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The Office of Long-Term Living (OLTL) released the rate study that was commissioned last August after RCPA and other industry associations collaborated to access the information needed to establish rates for services.

For background purposes, HCBS are offered through Medicaid as an alternative to facility or institutional care. Reimbursement rates for these programs are set by DHS and are informed by an actuarial rate setting process and a public comment process. Long-term services and supports (LTSS) help older Pennsylvanians and adults with physical disabilities.

The rate study revealed the need for substantial and immediate rate increases for the services which were evaluated. The study concluded, “Given the comparisons to benchmark rates, it appears that revisions to the rates studied for this report would be appropriate. The tables below show detailed results from the benchmark rate comparison.” The specific rate gaps were:

  • Adult Day                                                                     19%
  • Employment and Training Services                             35%
  • Personal Assistance — Agency                                   23%
  • Personal Assistance — PDS                                       12%
  • Residential Habilitation                                                44%
  • Structured Day Habilitation                                          22%

Findings of the study are used to inform the Commonwealth’s budget and future rate setting processes. View the results here.

If you have any questions, please contact Fady Sahhar or Melissa Dehoff.

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TOPIC: Autism Spectrum Disorders: An Overview and Practical Application

Over the years the prevalence of autism has increased, Pennsylvania’s service delivery system for individuals with autism has expanded, and best practices to provide quality supports have emerged. To support the individual needs of each person with autism across the lifespan, an understanding of core characteristics must be established. It is also important to learn how the individual’s presentation of autism may change across settings and situations. This seminar will provide attendees with an in-depth presentation on core characteristics of autism and the impact of the characteristics on daily life, routines, and activities. A review of common terms and basic principles used to change behavior, teach new skills, and develop practical application of best practices will be included. Opportunity for discussion and engagement will occur throughout the seminar.

Who should attend?

Direct Support Professionals, Front Line Supervisors, and Program Managers supporting individuals with autism in residential and other home and community-based settings. Professionals supporting individuals in Adult Autism Waiver (AAW), Adult Community Autism Program (ACAP), Consolidated Person/Family-Directed Support Waiver (P/FDS), and Community Living are encouraged to attend.

Where and when will sessions be held?

3 Locations, 1 session per location. 125-person max per session.

  • April 1 — PaTTAN East, 10:00 am – 3:00 pm
  • April 24 — PaTTAN Central, 10:00 am – 3:00 pm
  • April 30 — PaTTAN West, 9:30 am – 2:30 pm

Registration will open in early March.

Continuing Education Units (CEUs)

  • This training satisfies the basic autism training requirement for Residential Performance Based Contracting measures CN-DD/Bx.01.1S and CN-DD/Bx.01.1CE for all Direct Support Professionals (DSPs), Frontline Supervisors (FLSs), and program managers.
  • This training also fulfills 6100 ongoing training requirements.

Please contact the Bureau of Autism Training inbox with questions.

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The Pennsylvania Department of Drug and Alcohol Programs (DDAP) will host a webinar at 10:00 am on Monday, March 3, to discuss the changes to 42 CFR Part 8 and their real-world implications in treatment settings. The interactive session will feature Dr. Sarah Kawasaki and Elizabeth Ward, both from the Pennsylvania Psychiatric Institute’s Advancement in Recovery Opioid Treatment Program.

Add the meeting to your calendar.

Email DDAP to receive calendar invitations to upcoming webinars, which are held the first Monday of every month.

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Photo by Markus Winkler on Unsplash

The ODP Announcement 25-019, which was issued Friday, February 14, 2025, has been re-issued with a corrected link for the Provider P4P Data Submission Tool Link. The tool is available here. The link in the initial announcement was pointed to the Primary survey. The Primary survey is NOT the P4P Survey.

Please view the announcement for additional information and details.

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Young Girl Talking With Counselor At Home

The University of Pittsburgh’s Youth and Family Training Institute (YFTI) is working with the Office of Mental Health and Substance Abuse Services (OMHSAS) Bureau of Children’s Behavioral Health Services and Bureau of Policy, Planning & Program Development to develop and implement a two-year innovative pilot that will define, develop, implement, and evaluate the role of the Family Navigator in up to six sites within the Commonwealth. The goal of the pilot will be to assist in defining Pennsylvania’s Family Navigator Model by testing the effectiveness and implementation strategies of pilot family navigator models for children, youth, and young adults (CYYA) with serious emotional disturbance (SED). The pilot is designed to promote early access, engagement, coordination, and optimization of mental health treatment and services for CYYA aged 5–21 who are experiencing symptoms of mental health problems along with their family caregiver (defined as family members or other caregivers with a primary responsibility of caring for the individual).

