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Mental Health

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Today, May 13, 2020, the Frequently Asked Questions Document was updated and question #46 may be of great interest to our members who have PPP loans of under 2 million.

The Small Business Administration (SBA), in consultation with the Department of the Treasury, intends to provide timely additional guidance to address borrower and lender questions concerning the implementation of the Paycheck Protection Program (PPP), established by section 1102 of the Coronavirus Aid, Relief, and Economic Security Act (CARES Act or the Act). This document will be updated on a regular basis.

Borrowers and lenders may rely on the guidance provided in this document as SBA’s interpretation of the CARES Act and of the Paycheck Protection Program Interim Final Rules (“PPP Interim Final Rules”) (link). The U.S. government will not challenge lender PPP actions that conform to this guidance,1 and to the PPP Interim Final Rules and any subsequent rulemaking in effect at the time.

  1. Question: How will SBA review borrowers’ required good-faith certification concerning the necessity of their loan request?

Answer: When submitting a PPP application, all borrowers must certify in good faith that “[current economic uncertainty makes this loan request necessary to support the ongoing operations of the Applicant.” SBA, in consultation with the Department of the Treasury, has determined that the following safe harbor will apply to SBA’s review of PPP loans with respect to this issue: Any borrower that, together with its affiliates,20 received PPP loans with an original principal amount of less than $2 million will be deemed to have made the required certification concerning the necessity of the loan request in good faith.

SBA has determined that this safe harbor is appropriate because borrowers with loans below this threshold are generally less likely to have had access to adequate sources of liquidity in the current economic environment than borrowers that obtained larger loans. This safe harbor will also promote economic certainty as PPP borrowers with more limited resources endeavor to retain and rehire employees. In addition, given the large volume of PPP loans, this approach will enable SBA to conserve its finite audit resources and focus its reviews on larger loans, where the compliance effort may yield higher returns.

Importantly, borrowers with loans greater than $2 million that do not satisfy this safe harbor may still have an adequate basis for making the required good-faith certification, based on their individual circumstances in light of the language of the certification and SBA guidance. SBA has previously stated that all PPP loans in excess of $2 million, and other PPP loans as appropriate, will be subject to review by SBA for compliance with program requirements set forth in the PPP Interim Final Rules and in the Borrower Application Form. If SBA determines in the course of its review that a borrower lacked an adequate basis for the required certification concerning the necessity of the loan request, SBA will seek repayment of the outstanding PPP loan balance and will inform the lender that the borrower is not eligible for loan forgiveness. If the borrower repays the loan after receiving notification from SBA, SBA will not pursue administrative enforcement or referrals to other agencies based on its determination with respect to the certification concerning necessity of the loan request. SBA’s determination concerning the certification regarding the necessity of the loan request will not affect SBA’s loan guarantee.21

20 For purposes of this safe harbor, a borrower must include its affiliates to the extent required under the interim final rule on affiliates, 85 FR 20817 (April 15, 2020).

21 Question 46 published May 13, 2020

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dhs-logo-squareDDAP Logo

FOR IMMEDIATE RELEASE
May 13, 2020

Harrisburg, PA – The Department of Human Services (DHS) Secretary Teresa Miller and Department of Drug and Alcohol Programs (DDAP) Secretary Jennifer Smith today reminded Pennsylvanians who are struggling with mental health or substance use disorder issues that help is available. May is Mental Health Awareness Month, which seeks to raise awareness and understanding and to fight stigma of mental illness and substance use disorders so people know that they are never alone and help is available.

“Far too many people struggle with mental health or substance use disorder issues in silence, and only about half of people impacted seek treatment. Too often, stigma of behavioral health disorders keeps people from seeking the treatment they need,” said DHS Secretary Miller. “There is nothing wrong with reaching out for help when you need it, and there should be no shame in doing so. We know that this public health crisis will mean people may need an extra hand, both during the pandemic and after it has ended. DHS’s resources will be available, not just now, but in the months to follow as well.”

