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odp announcement

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ODP Announcement 22-021 provides guidance on the upcoming rate increases for the Adult Autism Waiver. Compensation is beginning March 1, 2022; the new rates will be implemented in the Home and Community Services Information System (HCSIS) on March 1, 2022. All Individual Support Plans (ISPs), including ISPs in draft, pending review, or pending approval status, will be updated with the new rates for each of the applicable services. An additional fiscal segment will automatically be added on each ISP for each service that is impacted by the rate change.

Providers are strongly encouraged to review Service Authorization Notices or the Provider Service Detail report in HCSIS to confirm the new rates were loaded, authorized, and that they are billing the increased Fee Schedule Rate before attempting to bill for any services rendered March 1, 2022, and after.

Compensation for the Period July 1, 2021, through February 28, 2022

Providers should bill normally for any services rendered from July 1, 2021, through February 28, 2022. 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, 2021, through February 28, 2022. This is intended to eliminate the provider’s effort of voiding and re-billing claims.

ODP anticipates processing gross adjustments during the April to May 2022 timeframe to ensure all billing for dates of service July 1, 2021, through February 28, 2022, has been completed. Because the rates will be loaded into HCSIS effective July 1, 2021, and the gross adjustment compensation will be issued by ODP, providers should not adjust any claims after April 1, 2022, submitted for services rendered on July 1, 2021, through February 28, 2022.

Adjustment of a claim(s) for services delivered during these dates will result in a duplication of payment that will need to be repaid. Providers are strongly encouraged to bill in a timely manner to minimize the need for corrections.

For questions on how to resolve billing errors for services that were rendered on July 1, 2021, through February 28, 2022, contact Amber Bennett.

Correction to Rates for Small Group Employment and Residential Habilitation Ineligible Fees

Because of an internal editing error, the rates for Small Group Employment and Residential Habilitation: Community Home Ineligible published in the Pennsylvania Bulletin (52 Pa.B. 1326, February 26, 2022) were incorrect. The correct rates, with the corresponding procedure codes, are higher than what was published. The corrected rates are also available on the Department of Human Services’ website.

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ODP Announcement 22-028 is to notify licensees that trainings in First Aid, Heimlich techniques, and/or CPR provided to staff and caregivers in ODP-licensed settings on or after April 1, 2022, must have an in-person component.

During the height of the COVID-19 pandemic, ODP permitted online-only courses with no in-person component, as many hospitals and health care organizations were not offering in-person classes. Hospitals and health care organizations have since resumed in-person instruction with necessary COVID precautions in place. As such, any training in First Aid, Heimlich techniques, and/or CPR provided to staff and caregivers in ODP-licensed settings on or after April 1, 2022, must have an in-person component.

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ODP Announcement 22-027 states that the Temple University Harrisburg Certified Investigator Program and the Office of Developmental Programs (ODP) will be facilitating Forums for Certified Investigators (CIs) and others involved in the incident investigation process. It also announces the posting of Q&A documents from past CI Forums on MyODP.

0 1984

ODP Announcement 22-025 serves to provide the hourly wage and benefits ranges for specific Participant Directed Services (PDS) for participants utilizing the Vendor Fiscal/Employer Agent (VF/EA) FMS model, effective March 1, 2022. The Office of Developmental Programs (ODP) updated the data used in establishing rates, which impacted the hourly wage and benefits ranges. The high end of the hourly wage and benefits ranges either increased or remained the same. There were no decreases to the high end of the hourly wage and benefits ranges. These wage and benefit ranges will be used to pay SSPs and to support claims processing in the Provider Reimbursement and Operations Management Information System in electronic format (PROMISe™) by the VF/EA FMS organization. This communication will only be updated when changes occur to the information contained within.

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ODP Announcement 22-026 is to announce that the proposed Fee Schedule Rates and Department-Established Fees for Consolidated, Community Living and P/FDS Waiver services, as well as the Community Intellectual Disability Base-funded program were published at 52 Pa.B. 102 (January 1, 2022).

