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Substance Use Disorder

Capitol hill building in the morning with colorful cloud , Washington DC.

Message from the National Council for Mental Wellbeing:

This month the National Council for Mental Wellbeing and hundreds of other organizations across the country celebrated the first anniversary of the 988 Suicide and Crisis Lifeline, a new dialing code operated through the existing National Suicide Prevention Lifeline. With the new, easy to remember number, the Lifeline successfully served millions more people than in years prior.

Yet we still have a long way to go to ensure that our crisis care system provides people in every community with someone to respond and somewhere to go.

Recently, Representative Tony Cardenas (D-CA-29) introduced the 988 Implementation Act, bipartisan legislation that seeks to provide federal funding and support for states to enact 988 crisis services and broaden awareness of resources for those in crisis.

What is the 988 Implementation Act? 

  1. Expands behavioral health workforce training programs and provides grant opportunities for local behavioral health centers;
  2. Expands Medicaid coverage for behavioral health services, including short term crisis intervention services;
  3. Increases support for mobile crisis response, ensuring that even those in rural areas have access to timely care;
  4. Creates new capital grants to be used for crisis response program facility renovation, construction, and expansion;
  5. Narrows the IMD exclusion so that services furnished in psychiatric acute care crisis beds administered by CCBHCs and other crisis care settings are eligible for Medicaid coverage; and
  6. Increases awareness of 988 through a national media campaign.

Contact your Congressional Representatives and urge them to support the 988 Implementation Act. By strengthening, and raising awareness for current resources, and building capacity at the state level for on the ground crisis services, this legislation will make a difference, and save lives.

Time is of the essence. Act today, and together we can strengthen the crisis care continuum.

Sincerely,
Rachel Abraham
Federal Policy and Advocacy Coordinator
The National Council for Mental Wellbeing

Photo by Markus Winkler from Pexels

FOR IMMEDIATE RELEASE
Step By Step, Inc. Launches Community Residential Rehabilitation (CRR) Services in Lewistown and Huntingdon

Step By Step is pleased to announce the official launch of two Community Residential Rehabilitation (CRR) services in Lewistown and Huntingdon. This milestone represents a significant advancement in the agency’s commitment to providing essential mental health support to individuals in need.

Lesley Corey, ​Chief Operating Officer at Step By Step, expressed her satisfaction, stating, “We are excited to take this significant step forward in our mission to offer vital mental health support to individuals within our community who require it the most. Our team has worked tirelessly to transition these services to our agency, and we are deeply committed to making a positive impact in the lives of those we serve. The need for accessible and compassionate mental health care has never been greater, and we are honored to be able to fill this gap in the regions of Lewistown and Huntingdon.”

CRR services are designed to support individuals in their pursuit of wellness and recovery. The service provides transitional housing and support for adults ages 18+ with mental health disorders. In engaging, home-like residences, individuals develop the skills, habits, and confidence necessary to continue on their personal journeys of recovery and growth and ultimately transition to the living arrangement of their choice. Step By Step’s team of dedicated professionals provides comprehensive coaching and practical tools to assist individuals in developing essential skills and successfully transitioning to their desired living environment, whether it be an independent apartment or reuniting with family members.

Step By Step remains committed to delivering trauma-informed, resilience-oriented, and equity-focused services. The human service agency integrates evidence-based practices such as WRAP (Wellness Recovery Action Plans) and Personal Medicine Coaching, ensuring individuals have the resources to take charge of their recovery and well-being.

Step By Step extends its appreciation to all individuals and organizations who contributed to the establishment of these CRR services. Their support and collaboration have played a vital role in positively impacting the lives of those served by the organization.

As Step By Step moves forward, it eagerly anticipates engaging with the community and coordinating additional services to further enhance the wellbeing of Huntingdon, Mifflin, and Juniata Counties. Stay tuned for further updates as the organization continues to evolve and expand its mission.


About Step By Step: 

Step By Step, Inc. is a private, non-profit corporation devoted to providing community support services to children and adults in Pennsylvania with intellectual disabilities, physical disabilities, autism, mental health disorders, and/ or substance use disorders.

