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The Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2026 Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems (OPPS/ASC) proposed rule in the July 17, 2025, Federal Register.

The rule outlines new proposed payment rates and related policies for a wide variety of Medicare providers, including not only physicians but other individual Medicare clinicians, such as physical and occupational therapists, speech-language pathologists, nurse practitioners, and physician assistants.

The proposed CY 2026 OPPS/ASC would implement a 2.4% increase to OPPS payment rates that reflects a market basket update of 3.2%, reduced by a productivity adjustment of 0.8 percentage points.

RCPA will provide a more detailed analysis of the OPPS/ASC proposed rule with a focus on the implications for rehabilitation providers. Additional information can be provided on this OPPS fact sheet.

Comments on the proposed rule are due by September 15, 2025. Members are encouraged to share comments and concerns to Melissa Dehoff by September 8, 2025, to include in RCPA’s comment letter.

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The Administration for Children and Families (ACF) Children’s Bureau will be conducting a Title IV-E Federal Review for Pennsylvania (PA) in July of 2026. These reviews are mandatory every three (3) years and includes a systematic monitoring of the Title IV-E Foster Care Program. This program provides the cost of foster care maintenance, administrative expenses to manage the program, and training for staff and foster parents. PA’s period under review (PUR) will begin this October 1 and last through March 31, 2026. A random sample of 100 cases of youth in Foster Care will be selected.

In essence, the review considers:

  • Judicial determinations regarding reasonable efforts and child’s best interest;
  • Timely court hearings and determinations;
  • Voluntary placement agreements;
  • Responsibility for placement and care vested with state agency;
  • Eligibility for Aid to Families with Dependent Children (AFDC) under the state plan in effect July 16, 1996;
  • Placement in a licensed foster family home or child-care institution; and
  • Safety requirements for the child’s foster care placement.

What does this mean for you? The Children’s Bureau will review County and Provider case files of the selected child and all their placement detail. The records must be able to show compliance with Federal Regulations as well as the Child Protective Services Law. The review includes the licensing of all agencies with particular attention on:

  • Criminal Clearances for all staff, including those who are not child serving and those who are no longer employed;
  • No lapse in licensing where Title IV-E claims were made (particularly in single foster homes);
  • Fingerprints provided prior to the licensing date;
  • Safety Considerations document for staff and foster parents with criminal charges or critical incidents;
  • All trainings required for staff and foster parents having been completed; and
  • Clearances for Household Members by 30 days after their 18 birthday.

As such, on August 4, 2025, from 10:00 am – 12:00 pm, OCYF will be offering a virtual training option to learn more about this review. OCYF will complete the following:

  • Review details expected during the review;
  • Brainstorm PA’s strengths and areas in need of improvement;
  • Create tools to ease document collection; and
  • Address communication gaps.

To register for this virtual training option, please fill out the form here. Please note that the form mentions an in-person option, but OCYF will now only be offering the virtual option.

Please feel free to contact Caitlin Robinson with any questions regarding the registration of this training. Thank you in advance for your participation in this meeting. OCYF appreciates your partnership and cooperation as they move closer to critical audit for PA.

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Hearing All Perspectives: The Development of a Multi-State, Multi-Diagnosis Youth Advisory Council
Free RCPA Members-Only Webinar

Wednesday, August 6, 2025
11:00 am – 12:00 pm
Register Here

This presentation will discuss the formation of a novel and innovative version of a standard Youth Advisory Council (YAC). This particular YAC adds a twist to the traditional means of involving youth by creating a council combining voices of individuals served who have two very different diagnoses: those with an emotional/behavioral disorder (EBD) and those with an autism/intellectual disability (ASD/IDD). Spanning across three states, this internal YAC has been established to hear the voices of and to teach leadership principles and skills to those who are receiving the services offered by Devereux Advanced Behavioral Health.

Presenters:

  • Amy Kelly, MBA, MNM, National Director of Family Engagement, Devereux Advanced Behavioral Health
  • Judy Starr, JD, Deputy General Counsel, Devereux Advanced Behavioral Health

Objectives: Following this course, the learner will:

  • Describe the value of constituents’ voices from services and programs provided, regardless of individual communication type, cognitive ability, or diagnosis;
  • Discuss how to engage leadership and staff to support and sponsor a youth/constituent advisory council; and
  • List some “lessons from the journey” with do’s and don’ts when developing a youth advisory council.

Certificates of attendance are available to RCPA members who attend this webinar; anyone interested in a certificate should contact Cathy Barrick. To apply for CEs, you will need to register for the RCPA Annual Conference Strive to Thrive and indicate you attended the webinar in your CE packet, which will be made available on the mobile app.

Contact Carol Ferenz, Conference Coordinator, for details, or visit the RCPA Conference website for information on workshops, sponsors, exhibitors, and more!

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Photo by Matt Popovich on Unsplash

FOR IMMEDIATE RELEASE

July 22, 2025

Media Contact: Tpr. Gagliardi / X: @PSPTroopBPIO

Providers with any information are encouraged to contact PSP Washington at 724-223-5200.

Washington, PA – To aid in an ongoing investigation, the Pennsylvania State Police (PSP) Bureau of Criminal Investigation is requesting health care agencies and providers in the state to review their employment records due to an investigation of suspected fraudulent activities involving Shannon Nicole Womack.

