The Office of Developmental Programs (ODP) has extended the deadline for providers and Supports Coordination Organizations (SCO) to utilize the one-time funds made available through ARPA. This had been discussed at RCPA’s recent IDD Committee meeting, and Deputy Secretary Ahrens appreciated the feedback. The deadline to spend the funds has been moved to March 31, 2025.
Please see ODP Announcement 22-107 for details.
The Department of Human Services (DHS) Office of Long-Term Living (OLTL) has announced the launch of the American Rescue Plan Act of 2021 (ARPA) Funding Reporting portal. The online portal will be available on September 30, 2022, for OLTL providers to submit costs associated with ARPA funding distributed in 2021 in order to comply with DHS reporting requirements.
Background: ARPA Funding Information
In 2021, federal funding from ARPA was allocated by the General Assembly under Act 24 and enacted by Governor Wolf to provide funding to nursing facilities (NF), personal care homes (PCH), and assisted living residences (ALR). These ARPA funds should be used for COVID-19 relief for costs not otherwise reimbursed by federal, state, or other sources of funding.
In addition, ARPA provided a temporary 10 percent increase to the federal medical assistance percentage (FMAP) for certain Medicaid expenditures for home and community-based services (HCBS). The funding must be used to enhance, expand, or strengthen HCBS. OLTL outlined in its plan to the Centers for Medicare & Medicaid Services (CMS) initiatives to strengthen the workforce and assist Adult Day Services (ADS) providers. The OLTL ARPA plan directed funding to Personal Assistance Service (PAS), Community Integration (CI), and Residential Habilitation (Res Hab) providers to assist with recruitment and retention of direct care workers. The plan also directed additional funding to providers to strengthen ADS.
ARPA funding must be used for things such as sign-on bonuses, retention payments, COVID-19 related leave benefits and paid time off, vaccination incentives, and/or the purchase of personal protective equipment and testing supplies. Additionally, ADS providers can use the funding for retrofitting adult daily living centers, expenses to re-open the centers, and expenses to develop alternative models to provide ADS.
Additional detailed information about the distribution of the 2021 ARPA funding can be found on the DHS Long-Term Care Providers web page.
ARPA Funding Reporting Portal
Effective September 30, 2022, providers can access the portal and begin to report ARPA 2021 costs. Providers can access the portal through the Funding Portal Login web page. The first report due date will be November 30, 2022, and should reflect two reporting periods. Providers are required to submit reports in the portal on a bi-annual basis thereafter according to their exhaustion of the funds. Please reference the chart below.
|
Report Period |
Due Dates |
|
07/01/2021 – 12/31/2021 01/01/2022 – 06/30/2022 |
11/30/2022 |
| 07/01/2022 – 12/31/2022 | 2/28/2023 |
| 01/01/2023 – 6/30/2023 | 8/30/2023 |
| 07/01/2023 – 12/31/2023 | 2/28/2024 |
Providers must keep all documentation related to the costs reported in the final cost report for a minimum of five years.
The Office of Child Development and Early Learning (OCDEL) has announced a 3% increase to all Early Intervention service rates from the previously published 2022/23 fee schedule.
Through the 2022/23 budget, a permanent rate increase of 3 percent for Early Intervention Services was enacted. This rate is in addition to the 3% increase funded through ARPA-IDEA previously published rates for 2021/22 and 2022/23. The Fee Schedule includes the 3% rate increase.
The funding must be used to enhance, expand, or strengthen IDEA and HCBS services. In 2021/22, OCDEL used the combined federal funds (ARPA-IDEA Part C & HCBS FMAP increase) to support the rate increase announced for fiscal year 2021/22 across all rates for Infant/Toddler Early Intervention services.
The Fee Schedule also includes the new Place of Service code for Tele-Intervention for Early Intervention. When providing services to a child and family by Tele-Intervention, the provider must identify the Place of Service for Tele-Intervention on the billing claim in PROMISe. The Place of Service for Tele-Intervention for Early Intervention is 02. The Centers for Medicare & Medicaid Services (CMS), for the purposes of Medicaid, defines telemedicine as the use of two-way, real time interactive telecommunications technology that includes, at a minimum, audio and video equipment as a mode of delivering healthcare services.
NEXT STEPS:
If you have any questions, contact OCDEL or RCPA Children’s Policy Director Jim Sharp.
ADvancing States and our partners with the ARPA HCBS Technical Assistance Collective are proud to release two papers that provide information about state efforts and activities under their American Rescue Plan Act (ARPA) HCBS spending plans. Through the generous support of The SCAN Foundation, The John A. Hartford Foundation, The Milbank Memorial Fund, and Arnold Ventures, the TA Collective operated two Affinity Groups (AG) to support states, facilitate information exchange, and share innovations, promising practices, and other strategies to expand and enhance their HCBS programs.
One AG focused on HCBS Workforce Shortages and state efforts to increase worker compensation and to improve training and education activities, while the other AG was dedicated to incorporating enabling technology into state HCBS programs. Each paper provides an overview of the issue, a summary of the discussions and ideas presented, examples of state innovations, and a discussion of future activities, challenges, and considerations as states continue to address these issues.
Visit here to read more.
