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Intellectual & Developmental Disabilities

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The Office of Developmental Programs (ODP) has shared this important announcement from the U. S. Food and Drug Administration (FDA).

The FDA is aware that Abbott Diabetes Care has sent all affected customers, distributors, and health care providers a letter regarding an issue with certain FreeStyle Libre 3 and FreeStyle Libre 3 Plus sensors providing incorrect low glucose readings. If undetected, incorrect low glucose readings over an extended period may lead to wrong treatment decisions for people living with diabetes, such as excessive carbohydrate intake or skipping or delaying insulin doses. These decisions may pose serious health risks, including potential injury or death, or other less serious complications.

As of November 14, 2025, Abbott has reported 736 serious injuries and seven deaths associated with this issue.

Affected Product

  • FreeStyle Libre 3 Sensor
    • Model Numbers: 72081-01, 72080-01
    • Unique Device Identifiers (UDI-DI): 00357599818005, 00357599819002
  • FreeStyle Libre 3 Plus Sensor
    • Model Numbers: 78768-01, 78769-01
    • Unique Device Identifiers (UDI-DI): 00357599844011, 00357599843014
  • Download the full list of affected lots

What to Do:

Patients should verify if their sensors are impacted and immediately discontinue use and dispose of the affected sensor(s).

On November 24, 2025, Abbott Diabetes Care sent all affected customers a letter recommending the following actions:

  • For Patients:
    • Determine if your current or unused sensor(s) are affected by visiting FreeStyle Check and selecting “CONFIRM SENSOR SERIAL NUMBER.” You will need to locate your sensor serial number to determine if your sensor is affected.
      • If you are wearing a FreeStyle Libre 3 and FreeStyle Libre 3 Plus sensor, you can find the serial number in the app or reader. The serial number can also be found on the label on the bottom of the sensor applicator or carton. (If you are using a sensor with a connected insulin delivery device, please refer to the connected insulin delivery device user manual on how to locate the sensor serial number.)
    • If you are currently wearing or have a FreeStyle Libre 3 or FreeStyle Libre 3 Plus sensor that has been confirmed as potentially affected on FreeStyle Check or by a customer service representative, immediately discontinue use and dispose of the affected sensor(s).
    • You can request a replacement for any potentially affected sensor(s) on FreeStyle Check. Select “CONFIRM SENSOR SERIAL NUMBER” and enter a valid serial number. If your sensor is potentially impacted, you will be instructed to enter your contact information so a replacement product can be sent to you at no cost.
    • Use a blood glucose meter or the built-in meter in your FreeStyle Libre 3 Reader to make treatment decisions when your sensor readings don’t match your symptoms or expectations.

Visit the FDA’s website for additional information and instructions on how to locate the Sensor’s Serial Number.

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The Office of Developmental Programs (ODP) has shared ODPANN 25-105. The purpose of this communication is to provide notice that the Federal Supplemental Security Income (SSI) payment will increase beginning in January 2026.

The SSI federal program provides benefits to adults and children who meet the SSA’s requirements for disability, income, and resources. This income benefit is designed to help qualified individuals meet basic needs for food, clothing, and shelter. Periodically, COLA affects the maximum monthly allotment. Effective January 2026, the SSA increased the SSI allotment by 2.8 percent to reflect an increase in the cost of living.

To account for the new COLA, room and board agreements should be reviewed to determine appropriate adjustment. The Room and Board Residency Agreement § 6100.687 (DP 1077) is found on the MyODP website.

Please see the bulletin for additional information. If you have any questions, please reach out to your Office of Developmental Programs (ODP) Regional Office.

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The PA Office of Developmental Programs (ODP) hosted a Supports Coordination Organization (SCO) Forum to provide status updates and data related to the recently completed desk review for Performance-Based Contracting. All PBC submissions have been scored, and results will be emailed to SCOs shortly, with final results published on the DHS website in January 2026. The new contract cycle is effective from January 1, 2026, to June 30, 2027.

Pay-for-Performance (P4P) and Portal Feedback

  • P4P Updates: Capacity building investments continue, with $3.835 million available for Credentialing and another $3.835 million available for Technology. A total of 45 SCOs submitted for at least one of these two investments.
  • MyPBC Portal: ODP requested feedback on SCOs’ experience using the new MyPBC Portal for submissions.