Established in 1977, the agency today provides services to over 2,000 individuals across Pennsylvania. Throughout its history, Step By Step, Inc. has maintained a progressive view of the potential of individuals with disabilities.

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If you haven’t registered yet for the 2023 RCPA Annual Conference A Decade of Unity, then don’t wait any longer! Our plenary sessions throughout the week are sure to inspire you with new ideas to tackle priorities in health and human services. Looking ahead, we have:

  • Returning speaker Michael Cohen, Esq., addressing practical ways for attracting high-caliber employees in a rapidly-changing job market;
  • A panel addressing the realities of the workforce crisis, featuring Tine Hansen-Turton of Woods Services, Toni Pergolin of Bancroft, Rita Gardner of Melmark, and Marco Giordano of Resources for Human Services; and
  • National updates from National Council for Mental Wellbeing’s Chuck Ingoglia as well as ANCOR’s Donna Martin.

Be sure to view our registration brochure to book your seat (and your hotel room) today!

We extend our thanks to those organizations that have already contributed and shown their support! Sponsor and exhibitor spots are filling up quickly, so complete the sponsor/exhibitor brochure today! As a reminder, 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 September 8. In order to be considered for booth self-selection, a completed contract with payment must be submitted, and no reservation is considered complete without payment. If questions remain, please contact Carol Ferenz, Conference Coordinator.

The Secretaries of the Department of Human Services, Department of Drug and Alcohol Programs, Department of Health, and Department of Aging have written a letter to human services organizations about the budget impasse and an estimated $5.9 billion in planned state and federal funding that cannot be disbursed without a signed budget. The letter details specific funds that cannot be distributed through each department.

For Gov. Shapiro to sign HB 611, the General Appropriations bill for Fiscal Year 2023/24, which was passed by both the House and Senate, Senate President Pro Tempore Kim Ward must first deliver a signed physical copy of the bill to him. Sen. Ward is the only person with the power to call the Senate into session to complete this procedural step. Ward has adjourned the Senate until Sept. 18, 2023.

Read the full letter here.

Explore unique leadership and up-to-date support strategies in health and human services at the 2023 RCPA Annual Conference A Decade of Unity, as our speakers will be covering topics that touch on hoarding disabilities, handling subpoenas, and even tackling social anxiety with tabletop games! Held at the Hershey Lodge October 10 – 13, participants can earn CEs through these exciting and interactive workshops. Our full brochure is available, and below is a sampling of the many sessions being offered:

  • Hoarding Recovery and Maintenance Program
    • Learn about the Hoarding Recovery and Maintenance Program, which was designed to support individuals dealing with anxiety and stress as they let go of their hoarded possessions.
  • Make Difficult People Disappear: How to Reduce Stress and Eliminate Conflict in the Workplace
    • Obtain tricks and resources to not only managing stressful individuals but making them disappear without worsening the situation.
  • Investigating the Use of Tabletop Role-Playing Games as a Potential Therapeutic Intervention for Individuals With Social Anxiety
    • Discover how tabletop role-playing games like Dungeons & Dragons can assist adults in dealing with anxiety, particularly social anxiety.
  • A Treatment Outcome Measurement System That Helps to Get & Keep Treatment Funding
    • Develop a simple yet effective treatment outcome measurement system in order to keep funding, including Medicaid funding.
  • Addressing Cultural Barriers to Treatment: How to Be Respectfully Curious When Working With Families
    • Address leadership tactics for being curious yet respectful when interacting with fellow employees in order to avoid causing more harm or enforcing one’s personal beliefs.
  • Subpoenas, Court Orders, and Requests for PHI: Obligations Under HIPAA, the MHPA, and Other Statutes
    • Delve into HIPAA and PA statues in order to learn about the complexities regarding subpoenas and court-related orders when working in health and human services.
  • Enabling Technology: The Why, What, and How Needed to Make it Happen
    • Understand how companies can improve organization capacity in order to provide up-to-date technology to disabled communities.
  • Leadership and Navigating Change
    • Tackle resistance in a team that is going through significant adjustments and learn how to be a leader by focusing on the ‘people side’ of change.
Register today!

