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DHS

Due to feedback shared with the Department of Human Services (DHS) regarding the importance of providing behavioral health services in nursing facilities and making sure nursing facilities know how to access these services, DHS has developed a webinar entitled “Behavioral Health Services for the Nursing Facility Population.” The webinars, which all contain the same material being presented, is a joint effort with the DHS’ Office of Long-Term Living (OLTL), Office of Mental Health and Substance Abuse Services (OMHSAS), the Behavioral Health (BH) Managed Care Organizations (MCO), and the Community HealthChoices (CHC) MCOs, and it is being hosted by the Pennsylvania Health Care Association (PHCA). Other collaborative partners include the PA Department of Health and LeadingAge PA.

The webinars are as follows:

Tuesday, April 26, 2022
2:00 pm–3:30 pm
1.5 CEUs for SNF
Please register using this registration link.

Tuesday, May 3, 2022
2:00 pm–3:30 pm
1.5 CEUs for SNF
Please register using this registration link.

The first webinar was conducted on April 12, 2022. The webinars will be interactive and are meant for nursing facilities to have the opportunity to ask questions and begin dialogue on how to improve behavioral health services in their facilities. The webinars will also allow the BH-MCOs, the CHC-MCOs, and the nursing facilities to further collaborate on this issue. The webinars will be recorded.

Webinar Presenters:

  • Jamie Buchenauer, Deputy Secretary, OLTL, DHS
  • Kristen Houser, Deputy Secretary, OMHSAS, DHS (April 12 and April 26)
  • Adair, Medical Director/Chief Psychiatric Officer, OMHSAS, DHS (May 3)
  • Kellie Mainzer, Director Western Operations, Bureau of Community and Hospital Operations, OMHSAS, DHS
  • Marjorie Faish, Program Analyst 3, Bureau of Policy Development and Communications Management, OLTL, DHS
  • Duncan Bruce, Director of MCO Integration, Community Care Behavioral Health
  • Rachel Lee-Price, Manager, Behavioral Health Clinical Services, Beacon Health Options of Pennsylvania, Inc.
  • Joe DiMeo, Jr., Behavioral Health Coordinator for Community HealthChoices, Community Behavioral Health
  • Lauren Keane, Magellan Behavioral Health
  • Dan Eisenhauer, Director of Operations, PerformCARE (April 26 and May 3)
  • Brian Gannon, Manager Behavioral Health Programs, PerformCARE (April 12)
  • John McFarland, Director, MCO Integration, Relations & Policy, UPMC CHC
  • Heather Clarke, Director Care Management, Complex Needs and Behavioral Health, PA Health & Wellness (April 12 and May 3)
  • Oliva Martin, Director of LTSS, PA Health & Wellness (April 26)
  • Sara Reitenauer, Manager of LTSS Behavioral Health and Collaborative Services, Community HealthChoices, AmeriHealth Caritas CHC/Keystone First CHC
  • Dyann M. Roth, President and CEO, Inglis
  • Tara Winter, Nursing Home Administrator, Former Senior Center Executive Director, Chapel Manor Genesis HealthCare®
  • Jessica Peacock, Director of Recovery and Community Outreach, Peerstar, LLC
  • Stacy Williams, Social Service Supervisor, Kane Regional-Scott

Questions should be directed to Marjorie Faish, OLTL.

A message from the Department of Human Services (DHS):

Attention Personal Care Services (PCS) and Home Health Care Services (HHCS) Providers:

DHS would like to announce that the Alternate EVV Technical Specifications and updated Sandata Alternate EVV Error Handling Overview and Reference Guide are available online for your review prior to the upcoming Alternate EVV Town Hall on April 11, 2022, at 1:00 pm ET (visit here to register). There will be a second session held May 27, 2022, at 12:00 pm ET for any additional questions that may arise.

All Alternate EVV vendors will need to be certified following the new Alternate EVV Technical Specifications published March 30, 2022. Vendors are expected to review the technical specifications document in its entirety and submit any questions during your registration to the Alternate EVV Town Hall.

If a vendor is not certified (due to being new to EVV) or recertified, the EVV visits will not be accepted for any provider agency the vendor supports. For PCS, the claims or encounters will deny because visit data would not be accepted as a result of the vendor not being recertified. 

DHS recommends providers work with their EVV vendor to complete system updates to allow for sufficient time to complete integration testing and the recertification process prior to the Sandata EVV Release. The deployment date is currently expected to be on June 15, 2022. Any changes to this date will be communicated in a future Listserv. The initial certification process can be lengthy, and vendors should prepare accordingly. The minimum recommended time is 7.5 business weeks.

Further contact information for recertification will be provided at the Alternate EVV Town Hall on April 11, 2022.

The Office of Developmental Programs (ODP) has shared the message that the Provider Electronic Solutions software, commonly referred to as PES, will be sunset on June 15, 2022. PES was distributed free of charge to providers as a method of submitting HIPAA-ready transactions such as claims and eligibility to the PROMISe system.

