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Medical Rehab

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Join Drexel University Behavioral Healthcare Education’s visiting resident Radhika Rani, DO, for a special presentation titled “Mental Health Care for Migrants and Refugees in the U.S.: Culturally Informed Practices.”

Thursday, November 21, 2024
9:00 am – 12:15 pm ET
3 CE Hours
Live Webinar

This course aims to provide behavioral health professionals with the knowledge and skills needed to effectively address the mental health needs of migrant and refugee populations in the United States. Participants will explore the unique challenges and stressors encountered by these groups, including trauma, displacement, acculturation, and systemic barriers to care. Emphasis will be placed on culturally informed, trauma-sensitive approaches to diagnosis and treatment. In addition, the course will explore the legal, social, and policy implications impacting migrant and refugee communities as well as outline strategies for patient advocacy. Participants will also be able to gain practical skills while reflecting on personal biases and assumptions to foster more inclusive care and improve patient outcomes.

Register at the BHE website.

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The Center for Medicare and Medicaid Services (CMS) has released the Physician Fee Schedule CY 2025 Final Rule. You can view CMS’ press release, fact sheet, and final rule page in the Federal Register for more information. There were critical areas addressed in this year’s Physician Fee Schedule (PFS), including:

  • The extension of some telehealth flexibilities permitted under CMS’ authority absent Congressional action;
  • Updated payment for social determinants of health risk assessments as a part of Opioid Use Disorder intake activities furnished at Opioid Treatment Programs (OTP);
  • The establishment of a new add-on code to account for coordinated care, referral services, and peer supports at OTPs;
  • Payment for safety planning intervention and post-discharge follow-up;
  • The establishment of six G codes that mirror current interprofessional consultation Common Procedural Terminology codes used by practitioners who are eligible to bill E/M visits; and
  • Recognition of responses to CMS’ request for information on Certified Community Behavioral Health Clinics.

For the OPPS Final Rule, please see links to CMS’ press release, fact sheet, and final rule page in the Federal Register. Some highlights from this final rule include:

  • The maintenance of the Partial Hospitalization Program and Intensive Outpatient Program rate structures;
  • Narrowing the definition of “custody” in Medicare’s payment exclusion rule to mitigate barriers to Medicare access by individuals who have recently been released from incarceration or are on parole, probation, or home detention; and
  • Changes to Medicaid regulation, allowing states implementing the Medicaid clinic services benefit to cover clinic services outside the “four walls” of behavioral health clinics.

If you have any further questions regarding these final rulings or the application of the “four walls” impacts on Pennsylvania, please contact RCPA COO and Mental Health Director Jim Sharp.

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The PA Department of Labor & Industry’s Office of Vocational Rehabilitation (OVR) has further developed the draft of the Financial Needs Test (FNT) policy after incorporating feedback received during the September 2024 public comment period. As a result, there will be a second, shorter public comment period on the draft. The draft will be posted on OVR’s website for public review beginning November 11, 2024.

Virtual meetings will be held via Zoom at 9:00 am and 2:30 pm on Monday, November 18, 2024, to provide an overview of the policy and accept comments (content will be the same in both meetings). The public is invited to comment on the draft policy through November 22, 2024. Comments may be directed to OVR’s Public Comment inbox.

Zoom Meeting Information:

CART and sign language interpreters will be available for these meetings via the Zoom link.

Additional auxiliary aids and services are available upon request to individuals with disabilities. Please send your request to OVR’s Public Comment inbox.

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Image by Markus Winkler from Pixabay

Message from the Office of Long-Term Living (OLTL):

The Commonwealth is working collaboratively — Governor Shapiro’s office and the health hub agencies (Health, Human Services, Drug and Alcohol Programs, and Insurance) — to develop a statewide maternal health strategic plan. We need your help to make it a robust, comprehensive, collaborative, living, and most importantly, active plan.

As you are likely aware, Pennsylvania, like the nation, is experiencing a maternal health crisis.

According to the Pennsylvania Maternal Mortality Review Committee report, in 2020, Pennsylvania residents experienced a pregnancy-associated mortality ratio of 83 deaths per 100,000 live births with large disparities identified. In total, 107 individuals lost their lives during pregnancy, delivery, or up to one year postpartum.

Those numbers are far worse for Black women, where the rate was twice as high at 163 deaths per 100,000.

We also know that women and birthing people with disabilities experience unique challenges and needs on their health journey, so we are inviting you to join us for a 90-minute Zoom listening session where members of the Commonwealth’s health agencies and members of the statewide maternal health strategic plan can engage with you to learn what specific needs you have and how you feel the Commonwealth should address those needs.