In addition to an impressive roster of speakers, our 2023 Conference will have an exciting array of sponsors and exhibitors. We thank those who have signed on thus far! If you are interested in sponsoring or exhibiting, visit here for more details or contact Carol Ferenz, Conference Coordinator, with any questions you may have. Keep up-to-date and register today for #rcpaconf!

Image by Tom und Nicki Löschner from Pixabay

The Department of Drug and Alcohol Programs (DDAP) issued Policy Bulletin 23-02, which describes modifications to the DDAP Gambling Treatment Manual. Changes outlined in the bulletin include updated qualifications for providers, extended certification timelines, revised billing rates, and streamlined processes for client sessions, record-keeping, and grievance handling. The revised manual can also be accessed on the DDAP website.

Governor Shapiro’s office published a list of regulations being considered by the state agencies in the Pennsylvania Bulletin on July 22, 2023. The document lists regulations being drafted by state agencies that cover a wide variety of activities under oversight of the state government. Under Executive Order 1996-1, all agencies under the jurisdiction of the Governor must submit for publication semi-annually an agenda of regulations under development or consideration. This list is current as of July 15, 2023.

On July 13, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that announces and solicits public comments on proposed policy changes for Medicare payments under the Calendar Year (CY) 2024 Physician Fee Schedule (PFS) and other Medicare Part B issues, effective on or after January 1, 2024.

The calendar year (CY) 2024 PFS proposed rule is one of several proposed rules that reflect a broader Administration-wide strategy to create a more equitable health care system that results in better access to care, quality, affordability, and innovation.

The proposed modifications include several pertaining to telehealth policy in the Medicare program for 2024. One of the major takeaways from the proposed 2024 PFS is the clarification that certain telehealth flexibilities that were previously extended until 151 days after the end of the public health emergency (PHE) have now been extended until December 31, 2024, in accordance with amendments made by the Consolidated Appropriations Act, 2023. These extensions have been known since the CAA’s passage in December last year and has also been addressed in a series of fact sheets and FAQ documents.

However, there were also some new changes addressed in the 2024 PFS. For example, every year CMS will consider adding new services to their list of codes that are reimbursable via telehealth. While they did not decide to add any new codes on a permanent basis to the list (though many remain on the list temporarily through the end of 2024), they did propose to add a number of codes to Category 3 (CMS’ current temporary list), including certain codes for health and well-being coaching services. Additionally, CMS announced a proposed revision to their telehealth code classification process, moving from a Category 1, 2 and 3 classification system to a binary ‘permanent’ or ‘provisional’ classification in an attempt to simplify the process beginning in CY 2025. In order to make the steps for getting a code accepted for inclusion in either the permanent or provisional telehealth lists transparent, CMS proposes a five-step process that is detailed in the proposed 2024 PFS, which includes consideration of the evidence of clinical benefits.

A few additional changes proposed in the document are listed below:

  • The list of telehealth practitioners is amended to recognize marriage and family therapists and mental health counselors as telehealth practitioners, effective Jan. 1, 2024.
  • CMS will pay for place of service (POS) 10 at the non-facility PFS rate, while 02 will be paid at the facility rate beginning Jan. 1, 2024.
  • Frequency limitation would be removed for subsequent inpatient visits through the duration of CY 2024.
  • Multiple clarifications are provided for billing both remote physiologic monitoring (RPM) and remote therapy monitoring (RTM) codes.
  • Direct supervision is allowed to include real-time audio video interactive telecommunication through Dec. 31, 2024 (including for FQHCs and RHCs). Direct supervision requirements are also addressed for occupational therapists in private practice (OTPP) and physical therapists in private practice (PTPP) for unenrolled physical and occupational therapists when providing remote RTM.

CMS will be accepting comments on their proposals until 5:00 pm EST on September 11, 2023, and RCPA will review the document and work with the National Council for Mental Wellbeing in drafting recommendations. We welcome provider feedback and comments to be included and ask that you contact and share these with your RCPA Policy Director.