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Intellectual & Developmental Disabilities

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Photo by Sincerely Media on Unsplash

RCPA regional meetings are back! We invite you to attend a regional meeting in your area on any of the following dates in August or September 2022. The meetings will focus on RCPA issues, including:

  • Legislative information;
  • Division and conference updates;
  • DHS updates; and
  • Status of the CCBHC/ICWC program in PA.

We will also provide an update to the addiction treatment community on our advocacy efforts to ensure the Opioid Use Disorder Centers of Excellence transition from a DHS-directed payment model to a state plan service is fair and manageable for providers. In addition, ProVantaCare (our sister managed care entity) will review its efforts, goals, and upcoming opportunities.

The meeting will include lunch. Immediately following lunch, we invite RCPA members and advocates to invite their consumers, children, and families to the Delta Center Convening on Telehealth, which will feature discussions and subsequent recommendations to guide the PA Delta Center team in its advocacy in developing regulations, bulletins, and practices that ensure equity and access to services for all communities. Our previous telehealth forums have been incredibly informative and enlightening as participants share their life experience and perspectives that can shape policy development. Your participation will be key to our ongoing work in ensuring a healthy and sustainable telehealth footprint in Pennsylvania. For additional information, please contact Jim Sharp, Director, Children’s Division.

Please see the full agenda here. Registration is required.

We hope you will join us for this regional event! Please register below:

Monday, August 1 – RCPA Central Regional Meeting and Delta Center Telehealth Convening
Sheraton Harrisburg Hershey Hotel, 4650 Lindle Road, Harrisburg, PA 17111
Register Here

Tuesday, August 2 – RCPA NE Regional Meeting and Delta Center Telehealth Convening
Holiday Inn Wilkes Barre, 600 Wildflower Drive, Wilkes-Barre, PA 18702
Register Here

Friday, August 19 – RCPA Western Regional Meeting and Delta Center Telehealth Convening
RLA Learning and Conference Center, 850 Cranberry Woods Drive, Cranberry Township, PA 16066
Register Here

Friday, September 16 – RCPA SE Regional Meeting and Delta Center Telehealth Convening
The Alloy King of Prussia, a DoubleTree by Hilton, 301 W. Dekalb Pike, King of Prussia, PA 19406
Register Here

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Capitolwire: New Year Dawns Without Budget in Place

By: John Finnerty, Capitolwire.com Bureau Chief

HARRISBURG (July 1) – The new fiscal year started this morning without a state budget in place to pay for it and no obvious signal that the Legislature will quickly get a budget to the governor.

Late Thursday, Senate officials announced that the chamber won’t even be in session on Friday, though the Senate has plans to be in session on Saturday and Sunday. The House is scheduled to be in session Friday and Saturday, though at the close of Thursday’s session, Speaker Bryan Cutler, R-Lancaster, reminded members to monitor their emails for updates on session days.

Despite the annoying aggravation of having to work through the holiday weekend, the broader immediate sting of failing to meet the state budget deadline doesn’t exist anymore due to a 2009 Supreme Court decision requiring that state employees must continue to receive their paychecks even if the budget hasn’t been passed.

Rep. Stan Saylor, R-York, the Majority chairman of the House Appropriations Committee, said that not having a budget in place has little, if any, immediate impact on state agencies.

Gov. Tom Wolf has been pushing for a dramatic increase in spending while Republicans have been trying to get the governor to agree to rollback controversial proposals including the bridge tolling plan (though a Commonwealth Court ruling Thursday ordered that the tolling plan be halted) and charter school regulations.

Alexis Campbell, a PennDOT spokeswoman, said that while the tolling plan has been met with objections, the administration is still waiting for lawmakers to explain how to pay for the needed bridge repairs and in the long-term replace the gas tax.

“To date, the legislature has failed to offer any solutions beyond their approval of this P3 initiative, that will assist the administration’s desire to phase out the gas tax. The Wolf Administration continues to welcome discussions with the General Assembly on alternative funding sources that can replace the gas tax, which is no longer a dependable source of funding to meet all bridge and highway needs in this commonwealth,” she said.

Republicans say they are interested in restraining Wolf’s spending proposals in order to position the state to better weather an economic slowdown.

“Senate Republicans continue to work towards a budget that invests in the people of Pennsylvania and ensures the financial stability of the Commonwealth as we face economic headwinds due to the Biden Administration’s inflationary policies,” Erica Clayton Wright, a spokeswoman for Senate Majority Leader Kim Ward, R-Westmoreland, said in a statement released late Thursday night.

Amidst all of this, former President Donald Trump weighed in earlier this week, issuing a statement in support of a poll watcher bill sponsored by Sen. Doug Mastriano, R-Franklin, and calling for Republicans to refuse to pass a budget unless it includes other election integrity changes.

Groups lobbying for election access have called for Wolf to veto Mastriano’s Senate Bill 573, and a Wolf spokeswoman strongly hinted that Wolf would veto the legislation, saying the administration “strongly opposes” the bill.

(Source: Capitolwire, July 1, 2022).

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RCPA has signed onto a letter to Congressional leaders of the Ways and Means Committee and the Senate Committee on Finance, along with 244 other signatories, outlining the need for parity in addiction and mental health care under Medicare.

As the President’s 2023 Budget and Senate Finance Committee’s bipartisan report has highlighted, Medicare is not subject to the Mental Health Parity and Addiction Equity Act (Parity Act). As a result, Medicare beneficiaries do not have coverage of or access to the full range of mental health and substance use disorder benefits they need, and often lose access to treatment they were receiving prior to becoming eligible for Medicare. Although Congress has eliminated disparate financial requirements for Medicare beneficiaries, Medicare still imposes both quantitative (e.g. 190-day lifetime limitation on psychiatric hospital care) and non-quantitative treatment limitations that would violate the Parity Act. Applying the Parity Act to Medicare Parts A, B, C, and D is the critical next step to make mental health and substance use disorder services available and accessible to the millions of Medicare beneficiaries in need of treatment.

Read the full letter here.

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From Kristen Houser, Deputy Secretary, DHS/Office of Mental Health and Substance Abuse Services:

I am writing to request your participation to inform the Office of Mental Health and Substance Abuse Services at the PA Department of Human Services of the values and desired outcomes and objectives that you would like to see reflected in a crisis behavioral health response system of services.

On July 16, 2022, the new, easy to remember, three-digit phone number to reach the National Suicide and Crisis Lifeline will become active. People experiencing mental health-related distress – whether that is thoughts of suicide, a mental health or substance use crisis, or any other kind of emotional distress – will be able to call 9-8-8 to be connected to trained staff at a National Lifeline Crisis Call Center for immediate support and referrals to appropriate local resources, including mobile response teams or first responders such as law enforcement or EMS if needed.

We know that communities across Pennsylvania have access to very different local resources to help them during a mental health-related crisis, and the Office of Mental Health and Substance Abuse Services at the PA Department of Human Services is about to embark on a multi-year plan to work with counties to enhance and expand the availability of mobile crisis response teams. Included in the plans for a full continuum of crisis intervention services is access to walk-in and crisis respite centers.

As a first step, we are reaching out to individuals across multiple disciplines to request input to ensure the values and desired outcomes and objectives we utilize to build these services is informed by stakeholders from across the Commonwealth.

Please take a few minutes to answer the questions within by July 8. The short survey should take approximately 10-15 minutes to complete.

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ODP Announcement 21-031: UPDATE highlights that the American Rescue Plan Act of 2021 (ARPA) provides a temporary 10% increase to the federal medical assistance percentage (FMAP) for certain Medicaid expenditures for home and community-based services (HCBS). The funding is to be used to enhance, expand, or strengthen HCBS beyond what is available under the Medicaid program.

On June 3, CMS notified states that they have an additional year to use funding made available by ARPA, expanding eligible expenditures to March 31, 2025. To provide guidance about the process for providers to request one-time payments and address staff training, credentialing, and business associates programs for employment, the application deadline for this initiative has been extended to October 31, 2022.

Providers interested in applying will complete and submit the Staff Training, Credentialing, and Business Associates Programs for Employment Supplemental Payment Application and submit via email to Rick Smith. Applications will be accepted through October 31, 2022.

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ODP Announcement 22-076 serves to announce that the Consolidated, Community Living, and Person/Family Directed Support (P/FDS) Waiver renewals, collectively known as the Intellectual Disability/Autism (ID/A) waivers, will not be effective on July 1, 2022, as requested.

This extension does not apply to the Adult Autism Waiver (AAW). The currently-approved AAW was most recently amended on April 1, 2022.

Discussions between the Office of Developmental Programs (ODP) and the Centers for Medicare & Medicaid Services (CMS) have been occurring since the submission of the waiver renewals. During recent discussions, it has become clear that the process to renew the waivers will not be complete by July 1. ODP requested a 90-day extension of the currently-approved waivers on June 27, 2022, since the Consolidated and Person/Family Directed Support waivers expire on June 30, 2022. CMS granted the extension request on June 27, 2022.

Until CMS approves the ID/A waiver renewals, the waiver amendments approved with an effective date of June 1, 2022, remain in effect. They can be found on the Department of Human Services website at the following links:

The ID/A waiver renewals submitted to CMS on April 1, 2022, are also available.

Additional changes will be made to the waiver renewals as a result of ongoing discussions with CMS. ODP will inform all stakeholders when the waiver renewals have been approved. The final approved versions of the waivers will be made available online at that time.

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