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RCPA has been notified that a proposal was recently delivered to the Independent Regulatory Review Commission (IRRC) and the designated standing committees of the PA House and Senate for review.
Specifically, the Department of Human Services (DHS), under the authority of section 403.1(a)(6) of the Human Services Code (code) (62 P.S. § 403.1(a)(6)), proposes to amend §1101.51 (relating to ongoing responsibilities of providers). The proposed rulemaking will amend §1101.51 by rescinding subsection (c)(3), which prohibits providers from leasing or renting space, shelves, or equipment within a provider’s office to another provider or from allowing the paid or unpaid staff of a provider to be placed in another provider’s office (i.e. co-location).
The proposal can be viewed on IRRC’s website. The proposal was also published in the June 26, 2021 edition of the PA Bulletin.
The rulemaking has a 30-day public comment period that closes on July 26, 2021. If IRRC has any comments on the proposal, they must be submitted to DHS by August 25, 2021. Below are instructions for submitting comments to DHS.
Interested persons are invited to submit written comments, suggestions, or objections regarding this proposed rulemaking to the Department of Human Services, Office of Medical Assistance Programs, c/o Regulations Coordinator, Room 515, Health and Welfare Building, Harrisburg, PA 17120, within 30 calendar days after the date of publication of this proposed rulemaking in the Pennsylvania Bulletin. Reference Regulation No. 14-549 when submitting comments.
Persons with a disability who require an auxiliary aid or service may submit comments by using the Pennsylvania Hamilton Relay Service at (800) 654-5984 (TDD users) or (800) 654-5988 (voice users). Please note that any comments submitted to the Department will be shared with IRRC and the committees and will be posted to IRRC’s website.
If you have any questions, please contact Jack Phillips, Director of Government Affairs.
The Centers for Medicare and Medicaid Services (CMS) recently released an updated COVID-19 Accelerated and Advance Payment (CAAP) Repayment & Recovery Frequently Asked Questions (FAQ) document. Members are encouraged to review this document to learn more about how recoupment works and how it affects Medicare claims payment amounts.
As part of Governor Tom Wolf’s Trauma-Informed PA Plan, in order to guide the Commonwealth and service providers statewide on what it means to be trauma-informed and healing-centered in PA, the Office of Advocacy and Reform (OAR) and the PA Attorney General’s Office have continued its work on trauma initiatives in launching “HEAL PA.” The Office of Advocacy and Reform recently released a new one page flyer for HEAL PA that gives an overview of the mission and vision for Pennsylvania in its efforts to become a trauma-informed state. If you need any additional information or have questions on getting more involved in the HEAL PA initiative, please contact RCPA Policy Director Jim Sharp.
Many employers are reporting receiving Unemployment Compensation (UC) claim notices and other documents about claims that they believe to be fraudulent. Many RCPA members are reporting that an employee still works there and did not file a claim, or that the alleged claimant never worked there. It is important that employers respond to these notices promptly.
Initially, some believed that it was a case that the new system was compromised, but we have learned that this was not the case. Identifying data was stolen in various data breeches we hear about on the news and then sold to criminals (often organized), who use it to file fraudulent unemployment claims.
The new system was presumably targeted simply because it is new, and the criminals want to see if they can get away with the fraud, although we were hearing about increased levels of fraudulent claims in regular UC before the launch. The department tells us that the new system has the regular fraud prevention measures that were present in the old system (so most of these are not being paid), but they are also going to implement identity verification (through ID.me, which they used in the PUA program). No date has been announced on that yet.
Last year, massive numbers of fraudulent claims were filed in the Pandemic Unemployment Assistance (PUA) program in Pennsylvania and across the nation. International and domestic criminals (often organized criminal groups) obtained personal information that was stolen through a data breach (from another source — the data was NOT stolen from L&I). These criminals then used this personal information to file fraudulent unemployment claims.
In addition to attempts at defrauding PUA, there has been an uptick in fraud against regular UC. Although this was happening prior to the rollout of the new system, these attempts seem to have accelerated somewhat under the new system. At a June 23 hearing of the Labor and Industry Committee, the Department of Labor and Industry testified that, while the traditional fraud crosschecks were incorporated in the new system, the identity verification procedures incorporated in PUA have not yet been introduced for UC. They did not provide a specific date, but they hope to implement ID.me verification for UC soon.
We have been offered guidance from the legislative panel who heard the aforementioned testimony from the Department of Labor and Industry. What should you do if an employer contacts your office to report possible Unemployment Compensation (UC) Fraud?
RCPA continues to monitor these activities through our government affairs director and the RCPA Human Resources Committee. Please contact your RCPA Policy Director if you have any further questions.
RCPA submitted comments regarding the PA Department of Human Services spending plan for funding available to home and community-based services (HCBS) through the American Rescue Plan Act of 2021, Section 9817 that was due today, July 6, 2021. The document details several overall, cross-system comments for review in addition to specific comments from each RCPA Division; Adult Mental Health, Children’s Services, Intellectual and Developmental Disabilities (including Supports Coordination), Drug and Alcohol, Physical Disabilities and Aging (including Brain Injury services) and Pediatric Rehabilitation.
RCPA appreciates the opportunity to provide this feedback on the DHS ARP plan. We look forward to further discussion and stand ready to assist DHS as a key community stakeholder.
As we reported in Monday’s Budget Overview Alert, the PA General Assembly and the Governor came to an agreement to repeal the Governor’s PA Overtime Rule. As you may recall, RCPA was part of a wide-ranging coalition headed up by the PA Chamber of Commerce and Industry. The Coalition sought to halt the enactment of this onerous rule. The PA Overtime Rule became effective on January 1, 2021, and implementation would have begun in October.
Prior to its repeal, health and human service providers for the past six-months and during the height of the COVID-19 pandemic had to plan to comply with both the Federal and PA Overtime Rules. Under the PA Overtime Rule, RCPA members had to plan for:
If you recall, the Federal Department of Labor published its final rule on Friday, September 27, 2019. The Federal rule:
RCPA applauds the General Assembly and the Governor for repealing this duplicative and unnecessary rule.
If you have any questions, please contact Jack Phillips, Director of Government Affairs.
Today, we received the below email from the Health Resources & Services Administration (HRSA) concerning the Provider Relief Fund.
Dear Stakeholder,
The Provider Relief Fund (PRF) Reporting Portal is now open for providers who need to report on the use of funds in Reporting Period 1. HRSA is committed to supporting the providers who have received PRF payments in completing their reporting requirements successfully. We communicated with providers this morning and we want to share that message with you.
To aid stakeholders as they support their networks, we have created two resources that contain easy-to-share information like a general email, newsletter, and social media content:
In addition, there are resources specifically for providers:
Provider Support Line at (866) 569-3522 for TTY dial 711. Hours of operation are 8:00 am to 10:00 pm CT, Monday–Friday.
HRSA will host a recorded webcast on July 8, 2021 at 3:00 pm ET to provide technical assistance on reporting requirements for PRF recipients and interested stakeholders. Interested parties can register to attend here. We hope you can join us and help spread the word.
We will be in touch as additional resources are developed in the future. Thank you for all you are doing to help your communities throughout this COVID-19 pandemic.
Thank you,
The Office of Provider Support