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DDAP Issues First Telehealth-Only SUD License
The Pennsylvania Department of Drug and Alcohol Programs (DDAP) announced today that the agency recently issued Pennsylvania’s first telehealth exceptions for a DDAP-licensed substance use disorder (SUD) treatment provider in Pennsylvania to Gateway Rehabilitation Center (GRC).
In its press release, DDAP said that telehealth and mobile treatment options have been proven to reduce barriers like transportation, stigma, and provider shortages, especially in rural and underserved communities.
GRC has been an SUD treatment provider in Pennsylvania since 1972. Its telehealth-only program will provide a secure patient portal, an interactive app, encrypted messaging, appointment reminders, resources, education, and a virtual telehealth suite that offers SUD counseling, psychiatric services, medication-assisted recovery, preventive care, and coordination to other levels of care as needed.
Prior to the creation of the telehealth-only licensure category in December 2024, only SUD treatment facilities with a physical location in Pennsylvania could apply to DDAP for a license to also offer telehealth services. This new program does not require a physical location for a treatment provider to administer telehealth services.
A facility seeking to be licensed to provide telehealth-only services, without a physical location, will be required to, among other things:
- Maintain clinical records on a web-based electronic health record program;
- Maintain an electronic system for personnel files, including training records; and
- Agree to provide DDAP remote access to the facility files and client records any time access is requested in accordance with 42 CFR 2.53 — Audit and Evaluation.
MHSN Coalition Advocates for Needed Increase for Behavioral Health Capitation
The Mental Health Safety Net (MHSN) Coalition’s weekly advocacy communication focused this week on the Commonwealth’s need for an increase in Behavioral Health Capitation to ensure sound rates to sustain providers and access to services. The full advocacy letter can be read here.
The Mental Health Safety Net (MHSN) Coalition is a group of stakeholders participating in a joint advocacy effort to protect and preserve our mental health service delivery system. RCPA invites all members, non-members, and systems-wide behavioral health stakeholders to participate in the MHSN Coalition meeting on Monday, June 30, 2025, from 2:30 pm – 3:00 pm. This meeting will serve to update the group on strategy, activities, and engagement opportunities.
Please contact Emma Sharp with questions or if you would like to join the coalition.
DHS Actuary Mercer to Lead Training on ASAM Ambulatory Level of Care Alignment Audits
As part of the Pennsylvania Department of Drug and Alcohol Programs’ (DDAP) monthly technical assistance series, Mercer, the contracted actuarial firm for the Pennsylvania Department of Human Services, will lead a training from 10:00 am – 11:00 am on Monday, July 7, which will be heavily focused on the infrastructure component of the upcoming American Society of Addiction Medicine (ASAM) ambulatory level of care (i.e., outpatient) alignment audits. The goal is to help providers understand foundational requirements and allow time to develop or refine policies prior to upcoming audits. While the record review portion of the auditing tool created by Mercer will also be discussed, the primary emphasis will be on preparing providers from a systems and infrastructure standpoint.
Mercer will also share the expected timeline for the next audit cycle and provide an overview of how behavioral health managed care organizations will conduct the audits.
To receive future calendar invitations for DDAP’s technical assistance webinars, email DDAP.
Use the Microsoft Teams meeting information below to connect to the monthly technical assistance webinars.
Join the Meeting
Meeting ID: 251 094 183 507
Passcode: sM9ZF9Wi
Download Teams | Join on the web
Or call in (audio only)
+1 267-332-8737,,894440996# United States, Philadelphia
Find a local number
Phone conference ID: 894 440 996#
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Medicaid & Advocacy Update: Contact Your Legislators Today!
Earlier this week, the Senate Parliamentarian advised lawmakers that several provisions in the budget reconciliation bill will not be able to pass with a simple majority vote. This includes the Senate’s proposed reductions to state provider taxes that were expected to result in billions of cost savings to the federal government. Senate Republicans now have several options to consider before moving forward, including removing key Medicaid provisions in the bill or re-drafting and re-submitting them to try to earn Parliamentarian approval. Other policies that were ruled unallowable under the Byrd Rule included the exclusion of specific groups of immigrants from Medicaid and withholding federal funds from states that use their own funds to provide coverage.
Senators are expected to vote in the coming days. While Pennsylvania Federal legislators are hearing the message from RCPA and other state associations, they are hearing very little from the constituencies in their home districts.
To assist with outreach and to help tailor the letter provided above, National Council and RCPA have provided additional resources below:
Your outreach TODAY is critical. If hundreds of billions of dollars are cut:
- Millions of people are expected to lose access to lifesaving care and services;
- Community behavioral health providers, operating on the thinnest of margins already, will face additional financial hardship; and
- The cuts are unlikely to save any money overall because costs will simply shift to states, who will be forced to try and make up the funding difference.
