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Policy Areas

ODP Announcement 23-001 has been updated with new information regarding Supports Coordination Organizations’ recovery payments. The performance standard has been changed so that SCOs must be accepting referrals of newly enrolled individuals in the ODP system as of 3/1/2023. Eligible SCOs must increase the number of individuals served between 3/1/2023 and 6/30/2023. An FAQ sheet is available.

All questions and comments related to this announcement can be sent electronically.

Pennsylvania is preparing for a major change in renewal processes for Medicaid and Children’s Health Insurance Program (CHIP) recipients.

Starting April 1, 2023, Pennsylvania is required by federal law to review Medicaid and CHIP recipients’ eligibility every year, which means that recipients must submit a renewal. While the Department of Human Services (DHS) still sent renewals during the height of the COVID-19 pandemic, most people were not disenrolled from Medicaid or CHIP because of a change in eligibility.

DHS encourages everyone to share the following information with Medicaid and CHIP recipients to help them stay informed about renewals.

What Should I Do Right Now?

The best thing that Medicaid and CHIP recipients can do right now to prepare for their renewal is to make sure that their contact information is up-to-date with DHS. By making sure that their information is current, recipients can receive timely updates about their renewal. They also can opt-in to receiving text and email alerts about their benefits.

  • Visit COMPASS and log into their My COMPASS Account.
  • Use the free myCOMPASS PA mobile app.
  • Call 877-395-8930 or 215-560-7226 (Philadelphia), Monday – Friday from 8:00 am – 4:30 pm.

What Else Do I Need to Know?

Completing Medicaid and CHIP Renewals
Renewals should be completed when they are received, even if recipients receive them before April 1, 2023. Recipients will receive a renewal packet in the mail when it is time to renew their coverage. Information about their renewal will start to arrive 90 days before it is due. It is very important that renewal forms are completed and returned even if nothing has changed. Completing a renewal allows DHS to determine eligibility for MA or CHIP coverage. Coverage will continue for recipients who are still eligible.
There are a few ways for recipients to complete a renewal:

  • Complete the forms DHS sends and mail them back in the envelope included in the packet.
  • Drop completed forms off at the local county assistance office (CAO).
  • Complete the renewal online.
  • Complete the renewal over the phone by calling 866-550-4355.

What is Continuous Coverage?

Under the continuous coverage requirement, individuals covered by Medicaid and/or CHIP have been able to keep their health coverage even if they would have otherwise become ineligible for the program based on other factors.

Evaluating Eligibility

Once the continuous Medicaid and CHIP coverage requirement ends, recipients will have to complete a renewal to maintain their coverage as long as they are eligible.

Are You Ineligible for Coverage?

DHS will provide instructions on how to re-enroll or share options for coverage if individuals are no longer eligible. Options for free or low-cost health coverage are available online.

Get more information and resources at DHS’s website.

The Pennsylvania Department of Drug and Alcohol Programs (DDAP) is seeking provider input for a brief workforce survey. DDAP is interested in hearing providers’ perspective on which jobs and positions are in short supply or understaffed, the challenges providers face, attempts to address them, and solutions that DDAP should consider. Responses will help inform DDAP’s regulatory reform efforts.

The survey can be taken here.

The Office of Financial Resources at the Substance Abuse and Mental Health Services Administration (SAMHSA) will be conducting a webinar on how to develop a competitive grant application. The same webinar will be offered on two dates: February 23, 2023, and March 7, 2023, both at 2:00 pm (ET).

Webinar: How to Develop a Competitive Grant Application

The webinar will address:

  • The three registration processes that need to be completed;
  • Preparing to apply for a grant;
  • Key components of the Notice of Funding Opportunity (NOFO);
  • Responding effectively to the evaluation criteria; and
  • Resources and technical assistance that are available.

Information on how to access the webinar can be found on the Training Events web page. There is no need to register in advance. If you would like to receive the slides prior to the webinar, you can make a request electronically.

The Substance Abuse and Mental Health Services Administration (SAMHSA) will award approximately 26 applicants up to $3,000,000 to provide resources to improve the mental health outcomes for children and youth, birth through age 21, who are at risk of or have serious emotional disturbances (SED) and their families. This grant supports the implementation, expansion, and integration of the System of Care (SOC) approach by creating sustainable infrastructure and services required as part of the Comprehensive Community Mental Health Services for Children and their Families Program.

You can find additional information here. The grant closes on March 21, 2025.

If you have further questions, please contact RCPA Policy Director Jim Sharp.

ODP Announcement 23-016 announces that the Office of Developmental Programs (ODP) is requesting that qualified providers employing DSPs participate in the 2022 State of the Workforce (SoTW) survey. This important survey includes questions relating to the volume, stability, compensation, and benefits of DSPs serving adults 18 years of age and older. The data gathered from this voluntary and anonymous survey will help ODP, along with other policy makers and advocates, inform policy and program development regarding DSP workforce (DSPW) improvement initiatives and other important work in this area. Within the next two weeks, providers will receive an email from HSRI inviting them to participate in this SoTW survey.

In addition to the standard survey, ODP has added a series of questions to address several areas in which it has a specific interest. These questions are identified in the PA Supplement section and have PA attached to the question number. The data collected for these questions will not be analyzed by HSRI, but ODP will complete its own analysis.

Results of the survey will only be reported in the aggregate, and organizations will not be identified in any way. It is recommended that the Human Resources (HR) or Payroll Office complete the surveys and that answers should reflect DSPs who were on agency payroll during any period between January 1 and December 31, 2022.

The deadline to complete data entry is June 30, 2023. A copy of the survey is available to allow for preparation of data prior to completing data entry. It is a proprietary tool of NCI® and is to be used for reference only. ODP is eager to be a part of this important project again. Provider participation will help ODP to make sound policy decisions regarding Pennsylvania’s DSPs.

Any questions can be directed to Ms. Lee Stephens, ODP NCI Statewide Lead.