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Capitol hill building in the morning with colorful cloud , Washington DC.

On December 21, President Biden signed into law the 2025 American Relief Act, a stopgap funding bill passed by Congress on December 20 that funds the federal government through March 14, 2025, and includes over $110 billion for disaster relief.

The bill extends certain Medicare telehealth flexibilities through March 31, 2025, under Section 3207, including the six-month in-person requirement for mental health services, the expanded originating sites, and coverage of audio-only services.

The bill also extends funding for several expiring health care programs through March 31, 2025, including the National Health Service Corps at $85 million and the Teaching Health Center Graduate Medical Education Program at $43 million, both under Section 3101.

In addition, the stopgap bill delays scheduled reductions to the Medicaid Disproportionate Share Hospitals allotments, which are currently set to result in a total reduction of $32 billion between 2025 and 2027. Under Section 3401, the bill delays these cuts through April 1, 2025.

You can read the bill text and a summary of the health care provisions.

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The Office of Developmental Programs (ODP) has shared new American Sign Language (ASL)-English Interpreter services available to individuals in the Consolidated, P/FDS, Community Living, and Adult Autism Waivers starting January 1, 2025. It is excluded from the waiver limits for P/FDS and Community Living waivers.

ASL-English Interpreter is a vendor service that can be provided by an agency or an individual through an Organized Health Care Delivery System, participant direction (both Employer Authority and Budget Authority), or provider. This service must be entered in the Individual Support Plan (ISP) and billed as a 15-minute unit of service. There is an error in the waivers that indicates the ASL-English Interpreter service may be billed as an hour unit of service. The ASL-English Interpreter 15-minute procedure codes listed in the table, ODPANN 24-126, are set up as outcome-based services with an individualized rate. This means HCSIS allows this service to have a different rate per service, per individual, and per provider.

Supports Coordinators should refer to ODP Communication Number 100-16 for guidance on vendor rates and Administrative Fee Services related to the delivery of vendor services. This guidance outlines how SCs should properly enter and follow the instructions for these services.

Providers who wish to enroll directly with ODP to provide this service (not through an Organized Health Care Delivery System or participant-direction) must enroll as Provider Type 58, Specialty 580.

See the announcement for new procedure codes and descriptions for clarity and consistency.

Questions can be sent electronically to ODP’s Deaf Services inbox.

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The Office of Developmental Programs (ODP) has shared ODPANN 24-127 to notify trainers and learners of the following information:

  1. Reach out to the MA Help desk if the student does not pass their second attempt at the Post Test for account reset.
  2. If a student earns a Post Test total of 89.5 points, it will be rounded up to 90 and considered a passing score.
  3. 3 additional Observation checks are now available in the 2024 online student courses for those that did not complete the initial 4 observations within 30 days of passing the exams.
  4. A link is now available on the student course page for students to view their User Report.
  5. Reminder: The “Trainer Attestation of Qualification” and the “Complete to access Acknowledgement of Qualification” activities serve as the ‘online’ signatures, replacing the physical signatures.
  6. Reminder: The 2022 student courses should no longer be used after January 31, 2025. Activities will no longer be available to students after this date. Please complete the 2022 student courses before this date and start new classes with the 2024 student courses.

The announcement contains a Proof of Qualification guide for Qualified Medication Administrators, Certified Trainers, and Qualified Practicum Observers.

Guidance is also available to trainers on how to do the following in the online Medication Administration system:

  1. Enter the grade and date of the medication observations;
  2. Enter the trainer attestation grade; and
  3. Print the user report.

The Schedule from January – March 2025 is available for Train-the-Trainer Face-to-Face.

Please view the announcement for additional information and details.

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Warfel Construction: A Trusted Partner for Behavioral Health Providers

At Warfel Construction, we specialize in creating spaces that promote healing, care, and community. With over 113 years of experience, we have built a reputation for excellence in the construction industry, delivering high-quality projects across a wide range of sectors, including health care, education, commercial, and more. Proudly serving clients in Pennsylvania, Delaware, Maryland, Virginia, West Virginia, and surrounding areas, our team is committed to providing tailored, client-focused services that ensure the success of each project from start to finish.

A Proven Leader in Behavioral Health Projects

We are proud to have worked on over 500,000 square feet of behavioral health space, collaborating with top-tier organizations like Acadia Healthcare and Penn Medicine. Our expertise spans a variety of behavioral health settings, including inpatient and outpatient facilities, addiction treatment centers, mental health treatment environments, and rehabilitation spaces. At Warfel, we understand the unique requirements of behavioral health construction and design, and we are dedicated to providing safe, functional, and supportive spaces for both patients and providers.

Supporting Multi-location Clients & Comprehensive Facilities Management

Warfel’s capabilities extend beyond the initial build. Many of our clients have multiple locations, from group homes to larger behavioral health facilities. Our Facilities Management team offers consistent, reliable service as dedicated team leaders who understand your building and business needs. We provide tailored preventative maintenance plans and schedule routine visits to ensure prompt repairs through our dedicated software, ensuring that your spaces are always functioning optimally. Additionally, Warfel is equipped to handle renovations, many of which are managed internally, making us a one-stop solution for ongoing facility needs.

Building Relationships That Last

Our mission, Clients for Life, speaks to our commitment to providing exceptional service and support throughout every project’s lifecycle. Our team upholds fundamental values of honesty, integrity, accountability, initiative, and teamwork in every endeavor we undertake. We remain continually focused on nurturing our existing Clients for Life relationships and building new ones.

Excited to Partner with RCPA in 2025

As we embark on our partnership with the Rehabilitation and Community Providers Association (RCPA) in 2025, we are thrilled to support their mission of advancing the quality of care and services provided by Pennsylvania’s behavioral health and rehabilitation providers. By joining forces with RCPA, we look forward to connecting with their network, exchanging ideas, and contributing to the ongoing success and growth of the behavioral health community. Together, we will continue to build spaces that foster positive outcomes and better serve individuals in need of care.

We are excited for the opportunity to collaborate with RCPA and its members to improve the landscape of behavioral health services in our communities. We look forward to supporting your mission and working together to build a healthier future.

For more information, visit our website at www.warfelcc.com, or reach out directly to Colleen Lynn, Director of Client Experience, to discuss how we can partner on your next behavioral health project.

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Message From ODP:

With shorter days and colder temperatures, many people struggle to maintain their motivation for physical activity. Yet, staying active is important in spring, summer, fall, and yes, winter. This time of year also presents an opportunity to participate in activities that are unique to the season.

Seasonal Physical and Mental Benefits

Adults should aim for at least 150 minutes of moderate-intensity aerobic activity and at least 2 days of muscle-strengthening activity each week. Regular physical activity during the week and throughout your lifetime can help lower the risk of chronic conditions, such as Type 2 diabetes, while also sharpening your focus and reducing stress. Regular physical activity also provides many benefits that are especially helpful this time of year such as: reduced risk of heart disease, improved sleep and immune function, reduced symptoms of depression, and strengthened social connections.

Outdoor Activity Options

If snow or prolonged periods of below-freezing temperatures are part of the local weather, embrace the elements! Try activities such as skiing, snowboarding, snowshoeing, and ice skating. On snowy days, shoveling snow, sledding, and playing in the snow are easy ways to get outside and get moving. Even if your winters lean toward milder conditions, walks and hikes in the colder months offer a chance to enjoy the seasonal scenery and experience your region in a new way.

Tips for Staying Active Outdoors in the Cold

Feel confident being active outdoors with these tips:

  • Wear layers: Pants, jacket, gloves, and headwear are all important for staying protected from the cold and wind. Multiple layers of clothes can keep your warmer than a single thick layer – and you can shed layers as the body warms up.
  • Stay hydrated: In cold conditions, you may not feel as thirsty. Drink water before heading out and take water with you for longer activities.
  • Pace yourself: Some activities, like shoveling snow, can be more strenuous than they seem. Start at a comfortable intensity and gradually increase over time. Use the talk test to assess your intensity level.
  • Watch out for ice: Ice can be difficult to spot, especially under fresh snow. Consider shoes with rubber soles and grooved treads to help prevent falls.
  • Stay visible: With fewer daylight hours, you may choose to be active when it’s dark outside. Carry a flashlight and wear reflective attire to stay safe.

*If you have questions about how you or someone you support can get active safely during cold weather, you can contact a healthcare provider to discuss.

Indoor Activity Options

For days when hazardous conditions don’t allow for outdoor activities, check out the full range of indoor opportunities in your area. You can visit fitness facilities to find indoor exercise equipment or try exercise classes to stay motivated and connect with others. See if your local recreation center offers seasonal sports leagues like basketball or indoor pickleball. You can even stay active without leaving your house. Free online resources, such as live or recorded group fitness classes are great for those who enjoy traditional exercise. Cleaning the house, having a dance party, or even creating an indoor obstacle course are also great ways to stay active if you’re stuck inside due to winter weather.

If you’re ready to get active this winter, making a plan is a great place to start!

Eat Healthy

Eating well supports muscles and bones, boosts immunity, helps the digestive system, and aids in weight management, among other health benefits for children and adults. Good nutrition involves eating a variety of healthy foods. Try these tips to make healthy choices during the holidays:

  • If you eat foods that are high in calories, saturated fat, or added sugars, choose small portions and only eat them once in a while, opt for healthier foods most of the time.
  • At parties and other gatherings, fill your plate with your favorite fruits and vegetables first, then add small portions of less healthy items.
  • If you are taking food to a party, make it your favorite healthy dish. Then you’ll be sure that at least one item at the party will be a healthy choice that you enjoy.
  • Make healthier versions of your traditional recipes by using ingredients with less fat and salt. Try cooking with olive oil instead of butter or adding flavor with herbs and spices instead of salt.
  • Spice up baked fish or chicken by adding salsa or black bean sauce.
  • Consider beans in place of higher-fat meats.
  • Fill your plate with vegetables and lean protein.

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The Pennsylvania Department of Drug and Alcohol Programs (DDAP) today issued Licensing Alert 08-2024 to detail the steps for SUD treatment providers to obtain a telehealth-only license from the department.

These DDAP-licensed telehealth-only providers may provide intake, evaluation, and referral, as well as outpatient or partial hospitalization services, via telehealth only without a physical plant location in Pennsylvania to individuals who are located in the commonwealth as long as the provider complies with all applicable federal, state, and local laws. Any DDAP-licensed provider can also provide some telehealth services as an option to in-person treatment. However, only a telehealth-only provider may provide 100 percent of its treatment services via telehealth.

DDAP will not require the provider to maintain a physical location in Pennsylvania. DDAP also will grant all telehealth-only providers an exception to § 709.11(b) regarding the requirement to conduct an onsite inspection for the renewal of a license as part of licensure.

Licensing Alert 08-2024 applies only to DDAP licensure. Providers that are considering applying for a telehealth-only license should consult their public and private insurance payers to confirm whether they will meet conditions for network enrollment and payment, as DDAP cannot guarantee a DDAP-licensed telehealth-only provider funding or a contract.

The full licensing alert provides additional information, including how to apply for the license.

Contact RCPA SUD Treatment Services Policy Director Jason Snyder with any questions.

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