“Substance use disorder and mental illness do not discriminate regardless of age, race, or socioeconomic background,” said DDAP Secretary Smith. “Regardless if you are a Pennsylvanian with 15 years or 15 days in recovery, actively using substances, or on the brink of beginning – you are not alone, and help is available even during this pandemic. Everyday individuals overcome both mental illness and substance use disorder with the proper treatment, hope, and resiliency.”

The Wolf Administration has been committed to ensuring access to mental health care. Governor Wolf launched “Reach Out PA: Your Mental Health Matters” earlier this year as an initiative to remove barriers to mental health care and reduce stigma. The governor has reminded Pennsylvanians that there are myriad resources for people to turn for mental health needs.

DHS announced a statewide Support & Referral Helpline staffed by skilled and compassionate caseworkers available 24/7 to help Pennsylvanians struggling with anxiety and other challenging emotions due to the COVID-19 emergency and refer them to community-based resources that can further help to meet individual needs. The toll-free, round-the-clock support line is available at 1-855-284-2494. For TTY, dial 724-631-5600.

Individuals with substance use disorder seeking treatment and recovery resources for themselves or a loved one can call the toll-free PA Get Help Now helpline at 1-800-662-HELP (4357). The 24/7 helpline is staffed by trained professionals who directly connect callers to local supports and services. A live chat option is also available online or via text message at 717-216-0905 for those seeking help who may not be comfortable speaking to a helpline operator.

Many other resources also remain available to Pennsylvanians in need of support, including:

  • National Suicide Prevention Lifeline: 1-800-273-TALK (8255)
  • Línea Nacional de Prevención del Suicidio: 1-888-628-9454
  • Crisis Text Line: Text “PA” to 741-741
  • Safe2Say: 1-844-723-2729 or www.safe2saypa.org
  • Veteran Crisis Line: 1-800-273-TALK (8255)
  • Disaster Distress Helpline: 1-800-985-5990
  • Get Help Now Hotline (for substance use disorders): 1-800-662-4357

Available online resources:

The uncertain economic climate and challenges making ends meet and accessing essential needs may be creating additional stress and anxiety for people around Pennsylvania. Resources are available in your community to help you meet these needs. The United Way of Pennsylvania can help connect you to these resources. Text your zip code to 898-211 to be connected to programs and resources in your community or visit www.uwp.org. People in need of assistance can also visit www.compass.state.pa.us to learn more and apply for assistance programs that can help with health care, food, and other needs.

Visit the PA Department of Health’s dedicated Coronavirus webpage for the most up-to-date information regarding COVID-19.

Additional resources for citizens and DHS providers related to COVID-19 is available here.

For more information on the Department of Drug and Alcohol Programs and treatment options around the commonwealth, visit www.ddap.pa.gov.

MEDIA CONTACT: Erin James, DHS – [email protected]

Rachel Kostelac, DDAP, 717-329-0591

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FOR IMMEDIATE RELEASE
May 13, 2020

Harrisburg, PA – The Department of Human Services (DHS) is reminding Pennsylvanians that while all county assistance offices (CAOs) statewide remain closed to the public, online services remain available.

CAOs in counties moving to the yellow phase will reopen following adjustments to facilities necessary to keep staff and clients safe. Pennsylvanians are encouraged to use DHS’ online applications and resources to apply for benefits or submit paperwork as necessary.

“DHS is continuing to connect eligible Pennsylvanians to the programs they need through our online services. No one should forego these services if they need them, and anyone who is struggling to make ends meet or needs assistance should know that help is available,” said DHS Secretary Teresa Miller. “While our CAOs are still closed to the public, we are still receiving and processing applications for our public assistance programs. Clients should take advantage of online resources like COMPASS and the myCOMPASS PA mobile app as counties begin to reopen to mitigate risk while we continue to face the threat of COVID-19.”

