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Intellectual & Developmental Disabilities

ODP Announcement 22-103 serves to inform Adult Autism Waiver (AAW) providers that there are specific regulations regarding restrictive procedures that must be followed. The Office of Developmental Programs (ODP) has been made aware that some AAW providers are implementing restrictive procedure plans for individuals being served in AAW without a corresponding BSP documented in the ISP in HCSIS. This practice is not allowed.

A restrictive procedure must always be part of the behavioral support component of the ISP as required by the AAW. In the AAW, the BSP is included in the ISP in HCSIS. The Desired Behavioral Outcomes (DBOs) of the BSP must be consistent with the Behavior Support Specialist service goals and objectives.

There must be an active Behavior Support Specialist goal for each DBO, and each Behavior Support Specialist goal must have a DBO. Additionally, every Behavior Support Specialist goal must have a corresponding Goal Attainment Scale (GAS) chart and be reported on at least quarterly in a Quarterly Progress Note (QPN).

To have a restrictive procedure plan in place for an AAW participant, the Behavior Support Specialist service must be in the ISP Service Details so that a BS qualified to provide services in the AAW can develop, implement, and train staff on the participant’s BSP and CIP with the goal of fading all restrictive procedures over time.

In the AAW, the Behavioral Specialist Service (BSS) is not bundled with the Residential Habilitation service as it is with other ODP waivers. Therefore, to meet the requirements above, AAW participants who are receiving residential habilitation services and have a restrictive procedure plan in place must also have active BSS authorized in their ISP. This ensures an AAW qualified BS is working with the participant when a restrictive procedure plan is in place.

Please refer to Chapter 6100 regulations § 6100.341 – 6100.346, Bulletin 00-21-01 Guidance for Human Rights Teams and Human Rights Committees and Attachment 2 — Individual Plans and Informed Consent for additional information. Any questions should be sent to the AAW Provider Support Inbox.

Tablet on a desk - Newsletter

ODP Announcement 22-102 announces that the Home and Community Services Information System (HCSIS) 90.05 Release Newsletter is available under the HCSIS Communique hyperlink found on the Learning Management System (LMS) located on the HCSIS home page.

Work items to highlight in this release include:

  • Users being able to select the following incident statuses in the Incident Management Review Report: Select All, Open or Closed, Open, Closed, and Deleted;
  • The Incident Detail Screen has been updated to include a font color change to indicate that an incident document is late or has been submitted late;
  • The Created by Date has been replaced with the Submission Date on the workload dashboard; and
  • The Incident Print Summary displays Status, Created Date, Due Date, Submitted Date, and Last Edit Date for all documents contained in the report.

It is important to note that the Due Date and Time is only displayed for the First Section document. For all other documents, the system only displays the Due Date. The number of report extensions filed for the Final Section is under the Incident Final Section document information.

Please review the HCSIS Release 90.05 Newsletter as part of this Announcement and also located on the secure LMS Home and Community website for more information. If you do not have an LMS Login ID and Password, contact your Business Partner Administrator (also known as your “BP Admin”).

The Centers for Medicare and Medicaid Services (CMS) has released a Request for Information (RFI) that seeks public input on accessing healthcare and related challenges, understanding provider experiences, advancing health equity, and assessing the impact of waivers and flexibilities provided in response to the COVID-19 Public Health Emergency (PHE).

The Make Your Voice Heard: Promoting Efficiency and Equity Within CMS Programs RFI furthers CMS’ commitment to engaging and learning from partners, communities, and individuals across the health system to inform how we can better support the populations we serve. In alignment with Executive Order 13985, Advancing Racial Equity and Support for Underserved Communities Through the Federal Government, the CMS Strategic Plan Pillar: Health Equity, and the CMS Framework for Health Equity (2022–2032), this RFI aims to gather feedback and perspectives related to challenges and opportunities for CMS to embed health equity into their efforts encouraging innovation, reducing burden, and creating efficiencies across the healthcare system.

