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Senior woman with her caregiver at home

House Resolution (HR) 165, which was introduced by Representative Kim, directs the Legislative Budget and Finance Committee (LBFC) to conduct a study on the effect of workforce shortages on State-supported Medicaid home and community-based services (HCBS) waiver programs as well as the PA lottery-funded OPTIONS programs in the state. If the Resolution passes, LBFC will have 7 months to conduct the study. RCPA will keep members apprised on the status of the resolution.

The Office of Long-Term Living (OLTL) has announced that Public Partnerships, LLC, has been selected as the new statewide Vendor Fiscal/Employer Agent (VF/EA) for Financial Management Services (FMS) for Fee for Service OLTL-administered programs related to Request for Application RFA 07-21.

The VF/EA performs fiscal-related functions for the operation of participant direction for multiple home and community-based service (HCBS) waivers managed by OLTL. The intent of FMS is to reduce the employer-related burden for participants while making sure Medicaid and Commonwealth funds used to pay for services and supports are managed and disbursed appropriately as authorized. The new contract became effective September 1, 2023.

Questions regarding the new vendor or anything related to this announcement should be directed to OLTL via email or by calling 800-932-0939, option 2, Monday through Friday, 9:00 am – 12:00 pm and 1:00 pm – 4:00 pm.

During a recent Home and Community-Based Services (HCBS) provider call, a number of issues and concerns were raised specific to AmeriHealth Caritas/Keystone to the Office of Long-Term Living (OLTL) staff. OLTL decided to schedule a call with staff from AmeriHealth Caritas/Keystone and providers that utilize them as their Community HealthChoices (CHC) Managed Care Organization (MCO). Some of the topics to be discussed include the CHC-MCO scorecard, timeliness and length of time for authorizations, terminations, and issues about HHA.

The call is scheduled for August 23, 2023, from 9:00 am – 10:00 am. To join in this discussion, the call information is provided below:

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Meeting ID: 250 176 587 490
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The Office of Developmental Programs (ODP) has shared ODPANN 23-065: Now Available: Home and Community-Based Services (HCBS) Rule Assessments Licensing Results for Fiscal Year 2021-2022. The purpose of this communication is to inform all interested persons of the availability of the second annual report that assesses provider compliance with the federal HCBS Rule for ODP. View the announcement for information on accessing the report as well as other relevant information. Questions pertaining to the results should be directed to ODP.

CMS Webinar: June 14, 2023
1:30 pm – 3:00 pm ET
Register here

States can use outcome-based payment arrangements as an alternative or supplement to traditional fee-for-service (FFS) payments to incentivize 1915(c) waiver program providers with meeting targeted milestones or achievements. States offering outcome-based payment arrangements establish targeted outcomes that align with participant or program goals. This training will help states by:

  • Providing an overview of outcome-based payments in 1915(c) waiver programs;
  • Highlighting examples of outcome-based payments from 1915(c) waiver programs and outcome-based payments methodologies;
  • Discussing the impact of the COVID-19 Public Health Emergency and state responses using outcome-based payments; and
  • Discussing considerations for states implementing outcome-based payments in 1915(c) waiver programs.

Documents from the May 12, 2023, Managed Long-Term Services and Supports (MLTSS) Subcommittee meeting are now available. The documents include the agenda, transcript, and PowerPoint presentations and can be found below:

The next MLTSS Subcommittee meeting is scheduled for June 1, 2023, from 10:00 am – 1:00 pm in the PA Department of Education’s Honors Suite at 333 Market St. in Harrisburg, PA. The option to participate via webinar is also available. To participate in the meeting via webinar, please register here. You will receive a confirmation email containing information about joining the webinar if you registered correctly. If you have trouble accessing the webinar registration through Internet Explorer or Safari web browsers, please try accessing it through a different web browser, such as Chrome or Edge.

Dial-In Number: 1 (562) 247-8321
Access Code: 856702912#

Remote Captioning and Streaming Link

May 1, 2023
12:00 pm ET

The Committee will collectively discuss emerging Home and Community-Based Services (HCBS) issues identified by four PCPID work groups in the areas of direct support professionals, employment, community living, and federal support programs. This discussion will help develop a general framework for the preparation of the PCPID Report to the President.

If requesting accommodations for meeting participation, please send an email request by April 17, 2023. Both ASL and CART will be provided during the meeting. Register here.