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Tags Posts tagged with "ID/A Waiver"

ID/A Waiver

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The Office of Developmental Programs (ODP) met with stakeholders today, October 30, 2024, to discuss waiver amendments and to provide an overview of Performance-Based Contracting.

Waiver Amendments included:

Waiver Capacity:

  • When an individual is in an acute care hospital and receiving waiver services, ODP will not need to reserve (hold) the individual’s waiver. They will maintain enrollment in the waiver.
  • Language was updated for waiver capacity for high school graduates in the P/FDS waiver. AEs can reserve the waiver capacity for 180 days prior to when services are needed. Students can remain in service until their 22nd birthday.

Assistive Technology:

  • Updated language to explain when an independent evaluation is required and when it is optional:
    • REQUIRED: A device will cost $750 or more.
    • OPTIONAL: A device will cost less than $750.
  • An independent evaluation can be done if the team decides it would be beneficial.
  • Evaluations are included in the $10,000 lifetime limit.

Community Participation Support:

  • The Community Participation Support provider must complete and update an analysis of the following at least yearly to support individuals to experience meaningful community inclusion:
    • Strongest interests and personal preferences for community activities;
    • Skills, strengths, and other contributions likely to be valuable to employers or the community; and
    • Conditions necessary for successful community inclusion and/or competitive integrated employment.

American Sign Language (ASL) – English Interpreter Service:

  • English Interpreter service will be added to ODP’s waivers effective January 1, 2025.

Music, Art, & Equine Assisted Therapy:

  • The cumulative maximum limit of any combination of Music Therapy, Art Therapy, or Equine Assisted Therapy has increased from 26 to 52 hours per fiscal year.

STAT Overview:

  • The Specialty Telehealth and Assessment Team service was implemented in March 2024. This service may also be delivered to the participant during temporary travel, per ODP’s travel policy.

Waiver Corrections:
Life Sharing:

  • The following may not be authorized for participants who receive Life Sharing services: Residential Habilitation; Supported Living; Respite (15-minute or Day) (has been removed).

Supported Living Corrections:

  • The following services may not be authorized for participants who receive Supported Living services: Life Sharing; Residential Habilitation; Respite (15-minute or Day); Homemaker/Chore; In-Home and Community Supports; Behavioral Supports; Therapies; Shift Nursing; Consultative Nutritional Services; Communication Specialist and Specialize.

Benefits Counseling:

  • New billable indirect activities are added. The limit has increased from 15 hours per fiscal year to 24 hours per fiscal year.

The Performance-Based Contracting Review Included:

  • Effective January 1, 2025, Performance-Based Contracting will be implemented for the following services funded through the Consolidated and Community Living Waivers:
    •  Residential Habilitation;
    •  Life Sharing; and
    •  Supported Living.
  • Changes to Enrollment of New Providers.
  • What are Performance Standards?
  • What are Provider Tiers?
  • What Do These Changes Mean to Individuals and Families?

All performance-based contracting questions can be sent electronically.

Please see the distributed PowerPoint for additional information.

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Intellectual Disability/Autism (ID/A) Waiver Amendments Effective January 1, 2025

Audience: All Stakeholders
Date: October 30, 2024, 11:00 am – 12:00 pm
Register Here

The Centers for Medicare and Medicaid Services (CMS) approved amendments to the Consolidated, Community Living, and Person/Family Directed Support Waivers (ID/A Waivers) effective January 1, 2025. This webinar will provide a general overview of the changes made in the ID/A waivers. There will be time during the session for presenters to answer questions submitted by participants during the webinar.

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The Office of Developmental Programs (ODP) has shared ODPANN 23-104: Webinar Recording Now Available: Community Participation Support (CPS) Waiver Amendment Changes in the Intellectual Disability/Autism (ID/A) Waivers. This announcement provides details on accessing the webinar recording on CPS changes made in the recently approved ID/A waiver amendments. Please view the announcement for access information.

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Photo by visuals on Unsplash

December continues the PA Family Network series on Technology with VIRTUAL summits! Technology has become a major part of all our lives. For people with Intellectual/Developmental Disabilities, technology can offer opportunities for independence, entertainment, choice, and control. Each Summit will be held from 9:30 am – 3:30 pm.

Register for all summits below with ONE link and attend any day that works well for you! Those with disabilities, families, and support staff are welcome and encouraged to attend!