CMS is seeking to better understand individual and community-level burdens, health-related social needs, and opportunities for improvement that can reduce disparities and promote efficiency and innovation across programs. CMS is requesting information related to strategies that successfully address drivers of health inequities, including opportunities to address social determinants of health and challenges underserved communities face in accessing comprehensive, quality care. For example, challenges accessing care may include understanding coverage options, receiving culturally and linguistically appropriate care, accessing oral health services, and accessing comprehensive and timely healthcare services and medication.

Through this RFI, CMS also seeks to better understand the factors impacting provider wellness and learn more about the distribution of the healthcare workforce. CMS is particularly interested in understanding the greatest challenges for healthcare workers in meeting the needs of individuals, and the impact of CMS policies, documentation, and reporting requirements, operations, and communications on provider experiences.

Comments received in response to the Make Your Voice Heard RFI will be used to identify opportunities for improvement and to increase efficiencies across CMS programs. In addition, CMS hopes to learn how specific programs have benefited providers, practices, and the people served.

CMS encourages comments from all interested stakeholders, in particular, patients and their families, providers, clinicians, consumer advocates, and healthcare professional associations. CMS also encourages comments from individuals serving and located in underserved communities and from all CMS stakeholders serving populations facing disparities in health and healthcare. The RFI is open for a 60-day public comment period.

Comments must be received by November 4, 2022, to be considered.

The Department of Human Services (DHS) has announced that they are preparing for the end of the federal Public Health Emergency (PHE). Included in this preparation is a webinar planned for October 24, 2022, at 2:30 pm. Register for the webinar at the link below:

https://padhs19.webex.com/padhs19/j.php?RGID=re51d9b2a4909630f736cfdbb2c6a0dad

When the PHE ends, DHS will resume closing Medicaid cases for ineligible recipients. DHS has stressed that they want all recipients that remain eligible to keep their coverage and complete their renewals in a timely manner. Providers can assist by making sure that they are prepared to aid the individuals to complete their renewal when it is due, now and after the PHE ends.

Photo by Markus Winkler from Pexels

Disability Champion and PATF CEO Susan Tachau Retires

Lifelong disability advocate and CEO of Pennsylvania Assistive Technology Foundation (PATF), Susan Tachau, is retiring on September 30, 2022.

In her new role as PATF’s Chief Innovations Officer, she will work on special projects and advocacy activities.

During Tachau’s tenure as CEO, the organization has established itself as the leading Alternative Financing Program (AFP) in the US, continually providing more loans and extending more capital each year for the purchase of assistive technology than any other AFP, and offering information and assistance to thousands more Pennsylvanians, helping them access alternative funding resources.

With Tachau’s steadfast advocacy, PATF has also had significant impact among Community Development Financial Institutions (CDFIs), helping to secure more federal funding for CDFIs to serve the disability community, and educating CDFIs on best practices.

In 2021, Tachau was an AARP Purpose Prize Winner, an award that recognizes people 50-plus who are using their knowledge and life experience to solve tough social problems.

In the same year, Opportunity Finance Network (OFN) recognized Tachau’s CDFI work with the Ned Gramlich Lifetime Achievement Award for Responsible Finance, the highest individual honor in the CDFI industry.

Last year, the Institute on Financial Literacy presented PATF with the Non-Profit Organization of the Year 2021 Excellence in Financial Literacy Education (EIFLE) Award, for PATF’s one-of-a-kind financial education curriculum, Cents and Sensibility, tailored to the needs of people with disabilities.

In a push to serve more people, Tachau founded Appalachian Assistive Technology Loan Fund, a subsidiary to PATF, so that people with disabilities in nearby states will have access to affordable financing for assistive technology.

Building up PATF and advocating for people with disabilities has been Tachau’s life’s work. Tachau described the source of this wellspring of passion for this work.

“Our son, Michael, introduced me to the world of disability and the importance of community living, work, and connection to family and friends. Assistive technology can make this possible,” shares Tachau. “I’ve been incredibly fortunate to have worked alongside my dedicated colleagues to grow PATF from a small, fledgling organization to one that has helped more than 4,500 Pennsylvanians with loans worth almost $46 million.”

“I’m proud of our commitment to excellence and compassion, and the desire to expand our programs to meet the growing demands of the future. I’m confident that PATF’s good work will continue long after I retire.”

