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DHS

The Department of Human Services’ (DHS) Division of Adult Protective Services (APS) developed a media toolkit designed for facilities, mandatory reporters, and community members to assist in the awareness of abuse, neglect, exploitation, and abandonment of adults ages 18 to 59 living with a disability within the Commonwealth. Learn more about APS and use these resources to help promote APS to your clients, constituents, and network at the Adult Protective Services Media Toolkit web page.

Additionally, there are several dates (that are subject to change) where DHS will be publishing different social media posts that everyone is encouraged to share. These are available at the Adult Protective Services Media Toolkit web page on:

  • Wednesday, February 9, 2022;
  • Tuesday, February 15, 2022;
  • Wednesday, February 23, 2022;
  • Thursday, March 3, 2022;
  • Monday, March 14, 2022; and
  • Wednesday, March 23, 2022.

Questions regarding the materials found in the APS Media Toolkit or suggestions of additional resources that might be helpful in promoting the program should be directed to the APS Division.

PDE and DHS are offering the following policy clarification on the Head Start/Early Head Start vaccination mandate:

PDE and DHS are cognizant of the staffing challenges that many providers are facing. Providers are thus encouraged to work creatively to ensure that children continue to receive a free and appropriate public education during these trying times. In this regard, providers should examine whether unvaccinated individuals may continue to provide services in accordance with an allowable exemption, and, where appropriate, consider whether parental agreement to alternative delivery of services may be prudent.

OCDEL has clarified that this is to include all individuals working with Head Start enrolled children and families, including early intervention and behavioral health. OCDEL further requests that agencies work with Head Start partners to address this requirement and asks for support considerations, including; encouraging staff and contractors to become fully vaccinated; working to identify fully vaccinated EI personnel to support children in Head Start; when possible, working to provide written assurance to Head Start partners to only send fully vaccinated staff and contractors to go into classrooms; and exploring technological solutions to help support children within their Head Start classroom activities and routines.

The United States Department of Health and Human Services (HHS) has implemented an Interim Final Rule (IFR) requiring all staff who work with Head Start/Early Head Start (Head Start) children and families in any capacity to be vaccinated. According to HHS guidance, this includes those individuals who do not have any contact with children. The IFR also requires contractors whose activities involve contact with or providing direct services to Head Start children and families and volunteers in classrooms or working directly with Head Start children and families be vaccinated. The IFR is now understood to apply to all individuals working with Head Start children and families, including but not limited to services provided by Preschool Early Intervention, 0-3 Early Intervention, and behavioral health specialists in Head Start programs, including those provided pursuant to a memorandum of understanding or other agreement by which Head Start programs provide for or permit the provision of such services.

The Federal Office of Head Start (OHS) is responsible for ensuring compliance with the IFR through their identified monitoring processes. PDE or DHS is not responsible for monitoring programs for compliance with this mandate.

Head Start IFR and guidance do allow for exemptions for individuals who are not vaccinated. In the event individuals meet this exemption, OHS has issued guidance regarding circumstances in which unvaccinated individuals may be able to continue to work with Head Start children and their families.

The Pennsylvania Department of Human Services is extending the public comment period for the renewal of the Section 1115 Medicaid Demonstration titled “Medicaid Coverage for Former Foster Care Youth from a Different State and SUD Demonstration” (Project Number: 11-W-003083/3). The public comment period, which was originally slated to end on Feb. 15, 2022, is now extended to March 10, 2022, so the public can see the clarifications made in the Demonstration Extension page on the DHS website. The effective dates of the current approved demonstration are Oct. 1, 2017, through Sept. 30, 2022. The extension requested will be for an additional five years through Sept. 30, 2027.

