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The monthly Long-Term Services and Supports (LTSS) Subcommittee convened on February 14, 2023. The meeting handouts included the agenda and a PowerPoint presentation from the Office of Long-Term Living (OLTL). Some of the topics in their presentation included:

  • COVID-19 Vaccination Rates From the Community HealthChoices Managed Care Organizations (CHC-MCOs);
  • CHC Request for Information (RFI) Update;
  • Electronic Visit Verification (EVV);
  • Independent Enrollment Broker (IEB) Enrollment Data;
  • LIFE Enrollments;
  • Medical Assistance (MA) Unwinding;
  • Appendix K Waiver; and
  • Home and Community-Based Services (HCBS) Settings Rule.

The next LTSS Subcommittee meeting is scheduled for April 11, 2023.

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The Office of Developmental Programs (ODP) held two informational webinars regarding the new waiver amendments that became effective in January 2023. Some of the changes will go into effect when Appendix K expires, most likely in November of 2023. Other changes are in effect now. The recordings of the sessions are available on MyODP.

The presentation from the February 6 “Adult Autism Waiver Amendment” webinar is available here.

The presentation from the February 9 “Waiver Renewals Effective January 1, 2023: Consolidated, Community Living, and P/FDS Waivers” webinar is available here.

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In early March 2022, the National Alliance for Direct Support Professionals (NADSP) embarked on its first ever national advocacy event, the 2022 Advocacy Symposium, Amplifying The Voices Of Direct Support Professionals (DSPs). Attendees participated in over 250 meetings with legislative staff to share the perspective of direct support professionals to the forefront of Congress during a time of unprecedented workforce challenges. The result of our attendees’ advocacy culminated in additional sponsors to the House of Representatives and US Senate bills regarding establishing a Standard Occupation Classification within the Bureau of Statistics for direct support professionals (S. 1437 / H.R. 4779).

NADSP is excited to announce the return of the Advocacy Symposium on May 3 – 4, 2023! Ahead of this two-day virtual event, attendees will receive comprehensive advocacy training along with planning sessions with state leaders. The success of our first Advocacy Symposium is directly a result of and informed by the people who are on the frontlines of supporting people with disabilities to live, work, and thrive in the community.

We’re looking forward to amplifying even more direct support professional voices in 2023. This event is free and open to direct support professionals, frontline supervisors, self-advocates, family members, and people with disabilities. Registration for this event will open on February 28.

NADSP’s Current 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.

Learn More

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The Office of Mental Health and Substance Abuse Services’s (OMHSAS) February 2023 Stakeholder webinar is scheduled for next Friday, February 24, 2023, from 1:00 pm – 2:00 pm. The February Stakeholder webinar was rescheduled due to conflicts with the quarterly Mental Health Planning Council (MHPC) meeting.

Register for the meeting here. After registering, you will receive a confirmation email containing information about joining the webinar.

Call-in Number: (914) 614-3221
Access Code: 458609184#

If you have any questions or would like RCPA to submit a topic for the webinar, please contact RCPA Policy Director Jim Sharp.

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Tuesday, March 7, 2023
1:00 pm – 1:30 pm ET
Join the Provider Integrity in Medicaid Home Personal Care Services webinar with Kirit Pandit, VP, Data and Analytics. Preventing fraud, waste, and abuse (FWA) in the Medicaid market is an on-going effort, with many providers, payers, and vendors involved in the effort to improve the health care system.

During this session, you can expect to:

  • Learn about the analytics dashboards developed to mine data and identify these cases;
  • See our vision for application of analytics for program integrity in home personal care services; and
  • Understand how the development of the dashboards can lead to further insights and actions to support the efforts of state and compliance programs.

Reserve your spot today, and stay tuned for information about more upcoming Empower webinars!

Reserve Your Spot!

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ODP Announcement 23-017 provides information regarding Remote Supports as a separate, discrete service in all four of the Office of Developmental Programs’ (ODP) waivers. Remote Supports is no longer covered as a component of the Assistive Technology service in the Consolidated, P/FDS, and Community Living waivers.

