RCPA Federal and State Telehealth Update — Sept. 18, 2025
OMHSAS
RCPA Submits PRTF Cost Analysis to IRRC
As RCPA, the Office of Mental Health and Substance Abuse Services (OMHSAS), and the stakeholder community continue to partner on the Psychiatric Rehabilitation Treatment Facility (PRTF) regulation promulgation process, we have submitted to the PA Independent Regulatory Reform Commission (IRRC) a PRTF Cost Analysis. RCPA’s financial analysis focuses on the implementation costs in key target areas: staffing, accreditation, and non-allowable costs. The information represents a cross section of providers from diverse geographic and organizational perspectives.
We thank OMHSAS for the recent PRTF forum, which provided an overview of the changes the Department has made. The forum was informative, collaborative, and set a framework for ongoing regulatory development.
View the full RCPA PRTF Cost Analysis here.
If you have any questions, please contact RCPA Policy Associate Emma Sharp.
DHS Shares Invitation to Apply for the Capacity Building Institute, Year 9
Invitation to Apply for the Capacity Building Institute, Year 9
Many people feel at a loss as to how to best provide support to individuals with a dual diagnosis (individuals with an Intellectual Disability and Autism with cooccurring mental health issues and challenging behaviors) to lead healthy, happy, and meaningful lives. Current best practices and supportive models that have shown to be most helpful are sometimes beyond the reach of people who work directly with individuals with a dual diagnosis.
The Capacity Building Institute (CBI), presented by the Office of Developmental Programs (ODP) and the Office of Mental Health and Substance Abuse Services (OMHSAS), addresses these issues from an individual and systemic level through training, integration of knowledge into practice, and opportunities to build a statewide cohort to work together to effect change and build capacity. The participants will share individual best practice experiences leading to recommendations to ODP and OMHSAS to facilitate a more effective delivery of services across systems.
The Capacity Building Institute (CBI) provides an in-depth learning opportunity to professionals across the entire service partnership, including direct support staff and supervisors, supports coordinators/case managers and supervisors, agency trainers, managed care organizations, behavior specialists, psychiatrists, professional counselors and therapists, and dual diagnosis treatment teams. CBI participants represent a wide range of agencies, including Direct Support Providers, Supports Coordination, State Hospitals, State Centers, Adolescent Residential Treatment Facilities, Autism Supports, Education, Resources and Training Centers, Administrative Entities, and the Health Care Quality Units.
The Capacity Building Institute will meet for nine, two-day sessions, beginning October 2025 and ending in May 2026. Three sessions will be live/in-person, and six will be live/virtual on Zoom. Tuition is $300. Hotel reservations are your responsibility at the live sessions. To apply for the CBI, please fill out the Capacity Building Institute Year 9 Interest Survey. Applications are due by September 16, 2025.
Please view the flyer for additional information on purpose, meeting dates and times, and training topics.
Registration Now Open for PCCD’s Statewide CIT Conference
Registration is now open for the Pennsylvania Commission on Crime and Delinquency’s (PCCD) 2025 Statewide Crisis Intervention Team (CIT) Conference CIT and Beyond. PCCD, in partnership with the Office of Mental Health and Substance Abuse Services (OMHSAS) and Center County CIT, has expanded this year’s conference to a two-day event, which will be held on October 28 – 29, 2025, at the Nittany Lion Inn at State College.
To register, view the agenda, and session descriptions, visit the CIT Conference web page.
Statewide Quarterly Positive Approaches & Practices Meeting to Be Held September 17
DHS Seeks Feedback on Commonwealth’s Rural Health Transformation Plan
Thank you for your participation in Pennsylvania’s rural health ecosystem, including those who attended a regional rural health summit. As a next step, DHS is gathering information, concepts, and additional ideas to shape the Commonwealth’s Rural Health Transformation Plan and reflect what they heard from rural providers, partners, and residents.
What DHS is asking for:
- Information and concepts in these summit-affirmed areas: Maternal Health, Mental and Behavioral Health, Aging and Access, Transportation and EMS, and the Rural Healthcare Workforce.
- Other ideas that improve access to care in rural communities, even if they fall outside those five areas.
Who can submit:
- Hospitals and health systems;
- Healthcare professionals;
- FQHCs and rural health clinics;
- State offices of rural health;
- Grantees providing services in rural areas;
- Healthcare leadership and administrators;
- Healthcare consumers;
- Community action organizations;
- Public and private business owners and organizations;
- EMS and transportation providers;
- Behavioral health, aging, and disability services partners, county commissioners, and other local or state government representatives, single county authorities, economic development organizations, professional organizations, community-based and faith-based organizations, philanthropy, and higher education and health provider training partners; and
- Other interested parties.
What to include:
Information to assist DHS in enhancing and transforming rural health, including core concepts, target problems, or opportunities for improvement, intended impact and success metrics, evidence or prior experiences, feasibility of ideas for rural settings, partners, costs and resources, innovation or adaptation, and sustainability.
Submit by: August 29, 2025
Find the Form Here
Questions or Accessibility Needs: Email
DHS may use the information gathered through this process in the development of future implementation; however, the Departments do not guarantee that this will occur.
