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OMHSAS

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The Pennsylvania Independent Regulatory Review Commission (IRRC) has completed their review of existing Intensive Behavioral Health Services (IBHS) regulations codified at 55PA. Code chapters 1155 and 5240, as requested by the RCPA IBHS Steering Committee.

The RCPA IBHS Regulatory Reform Recommendations, submitted on November 29, 2022, requested the commission to review the IBHS regulations under section 8.1 of the Regulatory Review Act, which provides that the commission may review any existing regulation which has been an effect for at least three years.

The commission has noted the burden placed on providers by the Department of Human Services regulation, but while they appreciated our concerns, the commission’s role is to determine whether existing regulations, as a whole, remain in the public interest. In the commission review letter, they determined that further action by the commission is not warranted in this matter.

We have been in contact with OMHSAS throughout this two-year period, and the commission provided the department with guidance as part of the review process. Despite the ruling from the IRRC, OMHSAS has agreed that they will reopen the IBHS for review as announced by OMHSAS Deputy Secretary Jennifer Smith at the RCPA Conference last week. RCPA will be reviewing the recommendations to calibrate those areas that continue to create barriers to access that have arisen since the recommendations created in the Fall of 2022.

If you have any questions, please contact RCPA COO and Policy Director Jim Sharp.

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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!

Understanding Trauma: Expressive Therapies

In this issue of the Positive Approaches Journal, we see that there have been important strides in identifying the prevalence of trauma and the complex consequences of trauma from multiple sources, including social adversity, abuse, and neglect. The focus is on the importance of taking this into consideration on every level, from systems collaboration, to how we assess, diagnose, treat, and offer restorative environmental supports to individuals with intellectual disability and autism (ID/A).

This issue of Positive Approaches Journal is in digital form, available for viewing online or for downloading at MyODP. To print a copy of the PDF, online journal, or a specific article, you will find these options within your left navigation bar on any Positive Approaches Journal page. A new window will open with your selected document. In your browser, you may click the Print button in the top left corner of the page, or by using the Print capability within your browser.

Please submit feedback regarding your experience with the Positive Approaches Journal on MyODP.

The Positive Approaches Journal is published quarterly. For additional information, please contact ODP Training’s inbox.

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The Pennsylvania Department of Human Services (DHS) Office of Mental Health and Substance Abuse Services (OMHSAS) will be holding quarterly public meetings for anyone interested in discussing the topic of peer support services (PSS) working in the mental health realm. These meetings will provide a regularly scheduled opportunity for OMHSAS representatives to give PSS updates and information as well as answer questions and obtain essential insight and feedback from stakeholders.

The first quarterly meeting will be held on October 8, 2024, at 9:00 am – 10:00 am. The TEAMS meeting link is available here. Going forward, these meetings will be held on the second Tuesday in the months of January, April, July, and October 2025. Attendees will receive general updates and discussion topics OMHSAS will send ahead of time. Meeting links will also be provided in advance of each meeting.

Recommendations for agenda topics or questions can be submitted via email and must be submitted at least two weeks prior to the meeting date. The email account will be monitored, and the sender will receive a reply if more information is needed. Responses will not be provided if additional information is not needed.

If you or your colleagues would like to be added to an OMHSAS Listserv to receive the quarterly invitations, please go to the Listserv DHS website, then select the “join or leave the list” link.

Meeting Dates:

  • Tuesday, October 8, 2024, 9:00 am
    • Topic: Introductions, Welcome, & OMHSAS Updates
  • Tuesday, January 14, 2025, 9:00 am
    • Agenda Topics Due December 30, 2024
  • Tuesday, April 8, 2025, 9:00 am
    • Agenda Topics Due March 25, 2025
  • Tuesday, July 8, 2025, 9:00 am
    • Agenda Topics Due June 24, 2025
  • Tuesday, October 14, 2025, 9:00 am
    • Agenda Topics Due September 30, 2025

OMHSAS is open to ideas and suggestions on maximizing the effectiveness of these meetings.

These quarterly meetings are not a replacement for the Mental Health Planning Council quarterly meetings. Those meetings will continue in addition to these newly established meetings.

OMHSAS appreciates your review and hope you will join them for these PSS discussions. Questions pertaining to these meetings should be submitted via email.

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On July 19, 2024, the Office of Mental Health and Substance Abuse Services (OMHSAS) presented a Value-Based Purchasing (VBP) Provider Technical Assistance Webinar. The webinar, developed and presented by OMHSAS and their partner Mercer, provided an excellent overview of the VBP landscape and valuable guidance for providers to consider future efforts to incorporate VBPs into their service matrix.

OMHSAS supports providers interested in pursuing VBP programming to contact and collaborate with their respective BH-MCOs on VBP options. The Value-Based Purchasing (VBP) Provider Technical Assistance PowerPoint provides an outline of the information covered in the webinar. Should you have any questions or comments, please contact the OMHSAS VBP Resource Account via email.

If you have any additional questions, please contact RCPA Policy Directors Jason Snyder or Jim Sharp.

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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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Photo by Markus Winkler on Unsplash

The Office of Mental Health and Substance Abuse Services (OMHSAS) Deputy Secretary Jen Smith recently provided an update on the federal four walls rule. The Centers for Medicare and Medicaid Services (CMS) has issued a proposed rule, or Notice of Public Rulemaking, that could create exceptions to the existing four walls requirement for IHS/Tribal clinics, behavioral health clinics, and clinics located in rural areas.