Specific proposals under consideration, like mandatory work requirements and provider tax policy changes, are expected to create huge administrative burdens that are likely to result in eligible people losing their coverage, plus massive funding losses for states that could result in reduced availability of mental health and SUD services.
Reminder: RCPA Member Orientation Webinar on July 10
RCPA is excited to host a membership benefits webinar on Thursday, July 10, 2025, at 10:00 am, as an opportunity for members to orient themselves with all that RCPA membership includes. This is not just for new and future members. For current members, there may be benefits associated with our membership that you may not be aware of, including targeted meetings and groups that occur throughout the year.
Registration is required; please register here to attend the webinar. Items we will review include the below and much more:
- Virtually meet the dedicated RCPA Policy Staff and RCPA lobbyists;
- Discuss the 2025 Legislative and Administrative priorities;
- Preview RCPA divisional committee and subcommittee meetings and what they offer;
- View the RCPA member-only website;
- Review exclusive yearly educational and networking events; and
- Understand the value of the National Association and ANCOR memberships included with RCPA membership.
Visit the RCPA member benefits web page for more information, or contact Tieanna Lloyd for benefit details.
HB 1590 “4 Walls” Telehealth Legislation Passes House
Message from Rep. Dan Williams’s Office:
HARRISBURG, June 24 – Bipartisan legislation introduced by state Rep. Dan Williams, D-Chester, that would help Pennsylvanians take advantage of new federal Medicaid rules that give patients and clinicians more telehealth options for behavioral health services passed the PA House today with overwhelming support.
“The longstanding and outdated ‘four walls’ requirement has limited Medicaid reimbursement to services within the physical walls of a clinic,” said Williams. “This only creates barriers to care, particularly in rural areas and regions experiencing mental health workforce shortages.”
The Centers for Medicare and Medicaid Services gave states the option to waive the requirement on Jan. 1. In response, the Pennsylvania Department of Human Services has submitted a State Plan Amendment to adopt this flexibility, which is currently awaiting federal approval.
House Bill 1590 would repeal state regulations that conflict with the new federal flexibility. Importantly, the bill would not change existing rules requiring in-person treatment hours for outpatient behavioral health clinics.
“Under this bill, Pennsylvania can fully implement the change, expanding access to behavioral health services and reducing care gaps for our vulnerable populations across the Commonwealth,” Williams said.
The bill now moves to the state Senate for consideration.
It is important to note that, at this time, OMHSAS is awaiting approval from CMS. To address the Federal Medicaid payment conditions in the Pennsylvania statute, there was a need for this legislation to permit services be covered under Medicaid, and HB 1590 would achieve this. It is also important to reiterate that this bill will not change outpatient behavioral health clinic rules requiring in-person treatment hours. The passage of this bill will address these conditions for outpatient clinics as well as the delivery of SUD services.
Both the CMS SPA approval and the legislation would be retroactive to January 1, 2025.
Until then, the completion of both the SPA and the legislation on 4 walls flexibilities will remain in place. RCPA is grateful to have partnered with OMHSAS, House legislators, and other stakeholder associations on the development of this bill. We will continue our efforts in getting the legislation to the Governor’s desk.
If you have any questions, please contact RCPA COO and Director of Mental Health Services Jim Sharp.
Shapiro Administration Conducting Women’s Health Survey
The Pennsylvania Insurance Department, in partnership with the Department of Health (DOH), the Department of Human Services (DHS), and the Department of Drug and Alcohol Programs (DDAP), is conducting a Women’s Health Survey to better understand the health experiences and coverage needs of women across the commonwealth.
The survey is open through July 7, 2025, and takes 10 minutes or less to complete. It is designed to capture voices from all backgrounds — including women impacted by substance use disorder — so the administration can better identify and address gaps in care, coverage, and support.
Providers are asked for their help in sharing the survey by posting the flyer in their facilities and promoting the survey link on their social media or publishing the link in newsletters. All responses are anonymous and will help inform future outreach, programming, and policy decisions.
Drexel University Accepting Proposals for 33rd Annual Forensic Rights and Treatment Conference
Drexel University’s Division of Behavioral Healthcare Education will virtually host its 33rd Annual Forensic Conference, “Contemporary Issues Impacting Forensic Services,” which will be held December 10 – 11, 2025.
Proposals for workshops are now being accepted. The conference committee is also accepting nominations for the Forensic Rights and Treatment Conference Award.
Applications are due by August 29, 2025.
Contact Yolanda Ramirez with questions.
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