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FAQ

The Centers for Medicare and Medicaid Services (CMS) has released a new Frequently Asked Question (FAQ) document that addresses how their review contractors (Medicare Administrative Contractors, Recovery Audit Contractors, and the Supplemental Medical Review Contractor) will conduct medical reviews after the COVID-19 public health emergency (PHE). Read the FAQ here.

ODP Announcement 20-114 provides an updated timeline on Medication Administration training requirements as it pertains to the “Modified” and “Standard” courses offered by the Office of Developmental Programs (ODP). Due to the COVID-19 pandemic, ODP allowed staff who are required to take the Standard Medication Administration Training Course (“Standard Course”) to take the Modified Medication Administration Training Course (“Modified Course”) until December 31, 2021.

Because the effects of the pandemic are ongoing, staff can continue to take the Modified Course in place of the Standard Course until July 31, 2022.

The Department previously required that staff who took the Modified Course in lieu of the Standard Course complete the Standard Course no later than December 31, 2022. Please be advised that this deadline has been extended to July 31, 2023.

Beginning August 1, 2022, staff persons must take the Standard Course.

The sustained funding of community-based mental health services, such as community residential programs, family-based support, outpatient care, and crisis intervention, are critical to the wellbeing of our constituents and our communities. Funding levels for county mental health services have direct impacts on whether these important community and family supports will be available. Yet for too many years, state funding for mental health services has lagged far behind its needs. Counties find themselves advocating to prevent funds from being cut instead of achieving the increases that are needed to catch up from years of underfunding.

This year, RCPA and other system stakeholders have teamed with the County Commissioner Association of Pennsylvania (CCAP) through the Mental Health Safety Net Coalition. We join this campaign to bring awareness of the critical funding needs of mental health services for vulnerable Pennsylvanians. We ask our members, stakeholders, and partners to join us in this collaborative effort by engaging with your legislators. “County mental health services provide a critical piece to the public safety net for people in need,” notes Richard S. Edley, PhD, President and CEO of RCPA. “The system sustained cuts over a decade ago with little relief since then. It is time to restore those dollars and further enhance the system. Not only will it provide critical funding for the individuals receiving services, but there are positive benefits — both financially and clinically — to the entire community.”

The time to act is now for engaging with your representative, as local communities and providers have come together to sustain the safety net and serve those who need it most. The reality is that the demand for service far outweighs capacity and rate structures to serve this population. CCAP has created the following materials to assist in providing strategic talking points for our outreach:

If you have further thoughts or questions, please contact your RCPA Policy Director.

The Office of Long-Term Living (OLTL) has updated its guidance about payments to strengthen the home and community-based services (HCBS) workforce and assist Adult Day Service (ADS) providers. The updated Frequently Asked Questions (FAQ) document is available under the “Strengthening the Workforce” heading on the DHS Long-Term Care Providers page.

To maximize the use of federal funding under Section 9817 of the American Rescue Plan Act (ARPA) of 2021, OLTL has moved the date by which providers must spend “Strengthening the Workforce” and “Adult Day Services” funds from March 31, 2024, to October 1, 2023. This change allows sufficient time for providers to file an expenditure report and return unspent funds as applicable. OLTL will offer additional details about ARPA expenditure reporting in coming months.

Providers that have questions about this information should contact the OLTL Provider Helpline at 800-932-0939.

The Office of Mental Health and Substance Abuse Services (OMHSAS) has just published an FAQ on the Home & Community-Based Services (HCBS) workforce support payments. Any remaining questions may be sent to the RA Account.

Please note that after receiving anticipated payment amounts on the attestation forms that were sent to providers at the locations of qualifying services, some providers alerted us to apparent irregularities in the payment amounts. OMHSAS is pulling our data and rerunning our formulas to ensure that payments are based on proper calculations and a balanced distribution of funds. Revised attestation forms will be sent to any providers who may have been impacted in their total allocation (positively or negatively) with a new due date in early March.

RCPA continues to work with its members and OMHSAS on the attestation and allocation process. Please contact your RCPA Policy Director for guidance or questions.