately 249,000 households will experience a decrease in their base SNAP benefits by an average of $40 per household, which will take effect in March when EAs end. The Office of Developmental Programs (ODP) anticipates approximately 5,000 to 20,000 households will be disenrolled from SNAP due to the SSI increase. These federal changes will primarily affect older Pennsylvanians and seniors.

Pennsylvanians who need to report changes to their household size, income, or expenses are encouraged to report any changes either online via the myCOMPASS PA mobile app or by calling DHS’s Customer Service Center at 877-395-8930 (or 215-560-7226 for Philadelphia residents). This will help ensure households are receiving the maximum SNAP benefit based off their individual circumstances.

DHS recognizes the impact these changes may have on households and wants to make sure families that need food assistance know where to go for help:

  • SNAP recipients who are pregnant or have kids under 5 may be able to get help buying food from PA WIC. You can call 800-WIC-WINS or apply online.
  • You can call 211 or visit PA 211 to connect with various local food resources.
  • Visit Feeding PA to find local food banks and other food assistance programs.
  • Go to the DHS website or PA Department of Agriculture website for information on assistance programs and other resources.
  • If you are a SNAP eligible senior citizen, apply to receive additional vouchers redeemable at more than 800 farm stands and more than 200 farmers’ markets in Pennsylvania. The Senior Food Box Program can also provide you with additional shelf-stable groceries. Learn more about these programs from the Pennsylvania Department of Agriculture.

“Our charitable food network works tirelessly every day to be a resource and safety net for their communities. With a reduction in SNAP benefits coming, they will likely be left to absorb much of the impact,” said Acting Secretary Arkoosh. “If you are able to help, I strongly encourage you to support your local food banks and pantries as they prepare to meet this need. Small donations can grow into a big difference, so please do what you can so they can continue their life-saving work.”

For more information about SNAP Emergency Allotments, visit the DHS website.

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ODP Announcement 23-010 is to communicate that the Temple University Harrisburg Certified Investigator Program and the Office of Developmental Programs (ODP) will be facilitating Forums for Certified Investigators (CIs) and others involved in the incident investigation process as well as to announce the posting of Q&A documents from past CI Forums on MyODP.

Please submit questions related to the Investigatory Plan that you would like answered during the forum to Amanda Black by close of business Friday, March 3, 2023. The next session date and time is Friday, March 10, 2023, at 10:00 am – 11:30 am. The topic of discussion will be “Investigative Planning.” Registration for March 10, 2023, is open.

For any questions regarding registration for the CI Forums, please contact Amanda Black.

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The Centers for Medicare and Medicaid Services (CMS) has updated the calendar year (CY) 2023 per beneficiary threshold amounts for therapy services. These threshold amounts, also known as therapy caps, are reflected on claims with the KX modifier to confirm that services are medically necessary as justified by appropriate documentation in the medical record. There is one amount for Physical Therapy (PT) and Speech-Language Pathology (SLP) services combined and a separate amount for Occupational Therapy (OT) services. Claims from providers for therapy services above the threshold amounts without the KX modifier are denied.

For CY 2023, the KX modifier threshold amounts are: (a) $2,230 for PT and SLP services combined, and (b) $2,230 for OT services.

For additional information, refer to CMS Transmittal 11626 and the 2023 Therapy Code List and Dispositions.

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Date: February 8, 2023
Time: 1:30 pm – 3:00 pm ET
Registration Required
Closed captioning will be available.

In this webinar, the Department of Long-Term Services and Supports (DLTSS) will be discussing state requirements and opportunities for resuming Medicaid Home and Community-Based Services (HCBS) operations when we approach the end of the Public Health Emergency (PHE). This includes:

  • CMS resources to support states in unwinding PHE flexibilities, including considerations for HCBS;
  • An overview of HCBS-related PHE flexibilities to unwind, with a focus on the 1915(c) HCBS in 1915(c) waivers and the Centers for Medicare and Medicaid (CMS) approval process;
  • An overview of HCBS-related PHE flexibilities that can be made permanent in 1915(c) waivers and the CMS approval process; and
  • Other considerations for HCBS programs when unwinding from the PHE.

Following the presentation, webinar participants will have the opportunity to ask questions.

Register Today!

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As discussed in the recent RCPA Telehealth Operations Work Group meeting, the Office of Mental Health and Substance Abuse Services (OMHSAS) announced a telehealth funding opportunity. To participate in this funding, or for additional details, please visit this website.

OMHSAS will accept funding requests beginning today, February 1, 2023. RCPA recommends all members interested in this funding to review the announcement as soon as possible.

If you have questions or concerns related to this opportunity, please send via email. If you have any other questions, please contact RCPA Policy Director Jim Sharp.

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