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Tags Posts tagged with "adult autism waiver"

adult autism waiver

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ODP Announcement 22-012 provides information regarding the Office of Developmental Programs (ODP) Bulletin 00-21-02, Incident Management, including the specific roles and responsibilities for Supports Coordination Organizations (SCOs). On June 25, 2021, ODP released Announcement 21-049 to clarify that SCOs were not expected to report more than what they were currently reporting until further notice. ODP is clarifying that announcement 21-049 does not apply to the Adult Autism Waiver (AAW).

SCOs serving individuals in the AAW have always been required to report all incidents that occurred in the absence of a provider rendering services at the time of the incident or if the target of an investigation is not an employee or volunteer of a provider organization. There has been no change in those requirements.

This data is critical to evaluating AAW program outcomes. Please note that with the release of ODP Bulletin 00-21-02 that was effective July 1, 2021, two new categories, Passive Neglect and Self-Neglect can be used to report incidents that were previously reported as Neglect when applicable. For further clarification on Passive Neglect and Self-Neglect, refer to the Learning Management System (LMS) for the recorded module on Enterprise Incident Management (EIM) System Changes, County Management and SC Incidents.

The SCO has a responsibility to respond to and assess emergency situations and incidents as well as assure that appropriate actions are taken to protect the health and welfare of participants. Incident management activities that are the responsibility of and completed by the SCO are billable activities. Billable incident management activities are considered part of the SCO’s function of location, coordinating, and monitoring.

SCOs are responsible for checking alerts generated by Enterprise Incident Management (EIM) that identify incidents entered for participants receiving services through their organization. SCOs shall monitor individual incidents in EIM and make recommendations to ODP regarding the appropriateness and effectiveness of the provider’s actions taken to protect the health and safety of the participant as described in the initial incident report. They must also monitor final EIM incident reports to determine if corrective actions are appropriate, revisions to the Individual Service Plans (ISP) are needed, or additional monitoring of the situation is necessary. Monitoring of incidents by the SCO is integral in helping the ODP incident management reviewer in making a determination regarding the approval or disapproval of the incident report.

For targeted technical assistance or questions, please contact ODP’s Bureau of Supports for Autism and Special Populations’ Provider Support mailbox.

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ODP Announcement 21-084 announces that the renewal of the Adult Autism Waiver (AAW) was approved by the Centers for Medicare & Medicaid Services (CMS) on November 18, 2021. As communicated in ODP Announcement 21-067, the renewal of the AAW has no substantive changes from the previously approved waiver.

The renewal was submitted with no substantive changes because some previously proposed changes to the AAW conflicted with the requirements of Section 9817 of the American Rescue Plan Act and CMS guidance that was published in May of 2021. The renewal is effective July 1, 2021, and can be found on the DHS website.

Because the Office of Developmental Programs (ODP) is not making the changes it originally planned to the AAW, ODP will not be implementing the proposed rates published in the Pennsylvania Bulletin on May 22, 2021. Any new proposed changes to rates will be published in the Pennsylvania Bulletin for a public comment period prior to implementation.

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Message from the Office of Developmental Programs (ODP):

Good Afternoon AAW Stakeholder:

The purpose of this email is to inform all interested parties that the Centers for Medicare and Medicaid Services (CMS) has granted the Office of Developmental Programs a second 90-day extension on the currently approved Adult Autism Waiver through December 27, 2021.

Questions about the extension can be directed to ODP.

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This meeting will provide updates on COVID-19 activities, answer questions, and offer support. These meetings are held for all Office of Developmental Programs (ODP) providers of Adult Autism Waiver (AAW) services. The virtual office hours (VOH) start with an overview of any new ODP announcements and also include a) highlights of new practices, b) a review of topics and questions sent in advance, and c) a discussion of any concerns that have come up within the past few weeks. Providers will be able to ask questions directly of AAW Regional Office (RO) representatives.

Please register for this session here.

February 8, 2021

10:00 am – 11:30 am

Virtual office hours (VOH) provide attendees with an opportunity to interact and ask questions related to a specific topic. They occur one time and are not recorded or posted on MyODP.

Preregistration is required. Please use the link above to register for the session. Once registered, you will receive an email with instructions describing how to participate, including a new link to join the session. You can join the audio portion of the webinar by telephone or computer.

For questions, please email this contact.

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The Office of Developmental Programs (ODP) is disseminating communication ODPANN 20-113 – “Public Comment Starts December 18, 2020 for Proposed Amendments to the Intellectual Disabilities and Autism (ID/A) Waivers and Adult Autism Waiver”. The purpose of this communication is to announce that proposed amendments to the consolidated, person/family directed (P/FD), community living, and adult autism waivers effective March 1, 2021, will be available for review and comment starting on December 18, 2020. This date will begin a 30-day public comment period that will end on January 18, 2021.

