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ODP Announcement 22-044 serves to clarify that ridesharing services, such as Lyft, Uber, or other similar transportation services, may be reimbursed through the public transportation service. Public transportation services are provided to or purchased for an individual to promote self-determination and enable an individual to gain access to employment, services, and activities specified in the Individual Support Plan (ISP). Public transportation may be purchased by an OHCDS or by an FMS organization for individuals who self-direct services. In addition, public transportation vendors may enroll directly with the Office of Developmental Programs (ODP).

For individuals receiving residential services (Residential Habilitation, Life Sharing, or Supported Living), transportation services may only be used to enable an individual to get to his or her competitive, integrated job. If the individual is using public transportation for other needs, such as community activities, volunteering, visiting family or friends, etc., the cost of this service is included in the rate paid to providers of Residential Habilitation, Life Sharing, and Supported Living.

The cost of ridesharing services, such as Uber, Lyft, or similar public transportation options, can be reimbursed through the Transportation service. If the Transportation service is under consideration by the individual and their ISP team, the team must determine if using a ridesharing service is a cost-effective, beneficial, and practical transportation option for the individual.

The team must consider other options available through the transportation service, including publicly available bus passes, rail service, taxi service, and Transportation Trip to ensure the most cost-effective, beneficial, and practical use of the service.

Please see the full announcement for more details about the use of these services.

ODP Announcement 22-045 announces that the renewals of the Consolidated, Community Living, and P/FDS waivers were submitted to the Centers for Medicare & Medicaid Services (CMS) on April 1, 2022. CMS requires Medicaid waivers to be renewed every five years. The submitted waivers included revisions made as a result of over 500 public comments received from individuals and self-advocates, families, agencies, and organizations. Each full waiver application, as well as the Record of Change document that contains the substantive changes made as a result of public comment, is available online.

It is anticipated that the waiver renewals will be approved and effective July 1, 2022. The Office of Developmental Programs (ODP) will inform all stakeholders when the waiver renewals have been approved. The approved versions will be made available online at that time.

In 2021, the Office of Developmental Programs (ODP) disseminated The Best Practice Standards for Behavioral Support. They also hosted several Virtual Office Hours (VOHs) for Behavioral Specialists, Administrative Entities (AEs), Supports Coordination Organizations, and Residential Providers. As a follow-up to these efforts, they have created a hub on MyODP that captures all things Behavioral Supports-related to the standards. Check it out and visit often, as ODP intends to update, and they have some additional resources in the works to upload in the future, including FAQs and Sample BSPs.

ODP intends to host additional sessions with providers and AEs to talk about the standards, but in the meantime, they are interested in hearing from those of you who have reviewed the standards or attended a VOH in the past year. Please take a moment to complete this brief survey.

If you have any questions or comments about this communication, feel free to email ODP directly.

ODP Announcement 22-042 shares the News Alert for providers to assist in managing and developing infection control strategies, including COVID-19. The News Alert from the Infection Prevention Specialist Partnership With Health Care Quality Units has been released with information regarding sites performing COVID testing, up-to-date COVID-19 vaccine booster dose recommendations, and the Powassan Virus (POW).

The Office of Developmental Programs (ODP) has received funding through a Pennsylvania Department of Health (DOH) grant from the U.S. Centers for Disease Control and Prevention (CDC) appropriation under the 2019 Epidemiology and Laboratory Capacity for Prevention and Control of Emerging Infectious Diseases (ELC) — Enhanced Detection Expansion (EDE) Grant. This grant funding is being used to build capacity and provide additional support for infection prevention and control through the Health Care Quality Units (HCQUs) in partnership with a team of infection prevention specialists from Infectious Disease (ID) Connect. This project will run through June 2023.

ODP Announcement 22-043 provides information regarding the part of the Office of Developmental Programs’ (ODP) ARPA plan wherein providers can receive a one-time supplemental payment for technology-related activities that strengthen and enhance home and community-based services (HCBS). The following activities would be supported by this initiative:

  • Purchase of assistive and/or remote support technology;
  • Purchase and implementation of new software or technology for electronic health records;
  • Technology associated with improving quality or risk management functions;
  • Technology professional credentialing identified in ODP provider qualifications; and
  • Purchase of consultation services to enhance technological capabilities.

This initiative is designed to enhance HCBS by:

  • Replacing staff functions with the use of technology, allowing staff time to be directed to other care activities;
  • Providing individuals greater independence and choice using technology; and
  • Improving quality of care through implementation of solutions like electronic health records and integrated data solutions.

Supports Coordination Organizations: As part of the ODP ARPA plan, SCOs can receive a one-time supplemental payment for technology-related activities that enhance HCBS by:

  • Improving capacity to conduct remote monitoring of individuals;
  • Improving efficiency of Supports Coordinators, including maximizing time in the field;
  • Obtaining or enhancing secure inter-office communications; and
  • Implementing technology-dependent quality improvement strategies.

This announcement includes the Application for Providers and Application for Supports Coordination Organizations.

ODP Announcement 22-041 announced that as of May 1, 2022, a new web-based eLearning version of the Health Risk Screening Tool (HRST) Advanced Rater Training (ART) will become available. With the release of this eLearning course, the webinar-based version will no longer be offered. Advanced Rater Training is the follow-up course for raters who complete the foundational HRST Online Rater Training and for nurses wishing to become clinical reviewers. Additionally, an Advanced Rater Training FAQ is available.

Tablet on a desk - Questions and Answers

ODP Announcement 22-040 shares that the questions and answers from the webinar the Office of Developmental Programs (ODP) recently held to discuss the one-time supplemental payment available to address staff training, credentialing, and business associate programs for employment have been combined into a document for stakeholders.

The Q&A document includes all questions that were asked and answered during the webinar on April 4, 2022. Answers provide detail on what types of programs will be considered for ARPA funds. The document will be updated with any future questions and answers that are relevant to the distribution of funds through ARPA.

Stakeholders may email any questions not addressed.

Photo by Markus Winkler on Unsplash

Message From Kevin Dressler, Bureau Director, Office of Developmental Programs (ODP):

Some recent updates:

CMS 1135 Waiver Discontinuation

The Centers for Medicare & Medicaid Services (CMS) released an update on April 7, 2022, that will discontinue many of the 1135 waiver components over the next 30 and 60 days. This Quality, Safety, and Oversight (QSO) update returns many of the identified items in the 1135 waiver to their previous regulatory statuses, and the ICFs will need to be in compliance with the changes by the date specified. Please review the QSO carefully and assure that your ICFs are compliant by the dates specified.

Health Alert Network Updates

I have attached the four latest HANs regarding COVID related items. HAN 633 and HAN 635 address facilities that are testing people in-house and the new reporting requirements. HAN 634 addresses treatment recommendations for people that have contracted COVID-19. Lastly, HAN 632 addresses who is eligible for the vaccine boosters. Please review the recent HANs and adjust your policies and practices as you deem appropriate.

Emergency Exercises

Please see ‘Orchid Phoenix 2022 TTX Registration,’ as it has the registration information for an upcoming Emergency Preparedness Exercise that is available for ICFs to participate in if you would like to do so. This is a similar type of exercise as we completed last year, with a different emergency event as the topic. Please review for details on registration and participation requirements.

Kevin Dressler | Bureau Director
Department of Human Services
Office of Developmental Programs
Bureau of State Operated Facilities
Room 508 Health & Welfare Bldg | Harrisburg, PA 17120
Office Phone: 717-425-5686
Cell Phone: 570-809-3759
Fax: 717-787-6583