Effective June 15, 2022, the software will not work with Microsoft Edge or other commonly used internet browsers. The Department of Human Services (DHS) will no longer upgrade PES due to the product’s age, limited configurability, and end-user experience. The Provider Assistance Center (PAC), which was maintained by Gainwell Technologies, will no longer provide user support for PES effective June 15. 2022.

Providers are encouraged to use the PROMISe Provider Portal to submit claims, validate eligibility, conduct claim inquires, and access their weekly remittance advice. The PROMISe Provider portal is available free of charge and allows single-entry interactive submissions. Additionally, users can purchase certified software from software vendors or contract with a clearinghouse to handle ongoing HIPAA transaction needs.

Please read the revised/updated memorandum regarding the Pennsylvania Department of Human Services’ Office of Mental Health and Substance Abuse Services (OMHSAS) Outpatient Competency Evaluation Program (OCEP). For those who are unfamiliar with OCEP, see below for a brief summary:

“The Pennsylvania Department of Human Services’ Office of Mental Health and Substance Abuse Services (OMHSAS) administers the Outpatient Competency Evaluation Program (OCEP) for individuals who are facing unadjudicated charges and are incarcerated in a Pennsylvania county jail/prison, State Correctional Institution (SCI), or awaiting trial in the community. These court-ordered competency evaluations can be performed inpatient via Regional Forensic Psychiatric Centers (RFPC) or via the OCEP, which is the preferred method, so that individuals who have pending criminal charges can receive services in a more timely manner, rather than waiting for admission to an RFPC. These evaluations are performed by psychologists or psychiatrists who are contracted by OMHSAS and are independent, unbiased assessments of competency.”

This revised memorandum has been issued by Mr. Philip E. Mader, Director of OMHSAS’s Bureau of Community and Hospital Operations, and Dr. Dale Adair, OMHSAS’s Chief Psychiatric Officer. This revised memorandum aims to reduce some of the administrative burden and to ensure that all staff working within OCEP receive all of the necessary information to complete and distribute final competency evaluation reports.

Included in the memorandum and provided as separate fillable PDF documents are the OCEP Referral Form and the OCEP Rescind Form, both of which are used to gather and submit information necessary to complete an Outpatient Competency Evaluation.

We would also ask that any agency referring individuals to the OCEP for evaluation please submit complete “referral packet(s)”, which includes the following information/documentation:

  • A completed, signed, and dated referral form: Rev. – March 2022; (Attachment 1)
  • A Pennsylvania Court Order for a Competency Evaluation;
  • The Criminal Complaint and Affidavit of Probable Cause for all pending charges; and
  • Supporting medical/psychiatric records as outlined on page 5 of the OCEP Referral Form Rev. – March 2022 (Attachment 1).

Any “referral packet(s)” that are submitted via email and are found to be lacking any required information will be returned via email with the missing information highlighted, along with a request to resubmit the “referral packet(s)” when the missing information is obtained.

If you have any questions or concerns related to OMHSAS’s OCEP, please email. You can also submit any completed OCEP referral forms and associated documentation to the same email resource account.

If you have any additional questions, please contact RCPA Policy Director Jim Sharp.

The Department of Human Services’ (DHS) Office of Long-Term Living (OLTL) has announced they will be conducting a webinar about the PA Achieving a Better Life Experience (ABLE) Savings Program on April 20, 2022, from 10:00 am–11:00 am. A PA ABLE account gives individuals with qualifying disabilities (eligible individuals) and their families and friends a tax-free way to save for disability-related expenses while maintaining government benefits. The webinar will be presented by a representative from the PA Treasury Department.

OLTL Service Coordinators (SCs), Direct Service Providers (DSPs), Community HealthChoices Managed Care Organization (CHC MCO) staff, and any individuals that work on employment are strongly encouraged to participate in this webinar, which will help you understand the PA ABLE Program and how it can benefit the OLTL participants you serve.

Please register using this registration link. After registering, you will receive a confirmation email containing information about joining the webinar.

Questions regarding this webinar should be directed to Edward M. Butler, OLTL, at (717) 214-3718 or via email.

Message from the Office of Long-Term Living (OLTL):

The Pennsylvania Department of Human Services is offering a webinar on the topic of the Social Security Administration’s Ticket to Work Benefits Counseling, which provides individuals, their families, friends, and caregivers information relative to their benefits/services and competitive integrated employment. This overview will be presented by Ms. Joy Smith, AHEDD Work Incentive Planning and Assistance, Certified Work Incentive Coordinator, Regional Manager.

Office of Long-Term Living Service Coordinators, Direct Service Providers, CHC-MCO staff, and any individuals that work on employment are strongly encouraged to participate in this webinar on an overview of Benefits Counseling as it relates to the participants you serve.

The Overview of Benefits Counseling webinar is on April 21, 2022, from 10:00 am–11:00 am.

Please register using this register link. After registering, you will receive a confirmation email containing information about joining the webinar.

If you have questions, please contact Edward M. Butler or call 717-214-3718.