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odp announcement

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.

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.

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.

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.

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.

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:

ODP Announcement 22-003 shares that ODP and Temple University are conducting CI Friday Forums. These forums are an opportunity for current CIs and other interested parties to receive up-to-date information about the incident investigation process. The session dates and topics are:

  • February 11, 2022 — Peer Review: Year in Review
  • April 8, 2022 — Administrative Review Overview
  • June 10, 2022 — Topic to be announced (Save the Date)

There will be two sessions available on each date. One session will be hosted in the morning from 10:00 am–11:30 am, and the second session will be hosted in the afternoon from 1:00 pm–2:30 pm. The same topic will be covered in each session.

Seating is limited, and you can only sign up for one forum session per date. Participants can submit questions prior to the session until close of business (COB) the Friday before the scheduled Forum.

Registration for February 11, 2022, is now open and will close at the end of the day on February 9, 2022. See the announcement for registration details.

Image by Werner Moser from Pixabay

ODP Announcement 21-095 discusses the availability of a 30-day public comment period for the proposed fee schedule rates for services funded through the Consolidated, Community Living, Person/Family Directed Support (P/FDS), and Adult Autism Waivers as well as Base-funded programs. Please review the announcement for further details on both the rates and the public comment period.