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Hole torn in a dollar bill with medicaid text

Excerpt from: Pennsylvania Capital-Star, Nov. 23, 2021

The Democratic Wolf administration says it wants to spend $1.2 billion in American Rescue Act funds to shore up home and community-based services offered through the state’s Medicaid program, all with an eye toward allowing more of the commonwealth’s residents to access services closer to home. On Monday, the administration dropped the formal details of a plan to direct the federal relief money toward seniors and adults with intellectual and physical disabilities; adults dealing with such behavioral health needs as substance abuse disorder or mental illness; and children with chronic and complex medical needs, the administration said in a statement.

In its statement, the administration said the money also would be used to pay for:

  • Increasing access to home and community-based services;
  • Providing necessary supplies to safely facilitate services;
  • Additional trainings and learning opportunities through workforce support;
  • Supporting families caring for their loved one;
  • Improving functional capabilities of people with disabilities;
  • Enhancing transitional supports; and
  • Home and community-based services capacity building.

RCPA continues its discussions and advocacy with the Department of Human Services on spending priorities for human services, especially initiatives targeting rate structures and the workforce crisis.

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ODP Announcement 21-081 informs providers that the Heightened Scrutiny Onsite Tools for Non-Residential Service Locations has been finalized and posted for stakeholders to view. The Office of Developmental Programs (ODP) is also using this communication to address some of the comments and concerns that were received through public comment.

While the COVID-19 pandemic resulted in significant delays in performing the onsite visits, ODP will now be continuing with the Heightened Scrutiny process for Community Participation Support (CPS) and Day Habilitation service locations to meet the CMS requirement that all waiver providers must be in full compliance with the Home and Community-Based Services (HCBS) Settings Rule no later than March 17, 2023.

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As ANCOR is analyzing the impact of the Centers for Medicare and Medicaid Services (CMS) mandate released this morning, it is clear that ICF employees are included; however, waiver services are not unless the provider employs 100 or more employees. We are trying to get a handle on how many providers this will impact. Please let Carol Ferenz know ASAP if this will impact your organization.

From the CMS Frequently Asked Questions document:

Q. Does this requirement apply to Medicaid home care services, such as Home and Community-Based Services (HCBS), since these providers receive Medicaid funding but are not regulated as certified facilities?

A. No, this regulation only applies to those Medicare and Medicaid-certified provider and supplier types that are subject to CMS health and safety regulations. CMS’s health and safety regulations do not cover providers of Home and Community-Based Services.

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Message from ANCOR: 

The White House just released its framework for the Build Back Better Agenda this morning. The framework includes $150 billion for Medicaid Home and Community-Based Services. There is still no legislative text available for the budget reconciliation bill, which is how Congress will move forward this framework. Negotiations are still ongoing. We will continue to update you as we know more.

We are encouraged that reports indicate that HCBS funding will be included in the final bill. But we want to make sure we don’t let up on our advocacy in this final stretch!

Please join us TODAY as we participate in a Day of Action along with our coalition partners from disability, aging, and labor groups.

  • Please take action with our latest action alert and ask your members of Congress to support increased funding for HCBS. And please continue to share this widely with your networks!
  • Take a moment to engage on social media. You can tweet your members of Congress by using the directory linked here. Sample social media posts are below.

Here are some sample tweets you can use:

  • #Medicaid #HCBS is key to including ppl w/ #disabilities in the community, but the direct support workforce is in crisis. Read more from ANCOR about this devastating crisis and why #CareCantWait:bit.ly/3ASgUH9
  • Funding for home & community-based services is essential to the health and well-being of people w/ disabilities, but the #HCBS direct care workforce has been underfunded for too long. Congress must invest now because #CareCantwait bit.ly/3ASgUH9
  • Without funding for #Medicaid #HCBS, it’s only a matter of time before people w/ disabilities completely lose access to the options and resources needed to remain in their homes and in the community. Fund HCBS because #CareCantWait
  • 81% of American voters support increased funding for home & community-based services. Support funding for #Medicaid #HCBS now. #CareCantWait
  • “We have to look at how we are going to provide services for our most vulnerable adults and children in the coming decades, and we need to create a long-term, sustainable solution for that.” #HCBSCantWait bit.ly/3jDoS0b
  • Please support including HCBS funding in the Build Back Better Act to ensure people w/ disabilities & their families do not lose access to the options and resources needed to remain in their homes and in the community. #CareCantWait
  • Congress must include funding for HCBS in the budget reconciliation bill. People like Brandon depend on it. #HCBSCantWait RT twitter.com/POTUS/status/1451544259992203266

You are also encouraged to tweet your own stories. Below are additional hashtags to use:

  • #CareCantWait
  • #BuildBackBetter
  • #HCBSCantWait

We also wanted to make sure we shared with you ANCOR’s letter sent to Congressional leadership yesterday in a final push to support increased funding for HCBS.