Notification Letters and the Critical Resolution Process

Notification letters regarding determination are now being sent, which will include a list of any performance measures the SCO did not meet.

  • Mandatory QM Plans: SCOs with unmet measures are required to create and implement a Quality Management Plan (QMP) to meet the standards before the next PBC submission period.
  • Resolution Deadline is Strict: The most crucial detail shared is the deadline for challenging an unmet measure determination. SCOs will have only seven calendar days from the receipt of their determination letter to initiate the Resolution Process.
  • Process Guidance: The Resolution Process is strictly for submitting existing documentation that was inadvertently omitted or contained typographical errors to refute ODP’s determination. This is not an opportunity to create new materials solely to meet the standard, and newly created policies, plans, or comments on the process will not be reviewed.

Top Unmet Measures

The presentation included a breakdown of the top unmet measures across all SCOs, highlighting specific compliance challenges:

Measure Measure Description Number of SCOs Unmet Percent of SCOs Unmet
PCP.01.2 90% compliance with monitoring frequency by waiver type 38 73%
QDI.01.6 Restrictive procedure data is 86% accurate as compared to the most current BSP. 30 58%
RN.01 Register in PA Navigate Resource Platform as a CBO 15 23%

QDI (Quality Data Integrity) Measures: The purpose of QDI measures is to stress that SCOs are the primary source of data collection, and data integrity is essential for data-driven policies. ODP plans to drop these measures over time as performance improves.

  • For QDI.01.1 (Demographic Data), ODP focused on Completeness (86% threshold) this cycle, as checking for both ‘Complete AND Accurate’ resulted in nearly every SCO failing the measure. The threshold is set to increase to 93% for the FY 2027/28 contract cycle.
  • The target for PCP.01.2 (Monitoring Frequency Compliance) is 90% (P/FDS: once every three months; Consolidated/Community Living: once every two months). This threshold is also scheduled to increase to 93% in the FY 2027-2028 contract cycle.

Restrictive Procedures and Dissatisfaction Measures

  • Restrictive Procedures (RP): ODP presented details on the calculation for QDI.01.6, which compares the restrictive procedure checkbox in HCSIS against the most current Behavior Support Plan (BSP) summary text. Data showed a continued overall decrease in the rate of Restrictive Procedures incidents from 2022 to 2024.
  • Dissatisfaction Measure: For the Dissatisfaction Measure, ODP will utilize the data submitted by SCOs (the number of individuals who chose another SCO due to dissatisfaction and the reasons why) to establish a baseline for the measure and determine how to proceed with it in the future.

The presentation slide deck can be found here. SCO Providers are encouraged to continue to submit feedback and questions to ODP via the PBC Inbox.

For questions or comments, please contact Tim Sohosky.

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Message from the Office of Developmental Programs:

The Office of Developmental Programs is excited to announce the launch of a new Provider Innovation Series — an exclusive opportunity for the Provider community to showcase and be recognized for their innovations, new and ongoing, in support of the everyday lives of those we serve. We believe in the power of peer learning and support, and we look forward to showcasing your innovative practices that drive quality.

This exciting new series will premiere during the Everyday Lives conference (May 12–14, 2026), as selected Providers will have the opportunity to join ODP’s Director of Training & Communications, Rochelle Troutman, to present their innovative program, policy, or practice to their peers.

Presenters will also be celebrated for their innovation and leadership in the field with a showcase on MyODP News, a certificate of appreciation, and a digital badge, which can be added to email signatures and displayed on their website and social media.

Join Rochelle Troutman, along with ODP’s Deputy Secretary, Kristin Ahrens for an informational webinar to learn more about this opportunity on December 2 from 9:00 am – 9:30 am EST. The webinar will be recorded and made available on MyODP. Selected presenter(s) will be announced in early February and will receive support as they prepare.

Register for the Informational Webinar

Don’t miss this opportunity to demonstrate your impact! We encourage all Provider organizations, large and small, to consider what innovations they may like to share, and look forward to both learning more about — and sharing with others — your innovative work!

Proposals will be accepted from December 1 — January 5. ODP will select providers to present based on the provider’s innovative practices, and encourages providers to use ISAC Recommendations and Strategies to identify areas of innovation.

