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Intellectual & Developmental Disabilities

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Tuesday, March 7, 2023
1:00 pm – 1:30 pm ET
Join the Provider Integrity in Medicaid Home Personal Care Services webinar with Kirit Pandit, VP, Data and Analytics. Preventing fraud, waste, and abuse (FWA) in the Medicaid market is an on-going effort, with many providers, payers, and vendors involved in the effort to improve the health care system.

During this session, you can expect to:

  • Learn about the analytics dashboards developed to mine data and identify these cases;
  • See our vision for application of analytics for program integrity in home personal care services; and
  • Understand how the development of the dashboards can lead to further insights and actions to support the efforts of state and compliance programs.

Reserve your spot today, and stay tuned for information about more upcoming Empower webinars!

Reserve Your Spot!

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ODP Announcement 23-017 provides information regarding Remote Supports as a separate, discrete service in all four of the Office of Developmental Programs’ (ODP) waivers. Remote Supports is no longer covered as a component of the Assistive Technology service in the Consolidated, P/FDS, and Community Living waivers.

Guidance in the announcement includes how to add remote supports to the ISP, necessary provider qualifications, and enrollment process. Please refer to Attachment A for more instructions on how to add Remote Supports services for the P/FDS, Community Living, or Consolidated Waiver. Please refer to Attachment B for more instructions on how to add Remote Support Services for the AAW. Additional information about the qualification of a new specialty is contained in ODP Announcement 22-122 “Provider Qualification Process.”

Existing providers must submit the approved DP 1059 (ID/A) or DP 1088 (AAW) along with the “PROMISe™ Provider Service Location Change Request,” which can be found on the MyODP website, to the ODP provider enrollment inbox and/or AAW provider enrollment inbox in order to add a new Specialty 364 to an EXISTING active service location with the same Provider Type. Providers that do not have a Provider Type 51 service location open in PROMISe will need to submit an application through the Provider Enrollment system.

Questions regarding ISP requirements should be sent to the appropriate ODP Regional Office. Questions regarding provider qualification requirements should be sent to the ODP Provider Qualification inbox and the AAW Provider Enrollment Lead.

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ODP Announcement 23-001 has been updated with new information regarding Supports Coordination Organizations’ recovery payments. The performance standard has been changed so that SCOs must be accepting referrals of newly enrolled individuals in the ODP system as of 3/1/2023. Eligible SCOs must increase the number of individuals served between 3/1/2023 and 6/30/2023. An FAQ sheet is available.

All questions and comments related to this announcement can be sent electronically.

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Pennsylvania is preparing for a major change in renewal processes for Medicaid and Children’s Health Insurance Program (CHIP) recipients.

Starting April 1, 2023, Pennsylvania is required by federal law to review Medicaid and CHIP recipients’ eligibility every year, which means that recipients must submit a renewal. While the Department of Human Services (DHS) still sent renewals during the height of the COVID-19 pandemic, most people were not disenrolled from Medicaid or CHIP because of a change in eligibility.

DHS encourages everyone to share the following information with Medicaid and CHIP recipients to help them stay informed about renewals.

What Should I Do Right Now?

The best thing that Medicaid and CHIP recipients can do right now to prepare for their renewal is to make sure that their contact information is up-to-date with DHS. By making sure that their information is current, recipients can receive timely updates about their renewal. They also can opt-in to receiving text and email alerts about their benefits.

  • Visit COMPASS and log into their My COMPASS Account.
  • Use the free myCOMPASS PA mobile app.
  • Call 877-395-8930 or 215-560-7226 (Philadelphia), Monday – Friday from 8:00 am – 4:30 pm.

What Else Do I Need to Know?

Completing Medicaid and CHIP Renewals
Renewals should be completed when they are received, even if recipients receive them before April 1, 2023. Recipients will receive a renewal packet in the mail when it is time to renew their coverage. Information about their renewal will start to arrive 90 days before it is due. It is very important that renewal forms are completed and returned even if nothing has changed. Completing a renewal allows DHS to determine eligibility for MA or CHIP coverage. Coverage will continue for recipients who are still eligible.
There are a few ways for recipients to complete a renewal:

  • Complete the forms DHS sends and mail them back in the envelope included in the packet.
  • Drop completed forms off at the local county assistance office (CAO).
  • Complete the renewal online.
  • Complete the renewal over the phone by calling 866-550-4355.

What is Continuous Coverage?

Under the continuous coverage requirement, individuals covered by Medicaid and/or CHIP have been able to keep their health coverage even if they would have otherwise become ineligible for the program based on other factors.

Evaluating Eligibility

Once the continuous Medicaid and CHIP coverage requirement ends, recipients will have to complete a renewal to maintain their coverage as long as they are eligible.

Are You Ineligible for Coverage?

DHS will provide instructions on how to re-enroll or share options for coverage if individuals are no longer eligible. Options for free or low-cost health coverage are available online.

Get more information and resources at DHS’s website.

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ODP Announcement 23-016 announces that the Office of Developmental Programs (ODP) is requesting that qualified providers employing DSPs participate in the 2022 State of the Workforce (SoTW) survey. This important survey includes questions relating to the volume, stability, compensation, and benefits of DSPs serving adults 18 years of age and older. The data gathered from this voluntary and anonymous survey will help ODP, along with other policy makers and advocates, inform policy and program development regarding DSP workforce (DSPW) improvement initiatives and other important work in this area. Within the next two weeks, providers will receive an email from HSRI inviting them to participate in this SoTW survey.

In addition to the standard survey, ODP has added a series of questions to address several areas in which it has a specific interest. These questions are identified in the PA Supplement section and have PA attached to the question number. The data collected for these questions will not be analyzed by HSRI, but ODP will complete its own analysis.

Results of the survey will only be reported in the aggregate, and organizations will not be identified in any way. It is recommended that the Human Resources (HR) or Payroll Office complete the surveys and that answers should reflect DSPs who were on agency payroll during any period between January 1 and December 31, 2022.

The deadline to complete data entry is June 30, 2023. A copy of the survey is available to allow for preparation of data prior to completing data entry. It is a proprietary tool of NCI® and is to be used for reference only. ODP is eager to be a part of this important project again. Provider participation will help ODP to make sound policy decisions regarding Pennsylvania’s DSPs.

Any questions can be directed to Ms. Lee Stephens, ODP NCI Statewide Lead.

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Message from the National Disability Institute:

Accessing capital can be essential for business growth, yet many founders with disabilities report experiencing significant barriers. Join our five-part webinar series to hear from community development financial institutions (CDFI) who have found ways to increase inclusion and from disability-owned businesses on how they obtained the capital they needed.

Who should attend:

  • Entrepreneurs with disabilities looking for information on accessing capital and how CDFI lending differs from that of traditional banks;
  • CDFIs with a commitment to diversity, equity, and inclusion who wish to ensure they are meeting the needs of business owners with disabilities; and
  • Entrepreneurial and other support organizations looking for information to assist their customers to access capital and other financial health supports.

Register for the Introduction to CDFI’s session on February 28, 2023, from 2:00 pm – 3:30 pm EST.

Register for sessions 2–5, scheduled every other Tuesday from March 7, 2023, through April 18, 2023, from 2:00 pm – 3:30 pm EST. Each session will include CDFI and the experiences of business owners with disabilities.

ASL interpretation and captioning will be provided during the session. If you have any accessibility requests or questions, please email Alexis Jones. For more information, visit NDI’s website.

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