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Intellectual Disability/Autism (ID/A) Waiver Amendments Effective January 1, 2025

Audience: All Stakeholders
Date: October 30, 2024, 11:00 am – 12:00 pm
Register Here

The Centers for Medicare and Medicaid Services (CMS) approved amendments to the Consolidated, Community Living, and Person/Family Directed Support Waivers (ID/A Waivers) effective January 1, 2025. This webinar will provide a general overview of the changes made in the ID/A waivers. There will be time during the session for presenters to answer questions submitted by participants during the webinar.

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Photo by Glenn Carstens-Peters on Unsplash

The Office of Long-Term Living (OLTL) recently released a reminder to ensure that all agencies have correct contact information on file with them in accordance with § 52.14 (j)(1) (related to ongoing responsibilities of providers), which states that a provider shall notify the Department of Human Services’ (DHS) OLTL at least 30-days prior to changes in the provider’s address, telephone number, fax number, email address, provider name change, or provider’s designated contact person.

Additionally, it is imperative that the participant’s designated service coordinator’s correct information is included in the Home and Community Services Information System (HCSIS). Please ensure that the correct service coordinator’s (SC) name and contact information are accurate on each Individual Service Plan (ISP) assigned to them. OLTL uses this information to contact providers for many reasons specific to your agency, and it is important that members of their team have accurate information, as some of these contacts require immediate follow-up.

Please verify that your agency and staff member contact information is accurate and correct in HCSIS and PROMISe™ no later than 30 Days from Notice. If changes are needed to the SC and/or SC Supervisor contact on the Caseload Facesheet page, work with your agency’s designated Business Partner Administrator (BPA) and SC Supervisors to make the applicable changes to your agency’s caseload. If you are unsure of how to make those changes, all training materials are located in the HCSIS Learning Management System (LMS). If you do not have access to LMS, please contact your agency’s BPA.

To update your information with OLTL, complete the Change of Information form and send the completed form and any required supporting documents electronically.

If you have any questions regarding this communication, please contact the Division of Provider Operations, Enrollment and Certification Section inbox or call 800-932-0939, Option 1, Monday through Friday, 9:00 am – 12:00 pm and 1:00 pm – 4:00 pm.

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Tablet on a desk - Newsletter

The Office of Developmental Programs (ODP) has shared their Division of Quality Management’s QM Spotlight, the 11th in a series of quarterly publications. This issue focuses on QM Plan quarterly reports, a very important part of the PDCA cycle. You can find this resource and many others on the QM Templates and Tools web page on MyODP, including the very comprehensive ODP QM Certification Handbook. Visit here to view QM Spotlight, Issue 11 — Fall Edition 2024.

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The Pennsylvania Independent Regulatory Review Commission (IRRC) has completed their review of existing Intensive Behavioral Health Services (IBHS) regulations codified at 55PA. Code chapters 1155 and 5240, as requested by the RCPA IBHS Steering Committee.

The RCPA IBHS Regulatory Reform Recommendations, submitted on November 29, 2022, requested the commission to review the IBHS regulations under section 8.1 of the Regulatory Review Act, which provides that the commission may review any existing regulation which has been an effect for at least three years.

The commission has noted the burden placed on providers by the Department of Human Services regulation, but while they appreciated our concerns, the commission’s role is to determine whether existing regulations, as a whole, remain in the public interest. In the commission review letter, they determined that further action by the commission is not warranted in this matter.

We have been in contact with OMHSAS throughout this two-year period, and the commission provided the department with guidance as part of the review process. Despite the ruling from the IRRC, OMHSAS has agreed that they will reopen the IBHS for review as announced by OMHSAS Deputy Secretary Jennifer Smith at the RCPA Conference last week. RCPA will be reviewing the recommendations to calibrate those areas that continue to create barriers to access that have arisen since the recommendations created in the Fall of 2022.

If you have any questions, please contact RCPA COO and Policy Director Jim Sharp.

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The process to route cell phone calls to the 988 Suicide & Crisis Lifeline based on the caller’s approximate location, versus by area code, has started; FCC to vote next month on a final rule that would require all U.S. wireless carriers to implement geo-routing with specific timelines

The 988 Suicide & Crisis Lifeline announced that the process to start routing cellular phone calls to 988 contact centers based on the caller’s approximate location, versus by area code — known as “geo-routing” — began last week with two major U.S. wireless carriers that combined make up about half of all wireless calls to 988. The U.S. Department of Health and Human Services’ (HHS) Substance Abuse and Mental Health Services Administration (SAMHSA) and the 988 Network Administrator, Vibrant Emotional Health, have been working with all of the major U.S. cell phone carriers for more than a year to improve call routing to 988 so that callers on a cell phone can be connected more locally to centers that are better equipped to provide nearby resources and services.

These new rules, if adopted by a vote from the full commission next month, would require all U.S. wireless carriers to implement geo-routing. In addition, the rules will also establish an implementation timeline for geo-routing calls to the 988 Lifeline of 30 days following the effective date of the rule for nationwide wireless providers and 24 months after the effective date of the rule for smaller, non-nationwide providers.

More than 200 contact centers across the country provide support through the 988 Lifeline network. Geo-routing connects cell phone callers to the closest 988 contact center to the caller’s physical location. Geo-routing differs from geolocation in that it does not provide a precise location of the caller, allowing callers to maintain their location privacy. Studies have shown that after speaking with a trained crisis counselor, most callers feel more hopeful and less depressed, suicidal, and overwhelmed.

If you have additional questions, please contact RCPA COO and Mental Health Director Jim Sharp.

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RCPA joined with other ID/A Associations, including The Alliance of Community Service Providers, The Arc of Pennsylvania, PAR, MAX and TPA, in a letter to Governor Shapiro to thank him for recognizing the strain on individuals, families, and service providers across the intellectual disability and autism (ID/A) community and to discuss ongoing changes that are needed in the way service rates are updated. These changes are necessary so that our system can always meet its duty of care.

The full letter is available here, and we encourage our members to share this letter with your legislators in order to gain their understanding and support of our systemic needs.

For any questions, contact Carol Ferenz, IDD Division Director.

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The Office of Developmental Programs (ODP) has shared an update to communication ODPANN 24-085, which is intended to provide the hourly wage and benefits ranges for specific participant directed services (PDS) provided to participants utilizing the AWC FMS model effective October 1, 2024. Please note that the update is in red.

Please use this version of the announcement going forward.

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