A Family Navigator plays a critical role in guiding and supporting family caregivers through the array of mental health services and other systems of care that may be needed to support CYYA. They help them navigate the often confusing, overwhelming, and fragmented services available, ensuring that family caregivers have the resources, information, and support needed to access the appropriate care for their CYYA. Family Navigators who are also Family Peers are able to share their own lived experience related to connecting their loved ones to mental health services. This approach offers a safe and comfortable means of educating family caregivers that may be overwhelmed in the midst of accessing care for their children.

Request for Proposals — Call for Applications:  

  • Up to six sites across the Commonwealth will receive up to $250,000 each year of the 2-year pilot to design and implement a model within the parameters of the Family Navigator definition. This will include varying recruitment strategies, referral sources, and strategies to connect to families.
  • Sites are expected to participate in the evaluation process, training, coaching, and skill-based technical assistance throughout the implementation of their approved pilot with guidance and oversight from The University of Pittsburgh/YFTI to ensure sites are meeting minimum implementation standards in order to continue to receive funding.
  • Counties, provider organizations, health facilities, or other public, private, or non-profit entities within Pennsylvania that serve children, youth, and young adults aged 5–21 are eligible to apply.
  • A diversity of sites is being sought in various contexts such as setting (urban, suburban, rural) and target population.

Submission/Review: Applications are due on or before March 28, 2025. For more information, please contact Bryon Luke, Director of Program Implementation.

Applications will be reviewed by a team of OMHSAS and YFTI staff who will be responsible for selecting the pilot sites.

A list of Frequently Asked Questions (FAQ) is available as part of the RFP document. Additional questions can be submitted until March 15, 2025 to Bryon Luke, Director of Program Implementation and will be added to the FAQ on the YFTI website.

If there are follow-up questions from YFTI/OMHSAS regarding the submissions, a member of the review team may contact the project coordinator on the application for clarification.

*NOTE: Current participants in Substance Abuse and Mental Health Services Administration (SAMHSA) funded System of Care (SOC) grants or interested applicants for an upcoming SAMHSA-funded PA CARE SOC grant are not excluded from applying to this RFP and are encouraged to apply. Please indicate any relevant SAMHSA-funded grants in which your agency is participating in your application and describe how they would be connected to this pilot.
Selected sites will be notified in writing by YFTI by April 25, 2025. The projected start date for implementation will be July 1, 2025.

Please contact RCPA Policy Associate Emma Sharp with any questions.

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Tablet on a desk - Newsletter

The Office of Developmental Programs (ODP) has shared ODPANN 25-021. This communication is to inform entities that the Temple University Harrisburg Certified Investigator Program and the Office of Developmental Programs (ODP) have released a new issue of the quarterly newsletter, The CI Program Spotlight. CI Program Spotlight, Volume 2 Issue 1 may be found on MyODP’s CI Program Home page.

Please view the announcement for additional information and details.

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This is a reminder that the Office of Developmental Programs (ODP) will be hosting Virtual Office Hour Sessions for Residential Providers on the submission process for Performance-Based Contracting (PBC). There will be no presentation from ODP — please come prepared with your PBC data submission questions.

Sessions will not be recorded, but new and/or common questions and answers will be added to the Frequently Asked Questions.

Audience: One person per Residential Provider. ODP recommends sending the person who is most closely working with the PBC data submission process.

Please register for 1 session only:

Note: If you are experiencing issues accessing the link, try right-clicking the link, selecting “Copy Link,” and pasting the link into your browser. If the problem persists, try a different browser.

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ODP Announcement 25-020 is to inform residential providers that the link to the Performance-Based Contracting (PBC) Data Submission Tool will be available on February 15, 2025. The Residential Services Provider PBC Data Submission Tool is for all providers who did not submit PBC information in August 2024 and will instead be submitting data and documentation during the current review period (February 15, 2025 – March 15, 2025).

The Data Submission Tool is web-based in QuestionPro and was created as a mechanism for providers of Residential Habilitation, Supported Living, and Life Sharing services to submit data and documentation related to their organization’s performance. In addition to this communication, ODP will send a notification with instructions to applicable residential providers via the QA&I listserv with details for completing the PBC Data Submission Tool.

In addition, ODP Announcement 25-019 informs residential providers that the link to the Pay for Performance (P4P) Data Submission Tool will be available on February 15, 2025. The same P4P Data Submission tool will be used for all tier categories. All responses are captured electronically via data input or document upload. Participation in each area is optional; providers may submit data for one, two, all three initiatives, or none.

It is recommended that providers complete the required Performance-Based Contracting (PBC) Data Submission Tool prior to submitting for P4P, as providers will be given the option in the P4P tool to use the same documents submitted for Credentialing (Primary) and Employment from the PBC tool.

The Provider P4P Data Submission Tool is available here. Again, the tool will be available February 15, 2025.

Please direct any questions about this information to the ODP PBC inbox.

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