To submit an application, please complete the survey.

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The Office of Developmental Programs (ODP) has shared Bulletin 00-25-05.  The purpose of this bulletin is to establish the ODP policy on communication and assure all individuals have an effective way to communicate in order to express choice and ensure health and safety.  Please review the Bulletin and accompanying attachment for additional information.

In accordance with ODP’s Everyday Lives: Values in Action, individuals and their families identified several areas of importance for increasing the overall quality of their lives. One of those priorities is communication. It is ODP’s goal that every person has an effective way to communicate in order to express choice and ensure health and safety. All forms of communication should consider and include the individual’s language preferences and use of current technology.

Comments and questions regarding this bulletin should be directed to the appropriate ODP Regional Program Office.

Visit the Office of Developmental Programs website for more details.

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Message from PA DHS:

Under new federal rules, to keep or become eligible for SNAP benefits, some recipients will have to meet work requirements that include working, volunteering, or participating in an education or training program for at least 20 hours a week (or 80 hours each month) AND report that they are meeting these work requirements.

To help SNAP recipients and applicants find out if they need to meet this requirement, the Pennsylvania Department of Human Services (PA DHS) has launched a new online screening tool.

By answering a simple set of yes or no questions, SNAP applicants and recipients can find out if they need to meet the work requirements, if they are already meeting the work requirements, or if they are eligible for an exemption.

The screening tool is not a final determination of whether someone is meeting the work requirements or is eligible for an exemption, but it can help recipients and applicants have a more informed conversation with their caseworker.

The new work requirements will apply to Pennsylvanians who:

  • Are between 18-64 years old;
  • Do not have a dependent child under 14 years old; and
  • Are considered physically and mentally able to work.

In addition, being a veteran or a current or former foster youth age 18–24 will no longer be an exemption.

Some people may still be exempt from work and reporting requirements if they meet a different exemption. You can learn more about these work reporting requirements, who they affect, and more about exemptions at DHS’s website.

State Budget Investments Help Fight Food Insecurity

Pennsylvania’s charitable food network and our agricultural community are vital to keeping our neighbors and communities fed. Governor Shapiro’s 2025/26 budget delivers major investments to combat hunger, strengthen the charitable food network, and support Pennsylvania farmers. The budget includes a historic $11 million increase for food security, including:

  • $3 million for the State Food Purchase Program and $1 million for the Pennsylvania Agricultural Surplus System (PASS);
  • $2 million for a new state Food Bucks program to supplement SNAP; and
  • $5 million in new funding to Pennsylvania food banks.

Help Us Spread the Word

PA DHS has developed a communications toolkit to help Pennsylvanians understand the changes happening to SNAP.

We ask RCPA members, advocates, and stakeholders to view and share the toolkit, which includes sample text, social media posts, and more.

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Businessman and team work using a Laptop Computer with Webinar E-business Browsing Connection and cloud online technology webcast concept, business concept

From Chaos to Clarity: How Human Service Leaders Bring Order to Oversight
Tuesday, December 9, 2025
12:00 pm ET
Register Here

Keeping up with inspections and licensing requirements can feel like an endless chase — especially when each site or program has its own system. Many organizations are finding new ways to bring structure, visibility, and calm to these responsibilities, even with limited resources.

Join us on Tuesday, December 9, 2025, at 12:00 pm ET for From Chaos to Clarity: How Human Service Leaders Bring Order to Oversight, a live webinar co-hosted by RCPA and PUPS Software. This session brings together leaders for an open, practical conversation about streamlining inspections, licensing, and operational readiness.

Featured Panelists:

  • Jim Sharp, Chief Operating Officer & Director of Mental Health Services, RCPA
  • Savannah David, Service Director – ID/A NE Region, Step By Step, Inc.
  • Morgan Gerety, Director of Maintenance, Caring, Inc.

We’ll talk about:

  • Practical steps to bring consistency and visibility to inspections and licensing;
  • How to move from paper and spreadsheets to digital processes without overwhelming your team;
  • Real examples of accountability and readiness in action; and
  • Lessons learned from organizations that replaced annual scrambles with steady progress.

Whether your team is just getting started or already modernizing oversight, you will walk away with useful ideas, peer insights, and tools to support your next steps.

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