Guidance in the announcement includes how to add remote supports to the ISP, necessary provider qualifications, and enrollment process. Please refer to Attachment A for more instructions on how to add Remote Supports services for the P/FDS, Community Living, or Consolidated Waiver. Please refer to Attachment B for more instructions on how to add Remote Support Services for the AAW. Additional information about the qualification of a new specialty is contained in ODP Announcement 22-122 “Provider Qualification Process.”

Existing providers must submit the approved DP 1059 (ID/A) or DP 1088 (AAW) along with the “PROMISe™ Provider Service Location Change Request,” which can be found on the MyODP website, to the ODP provider enrollment inbox and/or AAW provider enrollment inbox in order to add a new Specialty 364 to an EXISTING active service location with the same Provider Type. Providers that do not have a Provider Type 51 service location open in PROMISe will need to submit an application through the Provider Enrollment system.

Questions regarding ISP requirements should be sent to the appropriate ODP Regional Office. Questions regarding provider qualification requirements should be sent to the ODP Provider Qualification inbox and the AAW Provider Enrollment Lead.

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ODP Announcement 23-001 has been updated with new information regarding Supports Coordination Organizations’ recovery payments. The performance standard has been changed so that SCOs must be accepting referrals of newly enrolled individuals in the ODP system as of 3/1/2023. Eligible SCOs must increase the number of individuals served between 3/1/2023 and 6/30/2023. An FAQ sheet is available.

All questions and comments related to this announcement can be sent electronically.

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Pennsylvania is preparing for a major change in renewal processes for Medicaid and Children’s Health Insurance Program (CHIP) recipients.

Starting April 1, 2023, Pennsylvania is required by federal law to review Medicaid and CHIP recipients’ eligibility every year, which means that recipients must submit a renewal. While the Department of Human Services (DHS) still sent renewals during the height of the COVID-19 pandemic, most people were not disenrolled from Medicaid or CHIP because of a change in eligibility.

DHS encourages everyone to share the following information with Medicaid and CHIP recipients to help them stay informed about renewals.

What Should I Do Right Now?

The best thing that Medicaid and CHIP recipients can do right now to prepare for their renewal is to make sure that their contact information is up-to-date with DHS. By making sure that their information is current, recipients can receive timely updates about their renewal. They also can opt-in to receiving text and email alerts about their benefits.

  • Visit COMPASS and log into their My COMPASS Account.
  • Use the free myCOMPASS PA mobile app.
  • Call 877-395-8930 or 215-560-7226 (Philadelphia), Monday – Friday from 8:00 am – 4:30 pm.

What Else Do I Need to Know?

Completing Medicaid and CHIP Renewals
Renewals should be completed when they are received, even if recipients receive them before April 1, 2023. Recipients will receive a renewal packet in the mail when it is time to renew their coverage. Information about their renewal will start to arrive 90 days before it is due. It is very important that renewal forms are completed and returned even if nothing has changed. Completing a renewal allows DHS to determine eligibility for MA or CHIP coverage. Coverage will continue for recipients who are still eligible.
There are a few ways for recipients to complete a renewal:

  • Complete the forms DHS sends and mail them back in the envelope included in the packet.
  • Drop completed forms off at the local county assistance office (CAO).
  • Complete the renewal online.
  • Complete the renewal over the phone by calling 866-550-4355.

What is Continuous Coverage?

Under the continuous coverage requirement, individuals covered by Medicaid and/or CHIP have been able to keep their health coverage even if they would have otherwise become ineligible for the program based on other factors.

Evaluating Eligibility

Once the continuous Medicaid and CHIP coverage requirement ends, recipients will have to complete a renewal to maintain their coverage as long as they are eligible.

Are You Ineligible for Coverage?

DHS will provide instructions on how to re-enroll or share options for coverage if individuals are no longer eligible. Options for free or low-cost health coverage are available online.

Get more information and resources at DHS’s website.

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The Pennsylvania Department of Drug and Alcohol Programs (DDAP) is seeking provider input for a brief workforce survey. DDAP is interested in hearing providers’ perspective on which jobs and positions are in short supply or understaffed, the challenges providers face, attempts to address them, and solutions that DDAP should consider. Responses will help inform DDAP’s regulatory reform efforts.

The survey can be taken here.

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