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Policy Areas

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Message from National Core Indicators:

The NCI-IDD SoTW is the most comprehensive data on Direct Support Professional (DSP) workforce providing direct services to adults with intellectual and developmental disabilities (IDD). We remain committed to partnering with states, agencies, and people with IDD to use these data to strengthen Medicaid-funded services and supports and ensure DSPs are valued for their essential role supporting people with IDD.

A few report highlights:

In 2024, we collected data from 3,936 provider agencies representing 344,179 DSPs in 26 states and the District of Columbia. The data for 2024 suggest some positive trends for the state of the IDD DSP workforce. For example:

  • Across the nation, the median hourly wage for DSPs is $18.39, which is more than a dollar increase from the median hourly wage of $17.20 in 2023.
  • The weighted average turnover ratio was 37%, with nearly two in three DSPs who left their employers (64%) having been with their agency for less than one year.
  • On average, 26% of agencies report they turned away or stopped accepting referrals due to staffing issues, down from 38% in 2023.

State DD agencies have worked tirelessly to address the ongoing workforce shortages for DSPs, and these data suggest slight but hopeful trends in key indicators. Altogether, NCI-IDD SoTW provide valuable insights about opportunities to enhance retention of DSPs and improve the continuity of services.

The full report can be found here at this link.

For questions or comments, please contact Tim Sohosky.

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The Office of Developmental Programs (ODP) has shared ODPANN 25-114. This communication notifies all interested parties of the recorded webinar that explained the January 2026 Waiver Amendments. This webinar and is now posted on the MyODP website.

The webinar contains a brief high-level overview of Performance-Based Contracting as well as changes not related to Performance-Based Contracting that impact ODP’s Consolidated, Community Living, and Person/Family Directed Supports (P/FDS) waivers.

Please review the announcement for more details.

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The agenda and link to join the January 7, 2026, Long-Term Services and Supports (LTSS) Subcommittee meeting have been released. The call on January 7, 2026, will be held via webinar and remote streaming only and will take place from 10:00 am – 1:00 pm.

A few of the key agenda topics, in addition to an update from the Office of Long-Term Living’s (OLTL) Deputy Security, include information being shared by OLTL on the 2026 OBRA Waiver renewal and the Community HealthChoices (CHC) Waiver amendment. Additionally, there will be a presentation from OLTL’s Enrollment Unit on enrollment and redeterminations/data requests.

To participate in the meeting, the information is below:
Conference line — Bridge Number: 1 (415) 655-0052 PIN: 571-523-182#
Webinar Link
Remote Streaming Link

Comments and questions may be sent electronically.

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Photo by Glenn Carstens-Peters on Unsplash

Medetomidine is a veterinary sedative, similar to xylazine, that was first found in Philadelphia’s drug supply in May 2024. Since then, it has spread across Pennsylvania. Medetomidine is 100-200 times more potent than xylazine and can cause longer-lasting sedation, low heart rates, and more severe withdrawal symptoms. It is not an opioid but is found in the illicit drug supply.

The Pennsylvania Department of Health (DOH) is seeking information about complications associated with medetomidine in the drug supply. DOH is particularly interested in SUD treatment providers’ responses to the following.

  • Are you seeing an influx in clients presenting with worsening withdrawal symptoms (e.g., racing heart, severe nausea, high blood pressure, tremors, confusion)?
  • Are you seeing an increase in clients leaving against medical advice?
  • Have you had to send clients to the hospital because their symptoms required a higher level of care?
  • Are there any other changes you are noticing in your community that you think DOH should know about?

You can email your responses to DOH Senior Harm Reduction Technical Advisor Roseanne Scotti or RCPA SUD Treatment Policy Director Jason Snyder.

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The Pennsylvania Department of Drug and Alcohol Programs (DDAP) is offering a new virtual format for the clinical supervision training.

This instructor-led virtual training builds on foundational coursework and gives participants the opportunity to practice clinical supervision skills, along with tools to support assessment and effective work with supervisees.

