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Governor Tom Wolf has signed an official proclamation dedicating the week of September 11 through September 17, 2022, as Direct Support Professional (DSP) Recognition Week. The proclamation, available to read here, recognizes the vital contributions DSPs provide to address the physical and mental health of individuals with disabilities as well as veterans and senior citizens. Furthermore, the Governor recognizes the immense care it takes for DSPs to develop close, respectful, and trusted relationships with those they support.

Please share any of your celebration pictures of stories with Carol Ferenz!

Still looking for ideas? To support efforts to celebrate your DSPs, ANCOR has compiled a few resources to help you say “thanks” and raise awareness about the important role DSPs play in helping people with disabilities access their community. These resources include customizable social media posts, creative ideas for celebrating DSP Recognition Week, and a DSP Recognition Week Store. Access the toolkit, and please use #DSPRW2022 in your social media postings!

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ODP Announcement 22-103 serves to inform Adult Autism Waiver (AAW) providers that there are specific regulations regarding restrictive procedures that must be followed. The Office of Developmental Programs (ODP) has been made aware that some AAW providers are implementing restrictive procedure plans for individuals being served in AAW without a corresponding BSP documented in the ISP in HCSIS. This practice is not allowed.

A restrictive procedure must always be part of the behavioral support component of the ISP as required by the AAW. In the AAW, the BSP is included in the ISP in HCSIS. The Desired Behavioral Outcomes (DBOs) of the BSP must be consistent with the Behavior Support Specialist service goals and objectives.

There must be an active Behavior Support Specialist goal for each DBO, and each Behavior Support Specialist goal must have a DBO. Additionally, every Behavior Support Specialist goal must have a corresponding Goal Attainment Scale (GAS) chart and be reported on at least quarterly in a Quarterly Progress Note (QPN).

To have a restrictive procedure plan in place for an AAW participant, the Behavior Support Specialist service must be in the ISP Service Details so that a BS qualified to provide services in the AAW can develop, implement, and train staff on the participant’s BSP and CIP with the goal of fading all restrictive procedures over time.

In the AAW, the Behavioral Specialist Service (BSS) is not bundled with the Residential Habilitation service as it is with other ODP waivers. Therefore, to meet the requirements above, AAW participants who are receiving residential habilitation services and have a restrictive procedure plan in place must also have active BSS authorized in their ISP. This ensures an AAW qualified BS is working with the participant when a restrictive procedure plan is in place.

Please refer to Chapter 6100 regulations § 6100.341 – 6100.346, Bulletin 00-21-01 Guidance for Human Rights Teams and Human Rights Committees and Attachment 2 — Individual Plans and Informed Consent for additional information. Any questions should be sent to the AAW Provider Support Inbox.

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The Pennsylvania Department of Drug and Alcohol Programs is accepting public comment on the Pennsylvania Substance Abuse Prevention and Treatment Block Grant (SABG) application submission. This submission will occur in three parts: The Substance Abuse Prevention and Treatment Assessment and Plan, or Mini-Application, which is currently available in draft and available for review; the SAPT Report, which will be posted in November; and the Annual Synar Report, which will be made available in December.

These documents can be accessed here utilizing “citizenpa” as your login and “citizen” as your password.

To review the Substance Abuse Prevention and Treatment Plan Mini-Application:

  1. From the “Welcome to WebBGAS” page, click on “View an Existing Application.”
  2. On the next page, select “2023 SABG Only Application/Behavioral Health Assessment and Plan.” (The status of this application is shown as “In Progress.”)
  3. On the next page, click “View Application.”
  4. All of the links on the following page — “Pennsylvania – FY 2022-2023 SABG Only Application/Behavioral Health Assessment and Plan Submitted” — comprise the Mini-Application now open to public comment. Some components may read as “In progress” at this point, because they are still incomplete or may not be completed if they are not required.

Please submit all comments electronically by Friday, September 30.

