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HCSIS

The Office of Long-Term Living (OLTL) has issued additional guidance on the Enterprise Incident Management (EIM) Enhancements.

As stated in the ListServ communication sent on November 24, 2021, Critical Incident Report Extensions changes will be implemented in the EIM system on December 11, 2021. Once the maximum number of allowed extensions is reached, providers and service coordinators (SCs) will need to contact OLTL if additional extensions are needed.

When requesting incident report extensions, please follow these instructions:

  • Requests must be submitted to OLTL at least 5 business days prior to incident report due date, via email.
  • Reasons for prior extensions must be clearly documented in the incident report.
  • The reason for an extension request must be detailed, valid, and clearly documented in the incident report as well as in the Home and Community Services Information System (HCSIS) notes.
  • Incident report extensions will be approved for 30 days from previous report due date.
  • The following information must be included in the request for extension:
    • Participant’s Name
    • Participant’s Master Client Index (MCI) Number
    • EIM Incident ID
    • Incident Discovery Date
    • Incident Original Due Date Incident Primary Category
    • Reason for Extension Request (must be clearly documented in critical incident report and HCSIS notes)
    • Submission date (at least 5 business days prior to report due date)
    • Person submitting request (name and title)
    • Agency/Managed Care Organization (MCO) Name

OLTL staff will respond to extension requests within 3 business days by replying to the requestor to let them know if the request was approved or rejected. If rejected, the reason for the rejection will be included in the response. If approved, OLTL staff will enter the extension in EIM.

OLTL has drafted a form to use in the near future. Once the form is approved, providers will be notified. Any questions regarding the information should be directed here.

Tablet on a desk - Newsletter

The Home and Community Services Information System (HCSIS)/Enterprise Incident Management (EIM) Quarterly Release goes live on December 11, 2021. The Release Newsletter has been posted to the HCSIS Learning Management System (LMS). The newsletter is also here. Please log in to LMS and click on the “HCSIS Release 85.00 Newsletter” link to review this and all newsletters. If you do not have access to LMS, please contact your agency’s Business Partner Administrator (BP Admin), which would be the person that gave you HCSIS/EIM access.

If you have any questions regarding this email, please contact the OLTL EIM resource account.

Effective January 1, 2022, there will be a rate increase in the OBRA Waiver and Act 150 Program for Personal Assistance Services (PAS) procedure codes W1793, W1793 TT, W1792, and W1792 TU. The new rates for the OBRA Waiver and Act 150 Program were announced in the Pennsylvania Bulletin on November 6, 2021, Volume 51, Number 45 issue and can be found on the Pennsylvania Bulletin website.

New rates are based on the participant’s county of residence. Home and Community Services Information System (HCSIS) service plans will be updated by December 31, 2021. SCs do not need to make any service plan updates for this rate change, as an HCSIS system-wide update is being deployed to make the necessary service data rate updates onto the impacted service plans.

A chart listing the OBRA Waiver and the Act 150 Program counties, categorized by fiscal region, is located here. If you have any questions related to this email, please contact the OLTL Provider Inquiry Line at 1-800-932-0939, OPTION 2, Monday–Friday from 9:00 am–12:00 pm and 1:00 pm–4:00 pm.

Office of Developmental Programs Bulletin 00-19-03 Prioritization of Urgency of Need for Services (PUNS) was published on July 23, 2019. The purpose of the bulletin is to distribute the updated PUNS Manual. Additional materials include the PUNS Form, the PUNS cover letter, and the PUNS Disagreement Form. The PUNS Form and the PUNS Disagreement Form will be translated into Spanish; ODP will release a communication once the forms are translated.

When PUNS was first implemented in 1998 and revised in April 2006, a manual was published to provide instructions on the completion of the form. The PUNS Manual was updated to reflect circumstances that better identify the individual’s and family’s experiences throughout the individual’s lifespan. It also provides new instructions for completing the form, emphasizing that is to be completed in its entirety through a face-to-face conversation between the Supports Coordinator, the individual, and family.

The PUNS Form cannot be handed or sent to the individual and family to complete on their own; however, the form can be shared with the individual and family in advance of the meeting at their request so they are prepared when meeting with the SC.

A copy of the finalized HCSIS PUNS Form and PUNS cover letter must be sent to the individual and family within five working days of finalization of the HCSIS PUNS Form. The HCSIS PUNS should contain the same information as the PUNS Form completed during the meeting. The HCSIS PUNS reflects the service needs captured at the meeting.

The PUNS is a tool used to determine the need for ID/A services and establishes the priority of need for services when there is a waiting list for the County Program or AE to provide services as requested. The information in PUNS is reviewed and updated if needed during the annual Individual Support Planning (ISP) process and as an individual’s needs change.

The PUNS indicates the urgency of need for services. The urgency of the need is identified in one of three categories:

  • Emergency Need → the service need will occur within six months;
  • Critical Need → the service need is anticipated to occur after six months but within two years; and
  • Planning for Need → the service need is anticipated to occur more than two years away but less than five years away.

If there is disagreement with the results of the PUNS, the PUNS Disagreement Form has detailed instructions for the individual and family to indicate disagreement with the information on the finalized PUNS Form. Concerns should be noted on the PUNS Disagreement Form and returned to the SC within 10 calendar days of receipt of the finalized HCSIS PUNS Form. The Disagreement Form will be reviewed in attempt to resolve the concerns. The SCO must contact the individual and family within seven calendar days of receipt of the Disagreement Form to initiate a review of the concerns with the individual and family and why they disagree with the PUNS Form.

Effective July 23, 2019, Bulletin 00-06-15, Prioritization of Urgency of Need for Services (PUNS) Manual, is obsolete.

ODP Announcement 090-15: New Schedule to Update Rates and ISP Data in HCSIS to Support the Provider Settlement Agreement

AUDIENCE:
Waiver Residential Habilitation Service Providers who signed the Provider Settlement Agreement Addendum, Administrative Entities (AE), Supports Coordination Organizations (SCO) and All Interested Parties.

PURPOSE:
This Office of Developmental Program (ODP) communication is intended to inform waiver residential habilitation service providers, who signed the Provider Settlement Agreement Addendum and participated in the rate retention factor (RRF) process, of the following: