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On January 26, 2024, the Centers for Medicare & Medicaid Services (CMS) forwarded the final Medicaid Access Rule (CMS-2442-F) to the Office of Management and Budget (OMB) for the last review step before Federal Register publication.

The proposed Medicaid Access Rule contained a number of policies, including the much-discussed 80/20 provision that would require 80 percent of all Medicaid payments to be spent on direct care workers and direct service professionals compensation for personal care services.

RCPA commented on these proposed regulations and will continue to monitor progress with our federal partners. The OMB is expected to issue its comments in April. If you have questions, please contact RCPA Policy Director Fady Sahhar.

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Save the Date:
Thursday, February 29, 2024, 2:30 pm – 4:00 pm

The Pennsylvania Office of Medical Assistance Programs (OMAP) Pediatric Shift Care Team is holding the next Stakeholder Update Call virtually on February 29, 2:30 pm to 4:00 pm ET.

Among other updates to be shared on the call, the Pediatric Shift Care Team will highlight the refreshed Executive Summary to Pediatric Shift Care Whitepaper. The Executive Summary reviews various measures to strengthen the homecare workforce, the expansion of health information technology, and progress in the implementation of the Pediatric Complex Care Resource Center.

Meeting invite and link to follow.

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RCPA is pleased to report that there has been significant progress as stakeholders work together in developing solutions for expanded telehealth flexibility. RCPA has met with members of the General Assembly, OMHSAS, the Governor’s office, the National Council on Mental Wellbeing; as well as other member associations and providers; all committed to a collaborative effort to address the continuation of the telehealth service deliverables as outlined in our PA tele-behavioral health bulletin.

Next week, the principals will meet to review the legislative pathways and bill specifics in addressing the current 4 walls requirements. It has been determined the vehicle to this will be to amend our current draft legislation that initially was created to address the psychiatrist in office time requirement.

We have spoken at length with our partners at the National Council for Mental Wellbeing, and they have provided an insightful overview of this from a federal lens; including the fact that Pennsylvania is only one of more than 15 states working with CMS and their legislature to meet the systems needs of their Medicaid population. The National Council also reported that the legislative process is the pathway most supported at the federal level to address the matter.

We are hopeful for an expedited legislative solution that will support OMHSAS in making any resulting policy, practice, or programmatic changes that will support the initiative. We are extremely encouraged by the system’s efforts and focus this week, and the developing short-term plan. RCPA continues, as recommended earlier in the week, for providers to be patient, review your contingency plans, and focus your primary efforts on servicing those entrusted to your care.

RCPA will continue to partner with all members and stakeholders and provide updates as we proceed.

If you have questions, please contact RCPA Policy Director Jim Sharp. The next RCPA Telehealth Operations Committee meeting will be rescheduled for earlier in February and we will be sending that information out early next week. Please share this information with your stakeholder networks.

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The Free Virtual Family Peer Support Specialist Training, scheduled for February 20, 21, 22, 27, and 28, 2024, is designed for primary caregivers seeking to become Family Peer Support Specialists (FPSS). This comprehensive, five-day training, via Zoom, utilizes the Family-Run Executive Director Leadership Association (FREDLA) Parent Peer Support Provider Practice Model, covering core competencies and skills practice across six phases of family peer support.

To qualify, participants must be parents or primary caregivers of a child, youth, or young adult with past or present involvement in the Mental Health/Behavioral Health System. The deadline to register is February 6, 2024. A completion certificate is offered upon training conclusion. For those interested, contact Wanda Cummings, Family Peer Support Specialist Training Program Coordinator.

If you have any questions, please contact RCPA Policy Director Jim Sharp.

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The Office of Developmental Programs (ODP) has shared the attached communication, ODPANN 24-017: Open for Public Comment: Proposed Waiver Amendments for One-Time Workforce Recovery Supplemental Payments. The purpose of this communication is to announce that proposed amendments to the Consolidated, Person/Family Directed Support (P/FDS), Community Living, and Adult Autism Waivers are available for public review and comment. There is a 30-day public comment period that starts on February 3, 2024, and ends on March 4, 2024, at 11:59 pm.

Comments: Interested persons are invited to submit written comments regarding the proposed waiver amendments as outlined below. Comments received by 11:59 pm on March 4, 2024, will be reviewed and considered for revisions to the waiver amendments submitted to the Centers for Medicare and Medicaid Services (CMS).

Comments and requests for copies of this notice and documents should be addressed to: Julie Mochon Department of Human Services, Office of Developmental Programs, 625 Forster Street, Room 510, Harrisburg, PA 17120.

Comments and requests for copies of this notice and documents may also be submitted to ODP via email. Comments submitted should use subject header ”Waiver Comments.”

Contact: Questions about this communication should be directed to this email address.

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