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Tablet on a desk - Newsletter

ODP Announcement 22-102 announces that the Home and Community Services Information System (HCSIS) 90.05 Release Newsletter is available under the HCSIS Communique hyperlink found on the Learning Management System (LMS) located on the HCSIS home page.

Work items to highlight in this release include:

  • Users being able to select the following incident statuses in the Incident Management Review Report: Select All, Open or Closed, Open, Closed, and Deleted;
  • The Incident Detail Screen has been updated to include a font color change to indicate that an incident document is late or has been submitted late;
  • The Created by Date has been replaced with the Submission Date on the workload dashboard; and
  • The Incident Print Summary displays Status, Created Date, Due Date, Submitted Date, and Last Edit Date for all documents contained in the report.

It is important to note that the Due Date and Time is only displayed for the First Section document. For all other documents, the system only displays the Due Date. The number of report extensions filed for the Final Section is under the Incident Final Section document information.

Please review the HCSIS Release 90.05 Newsletter as part of this Announcement and also located on the secure LMS Home and Community website for more information. If you do not have an LMS Login ID and Password, contact your Business Partner Administrator (also known as your “BP Admin”).

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The Centers for Medicare and Medicaid Services (CMS) has released a Request for Information (RFI) that seeks public input on accessing healthcare and related challenges, understanding provider experiences, advancing health equity, and assessing the impact of waivers and flexibilities provided in response to the COVID-19 Public Health Emergency (PHE).

The Make Your Voice Heard: Promoting Efficiency and Equity Within CMS Programs RFI furthers CMS’ commitment to engaging and learning from partners, communities, and individuals across the health system to inform how we can better support the populations we serve. In alignment with Executive Order 13985, Advancing Racial Equity and Support for Underserved Communities Through the Federal Government, the CMS Strategic Plan Pillar: Health Equity, and the CMS Framework for Health Equity (2022–2032), this RFI aims to gather feedback and perspectives related to challenges and opportunities for CMS to embed health equity into their efforts encouraging innovation, reducing burden, and creating efficiencies across the healthcare system.

CMS is seeking to better understand individual and community-level burdens, health-related social needs, and opportunities for improvement that can reduce disparities and promote efficiency and innovation across programs. CMS is requesting information related to strategies that successfully address drivers of health inequities, including opportunities to address social determinants of health and challenges underserved communities face in accessing comprehensive, quality care. For example, challenges accessing care may include understanding coverage options, receiving culturally and linguistically appropriate care, accessing oral health services, and accessing comprehensive and timely healthcare services and medication.

Through this RFI, CMS also seeks to better understand the factors impacting provider wellness and learn more about the distribution of the healthcare workforce. CMS is particularly interested in understanding the greatest challenges for healthcare workers in meeting the needs of individuals, and the impact of CMS policies, documentation, and reporting requirements, operations, and communications on provider experiences.

Comments received in response to the Make Your Voice Heard RFI will be used to identify opportunities for improvement and to increase efficiencies across CMS programs. In addition, CMS hopes to learn how specific programs have benefited providers, practices, and the people served.

CMS encourages comments from all interested stakeholders, in particular, patients and their families, providers, clinicians, consumer advocates, and healthcare professional associations. CMS also encourages comments from individuals serving and located in underserved communities and from all CMS stakeholders serving populations facing disparities in health and healthcare. The RFI is open for a 60-day public comment period.

Comments must be received by November 4, 2022, to be considered.

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The Department of Human Services (DHS) has announced that they are preparing for the end of the federal Public Health Emergency (PHE). Included in this preparation is a webinar planned for October 24, 2022, at 2:30 pm. Register for the webinar at the link below:

https://padhs19.webex.com/padhs19/j.php?RGID=re51d9b2a4909630f736cfdbb2c6a0dad

When the PHE ends, DHS will resume closing Medicaid cases for ineligible recipients. DHS has stressed that they want all recipients that remain eligible to keep their coverage and complete their renewals in a timely manner. Providers can assist by making sure that they are prepared to aid the individuals to complete their renewal when it is due, now and after the PHE ends.

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