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Policy Areas

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On July 14, Estelle Richman, former secretary of the Department of Human Services (DHS), will conduct a presentation; Person-Driven Services in Managed Care Long-Term Services and Supports (MLTSS), from 1:00 to 3:00 pm at Temple University, Ritter Annex Room 555, 1301 Cecil B. Moore Avenue, Philadelphia, PA 19122. Members can participate in person or online.

Topics will include:

  • Overview of DHS discussion document on managed care;
  • Overview of federal options for self-directed services and supports in managed care; and
  • Discussion of what stakeholders can do to ensure that good self-directed options are available in any managed care model that DHS administers.

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On July 1 Governor Wolf signed Act 15 (HB 1276) into law. The bill was drafted to “clarify and make more explicit provisions” about which employees and adult volunteers, who work or volunteer with children, must obtain criminal background check clearances and child abuse clearances. It was intended to clarify the new Child Protective Services Law (CPSL) and to address concerns expressed by numerous volunteer-based organizations. Some of the key changes to the CPSL made by HB 1276 include:

  • Adds definitions of adult family member, direct volunteer contact, education enterprise, family child-care home, immediate vicinity, and matriculated student.
  • Reworks the definition of program, activity, or service to further flesh out definition.
  • Limits the employees, at institutions of higher learning, required to undergo background checks, while retaining required checks for adults who have direct contact with youth who remain enrolled in high school.
  • Clarifies which adults will require background checks and need to be in the “vicinity” of the child during an internship, externship, work-study, co-op, or similar program.
  • Extends to 60 months (vs. 36 months) the time frame by which employees and volunteers must have their background checks updated.
  • Expands the portability of the checks.
  • Exempts volunteers, who are also students, from the background checks under specific conditions (e.g., the student is enrolled in school, the student is volunteering for an event on school grounds, or the event is not for children who are part of a child-care service).
  • Permanently waives the fees associated with volunteers completing state background checks.
  • Includes a presumption of “good faith” for agencies screening employees and volunteers.

A very comprehensive analysis of HB 1276 with an analysis table has been produced by The Center for Children’s Justice and is available on their website.

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ODP Update
The Office of Developmental Programs has released the following information:

  • Announcement #055-15: Summary of Changes to the Initial and Annual Qualification for Supports Coordination Organizations. These changes include: SCO must provide educational/experience documentation for new SCs hired and must provide valid driver’s licenses for all SCs and SC Supervisors if operation of a vehicle is necessary to provide SC services.

 

Upcoming Conferences

 

Summer Safety Tips
The Arc of New Jersey and The Arc’s HealthMeet program have developed several tip sheets to help persons with I/DD understand summer safety. These include Sun Safety, Heat Sickness, and Water Safety for the Pool and Beach.

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Parent Child Interaction Therapy (PCIT) has grown rapidly among clinicians and early childhood mental health provider organizations across Pennsylvania. As previously announced, Pittsburgh will be the host city for the PCIT International Conference. This event will take place September 30 – October 2 at the Sheraton Station Square Hotel. The conference will bring PCIT professionals from around the world to share innovations, insights, and experiences as providers of PCIT. The event will also feature several keynote speakers, including Sheila Eyberg, Cheryl McNeil, and Mark Chaffin. A block of rooms has been reserved at the Sheraton Station Square hotel for individuals attending the conference. To learn more about the conference, visit the PCIT International Conference website.

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ODP Updates

The Office of Developmental Programs has issued the following information:

  • Announcement #051-15: Waiver Direct Service Provider Audit Requirements for Fiscal Year 2014/2015 Reporting Period; Questions may be directed to ODP Regional Fiscal Officer Agnes Rudolf.
  • Informational Packet #052-15: Rate Retention Factor Process Resulting from Provider Settlement Agreement; Procedures apply only to providers who signed and submitted the Provider Settlement Agreement Addendum.
  • Announcement #053-15: AE Oversight Monitoring Webcast Now Available in AE Information Center.
  • Announcement #054-15: Delay Implementation of Fourth Waiver Amendments for ODP Consolidated and Person/Family Directed Support Waivers Effective July 1, 2015; ODP has not received federal CMS approval for the fourth set of waiver amendments. These amendments were shared in Announcement #039-15.
  • PA Bulletin on June 27 includes the notification of the Proposed Fee Schedule Rates for Fiscal Year 2015/16 for the Consolidated and Person/Family Directed Support Waivers, Target Service Management and Community ID Base-Funded Programs.
  • PA Bulletin on June 27 includes the notification of the Proposed Rate Setting Methodology for the ODP Consolidated and Person/Family Directed Support Waiver and Base-Funded Services for the 2015/16 Fiscal Year.

