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The Office of Long-Term Living (OLTL) has announced that they are reopening the calendar year (CY) 2023 rate study survey in order to gather responses from providers that were not able to submit previously. The rate study survey is for the following Home and Community-Based Services (HCBS):

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

Access the survey here. Please complete the survey for CY 2023, which spans from January 1, 2023, through December 31, 2023, unless otherwise specified. Please only complete the survey if you did not previously participate. The reopening of the survey will ensure every provider has ample time to offer input to broaden and improve the resulting analysis. The survey will remain open until Friday, November 15, 2024.

It is highly recommended that you review the survey questions before starting the survey. This survey tool does not allow individuals to save and go back to answer questions. Have all your agency information such as wages, employee information, and financial statements readily available. This will help you to submit accurate information when answering the questions.

This survey is one piece of the targeted rate review and is intended to collect current provider rate and wage data and general feedback on the challenges of providing these services. The information collected in this survey will be used to assist in developing a point of reference for the rate range to evaluate current payment rates. In addition to results from this survey, the review will include payment rate information from Managed Care Organizations (MCO) in OLTL claims data, recent legislative policies, department expectations, and other data obtained from publicly available sources.

HCBS providers that delivered multiple service categories during CY 2023 should fill out this survey separately for each service category you delivered.

HCBS providers that did not deliver any of the service categories listed above should disregard this survey. OLTL is partnering with Mercer to perform a rate study exclusive to the service categories listed above at this time.

The information collected for this survey will be used for both this rate study and to meet the requirements of House Bill 1300 from the 2023–2024 Pennsylvania General Assembly regular session. The information you provide will remain confidential and private and will only be shared publicly through high-level summary reports that do not include provider-level detail. Please comply with the Health Insurance Portability and Accountability Act (HIPAA) and do not share any protected health information (PHI) within your survey responses.

If you have any questions or need assistance, please reach out via email.

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The Centers for Medicare and Medicaid Services (CMS) has released an informational bulletin, as well as a slide presentation, that are related to continuity of coverage for individuals receiving home and community-based services (HCBS). The purpose of the bulletin is to highlight the federal renewal requirements and available flexibilities to promote continuity of coverage.

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Photo by Chris Montgomery on Unsplash

The President’s Committee for People with Intellectual Disabilities (PCPID) will be hosting its next meeting on Thursday, September 26, 2024, from 9:00 am – 4:00 p.m. ET, and Friday, September 27, 2024, from 9:00 am – 3:00 pm ET. Register for the meeting here.

The meeting is open to the public and will be hosted at the U.S. Department of Health and Human Services. The meeting will take place in the Switzer Building Conference Room 1400, located at 330 C Street, SW, Washington, DC 20201. Members of the public can observe the meeting in person or virtually. To observe the meeting in person, seating will be available for the first 25 individuals to reserve seats due to space limitations. In order to observe the proceedings in person or virtually, you must register in advance.

The Committee will discuss the 2024 PCPID Report focused on home and community-based services (HCBS) as it relates to direct support professionals, employment, community living, and federal support programs. The Committee will also discuss emerging issues facing people with intellectual disabilities.

Comments and suggestions, especially from people with intellectual disabilities, are welcomed. If there are comments that you would like to inform the PCPID, please share them using ACL’s comment form. Comments received by Friday, September 13, 2024, will be shared with the PCPID at the meeting.

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The Office of Long-Term Living (OLTL), with support from Mercer Government Human Services Consulting (Mercer), part of Mercer Health & Benefits LLC, is conducting a rate study survey for the following Home and Community-Based Services (HCBS):

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

Please complete the survey for the Calendar Year (CY) 2023, which spans from January 1, 2023, through December 31, 2023, unless it is otherwise specified. Please submit the survey by Friday, August 23, 2024. This survey is one piece of the targeted rate review and is intended to collect current provider rate and wage data and general feedback on the challenges of providing these services. The information collected in this survey will be used to assist in developing a point of reference for the rate range to evaluate current payment rates. In addition to results from this survey, the review will include payment rate information from Managed Care Organizations (MCO) in OLTL claims data, recent legislative policies, department expectations, and other data obtained from publicly available sources.

HCBS providers that delivered multiple service categories during CY 2023 should fill out this survey separately for each service category you delivered.

HCBS providers that did not deliver any of the service categories listed above should disregard this survey. OLTL is partnering with Mercer to perform a rate study exclusive to the service categories listed above at this time.

The information collected for this survey will be used for both this rate study and to meet the requirements of House Bill 1300 from the 2023–2024 Pennsylvania General Assembly regular session. The information you provide will remain confidential and private and will only be shared publicly through high level summary reports that do not include provider level detail. Please comply with the Health Insurance Portability and Accountability Act (HIPPA) and do not share any protected health information (PHI) within your survey responses.

You can review the survey questions before starting the survey. This survey tool does not allow individuals to save and go back to answer questions. Please have all your agency information such as wages, employee information, and financial statements readily available. This will help you to submit accurate information when answering the questions.

HCBS providers can access the survey here. OLTL and Mercer appreciate your time and this valuable feedback. If you have any questions or need assistance, please reach out via email. A listserv has been established for ongoing updates on the CHC program. It is titled OLTL-COMMUNITY-HEALTHCHOICES; please visit the ListServ Archives page to update or register your email address.

Please share this email with other members of your organization as appropriate. Also, it is imperative that you notify the Office of Long-Term Living for changes that would affect your provider file, such as addresses and telephone numbers. Mail to/pay to addresses, email addresses, and phone numbers may be updated electronically through ePEAP, which can be accessed through the PROMISe™ provider portal. For any other provider file changes please notify the Bureau of Fee for Service Programs Enrollment and Certification Section at 1-800-932-0939 Option # 1.

If you have any questions, please contact Fady Sahhar or Melissa Dehoff.

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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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The Office of Long-Term Living (OLTL) has released a message providing advance notice of the 2024 pre-administration of the home and community-based services (HCBS) Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey.

OLTL has the HCBS CAHPS survey administered to participants who receive HCBS through the Act 150 Program as well as the OBRA and the Community HealthChoices (CHC) Waiver Programs in the fall. The department then uses the responses received to assist them with improving the services participants receive. To increase response rates, OLTL is requesting Service Coordinators to begin having conversations with the HCBS participants in order to provide an introduction and encourage participation in the upcoming administration of the survey.

The HCBS CAHPS Survey will be administered from August 1, 2024, to October 31, 2024. This survey will ask questions about the services HCBS participants receive at home or in the community and how well the services meet their needs. Press Ganey, an independent firm, will conduct the survey. They will call participants to set up a time to talk. Member’s participants may also call Press Ganey toll free at 1-800-588-1659 (TTY: 711) if they would like to take the 30-minute survey. The number can also be used to make an appointment to take the survey at a time that works for them. Participants are randomly selected to participate in the survey from a list of all participants receiving HCBS through either the Act 150 Program, the OBRA Waiver, or the CHC Waiver Programs. Language Services can be provided to HCBS participants at no cost.

Members are encouraged to remind participants that their privacy is important. If they choose to participate, any information that they provide will be kept confidential. Participants will not be identified in any report that is released, and their answers will not be shared with their providers, Service Coordinator, or anyone else who assists them. It is the participant’s choice whether to participate, and their decision to participate will not affect any HCBS received through OLTL.

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