Today, RCPA staff watched the Governor’s budget address and attended the Department of Human Services (DHS) 2022/23 Budget Overview webinar. After listening to the Governor and DHS, there were some positive takeaways for RCPA members. Specifically, the Governor is requesting:

  • $50 million, or a 44% increase to state supplemental programs for aged, blind, and individuals with disabilities, to increase the personal care home state supplement from $439.30 to $1,351.80 per month;
  • $75 million in federal funds to recruit and retain behavioral health providers;
  • $36.6 million to invest in critical county behavioral health services;
  • $15 million in federal funds to stabilize payments to substance use disorder treatment providers and assist with pandemic related expenses; and
  • $18.8 million to serve an additional 832 individuals with intellectual disabilities and autism currently waiting for services.

The Governor also proposed increasing the state’s minimum wage to $12 per hour effective July 1, 2022, including tipped workers, with 50 cent annual increases up to $15 per hour ($74.6 million direct revenue increase).

The above are some highlights from both the Governor’s budget request and the DHS presentation. While some of the Governor’s asks may seem beneficial to members, RCPA staff will be reviewing the more detailed spreadsheets we received from the Governor’s office. Once RCPA staff have had the opportunity to review and analyze these spreadsheets, members will receive a more detailed analysis of the Governor’s budget requests. RCPA plans to have the analysis done as soon as possible, so members can get a clearer picture. If you have any questions, please contact Jack Phillips.

The following request is for licensed Chapter 6400 Residential Providers only.

The Department of Human Services has a critical need for updated vaccine uptake information as a result of the recent increase in COVID-19 cases and availability of boosters. We need your help to gather this important information. Please complete this brief survey by 5:00 pm on Monday, February 14, 2022.

This survey is part of a larger effort to obtain a point-in-time view of the vaccination rate of staff and residents in all 6400 Residential Community Homes licensed by DHS. For the number of staff, please use the count for those currently employed and who work within the licensed residential setting(s) operated by your agency (even if they might not come into direct contact with individuals receiving services).

We realize that you have provided this information in the past and appreciate your ongoing cooperation in stopping the spread of the virus. You will note that this survey is much shorter than previous versions and should not take a great deal of time to complete. Please respond by agency, not licensed home.

For any questions regarding this survey, please contact ODP via email.

Thank you for your support in our ongoing fight against COVID-19.

Survey Link

As the state’s primary contractor for Medicaid-funded behavioral health (BH) care services (HealthChoices), Allegheny County DHS is responsible for $420M in state-managed care funding to deliver behavioral health services to approximately 260,000 county residents through its contracted partnership with Community Care Behavioral Health.

Historically, as the primary contractor to the state for the HealthChoices program, DHS has delegated its oversight and monitoring functions for this program to Allegheny Health Choices, Inc. (AHCI), and AHCI has done tremendous work helping the county to meet state obligations over the years. Increasingly however, the county has determined that making a structural change to bring monitoring and oversight in-house can streamline those functions and further strengthen the HC program for Allegheny County.

For this reason, the county, together with DHS, has made the decision to transition HealthChoices oversight and monitoring functions from AHCI to DHS, with expected changes to occur in the first quarter of 2023.

See below for further information:

The Pennsylvania Department of Human Services (DHS) is making available for public review and comment the proposed renewal application for the extension of the Section 1115 Medicaid Demonstration titled “Medicaid Coverage for Former Foster Care Youth from a Different State and SUD Demonstration” (Project Number: 11-W-003083/3). The effective dates of the current approved demonstration are October 1, 2017, through September 30, 2022. The extension requested will be for an additional five years, through September 30, 2027.

In 2016, the CMS Medicaid and CHIP Managed Care Final Rule eliminated Pennsylvania’s ability to use $55 million in federal funding to pay for residential SUD treatment. However, the Commonwealth was able to preserve the funding through an approved Section 1115 Waiver Demonstration. It is within this waiver that Pennsylvania committed to transitioning to ASAM Criteria as a condition for approval of the waiver.

The following links provide information regarding this extension request, extension application, public input process, schedule of public hearings, and other relevant information: