';
Policy Areas

0 703

Visualizing the Behavioral Health Workforce Crisis
February 22, 2024, 12:00 pm – 1:00 pm EST
Register Here
Featuring Charles Klinger, Chief Operating Officer, Behavioral Health Alliance of Rural PA (BHARP)

Charles has led a collaborative data project across 24 Pennsylvania counties. It paints a picture of a devastated workforce.

Agencies provide this data, and review it with government and managed care. It is being used to support recruitment and retention efforts.

Charles and his team are working together to find solutions to the BH workforce crisis.


Charles has led the Provider Workforce Staffing (PWS) report in response to the major changes in behavioral health staffing since 2020. Over 20% of available positions remain unfilled, signaling an increased divide between available workers and population need.

This report highlights the costs of adequately filling our network in a clear and comprehensive way. Average rate of pay for a multitude of mental health jobs have been reviewed in the PWS report, from psychiatrists to housekeepers.

Most BH staffing problems arise from lack of available workers. According to Charles’ research, workers are leaving jobs, and there are no candidates available to replace them. Many jobs have consistently remained vacant.

For those from Pennsylvania, the PWS is particularly illuminating, as it focuses on state-specific needs, like the loss of workers in every level from outpatient care, to intensive behavioral health services (IBHS).

RCPA is continuing to accept proposals for our 2024 Conference Embracing Challenges, Empowering Success, which will be held September 24 – 27 at the Hershey Lodge for a statewide audience. Our Conference Committee seeks workshop proposals in every area for possible inclusion, particularly those that assist providers in developing and maintaining high-quality, stable, and effective treatments, services, and agencies in an industry where change is constant. The committee looks for presentations that:

  • Highlight new policy, research, and treatment initiatives, such as the use of artificial intelligence, telehealth innovations, and employing people with disabilities;
  • Provide specific skills and information related to individual and organizational leadership development and enhancement;
  • Discuss advanced ethics practices and suicide prevention;
  • Address system changes that affect business practices, including integrated care strategies, value-based purchasing, performance-based contracting, acquisitions and mergers, and alternative payment models;
  • Provide guidance on building a culture of a committed workforce, including recruitment and employee development as well as effective remote workforce strategies;
  • Offer concrete skills and tools to operate more efficient, effective businesses; and
  • Inspire ideas for organizations to be leaders in their field.

The committee welcomes any proposal that addresses these and other topics essential to rehabilitation, mental health, substance use disorder, children’s health, aging, physical disabilities, and intellectual/developmental disabilities & autism. Members are encouraged to consider submitting, and we highly encourage you to forward this opportunity to those who are exceptionally good speakers and have state-of-the-art information to share. Individuals are welcome to submit multiple proposals.

The Call for Proposals (featuring a complete listing of focus tracks) and accompanying Guidelines for Developing Educational Objectives detail requirements for submissions. The deadline for submissions is Monday, March 11, 2024, at 5:00 pm. Proposals must be submitted electronically on the form provided; confirmation of receipt will be sent. Proposals submitted after the deadline will not be considered.

If the proposal is accepted, individuals must be prepared to present on any day of the conference. Workshops are 90 or 180 minutes in length. At the time of acceptance, presenters will be required to confirm the ability to submit workshop handouts electronically four weeks prior to the conference. Individuals unable to meet this expectation should not submit proposals for consideration.

Notification of inclusion for the conference will be made via email by Friday, May 17, 2024. Questions may be directed to Carol Ferenz, Conference Coordinator.

Photo by Markus Winkler on Unsplash

The Office of Mental Health and Substance Abuse Services (OMHSAS) successfully collaborated with the Centers for Medicare & Medicaid Services (CMS) to revise Pennsylvania’s State Medicaid Plan for Certified Peer Specialists (CPS). The changes aim to enhance workforce opportunities, break down barriers, and establish a robust crisis system. The updated qualifications for aspiring CPS include:

  1. Elimination of the self-identification requirement for Serious Mental Illness, replaced with an attestation of a mental health diagnosis and a stage of recovery to support others;
  2. Removal of the high school diploma requirement and instead, as part of the Pennsylvania Certification Board (PCB) application, applicants will be providing narratives on how they achieved recovery and wellness; and
  3. The mandatory recent employment or volunteer experience within the last three (3) years has been removed.

Details on these changes can be found in the updated State Plan here (scroll down to 0013 Attachment 3.1A-3.1B, page 88). OMHSAS will issue a forthcoming bulletin, and inquiries can be sent electronically.

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

On January 26, 2024, the Centers for Medicare & Medicaid Services (CMS) forwarded the final Medicaid Access Rule (CMS-2442-F) to the Office of Management and Budget (OMB) for the last review step before Federal Register publication.

The proposed Medicaid Access Rule contained a number of policies, including the much-discussed 80/20 provision that would require 80 percent of all Medicaid payments to be spent on direct care workers and direct service professionals compensation for personal care services.

RCPA commented on these proposed regulations and will continue to monitor progress with our federal partners. The OMB is expected to issue its comments in April. If you have questions, please contact RCPA Policy Director Fady Sahhar.

Save the Date:
Thursday, February 29, 2024, 2:30 pm – 4:00 pm

The Pennsylvania Office of Medical Assistance Programs (OMAP) Pediatric Shift Care Team is holding the next Stakeholder Update Call virtually on February 29, 2:30 pm to 4:00 pm ET.

Among other updates to be shared on the call, the Pediatric Shift Care Team will highlight the refreshed Executive Summary to Pediatric Shift Care Whitepaper. The Executive Summary reviews various measures to strengthen the homecare workforce, the expansion of health information technology, and progress in the implementation of the Pediatric Complex Care Resource Center.

Meeting invite and link to follow.