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ODP

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ODP Announcement 24-071 informs stakeholders of the submission of the Performance-Based Contracting (PBC) 1915(b)4 Waiver and 1915(c) Waiver amendments to the Centers for Medicare and Medicaid Services (CMS). The Office of Developmental Programs (ODP) has included with this announcement multiple documents and resources that are essential for understanding and implementing PBC. The documents are:

Submitted amendments for Consolidated and Community Living 1915(c) and 1915(b)(4) Selective Contracting Waiver for Residential Services are available online. All significant changes resulting from public comments can be found in the PBC Implementation Guide under Appendix A, titled, “Significant Changes to Performance-Based Contracting Proposal as a Result of Public Comment April 20-June 4, 2024.”

As a reminder, all residential providers must sign and return the Residential Provider Agreement to ODP by July 31, 2024. Please direct any questions about this information to ODP electronically.

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ODP Bulletin 00-24-01 Performance-Based Standards for Residential Services has been published, providing detailed information regarding the standards that will be utilized to evaluate performance of residential providers in PA. An expected timeline for implementation of residential performance standards and tier assignment and the evaluation standards that will be used to assign tiers to providers have also been published.

ODP submitted waiver amendments for the 1915(c) waiver and the new 1915 (b)(4) waiver to the Centers for Medicare & Medicaid Services (CMS) on July 26, 2024. RCPA anticipates the fee schedule rates will be published in the PA Bulletin on August 31, 2024. Implementation of the new rates will happen October 1, 2024, with an effective date of July 1, 2024.

All non-residential services, including participant directed services, will receive an 8% increase. All residential services will receive a 6% increase. Implementation of PBC will include rate add-ons of:

  • Select Providers: 3%
  • Clinically Enhanced Providers: 5%

Pay for Performance will also be available.

ODP will hold a webinar on Monday, July 29, to provide an overview of these changes. You can register for the meeting here. Please direct any questions about this information to ODP electronically.

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Photo by Markus Winkler on Unsplash

Deputy Secretary Ahrens of the Office of Developmental Programs (ODP) shared a PowerPoint today, July 25, 2024, at the MAAC meeting. Highlights included ODP’s plan to publish several documents. ODP will be submitting waiver amendments for the 1915(c) waiver and the new 1915 (b)(4) waiver to the Centers for Medicare & Medicaid Services (CMS) on July 26, 2024. In addition, ODP Bulletin 00-24-01: Performance-Based Standards for Residential Services and an ODP announcement regarding the waiver submission, including an implementation guide and provider self-assessment, will be released tomorrow, July 26.

RCPA will share these documents with members as soon as they are available.

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The Department of Human Services (DHS) Office of Mental Health and Substance Abuse Services (OMHSAS) and Office of Developmental Programs (ODP) have announced that they are holding their Statewide Quarterly Positive Approaches & Practices virtual meeting on Thursday, August 8. The meeting will be held from 10:30 am – 3:00 pm, and the topic will be “Building Dementia Friendly Pennsylvania.”

View the flyer for detailed session and registration information.

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The Office of Developmental Programs (ODP) has shared an important announcement from the US Food and Drug Administration (FDA) about a recall of Clonazepam Orally Disintegrating Tablets due to mislabeling of the carton. This medication may be used in the treatment of Lennoz-Gastaut syndrome (petit mal variant), akinetic, myoclonic seizures, and panic disorders. Endo USA, Inc. is recalling USP (C-IV) Lot Number 550147301 due to the incorrect strength being on the product. If you have this product with the matching Lot Number, stop use immediately and contact your health care provider.

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ODP Announcement 24-069 provides an update to all stakeholders about the status of the Performance-Based Contracting (PBC) 1915(b)4 Waiver and 1915(c) Waiver amendment submissions to the Centers for Medicare and Medicaid Services (CMS). The Office of Developmental Programs (ODP) has changed the date for submission of proposed waiver changes to CMS to Friday, July 26, 2024.

