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Compensation
2023 ID/A Workforce Compensation Study Announced
RCPA members are encouraged to participate in the ID/A Workforce Compensation study conducted by and in collaboration with the Center for Healthcare Solutions described below. The Center for Healthcare Solutions performed the survey that we supported last year, as well. This study is being done jointly with several other statewide and regional associations, and we are hoping that providers across Pennsylvania will participate in order to provide adequate data for use in advocacy efforts to improve conditions for our workforce. This also presents an opportunity to have comparative data.
The scope of this survey and the report generated from it will address compensation practices for 46 positions, including Direct Support Professionals (DSP), supports coordinators, frontline supervisors, clinical positions, program specialists, facilities staff, and administrative personnel. It will also provide data on staff vacancies and turnover that continues to impact care and services across Pennsylvania.
Any ID/A employer in Pennsylvania is eligible to participate in the survey and will receive the published report, which will also be provided to the Pennsylvania Office of Developmental Programs. As always, CFHS follows all FTC/DOJ guidelines to de-identify data and maintain confidentiality. If you are a member of multiple associations, you only need to complete the survey once.
Two files are included: the input form and the general instructions for filling out the input form. Completed surveys may be emailed to Steve Forest or uploaded via SFTP (information included in the instructions) by Friday, September 22. The published report is expected to be issued on Friday, October 6.
Additionally, a workshop has been scheduled for Thursday, September 7, at 10:00 am to review the survey and assist participants in its completion. To register for this workshop, please visit here.
Preparation for the Upcoming Rate Increases for the Adult Autism Waiver
ODP Announcement 22-021 provides guidance on the upcoming rate increases for the Adult Autism Waiver. Compensation is beginning March 1, 2022; the new rates will be implemented in the Home and Community Services Information System (HCSIS) on March 1, 2022. All Individual Support Plans (ISPs), including ISPs in draft, pending review, or pending approval status, will be updated with the new rates for each of the applicable services. An additional fiscal segment will automatically be added on each ISP for each service that is impacted by the rate change.
Providers are strongly encouraged to review Service Authorization Notices or the Provider Service Detail report in HCSIS to confirm the new rates were loaded, authorized, and that they are billing the increased Fee Schedule Rate before attempting to bill for any services rendered March 1, 2022, and after.
Compensation for the Period July 1, 2021, through February 28, 2022
Providers should bill normally for any services rendered from July 1, 2021, through February 28, 2022. ODP will be compensating providers, via gross adjustments, for the difference between the rate billed and the updated fee schedule rate for dates of service rendered during the period July 1, 2021, through February 28, 2022. This is intended to eliminate the provider’s effort of voiding and re-billing claims.
ODP anticipates processing gross adjustments during the April to May 2022 timeframe to ensure all billing for dates of service July 1, 2021, through February 28, 2022, has been completed. Because the rates will be loaded into HCSIS effective July 1, 2021, and the gross adjustment compensation will be issued by ODP, providers should not adjust any claims after April 1, 2022, submitted for services rendered on July 1, 2021, through February 28, 2022.
Adjustment of a claim(s) for services delivered during these dates will result in a duplication of payment that will need to be repaid. Providers are strongly encouraged to bill in a timely manner to minimize the need for corrections.
For questions on how to resolve billing errors for services that were rendered on July 1, 2021, through February 28, 2022, contact Amber Bennett.
Correction to Rates for Small Group Employment and Residential Habilitation Ineligible Fees
Because of an internal editing error, the rates for Small Group Employment and Residential Habilitation: Community Home Ineligible published in the Pennsylvania Bulletin (52 Pa.B. 1326, February 26, 2022) were incorrect. The correct rates, with the corresponding procedure codes, are higher than what was published. The corrected rates are also available on the Department of Human Services’ website.