The Pennsylvania Department of Human Services (DHS) has launched a web page detailing the Behavioral Health Commission for Adult Mental Health. Among other information, the page includes a list of the 24 commissioners, dates for upcoming commission meetings (which are open to the public for both in-person and remote participation), and an email address for those interested in attending the meetings.
The commission will next meet at 1:00 pm, September 1, in Dauphin County at a location to be determined.
Act 54 of 2022 established the Behavioral Health Commission for Adult Mental Health as an interdisciplinary body comprised of leadership from state agencies, communities around Pennsylvania, and the behavioral health field as well as individuals with lived experience with behavioral health.
The legislature appropriated $100 million of American Rescue Plan Act funding for adult mental health programs. Per Act 54 of 2022, no funding shall be expended until enabling legislation is enacted by the General Assembly. The Commission shall produce a report with funding recommendations.
The Office of Long-Term Living (OLTL) issued the following notice regarding the American Rescue Plan Act (ARPA) one-time payments for personal care homes (PCH) and Assisted Living Residences (ALR):
Background Info:
Governor Wolf signed Act 54 of 2022, which allocates $26.767 million of federal funding from the American Rescue Plan Act (ARPA) for payments to nursing facilities (NF), personal care homes (PCH), and assisted living residences (ALR). To qualify for the one-time payment, a facility must be in operation as of July 1, 2022.
These one-time ARPA funds must be used for COVID-19 related costs not otherwise reimbursed by federal, state, or other sources of funding. OLTL will send a letter with details about the payments, including information about the approved use of and reporting on these funds. An Act 54 Facility Acceptance Form must be completed by September 2, 2022.
Additional information on Act 54, payment amounts and approved use of this funding will be available at the DHS Long-Term Care Providers page.
PCH/ALR Payments:
PCHs and ALRs must complete the Facility Acceptance Form by August 26, 2022. Checks will be issued and mailed in the order in which DHS receives the Facility Acceptance Forms.
Act 54 of 2022 requires the ARPA funding to be obligated by December 31, 2024, and spent by December 31, 2026, or returned to the commonwealth. Additionally, these funds must be used for COVID-19 related expenses. Providers must keep documentation to prove that these funds were used for their response to the COVID-19 pandemic in case of an audit. Any person or entity accepting an ARPA payment agrees to provide documentation to DHS, upon request, for purposes of determining compliance with Act 24 requirements. Instructions on expenditure reporting will be provided at a later date.
The Department of Human Services (DHS) recommends that providers consult their accountants or attorneys for further clarification on acceptable uses of ARPA funding. DHS encourages providers to review guidance for eligible expenditures on the U.S. Department of the Treasury website in their Compliance and Reporting Guidance.
Any questions about this information or the Facility Acceptance Form should be sent to PW, OLTL COVID Payments.
ODP Announcement 22-088 reports that ODP is seeking public comment on the proposed initiatives specific to programs and services for individuals with an intellectual disability and/or autism (ID/A) for which ARPA funds will be used.
ARPA provides a temporary 10% increase to the federal medical assistance percentage (FMAP) for certain Medicaid expenditures for home and community-based services (HCBS). The funding must be used to enhance, expand, or strengthen HCBS beyond what is available under Medicaid programs, including ODP’s waivers.
ODP is proposing additional initiatives in the following areas:
Interested persons are invited to submit written comments regarding the proposed ODP ARPA initiatives. Comments should be addressed to: Department of Human Services, Office of Developmental Programs, Division of Provider Assistance and Rate Setting, 4th Floor, 625 Forster Street, Harrisburg, PA 17120.
Comments may also be submitted to the Department via email using the subject header “ODP ARPA Initiatives.” Comments received by 11:59 pm on August 19, 2022, will be reviewed and considered for final implementation.
ODP Announcement 22-083 announces that Office of Developmental Programs (ODP) providers with approved ARPA Grant applications should use the following survey to request reimbursement for expenses incurred. Reimbursement for Technology Grants may consist of one progress payment and one final payment. Reimbursement for Training/Credentialing and Business Associate Grants may include up to two progress payments and one final payment.
Prior to beginning the survey, providers should ensure that supporting documentation (paid invoices, cancelled checks, accounting records, etc.) is available and scanned into a PDF format. These documents will need to be attached at the end of the survey.
Providers should generally expect to see payments a few weeks following ODP’s review of submitted information.
Please access the survey here. Contact Rick Smith for technical questions or issues.
ODP Announcement 21-031: UPDATE highlights that the American Rescue Plan Act of 2021 (ARPA) provides a temporary 10% increase to the federal medical assistance percentage (FMAP) for certain Medicaid expenditures for home and community-based services (HCBS). The funding is to be used to enhance, expand, or strengthen HCBS beyond what is available under the Medicaid program.
On June 3, CMS notified states that they have an additional year to use funding made available by ARPA, expanding eligible expenditures to March 31, 2025. To provide guidance about the process for providers to request one-time payments and address staff training, credentialing, and business associates programs for employment, the application deadline for this initiative has been extended to October 31, 2022.
Providers interested in applying will complete and submit the Staff Training, Credentialing, and Business Associates Programs for Employment Supplemental Payment Application and submit via email to Rick Smith. Applications will be accepted through October 31, 2022.
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