We want our strategic plan to address all Pennsylvania women and birthing people, and sharing your voice at this listening session will help inform our plan.

The Zoom listening session is scheduled from 10:00 am – 11:30 am, on Friday, December 6, 2024. Please RSVP electronically by December 1 if you plan to attend. We will send the Zoom link by end of day December 4 to those who RSVP.

Thank you for considering spending 90 minutes with the disability community and state health team members to share your thoughts and needs around maternal health.

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Mark your calendars and plan to join IPRC for our exciting 2025 educational webinar series! Complimentary registration for all IPRC webinars is a benefit of your RCPA/IPRC Membership.

Thursday, January 16, 1:00 pm – 2:00 pm EST 
Neuro-Opthalmic Rehabilitation

Friday, February 7, 1:00 pm – 2:00 pm EST
POTS (Postural Orthostatic Tachycardia Syndrome)

Monday, March 3, 12:00 pm – 1:00 pm EST
Data-Driven Decision Making

Monday, March 24, 12:00 pm – 1:00 pm EST
Evidence-Based Practice: A Clinical Perspective

Tuesday, April 15, 11:00 am – 12:00 pm EDT
Part 1: Motivational Interviewing with Children

Tuesday, April 22, 11:00 am – 12:00 pm EDT
Part 2: Additional Strategies for Patient Engagement

Tuesday, May 20, 1:00 pm – 2:00 pm EDT
Treating FND: Functional Neurologic Disorder

Thursday, September 4, 12:00 pm – 1:00 pm EDT
The Therapy Intensive Model

Tuesday, October 7, 11:00 am – 12:00 pm EDT
Treating Non-Accidental Trauma

Monday, November 3, 12:00 pm – 1:00 pm EST
The Intersect of Functional Imaging and Clinical Presentations

Monday, December 8, 2:00 pm – 3:00 pm EST
Treating Pediatric Burns

Do you have a great topic or know a fantastic presenter? Please reach out to Cindi Hobbes, IPRC Director.

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Wednesday, November 6, 2024
12:00 pm – 1:00 pm EST; 11:00 am – 12:00 pm CST;
10:00 am – 11:00 am MST; 9:00 am – 10:00 am PST
Register Here

Kelsey Titgen, PT, DPT
Rachel Stanley, OTR/L

Presenter Bios:
Kelsey Titgen, PT, DPT

Kelsey earned her Doctorate of Physical Therapy from Emory University in 2018. Since graduating, she has worked in the acute care rehabilitation departments at Children’s Healthcare of Atlanta Egleston and Arthur M. Blank hospitals. In her tenure at Children’s Healthcare of Atlanta, she has treated patients in all inpatient units of the hospital, including PICU, multi-trauma, brain injury, oncology, and technology-dependent ICU. Over the past three years, Kelsey has taken on a primary and co-lead role in the cardiac intensive care unit and step-down unit, focusing on mobilizing patients on ECMO, various types of ventricular assist devices, and those recovering from open-heart surgery. She most enjoys her work supporting pediatric patients with congenital heart defects.

Rachel Stanley, OTR/L

Rachel graduated from Brenau University in 2020 with a degree in Occupational Therapy. After receiving her degree, she joined the Children’s Healthcare of Atlanta acute care rehabilitation team. Rachel primarily treats patients in the PICU and serves as an OT representative on the ICU Liberation Committee, a multi-disciplinary hospital committee focused on minimizing the effects of pain, agitation/sedation, delirium, immobility, and sleep disruption. Rachel is passionate about working with patients in the intensive care unit, including those on ECMO, and is dedicated to advancing the ICU Liberation program at Children’s Healthcare of Atlanta.

Objectives: At the end of this session, the learner will:

  • Describe three benefits of early mobilization of a pediatric ventilated patient;
  • Identify two examples of therapeutic activities that can be performed at each level of mobility; and
  • Understand varying levels of respiratory support and the implications of each during early mobility of a pediatric ventilated patient.

Audience: This webinar is intended for all interested members of the rehabilitation team.

Level: Beginner-Intermediate

Certificate of Attendance: Certificates of attendance are available for all attendees. No CEs are provided for this course.

Complimentary webinars are a benefit of membership in IPRC/RCPA. Registration fee for non-members is $179. Not a member yet? Consider joining today.

