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Children's Services

On January 27, 2016, a letter was sent to Department of Human Services (DHS) Secretary Ted Dallas, requesting reconsideration of DHS’ decision to raise the minimum age of eligibility for Community HealthChoices (CHC). RCPA was one of more than 35 organizations and individuals that signed this letter of support.

Currently, the minimum age of eligibility for the Attendant Care, Independence, and OBRA waivers is 18. However, the CHC Request for Proposal (RFP) states, “CHC will serve adults age 21 or older who require Medicaid Long-Term Services and Supports (MLTSS) (whether in the community or in private or county nursing facilities)…. and current participants in DHS’ (Office of Long-Term Living) waiver programs who are 18-to 21 years old.” This would change the minimum age for home and community-based services administered by OLTL to age 21.

Concern was noted in the letter of how raising the minimum age of eligibility for CHC will create large gaps in services. Many examples were elaborated on the services that keep young adults in their homes and communities and out of institutional care, including home modifications, vehicle modifications, assistive technology, respite, and residential habilitation. The letter urges DHS to fix this critical problem before the CHC RFP is finalized.

In an effort to promote “Government that Works,” the Office of Child Development and Early Learning (OCDEL) has made it a priority to integrate early childhood education services, so that providers can offer multiple OCDEL services to families without duplicating paperwork, and families can more easily access the services they need. To lead and promote this approach to improving and streamlining bureaucratic and operational challenges faced by providers and families, OCDEL has produced a short video overview with Deputy Secretary Michelle Figlar.

Providers are also being asked to share their experiences with OCDEL programs to help shape this work. It is critical for the RCPA Children’s Steering Committee and work groups to hear how OCDEL programs work for providers and families. Input from providers of early childhood care will significantly inform and influence this work. For RCPA members, it will be vital that providers of early childhood mental health, behavioral consultation, autism, and pediatric rehabilitation services, that need to be delivered in a coordinated and collaborative manner, help to inform this process. RCPA members who serve young children are encouraged to complete a short survey by Monday, February 8. The survey includes five pages of questions and should take an average of five minutes to complete. For more information, visit the PA Keys website.

OCDEL has made stakeholder engagement one of its priorities to assure high quality services for children and families. For a listing of all open stakeholder engagement opportunities, please visit the PA Keys website.

The Physical Health Managed Care Organizations (PH-MCOs) serving Pennsylvania’s HealthChoices Medicaid program are now inviting psychiatric service providers to submit a response for the Telephonic Psychiatric Service (TiPS) Request for Proposals (RFP). The PH-MCOs will contract for TiPS that will provide real time telephonic consultative services to primary care providers (PCPs), and other prescribers of psychotropic medications, for children under the age of 21. A TiPS provider is responsible for establishing and maintaining a team of behavioral health professionals who will be available to respond to inquiries from PCPs seeking assistance in providing pediatric behavioral health care. Qualified applicants must have a TiPS staff which includes one full-time equivalent child psychiatrist, one full-time equivalent behavioral health therapist, and one full-time equivalent care coordinator. Now available are the RFP, and supplemental information, including pediatric membership by plan/zone, and a 2014 Health Affairs article on a similar program in Massachusetts. A vendor fair for interested respondents is being held on Tuesday, January 26 in Mechanicsburg. See the RFP for additional details. All questions should be directed to MCO Coalition Consultant, Emily Katz.

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The Office of Mental Health and Substance Abuse Services (OMHSAS) sent members of the OMHSAS Planning Council’s Children’s Committee the draft Training and Supervision Requirements for Therapeutic Staff Support (TSS) Workers bulletin, noting that the document is being distributed for public comment. Public comment on this bulletin is being accepted until Monday, January 11, 2016. RCPA has requested an extension of the period for stakeholder review and comment, given the extremely short time allotted by OMHSAS. OMHSAS is asking that comments be submitted via email.

RCPA will submit comments and will inform members if the time period for review and comment is extended by OMHSAS. In addition to sending your comments to OMHSAS, please also forward them to Connell O’Brien, director, RCPA Children’s Division.

Presidential candidate Hillary Clinton has released her “Plan to Support Children, Youth, and Adults Living with Autism and Their Families.” This autism initiative would include screening, diagnosis, treatment, services, support for families and caregivers, and an increase in research funding.

The plan was released on January 5, with a conference call featuring state Senator Bob Casey, who is a member of the Congressional Autism Caucus. He emphasized the daily challenges for individuals with autism and their families:

  • The need for tools and supports to help lead a full life;
  • Implementation by each state of the ABLE Act to offer funding options for enhancing daily living;
  • Development of a study on autism in adults; and
  • Development of an awareness campaign to emphasize the need for early screening and interventions.

As previously reported, the Office of Mental Health and Substance Abuse Services (OMHSAS) is conducting work groups to develop recommendations for the development of youth-young adult peer support services and for youth-young adult psychiatric rehabilitation services. RCPA is participating in both work groups through the involvement of the Directors of the Children’s Division and the Mental Health Division. In January, RCPA will be scheduling a focused conference call with members providing Medicaid-funded peer support service, psychiatric rehabilitation services, and adolescent-young adult mental health services. The purpose of the conference call will be to review the status of the OMHSAS work groups and to gather input from the field with regard to service design, the development of service, supervision and program description standards/regulatory changes, and to better understand the operational and clinical care, cost, and compliance implications for these services.

The Bureau of Autism Services (BAS) is conducting a preliminary survey to help inform the design of services for individuals with autism spectrum disorder (ASD) who are transitioning out of high school, including those who may have had justice intersections or psychiatric hospitalizations. This survey is designed to be completed by professionals with or without experience supporting individuals with ASD ages 18-25. BAS is asking for feedback on both surveys by Friday, January 1.

BAS has developed two versions of this survey; one for individuals and families, and another to be completed by professionals. The professionals survey can be completed here. Any questions about these surveys can be directed to the Bureau of Autism Services via email.