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Medical Rehab

ACL From Our Partners
Webinar 7/23: Sick and Tired of Being Sick and Tired: People of Color, Disabilities, and Mental Health

Register for the webinar on Thursday, July 23, at 2:00 PM ET.

The Mental Health and Developmental Disabilities National Training Center (MHDD-NTC) presents a webinar exploring the unique intersection of disability, mental health, and people of color. People of color experience higher rates of disability and mental health conditions, but often face decreased access to care and have other co-occurring health disparities. This presentation will highlight these inequities and discuss how we can work towards eliminating these disparities and becoming stronger allies for people of color.

Presenter:

Morénike Giwa Onaiwu is an educator, writer, public speaker, parent, and global advocate. A proactive, resourceful professional and disabled woman of color in a multicultural, neurodiverse, serodifferent family, Morénike, who is American-born to immigrant parents, possesses undergraduate and graduate degrees in International Relations and Education. She has been the recipient of numerous awards, including the “Advocating for Another: Health Activist of the Year” 2014 WEGO Health Award and the “Service to the Self-Advocacy Movement” 2015 Autistic Self Advocacy Network Award.

Register for the webinar.

ACL funds the Mental Health and Developmental Disabilities National Training Center (MHDD-NTC). Learn more at mhddcenter.org.

FOR IMMEDIATE RELEASE
July 8, 2020  

Harrisburg, PA – The Department of Human Services today announced applicants selected through a Request for Applications (RFA) for Pennsylvania’s HealthChoices program, the Medicaid physical health managed care program that provides healthcare coverage to more than 2.6 million people.  DHS is unable to move forward with the selections, however, due to the pendency of protests.

“Pennsylvania’s HealthChoices program is a lifeline for more than 2.6 million Pennsylvanians covered under the Medical Assistance program. This program not only helps with essential health services like doctors’ visits, routine and preventive care, and access to prescriptions necessary to live a healthy life – it also is an opportunity to greatly impact participants’ social and economic trajectory,” said Human Services Secretary Teresa Miller. “As one of our farthest-reaching and highest-cost programs, we are committed to constant quality improvement that focuses on participants’ health and well-being, and innovative, outcomes-driven efficiencies.”

Applicants were selected through a competitive procurement that evaluated applicants’ soundness of approach, personnel qualifications and staffing and prior experience and performance. More information about evaluation criteria can be found in the RFA. Applicants selected were the top scoring applicants for their zone. Selected applicants for each service zone are as follows:

  • Southeast: Geisinger Health Plan, Health Partners Plans, UnitedHealthCare, UPMC for You, and Vista Health Plan (Keystone First);
  • Lehigh/Capital: Gateway Health, Geisinger Health Plan, Health Partners Plans, UPMC for You, and Vista Health Plan (AmeriHealth Caritas);
  • Northeast: Geisinger Health Plan, Health Partners Plans, UPMC for You, and Vista Health Plan (AmeriHealth Caritas);
  • Northwest: Geisinger Health Plan, Health Partners Plans, UPMC for You, and Vista Health Plan (AmeriHealth Caritas); and,
  • Southwest: Gateway Health, Geisinger Health Plan, Health Partners Plans, UPMC for You, and Vista Health Plan (AmeriHealth Caritas).

At the time of this release, two non-selected applicants filed protests of their non-selection.  Due to the filing of these protests, DHS may not take any further action on the procurement until the protests are resolved.

For more information on the HealthChoices procurement and requirements of the RFA, view the RFA here.

MEDIA CONTACT: Erin James, ra-pwdhspressoffice@pa.gov

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FOR IMMEDIATE RELEASE
July 8, 2020

Harrisburg, PA – Department of Human Services (DHS) Secretary Teresa Miller today announced a Request for Expressions of Interest (RFEI) for the commonwealth to establish a resource and referral tool. The tool will serve as a care coordination system for providers such as health care and social services organizations and will include a closed-loop referral system that will report on the outcomes of the referrals. It will also serve as an access point to search and obtain meaningful information to help Pennsylvanians find and access the services they need to achieve overall well-being and improve health outcomes.

“No one person or provider can help a person fully address all of these goals on their own, and that is okay. We want to make sure that we are focused on how to promote a more holistic approach to health and well-being and that we are ensuring that individuals’ and families’ needs are met through the delivery of the right service at the right time,” said Sec. Miller. “With this resource and referral tool, we hope to establish a system where we can break down walls in the health care and social service system and improve health outcomes and quality of life for Pennsylvanians.”

The purpose of the RFEI is to determine what experienced firms are available to assist DHS and the commonwealth in executing the development and implementation of a statewide resource and referral tool within an aggressive timeframe. Interested parties should have relevant experience and proven success implementing projects of similar scope and working with a wide range of sectors including healthcare organizations, community-based organizations, and state and local government agencies.

The resource and referral tool, when implemented, will allow providers to assess an individual during a physician’s office or emergency department visit, or when receiving case management services, among others. The tool will also gather data that can help the Commonwealth and its partners better understand the needs of vulnerable Pennsylvanians and identify service gaps across the state. By looking at critical social determinants of health, including employment, childcare, transportation, food security, access to health care, and housing stability, the Commonwealth and all network organizations can help individuals achieve better long-term health outcomes and maximize the impact of health care dollars.

The COVID-19 pandemic has emphasized the urgent need for a customer-friendly system to assist the public in locating resources and to efficiently and effectively connect individuals with critical services such as food, housing, transportation and childcare, as well as many other needed critical services. This tool can provide an alternative to in-person interactions between social services organizations and clients in order to facilitate social distancing.

Individuals, service providers, government agencies, caregivers, educational institutions, faith-based groups, and advocates will be able to use this tool to help navigate the system of resources, and work together to reduce duplication of services as well as the time it takes for individuals to receive much-needed services. The tool will allow service providers to bridge the gaps that make service continuity and follow-up on referrals difficult.

“We all can help Pennsylvanians on a path to achieve better long-term health outcomes, meet their social determinant of health needs, and empower them towards economic self-sufficiency, and our hope is this tool will be a platform to make this possible,” said Sec. Miller. “Governor Wolf and this Administration is working to make sure individuals and families, particularly our most vulnerable, have a strong relationship with a person who can help them navigate across systems and organizations so they know that they are not alone on their path to a better life.”

For more information and to read the RFEI, visit eMarketplace.

MEDIA CONTACT: Erin James, ra-pwdhspressoffice@pa.gov

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From ANCOR:
Late last week, Politico Pro published and HHS later confirmed that providers who were left out of the latest Medicaid tranche from the provider relief fund will be getting another chance. While no official timeline has been finalized, Hill staff confirm that HHS is close to announcing more specifics.

The HHS spokesperson said any provider that missed the deadline will be able to apply. They will be eligible to receive 2 percent of their revenue from seeing patients. More guidance will be forthcoming, the spokesperson said.

See the Politico Pro article for more on what we know at this time.