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Brain Injury

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The Department of Human Services (DHS) has announced rate increases for Personal Assistance Services (PAS) in the OBRA Waiver and Act 150 program. There will also be a rate increase for Residential Habilitation in the OBRA Waiver. These rate increases become effective on January 1, 2020. The new rates for the OBRA Waiver were published in the August 24, 2019 edition of the Pennsylvania Bulletin. The new rates for the Act 150 Program were published in the November 30, 2019 edition of the Pennsylvania Bulletin. These new rates are based on a participant’s county of residence.

In addition, Home and Community Services Information System (HCSIS) service plans were updated on November 30, 2019. Service Coordinators (SCs) do not need to make any service plan updates for this rate change, as a HCSIS system-wide update is being initiated to make the necessary service data updates onto the impacted service plans.

Questions about these updates should be directed to the Office of Long-Term Living (OLTL) Provider Inquiry Line at 800-932-0939, Option 2, Monday–Friday from 9:00 am – 12:00 pm and 1:00 pm – 4:00 pm.

The Department of Human Services (DHS), Office of Long-Term Living (OLTL) will conduct the next Managed Long-Term Services and Supports (MLTSS) Subcommittee meeting on Tuesday, December 3, 2019, in the Honor’s Suite at 333 Market Street Tower in Harrisburg from 10:00 am – 1:00 pm. Those who cannot attend in person may participate by dialing: 213-929-4212; Access Code: 524-290-985, or by webinar. If you plan to participate via webinar, registration is required.

Public comments will be accepted during presentations instead of just being heard at the end of the meeting; however, there will be an additional 15-minute period at the end of the meeting for any additional public comments.

If you have any questions about registering for the webinar or require a toll-free number to dial in, please contact the Office of Long-Term Living.

The Office of Long-Term Living (OLTL) announced three InterRAI train-the-trainer sessions for service coordination entities (SCEs). The trainings, which are limited to two individuals per SCE, will be jointly presented by the three Community HealthChoices Managed Care Organizations (CHC MCOs): AmeriHealth Caritas, PA Health & Wellness, and UPMC CHC.

The training sessions are two full-day sessions that begin promptly at 9:00 am. Attendees are encouraged to arrive by 8:30 am to register. The training is free and lunch will be provided. Dates and locations of the trainings are:

  • December 4–5: Wilkes Barre, PA
  • December 9–10: Camp Hill, PA
  • December 12–13: Franklin, PA

Registration is required to attend. Each session has limited spots available, so register as soon as possible. At the conclusion of this InterRAI training, participants will be able to recognize and complete each section of the InterRAI HC Assessment Tool, in accordance with the standards set forth in the CHC Agreement. Contact Melissa Dehoff with questions.

Press Release from Governor Tom Wolf

Council on Reform Submits Recommendations for the Protection of Vulnerable Populations to Gov. Wolf
> Public Comment Period through December 16, 2019 <

November 1, 2019

Harrisburg, PA – Today, Governor Tom Wolf’s Council on Reform, established through his Protection of Vulnerable Populations Executive Order 2019-05, submitted its recommendations for improving the state’s systems to protect its most vulnerable individuals and families.

In late July, Gov. Wolf charged this diverse group of community leaders, providers, stakeholders, and cabinet members with taking a comprehensive look at needs to best serve the state’s vulnerable populations with a mandate to report those recommendations back to him by Nov. 1.

“I took action in July to address long-standing issues with the state’s systems designed to protect our most vulnerable,” Gov. Wolf said. “The first task for the newly formed Council on Reform was to buckle down and develop a comprehensive list of recommendations for how we can best protect vulnerable Pennsylvanians.

“My thanks to all of the council members who shared their expertise and considerable time, and to those who participated by meeting with council members or submitting information and recommendations. Your tireless commitment to this process demonstrates your passion for protecting all Pennsylvanians, especially our most vulnerable. I look forward to reading and analyzing these recommendations and to our next steps to make much-needed changes.”

The 25-member council held its first meeting immediately following the governor’s announcement. In determining its charter and scope, the council defined populations and subpopulations, established committees, and adopted values.

The council determined it would look at protecting vulnerable populations from three perspectives with a separate committee for each: prevention and diversion, protection and intervention, and justice and support.

