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Intellectual & Developmental Disabilities

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January 18, 2023, 1:30 pm – 3:00 pm ET
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A trauma-informed approach to care acknowledges that health care organizations and care teams need a complete picture of a patient’s life situation — past and present — to provide effective services with a healing orientation. Trauma-informed practices hold the potential to improve patient engagement, treatment adherence, and health outcomes, as well as provider and staff wellness.

This webinar, cosponsored by the Center for Health Care Strategies (CHCS) and the Better Care Playbook, will highlight how Denver Health, a large health system in Colorado, is implementing a trauma- and resilience-informed approach into organization-wide policy and practice, while also focusing on addressing systemic racism and biases. Panelists — including Maria Gonsalves Schimpf, MA, MT-BC, Director, Denver Health RESTORE; Kris Gaw, MBA, FACHE, Chief Operating Officer, Denver Health; and Ken Epstein, PhD, LCSW, Consultant, P.R.E.P. for Change Consulting — will discuss their efforts, including building staff capacity, promoting organizational culture change, and gaining leadership buy in.

Denver Health is a participant in Advancing Integrated Models, a national initiative led by CHCS and made possible through support from the Robert Wood Johnson Foundation.

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ODP Announcement 23-005 is to inform stakeholders that the United States General Services Administration announced a change to the Transportation Mile reimbursement rate, procedure code W7271, beginning January 1, 2023.

The new rate is $0.655 per mile. This communication provides notice of the rate change, as well as provides instructions for Supports Coordination Organizations (SCOs) on how to add transportation mileage to the vendor screen. It also instructs direct service providers on how to submit claim adjustments, if applicable.

Questions regarding this announcement should be addressed to the appropriate ODP Regional Program Managers.

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ODP Announcement 23-003 serves to inform all waiver providers and vendors whose last digit of their Master Provider Index (MPI) number is 6, 7, 8, or 9, as well as new providers who enrolled in the 2021/2022 fiscal year, that they must submit their qualification documentation to their assigned AE and/or the Office of Developmental Programs’ (ODP) Bureau of Supports for Autism and Special Populations (BSASP). This documentation is due from February 1 through March 31, 2023.

If the provider is enrolled to provide services in BOTH an ID/A waiver and the AAW, providers should submit all supporting documentation to both their Assigned AE and BSASP via email. If your agency is enrolled to provide services in an ID/A waiver only, providers should submit all supporting documentation to their Assigned AE.

For reference to provider qualification, please see PA Code Chapter 6100, Subsections 6100.83-84, which contains provider qualification citation specifications. Inquiries about this communication regarding the ID/A qualification process should be sent to the ODP Provider Qualification inbox.

Inquiries about this communication regarding the AAW qualification process should be sent to the AAW Provider Qualification inbox.

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ODP Announcement 23-002 reports that the renewals for the Consolidated, Community Living, and Person/Family Directed Support (P/FDS) Waivers have been approved by the Centers for Medicare & Medicaid Services (CMS) with an effective date of January 1, 2023. CMS approves waivers for a five-year period. The current Consolidated, Community Living, and P/FDS Waivers expired June 30, 2022, but were extended twice as discussions continued between the Office of Developmental Programs (ODP) and CMS.

Major changes in the renewals include:

  • Remote Supports has been added as a separate, discrete service in all three waivers.
  • Clarification about the activities that can be performed under the Communication Specialist service has been added, the amount of Communication Specialist services that participants can receive each year has increased from 40 hours to 60 hours, and effective January 1, 2024, the communication specialist will be required to successfully complete training provided by ODP.
  • The amount of Benefits Counseling services that participants can receive each year has increased from 10 hours to 15 hours.
  • The amount of tuition that can be covered through Education Support services has increased from $35,000 to $40,000.
  • Companion services have expanded to support additional participants at their place of employment.
  • Supported Employment services can now support participants during work-related trips.
  • Participant Directed Goods and Services have been added to the Consolidated Waiver.
  • The purpose of the Supports Broker service has been clarified, and recertification requirements for Supports Brokers have been added.
  • The Specialized Supplies service will continue to cover personal protective equipment once Appendix K flexibilities end.
  • Music, Art, and Equine-Assisted Therapy are available to individuals who receive residential services.
  • Staff working for, or contracting with, Residential Habilitation, Life Sharing, or Supported Living providers must complete Department-approved training on the common health conditions that may be associated with preventable deaths.
  • Clarification about requirements for using technology in the provision of waiver services has been added with a focus on protecting individual privacy when using technology.
  • Clarification about experience and education requirements for Supports Coordinators and Supports Coordinator Supervisors has been added, and Supports Coordinators will continue to be allowed to use teleservices to perform some of the required face-to-face monitoring per year.

A list of all major changes made in the renewals is available in the record of change document and each full waiver application approved by CMS, which are available at:

ODP will be holding a webinar to discuss major changes made in these approved waiver renewals on February 9, 2023, from 1:00 pm – 2:00 pm. You can register for the webinar here.

Questions about this communication should be directed to the appropriate Office of Developmental Programs Regional Office.

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