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Children's Services

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Children First, The Advocate for the Kids, is hosting a webinar titled “Reimagining Our Mental Health System for Pennsylvania’s Children and Youth,” which is scheduled for 12:00 pm on Tuesday, March 19, 2024. This event will delve into the pressing matter of children’s mental health reform in PA, with a diverse panel comprising of advocates, clinical mental health practitioners, insurance payers, and youth voices. The discussion aims to explore effective strategies and solutions to tackle the ongoing children’s mental health crisis. Register here.

If you have any questions, please contact RCPA Policy Director Jim Sharp.

Join RCPA as we host the 2024 Annual Conference Embracing Challenges, Empowering Success from September 24 – 27 at the Hershey Lodge. The event is a highlight for the Pennsylvania behavioral health, brain injury, children’s, intellectual and developmental disabilities, medical rehabilitation, and physical disabilities and aging provider communities. RCPA staff and the Conference Committee are excited to release this year’s Sponsors, Exhibitors, and Advertiser Brochure, which features new opportunities to get in on the action and network with providers. Booth self-selection will also be available for exhibitors and exhibiting sponsors. In order to be considered for self-selection, a completed contract with payment must be submitted.

Network and Compete in Connections Hall
Connections Hall activities take place during the two busiest days of the conference, and many networking opportunities are available throughout the event. You’ll also be able to compete and have a chance to win “Best of Show!”

Sponsorship Opportunities Available
RCPA is privileged to have the backing of the finest organizations in the field for our conference. Through the use of sponsorship circles, RCPA is able to honor all supporting organizations.

Sign Up Now!
Sponsors, exhibitors, and advertisers who wish to be listed on the website, the mobile app, and in the conference program must submit all materials by August 23. Space and opportunities are reserved on a first-come, first-served basis, and no reservation is considered complete without payment. If questions remain, please contact Carol Ferenz, Conference Coordinator. The association looks forward to welcoming you at the conference!

Photo by Markus Winkler on Unsplash

The Medical Assistance Bulletin 08-24-04, issued by the Department of Human Services (DHS) Office of Medical Assistance Programs (OMAP), provides updates to the PROMISe (Provider Reimbursement and Operations Management Information System) Provider Handbook 837, Professional/CMS-1500 Claim Form, specifically focusing on Appendix E – FQHC/RHC (Federally Qualified Health Center/Rural Health Center) Handbook. Released on March 1, 2024, the bulletin outlines revisions to Federal and State requirements for FQHCs and RHCs in Pennsylvania participating in the Medical Assistance (MA) Program.

Notable changes include the addition of pharmacists and licensed dietician-nutritionists as eligible practitioners for billable encounters starting March 1, 2024. The revision addresses group therapy encounters and introduces guidelines for telehealth, telemedicine, and teledentistry in FQHC and RHC services. A new section on alternative payment methodologies is included, along with updates to the MA Cost Reporting and Wraparound Reporting sections. The Centers for Medicare & Medicaid Services’ clarification designates “hospital” as an allowable place of service for FQHC and RHC services. Providers are encouraged to review the revised handbook for detailed information on these changes.

If you have any questions, please contact RCPA Policy Director Jim Sharp.

Message from The Centers for Medicare & Medicaid Services (CMS):

The Centers for Medicare & Medicaid Services (CMS) is continuing to monitor and assess the impact that the cyberattack on UnitedHealth Group’s subsidiary Change Healthcare has had on all provider and supplier types. Today, CMS is announcing that, in addition to considering applications for accelerated payments for Medicare Part A providers, we will also be considering applications for advance payments for Part B suppliers.

Over the last few days, we have continued to meet with health plans, providers and suppliers to hear about their most pressing concerns. As announced previously, we have directed our Medicare Administrative Contractors (MAC) to expedite actions needed for providers and suppliers to change the clearinghouse they use and to accept paper claims if providers need to use that method. We will continue to respond to provider and supplier inquiries regarding MAC processes.

CMS also recognizes that many Medicaid providers are deeply affected by the impact of the cyberattack. We are continuing to work closely with States and are urging Medicaid managed care plans to make prospective payments to impacted providers, as well.

All MACs will provide public information on how to submit a request for a Medicare accelerated or advance payment on their websites as early as today, Saturday, March 9.

CMS looks forward to continuing to support the provider community during this difficult situation. All affected providers should reach out to health plans and other payers for assistance with the disruption. CMS has encouraged Medicare Advantage (MA) organizations to offer advance funding to providers affected by this cyberattack. The rules governing CMS’s payments to MA organizations and Part D sponsors remain unchanged. Please note that nothing in this statement speaks to the arrangements between MA organizations or Part D sponsors and their contracted providers or facilities.


If you have any questions, please contact Fady Sahhar.

As noted in a previous alert from the Department of Human Services (DHS), the Department of Health and Human Services (HHS) has also been providing updates regarding the recent cybersecurity incident that impacted Change Healthcare (a unit of UnitedHealth Group). HHS has noted that their first priority is to help coordinate efforts to avoid disruptions to care throughout the health care system.

On March 5, 2024, HHS announced immediate steps that the Centers for Medicare and Medicaid Services (CMS) is taking to assist providers to continue to serve patients. CMS will continue to communicate with the health care community and assist, as appropriate. Providers should continue to work with all their payers for the latest updates on how to receive timely payments.

Advocate for yourselves and others by meeting with legislators directly! Take the opportunity to join RCPA as we hold our annual Capitol Day this year on Tuesday, March 19. We will hold a press conference in the Main Rotunda between 10:30 am – 11:30 am, which will tentatively include speakers such as:

  • Representative Dan Miller;
  • Representative Stephen Kinsey;
  • Representative Doyle Heffley;
  • Senator Art Haywood; and
  • Senator Frank Farry.

You can register for our Capitol Day press conference by contacting Allison Brognia or Christine Tartaglione with the number of anticipated attendees. RCPA requests that members schedule appointments with their Senate and House legislators directly to discuss the state budget, legislation, and regulations after our press conference.

We ask that you please use RCPA’s legislative priorities one-pager during your legislative visits. As an additional resource, members can visit the Pennsylvania Capitol website to locate parking and view maps of the building. If you have questions regarding our 2024 Capitol Day, please contact Jack Phillips.

The Department of Human Services (DHS) has shared several available resources to address providers’ concerns regarding the Change Healthcare outage. The system remains unavailable due to a current cyber-attack. You can read the full press release, which details resources and short-term solutions.

If you have any questions, please contact Fady Sahhar.

Image by photosforyou from Pixabay

RCPA member Achieva and the Pennsylvania Health Law Project are hosting a webinar titled “Understanding Medicaid Home and Community-Based Waivers for People With Disabilities” from 10 am – 12 pm on Tuesday, April 2, 2024. Led by Janice Meinert from the Pennsylvania Health Law Project, the webinar will explore Pennsylvania’s Medicaid Home & Community-Based Waiver programs. Topics include eligibility criteria, the application process, available services, and annual waiver clinical eligibility redeterminations. For more details and registration, visit Achieva’s website. This project receives funding from the Pennsylvania Developmental Disabilities Council. For accessibility accommodations, please contact Patty Yerina. If you have additional questions, you may contact Jim Sharp, RCPA Mental Health Policy Director.