The next session will be held daily at 9:00 am – 4:00 pm Monday, January 26, through Friday, January 30.

Log into DDAP’s Training Management System (TMS) to request a virtual seat and review registration and payment instructions for the $300 training. Payment must be submitted by check or money order, as detailed in TMS. Space is limited, and registrations are processed in the order received.

Completion of the Clinical Supervision Training Foundations course, available on demand through TMS, is required before enrolling.

Clinical supervisors and lead counselors with less than two years of supervisory experience are required to complete the core curriculum offering in TMS or a DDAP-approved core curriculum in clinical supervision.

Please send any questions electronically.

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The Office of Developmental Programs (ODP) has shared ODPANN 25-113. This communication includes an updated version of the Intellectual Disability/Autism (ID/A) Individual Support Plan Signature Form (DP 1032) that was released with the ODP Announcement 25-012: Updates to the Individual Support Plan (ISP) Bulletin Attachments. After the release, ODP was informed that the MCI Number and the individual’s name needed to be added to each page of the form. This form has also been translated into Spanish.

The revised and translated forms may be found on the MyODP Forms page.

Questions about this communication should be directed to the appropriate Office of Developmental Programs Regional Office.

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Autism Spectrum Disorders (ASD): An Overview and Practical Application

Note: This training satisfies the basic autism training requirement for Residential Performance-Based Contracting (PBC). Please see more details below on Continuing Education (CE) Credits. This training is an approved alternative to the SPeCTRUM offered on MyODP.

Over the years, the prevalence of autism has increased, Pennsylvania’s service delivery system for individuals with autism has expanded, and best practices to provide quality supports have emerged. To support the individual needs of each person with autism across the lifespan, an understanding of core characteristics must be established. It is also important to learn how the individual’s presentation of autism may change across settings and situations.

This training will provide attendees with an in-depth presentation on core characteristics of autism and the impact of the characteristics on daily life, routines, and activities. A review of common terms and basic principles used to change behavior, teach new skills, and develop practical application of best practices will be included. Opportunity for discussion and engagement will occur throughout the training in the virtual setting.

Who should attend?

  • Direct Support Professionals, Front Line Supervisors, and Program Managers supporting individuals with autism in residential and other home and community-based settings.
  • Professionals supporting individuals in the Adult Autism Waiver (AAW), Adult Community Autism Program (ACAP), Consolidated Person/Family-Directed Support (P/FDS), and Community Living waivers are encouraged to attend.

Where and when will sessions be held?

You must register separately for each session.

Continuing Education Units (CEU)
This training satisfies the basic autism training requirement for Residential Performance Based Contracting measures CN-DD/Bx.01.1S and CN-DD/Bx.01.1CE for all Direct Support Professionals (DSPs), Frontline Supervisors (FLSs), and program managers.

This training also fulfills 6100 ongoing training requirements.

Please contact the Bureau of Supports for Autism and Special Populations (BSASP) Training inbox with questions.

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The Fiscal Year 2025/26 budget, signed into law on November 12, 2025, includes a $21 million investment to strengthen the workforce through increased wages for direct care workers providing services in the Participant Directed Model for Office of Long-Term Living (OLTL) programs. This additional funding provides for a rate increase in the OBRA Waiver and Act 150 Program for Participant Directed (Consumer) Personal Assistance Services procedure codes W1792 and W1792 TU, effective January 1, 2026.

In anticipation of the upcoming rate increase, OLTL is updating the OLTL Home and Community-Based Waiver Services Rates fee schedule, for which additional communication will be sent in the future. To support the January 1, 2026, effective date, OLTL will be updating their systems to include PROMISe™ and the Home and Community Services Information System (HCSIS) with the revised rates. Service Coordinators do not need to make any service plan updates for the upcoming rate change, as a HCSIS system-wide update is being implemented to make the necessary service data rate updates to the affected service plans.

Please contact the OLTL Provider Inquiry Line at 800-932-0939, OPTION 2, Monday to Friday, from 9:00 am – 12:00 pm and 1:00 pm – 4:00 pm.

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