President of PATF’s Board of Directors, Nancy Murray, reflects on Susan’s announcement, “The Board is proud of Susan’s commitment, dedication, and achievements as PATF’s CEO for almost two decades. Susan has grown the organization into a formidable force for good in the world.”


PATF Board of Directors Appoint Ben Laudermilch as Chief Executive Officer

Seasoned executive Ben Laudermilch is PATF’s new CEO, as of September 6, 2022.

Most recently, Laudermilch served as the Vice President and Executive Director of Inglis Housing Corporation, where he established independent living communities for people with disabilities.

Prior to his tenure at Inglis, Laudermilch was the Special Assistant to the Secretary for the PA Department of Corrections, developing housing opportunities for reentering Pennsylvanians. Laudermilch also served as the Special Advisor to the Secretary of the PA Department of Human Services. For a decade prior, he worked for the Cumberland County Housing and Redevelopment Authorities in various roles, including Executive Director.

Laudermilch’s experience promoting the benefits of assistive technology is highlighted through projects that he has managed that integrated smart home technology (a form of assistive technology) into housing for people with disabilities and older adults.

“I am excited about this new chapter in my career and the life of PATF. For many years, I’ve been in roles that have intersected with the disability world, and this new position feels like a culmination of all the work I have done,” Laudermilch says.

“We are thrilled that Ben is joining the organization as CEO, bringing new skills and experiences that will take PATF into the future, into a new chapter,” says Nancy Murray, President of PATF Board of Directors.

In his role as CEO, Laudermilch will be growing PATF’s mission across Pennsylvania, working with public and private stakeholders and partners.

To assist with this transition, PATF has developed a new Strategic Plan and a comprehensive, state-of-the-art brand book – both of which will help guide the nonprofit for years to come.

Early bird registration for the 2022 RCPA Conference Together! ends this Friday, September 9! Be sure to register now to see our exciting workshops in person and earn continuing education credits. You won’t want to miss taking advantage of this opportunity!

Gathering in person at the Hershey Lodge October 11 – 14, 2022, attendees will see and learn from presenters from health and human services organizations all across Pennsylvania. Our full brochure is available, and some of our upcoming workshops include:

  • Value-Based Care: Provider-Payer Partnership and Prioritization of Member Experience to Get to Value-Based Contracts
    • Presented by Charlotte Chew of Pyramid Healthcare and and Monica Collins of Magellan Behavioral Health
  • Protecting Those in Our Care: Building a Devereux for the Future
    • Presented by Rhea Fernandes and Leah Yaw of Devereux Advanced Behavioral Health
  • Supporting Challenging Individuals: Bridging the Service Gap in an Outpatient Setting
    • Presented by Ricky Jones and Bonnie Triebig of Berks Counseling Center
  • Trauma-Informed Leadership: Critical in a Post-Pandemic World
    • Presented by Angela Chew of Dickinson Center, Inc.
  • SkillUp PA: A No-Cost Online Learning System for Rehabilitation and Community Providers
    • Presented by Barbara Vierlinck and Stephanie Perry of DOL and Kerry Twomey of Metrix Learning
  • The Five Introductions: Sharing Your Story With Everyone From Family to Lawmakers
    • Presented by Christopher Kush of Soapbox Consulting
  • Developing Recovery Supports for Young Adults With Autism and Serious Mental Illness
    • Presented by Chris Wolf, Patrick Maynard, and Jennifer Riha of I Am Boundless, Inc.

Note that sessions will be recorded to allow registered participants to view content after the event concludes.

In addition to an amazing roster of speakers, our 2022 Conference will have an exciting array of sponsors and exhibitors. We thank those who have committed to our conference thus far! If you are interested in sponsoring or exhibiting, visit here for more details.

We’d like to give a special shoutout to our Connections Hall sponsor Beacon Health Options as well as our Welcome Reception sponsor UPMC Community Care Behavioral Health Organization. Thank you for your support!

Questions about the conference may be directed to Carol Ferenz or Sarah Eyster, Conference Coordinators.