';
CLOSE
Tags Posts tagged with "Consolidated Waiver"

Consolidated Waiver

0 272

The Office of Developmental Programs (ODP) has shared ODPANN 25-056, which states that the Performance-Based Contracting (PBC) Residential Provider Directory is now available. PBC applies to the Consolidated Waiver and the Community Living Waiver. Individuals and families can use this directory for additional information when making a choice of providers.

Providers are placed in one of the following tiers based on their performance in the areas described below:

  • Primary: For providers that meet current standards and a few additional measures.
  • Select: For providers that deliver at least two of the three residential services in the Performance-Based Contracting model and meet the additional measures.
  • Clinically Enhanced: For providers that offer clinically enhanced medical or behavioral supports and meet the enhanced measures.

The website also indicates if a provider is in conditional status due to a licensing enforcement action.

If you have any questions, please reach out to the ODP PBC inbox.

0 665

The Office of Developmental Programs (ODP) will be holding a webinar to provide an overview of the proposed implementation for Performance-Based Contracting (PBC) for Supports Coordination services effective January 1, 2026. The webinar will be held April 29, 2025, from 1:00 pm – 2:00 pm. You must register to attend, and you can register here.

Additional proposed changes to the Consolidated, Community Living, and Person/Family Directed Supports waivers that are not related to Performance-Based Contracting will also be covered. Public comment will not be accepted during this webinar. The webinar is designed to give attendees the information and details they’ll need to participate in upcoming public comment sessions. There will be time, however, for presenters to answer questions submitted by participants.

0 803

The Office of Developmental Programs (ODP) has provided information on the Work Incentives Planning and Assistance (WIPA) program. This program is designed to support individuals receiving Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) who are working or interested in working.

Information shared about the program includes:

  • When referrals to a WIPA program are required;
  • How to locate WIPA programs in Pennsylvania; and
  • Benefits Counseling services funded through ODP’s Consolidated, Community Living, and Person/Family Directed Supports (P/FDS) Waivers.

The WIPA program seeks to help individuals reach their financial and employment goals by:

  • Providing information about available work supports;
  • Offering individualized information about benefits and health insurance; and
  • Explaining the impact working may have on benefits.

Please view the announcement ODPANN 25-001 for additional information and details.

0 774

The Office of Developmental Programs (ODP) has shared ODPANN 24-128, which serves as a guide for American Sign Language (ASL) — English Interpreter services available starting January 1, 2025.

The American Sign Language (ASL) — English Interpreter Service is for individuals in an ODP waiver who utilize ASL. Interpreting is the process of conveying English in grammatically correct American Sign Language and the process of conveying American Sign Language in English.

This service is available to individuals in the:

  • Consolidated Waiver;
  • Person/Family Directed Support (P/FDS) Waiver;
  • Community Living Waiver; and
  • Adult Autism Waiver.

This guide provides information on the service and its requirements. It can be found under the Deaf, Hard of Hearing, DeafBlind section on MyODP.

Questions can be sent to the ODP Deaf Services inbox.

0 900

The Office of Developmental Programs (ODP) has shared communication ODPANN 24-129. This announcement informs potential providers and stakeholders of changes to the enrollment process for NEW providers seeking to offer Residential Habilitation, Life Sharing, and Supported Living services in the Consolidated or Community Living Waivers by December 31, 2024. Potential new providers will not be eligible to provide residential services effective January 1, 2025. Enrollment for new providers of these services is closed.

Please view the announcement for information and details.

0 1551

Today the Department of Human Services (Department) published final notice of Fee Schedule Rates for services funded through the Consolidated, Community Living, Person/Family Directed Support (P/FDS), and Adult Autism Waivers and the Department-established fees for base-funded services as a correction to the rates previously published August 1, 2024.

