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Intellectual & Developmental Disabilities

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Photo by Towfiqu barbhuiya on Unsplash

The Office of Developmental Programs (ODP) has shared ODPANN 24-058. This communication announces the start of Cycle 2, Year 3 (C2Y3) of the Quality Assessment & Improvement (QA&I) Process on July 1, 2024. All Administrative Entities, Supports Coordination Organizations, and Providers, regardless of receiving a full review or not, are required to complete a QA&I self-assessment of their performance on the provision of services and supports to individuals annually based on key quality metrics and implementation of “Everyday Lives: Values into Action.”

Please view the announcement for information and details.

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Thursday June 20, the Office of Developmental Programs (ODP) held the fourth Provider Preparedness Summit for residential providers. Additional discussion on specific performance standards for Performance-Based Contracting took place.

The PowerPoint can be viewed here, and a recording of the session will be posted shortly on the MyODP website.

ODP staff answered many questions submitted by providers and will take questions/comments into consideration for change. The discussion was primarily focused on an overview of the performance standards, including Competitive Integrated Employment, Community Inclusion, and use of Remote Support Technology.

ODP staff referenced the ISP Manual, which contains useful information on Remote Supports.

ODP also polled participants for questions such as the possibility of postponing Provider Tier assignments until March, and acceptable referral process for individuals in Needs Group 4.

No changes have been made at this time, but ODP is interested in feedback from stakeholders.

Providers are encouraged to attend all four sessions as well as watch a pre-recorded webinar. All of these recordings and resources can be found on the MyODP website.

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The agenda for the July 2, 2024 Long-Term Services and Supports (LTSS) Subcommittee meeting has been released. Included in the agenda is the recent release of the Community HealthChoices (CHC) Waiver renewal and OBRA Waiver amendments proposed for January 2025. There will also be a discussion on the Mercer rate and wage study that will be coming up in the very near future.

As a reminder, the meeting is hybrid, held both in person and via webinar. The meeting is held in the Honors Suite, 1st floor, 333 Market Street, Harrisburg, PA 17126 from 10:00 am – 1:00 pm. The meeting information is provided below:

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Photo by Kane Reinholdtsen on Unsplash

RCPA is partnering with The Arc of PA, PAR, TPA, The Alliance of Community Service Providers, and MAX to hold a press conference on Wednesday, June 26, 10:00 am – 11:00 am. Speakers scheduled to participate include House Human Services Co-Chairs Rep. Doyle Heffley and Rep. Stephen Kinsey, self -advocates, families, and DSPs to express our appreciation and support of the governor’s proposed budget funding for ID/A services in PA. Members are welcome to join us in the rotunda of the Capitol. No registration is necessary. There is a limit to the amount of people who are permitted to be in the rotunda for these events, so we are not encouraging large groups to attend. Any questions, please contact Carol Ferenz.

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The Centers for Medicare and Medicaid Services (CMS) recently announced that payments under the Accelerated and Advance Payment (AAP) Program for the Change Healthcare/Optum Payment Disruption (CHOPD) will end on July 12, 2024.

CMS has reported that CHOPD accelerated payments totaling more than $2.55 billion have been issued to over 4,200 Medicare Part A providers, and another 4,722 CHOPD advance payments, totaling more than $717.18 million, have been issued to Part B suppliers. CMS also states that providers of services and suppliers are now successfully billing Medicare, and to date, CMS has already recovered over 96% of the CHOPD payments. After July 12, providers that are having difficulty with billing or receiving payments should contact Change Healthcare and/or their Medicare Administrative Contractor (MAC) directly.

Additional information can be found on the Healthcare and Public Health Cybersecurity Performance Goals web page.

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The Office of Developmental Programs (ODP) has shared ODPANN 24-056. This communication announces the availability of the New Live Case Study Session, which includes an online module and a live virtual case study session. This course is offered as an opportunity to support entities to complete high-quality Administrative Reviews (AR) that help mitigate risks to individuals receiving services. View the announcement for details.

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