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Tags Posts tagged with "Bulletin"

Bulletin

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The Pennsylvania Department of Human Services’ (DHS) Office of Mental Health and Substance Abuse Services (OMHSAS) and the Office of Medical Assistance Programs (OMAP) have jointly issued the Medical Assistance Bulletin Targeted Case Management Services for Eligible Juveniles Enrolled in Medical Assistance Prior to Release From a Carceral Setting, implementing Section 5121 of the Consolidated Appropriations Act, 2023. Eligible juveniles are individuals under 21 years of age who are determined eligible for MA or an individual 18–25 years of age who was determined eligible for the mandatory eligibility group for former foster care children.

This bulletin advises providers of billing procedures for the physical health (PH) and behavioral health (BH) Targeted Case Management (TCM) services provided to eligible juveniles enrolled in the Medical Assistance (MA) Program within 30 days of release from a carceral setting and for at least 30 days following release. This bulletin also advises providers of a new provider specialty (Spec) for TCM services.

Questions and comments can be sent electronically. You can also contact RCPA Policy Associate Emma Sharp with any questions.

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The PA Office of Medical Assistance Programs (OMAP) issued a new Bulletin that applies to personal assistance and community habilitation services under the Office of Long-Term Living (OLTL) and the Office of Developmental Programs (ODP). The key changes from earlier guidance include:

  • Providers 85% Compliance Requirement Effective January 1, 2025: Providers must ensure at least 85% of EVV records are verified without manual edits.
  • Starting January 2026, DHS will issue alerts to fee-for-service providers whose manual edits exceed 15% in the prior quarter. Managed care organizations (MCO) will also receive lists of noncompliant providers for follow-up.
  • Providers failing to meet the 85% thresholds for two consecutive quarters will be required to submit corrective action plans. Continued noncompliance may lead to sanctions, potentially including loss of license.
  • FMS and Participant-Directed Models are also responsible for EVV compliance. Persistent noncompliance can result in termination from participant-directed service models.
  • Additional Resources: DHS EVV Guidance and Handbook now available.
  • Compliance Reports are available on the Sandata platform. The reports allow providers to identify the non-compliant visit dates, participants, and caregivers to initiate internal corrective action.

If you have any questions, contact Fady Sahhar.

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The Office of Mental Health and Substance Abuse Services (OMHSAS) is extending the pause on the implementation of OMHSAS-25-02 Bulletin: Voluntary and Involuntary Commitment Forms, which was originally in place until August 27, 2025. OMHSAS is appreciative of all the stakeholders who took time to submit their comments and questions on the updated forms. Based on those comments, OMHSAS is planning to make further revisions to the MH 783 form that will require issuing a new bulletin.

The pause on the implementation of OMHSAS-25-02 will remain in effect until an updated bulletin is issued with the new MH 783 form. OMHSAS anticipates that the updated bulletin will be completed by the end of 2025, and the new bulletin will also have a separate effective date from the issue date to allow counties and providers to update their electronic systems, print new paper forms, and otherwise prepare for the transition to the updated forms. Counties continue to have the choice to use the prior forms or continue with the new forms issued in OMHSAS-25-02 until a new bulletin is issued. Providers, law enforcement, and other individuals using these forms should defer to their county mental health office in determining which version to use.

Along with the updated bulletin and MH 783 form, OMHSAS will be issuing an FAQ document to address questions they received on the forms more broadly and will be holding a Q&A session for stakeholders before the effective date of the new bulletin.

Questions may be sent electronically.

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Photo by Markus Winkler on Unsplash

The Office of Mental Health and Substance Abuse Services (OMHSAS) issued OMHSAS-25-02 Voluntary and Involuntary Commitment Forms on May 27, 2025. In response to concerns from stakeholders, OMHSAS will be pausing implementation of this bulletin for 90 days, through August 27, 2025. In addition to giving providers the opportunity to update electronic health records and print new forms, OMHSAS will use that time to continue to receive and respond to stakeholder questions and to schedule Q&A sessions. The department thanks stakeholders for the comments that have been provided so far and welcomes additional comments and questions, which can be sent electronically.

OMHSAS-25-02 and all forms can be found at links provided. As OMHSAS continues to work towards standardized Mental Health Procedures Act Forms that work across the Commonwealth, they appreciate your partnership and input.

Contact Emma Sharp with any questions.

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The provider revalidation process has been reinstated after the expiration of the Public Health Emergency. Providers will receive a reminder from the Office of Long-Term Living (OLTL) 90 days prior to the due date of the revalidation date. View the documents below for details.

OLTL will be participating in the PD&A meeting on June 18 and will answer any questions RCPA members may have at that time. In the meantime, if you have any questions, please contact Fady Sahhar.

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Image by Dirk Wouters from Pixabay

The PA Department of Human Services (DHS) Office of Children, Youth and Families (OCYF) has issued a bulletin on the Draft Needs-Based Plan and Budget Guidelines for FY 2026/27. OCYF is seeking comment and feedback to be sent electronically by June 14. The subject of the email should state “Draft NBPB Comments.”

