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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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Governor Shapiro is directing all state agencies, boards, and commissions to compile a catalog of the licenses, certificates, and permits they issue – including the statutory authority governing the length of time they must process applications and the application fee charged by each agency. Commonwealth agencies will have 90 days to send this information to the Governor’s Office, which will then review, analyze, and establish efficient application processing times for all occupational permits or licenses based on agency recommendations. Once those recommendations are put in place, if an agency does not respond to an applicant before the date-certain, the agency will be required to refund the application fee.

Under this Executive Order, the Governor’s Office will also conduct a review of the existing digital services that Pennsylvanians use to apply for licenses, certificates, and permits and work to modernize those application platforms and services to better serve Pennsylvanians.

Unpredictability and long wait times for Commonwealth-issued licenses, certificates, and permits can create unnecessary barriers for Pennsylvania workers and businesses. For example, an NPR analysis from 2021 found that Pennsylvania had some of the longest wait times in the country for issuing nursing licenses. More than half of the nursing applicants who applied in Pennsylvania that year waited at least three months to hear back.

In addition to nursing licenses, the Commonwealth issues hundreds of licenses, certificates, and permits, from barber and salon licenses to teacher certifications to business permits. Under the direction of the Governor, the Administration will work expeditiously to ensure Pennsylvanians get responses in a timely manner — and the Shapiro Administration will have real skin in the game. Governor Shapiro is making clear his Administration will be customer-service oriented and that state government will work harder to get them a response, so that they can pursue their dreams.

Read Executive Order 2023-07, Building Efficiency in the Commonwealth’s Permitting and Licensing Processes, here.

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ODP Announcement 22-108 serves as an update to “Required Provider Qualification (PQ) Training on Common Health Conditions That May Be Associated with Preventable Deaths.” ODP added a new provider qualification to the Consolidated, Community Living, and Adult Autism Waivers for residential services. All provider staff who will spend any time alone with a participant during the provision of residential services must complete a “Department approved training on the common health conditions that may be associated with preventable deaths in people with an intellectual or developmental disability.” This applies to provider staff that are direct employees of an agency, contracted employees of an agency, or volunteers.

A list of Department approved trainings to meet this requirement is available at MyODP. This page lists each organization with currently approved training(s). The approved training(s) that must be completed for the organization are listed next to the “details” bullet underneath the organization. To meet the qualification requirement, staff are required to complete approved training(s) through one organization listed.

ODP will now allow Fatal Five trainings developed by residential provider agencies to be used if the training has been reviewed and approved by their regional Health Care Quality Unit (HCQU). To ensure content is clear, comprehensive, and adequately covers each condition, the HCQU Registered Nurse (RN) for that specific provider agency will review the training according to the guidelines provided by ODP.

Questions relating to this announcement may be directed to the ODP Provider Qualification Unit for Consolidated and Community Living Waiver providers. Adult Autism Waiver providers should send questions here.

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The PA Office of Vocational Rehabilitation (OVR) has developed a draft of the Driving & Vehicle Services policy. The draft will be posted on OVR’s website for public review beginning January 30, 2023. Virtual meetings will also be held via Zoom at 10 am and 3 pm on Thursday, February 16, 2023, to provide an overview of the policy and take questions and comments (content will be the same in both meetings).

The public is invited to comment on the draft policy for 30 days. Comments may be directed via email through February 28, 2023.

Meeting information:

  • Register in Advance for One of the February 16, 2023 Meetings:

After registering, you will receive a confirmation email containing information about joining the meeting. CART and sign language interpreters will be available for this meeting via the Zoom link. Additional auxiliary aids and services are available upon request to individuals with disabilities. Please send your request electronically.

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