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Photo by Tingey Injury Law Firm on Unsplash

Novitas Solutions has announced that there are changes to the Amount in Controversy (AIC) for appeals filed on or after January 1, 2025. The AIC requires the claims value in dispute to meet the threshold for obtaining an Administrative Law Judge (ALJ) hearing and a judicial review in federal district court. The AIC is recalculated and published on an annual basis and is identified in a provider’s appeal notice of decision.

The AIC for appeals filed on or after January 1, 2025:

  • ALJ hearing will increase to $190.
  • Federal district court will increase to $1900.

The amount in controversy is calculated in the following manner:

  • Amount Charged minus Medicare Payments Already Made or Awarded = Subtotal Balance
  • Subtotal Balance minus Any Applicable Deductible/Coinsurance = AIC

Novitas Solutions is the Medicare Administrative Contractor (MAC) for Jurisdiction JL, which includes DC, DE, MD, NJ, and PA.

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Photo by Glenn Carstens-Peters on Unsplash

Microsoft Tech for Social Impact is dedicated to providing affordable and accessible technology to help nonprofits of all sizes achieve their mission. That’s why they offer grants and discounts for their products and services to eligible nonprofits around the world, including solutions like Azure, Dynamics 365, and Microsoft 365.

Download the Microsoft Nonprofit Grants Proposal to learn about their most popular nonprofit offers:

  • Improve cybersecurity, reduce costs, and empower staff and volunteers to work from anywhere with Microsoft 365 and Microsoft Teams. Free for up to 10 users and discounted pricing of $5.50 (USD) per user/month for additional users.
  • Move to the Cloud with the Azure grant for nonprofits. Leverage $2,000 (USD) Azure services credits per year and access the complete portfolio of Azure products and cloud services.
  • Easily develop mobile and web apps to support your mission — even if you have no technical or development experience. Power Apps is now free for up to 10 users with discounted pricing of $2.50 per user per month for additional users.

Get started with free technology grants and discounts!

Get grants and discounts across Microsoft’s Cloud products, including Microsoft 365, Azure, and Dynamics 365. To get started, register and confirm your organization’s eligibility. Already registered as a nonprofit? Login to your Microsoft Nonprofit page and access Admin Center. Watch our guided demo to help you get your free Microsoft 365 licenses.

Learn more about nonprofit offers:

For general information on eligibility, accessing offers, the Nonprofit Hub, and technical support, please submit your question, and a Microsoft representative will contact you shortly. Contact us.

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The Office of Developmental Programs has shared this important announcement from the Pennsylvania Department of Health (PA DOH) related to possible exposure to an individual positive for measles.

On October 11, the Pennsylvania DOH was notified by the New Jersey DOH that Pennsylvania residents could have been exposed to measles.

The New Jersey Health Department’s confirmed measles case is a resident of Monmouth County who presented with measles following recent international travel. The individual developed a rash and was subsequently confirmed to have measles via positive measles PCR results. He visited several healthcare facilities and public venues while infectious for measles.

DOH notes that anyone who visited the following New Jersey locations during the specified dates and times may have been exposed and should contact a health care provider immediately to discuss potential exposure and risk of developing the illness.

  • Location: Livoti’s Old World Market, 200 Mounts Corner Drive, Freehold, NJ 07728;
    Date & Time: September 30, 2024, between 5:30 pm – 8:30 pm
  • Location: El Rancho Mexican Restaurant, 28 W Main Street, Freehold, NJ 07728;
    Date & Time: October 1, 2024, between 7:30 pm – 10:30 pm
  • Location: International Longshoreman Association Strike, Elizabeth Chassis Depot, 1510 S. Bay Avenue, Elizabeth, NJ 07201, and the area near the “Welcome to Elizabeth Terminal;”
    Date & Time: October 1-3, 2024, all day
  • Location: Atlantic Health Immediate Care, 479 Route 520, Suite A103, Marlboro, NJ 07746;
    Date & Time: October 6, 2024, between 3:00 pm – 6:00 pm
  • Location: Jersey Shore University Medical Center – Emergency Department, 1945 NJ-33, Neptune City, NJ 07753;
    Date & Time: October 7, 2024, between 10:00 am – 5:00 pm

Potentially exposed individuals, if infected, could develop symptoms as late as October 29, 2024.

When to Suspect Measles

Consider measles as a diagnosis in anyone with a febrile rash illness lasting three days or more, a temperature of 101ºF (38.3ºC) or higher, and clinically compatible symptoms (cough, coryza, and/or conjunctivitis), particularly if the patient was potentially exposed to a case of measles or has recently traveled to an area with an on-going measles outbreak and are not fully vaccinated.

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