The Office of Developmental Programs (ODP) has released updated information for ODP Announcement 22-085. Of note, for all individuals residing in a residential setting, remote monitorings are not permitted and no more than six months can lapse between face-to-face monitorings at the residential setting.
ODP Announcement 22-099 provides a revision to the rate for the Office of Developmental Programs (ODP) services for enhanced communication. The enhanced communication rate is available for services from providers who have proficient signing staff to serve signing d/Deaf individuals or utilize PA registered, certified Sign Language Interpreters during service provision.
Attachment A is available to explain the differences between having staff who are fluent in American Sign Language (ASL) versus using an ASL Interpreter.
Providers who wish to request an enhanced communication rate must complete either the: Enhanced Communication Rate Request Form (Signing Staff) — Attachment B, or Enhanced Communication Rate Request Form (Sign Language Interpreting Services) — Attachment C.
Questions about the contents of this announcement may be directed to the ODP Deaf Services inbox. This communication obsoletes ODP Announcement 20-011, Revision to the Enhanced Communication Rate for Services.
ODP Announcement 22-098 is intended to provide additional clarification on combining partial units as it pertains to Personal Care and Home Health Care Services that are subject to electronic visit verification (EVV), i.e. Respite — unlicensed, Homemaker, Companion, In-Home and Community Supports and Community Supports, Nursing, Occupational Therapy, Physical Therapy, Speech/Language Therapy, and Therapies — Counseling.
All Personal Care and Home Health Care services subject to EVV are permitted to bill units that are based on the total accumulated continuous or non-continuous service time across an individual calendar day or across multiple calendar days. The beginning and end date submitted on a claim detail line informs the system what date range it should look in for time in the EVV Aggregator for the same provider, individual, and service. Once all continuous or non-continuous service time in the aggregator is located, the system will total all the time found and use the total time to calculate units. The total calculated units in the EVV aggregator are then compared to the units submitted on the claim.
As long as the total calculated units found in the EVV aggregator is equal to or greater than the units submitted on the claim detail line, the claim will pass EVV validation and continue moving through the claims adjudication process, where it is subject to plan validation and additional Medical Assistance and ODP specific edits and audits in the Medicaid Management Information System (PROMISe).
Please note that the ODP EVV Technical Guide Version 2.0 is being updated to reflect this clarification about combining partial units for services subject to EVV.
For additional information about EVV, please view the DHS EVV website. Providers with additional questions regarding this matter should contact their respective ODP Regional Office.
ODP Announcement 22-097 serves to clarify Supports Coordinator and Provider responsibilities when supporting d/Deaf, hard of hearing, and DeafBlind individuals.
There is some confusion regarding deaf services within the Office of Developmental Programs (ODP). Some individuals are a member of the Harry M class, and there are specific requirements that continue to apply to them even though the settlement has now ended. ODP’s commitment to effectively supporting d/Deaf, hard of hearing, and DeafBlind individuals continues.
This announcement clarifies who is included in the Harry M class and who is not a part of the class but is eligible for services. It also clarifies the additional ongoing requirements for members of the class.
Please direct any questions about this announcement to the ODP Deaf Services inbox or to the appropriate ODP Regional Office.
ODP Announcement 22-094 announces the release of the Residential Individual Support Plan (ISP) Staffing three-part webcast training located on MyODP.
The Residential ISP Staffing trainings described in ODP Announcement 22-017, which were provided virtually or in-person, have been completed. To ensure ongoing training is available for new staff or for current staff who may benefit from a review of the content, a three-part training webcast is now available.
The training covers the same content as the prior virtual or in-person sessions. The training includes opportunities for participants to apply the concepts through examples and can be taken at a pace appropriate to the needs of the participant and their agency.
Participants who complete all requirements will receive 4 hours of training credit. Certificates for past trainings on MyODP are still available in the course where you completed the requirements.
Any questions, please reach out to your regional office.
ODP Announcement 22-092 announces that the Department of Human Services (Department) is accepting comments on Pennsylvania’s Final Statewide Transition Plan (STP) for Home and Community-Based Services, which can be accessed here. Comments received by 11:59 pm on September 22, 2022, will be reviewed and considered for revisions to Pennsylvania’s Final STP that will be submitted to the Centers for Medicare and Medicaid Services (CMS).
A webinar specific to STP Information for the Office of Developmental Programs (ODP) will be held on September 8, 2022, from 10:00 am – 12:00 pm. Please register for the webinar.
Stakeholders may provide public comment through one of the following methods:
ODP Announcement 22-092 provides a list of current Agency With Choice (AWC) Financial Management Service (FMS) organizations that are available to support participants and surrogates who have chosen to self-direct some or all of their Participant Directed Services (PDS) using the AWC FMS model and are in the Consolidated, Community Living, and Person/Family Directed Support (P/FDS) waiver. Read the full announcement for details.
The purpose of this Office of Developmental Programs (ODP) announcement is to remind providers to complete the ODP Community Participation Support System Capacity Survey and the Authorization Service Survey. See the survey questions below:
ODP Announcement 22-087 issues an important reminder that major changes are being made to the HealthChoices Physical Health Managed Care Organizations (MCOs) offering Medical Assistance benefits on September 1, 2022. A large number of Medical Assistance consumers must select a new MCO by August 16, 2022. If they do not make a selection, a new MCO will be automatically chosen for them.
If Medical Assistance consumers are unsure if they need to select a new MCO, or haven’t received selection materials, they should contact Pennsylvania Enrollment Services at the following:
800-440-3989
TTY: 800-618-4225 | Monday – Friday | 8:00 am – 6:00 pm
Home | PA Enrollment Services
ODP Announcement 22-091 informs all interested parties that the new Medication Administration platform is now available for trainers and primary contacts. This announcement contains instructions for logging in with an existing account, creating a new account, accessing the “Train the Trainer” course, submitting payment, and registering for the Face-to-Face class.
A recording and PowerPoint for the Medication Administration Platform Overview webinar held on August 10, 2022, from 10:00 am – 11:00 am is included. Further development of the platform is continuing with trainers able to administer new classes and student registration becoming available on September 6, 2022.
The new Medication Administration platform is now available here.
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