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Children's Services

The Office of Long-Term Living (OLTL) has issued Bulletin 59-21-03, which pertains to the Home and Community-Based Settings (HCBS) Heightened Scrutiny process. Also included are the following bulletin attachments:

  • Attachment A: Final Rule Heightened Scrutiny checklist for Day Settings
  • Attachment B: Final Rule Heightened Scrutiny checklist for Employment Skills Development Settings
  • Attachment C: Final Rule Heightened scrutiny checklist for Residential Settings

OLTL is currently working to develop a training for providers on this topic and will host training sessions sometime in early 2022. Questions about the bulletin and/or the attachments should be sent via email. The bulletin is effective December 29, 2021.

The Centers for Medicare and Medicaid Services (CMS) has released guidance on the Omnibus COVID-19 health care staff vaccination interim final rule that was published on November 5, 2021. The emergency regulation helps safeguard health care workers and the people they serve from COVID-19 and its variants for all individuals seeking care. This is done by imposing requirements regarding vaccinations for eligible staff at health care facilities participating in the Medicare and Medicaid programs.

This guidance provides important information on implementation as well as guidelines to assess and maintain compliance with the COVID-19 vaccination requirements for health care workers at facilities participating in the Medicare and Medicaid programs.

Image by Werner Moser from Pixabay

Solicitation of Public Comment on the Pennsylvania Workforce Innovation and Opportunity Act Combined State Plan for 2020—2024

[51 Pa.B. 7805]
[Saturday, December 11, 2021]


PA L&I WIOA 2022 Update Link & Information to Offer Comments From December 20, 2021 Through January 18, 2022

Some disability areas for possible commentary include:

  • OVR: District Offices, Pre Employment Transition, Services, under/un served populations (specific disabilities of groups; ESL issues (Spanish, Chinese, Russian languages, etc.), collaboration with other state agencies (PA DHS for OLTL, OMHSAS and ODP populations; PDE-Bureau of Special Education);
  • PA Career Links (including physical & programmatic accessibility, which are required under the Federal WIOA passed in 2014 with 2016 regulations put forth);
  • Home or vehicle modifications (policies, process, and waiting lists);
  • Deaf Blind Services (SSP), which are state funds only at this time (no federal funding); and
  • Movement away from sheltered workshops and segregated employment settings towards competitive employment per Federal guidance put forth earlier this year.

You can also see more from the Federal Department of Education Rehabilitation Services Administration (RSA) on what they are looking for from states.