The following key services can be accessed online through COMPASS and the myCOMPASS PA mobile app without going into the CAO:

  • Apply for Medical Assistance, cash assistance, SNAP or LIHEAP (only on COMPASS)
  • Submit benefit renewal information
  • Review benefits and case record information
  • Report a change in case information
  • Upload verification documents

DHS administers public assistance programs that helps Pennsylvanians maintain access to health care, food, and other essential needs when people need extra help and during periods of economic uncertainty like what we currently face. Applications for benefits and renewals can be submitted online at www.compass.state.pa.us. Eligibility determinations, application processing, and benefit issuance will continue for Pennsylvanians in all counties while the CAOs are closed to the public. Clients who prefer to submit paper documentation can mail documents to their local CAO or leave documents in a CAO’s secure drop box, if available.

Clients in Philadelphia with questions, information to report about their case, or who need a paper application mailed to them should call the Philadelphia Customer Service Center at 215-560-7226. Clients in all other counties can call the Statewide Customer Service Center at 1-877-395-8930. Call volumes and wait times may be higher than usual, and we appreciate the public’s patience with the dedicated commonwealth employees working to assist clients under stressful circumstances.

DHS is continuing to process applications for SNAP throughout the public health crisis. All applications are reviewed for expedited service which can be issued in five days for eligible applicants. EBT payments are still scheduled to occur during the closure and activated EBT cards can still be used as usual at ATMs and in stores at point-of-sale machines if the client has a balance. Balance and transaction inquiries as well as EBT card replacement can be requested from DHS’s EBT contractor, Conduent, at 888-328-7366.

For Medicaid, contact the Pennsylvania Consumer Service Center at 1-866-550-4355 to apply over the phone. Pennsylvanians can also complete semi-annual renewals and check their benefit status through the myCOMPASS PA mobile app. Managed Care Organizations (MCO) providing Medicaid coverage will be available to address claims and coverage issues with clients, and Medicaid Access cards can still be used at participating medical facilities to obtain care.

Visit pa.gov for a “Responding to COVID-19” guide or the Pennsylvania Department of Health’s dedicated Coronavirus webpage for the most up-to-date information regarding COVID-19.

Guidance to DHS providers related to COVID-19 is available here.

MEDIA CONTACT: Erin James, [email protected]

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From ACCSES:

Today is the day we have been waiting for, as the U.S. House of Representatives released the draft text of the $3 trillion dollar stimulus today. The bill is titled The Health and Economic Recovery Omnibus Emergency Solutions Act, or the HEROES Act.

This bill will begin in the House and then go to the Senate. The House has scheduled the vote for Friday, where it is likely to pass. There have been indications from the Senate and the White House that there is not as much interest in a fourth stimulus now as there had been a few weeks ago, so this bill is not expected to move as quickly as the prior stimulus bills.

This bill includes additional support for Home and Community-Based Services (Medicaid services begins at page 189), including increased pay and hazard pay for home health workers and direct support professionals, funding for PPE, increased FMAP, and funding for individuals who are waitlisted by states for HCBS services.

Nonprofit HCBS providers are included as organizations with which the State should engage on expanded services. This draft bill also contains a provision that would include nonprofits in the Main Street Lending Program (beginning at page 1063). It does not appear to include a provision protecting self-insured employers, but there is support for some further relief in both the Senate and House, so we will continue advocating for it.

We will break the bill down further this week, but here is a brief summary of the bill and the swirl of politics around it from CNBC. At 1,815 pages, this bill has many other provisions in it, including increased funding to the States, extensions of the additional $600 in unemployment compensation, another round of direct payments to individuals, voting rights protections (including for people with disabilities), and funding for the U.S. Postal Service.

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In an effort to provide temporary relief for individuals in need of FBI fingerprinting as part of the Child Protective Services Law, Governor Wolf has approved legislation — formerly HB 360 and now ACT 18 — that allows temporary fingerprinting flexibility where Identogo sites are not available. In a phone call today with the Office of Children, Youth and Families (OCYF) Planning Committee, it was discussed that OCYF expects to release the guidance this week with some noted limitations as outlined below.