Due to the delay in submitting the waivers, ODP has also rescheduled the July 22 webinar for residential providers to Monday, July 29, from 9:00 am – 10:00 am. In this session, ODP will review revisions to the proposed waiver submissions and implementation plan, supporting documents, and instructions for tier determination and provider data submission. Anyone previously registered does not need to re-register and can expect an email notification of the change. If you are unable to attend on July 29, ODP requests that you unregister. This session will be recorded and posted on MyODP at the Performance-Based Contracting – MyODP page.

Register for the webinar here. Please direct any questions about this information electronically.

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Message from the Office of Developmental Programs (ODP):

Dear ODP Licensed Providers,

There is a worldwide Microsoft outage impacting many applications you may rely on for operations. This link will direct you to a Microsoft Forms questionnaire for you to report any impacts to critical functions. We would like you to complete the questionnaire as soon as you receive it, but at the latest by 1:00 pm today, July 19, 2024, or as soon as possible.

We are asking that all licensed providers complete the questionnaire even if you are not currently experiencing any interruptions. Licensed providers only need to complete the form one time, so please coordinate within your agency to ensure there is not duplication of reporting efforts.

Please be advised that the questionnaire was written to collect information across all Department of Human Services programs, so language may not be reflective of individual program offices.

If you are experiencing issues and require assistance, please reach out to your regional program office.

Thank you for your cooperation with this activity.

Lauren A. House
Director, Bureau of Community Services
Department of Human Services | Office of Developmental Programs
625 Forster Street Room 412 | Harrisburg, PA 17120
DHS Website
Pronouns: She/Her/Hers

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Photo by Markus Winkler on Unsplash

The Office of Developmental Programs (ODP) has shared ODPANN 24-064. The purpose of this communication is to notify trainers and learners that the start of the Medication Administration system upgrade has been delayed. The upcoming system upgrade for the Medication Administration system will be starting Thursday, September 26, 2024, and ending Thursday, October 10, 2024.

Please view the announcement for additional information. Updates are in red.

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With the passing of the FY 2024/25 PA budget last week, intellectual and developmental disabilities and autism (ID/A) associations are attempting to obtain clarity regarding its impact on services. The Governor’s Office announced, however, that the scheduled meeting to review these impacts has been postponed in order to allow the Department of Human Services (DHS) more time to analyze the details of the budget. The Governor’s Office shared the following message:

The Commonwealth’s enacted FY24-25 budget includes a philosophical shift in how Pennsylvania approaches service delivery for individuals with intellectual disabilities and autism – a much needed and overdue course change to invest in dignity and opportunity for this community. In February, Governor Shapiro announced the intent to tackle the waiting list for services with a new approach, the Multi-Year ODP Program Growth Strategy. Accompanying this structural change is a substantial investment in services for individuals with intellectual disabilities and autism totaling $354.8M combined state and federal funds – an investment that supports providers, direct support professionals, and families who help make our vision of Everyday Lives a reality.

Included in the total funding is $280M in federal and state funds, which averages 7 percent rate increases for FY24-25. DHS is continuing the analysis of the funds appropriated for FY24-25 for ID/A services and how this will reflect in final rates that will take effect for FY24-25. Also included is an investment of $74.8M in combined federal and state funds for FY24-25 to put the commonwealth on a path to end the emergency waiting list by offering 1,500 adults enrollment in the Consolidated or Community Living Waivers and altering the management of home and community-based services capacity.

In addition to rate increases, the enacted budget includes funding for the implementation of performance-based contracting and the addition of sign language interpretation services. Performance-based contracting is scheduled to be implemented for residential services beginning in FY24-25. Sign language services will be added to ODP’s home and community-based waivers beginning January 1, 2025, pending approval from the Centers for Medicare and Medicaid Services.

We know there is great interest to further discuss the impact of the enacted budget on your programs and services. DHS will provide additional information to stakeholders related to the necessary recalculation for the fee schedule rates for FY24-25 and performance-based contracting upon completion of the analysis.

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