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As part of Governor Tom Wolf’s Trauma-Informed PA Plan, in order to guide the Commonwealth and service providers statewide on what it means to be trauma-informed and healing-centered in PA, the Office of Advocacy and Reform (OAR) and the PA Attorney General’s Office have continued its work on trauma initiatives in launching “HEAL PA.” The Office of Advocacy and Reform recently released a new one page flyer for HEAL PA that gives an overview of the mission and vision for Pennsylvania in its efforts to become a trauma-informed state. If you need any additional information or have questions on getting more involved in the HEAL PA initiative, please contact RCPA Policy Director Jim Sharp.

Many employers are reporting receiving Unemployment Compensation (UC) claim notices and other documents about claims that they believe to be fraudulent. Many RCPA members are reporting that an employee still works there and did not file a claim, or that the alleged claimant never worked there. It is important that employers respond to these notices promptly.

Initially, some believed that it was a case that the new system was compromised, but we have learned that this was not the case. Identifying data was stolen in various data breeches we hear about on the news and then sold to criminals (often organized), who use it to file fraudulent unemployment claims.

The new system was presumably targeted simply because it is new, and the criminals want to see if they can get away with the fraud, although we were hearing about increased levels of fraudulent claims in regular UC before the launch. The department tells us that the new system has the regular fraud prevention measures that were present in the old system (so most of these are not being paid), but they are also going to implement identity verification (through ID.me, which they used in the PUA program). No date has been announced on that yet.

Last year, massive numbers of fraudulent claims were filed in the Pandemic Unemployment Assistance (PUA) program in Pennsylvania and across the nation. International and domestic criminals (often organized criminal groups) obtained personal information that was stolen through a data breach (from another source — the data was NOT stolen from L&I). These criminals then used this personal information to file fraudulent unemployment claims.

In addition to attempts at defrauding PUA, there has been an uptick in fraud against regular UC. Although this was happening prior to the rollout of the new system, these attempts seem to have accelerated somewhat under the new system. At a June 23 hearing of the Labor and Industry Committee, the Department of Labor and Industry testified that, while the traditional fraud crosschecks were incorporated in the new system, the identity verification procedures incorporated in PUA have not yet been introduced for UC. They did not provide a specific date, but they hope to implement ID.me verification for UC soon.

We have been offered guidance from the legislative panel who heard the aforementioned testimony from the Department of Labor and Industry. What should you do if an employer contacts your office to report possible Unemployment Compensation (UC) Fraud?

  1. Respond promptly to any employer notices about a fraudulent claim, clearly stating the situation (current employee did not file a claim, claimant never worked there, etc.) and that the employer believes the claim to be fraudulent. There are directions in the notice about how to respond. Although this can be done by mail, the fastest way to do this is in the employer’s portal in the new UC system. One of the major reasons for the implementation of the new system is improved business processes, and consequently employers can manage all their UC dealings through the new system. For those employers who need to learn the system, there are resources online that may be helpful:
  1. If a current employee seems to be the victim of identity theft, the employer or employee should fill out an online fraud report through UC’s website. There are several types of fraud, so they should take care to report identity theft fraud, and they should include as much information as possible. The link to UC’s fraud information page is here.
  2. Finally, since the employee is likely the victim of identity theft, the employer may want to share some additional information and identity theft resources with the employee. If the legislator’s office does not stock caucus identity theft publications, the FTC’s identity theft website contains information about what steps the victim should take to recover and protect their identity.

RCPA continues to monitor these activities through our government affairs director and the RCPA Human Resources Committee. Please contact your RCPA Policy Director if you have any further questions.

RCPA submitted comments regarding the PA Department of Human Services spending plan for funding available to home and community-based services (HCBS) through the American Rescue Plan Act of 2021, Section 9817 that was due today, July 6, 2021. The document details several overall, cross-system comments for review in addition to specific comments from each RCPA Division; Adult Mental Health, Children’s Services, Intellectual and Developmental Disabilities (including Supports Coordination), Drug and Alcohol, Physical Disabilities and Aging (including Brain Injury services) and Pediatric Rehabilitation.

RCPA appreciates the opportunity to provide this feedback on the DHS ARP plan. We look forward to further discussion and stand ready to assist DHS as a key community stakeholder.

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The Centers for Medicare and Medicaid Services (CMS) recently released the Calendar Year (CY) 2022 Home Health Prospective Payment System (HH PPS) Proposed Rule, which includes a provision that would impact the inpatient rehabilitation facility (IRF) quality reporting program (QRP).

If finalized, this provision would require IRFs to begin utilizing the IRF Patient Assessment Instrument (PAI) v4.0 on October 1, 2022. The IRF PAI v4.0 was originally scheduled to begin on October 2, 2020; however, due to the COVID-19 public health emergency (PHE), CMS delayed implementation until October 1 of one full fiscal year after conclusion of the PHE through an interim final rule. The IRF PAI v4.0 includes the Transfer of Health (TOH) Information – Patient and TOH Information – Provider ‎measures, as well as certain Standardized Patient Assessment Data Elements (SPADEs). CMS noted that they believe IRFs are able to begin the administrative processes needed to implement the ‎IRF PAI v4.0, and that v4.0 will allow CMS to better support a January 2021 Executive Order aimed at ‎addressing equity.‎

The CY 2022 HH PPS proposed rule will be published in the July 7, 2021 Federal Register.

This 3-day training provides a comprehensive overview of Discovery (an alternative to traditional vocational assessments) and how to complete Discovery. For those seeking to become certified providers of Discovery through Marc Gold & Associates, it is the prerequisite training for certification. Individuals not seeking certification will gain valuable information and insight and may attend as auditors to the session.

When: Online Zoom meeting August 4–6, 2021 from 9:00 am–4:00 pm. Registrants must have a computer or laptop with a webcam. The training will use Zoom to host the conference. Registrants will not be able to join by phone.

Where: This training will be done completely online.

Who is this for: Job Coaches and Job Developers, Supports Coordinators, Parents and Families, Transition Coordinators, and School Transition Teams.

Please review the attachment for registration information and course system requirements. For questions, please email Jen Hipps.

Webinar
Friday, July 9, 2021 12:00 pm–1:00 pm

Home and Community-Based Services (HCBS) Providers are invited to join Deputy Secretary Ahrens and the Office of Developmental Programs (ODP) Medical Director Dr. Gregory Cherpes for an overview of the updated guidance released on June 23, 2021 in Announcement 21-048 COVID-19 Update: Guidance for Infection Control and Mitigation for ODP Home and Community-Based Services Providers ODP. Register here today.