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Resources for Integrated Care (RIC) recently released a brief on telehealth and its impact on dually eligible people with intellectual and developmental disabilities (I/DD). As noted by RIC, people dually eligible for Medicare and Medicaid, as well as people with I/DD, are diagnosed with multiple chronic conditions at higher rates than the general population and often face barriers with access to healthcare.
Telehealth services have been increasing in popularity and usage and have the potential to positively impact people with I/DD. Health plans can utilize this information to further their understanding of how telehealth modalities can improve access to person-centered care for people with I/DD.
ODP Announcement 23-019 is to advise all stakeholders that the COVID-19 PHE is officially ending May 11, 2023. All provisions made under Appendix K will expire on November 11, 2023.
The Office of Developmental Programs (ODP) will release more detailed information regarding transition activities as they develop. A link to the Department of Health and Human Services (HHS) statement is provided here.
Pennsylvania is preparing for a major change in renewal processes for Medicaid and Children’s Health Insurance Program (CHIP) recipients.
Starting April 1, 2023, Pennsylvania is required by federal law to review Medicaid and CHIP recipients’ eligibility every year, which means that recipients must submit a renewal. While the Department of Human Services (DHS) still sent renewals during the height of the COVID-19 pandemic, most people were not disenrolled from Medicaid or CHIP because of a change in eligibility.
DHS encourages everyone to share the following information with Medicaid and CHIP recipients to help them stay informed about renewals.
What Should I Do Right Now?
The best thing that Medicaid and CHIP recipients can do right now to prepare for their renewal is to make sure that their contact information is up-to-date with DHS. By making sure that their information is current, recipients can receive timely updates about their renewal. They also can opt-in to receiving text and email alerts about their benefits.
What Else Do I Need to Know?
Completing Medicaid and CHIP Renewals
Renewals should be completed when they are received, even if recipients receive them before April 1, 2023. Recipients will receive a renewal packet in the mail when it is time to renew their coverage. Information about their renewal will start to arrive 90 days before it is due. It is very important that renewal forms are completed and returned even if nothing has changed. Completing a renewal allows DHS to determine eligibility for MA or CHIP coverage. Coverage will continue for recipients who are still eligible.
There are a few ways for recipients to complete a renewal:
What is Continuous Coverage?
Under the continuous coverage requirement, individuals covered by Medicaid and/or CHIP have been able to keep their health coverage even if they would have otherwise become ineligible for the program based on other factors.
Evaluating Eligibility
Once the continuous Medicaid and CHIP coverage requirement ends, recipients will have to complete a renewal to maintain their coverage as long as they are eligible.
Are You Ineligible for Coverage?
DHS will provide instructions on how to re-enroll or share options for coverage if individuals are no longer eligible. Options for free or low-cost health coverage are available online.
Message from the Office of Developmental Programs:
Pennsylvania Department of Human Services (DHS) Acting Secretary Val Arkoosh today advised Pennsylvanians of upcoming changes to Supplemental Nutrition Assistance Program (SNAP) benefits. Due to the passage of the recent federal Consolidated Appropriations Act of 2023, starting in March, SNAP recipient households will no longer receive the Emergency Allotment (EA) additional payment created during the COVID-19 public health emergency and will resume receiving one SNAP payment per month.
This change will happen for all SNAP recipients, with households receiving letters via mail about the change in SNAP payments.
“We know this additional SNAP payment has been a lifeline for people over the past three years and that ongoing economic uncertainty and high food prices are contributing to food insecurity for many Pennsylvanians. There is help available for you and your family through Pennsylvania’s heroic charitable food partners,” said Acting Secretary Val Arkoosh. “I urge anyone who can donate food or resources, now is the time to help your local food assistance programs as they prepare to meet this potential additional need.”
With funds made available due to the federal COVID-19 emergency, DHS began providing EAs as a second monthly payment to SNAP recipient households that were receiving benefits since March 2020. The EAs increased the SNAP budget amount to the maximum available amount for their household size or, since early 2021, were a minimum of $95. These payments were distributed separate from the initial payment as an extra payment each month.
Due to federal legislation, this February will be the last month EAs are sent; and starting in March, SNAP recipients will only receive one regular SNAP payment.
Additionally, the 2023 cost of living adjustment for Social Security Income (SSI), which is also set by the federal government, prompted an 8.7 percent increase to SSI income. SNAP eligibility thresholds — also set at the federal level — did not rise proportionally. Because of this, approximately 249,000 households will experience a decrease in their base SNAP benefits by an average of $40 per household, which will take effect in March when EAs end. The Office of Developmental Programs (ODP) anticipates approximately 5,000 to 20,000 households will be disenrolled from SNAP due to the SSI increase. These federal changes will primarily affect older Pennsylvanians and seniors.
Pennsylvanians who need to report changes to their household size, income, or expenses are encouraged to report any changes either online via the myCOMPASS PA mobile app or by calling DHS’s Customer Service Center at 877-395-8930 (or 215-560-7226 for Philadelphia residents). This will help ensure households are receiving the maximum SNAP benefit based off their individual circumstances.
DHS recognizes the impact these changes may have on households and wants to make sure families that need food assistance know where to go for help:
“Our charitable food network works tirelessly every day to be a resource and safety net for their communities. With a reduction in SNAP benefits coming, they will likely be left to absorb much of the impact,” said Acting Secretary Arkoosh. “If you are able to help, I strongly encourage you to support your local food banks and pantries as they prepare to meet this need. Small donations can grow into a big difference, so please do what you can so they can continue their life-saving work.”
For more information about SNAP Emergency Allotments, visit the DHS website.
The Centers for Medicare and Medicaid Services (CMS) recently released the third edition of the COVID-19 public reporting tip sheets to learn about reporting during the public health emergency (PHE). One of the tip sheets released is specific to inpatient rehabilitation facilities quality reporting program (IRF QRP).
A message from the Department of Health:
We are writing to inform you that the Pennsylvania Department of Health will no longer be able to provide short-term crisis staffing support or staffing support for test swabbing missions as of January 14, 2023. This decision has been made due to the exhaustion of funds designated for this purpose. We want to assure you that we will do our best to assist with a smooth transition.
The Department remains committed to providing opportunities to build long-term resilience into long-term care facilities that includes bolstering Pennsylvania’s long‑term care workforce development and retention.
We strongly encourage you to engage with your local LTC RISE partner. LTC RISE will continue to provide COVID-19 outbreak response consultative support. LTC RISE will also continue to support quality improvement project opportunities, including projects focused on workforce development and retention.
We also remind you that the Long-Term Care Quality Investment Pilot (QIP) is another opportunity which can benefit skilled nursing facilities, personal care homes, assisted living facilities, and intermediate care facilities. We urge facilities to apply for funds to invest in key areas that include staff development and retention. Applications for QIP are due Saturday, December 31, 2022, by 1:30 pm.
Thank you for your continued efforts protecting Pennsylvania’s most vulnerable residents and for your understanding and cooperation during this time.