If your organization submits comments regarding this bulletin, please copy RCPA Policy Associate Emma Sharp on your responses. For members of the RCPA Children’s Residential Services Committee, please contact Emma Sharp for thoughts or guidance that will be included in the RCPA Bulletin Comments.

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The Office of Mental Health and Substance Abuse Services (OMHSAS) has announced the Voluntary and Involuntary Commitment Forms Bulletin, OMHSAS-25-02, effective May 27, 2025, with updated forms for counties to use. For some time, counties have used different customized versions of the MH 783 statewide form. This has resulted in provider confusion, especially when an individual who is the subject of a 302 warrant is transported to a provider across county lines. OMHSAS is updating the MH 783 form and requiring counties to use this form without modifications. OMHSAS is also updating accompanying forms MH 781, MH 783A, MH 783B, MH 785, and MH 788 for use by County Mental Health/Intellectual and Developmental Disabilities (MH/IDD) administrators or their delegates for initiating the involuntary commitment of individuals at risk of harming themselves or others due to behaviors associated with acute mental illness. This bulletin announces that OMHSAS has revised forms for voluntary and involuntary commitment evaluations. Each of the revised forms has updated language, including changes accounting for Act 65 of 2020, references from “DPW” to “DHS,” and general clarification and modernization of the language within the forms.

The non-English versions are still in process, and another announcement will be posted when the links to those versions are available.

MH-783 Bulletin can be found DHS’s Bulletin web page. Additional forms can be found here.

Please contact RCPA Policy Associate Emma Sharp with any questions.

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Last year, RCPA met with its provider members regarding the provision of group psychotherapy services via telehealth in the client’s home. RCPA then met with the Office of Mental Health and Substance Abuse Services (OMHSAS) to discuss the possibility of allowing this flexibility in an effort to fully realize the use of telehealth technology to enhance access.

Today, the Department of Human Services’ Medical Assistance (MA) Bulletin #99-25-02 outlines revisions to the MA fee schedule. The following changes are specific to behavioral services and are effective May 1, 2025:

  • Procedure code 99452 (Interprofessional Services) is now open for provider type (PT)/Specialty combination 08/184 (Outpatient Drug and Alcohol).
  • Place of Service (POS) 10 — Telehealth Provided in Patient’s Home is now available to use with the procedure code 90853 (group psychotherapy) for PT/Specialty combination 08/110 (Psychiatric Outpatient).

Please see the section titled “Behavioral Health Services” on page 6 of the bulletin for additional information related to these revisions.

If you have questions about these changes, please reach out to OMHSAS electronically or RCPA COO and Policy Director Jim Sharp.

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The Office of Developmental Programs (ODP) released the Room and Board Bulletin, which was initially released in March 2025. ODP extends gratitude to all stakeholders who participated in the development of the bulletin.

ODP hosted two webinars; both were recorded, and the links are below for viewing.

Room and Board Training for Residential Habilitation and Life Sharing Professionals
The first webinar was targeted towards professionals, Residential Habilitation providers, and Life Sharing providers, in order to provide an explanation of Room and Board polices and regulations, how the polices should be implemented, and an overview of the attachments of the bulletin.

Room and Board Training for Individuals and Families
The second webinar was created for individuals and families. Individuals who receive Residential Habilitation (who live in a group home) or Life Sharing must have a Room and Board contract. This webinar covers the reason for the Room and Board contract, what will be covered within the contract, and an overview of the bulletin, including an explanation of the Room and Board policies and regulations.

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The Office of Developmental Programs (ODP) has shared Bulletin 00-25-01: Room and Board for Individuals Enrolled With the Office of Developmental Programs and 5 accompanying documents:

The sixth document referenced in the bulletin, a version of the Room and Board Agreement translated in Spanish, will be released soon. Stakeholders will be notified when this version of the agreement is ready for use.

This bulletin is to clarify Room and Board requirements outlined in 55 Pa. Code Chapter 6100 (relating to Services for Individuals with an Intellectual Disability or Autism).

ODP has scheduled two trainings:

  1. Room and Board Training: For Residential Habilitation & Life Sharing Professionals
    Friday, March 28, 2025, 1:00 pm – 2:30 pm
    If you are a professional, please register here.
  2. Room and Board Training: For Individuals and Families
    Thursday, April 3, 2025, 11:30 am  – 1:00 pm
    If you are an individual or family member, please register here.

These trainings will include:

  • The intent of Room and Board;
  • An explanation of Room and Board policies and regulations;
  • An explanation of policy implementation; and
  • An overview of the attachments to the bulletin.

There will be time during the sessions to answer questions submitted by participants during the webinars. For this reason, ODP kindly asks stakeholders to save questions about the bulletin until after the training is held.

Please see the bulletin for additional details and information.

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