Information regarding the proposed waiver amendment changes, including how to provide comments, can be found in the Pennsylvania Bulletin, Volume 50, Number 50 published on Saturday, December 12, 2020 on this webpage.

This publication was released earlier than anticipated, and as a result, waiver documents with proposed changes are not currently available on the Department of Human Services (DHS) website. For this reason, the start of the public comment period will be delayed until December 18, 2020 when all needed information will be available on the DHS website. Another communication will be published on December 18, 2020; it will provide more information about the changes proposed in the waiver amendments and the public comment process.

CONTACT: Questions about this communication should be directed here.

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Photo by Markus Winkler on Unsplash

ODP Announcement 20-111

The purpose of ODP Announcement 20-111 is to inform Supports Coordination Organizations (SCOs) of an updated statewide qualification process. The Centers for Medicare and Medicaid Services (CMS) requires a statewide process to ensure that SCOs are qualified to render services to waiver-funded individuals. The Office of Developmental Programs (ODP) is replacing the previous Adult Autism Waiver (AAW) SCO requalification process with the ODP AAW SCO qualification process outlined in this communication.

New SCO Requalification

Following the SCO’s initial qualification date, all SCOs classified as new are to be requalified by the end of the following fiscal year. This will be detailed on the AAW SCO qualification form (Note: This form is under development and will be distributed at a later time). For example, if a new SCO’s first qualification begin date is January 20, 2017, the SCO must be requalified by June 30, 2018, which is the end of the following fiscal year. A new SCO’s status will be updated from new to existing after the SCO is requalified.

Existing SCO Requalification Cycle

Previously, AAW SCOs were requalified during annual monitoring and the Quality Assessment and Improvement (QA&I) process. All activities associated to the AAW SCO requalification process will now occur during the ODP AAW SCO qualification process. Once an SCO is classified as existing, the SCO is to be requalified on a three-year cycle based upon the last digit of the SCO’s MPI number. The timelines for Cycle 2 of SCO requalification will be slightly different from the timelines for Cycle 2 of QA&I due to when the requalification process is starting and the corresponding fiscal year.

For inquiries regarding this communication, contact the AAW Enrollment mailbox.

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Deadline, as Letters on a Clock
On January 14, 2020, the Office of Developmental Programs released an updated version of the Provider Agreement for Participation in Pennsylvania’s Consolidated, Person/Family Directed Support, Community Living Waivers, and Adult Autism Waiver. Providers were informed that a signed copy of this document must be received no later than close of business on March 1, 2020.

As of February 21, 2020, many providers have not submitted their signed agreements. Failure to submit a signed agreement may impact providers’ ability to successfully submit claims for services rendered after March 1, 2020.

View/download the Provider Agreement for Participation in Pennsylvania’s Consolidated, Person/Family Directed Support, Community Living Waivers and Adult Autism Waiver and the accompanying letter from Deputy Secretary for Developmental Programs Kristin Ahrens.

Submit Signed Agreements to:
ra-ODPProvideragreem@pa.gov OR

Department of Human Services Office of Developmental Programs
Attention: Provider Agreement
625 Forster Street
Health and Welfare Building, Room 413
Harrisburg, PA 17120

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The Office of Developmental Programs (ODP) released notification on Tuesday, January 14, 2020 of the new Provider Agreement for Participation in Pennsylvania’s Consolidated Waiver, Person/Family Directed Support Waiver, Adult Autism Waiver and Community Living Waiver (“Waiver Programs”) that will serve as the statewide “Provider Agreement” between providers of waiver-funded services and ODP, the Department of Human Services, as the Pennsylvania State Medicaid Agency effective January 1, 2020.

This letter from ODP Deputy Secretary Kristin Ahrens was not included in the original distribution. The letter provides further clarification on the applicability of the new Provider Agreement and includes a due date for submission of the signed agreement. In addition, the Provider Agreement Form and Instructions have been updated. Every waiver provider must complete an agreement.

  • The legal entity of each waiver provider is required to submit only one agreement for that legal entity, regardless of the number of services provided or the number of service locations operated by the legal entity.
  • Each agreement must include the original signature of the provider’s Chief Executive Officer/Director/Owner.
  • Please also provide a copy of your agency’s IRS letter 147C to verify the agency’s legal name and FEIN.
  • Completed agreements may be submitted to ODP as an attachment via email.

Completed agreements may also be submitted by traditional mail to:

Department of Human Services Office of Developmental Programs
Attention: Provider Enrollment
625 Forster Street, Room 413
Health and Welfare Building
Harrisburg, PA 17120

Questions relating to the provider agreement process may be directed to the ODP Provider Enrollment Unit. Please note; this agreement is effective as of January 1, 2020. Agreements must be returned by March 1, 2020 to the ODP Provider Agreement resource account. Questions regarding this notification should also be directed to this account.

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