Womack is alleged to have used at least 10 aliases to pose as a licensed practical nurse (LPN), registered nurse (RN), and registered nurse supervisor at rehabilitation and nursing home facilities in various regions across Pennsylvania. She is charged with securing the nursing positions through staffing agencies by submitting fraudulently signed documents and also by creating a false LLC to deploy herself to jobs. Reports indicate Womack worked at each of these jobs for only a short time.

The PSP is working with the Department of Health, Department of State, and multiple district attorneys and states in the ongoing investigation.

Investigators confirmed Womack used the following aliases in various parts of the state:

  • Shannon Nicole Parham
  • Shannon Nicole Abiola
  • Shannon Nicole Armstrong
  • Shannon Abiola-Parham
  • Shannon Nicole Grimes
  • Shannon Nicole Womack
  • Shannon Nicole Lawson
  • Shannon Nicole Lethco
  • Shannon Nicole Robinson
  • Shannon Lee Lawson

If any of the names listed above match any employment records at a provider’s facility, they are urged to contact PSP Washington at 724-223-5200.

Womack is charged with Corrupt Organizations, Endangering the Welfare of Care, Unlawful Use of a Computer, Identity Theft, Forgery, Theft by Unlawful Taking, and multiple other charges.

Criminal charges are merely allegations, and all defendants are presumed innocent unless and until proven guilty.

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Photo by Christina @ wocintechchat.com on Unsplash

Multiple Virtual Office Hours (VOH) sessions will be available for Trainers, Primary Contacts, and/or Agency Administrators, one day a month, beginning July 2025. If interested in joining, please visit the registration link available on the Med Admin Trainer Dashboard. Upcoming sessions will take place on the following dates: July 24, August 21, and September 18.

Virtual Office Hours (VOH) for the July 24, 2025, sessions are listed below:

  • 10:00 am – 10:30 am
  • 11:00 am – 11:30 am
  • 12:00 pm – 12:30 pm
  • 1:00 pm – 1:30 pm

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The Intensive Model of Therapy for Children With Neurological or Movement Disorders

Thursday, September 4, 2025
12:00 pm – 1:00 pm EDT; 11:00 am – 12:00 pm CDT;
10:00 am – 11:00 am MDT; 9:00 am – 10:00 am PDT
Register Here

Presenter Bio: Amy O’Donnell
Amy O’Donnell is a pediatric physical therapist at The Children’s Institute in Pittsburgh, Pennsylvania. She earned her bachelor’s degree from Washington & Jefferson College and her Doctorate in Physical Therapy from the University of Pittsburgh. Amy joined The Children’s Institute in 2012 and has since specialized in pediatric physical therapy care.

Her first exposure to the intensive therapy model came during her student training, and she became actively involved in the program following its expansion to her clinic location in 2014. In 2019, she was named the program coordinator. Amy has co-authored both qualitative and quantitative research articles on the Intensity Program at The Children’s Institute, with both publications appearing in Pediatric Physical Therapy journal.

Objectives: Following this course, the learner will:

  • Define and discuss benefits of episodic care and family centered care;
  • Define and discuss benefits of intensive therapy model; and
  • Discuss different types of intensive therapy models and strategies to implement into your clinic.

Audience: This webinar is intended for all interested members of the rehabilitation team.

Level: Beginner/Intermediate

Certificate of Attendance: Certificates of attendance are available for all attendees. No CEs are provided for this course.

Complimentary webinars are a benefit of membership in IPRC/RCPA. Registration fee for non-members is $179. Not a member yet? Consider joining today.

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Businessman and team work using a Laptop Computer with Webinar E-business Browsing Connection and cloud online technology webcast concept, business concept

From Data to Decisions: Optimizing EHR Success Through Data Governance and Change Management
Free RCPA Members-Only Webinar

Thursday, August 21, 2025
10:00 am – 11:00 am
Register Here

Effective data governance and organizational change management (OCM) are critical for the long-term success and maintenance of your EHR system. These processes ensure data integrity, streamline system changes, and enhance overall project outcomes. In this session, we will detail how agencies can leverage OCM to assure these positive outcomes for your agency as well as overall effectiveness of your EHR initiative.

Presenters:

  • Theresa Yera, BA, MA, Senior Director of EHR, Strategy and Customer Success
  • Tina Kirkpatrick, BA, Senior Director of EHR, Strategy and Customer Success
  • Aaron Rogers, MRT, ATP, Electronic Health Record Administrator, Partners for Quality

Objectives: Following this course, the learner will:

  • Explain the importance of data governance and organizational change management;
  • Discover the phases of EHR maintenance required for effective data governance; and
  • Examine data accuracy for funding success.

Certificates of attendance are available to RCPA members who attend this webinar; anyone interested in a certificate should contact Cathy Barrick. To apply for CEs, you will need to register for the RCPA Annual Conference Strive to Thrive and indicate you attended the webinar in your CE packet, which will be made available on the mobile app.

Contact Carol Ferenz, Conference Coordinator, for details, or visit the RCPA Conference website for information on workshops, sponsors, exhibitors, and more!

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