The official language posted to the federal register can be found on page 15 of the Federal Register, which is scheduled to be published on July 22, and is copied below.

“This proposed rule includes a proposal to create exceptions to the Medicaid clinic services benefit four walls requirement, to authorize Medicaid payment for services provided outside the four walls of the clinic for IHS/Tribal clinics, behavioral health clinics, and clinics located in rural areas. Our current regulation at 42 CFR § 440.90(b) includes an exception to the four walls requirement under the Medicaid clinic services benefit only for certain clinic services furnished to individuals who are unhoused. We believe these proposed exceptions would help maintain and improve access for the populations served by IHS/Tribal clinics, behavioral health clinics, and clinics located in rural areas.”

As a reminder, this is a proposed rule intended to announce and explain CMS’s plan to address the problem. As such, all proposed rules must be published in the Federal Register to notify the public and give them an opportunity to submit comments. The proposed rule and the public comments received on it form the basis of a final rule. More information on the final rulemaking process is available here. Interested parties should provide public comments on this proposed rule to the addresses listed in the federal register by September 9, 2024.

While CMS works through this process, OMHSAS, RCPA, and the PA General Assembly continue efforts to address this through the recently released HCO 3450 legislation that will address the psychiatric outpatient in-office requirements and the Medicaid “4 walls” standards. RCPA will work with our members and the National Council for Mental Wellbeing on developing public comments for submission regarding this proposed rule. If you have any questions, please contact RCPA COO and Mental Health Policy Director Jim Sharp.

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The Bureau of Children’s Behavioral Health Services is pleased to invite stakeholders to an informational webinar. This webinar, scheduled for Thursday, July 25, 2024, at 1:00 pm, will highlight significant sections of the proposed Psychiatric Residential Treatment Facility (PRTF) regulations prior to the public comment period. Please note that comments and questions will not be addressed as part of this webinar but may be submitted during the public comment period.

The proposed PRTF regulations will codify the minimum licensing standards and Medical Assistance (MA) participation requirements and payment conditions for PRTFs that provide medically necessary behavioral health treatment to children, youth, or young adults under 21 years of age with a behavioral health diagnosis. Questions/comments about this webinar should be submitted electronically. If you have any additional questions, please contact RCPA CCO and MH Policy Director Jim Sharp.

View the details below to join the webinar:

Microsoft Teams Need help?
Join the Meeting
Meeting ID: 268 368 479 297
Passcode: q2SZFu

Dial in by phone
+1 267-332-8737,,363691933# United States, Philadelphia
Find a local number
Phone conference ID: 363 691 933#

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The Office of Developmental Programs (ODP) and the Office of Mental Health and Substance Abuse Services (OMHSAS) have announced the latest edition of the Positive Approaches Journal is now available!

Understanding Trauma: From Theory to Practice

This issue of the Positive Approaches Journal addresses the approach to trauma and its role in the lives of individuals with intellectual disabilities and autism (ID/A) and mental illness from a variety of perspectives. Just as trauma arises from a variety of sources and experiences, addressing it in a meaningful, accessible way requires that each voice is heard, valued, and respected.

There are foundational principles that are vital in determining the best path forward in a trauma-informed manner, and we can and should learn from and leverage these principles and best practices. The goal of this issue of the Positive Approaches Journal is to present diverse, expert voices in understanding trauma from theory to practice.

This issue of Positive Approaches Journal is in digital form, available for viewing online or for downloading at MyODP’s website.

To print a copy of the PDF, online journal, or a specific article, you will find these options within your left navigation bar on any Positive Approaches Journal page. A new window will open with your selected document. In your browser, you may click the Print button in the top left corner of the page, or by using the Print capability within your browser.

Please submit feedback regarding your experience with the Positive Approaches Journal on MyODP by selecting the feedback image on MyODP within your left navigation bar on any Positive Approaches Journal page.

The Positive Approaches Journal is published quarterly. For additional information, please contact ODP electronically.

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The next Office of Mental Health and Substance Abuse Services (OMHSAS) Stakeholder Webinar is scheduled on Thursday, August 1, 2024, from 3:00 pm – 4:00 pm. To participate, please register for the webinar using the provided registration link. After registering, a confirmation email will be sent to you with details on how to join the webinar.

If you have any other questions, please contact RCPA COO and Policy Director Jim Sharp.

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Folders with the label Applications and Grants

The Office of Mental Health and Substance Abuse Services (OMHSAS) is offering funding through the Bipartisan Safer Communities Act to support Community Mental Health Services Block Grants. Millersville University of Pennsylvania will administer these grants to implement Community Violence Intervention Projects aimed at reducing trauma in communities affected by gun violence. The university plans to award grants to 2–6 nonprofit organizations, with contracts expected to start in July or August 2024 and ending on June 30, 2025. Applicants can request a budget of up to $250,000 but not exceeding $150,000 for the initial term.

Applications are due by July 31, 2024. Completed applications must be submitted as a PDF via email. For more information, contact Millersville via email or visit the Millersville University Safer Communities Grant Information page. For full details and application instructions, refer to the Request for Applications (RFA) flyer.

If you have any other questions, please contact RCPA COO and Policy Director Jim Sharp.

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