Register for the Summits here.
View information on the summits, which will be held at the below dates, here.

  • Monday, December 4: Northeast
  • Tuesday, December 5: Southeast
  • Wednesday, December 6: Southcentral
  • Thursday, December 7: Central
  • Friday, December 8: West

Support Groups

LifeCourse Workshops:

Waiver Workshops:

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Image by photosforyou from Pixabay

The Office of Developmental Programs (ODP) has shared the following communication: ODPANN 23-093: Webinar Opportunity: Community Participation Support (CPS) Waiver Amendment Changes in the Intellectual Disability/Autism (ID/A) Waivers. This communication announces a webinar opportunity that will provide guidance on the CPS service changes in the most recently approved ID/A waivers. The webinar will be held Wednesday, December 6, 2023, from 11:00 am – 12:30 pm. Please review the announcement for registration information and other relevant details.

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September continues PA Family Network’s series on Participant Directed Services. Join the team of Family Advisors to get your questions answered about Participant Directed Services and how you can choose to direct your own services under the Intellectual Disability/Autism (ID/A) Waivers. These workshops are created by family members and self-advocates FOR family members and self-advocates.

Register for upcoming events online.

Community Engagement Workshops:
These will only be offered at these dates and times!

LifeCourse Workshops  

Waiver Workshops

Support Groups

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The Office of Developmental Programs (ODP) has shared these important workshops from PA Family Network! August continues the series on Participant Directed Services. The team of Family Advisors will answer your questions about Participant Directed Services and how you can choose to direct your own services under the Intellectual Disability/Autism (ID/A) Waivers. These workshops are created by family members and self-advocates FOR family members and self-advocates.

Register for upcoming events.

Community Engagement Workshops: Participant Directed Services

LifeCourse Workshops

Waiver Workshops 

Support Groups

  • Caregiver Support Group: Wednesday, August 2, 2:30 pm
  • Caregiver Support Group: Monday, August 21, 6:30 pm
  • Sibling Good Life Group: Monday, August 28, 6:30 pm

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The Office of Developmental Programs (ODP) has shared ODPANN 23-069, which informs all interested parties that the recording of the Clarifications and Guidance for the Community Participation Support (CPS) Service in the Intellectual Disability/Autism (ID/A) Waivers webinar is now available on MyODP. Clarification and guidance on the CPS service and CPS flexibilities that will be ending with Appendix K are discussed during the recording. Please review the announcement for details on accessing the recording.

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Image by photosforyou from Pixabay

The Office of Developmental Programs (ODP) has shared ODPANN 23-060: Webinar Opportunity: Clarifications and Guidance for the Community Participation Support (CPS) service in the Intellectual Disability/Autism (ID/A) Waivers. This webinar is scheduled for Thursday, July 20, from 2:00 pm – 3:00 pm, with the intent of providing clarifications for CPS service provision and discussing CPS-related guidance regarding Appendix K.

Please review the announcement for details. Register for the webinar here.

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ODP Announcement 22-085 announces clarification for Supports Coordination Organizations (SCO) on resuming Waiver and Targeted Support Management (TSM) Supports Coordination (SC) in-person monitoring. Many adjustments have been made to the Office of Developmental Programs (ODP) policy and operations during the COVID-19 pandemic. Appendix K allowed for SC services to be provided remotely during the pandemic. ODP planned to replace the Appendix K guidance with new requirements detailed in the Intellectual Disability and Autism (ID/A) Waiver renewals and the Adult Autism Waiver (AAW) amendment effective July 1, 2022, to allow for some SC individual monitoring to continue to be completed remotely.

Both the ID/A Waiver renewals and the AAW amendment are pending approval with the Centers for Medicare and Medicaid (CMS). Therefore, ODP is issuing guidance to clarify the expected requirements of individual monitorings performed by SCs. This announcement outlines the updated requirements for SC in-person and remote monitoring and obsoletes that section of Appendix K.

ODP expects SCOs that were unable to meet the June 30 deadline for completing the in-person monitoring for at-risk individuals to continue to follow their plan and communicate with the ODP regional office to ensure that all the priority individuals are seen in-person.

This announcement outlines requirements for SCOs to implement no later than October 1. For additional questions, please contact your appropriate ODP regional office.

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