OLTL Shares HCBS Rate and Wage Study FAQ From July 18 Meeting
FAQ
ODP Releases Performance-Based Contracting Frequently Asked Questions
The Office of Developmental Programs (ODP) has published ODPANN 24-078, which is a resource that has been developed from questions submitted to the Performance-Based Contracting (PBC) Resource Account. Questions have been categorized by topic and performance measures.
The FAQ can be accessed at Performance-Based Contracting FAQs – MyODP. ODP will continue to update this site with answers to recurring questions that are sent to the RA account.
Updates Released on IRF Review Choice Demonstration
Novitas Solutions, Medicare Administrative Contractor (MAC) for Pennsylvania, continues to release inpatient rehabilitation facility review choice demonstration (IRF RCD) program updates, resources, upcoming educational opportunities, and important deadlines as IRFs in PA go through this implementation process.
Included in their most recent updates is:
- Updated Frequently Asked Questions (FAQs)
- An upcoming educational opportunity
IRF RCD: Cycle 1 Progress — October 2, 2024, 1:00 pm – 2:30 pm
Registration will be released soon and will be available here.
IRF RCD was initially implemented in Alabama in 2023, with the second round being implemented in Pennsylvania on June 17, 2024. The Centers for Medicare and Medicaid Services (CMS) created this process to ensure Medicare coverage and documentation requirements are likely met. This program reduces the number of Medicare appeals, improves provider compliance with Medicare program rules, does not alter the Medicare IRF benefit, and should not delay medically necessary care to Medicare beneficiaries.
OCYF Provides Licensing Administration Top 10 Frequently Asked Questions of 2023
The Office of Children, Youth & Family has compiled a list of the top 10 frequently asked questions (FAQ) regarding the renewal process for existing Certificates of Compliance/Licenses. These FAQs cover essential information for providers operating under office regulations, including document requirements, submission procedures, and anticipated timelines. Providers can access the Licensing Administration Top 10 FAQs and are able to share these FAQs with relevant personnel. Providers are also encouraged to include their Certificate of Compliance or License number and agency/facility name in all communications with Licensing Administration staff.
If you have any questions, please contact RCPA Policy Director Jim Sharp.
CMS Shares Update on Medicare Provider Enrollment
CMS Issues FAQ on Extended Postpartum Coverage in Medicaid and CHIP
The Centers for Medicare & Medicaid Services (CMS) has released a set of frequently asked questions (FAQ) supplementing the 2021 State Health Official (SHO) letter about extending postpartum coverage in Medicaid and the Children’s Health Insurance Program (CHIP). The FAQ offer guidance to state Medicaid programs on the new option allowing states to provide 12 months of extended postpartum coverage to pregnant individuals in Medicaid and CHIP. They clarify what constitutes full benefits during this extended eligibility period and address whether states need to submit a state plan amendment (SPA) for coverage modifications. For more details, view the FAQ here.
CMS Issues FAQ on Medicare Enrollment of MFT/MHC/SUDCs
CMS Releases Additional/Updated Documents on IRF Review Choice Demonstration
The Centers for Medicare and Medicaid Services (CMS) has released a number of additional and updated documents related to the inpatient rehabilitation facility (IRF) review choice demonstration (RCD). Included in these documents are:
- An updated and revised Operational Guide — Clarifies key programmatic details regarding the different review choices and other facets of the demonstration.
- Frequently Asked Questions Document — The FAQ focuses on major areas of confusion on the choice selection and submission processes, the Pre-Claim Review Track, and medical necessity determinations.
- Transcript and Recording — From the June 27, 2023, special open-door forum on the IRF RCD.
Additional information about the IRF RCD can be found on the CMS IRF RCD web page.
FAQ on Life Sharing Services for Individuals With a Medically Complex Condition Available
The Office of Developmental Programs (ODP) has shared ODPANN 23-061: Now Available Life Sharing Service for Individuals with a Medically Complex Condition (MCC) and Frequently Asked Questions (FAQ). Please review the announcement and FAQ for additional information.
Updated FAQ on Modifications to Medication Administration Course Requirements Now Available
The Office of Developmental Programs (ODP) is distributing a reissue of the COVID-19 FAQ About Modifications to MedAdmin Requirements. The purpose of this communication is to provide updated information. It states, “Training for non-oral routes of medication administration that is permitted to be provided by a certified trainer can be conducted remotely using video telecommunication technology until November 11, 2023, but must be live, not recorded.”
Read the full FAQ here.
