The Office of Developmental Programs (ODP) has shared updated guidance through ODPANN 24-109. The use of cameras and video monitoring equipment in individual bedrooms and bathrooms is strictly prohibited for Pennsylvania’s CMS-approved Consolidated, Community Living, Person/Family Directed Support, and Adult Autism Waivers. Please view the announcement for information and details.
The Office of Developmental Programs (ODP) has shared ODPANN 24-108 to announce the release of the Quality Assessment & Improvement (QA&I) Annual Statewide Report for Cycle 2, Year 2 (C2Y2) for Fiscal Year (FY) 2023/24. The QA&I Annual Statewide Report for C2Y2 is located on MyODP’s website in the QA&I Reports section.
Please view the announcement for information and details.
The Office of Developmental Programs (ODP) has shared an update to ODPANN-22-083. The purpose of this communication is to provide updated information about ARPA grant fund reimbursement. Updates are in red. The final deadline for a reimbursement request submission is May 31, 2025. The survey closes on May 31, 2025, and no additional requests for reimbursement will be reviewed after this date. All expenses need to be incurred on or before March 31, 2025. Please view the communication for information and instructions.
The Office of Developmental Programs (ODP) has shared ODPANN 24-106 and its attachment, which provides updates and identifies future plans for SC First Year Training, including a new Landing Page on MyODP as well as topics and training that were previously required in the 2017 SC Orientation. Please view the announcement and its attachment for information and details.
Due to delays in Individual Support Plan revisions and other factors impacting provider billing, ODP has extended the time period for providers to submit claims for services.
As indicated in ODP Announcement 24-084: Publication of Final Rates Effective Starting Fiscal Year 2024-2025 and Operational Guidance, page 8 noted, “In November, ODP will process a gross adjustment for any fee schedule services billed during the 1st quarter of the fiscal year. This gross adjustment will compensate providers for the rate differential effective July 1, 2024.”
This is a reminder to all providers to bill for any services rendered from July 1, 2024, through September 30, 2024. ODP will be compensating providers, via gross adjustments, for the difference between the rate billed and the updated fee schedule rate for dates of service rendered during the period July 1, 2024, through September 30, 2024. ODP anticipates processing gross adjustments on Remittance Advices dated Monday, December 23, 2024, to ensure all billing for dates of service July 1, 2024, through September 30, 2024, has been completed. Paid claims data in Remittance Advices between July 1, 2024, and November 18, 2024, will be used as the basis for the gross adjustment.
For questions on how to resolve billing errors for services, contact ODP Claims Resolution.
As indicated in ODP Announcement 24-084: Publication of Final Rates Effective Starting Fiscal Year 2024-2025 and Operational Guidance, page 8 noted, “In November, ODP will process a gross adjustment for any fee schedule services billed during the 1st quarter of the fiscal year. This gross adjustment will compensate providers for the rate differential effective July 1, 2024.”
This is a reminder to all providers to bill for any services rendered from July 1, 2024, through September 30, 2024. ODP will be compensating providers, via gross adjustments, for the difference between the rate billed and the updated fee schedule rate for dates of service rendered during the period July 1, 2024, through September 30, 2024. ODP anticipates processing gross adjustments at the end of November 2024 to ensure all billing for dates of service July 1, 2024, through September 30, 2024, has been completed. Paid claims data in Remittance Advices between July 1, 2024, and November 4, 2024, will be used as the basis for the gross adjustment.
For questions on how to resolve billing errors for services, contact ODP Claims Resolution.
The Office of Developmental Programs (ODP) has shared ODPANN 24-105: Now Available: Revised Room and Board Residency Agreement § 6100.687 (DP 1077) and the agreement form. The purpose of this communication is to announce the release of an updated Room and Board Residency Agreement. Please view the announcement for additional information and details.
The Office of Developmental Programs (ODP) has shared ODPANN 24-103 and its attachment. This announcement provides details about the Residential Performance-Based Contracting (PBC) Pay-for-Performance (P4P) initiatives. Please view the announcement and its attachment for additional information and details.
The Office of Developmental Programs (ODP) has shared communication ODPANN 24-102. This communication announces the resolution of a previous SSD: BSS billing issue and the release of new SSD: BSS Procedure Codes, effective November 1, 2024. Please view the announcement for information and details.
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