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Medical Rehab

Message from the Department of Human Services:

As you may know, the American Rescue Plan of 2021 (ARP) 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 must be used to enhance, expand, or strengthen HCBS beyond what is available under the Medicaid program as of April 1, 2021.

On Monday, June 14, the Department of Human Services (DHS) submitted a preliminary spending plan to the Centers for Medicare & Medicaid Services (CMS) that serves as a foundation for Pennsylvania’s planning efforts by outlining our principles and overarching priorities. The preliminary plan encompasses many of the stakeholder recommendations that have been made to date. The overarching priorities include:

  1. Increasing access to HCBS;
  2. Enhancing HCBS provider payment rates and benefits;
  3. Protecting the health and well-being of direct care workers and direct support professionals through the provision of supplies and equipment;
  4. Recruitment and retention efforts to support the workforce;
  5. Supporting caregivers;
  6. Assistive technology and other supports to improve functional capabilities of persons with disabilities;
  7. Supporting the transition of individuals to community-based living arrangements;
  8. Investing in activities to address Mental Health and Substance Use Disorder treatment and recovery needs of Medicaid beneficiaries; and
  9. Building HCBS capacity and rebalancing Long-term Services and Supports.

With these priorities in mind, we hope to hear more from stakeholders about Pennsylvania’s efforts as we continue to flesh out the details of our plan to strengthen, enhance, and expand HCBS. Comments must be submitted by close of business on July 6.

Please visit the public comment overview as well as Pennsylvania’s preliminary spending plan for further information. Your comments can be submitted via email. Additionally, a live virtual public comment session will take place on Wednesday, June 30 at 10 am for those who are unable or prefer not to submit written feedback. More information about how to RSVP for this session will be available soon.

On June 11, 2021, the Department of Health and Human Services issued a document titled “Provider Relief Fund General and Targeted Distribution: Post-Payment Notice of Reporting Requirements” to notify Provider Relief Fund (PRF) recipients of the data elements and deadlines that constitute the post payment reporting process. The June 11 PRF requirements establish:

  1. the deadlines by which recipients are required to use or return funds, and
  2. the deadlines by which recipients must submit a report on use of funds.

The previous PRF guidance, titled “General and Targeted Distribution: Post-Payment Notice of Reporting Requirements,” was released on January 15, 2021 and is superseded by the June 11 guidance. Principle differences between the guidance are:

  1. Updated Reporting Times
  2. Updated Payment Use Periods
  3. Reporting Requirement Changes

Please see the document provided to us by ANCOR for the information.

From ANCOR:

Hello ANCOR members!
New guidance on the PRF reporting requirements has just been released.

View in browser | Distributed by Center for Medicaid and CHIP Services (CMCS)

Today, the U.S. Department of Health and Human Services, through the Health Resources and Services Administration (HRSA) is releasing revised reporting requirements for recipients of Provider Relief Fund (PRF) payments. This announcement includes expanding the amount of time providers will have to report information, aims to reduce burdens on smaller providers, and extends key deadlines for expending PRF payments for recipients who received payments after June 30, 2020. The revised reporting requirements will be applicable to providers who received one or more payments exceeding, in the aggregate, $10,000 during a single Payment Received Period from the PRF General Distributions, Targeted Distributions, and/or Skilled Nursing Facility and Nursing Home Infection Control Distributions.

“From the beginning of this pandemic, health care providers have gone above and beyond to care for their patients in extremely difficult circumstances that caused significant financial hardship,” said HRSA Acting Administrator Diana Espinosa. “These updated requirements reflect our focus on giving providers equitable amounts of time for use of these funds, maintaining effective safeguards for taxpayer dollars, and incorporating feedback from providers requesting more flexibility and clarity about PRF reporting.”

HHS began issuing notices on post-payment reporting requirements in July 2020. On January 15, 2021, HHS issued updated requirements to reflect language in the Coronavirus Response and Relief Supplemental Appropriations Act of 2021 and opened registration for the reporting portal. Since then, HHS has carefully weighed the rapidly evolving nature of the pandemic and its impact on health care providers and other stakeholders, which is reflected in the revised notice issued today.

The revised reporting requirements supplanting the January 15th requirements can be found here – PDF.

Key Updates:

  • The period of availability of funds is based on the date the payment is received (rather than requiring all payments be used by June 30, 2021, regardless of when they were received).
  • Recipients are required to report for each Payment Received Period in which they received one or more payments exceeding, in the aggregate, $10,000 (rather than $10,000 cumulatively across all PRF payments).
  • Recipients will have a 90-day period to complete reporting (rather than a 30-day reporting period).
  • The reporting requirements are now applicable to recipients of the Skilled Nursing Facility and Nursing Home Infection Control Distribution in addition to General and other Targeted Distributions.
  • The PRF Reporting Portal will open for providers to start submitting information on July 1, 2021.

Summary of Reporting Requirements

  Payment Received Period (Payments Exceeding $10,000 in Aggregate Received) Deadline to Use Funds Reporting Time Period
Period 1 From April 10, 2020 to June 30, 2020 June 30, 2021 July 1 to September 30, 2021
Period 2 From July 1, 2020 to December 31, 2020 December 31, 2021 January 1 to March 31, 2022
Period 3 From January 1, 2021 to June 30, 2021 June 30, 2022 July 1 to September 30, 2022
Period 4 From July 1, 2021 to December 31, 2021 December 31, 2022 January 1 to March 31, 2023

These reporting requirements do not apply to the Rural Health Clinic COVID-19 Testing Program nor the two claims reimbursements programs: the HRSA COVID-19 Uninsured Program and the HRSA COVID-19 Coverage Assistance Fund. HRSA continues to encourage providers to establish their PRF Reporting Portal accounts now by registering here. Registration will also allow providers to receive updates closer to the official opening of the portal for their reporting submissions.

For more information, read the materials below:

Please contact your RCPA Policy Director for more information.

The Pennsylvania Family Support Alliance (PFSA) is continuing to offer virtual Mandated Reporter Training at no cost to mandated reporters in Pennsylvania. This three-hour virtual training is approved by the Departments of Human Services, Education, and State and meets all requirements for training on recognizing and reporting child abuse (and includes Act 126 for school employees). It is also approved for continuing education credits under Act 31 (Department of State for health-related licenses) and Act 48 (Department of Education for teachers) at no cost. PFSA will submit your training verification to the Department of State or Education as appropriate on your behalf (details provided during training).

Please register for your preferred training date and time by clicking one of the session links below. Each person must log in through separate devices using the unique access link emailed to them after registration to receive credit. For questions or to schedule a session specifically for your organization, please email PFSA. Please feel free to share this opportunity with others!

Sat. June 12 9:00 am–12:00 pm

Mon. June 14 1:00 pm–4:00 pm

Tues. June 15 9:00 am–12:00 pm

Wed. June 16 9:00 am–12:00 pm Wed. June 16 1:00 pm–4:00 pm

Thurs. June 17 9:00 am–12:00 pm

Fri. June 18 9:00 am–12:00 pm

Sat. June 19 9:00 am–12:00 pm

Mon. June 21 12:00 pm–3:00 pm

Tues. June 22 9:00 am–12:00 pm Tues. June 22 1:00 pm–4:00 pm

Wed. June 23 9:00 am–12:00 pm

Thurs. June 24 9:00 am–12:00 pm Thurs. June 24 1:00 pm–4:00 pm

Fri. June 25 9:00 am–12:00 pm

Tues. June 29 9:00 am–12:00 pm Tues. June 29 1:00 pm–4:00 pm

Wed. June 30 9:00 am–12:00 pm