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Physical Disabilities & Aging

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The Office of Long-Term Living (OLTL) issued the following notice regarding changes in the provider processes for the Act 150 Program and OBRA Waiver due to Coronavirus (COVID-19).

TO: Service Coordination Entities in the OBRA Waiver and Act 150 Program
The Office of Long-Term Living (OLTL) is collaborating with the Centers for Medicare and Medicaid Services (CMS) to make emergency amendments to its Home and Community-Based Waivers in response to COVID-19. To address the concerns and questions that OLTL continues to receive, the following changes in provider processes for the Act 150 program and OBRA waiver may be implemented immediately.

Service Coordination Entities (SCEs)
OLTL is providing the following guidance to SCEs regarding SC Monitoring and Individual Service Plan (ISP) Team Meetings (i.e. annual reviews, revisions, and ad hoc planning meetings). Until further notice, OLTL is permitting SCEs the flexibility to choose to conduct SC Monitoring and ISP Meetings remotely, using phone or video conferencing solutions. In those instances where the participant does not have a telephone or other electronic means of communication, the SC will document that fact and include attempts made to contact the participant in the documentation. When either of these responsibilities are completed in place of a required face to face meeting, the SC should document the occurrence.

Additionally, SCs should be working with participants to implement their Emergency Back-Up Plans. Participants are required to have an emergency back-up plan for serious emergencies that might cause a disruption in routine services being delivered to the participant for an extended period of time. This may include identifying family and friends to assist during an emergency, or finding alternative ways to receive needed services. OLTL is asking that no reductions in service plans be implemented during this time of emergency. Service additions and updated authorizations will be expected when necessary.

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Harrisburg, PA – To help make the public aware of COVID-19 preparedness and procedures, the Wolf Administration has created a library of free outreach materials for businesses, organizations, and anyone interested in displaying important messaging on COVID-19.

The materials are available at PAcast.

“The goal is for everyone to have access to and be encouraged to share the information important to stopping the spread of COVID-19,” Gov. Wolf said. “Please help us share awareness while using caution and protecting yourself.”

Posters are available in multiple sizes and every Pennsylvanian is encouraged to make them accessible to their community of friends, community or religious group members, and business associates to print and post. The administration also expects the posters to be available in newspapers across the state for residents to tear out and post throughout their communities.

Properly sized graphics are available at PAcast for social media. Gov. Wolf also encourages everyone to make use of COVID-19 social media content on the Pennsylvania Department of Health’s Facebook and Twitter pages.

The most up-to-date information, including video graphics, footage of all of the governor’s press conferences and b-roll, is also available at 08PAcast. Additional materials will be added to the library as they become available and as the situation evolves.

MEDIA CONTACT: Lyndsay Kensinger, 717-783-1116

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The Wage and Hour Division (WHD) provides information on common issues employers and employees face when responding to influenza, pandemics, or other public health emergencies, and their effects on wages and hours worked under the Fair Labor Standards Act, and job-protected leave under the Family and Medical Leave Act.

Use this link to view the recently posted guidance on WHD’s website.

Also, the Department issued a press release with links to this guidance, as well as guidance from OSHA and OWCP.

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Over the past several days, RCPA has been in contact with numerous DHS and Department officials to brainstorm issues and ideas in this time of crisis. There have been some emergency relief efforts already released (e.g., ODP, OCYF), and there are no doubt more to come from other departments.

Many providers have also brought their ideas to RCPA and we have, in turn, incorporated them in submissions to DHS.

Most importantly, we are emphasizing the following:

  • This is not “business as usual.” If there was ever a time to put aside standard rules and operations, it is now.
  • The Governor has declared this an “emergency.” So let’s take emergent action.
  • Waive rules around alternative ways to reach out to individuals, such as paying for all telehealth and telephonic contact.
  • Implement alternative payment mechanisms (e.g., via BH-MCOs) to allow providers to do what is necessary to outreach to individuals and keep them engaged.
  • Understand that if traditional services decrease (e.g., program closures, increased no- shows), then billable units disappear along with cash flow. Measures need to be taken immediately to ensure that agencies are solvent and services – even non-traditional – are available for consumers.

We are also urging as streamlined an approval process as possible. It is a fluid situation and we cannot wait days, let alone weeks, to discuss these ideas.

If any providers have specific ideas or suggestions, please reach out to RCPA and we can, in turn, bring them forward. We are hopeful that our discussions with DHS will lead to some creative and critically needed solutions.

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While we all know there are times when interactive, in-person discussions are preferable, we also understand the sensitivity required at this time and want to take proper precautions, to help protect our members and those you serve. In light of the current situation, RCPA is eliminating in-person meetings for the month of March, and will be offering them all exclusively via webcast or conference call. We will make sure that participants will still have the opportunity to ask questions, comment, etc.

PLEASE NOTE:
Webcast/conference call instructions will be sent 24 hours before each meeting. If you already registered, no action is needed.

As everyone is doing, we are also monitoring instructions received from such sources as the PA Department of Health. Please let us know if you have any questions. RCPA will continue to keep you all informed of any developments as they come about. Thank you for your continued flexibility and understanding.

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GoToMeeting is offering emergency licenses to help people to work from home:

Free Emergency Remote Work Kits for Health Care Providers, Educational Institutions, Municipalities, & Nonprofit Organizations
Starting immediately, we will be offering our critical front-line service providers with free, organization-wide use of many LogMeIn products for 3 months through the availability of  Emergency Remote Work Kits.

These kits will include solutions for meetings and video conferencing, webinars and virtual events, IT support and management of remote employee devices and apps, as well as remote access to devices in multiple locations. For example, the “Meet” Emergency Remote Work Kit will provide eligible organizations with a free site-wide license of GoToMeeting for 3 months. Eligible organizations include health care providers, educational institutions, municipalities, and nonprofit organizations.

Additionally, we have learned that Clocktree.com is a HIPAA compliant telehealth platform that is also offering a free 90-day trial membership.

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