The Department received comments from 134 stakeholders regarding the proposed changes to the Fee Schedule Rates and Department-Established Fees. After reviewing the comments on the proposed rates, the Department determined that an increase to the Fee Schedule Rates for the Agency With Choice Financial Management Services monthly administrative fee from $285.28 to $311.68 was necessary to cover staff wages and the costs of implementing participant directed services in accordance with requirements in the approved Waivers.

No other changes were made to the rates as a result of public comment.

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ODP Announcement 22-024 is intended to provide the hourly wage and benefits ranges for specific Participant Directed Services (PDS) provided to participants utilizing the AWC FMS model, effective March 1, 2022.

ODP updated the data used in establishing rates, which impacted the hourly wage and benefits ranges effective March 1, 2022. The high end of the hourly wage and benefits ranges either increased or remained the same.

These wage and benefit ranges will be used to pay SSPs and to support claims processing in the Provider Reimbursement and Operations Management Information System (PROMISe™) in electronic format by the AWC FMS organization. This communication will only be updated when changes occur to the information contained within.

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ODP Announcement 22-023 is to remind providers that are required to take the Modified Medication Administration Training Course of upcoming renewal requirements. On February 13, 2020, the Office of Developmental Programs (ODP) released ODP Announcement 20-014 titled “New ODP Regulation Update: Clarification Regarding Medication Administration Requirements.”

Among other things, Announcement 20-014 specified that “in accordance with § 6100.468(d), life sharers and service locations that are not licensed by the Department (DHS) will be required to successfully complete a modified medication administration course…staff required to take the course must do so by July 1, 2020, to be compliant with the regulatory requirements,” and that “staff, contractors, and consultants who are required to take the Modified Medication Administration Training Course must also take a renewal course every 2 years that must occur no later than the last day of the 24th month following the previous completion date.”

Based on the above, the Modified Medication Administration Training Course period is now active. To satisfy the renewal requirement, the current Modified Medication Administration Training course must be retaken in its entirety. To allow for ample time to complete the course for renewal, ODP is allowing for those who first took the course in February 2020 to complete the renewal requirement by March 31, 2022.

The Modified Medication Administration Course may be accessed on MyODP. Questions, comments, or requests for technical assistance relating to this announcement may be submitted via email.

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ODP Announcement 22-022 is to inform all provider agencies employing Direct Service Providers (DSPs) that the Office of Developmental Programs (ODP) will be participating in the 2021 National Core Indicators® (NCI) Staff Stability Survey. ODP is requesting qualified providers participate in the 2021 Staff Stability Survey. This important survey includes questions relating to volume, stability, compensation, and benefits of DSPs serving adults 18 years of age and older.

The data gathered from this voluntary and anonymous survey will help ODP, along with other policy makers and advocates, to:

  • Inform policy and program development regarding DSP workforce (DSPW) improvement initiatives;
  • Monitor and evaluate the impact of workforce initiatives;
  • Compare state workforce outcomes with those of other states;
  • Provide context for consumer and family outcomes; and
  • Create systems that more effectively collect, analyze, and use DSP workforce data.

Within the next few weeks, providers will receive an email from HSRI inviting them to participate in this Staff Stability Survey. Those wishing to participate will be furnished with a unique login that will enable providers to directly enter survey responses into the HSRI database. Results of the survey will only be reported in the aggregate, and organizations will not be identified in any way. It is recommended that Human Resources or the Payroll Office complete surveys, and responses should reflect DSPs who were on agency payroll during any period between January 1 and December 31, 2021.

The deadline to complete data entry is June 30, 2022. A copy of the survey is included to allow for preparation of data prior to completing data entry. It is a proprietary tool of the National Core Indicators® and is to be used for reference only.

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ODP Announcement 22-017 is to announce that Residential ISP Staffing training sessions are now available from January through June 30, 2022. Residential ISP Staffing trainings described in ODP Announcement 21-057 have been completed, but additional training can be provided by agency professionals who have volunteered to provide training and have participated in delivering training in the fall of 2021, referred to ODP Designated Trainers.

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