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ODP

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ODP Announcement 22-076 serves to announce that the Consolidated, Community Living, and Person/Family Directed Support (P/FDS) Waiver renewals, collectively known as the Intellectual Disability/Autism (ID/A) waivers, will not be effective on July 1, 2022, as requested.

This extension does not apply to the Adult Autism Waiver (AAW). The currently-approved AAW was most recently amended on April 1, 2022.

Discussions between the Office of Developmental Programs (ODP) and the Centers for Medicare & Medicaid Services (CMS) have been occurring since the submission of the waiver renewals. During recent discussions, it has become clear that the process to renew the waivers will not be complete by July 1. ODP requested a 90-day extension of the currently-approved waivers on June 27, 2022, since the Consolidated and Person/Family Directed Support waivers expire on June 30, 2022. CMS granted the extension request on June 27, 2022.

Until CMS approves the ID/A waiver renewals, the waiver amendments approved with an effective date of June 1, 2022, remain in effect. They can be found on the Department of Human Services website at the following links:

The ID/A waiver renewals submitted to CMS on April 1, 2022, are also available.

Additional changes will be made to the waiver renewals as a result of ongoing discussions with CMS. ODP will inform all stakeholders when the waiver renewals have been approved. The final approved versions of the waivers will be made available online at that time.

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The purpose of this bulletin is to provide guidance on documentation needed to substantiate a claim as well as provide guidance on the service documentation processes. This information is applicable to providers and Supports Coordination Organizations (SCO) that render services through the Consolidated, Community Living, P/FDS, and Adult Autism Waivers as well as Targeted Support Management (TSM) and base-funded services.

Documentation to provide a record of services delivered to an individual must be prepared and kept by the provider, SCO, or common-law employer for the purposes of substantiating a claim and documenting service delivery. The Office of Developmental Programs (ODP) has developed Technical Guidance for Claim and Service Documentation for providers of services in the Adult Autism Waiver and providers of services for all other waivers and base-funded services, which provide specific information for providers and SCOs on the documentation that must be kept for each service in order to support a claim and to document service delivery. These apply to services rendered by providers and SCOs that have enrolled directly with ODP, organized health care delivery systems, and services delivered through both self-directed services models, Agency with Choice, and Vendor Fiscal/Employer Agent.

Providers are encouraged to review and consider using the Medical Assistance Provider Self Review Protocol to proactively identify and address any claim documentation-related problems. The protocol can be found here.

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ODP Announcement 22-073 announces that the Department of Human Services (DHS) is preparing for the eventual end of the Public Health Emergency. Under the federal COVID-19 Public Health Emergency (PHE) declaration, Pennsylvania has continued Medical Assistance (MA) coverage for most people unless they moved out-of-state, passed away, or asked to end their MA.

When the federal PHE ends, the Department of Human Services must determine if people are still eligible for MA. MA recipients will have to complete a renewal to maintain their MA coverage.

DHS is seeking trusted partners to assist in this PHE unwinding process through means of connection to individuals that will need to renew MA benefits. Today, an email newsletter called the DHS Helper Portal is being launched.

Sign up to become a helper today!

  1. Fill out the simple online form.
  2. The form will generate an email to the email address given.
  3. Confirm the address by walking through the prompts in the email.
  4. Congratulations! You are a helper!

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Photo by visuals on Unsplash

Monday, July 11
5:00 pm – 6:00 pm

Self- Advocates United as 1 invites individuals with disabilities and their families to join a town hall meeting with the Office of Developmental Programs (ODP) representatives. Use this call as an opportunity to voice your questions and concerns. See the flyer for more information, including instructions on how to join the event.

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Deadline, as Letters on a Clock

ODP Announcement 22-072 is to announce that the Human Services Research Institute (HSRI) has extended the deadline to participate in the 2021 NCI® Staff Stability Survey to July 31, 2022.

The Office of Developmental Programs (ODP) encourages qualified providers that have not already done so to 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:

  • 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.

Providers that have already completed the survey may also receive a reminder notification to do so, but this will not be intentional and should be discarded. ODP appreciates their cooperation.

A copy of the survey is available 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. For more information, contact Ms. Lee Stephens, ODP IM4Q/NCI Statewide Lead, via email or at 717-783-5773.

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ODP Announcement 22-070 announces the release of a new Incident Management (IM) training series on the MyODP website, which focuses on incident prevention and reducing recurrence of incidents.

The course is titled “Preventing Incidents” and is relevant for all stakeholders. This course contains a seven-part training that focuses on the general safety of individuals with an intellectual or developmental disability, using a person-centered approach to prevent future incidents, anticipating situations and recognizing potential signs of mistreatment, communicating what you know and elevating concerns, proactive vs. reactive risk mitigation strategies, developing effective corrective actions, using data to improve overall quality, and self-care, taking care of yourself while supporting others.

Upon completion of the webcast series and successful completion of the post-test, 2 hours of training credits will be awarded. Visit here for a link to the course, which contains the webcast series.

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ODP Announcement 20-114 provides an updated timeline on Medication Administration training requirements as it pertains to the “Modified” and “Standard” courses offered by the Office of Developmental Programs (ODP). Due to the COVID-19 pandemic, ODP allowed staff who are required to take the Standard Medication Administration Training Course (“Standard Course”) to take the Modified Medication Administration Training Course (“Modified Course”) until December 31, 2021.

Because the effects of the pandemic are ongoing, staff can continue to take the Modified Course in place of the Standard Course until July 31, 2022.

The Department previously required that staff who took the Modified Course in lieu of the Standard Course complete the Standard Course no later than December 31, 2022. Please be advised that this deadline has been extended to July 31, 2023.

Beginning August 1, 2022, staff persons must take the Standard Course.

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This communication is intended to provide guidance to all stakeholders who participate in the process of transitioning an individual from Residential Habilitation Service to Supported Living or Lifesharing. Updated information includes instructions for adding procedure codes for transition payments and directions to AEs. The new language is below:

Once a request is approved, ODP will issue communication directly to the Provider, AE, and SC with instructions for adding the transition payments to the individual’s ISP. The communication will contain procedure codes, steps for adding the service to the ISP, and additional instructions for submitting claims.

By signing the transition request form, the AE is indicating they agree that the provider has presented a plan that ensures the individual’s health and safety needs will be meet in the proposed Lifesharing or Supported Living program. A move date does not need to be determined for a signature to be applied, but the AE may use discretion to request more detailed transition information from the provider to assure a reasonable and safe transition plan is in place.

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