Due to a calculation error, the Department has made corrections to the Fee Schedule Rates for the following services funded through the Consolidated, Community Living, and P/FDS Waivers and base-funding:

  • Community Participation Support, effective July 1, 2024; and
  • Life Sharing Without Day 1-person needs group 3 and 4, effective October 1, 2024.

Additionally, due to a mistake in aligning the procedure code with the correct Statewide fee, the Department is republishing the Fee Schedule Rates for the following services funded through the Adult Autism Waiver effective July 1, 2024:

  • Residential Habilitation
  • Specialized Skill Development
  • Supported Employment
  • Career Planning
  • Therapies
  • Day Unit Respite
  • 15-Minute Unit Respite
  • Supports Coordination
  • Transportation — Trip

This publication presents an opportunity for providers to appeal these specific rates. The deadline for filing an appeal for these rates is December 2, 2024.

For further information, view ODPANN 24-107 or contact Carol Ferenz, IDD Division Director.

0 931

ODP Announcement 24-096 is to inform all interested parties that the Centers for Medicare and Medicaid Services (CMS) approved the 1915(b)(4) Performance-Based Contracting Waiver and the Consolidated, Community Living, and P/FDS Waiver amendments effective January 1, 2025.

As communicated in ODP Announcement 24-071, the waivers were submitted to CMS on July 26, 2024. Since that time, ODP has engaged in discussions with CMS. No substantive changes were made to the waivers based on those discussions. Information regarding Performance-Based Contracting for Residential Habilitation, Life Sharing, and Supported Living services delivered through the Consolidated and Community Living Waivers can be accessed at Performance-Based Contracting – MyODP. In addition to changes needed to implement Performance-Based Contracting, the following major changes were included in the Consolidated, Community Living, and P/FDS Waivers:

  • American Sign Language – English Interpreter service will be added.
  • Billable indirect activities will be added to the Benefits Counseling service and the fiscal year limit will increase from 15 to 24 hours.
  • Clarification about evaluations will be added to the Assistive Technology service.
  • The fiscal year limit for Music, Art and Equine Assisted Therapy will increase from 26 to 52 hours.

Each full waiver application, as well as a record of all substantive changes, is available online at:

ODP will be holding one webinar to provide a general overview of Performance-Based Contracting and additional major changes made in the approved waivers. There will be time during the session for presenters to answer questions submitted by participants during the webinar.

The date, time, and registration link for these webinars are as follows:
Consolidated, Community Living, and P/FDS Waiver Amendment Overview
Wednesday, October 30, 11:00 am to 12:00 pm — Register Here.

0 927

The Office of Developmental Programs (ODP) has shared an updated version of ODPANN 23-083. This bulletin announces the availability and criteria for Needs Group 5 (NG5) residential fee schedule rates and reissues the criteria, process, and procedures for residential fee schedule rate exceptions in the Consolidated Waiver. Please view the announcement for updated information, which has been highlighted red.

0 1017

The Office of Developmental Programs (ODP) has shared ODPANN 24-087, which informs stakeholders of corrections to rates for select services provided through the ODP Consolidated, Community Living, Person/Family Directed Support, and Adult Autism Waivers and base-funding that were published as final in the Pennsylvania Bulletin. Corrections were made to the following rates:

  • Community Participation Support Rates, Effective July 1, 2024; and
  • Life Sharing Without Day 1-Person Needs Group 3 and 4 Rates, Effective October 1, 2024.

The corrected final Fee Schedule Rates and Department-Established Fees for each service can also be found on DHS’s website. Please view the announcement for details.

0 807

ODP Bulletin ODPANN 24-015 provides guidance for implementing changes to Assistive Technology and Remote Supports in the amendments to the Consolidated, Community Living, Person/Family Directed Support (P/FDS), and Adult Autism Waivers. Please note that this communication is being reissued with an update to Attachment B only. The other attachments are being included for reference.

ATTACHMENTS:

123...4Next Page 1 of 4
© 2021 - Rehabilitation & Community Providers Association