Populations were broken out by age with subpopulations to ensure vulnerabilities unique to each were considered:

Ages 0-17
Subpopulations – African Americans, Asian American & Pacific Islanders, Latinos, LGBTQ+ children, young women, children experiencing mental illness, children with intellectual disabilities/autism, children with physical/sensory disabilities, delinquent children, and dependent children

Ages 18-59
Subpopulations – African Americans, Asian American & Pacific Islanders, Latinos, LGBTQ+ adults, veterans, women, adults experiencing mental illness, adults with intellectual disabilities/autism, adults with physical/sensory disabilities, adults with Alzheimer’s or a related dementia, and domestic violence victims

Ages 60+
Subpopulations – African Americans, Asian American & Pacific Islanders, Latinos, LGBTQ+ seniors, women, veterans, seniors experiencing mental illness, seniors with intellectual disabilities/autism, seniors with physical/sensory disabilities, seniors with Alzheimer’s or a related dementia, and domestic violence victims

The council recommended two overarching goals for Pennsylvania to better protect vulnerable populations:
• Empower and strengthen the workforce serving vulnerable populations by providing comprehensive training, livable salaries and benefits, and support for staff experiencing vicarious trauma.

  • Empower communities and vulnerable populations by ensuring access to services for all Pennsylvanians and conducting culturally appropriate and diverse outreach efforts.

The council adopted values they believe to be relevant to protecting and serving vulnerable populations – these values are reflected throughout the recommendations:

Cultural Competence – Recognizing and honoring diversity

Person-Centered Approach – Focusing on the individual’s best interest

Community Engagement – Hearing from vulnerable populations, families, experts, and stakeholders

Context & Awareness – Understanding current environment and avoiding past failings

Trauma-Informed – Utilizing trauma-informed approaches across all systems

Workforce Empowerment – Ensuring the workforce is equipped and supported

Members heard from a wide array of existing oversight and advisory bodies, stakeholders, legislators, and constituents. Information was provided through in-person meetings, letters, emails, and a webform that council members distributed to their networks. These contributors provide recommendations for the council to consider and essential insight and context to ensure the council was fully informed. Many council members also served on advisory bodies connected to this work.

The council compiled the recommendations submitted by others along with recommendations from existing reports and assigned them to the appropriate committee for review and consideration. Committee members reviewed all that was submitted, identified common trends, eliminated duplication, and developed new recommendations.

After committees finalized their lists of recommendations, themes were identified that spanned all populations and committees. The result is the comprehensive list of recommendations presented to Gov. Wolf today.

The council advised Gov. Wolf that it “fully recognizes the funding implications of the recommendations that have been developed and the substantial amount of time and work it takes to carry out these recommendations. It is our hope that Pennsylvania will rise to the occasion and put its best effort into driving this much needed change – our most vulnerable are counting on it.”

The council asked that the governor direct the appropriate agencies, organizations, branches of government, and advisory bodies to carry out the recommendations he would like to move forward.

As the council carried out its process, they believed more could be done to engage with constituents. To achieve this, the council added an online public comment form available today through Dec. 16.

View press release online

The Pennsylvania Health Access Network is working on a project funded by the PA Disabilities Council to improve access to health care for people with disabilities in Central PA. As a part of this project, they have developed a survey they are asking providers who serve people with disabilities to complete. The data from these surveys will be used to develop trainings and policy initiatives. Please take a few minutes to complete the survey in order to provide input on this project. Please use this contact email for more information.

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On October 28, 2019, the Administration for Community Living (ACL) announced the launch of the Traumatic Brain Injury (TBI) Technical Assistance and Resource Center. The goal of this center is to help states promote access to integrated, coordinated services and supports for individuals who have sustained a TBI, their families, and caregivers. This center will provide program support to ACL and technical assistance to ACL’s TBI State Partnership program grantees, and will develop and compile resources that will be available to the public. This effort reflects ACL’s commitment to independent living and person-centered planning.

The new center will be administered by the Human Services Research Institute and the National Association of State Head Injury Administrators (NASHIA), as well as subject matter experts that include individuals who have experienced a TBI.

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The Brain Injury Association of America (BIAA) recently released information about a Traumatic Brain Injury (TBI) Behavior study. The researchers of the study are looking for individuals that have experienced a TBI and are showing symptoms of aggression, agitation, and irritability. The results of the study will provide more information (safety and effectiveness) about an investigational drug and whether it could one day be used to help treat behavioral problems due to TBI.