Thanks for all of your hard work and please keep it going!

Here are the resources from the White House:

FACT SHEET

MICROSITE
The Build Back Better Framework: President Biden’s Plan to Rebuild the Middle Class

——————————
Elise Aguilar
Director of Advocacy
ANCOR
Alexandria, VA
(703) 535-7850
——————————

Donna Martin
Director for State Partnerships and Special Projects
ANCOR
1101 King Street, Suite 380
Alexandria, VA 22314
Office: 703.535.7850 x116
Direct Line: 571.781.0456

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Photo by Headway on Unsplash

HCBS Virtual Policy Forum: “The Direct Support Workforce and COVID-19: What We Know and What We Need to Do”

Join Megan Sanders from the University of Minnesota’s Institute on Community Integration as she summarizes the results of a 12-month follow-up survey on the direct support workforce and their experiences supporting people with intellectual and developmental disabilities during the COVID-19.

This webinar will be held on Wednesday, November 10, 2021 from 11:00 am–11:45 am ET. 

Click here to register.

Related resources to the above DSP workforce study report:

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ODP Announcement 21-076 announces the release of the Office of Developmental Programs’ (ODP’s) Annual Waiting List report. The waiting list is comprised of individuals who are eligible to receive services and supports through ODP’s four home and community-based services (HCBS) waivers; however, due to insufficient waiver capacity, the state cannot currently meet their needs.

In this report, you’ll find information regarding ODP’s strategies and initiatives to address the problem. The report also demonstrates the progress that has been made since 2015 to reduce the number of individuals on the waiting list. The Annual Waiting List Report 2021 is located online at MyODP.

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The Office of Developmental Programs (ODP) is re-releasing Announcement 20-072 with “HCBS At-A-Glance By Level of Community Spread” to better assist stakeholders in tracking and referencing specific guidance related to ODP functions in the context of the Level of Community Spread within a County. Updates appear in red.

The At-A-Glance Guide provides a quick reference on related operational guidance and will inform providers, Supports Coordination Organizations (SCOs), and Administrative Entities (AEs) planning across multiple counties. The At-A-Glance Guide has been updated to align with the Centers for Disease Control and Prevention (CDC) COVID Data Tracker as a primary source for monitoring the level of community transmission of COVID-19. The CDC COVID Data Tracker uses four (4) levels of community transmission: Low, Moderate, Substantial, and High.

The At-A-Glance Guide addresses the following functions:

  • Compliance with 55 Pa. Code Chapters 2380, 2390, 6100, 6400, and 6500;
  • Quality Assessment and Improvement (QA&I) process;
  • Independent Monitoring for Quality (IM4Q);
  • Supports Intensity Scale (SIS™) and PA Plus Assessments;
  • Administrative Entity (AE) Processes;
  • Licensing Inspections;
  • Investigations Completed by Certified Investigators; and
  • Supports Coordination Organizations (SCOs).

CONTACT: Please contact your ODP Regional Office for any questions about this announcement.

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ALEXANDRIA, VA. – Today, ANCOR CEO Barbara Merrill issued the following statement in response to the news that the House Energy & Commerce Committee’s budget proposal will include a $190 billion investment-less than half the amount proposed by President Biden and Senate Democrats-in Medicaid Home and Community Based Services (HCBS).

“Although decades of underinvestment in the Medicaid HCBS program make us grateful to see any allocation of resources to support community-based disability services and thankful for legislators who see these services as a priority, we were disheartened to learn that the House Energy & Commerce Committee is proposing to invest only $190 billion in HCBS in the Committee’s response to the Senate’s budget resolution.

“Indeed, $190 billion is not an insignificant amount of money, but it falls woefully short of the $400 billion proposed by President Biden in his Build Back Better agenda and approved by the Senate in the budget resolution it passed prior to the August recess.

“If our elected officials are to take seriously the need to overcome a decades-long direct care workforce crisis and support people with disabilities to bounce back from the perilous effects of the pandemic, it is absolutely essential that Congress approve the full $400 billion originally proposed for the Medicaid HCBS program. We know that legislators who care about their most vulnerable constituents will do the right thing and continue to push for the largest amount of funding possible to ensure that community-based services won’t continue to languish.”

——————————
Barbara Merrill
Chief Executive Officer
American Network of Community Options and Resources
Alexandria, VA
(703) 535-7850 (103)
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