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odp announcement

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ODP Announcement 22-014 shares that the United States General Services Administration announced a change for the rate of Transportation Mile reimbursement rate, procedure code W7271, beginning January 1, 2022. The new rate is $0.585 per mile. This communication provides notice of the rate change as well as provides instruction for Supports Coordination Organizations (SCOs) on how to add transportation mileage to the vendor screen. It also instructs direct service providers on how to submit claim adjustments, if applicable.

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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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Photo by Markus Winkler on Unsplash

A message from the Office of Developmental Programs (ODP):

Due to an extended time frame for approving and loading rates into the Home and Community Services Information System (HCSIS), ODP is notifying stakeholders that several dates contained in Announcement 22-007 are no longer effective. The date for the rate load will occur after February 15, 2022.

ODP anticipates re-releasing this Announcement with updated time frames and encourages providers, Supports Coordination Organizations, and Administrative Entities to be familiar with its technical content in preparation for the pending rate load.

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The Office of Developmental Programs reminds providers and Supports Coordination Organizations that in accordance with Announcement 21-086: American Rescue Plan Act: One-Time Supplemental Payment to Address Recruitment, Retention, and COVID-19 Related Staff Expenses, the deadline to request a supplemental payment is January 31, 2022.

You can find the Provider Attestation Form for One-Time Supplemental Payment here.

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ODP Announcement 22-007 informs providers that the new Fee Schedule Rates and Department-established fees are anticipated to be visible on Individual Support Plans (ISPs) in HCSIS on February 14, 2022.

The anticipated effective date for the increased Fee Schedule Rates is January 1, 2022; however, the effective date in the Home and Community Services Information System (HCSIS) will be February 15, 2022. The anticipated effective date for the Department-established fees for residential ineligible services is July 1, 2022, and HCSIS will reflect the same effective date. Both the Fee Schedule Rates and Department-established fees for residential ineligible services will be visible in HCSIS on February 14, 2022.

Of note, on January 6, 2022, the P/FDS cap was increased to $41,000, and the Community Living Waiver cap was increased to $85,000.

This communication provides guidance and addresses Individual Support Plan (ISP) related impacts.

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ODP Announcement 22-006 is to inform all Waiver Providers and Vendors whose last digit of their Master Provider Index (MPI) number is 3, 4, or 5, as well as new providers who enrolled in the 2020–2021 fiscal year, that they must submit their qualification documentation to their Assigned AE and/or the Office of Developmental Programs’ (ODP) Bureau of Supports for Autism and Special Populations (BSASP). This documentation is due between February 1, 2022 and March 31, 2022

Documentation must include a completed DP 1059 form and/or DP 1088 form, Provider Qualification Documentation Record (providers must use the most recent version found on MyODP), and any other required supporting documentation. For reference to provider qualification, please see Pennsylvania Bulletin Volume 49, Number 40, Subsections 6100.83-84, which contains provider qualification citation specifications.

Inquiries about this communication regarding the ID/A qualification process should be sent to the ODP Provider Qualification inbox. Inquiries about this communication regarding the AAW qualification process should be sent to the AAW Provider Qualification inbox.

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ODP Announcement 22-005 describes the Office of Developmental Programs’ (ODP) Provider Qualification Process and outlines the steps the Assigned AE and provider must follow to meet these requirements. It also outlines the steps Supports Coordinators (SCs) take to transition individuals if needed. This communication does not describe the qualification process for SC organizations. The qualification process for Providers enrolled in the Adult Autism Waiver can be found in ODP Announcement 20-110.

The following attachments are included with the announcement:

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