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ODP Updates
The Office of Developmental Programs has issued the following information:

DHS Managed Care Proposal
The PA Department of Human Services is developing a proposal for a managed long-term services and supports system, to be implemented in three phases, beginning in January 2017. The home and community-based services to be included in this proposal are those under the Office of Long Term Living. ODP waivers would not be included at this time. Information is available in the PA Bulletin and a “Discussion Document” for public comments to be submitted to DHS by July 15.

Employer Tax Incentives
The National Employer Policy, Research and Technical Assistance Center has released a fact sheet, Employer Incentives for Hiring People with Disabilities: Federal Tax Incentives At-a-Glance. Information is provided on:

  • Work Opportunity Tax Credit
  • Disabled Access Credit for Modifications and Accommodations
  • Architectural and Transportation Barrier Removal Deduction

Meetings and Webinars

  • July 2, 2:30 pm: Accessible Swimming Pools and Spas: Question and Answer Session
  • July 13-14, Advisory Committee on Increasing Competitive Integrated Employment for Individuals with Disabilities, Washington, DC; meeting is open to the public with a public comment period on July 13 from 2:15-3:00 pm and written comments may also be submitted by July 2.

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Last week, Senator Chuck Grassley (R-IA), together with Senator Ron Wyden (D-OR) and Senator Bob Casey (D-PA), introduced S. 1604, Transition to Independence Medicaid Buy-In Option, bipartisan legislation which would, as stated in Senator Grassley’s press release, “create a demonstration project to encourage states to improve opportunities for individuals with disabilities to obtain employment in the community, gaining self-determination, independence, productivity, and integration and inclusion.”  Ten states, over a period of five years, would receive bonus payments for meeting benchmarks which are outlined in the bill’s technical summary. We will continue to monitor and set up applicable meetings. Contact Jack Phillips, RCPA Director of Government Affairs with questions.

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The Department of Human Services has announced the July training schedule and related information for the approved and required Medication Administration Training. Training will be available online and at various locations across the Commonwealth. Future classroom training sessions are being scheduled throughout the year; announcements will be released when finalized. Classroom training sites have limited capacity, and training candidates from agencies with no certified medication administration staff are required to complete the online course work before they are permitted to attend the classroom training.

Medication administration training is required for designated staff working in: adult training facilities, adult day services, personal care homes, assisted living residences, child residential and residential treatment and day treatment facilities, community homes for individuals with an intellectual disability, and intermediate care facilities. Questions about the information in the training document can be directed to (717) 221-1630 or email.

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Community Providers Needed
The Office of Developmental Programs (ODP) is seeking community service providers who are interested in serving individuals that wish to transition from state-operated ICFs/ID to a community setting. Interested providers may find information about qualifying individuals online at the ODP Provider Information Center. Use the same login username and password that you use for any of the ODP Information Centers (i.e., PIC, AEIC, SCOIC or SCC). New and updated information is posted regularly; providers are encouraged to check the website frequently.

IM4Q Training
ODP’s Independent Monitoring for Quality’s Annual Statewide Training is scheduled for July 29-30 at the Hilton Hotel, Harrisburg. ODP’s new Deputy Secretary Nancy Thaler will be the first speaker to start the conference. Details, agenda and registration information are now available.

ODP Updates
ODP has released the following information:

  • Bulletin #00-15-02: Rate Setting Methodology for Consolidated and Person/Family Directed Support Waiver and Base-Funded Services for Individuals Participating in the Office of Developmental Programs Service System.
  • PA Bulletin June 20: Notice of final methodology for FY 2014/15 rate-setting methodology for waivers and base-funded services.
  • Announcement #049-15: Provider Application Orientation Requests for Plans from Administrative Entities; this new process is for individuals or agencies interested in becoming providers of waiver services. This mandated training is part of the enrollment process for provider applicants.

ABLE Act Update
The proposed regulations for the federal Achieving a Better Life Experience (ABLE) Act of 2014 have been published in the June 22 Federal Register. Public comments must be submitted by September 21 and a public hearing is scheduled for October 14.

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