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Tags Posts tagged with "ID/A Waiver"

ID/A Waiver

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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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ODP Announcement 22-045 announces that the renewals of the Consolidated, Community Living, and P/FDS waivers were submitted to the Centers for Medicare & Medicaid Services (CMS) on April 1, 2022. CMS requires Medicaid waivers to be renewed every five years. The submitted waivers included revisions made as a result of over 500 public comments received from individuals and self-advocates, families, agencies, and organizations. Each full waiver application, as well as the Record of Change document that contains the substantive changes made as a result of public comment, is available online.

It is anticipated that the waiver renewals will be approved and effective July 1, 2022. The Office of Developmental Programs (ODP) will inform all stakeholders when the waiver renewals have been approved. The approved versions will be made available online at that time.

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ODP Announcement 22-010 announces that the Operational Guide for Appendix K has been updated to align with current guidance from the Centers for Disease Control and Prevention (CDC), the Centers for Medicare and Medicaid Services (CMS), and the Pennsylvania Department of Health (DOH).

Additionally, guidance has been added regarding regulatory compliance during the COVID-19 pandemic. The purpose of the Operational Guide is to provide guidance to Providers (including services rendered under a participant-directed services model), Supports Coordination Organizations, Administrative Entities, and the Office of Developmental Programs (ODP) to ensure adherence with current state and federal guidance.

The Operational Guide applies only to participants impacted by COVID-19. Examples of participants impacted by COVID-19 include participants impacted due to staffing shortages, a COVID-19 diagnosis for the participant or a participant’s housemate or caregiver, and closures of service locations (residential homes, Community Participation Support service locations, etc.). For any requirement not listed in the Operational Guide, refer to the current approved ODP waivers.

ODP is finalizing Version 3 of the Operational Guide for the Adult Autism Waiver and will publish it soon.

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Image by Werner Moser from Pixabay

The Office of Developmental Programs (ODP) is accepting feedback and comments on the proposed Fee Schedule Rates for services funded through the Consolidated, Community Living, P/FDS, and Adult Autism Waivers as well as Base-Funded programs, residential ineligible services, and the accompanying rate assumption logs.

After receiving feedback from our members, we submitted our comments today. We look forward to continued discussion with ODP regarding the development of rates that will sufficiently support services to individuals with ID/A in the community.

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