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Intellectual & Developmental Disabilities

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ODP Announcement 22-122 is to remind providers that this is the time of year to being the Provider Qualification process. The Centers for Medicare and Medicaid Services (CMS) require a statewide process to ensure providers are qualified to render services to waiver-funded individuals. The Provider Qualification Process described outlines the steps the Assigned AE and provider must follow to meet these requirements and the steps Supports Coordinators (SCs) must take to transition individuals if needed. This communication does not describe the qualification process for SC organizations

The release of this communication obsoletes ODP Announcement 22-005 Provider Qualification Process. In addition, the qualification process for Providers enrolled in the Adult Autism Waiver can be found in ODP Announcement 20-110.

Providers that are shared across Intellectual Disability/Autism (ID/A) and the Adult Autism Waiver (AAW) must complete the Provider Qualification processes with both the AE for the ID/A waivers and the Bureau of Supports for Autism and Special Populations (BSASP) for the AAW.

Providers must submit the qualification documentation (Posted on MyODP — DP 1059 and the Provider Qualification Documentation Record with all required supporting documentation) by 03/31 of the year that their requalification is due.

Failure to meet this deadline will affect the assigned AE’s ability to requalify the provider by the due date of 04/30. The updated ODP Provider Qualification Documentation Record contains all instructions and qualification requirements.

For inquiries regarding this communication, contact the ODP Provider Qualification inbox.

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ODP Announcement 22-121 reports that the recording of the presentation provided by the Office of Developmental Programs (ODP) staff during the webinar on December 1, 2022, which was to provide an overview of the heightened scrutiny process and to listen to public comments, is now posted on MyODP.

Public comments are being accepted until 11:59 pm on December 19, 2022. Please review ODP Announcement 22-117: Open for Public Comment: Proposed Heightened Scrutiny Service Locations to be Submitted To CMS. This announcement gives a background description of Heightened Scrutiny, the documents available for public comment, and how to provide public comment

Questions about this communication should be directed via email.

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The goal of this series is to provide information on how each diagnosis could impact communication and offer strategies to support effective communication. This series can be found on MyODP under Trainings > Special Populations > Infographics.

Diagnosis or conditions include:

Alzheimer’s Disease DeafBlindness Post-Traumatic Stress Disorder
Angelman Syndrome Disruptive Mood Dysregulation Disorder Reactive Attachment Disorder
Apraxia of Speech Down Syndrome Rett Syndrome
Attention Deficit Hyperactivity Disorder Dyslexia Schizophrenia
Autism Spectrum Disorder Fetal Alcohol Spectrum Disorder Sensory Processing Disorder
Borderline Personality Disorder Hearing Loss Stroke
Central Auditory Processing Disorder Huntington’s Disease Stuttering
Cerebral Palsy Idiosyncratic Speech Tourette Syndrome
CHARGE Syndrome Language Deprivation Traumatic Brain Injury
Communication Disorder Limited English Proficiency Usher Syndrome
Conduct Disorder Long COVID Visual Impairment
Cornelia de Lange Syndrome Multiple Sclerosis
Cortical Visual Impairment Parkinson’s Disease

Please contact the ODP Special Populations Unit via email with any questions.

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The PA Department of Health and Penn State University have created a survey to better understand PPE knowledge amongst healthcare workers in Pennsylvania, including dental providers and office teams. In addition to PPE knowledge, they would like to better understand healthcare worker feelings about vaccinations and mental health. All responses are anonymous.

This survey should take you no more than 10–20 minutes, and people who complete the entire survey will be able to register for two chances to win a $250 gift card. Participants can access the survey here.

If you have any questions regarding the survey, please reference the contact information within the flyer.

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Alice Burns; Follow @alicelevyburns on Twitter, Molly O’Malley Watts, and Meghana Ammula; Follow @meg_ammula on Twitter

Home and community-based services (HCBS) waivers allow states to offer a wide range of benefits and to choose — and limit — how many people receive services. The only HCBS that states are required to cover is home health, but states may choose to cover personal care and other services, such as private duty nursing. Those benefits are generally available to all Medicaid enrollees who need them. States may use HCBS waivers to offer expanded personal care benefits or to provide additional services such as adult day care, supported employment, and non-medical transportation. Because waivers may only be offered to specific populations, states often provide specialized benefits through waivers that are specific to the population covered. For example, states might use an HCBS waiver to provide supported employment only to people under age 65.

States’ ability to cap the number of people enrolled in HCBS waivers can result in waiting lists when the number of people seeking services exceeds the number of waiver slots available. Waiting lists reflect the populations a state chooses to serve, the services it decides to provide, and the resources it commits. In addition, states’ waiting list management approaches differ with regard to prioritization and eligibility screening processes, making comparisons across states difficult. States are only able to use waiting lists for optional services, so the number of people on waiting lists can increase when states offer a new waiver or make new services available within existing waivers; in these cases, the number of people receiving services increases, but so does the number of people on a waiting list. In many cases, people may need additional services, but the state doesn’t offer them to anyone or only offers them to people with certain types of disabilities. The unmet needs of those people would not be reflected in the waiting list numbers. Finally, although people may wait a long time to receive waiver services — 45 months on average — many of the people waiting for services receive other types of HCBS while they wait [read the full article].

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