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Physical Disabilities & Aging

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The Moral Matters podcast recently discussed “Lobbying for Good” with Richard Edley, PhD, who is a psychologist and current President/CEO of RCPA, an advocacy and lobbying organization in Pennsylvania that supports community health and human services organizations. He shares his journey to this career, and why we should all learn more about how lobbyists — and even political action committees — might be acting on our behalf. Listen to the podcast here.

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The Department of Human Services (DHS) has announced a public meeting that will focus on Electronic Visit Verification (EVV). The meeting is scheduled for March 24, 2023, from 1:00 pm – 2:30 pm and will be held virtually. During this meeting, DHS will provide additional information and updates related to the DHS EVV implementation. Please register to attend this public meeting on the registration page. After registering, you will receive a confirmation email containing information about joining the webinar.

If you have a question that you would like to have read and answered during the meeting, please submit it electronically before March 15, 2023.

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The Office of Long-Term Living (OLTL) has released the registration information and agenda for the March 1, 2023, Managed Long-Term Services and Supports (MLTSS) Subcommittee meeting. The meeting will be held at the PA Department of Education Building’s Honors Suite, 1st Floor, at 333 Market St. in Harrisburg, or via webinar from 10:00 am – 1:00 pm.

To participate in the meeting via webinar, please register here. When registering, please verify that you entered your email address correctly. You will receive a confirmation email containing information about joining the webinar if you registered correctly. Note that if you have trouble accessing the webinar registration through Internet Explorer or Safari web browsers, you should try accessing it through a different web browser, such as Chrome or Edge.

Dial In Number: 1 (213) 929-4212
Access Code: 315552949#.

Public comments will be taken after each presentation. Questions can be entered into the chat box during the presentations, and these questions will be asked at the end of each presentation. There will be an additional period at the end of the meeting for any additional public comments.

If you have any questions about alternative methods for submitting questions or comments during a subcommittee meeting, including options when no internet access is available, please submit them electronically.

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The Centers for Medicare and Medicaid Services (CMS) has approved the renewal of the Community HealthChoices (CHC) 1915(b) waiver effective January 1, 2023, for a 5-year period. Under the 1915(b) waiver, Pennsylvania operates the CHC managed care program.

As part of the CHC 1915(b) waiver renewal, the Office of Long-Term Living (OLTL) was required to obtain an independent evaluation or assessment of its CHC waiver program and submit the findings when renewing the CHC 1915(b) waiver.

The CHC 1915(b) waiver renewal and the Independent Assessment of the 1915(b) waiver are posted to the CHC-Supporting Documents website. Questions about the CHC 1915(b) waiver amendment or Independent Assessment can be submitted electronically.

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The Office of Long-Term Living’s (OLTL) Bureau of Coordinated and Integrated Services (BCIS) has announced the dates and times of the mandatory upcoming Critical Incident Reporting Training webinars. The purpose of the webinar is to provide guidance to Home and Community-Based Services (HCBS) Direct Service Providers and Service Coordinators regarding timely reporting of critical incidents using the Enterprise Incident Management (EIM) system and to review:

  • Who is responsible for reporting critical incidents?
  • When should a critical incident be reported in EIM?
  • What sections of the EIM Critical Incident Report must be completed?

The webinar dates and times are below. The requirement is to attend one of the sessions.

March 7, 2023: 9:30 am – 11:30 am
Register by March 1, 2023
Registration for March 7, 2023, Morning Session

March 7, 2023: 1:30 pm – 3:30 pm
Register by March 1, 2023
Registration for March 7, 2023, Afternoon Session

March 9, 2023: 9:30 am – 11:30 am
Register by March 3, 2023
Registration for the March 9, 2023, Morning Session

March 15, 2023: 9:30 am – 11:30 am
Register by March 8, 2023
Registration for the March 15, 2023, Morning Session

Within a few days after registering, you will receive a confirmation email containing information about joining the webinar. Please email OLTL should you have any questions or concerns.

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On February 15, 2023, the Centers for Medicare and Medicaid Services (CMS) released a proposed National Coverage Determination (NCD) that power seat elevation equipment on Group 3 power wheelchairs falls within the benefit category for durable medical equipment (DME).

CMS is proposing that the evidence is sufficient to determine that power seat elevation equipment is reasonable and necessary for individuals using power wheelchairs when all of the following conditions are met:

  • The individual performs weight bearing transfers to/from the power wheelchair while in the home, using either their upper extremities during a non-level (uneven) sitting transfer and/or their lower extremities during a sit to stand transfer. Transfers may be accomplished with or without caregiver assistance and/or the use of assistive equipment (e.g. sliding board, cane, crutch, walker); and,
  • The individual has undergone a specialty evaluation by a practitioner who has specific training and experience in rehabilitation wheelchair evaluations, such as a physical therapist (PT) or occupational therapist (OT), that assesses the individual’s ability to safely use the seat elevation equipment in the home.

The proposed NCD is open for public comment for 30 days. The 30-day comment period will close on March 17, 2023.

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The monthly Long-Term Services and Supports (LTSS) Subcommittee convened on February 14, 2023. The meeting handouts included the agenda and a PowerPoint presentation from the Office of Long-Term Living (OLTL). Some of the topics in their presentation included:

  • COVID-19 Vaccination Rates From the Community HealthChoices Managed Care Organizations (CHC-MCOs);
  • CHC Request for Information (RFI) Update;
  • Electronic Visit Verification (EVV);
  • Independent Enrollment Broker (IEB) Enrollment Data;
  • LIFE Enrollments;
  • Medical Assistance (MA) Unwinding;
  • Appendix K Waiver; and
  • Home and Community-Based Services (HCBS) Settings Rule.

The next LTSS Subcommittee meeting is scheduled for April 11, 2023.

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Tuesday, March 7, 2023
1:00 pm – 1:30 pm ET
Join the Provider Integrity in Medicaid Home Personal Care Services webinar with Kirit Pandit, VP, Data and Analytics. Preventing fraud, waste, and abuse (FWA) in the Medicaid market is an on-going effort, with many providers, payers, and vendors involved in the effort to improve the health care system.

During this session, you can expect to:

  • Learn about the analytics dashboards developed to mine data and identify these cases;
  • See our vision for application of analytics for program integrity in home personal care services; and
  • Understand how the development of the dashboards can lead to further insights and actions to support the efforts of state and compliance programs.

Reserve your spot today, and stay tuned for information about more upcoming Empower webinars!

Reserve Your Spot!

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