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The Pennsylvania Homecare Association (PHA), the Pennsylvania Association of Home and Community-Based Services, and the Rehabilitation & Community Providers Association (RCPA) provided feedback on House Bill 2372, sponsored by Reps. Jessica Benham and Jason Ortitay. The bill seeks to improve agency accountability and ensure livable wages for home care workers in Pennsylvania by increasing state funding for personal assistance services. The associations support the bill but recommended uniform wage increases across all care models and a standardized rate review process every three years. They also expressed concerns about burdensome funding allocations and reporting requirements as well as provisions that could disproportionately affect nonprofit agencies by linking enhanced rates to tax status.

The groups emphasized the need to focus on investments in workforce development and quality care rather than imposing arbitrary financial mandates. They advocated for collaborative efforts to create a sustainable future for home-based care, ensuring high-quality services for Pennsylvania’s aging population.

For more details, read the full letter here.

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RCPA has gathered feedback from our members in multiple forums and attended several listening sessions hosted by the Office of Developmental Programs (ODP) in order to hear and compile public comments on the proposed implementation of performance-based contracting (PBC) for Residential Services and waiver amendments to the Consolidated, Community Living, and Person/Family Directed Waivers. After reviewing all of the available information, we have submitted our comments to ODP.

Our members support the ideal of assuring quality services for individuals with ID/A that are integrated and person centered, enabling individuals to experience more independence and choices in their lives. Additionally, we are in favor of limiting the provider pool to only those providers that are able to demonstrate quality service provision.

RCPA wants to support this program for two reasons. First, any initiative by ODP that focuses on improving quality in the system is something we all should stand behind. Second, alternative reimbursement strategies with enhanced rates and additional funding based on quality and outcomes is certainly more innovative and progressive than traditional fee-for-service. It is time for the IDD system to move toward reimbursement policies that reward providers who are progressive in their service provision.

We are, however, concerned about the speed with which this incredibly complex systemic change is proposed to occur, and the amount of performance standards and measures proposed in this plan.

RCPA’s complete letter can be read here. For any questions, contact Carol Ferenz, Director, IDD Division.

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RCPA recently signed two letters, one to Governor Shapiro and one to the PA Department of Human Services (DHS), alongside dozens of other organizations and the Pennsylvania Community Health Worker Collaborative (PACHW) regarding the state’s plan for an amendment to authorize payments for Community Health Worker services under Pennsylvania State Medicaid. The letters outlined several key features PACHW wished to highlight regarding these payments, including:

  • Requesting DHS set “an equitable and adequate” reimbursement rate;
  • The creation of a Community Health Worker provider type; and
  • Recognizing Social Determinants of Health (SDoH) as a primary diagnosis code.

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The PA Provider Advocacy Coalition, an organization that constitutes a variety of PA providers and advocates across all fields, recently sent a letter to the Shapiro Administration regarding the FY 2024/25 budget. RCPA signed onto the letter, which calls for rate adjustments and investments in Medicaid services in order to address the current workforce crisis. The Coalition states in the letter:

We recognize that addressing these workforce challenges will require a sustained, coordinated, multi-faceted public and private sector response. Earlier this year, our coalition met with representatives of your administration to recommend the creation of a Health Care Workforce Council to help lead this multiyear effort. However, there is one aspect of this overall problem that is relatively straightforward—chronic underpayment by the Medical Assistance program.

RCPA will continue to keep our members informed of updates. If you have any questions, please contact your RCPA Policy Director.

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RCPA recently joined over a dozen PA associations in delivering a joint letter to the Shapiro Administration requesting investments be made in behavioral health services for the Fiscal Year (FY) 2024/25 budget. As noted in the letter, which was compiled by the PA Provider Advocacy Coalition:

The mental health system all too often is unable to deliver the right care, at the right time and in the right setting. We recognize that there is no simple fix and that a sustained, multiyear effort by all stakeholders—the commonwealth, counties, providers, insurers, and advocates—is necessary to rebuild and create a mental health system for the 21st century.

RCPA will continue to keep our members informed of updates. If you have any questions, please contact your RCPA Policy Director.

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Several provider associations sent a joint letter to the Deputy Secretary in April 2023, sharing concerns that members have expressed regarding the Supports Intensity Scale (SIS) reassessments, needs groups, needs levels, and the Office of Developmental Programs (ODP) processes associated with changes to the above items and resulting rate changes. ODP shared that they would be engaging with AAIDD to perform a fidelity audit at the time.

We received a response from the Deputy Secretary that summarizes the findings of the audit and outlines actions that ODP plans to take in response. View the response here.

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