Existing Employees – Have until December 31 to get fingerprints for those whose checks have expired since March 2020. Still need PSP and Child Abuse Checks completed.

For new employees, if you have not been a resident in PA within the past 10 years, you must also provide Child Abuse clearances from prior states of residence. New hires also sign a disclosure statement (attestation form).

New hires have until December 31, or 60 days from end date of state of emergency as directed by Governor Wolf, to get fingerprinting done. Individuals must still make reasonable efforts to complete checks at your local Identogo site if it is open.

Further direction and comment will be forthcoming from RCPA after the OCYF guidance is released. If your agency or staff are having difficulty in obtaining fingerprints, or if you are looking for Identogo mobile sites or resources, please contact RCPA Children’s Director Jim Sharp.

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The Substance Abuse and Mental Health Services Administration (SAMHSA) has drafted a letter for  mental health and drug and alcohol providers to use when they are trying to secure personal protective equipment (PPE). The letter designates mental health and drug and alcohol providers as essential, so please use the SAMHSA letter when trying to procure PPEs from suppliers. Questions, please contact Jack Phillips.

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The Office of Medical Assistance Programs (OMAP) has released two separate guidances related to Medical Assistance Transportation Program (MATP) services during the Corona Pandemic. The purpose of these communications are to advise all county administrators, brokers, and all contracted transit agencies (collectively referred to as MATP agencies) of the precautions necessary to ensure safe provision of non-emergency medical transportation services to Medical Assistance beneficiaries while the Governor’s Proclamation of Disaster Emergency issued on March 6, 2020, remains in effect.

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Harrisburg, PA – The Wolf Administration today announced that approval was received from the United States Department of Health & Human Services’ Administration for Children and Families to delay opting into full implementation of the Family First Prevention Services Act until July 1, 2021, to give child welfare stakeholders the necessary time to implement these critical reforms.

The Family First Prevention Services Act is a federal law that prioritizes providing services to children in families in the least restrictive manner and with their families as much as safely possible. It allows states to use federal payments for trauma-informed evidence-based prevention services to allow children who may otherwise be placed in congregate settings care to stay with their parents or relatives. In the event placement outside the home occurs, the law directs federal funding towards family-like settings or other specialized settings that are best suited to a child’s individual needs.

The additional time will allow for interested providers for specialized settings to apply or to adjust their programs under the Family First Prevention Services Act. Specialized settings are trauma-informed child residential facilities or supervised independent living programs specializing in providing care and treatment for children and youth with special circumstances.

Furthermore, the delay will support our efforts to build additional evidence-based prevention programs used by counties in a way that safely keeps families together, allows for staffing and data needs to be met, and will not result in the loss of federal funds.

DHS previously released a bulletin with guidance and requirements for providers that wish to become a specialized setting.

RCPA will continue to be represented on the Statewide Family First Task Force and will continue to update members on the new implementation process, timelines, and progress status. If you would like to discuss your organization’s Family First plan or if you have questions, please contact RCPA Children’s Division Director Jim Sharp.

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Today, the Centers for Medicare and Medicaid Services (CMS) released updated information on recent actions and resources specific to the COVID-19 pandemic.

CMS Continues to release waivers for the health care community that provide flexibilities needed to take care of patients during the COVID-19 public health emergency. The additional blanket waivers are provided here.

CMS updated a video that answers commonly asked questions about the expanded Medicare telehealth services benefit.

They also published an MLN Matters article which provides information for pharmacies and other suppliers that wish to enroll in Medicare temporarily as independent clinical diagnostic laboratories, to assist with addressing needs for COVID-19 testing.

Additional flexibilities offered to states to address the coronavirus pandemic. In addition to the following waivers, a toolkit was developed to expedite the application and review of each request.

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