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ID/A

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RCPA members are encouraged to participate in the ID/A Workforce Compensation study conducted by and in collaboration with the Center for Healthcare Solutions described below. The Center for Healthcare Solutions performed the survey that we supported last year, as well. This study is being done jointly with several other statewide and regional associations, and we are hoping that providers across Pennsylvania will participate in order to provide adequate data for use in advocacy efforts to improve conditions for our workforce. This also presents an opportunity to have comparative data.

The scope of this survey and the report generated from it will address compensation practices for 46 positions, including Direct Support Professionals (DSP), supports coordinators, frontline supervisors, clinical positions, program specialists, facilities staff, and administrative personnel. It will also provide data on staff vacancies and turnover that continues to impact care and services across Pennsylvania.

Any ID/A employer in Pennsylvania is eligible to participate in the survey and will receive the published report, which will also be provided to the Pennsylvania Office of Developmental Programs. As always, CFHS follows all FTC/DOJ guidelines to de-identify data and maintain confidentiality. If you are a member of multiple associations, you only need to complete the survey once.

Two files are included: the input form and the general instructions for filling out the input form. Completed surveys may be emailed to Steve Forest or uploaded via SFTP (information included in the instructions) by Friday, September 22. The published report is expected to be issued on Friday, October 6.

Additionally, a workshop has been scheduled for Thursday, September 7, at 10:00 am to review the survey and assist participants in its completion. To register for this workshop, please visit here.

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RCPA has partnered with several other ID/A associations to develop a unified budget ask to send to Governor Shapiro. RCPA, The Provider’s Alliance, The Arc of PA, PAR, MAX, and The Alliance sent a letter asking the governor to include $430 million in the 2023/24 state general fund budget proposal to significantly improve the wage rates for the Direct Support Professionals (DSPs) who provide care to individuals with ID/A. This funding, along with its federal match, is crucial because the ID/A system is in crisis. Nearly 60,000 Pennsylvanians with ID/A are at risk of losing or experiencing a reduction of essential services because there are not enough DSPs to care for them. The letter outlines several specific challenges in the ID/A system.

The letter was also sent to Dana Fritz, Chief of Staff; Lindsey Mauldin, Deputy Chief of Staff; The Honorable Uri Monson, Secretary of the Budget; The Honorable Akbar Hossain, Secretary of Policy and Planning; The Honorable Mike Vereb, Secretary of Legislative Affairs; and The Honorable Valerie Arkoosh, Secretary, Department of Human Services.

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Workers Who Serve People With Disabilities Must Earn More
By Richard Edley, RCPA President/CEO
Read the print version in the Harrisburg Patriot-News, January 19, 2023

Providers who care for individuals with intellectual disabilities and autism (ID/A) are being pummeled by a workforce shortage driven by low wages and high vacancy and turnover rates.

RCPA partnered with The Arc of Pennsylvania and The Provider Alliance to have the Center for Healthcare Solutions examine the state’s ID/A workforce. The survey evaluated critical data on pay practices, hourly wages, scheduled positions, filled positions and separations for more than 9,000 employees representing 40 positions in 52 organizations.

The findings are stark.

Wages for direct support professionals who help ID/A children and adults with their basic daily living needs average $16.61 per hour, less than some fast-food restaurants. The turnover rate for DSPs is 38%, with providers reporting a vacancy rate of 28%. The numbers are similar for other residential and program supervisors.

The study also found that 14% of all DSP hours are paid at an overtime rate, and 41% of providers are now engaged in a more costly practice of contracting for staffing services to manage the workforce shortage.

Because human services like ID/A are funded primarily by Medicaid, providers cannot raise prices like private businesses to pay higher wages. So chronic underfunding by the state only
exacerbates these operational challenges.

ID/A providers simply do not have the staff they need to serve the thousands of Pennsylvanians receiving or waiting for critical services.

This is a system that is strained past its breaking point, and it needs our support now.

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By The Times-Tribune

Editor: Providers who care for individuals with intellectual disabilities and autism are pummeled by a workforce shortage driven by low wages and high vacancy and turnover rates.

The Arc of Pennsylvania recently partnered with other social service associations to get a better picture of the state’s workforce in the field.

The survey evaluated critical data on pay practices, hourly wages, scheduled positions, filled positions and separations for more than 9,000 employees representing 40 different positions in 52 organizations, including many in Northeast Pennsylvania.

The findings are stark.

Wages for direct support professionals who help children and adults with their basic daily living needs average $16.61 per hour — less than wages at some fast-food restaurants. The turnover rate for direct support workers is 38% with providers reporting a vacancy rate of 28%. The numbers are similar for other residential and program supervisors.

The study also found that 14% of all direct support professionals’ hours are paid at an overtime rate, and 41% of providers now engage in a more costly practice of contracting for staffing services to manage the workforce shortage.

Because human services for those with intellectual disabilities and autism are funded primarily by Medicaid, providers cannot raise prices like private businesses to pay higher wages. So, chronic underfunding by the state only exacerbates these operational challenges.

Service providers simply do not have the staff they need to serve thousands of Pennsylvanians receiving or waiting for critical services. This is a system that is strained past its breaking point, and it needs our support now.

SHERRI LANDIS
THE ARC OF PENNSYLVANIA
HARRISBURG

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ODP Announcement 23-001 provides information about the Office of Developmental Programs’ (ODP) initiative to utilize up to $40 million in American Rescue Plan Act (ARPA) funds as part of the ongoing systemic recovery of services for people with an intellectual disability and autism.

To support the ongoing restoration of the intellectual disability and autism service delivery system, ODP is implementing a supplemental recovery and expansion initiative utilizing ARPA funds. This initiative is designed to provide supplemental payments to support the recovery and service expansion in the following three areas: Community Participation Support, Employment, and Supports Coordination.

All questions and comments related to this announcement can be directed to the Rate Setting inbox.

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