Respondents should be aware that the responses will be public information and that no claims of confidentiality will be honored. DHS is not requesting, and does not require, confidential, proprietary information, or other competitively sensitive information to be included as part of a submission. Ownership of all data, material and documentation originated, prepared, and provided to the Departments during this process will belong exclusively to the Departments.
Please contact your RCPA Policy Director with any questions.
HB 1590 “4 Walls” Telehealth Legislation Passes House
Message from Rep. Dan Williams’s Office:
HARRISBURG, June 24 – Bipartisan legislation introduced by state Rep. Dan Williams, D-Chester, that would help Pennsylvanians take advantage of new federal Medicaid rules that give patients and clinicians more telehealth options for behavioral health services passed the PA House today with overwhelming support.
“The longstanding and outdated ‘four walls’ requirement has limited Medicaid reimbursement to services within the physical walls of a clinic,” said Williams. “This only creates barriers to care, particularly in rural areas and regions experiencing mental health workforce shortages.”
The Centers for Medicare and Medicaid Services gave states the option to waive the requirement on Jan. 1. In response, the Pennsylvania Department of Human Services has submitted a State Plan Amendment to adopt this flexibility, which is currently awaiting federal approval.
House Bill 1590 would repeal state regulations that conflict with the new federal flexibility. Importantly, the bill would not change existing rules requiring in-person treatment hours for outpatient behavioral health clinics.
“Under this bill, Pennsylvania can fully implement the change, expanding access to behavioral health services and reducing care gaps for our vulnerable populations across the Commonwealth,” Williams said.
The bill now moves to the state Senate for consideration.
It is important to note that, at this time, OMHSAS is awaiting approval from CMS. To address the Federal Medicaid payment conditions in the Pennsylvania statute, there was a need for this legislation to permit services be covered under Medicaid, and HB 1590 would achieve this. It is also important to reiterate that this bill will not change outpatient behavioral health clinic rules requiring in-person treatment hours. The passage of this bill will address these conditions for outpatient clinics as well as the delivery of SUD services.
Both the CMS SPA approval and the legislation would be retroactive to January 1, 2025.
Until then, the completion of both the SPA and the legislation on 4 walls flexibilities will remain in place. RCPA is grateful to have partnered with OMHSAS, House legislators, and other stakeholder associations on the development of this bill. We will continue our efforts in getting the legislation to the Governor’s desk.
If you have any questions, please contact RCPA COO and Director of Mental Health Services Jim Sharp.
OMHSAS Extends Pause on Voluntary and Involuntary Commitment Bulletin
The Office of Mental Health and Substance Abuse Services (OMHSAS) is extending the pause on the implementation of OMHSAS-25-02 Bulletin: Voluntary and Involuntary Commitment Forms, which was originally in place until August 27, 2025. OMHSAS is appreciative of all the stakeholders who took time to submit their comments and questions on the updated forms. Based on those comments, OMHSAS is planning to make further revisions to the MH 783 form that will require issuing a new bulletin.
The pause on the implementation of OMHSAS-25-02 will remain in effect until an updated bulletin is issued with the new MH 783 form. OMHSAS anticipates that the updated bulletin will be completed by the end of 2025, and the new bulletin will also have a separate effective date from the issue date to allow counties and providers to update their electronic systems, print new paper forms, and otherwise prepare for the transition to the updated forms. Counties continue to have the choice to use the prior forms or continue with the new forms issued in OMHSAS-25-02 until a new bulletin is issued. Providers, law enforcement, and other individuals using these forms should defer to their county mental health office in determining which version to use.
Along with the updated bulletin and MH 783 form, OMHSAS will be issuing an FAQ document to address questions they received on the forms more broadly and will be holding a Q&A session for stakeholders before the effective date of the new bulletin.
Questions may be sent electronically.
Take Advantage of Early Bird Rates for the 2025 RCPA Annual Conference!
RCPA’s 2025 Conference Strive to Thrive will be held in Hershey September 9 – 12, 2025. Early bird rates for registration end August 8! Be sure to register today and take advantage of the early bird rates!
RCPA is proud to host those who lead PA in health and human services at our Annual Conference. This year, DHS Secretary Valerie Arkoosh will be presenting as our kickoff plenary speaker on September 9. Throughout the week, we will hear updates from various departments and leaders of DHS, including:
- ODP Deputy Secretary Kristin Ahrens;
- OLTL Deputy Secretary Juliet Marsala;
- DDAP Deputy Secretary Kelly Primus; and
- OMHSAS Deputy Secretary Jennifer Smith.
View our Registration Brochure for complete details of the conference schedule and speakers. You can also register directly here. Be sure to check the RCPA Conference website regularly for details and updates to the schedule, registration, and sponsors/exhibitors.
In addition to registration, there are still many opportunities available for sponsorship and exhibit booths, so don’t delay! We are grateful to all our sponsors and exhibitors who help make the conference happen. If your organization is interested in sponsoring or exhibiting at our conference, all information is available in our Sponsor, Exhibit, and Advertise Brochure. You can contact Carol Ferenz, Conference Coordinator, for more details.
Thank you to our Sponsors and Exhibitors! We thank you for your support!
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