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DHS

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With the passing of the FY 2024/25 PA budget last week, intellectual and developmental disabilities and autism (ID/A) associations are attempting to obtain clarity regarding its impact on services. The Governor’s Office announced, however, that the scheduled meeting to review these impacts has been postponed in order to allow the Department of Human Services (DHS) more time to analyze the details of the budget. The Governor’s Office shared the following message:

The Commonwealth’s enacted FY24-25 budget includes a philosophical shift in how Pennsylvania approaches service delivery for individuals with intellectual disabilities and autism – a much needed and overdue course change to invest in dignity and opportunity for this community. In February, Governor Shapiro announced the intent to tackle the waiting list for services with a new approach, the Multi-Year ODP Program Growth Strategy. Accompanying this structural change is a substantial investment in services for individuals with intellectual disabilities and autism totaling $354.8M combined state and federal funds – an investment that supports providers, direct support professionals, and families who help make our vision of Everyday Lives a reality.

Included in the total funding is $280M in federal and state funds, which averages 7 percent rate increases for FY24-25. DHS is continuing the analysis of the funds appropriated for FY24-25 for ID/A services and how this will reflect in final rates that will take effect for FY24-25. Also included is an investment of $74.8M in combined federal and state funds for FY24-25 to put the commonwealth on a path to end the emergency waiting list by offering 1,500 adults enrollment in the Consolidated or Community Living Waivers and altering the management of home and community-based services capacity.

In addition to rate increases, the enacted budget includes funding for the implementation of performance-based contracting and the addition of sign language interpretation services. Performance-based contracting is scheduled to be implemented for residential services beginning in FY24-25. Sign language services will be added to ODP’s home and community-based waivers beginning January 1, 2025, pending approval from the Centers for Medicare and Medicaid Services.

We know there is great interest to further discuss the impact of the enacted budget on your programs and services. DHS will provide additional information to stakeholders related to the necessary recalculation for the fee schedule rates for FY24-25 and performance-based contracting upon completion of the analysis.

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The Office of Long-Term Living (OLTL) has announced that the quarterly Home and Community-Based Services (HCBS) provider call on July 18, 2024, from 2:00 pm – 3:30 pm, will focus on the Mercer Rate and Wage Study. To participate in the Zoom call, registration is required. Because this is an HCBS Provider Call, registration for the call will be limited to providers who are enrolled with the Department of Human Services (DHS) to provide any of these particular services to individuals. Participant-Directed Common Law Employers are also encouraged to attend.

Everyone is welcome to submit questions electronically about the HCBS Rate and Wage Study to OLTL in advance. Questions received will be read during the call as time allows, and both questions and answers will be compiled into a Q&A document that will be available afterwards.

If you have any questions about the call itself, please contact Kristi Mundis via email.

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Photo by Christina @ wocintechchat.com on Unsplash

The Office of Long-Term Living (OLTL) has announced that they will be hosting a Home and Community-Based Services (HCBS) provider call on July 18, 2024, from 2:00 pm – 3:30 pm that will include a presentation from Mercer providing an overview of the HCBS rate and wage study.

The Department of Human Services (DHS) contracts with Mercer Government Human Services consulting for actuarial services, Medicaid policy and fiscal analysis, financial monitoring, and other technical support.

Mercer will evaluate the following services categories in this rate study:

  • Adult Daily Living;
  • Residential Habilitation;
  • Personal Assistance (Agency and Participant-Directed);
  • Structured Day Habilitation; and
  • Employment and Training Services.

Because this is an HCBS Provider Call, registration for the call will be limited to providers who are enrolled with DHS to provide any of these particular services to individuals. Participant-Directed Common-Law Employers are also encouraged to attend. If you are not a provider of these services or are unable to attend the July 18 HCBS Provider Call, you are welcome to attend the July 2 Long-Term Services and Supports (LTSS) Subcommittee meeting to hear from Mercer about the HCBS Rate and Wage Study and ask questions.

Everyone is welcome to submit questions about the HCBS Rate and Wage Study electronically to OLTL in advance of the July 18 call. Questions submitted will be read during the call as time allows. Questions and Answers will be compiled into a Q&A document that will be available after the call.

A registration link for the July 18, 2024, HCBS Provider Call will be issued shortly. If you have any questions about the call itself, please contact Kristi Mundis.

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Pennsylvania has launched a new website for the Enterprise Licensing System (ELS) project, designed to streamline and modernize the licensing, permitting, registration, certification, and incident management systems across four state agencies: the Department of Human Services, the Department of Health, the Department of Aging, and the Department of Drug & Alcohol Programs. The ELS will be implemented in stages over the next two years, with the aim of improving interagency collaboration and operational efficiency.

For more information and to stay updated on the ELS project, subscribe to the ELS ListServ. If you need additional information or have questions, you can reach out to OCYF through the Contact Us form.

If you have any other questions, please contact RCPA COO and Policy Director Jim Sharp.

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The Department of Human Services Office of Children, Youth, and Families (OCYF) is pleased to announce the release of the Caseworker Recruitment and Retention Study. The report includes 43 recommendations across six themes that address the primary issues driving attrition: cross-cutting; compensation; recruiting; caseworker workloads; training; and safe, supportive workplaces. OCYF recognizes the recommendations will not be applicable, viable, or appropriate to every CCYA. However, the goal is that each CCYA will find some recommendations that will be helpful in bolstering the employee recruitment and retention experience.

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

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The Pennsylvania Department of Human Services released Medical Assistance Bulletin 99-24-03 on May 28, 2024, detailing updates to the Medical Assistance (MA) Program Fee Schedule based on the 2024 Healthcare Common Procedure Coding System (HCPCS) changes. These updates include new codes such as 90867, 90868, and 90869 for transcranial magnetic stimulation (TMS) treatment billing, along with additional modifications to other procedure codes, setting of limitations, fee adjustments, and new prior authorization requirements effective from the same date. This bulletin applies to all providers serving MA beneficiaries under the Fee-for-Service system and those in the MA Managed Care system should contact their respective organizations for specific billing guidance.

For more detailed information, read the full bulletin here.

If you have any other questions, please contact RCPA COO and Policy Director Jim Sharp.

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