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As of December 2, 2023, Residential Habilitation procedure codes that reflect Needs Group 5 (NG5) have been loaded into the Home and Community Services Information System (HCSIS). These procedure codes have not been automatically added to provider service offerings. Providers will need to add the appropriate NG5 procedure codes via the service management screens in HCSIS. The instructions for adding a service can be found on the HCSIS Provider Updates Tip Sheet.

For any future NEA NG5 requests, please contact the rate setting mailbox for guidance. Previous communication regarding NG5 can be found here.

The PA Provider Advocacy Coalition, an organization that constitutes a variety of PA providers and advocates across all fields, recently sent a letter to the Shapiro Administration regarding the FY 2024/25 budget. RCPA signed onto the letter, which calls for rate adjustments and investments in Medicaid services in order to address the current workforce crisis. The Coalition states in the letter:

We recognize that addressing these workforce challenges will require a sustained, coordinated, multi-faceted public and private sector response. Earlier this year, our coalition met with representatives of your administration to recommend the creation of a Health Care Workforce Council to help lead this multiyear effort. However, there is one aspect of this overall problem that is relatively straightforward—chronic underpayment by the Medical Assistance program.

RCPA will continue to keep our members informed of updates. If you have any questions, please contact your RCPA Policy Director.

RCPA recently joined over a dozen PA associations in delivering a joint letter to the Shapiro Administration requesting investments be made in behavioral health services for the Fiscal Year (FY) 2024/25 budget. As noted in the letter, which was compiled by the PA Provider Advocacy Coalition:

The mental health system all too often is unable to deliver the right care, at the right time and in the right setting. We recognize that there is no simple fix and that a sustained, multiyear effort by all stakeholders—the commonwealth, counties, providers, insurers, and advocates—is necessary to rebuild and create a mental health system for the 21st century.

RCPA will continue to keep our members informed of updates. If you have any questions, please contact your RCPA Policy Director.

The Office of Developmental Programs (ODP) has shared ODPANN 23-048: Required Communication Specialist Provider Qualification Training UPDATED. The purpose of this announcement is to remind Communication Specialist providers that in order to provide services after January 1, 2024, the Communication Specialist training must be completed. Please review the announcement for updated information, including accessing the training course.