Gov.-Elect Josh Shapiro Nominates Secretaries of Human Services, Health, D&A Programs, Aging, and Insurance Commissioner
DHS
DHS Help During the Holidays
Statewide Positive Approaches & Practices Meeting Jointly Hosted by OMHSAS and ODP — January 19
The Department of Human Services’ (DHS) Office of Mental Health & Substance Abuse Services (OMHSAS) and the Office of Developmental Programs (ODP) host a quarterly Statewide Positive Approaches & Practices Meeting. This meeting aims to provide the most recent research and resources for people with mental health and behavioral challenges, intellectual disabilities, autism, and other developmental disabilities to live an everyday life.
The next meeting is scheduled for Thursday, January 19, 2023, from 9:00 am – 3:00 pm. The topic is employment. See the flyer for details.
Community HealthChoices — A Legacy of Helping Pennsylvanians
DHS Webinar on December 12 Will Focus on Developing Effective Plans of Correction
The Department of Human Services (DHS) released an announcement about an upcoming webinar that will focus on developing timely and acceptable Plans of Correction (POC). The webinar has been scheduled for December 12, 2022, from 1:00 pm – 3:00 pm.
The webinar, led by Jeanne Parisi, Director of the Bureau of Human Services Licensing (BHSL), and Joshua Hoover of the Division of Training and Professional Development, will review DHS’ timelines for licensing activities, BHSL licensing procedures, the necessary elements for developing a quality POC, the basics of root-cause analysis, and the resources and assistance that are available. Attendees will also have the opportunity to workshop POC with fellow providers and BHSL staff.
The webinar is approved for Personal Care Home (PCH) and Assisted Living Residence (ALR) annual training hours. Members interested in participating in this webinar should register here. Questions about the webinar or the registration process can be sent electronically.
Wolf Administration Highlights Resources for Grandparents Raising Grandchildren During Family Caregivers Month
The Pennsylvania Departments of Drug and Alcohol Programs (DDAP), Human Services (DHS), and Aging (PDA) are highlighting available resources for grandparents who are raising grandchildren and demonstrating the need for additional supports for these grandparents because of the overdose crisis.
According to the U.S. Census Bureau, in 2016, there were more than seven million grandparents living with their grandchildren, and over two million were responsible for their grandchildren’s basic needs. In Pennsylvania, it is estimated that nearly 260,000 children live in households headed by grandparents or other relatives.
Updated Clarification Regarding OMHSAS Flexibilities
DHS Releases MA Fee Schedule Revisions in OBRA Waiver & Act 150 Program
The Department of Human Services (DHS) published a notice in the Pennsylvania Bulletin for November 12, 2022, that announces revisions to the Medical Assistance (MA) fee schedule for the OBRA Waiver and the Act 150 Program: Personal Assistance Services (PAS) (Agency with Choice) and Respite (Agency with Choice).
DHS proposes the following substantive and technical changes to the OBRA Waiver:
- Add Agency with Choice as a Financial Management Services model for the participant-directed services of PAS and Respite;
- Revise the Benefits Counseling service definition;
- Amend the responsibilities of the Fiscal/Employer Agent;
- Update the Quality Improvement Strategy to the current process;
- Add a new performance measure for Agency with Choice; and
- Remove a performance measure that is duplicative.
The proposed OBRA Waiver amendment and a summary of all revisions are available for review on the OLTL Waiver Amendments, Renewals, and Accompanying HCBS Transition Plans web page under Additional Resources.
The following table provides the procedure code and rates for PAS (Agency with Choice):
| Region | OBRA Waiver and Act 150 |
Procedure Code | Modifier | Rate | Unit |
| 1 | X | W0164 | N/A | $4.02 | 15 minutes |
| 2 | X | W0164 | N/A | $3.89 | 15 minutes |
| 3 | X | W0164 | N/A | $4.12 | 15 minutes |
| 4 | X | W0164 | N/A | $4.58 | 15 minutes |
The following table provides the procedure code and rates for Respite (Agency with Choice):
| Region | OBRA Waiver and Act 150 |
Procedure Code | Modifier | Rate | Unit |
| 1 | X | W0165 | N/A | $4 | 15 minutes |
| 2 | X | W0165 | N/A | $3.90 | 15 minutes |
| 3 | X | W0165 | N/A | $4.12 | 15 minutes |
| 4 | X | W0165 | N/A | $4.59 | 15 minutes |
Interested persons are invited to submit written comments regarding these fee schedule rates and the proposed amendment to the Department of Human Services, Office of Long-Term Living, Bureau of Policy Development and Communications Management, Attention: Robyn Kokus, P.O. Box 8025, Harrisburg, PA 17105-8025. Comments can also be sent via email. Use ”OBRA 2023” as the subject line. Comments received within 30 days will be considered in subsequent revisions to the fee schedule or for revisions to the proposed amendment.
The revisions to the fee schedule and the amendment are proposed to take effect April 1, 2023.
Proposed Amendment to CHC Waiver Released for Public Comment
The Department of Human Services’ (DHS) Office of Long-Term Living (OLTL) published the proposed amendment to the Community HealthChoices (CHC) Waiver in the Pennsylvania Bulletin for November 12, 2022.
DHS and OLTL are proposing to amend the CHC Waiver by adding Agency with Choice as a Financial Management Services (FMS) model for the participant-directed services of Personal Assistance Services (PAS) and Respite. This would modify Service Coordinator and Service Coordinator Supervisor qualifications to align with the CHC Agreement and to amend the service definitions for the following CHC waiver services:
- Benefits Counseling;
- Nursing Services;
- Physical Therapy Services;
- Occupational Therapy Services; and
- Speech and Language Therapy Services.
Also proposed is a technical change to the waiver by revising performance measures.
The proposed CHC waiver amendment and summary of all revisions are available for review on the OLTL Waiver Amendments, Renewals, and Accompanying HCBS Transition Plans web page under Additional Resources.
Interested persons are invited to submit written comments regarding the proposed waiver amendment to the Department of Human Services, Office of Long-Term Living, Bureau of Policy Development and Communications Management, Attention: CHC 2023 Waiver Amendment, P.O. Box 8025, Harrisburg, PA 17105-8025. Comments may also be submitted to the Department via email. Use ”CHC 2023 Waiver Amendment” as the subject line. Comments received within 30 days of publication of this notice will be reviewed and considered for revisions to the proposed waiver amendment.
The proposed amendment will be effective April 1, 2023.
DHS-OMAP Plans for Pediatric Complex Care Resource Centers (PCCRC) Across PA in 2023
Using funds available through the American Rescue Plan Act (ARPA), the Department of Human Services Office of Medical Assistance Programs has developed a plan to create Pediatric Complex Care Resource Centers (PCCRC) across Pennsylvania to support families of children with complex medical needs. This initiative is currently in the planning phase, with the centers slated to launch in early 2023.
For more information, visit here. You can also visit the DHS website for Complex Case Planning information.
If you have any questions, please contact Cindi Hobbes.
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