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The Office of Developmental Programs (ODP) has shared Bulletin 00-25-04 and the following attachments.

  • Attachment 1 – Template for HCQU Scope of Work and Payment Structure
  • Attachment 2 – HCQU Annual Plan and Reporting Templates
  • Attachment 3 – Current Health Care Quality Units

This bulletin explains the responsibilities of the Health Care Quality Units (HCQU) and establishes standards for planning and reporting.

The purpose of the HCQUs is to enhance the health and wellness of individuals with I/DD or autism through collaboration with providers of I/DD and autism services, AEs, Supports Coordinators/Targeted Support Managers, and healthcare providers, by raising awareness about community health resources and providing education for stakeholders about the physical health, behavioral health, and wellness needs unique to the individuals they support. The HCQUs strive to improve access to appropriate physical and behavioral healthcare for individuals with I/DD or autism, as well as improve capacity for risk assessment and risk mitigation. The HCQUs are comprised of professionals with expertise in the areas of I/DD or autism and healthcare.

HCQU Functions:

Each HCQU’s contract will specifically outline the HCQU’s responsibilities and requirements, total budget, payment triggers, and reporting requirements. HCQU responsibilities include the following:

  1. Assessment of Individual and Community Needs
  2. Training
  3. Technical Assistance
  4. Health Risk Screening
  5. Outreach and Education
  6. Collaboration
  7. Response to Imminent Risk
  8. Documentation and Reporting

Please see the bulletin for additional details and information.

Comments and questions regarding this bulletin should be directed to the appropriate ODP Regional Program Office. Visit the ODP website for regional office information.

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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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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 Office of Developmental Programs (ODP) has shared ODPANN 23-054: Qualification Process for New Intellectual Disability/Autism (ID/A) Provider Applicants Update. The announcement communicates the process for Administrative Entities (AEs) to validate that new Provider Applicants have satisfied all Waiver Provider Qualification requirements effective May 1, 2023.

Please review the announcement for further information on the Provider Applicant Process. You can also download the following templates:

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The Office of Developmental Programs (ODP) shared ODPANN 23-045: Office of Developmental Programs (ODP) Waiver Reserved Capacity Letters. This announcement provides guidance that clarifies instructions on how Administrative Entities (AEs) should maintain the waiver capacity of ODP waiver participants who are temporarily unable to receive waiver services due to requiring a short-term stay in a hospital (medical/psychiatric), nursing home, or rehabilitation care facility and are expected to return to the community. It includes the following attachments:

Please review the announcement and attachments for additional details.

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