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Tags Posts tagged with "Administrative Entity"

Administrative Entity

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The Office of Developmental Programs (ODP) has shared communication ODPANN 25-095 and its accompanying attachments. This communication advises stakeholders of a change to the Cycle 3, Year 1 (C3Y1) Quality Assessment & Improvement (QA&I) Tools. The following questions from the QA&I C3Y1 Tools have been removed due to a high volume of stakeholder inquiries related to evaluation expectations:

  • AE Question #1 – The AE engages in activities, or has a written policy, to improve racial equity performance.
  • SCO Question #4 – The SCO engages in activities, or has a written policy, to improve racial equity performance.
  • Provider Question #4 – The Provider engages in activities, or has a written policy, to improve racial equity performance.

View the attachments below:

Please review the announcement and attachments for additional information on the changes.

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The Office of Developmental Programs (ODP) has announced a delay in the implementation of the Performance-Based Contracting (PBC) measure RD.01.1, which restricts residential placement options for individuals with higher needs. As originally written, RD.01.1 stated that beginning January 1, 2026, primary tier providers would not be permitted to accept new referrals for individuals assessed at Needs Group 5 (NG5) or higher. This requirement has now been delayed by two years.

  • Effective January 1, 2028, primary tier providers may not accept new referrals for individuals in NG5 or higher.
  • This restriction does not apply to:
    • Individuals already receiving residential services prior to January 1, 2028; or
    • Individuals whose needs assessment results in an increase to NG5 or greater after services have begun.

Until December 31, 2027, it remains permissible for Administrative Entities (AE) and Supports Coordination Organizations (SCO) to refer individuals in NG5 to a primary provider. However, AEs and SCOs may choose to limit these referrals to Select and Clinically Enhanced providers.

Contact:

Questions regarding this announcement should be directed to ODP electronically.

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Photo by Markus Winkler on Unsplash

The Office of Developmental Programs (ODP) has reissued ODPANN 25-062 and its accompanying attachment. This announcement is to:

  • Provide details about information that will be sent to individuals and their families regarding the assignment of Performance-Based Contracting (PBC) tiers for residential service providers; and
  • To equip Supports Coordinators (SC) and Supports Coordination Organizations (SCO) with the necessary information and resources to respond to questions from individuals and families about the PBC tier assignment.

This announcement is being reissued with updates to the following links: “What is Performance-Based Contracting?” and “Performance-Based Contracting Frequently Asked Questions (FAQ) for Individuals and Families.”

Please view the announcement for additional information and details.

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Checklist concept - checklist, paper and pen

In alignment with key quality metrics and the implementation of “Everyday Lives: Values into Action,” all Administrative Entities (AE), Support Coordination Organizers (SCO), and Providers are required to complete a Quality Assessment & Improvement (QA&I) self-assessment of their performance on the provision of services and supports to individuals annually. The QA&I self-assessment requirement applies to all entities, regardless of the type of review (i.e., full review or record review only).

Exception: The QA&I Self-Assessment will be optional for SCOs scheduled to receive a full review in C3Y1, due to the concurrent demands of preparing for Performance-Based Contracting (PBC).

On July 1, 2025, a hyperlink will be sent to the email address of the entity’s primary contact from the QA&I Process mailbox ([email protected]) with the subject line “Action Required! The QA&I Cycle 3, Year 1 Self-Assessment – (Entity) is now available!” If the primary contact does not receive this email, please check spam and junk mail folders to ensure the email did not filter to one of those folders in error. If the entity’s primary contact does not receive the link by the end of the day on July 1, please email the QA&I Process mailbox for assistance.

All self-assessments must be submitted electronically to ODP via QuestionPro utilizing the hyperlink. Each entity must complete the applicable self-assessment by COB August 31, 2025. An entity shall submit only ONE self-assessment for their entire agency.

If an entity does not complete a self-assessment, a Directed Corrective Action Plan (DCAP) will be issued and ODP and/or the AE may elect to conduct a full review regardless of an organization’s regularly scheduled full review within the three-year cycle.

Please direct any inquiries, issues, or concerns regarding this communication to the QA&I Process mailbox. Read the ODP Announcement for more details.

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The Office of Developmental Programs (ODP) has shared ODPANN 25-054. This announcement provides details related to changes to the HCSIS Auto Authorization Functionality.

In alignment with the Multi-Year Program Growth Strategy, Administrative Entities (AE) require greater insight into plan changes that will have virtual budget impacts. Plans submitted for AE review after June 9, 2025, will be subject to the changes. See changes on the chart within the announcement, reflecting the categories of Individual Support Plan (ISP) updates or revisions. Plan categories where a yes appears in the chart require manual approvals. The newly-added categories are highlighted in green and will now require manual review by AEs.

Questions should be directed to the ODP Regional Office.

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The Office of Developmental Programs (ODP) has shared ODPANN 25-053. This announcement provides clarification to assist Supports Coordination Organizations (SCO) and Administrative Entities (AE) in properly identifying and planning for individuals who may be eligible for enrollment in the Person/Family Directed Support (P/FDS) Waiver through reserved capacity provisions.

Please review the announcement for additional information and details.

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The Centers for Medicare and Medicaid Services (CMS) require a statewide process to ensure providers are qualified to render services to waiver-funded individuals. The Provider Qualification Process described in announcement ODPANN 25-014 outlines the steps the Assigned Administrative Entity (AE) and provider must follow to meet these requirements and the steps Supports Coordinators (SC) take to transition individuals if needed. This communication does not describe the qualification process for SC organizations.

Please view the announcement for additional information and details.

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Photo by Towfiqu barbhuiya on Unsplash

The Office of Developmental Programs (ODP) has shared ODPANN 24-058. This communication announces the start of Cycle 2, Year 3 (C2Y3) of the Quality Assessment & Improvement (QA&I) Process on July 1, 2024. All Administrative Entities, Supports Coordination Organizations, and Providers, regardless of receiving a full review or not, are required to complete a QA&I self-assessment of their performance on the provision of services and supports to individuals annually based on key quality metrics and implementation of “Everyday Lives: Values into Action.”

Please view the announcement for information and details.

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The Office of Developmental Programs (ODP) has shared ODPANN 24-002: Qualification Process for New Intellectual Disability Autism (IDA) Provider Applicants Update. The purpose of this announcement is to communicate the process for Administrative Entities (AE) to validate that new Provider Applicants have satisfied all Waiver Provider Qualification requirements effective January 1, 2024.

NOTE: Announcement 23-054 Qualification Process for New Providers will become obsolete as of the date of this publication.

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