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ODP

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ODP Announcement 22-029 serves to announce an opportunity for providers to have a staff person(s) participate in a virtual certification program with the goal of receiving a Work Incentives Practitioner credential.

Please complete an application for the Office of Developmental Programs (ODP) to get to know your organization and to measure your interest and commitment in having a staff person(s) receive the Work Incentives Practitioner credential and enrolling with ODP to provide the Benefits Counseling service. Applications must be submitted by email to Laura Cipriani no later than April 1, 2022.

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ODP Announcement 22-025 is to inform individuals that the Office of Developmental Programs (ODP) updated the data used in establishing rates that impacted the hourly wage and benefits rages effective March 1, 2022.

While the rate setting process resulted in minor decreases to the Upper Bound of the Hourly Wage and Benefits Ranges for several services in Attachment #1, ODP has decided to continue the Upper Bound at the levels that were in effect prior to March 1, 2022, for those services. The Hourly Wage and Benefits Ranges in Attachment #1 have been updated and should 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 22-021 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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Positive Behavioral Supports: Meaningful, Everyday Application

We are always looking for better ways to support someone to achieve the quality of life they desire. This requires a social, behavioral, and biological understanding of that person. Positive Behavioral Support (PBS) is an empirically documented, person-centered approach that can be used in day-to-day supports for all people across all systems. For those of you who are not familiar with PBS, ODP will provide an overview of this framework, sharing examples and ways that this has been implemented. For those of you who have a general understanding of the essential elements of PBS, ODP will provide you with tools and ways to infuse PBS into your programs and supports to strengthen your focus on supporting a positive quality of life.

Please join ODP on one of the following dates and times:

  • Wednesday, April 6, 2022, from 12:30 pm–4:30 pm
  • Thursday, April 7, 2022, from 10:00 am–2:00 pm
  • Tuesday, April 12, 2022, from 2:00 pm–6:00 pm
  • Thursday, April 21, 2022, from 9:00 am–1:00 pm
  • Tuesday, April 26, 2022, from 11:00 am–3:00 pm

To register for a session, you must follow these steps:

  1. Visit this link and log in to MyODP OR create a new account.
  2. Complete and submit the Spring 2022 ASD Seminar Demographics Form.
  3. Return to the main course page to register directly through Zoom.

Notes:

  • You will receive an email confirmation of your registration directly from ASERT Collaborative when you complete all steps mentioned above.
  • Content is repeated for all five dates, so you only need to register for one session.

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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.

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The Office of Developmental Programs (ODP) and the Office of Mental Health and Substance Abuse Services (OMHSAS) are pleased to announce that the latest edition of the Positive Approaches Journal is now available!

All humans engage in their world in ways that work for them. Yet individuals with complex needs may do that in ways that challenge their supporters. Applying Positive Behavioral Supports (PBS) may provide the key to deciphering and assisting the complex messages being sent by the individual. This issue of Positive Approaches Journal examines the misconceptions associated with behavioral supports, how understanding behavioral supports and applying them in a family setting can improve the outcomes for children, and how supporters can think out of the box and work together to utilize a behavioral support approach to treatment. By redefining how we approach behavioral support, we are able to reach a more thorough understanding of people across the lifespan.

This issue of Positive Approaches Journal is in digital form, available for viewing online or for downloading.

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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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