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OMHSAS

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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“The longstanding and outdated ‘four walls’ requirement has limited Medicaid reimbursement to services within the physical walls of a clinic,” said Williams.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.

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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.

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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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Checklist concept - checklist, paper and pen

The Pennsylvania Department of Drug and Alcohol Programs (DDAP) and the Department of Human Services (DHS) launched a new initiative designed to reduce administrative burden for substance use disorder (SUD) and mental health treatment providers that are licensed by both agencies.

Specifically, licensing staff from both DDAP and DHS will begin conducting coordinated annual inspections of SUD and mental health treatment facilities that are licensed by both agencies for outpatient, partial hospitalization, and residential services. The new initiative, which is voluntary, could impact up to 170 jointly licensed facilities that provide SUD and mental health services.

DDAP and DHS launched the new initiative today, July 14, by holding a webinar for impacted providers on the new inspection process, including how to pre-submit information. In addition, the agencies plan to survey providers to receive feedback on the new process that will allow for any necessary modifications to be made to the joint inspection process.

“On behalf of our behavioral health provider members across the Commonwealth, I want to thank DDAP and DHS for their hard work on this initiative. Reducing administrative burden has been and remains a top priority for RCPA, and we are grateful that the Shapiro Administration has responded, not only with this joint licensing inspection process, but with the other work it is currently doing to address provider burdens, including its work to reform regulations,” said Jason Snyder, Substance Use Disorder Treatment Services Director of Rehabilitation & Community Providers Association. “We look forward to continuing to collaborate with both departments in the future on additional ways to enable providers to put even more of their focus on patient care.”

Read the entire press release.

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The Office of Mental Health and Substance Abuse Services (OMHSAS) July 2025 Stakeholder Webinar is currently scheduled for Thursday, July 17, 2025, from 3:00 pm – 4:00 pm. You can register for the webinar here. After registering, you will receive a confirmation email containing information about joining the webinar.

For those that want to join via phone:
Call-in Number: (562) 247-8321
Access Code:  289-226-375

Please contact Emma Sharp, Behavioral Health Policy Associate, with any questions.

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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.

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Photo by Markus Winkler on Unsplash

The Office of Mental Health and Substance Abuse Services (OMHSAS) issued OMHSAS-25-02 Voluntary and Involuntary Commitment Forms on May 27, 2025. In response to concerns from stakeholders, OMHSAS will be pausing implementation of this bulletin for 90 days, through August 27, 2025. In addition to giving providers the opportunity to update electronic health records and print new forms, OMHSAS will use that time to continue to receive and respond to stakeholder questions and to schedule Q&A sessions. The department thanks stakeholders for the comments that have been provided so far and welcomes additional comments and questions, which can be sent electronically.

OMHSAS-25-02 and all forms can be found at links provided. As OMHSAS continues to work towards standardized Mental Health Procedures Act Forms that work across the Commonwealth, they appreciate your partnership and input.

Contact Emma Sharp with any questions.

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The Office of Mental Health and Substance Abuse Services (OMHSAS) has announced the Voluntary and Involuntary Commitment Forms Bulletin, OMHSAS-25-02, effective May 27, 2025, with updated forms for counties to use. For some time, counties have used different customized versions of the MH 783 statewide form. This has resulted in provider confusion, especially when an individual who is the subject of a 302 warrant is transported to a provider across county lines. OMHSAS is updating the MH 783 form and requiring counties to use this form without modifications. OMHSAS is also updating accompanying forms MH 781, MH 783A, MH 783B, MH 785, and MH 788 for use by County Mental Health/Intellectual and Developmental Disabilities (MH/IDD) administrators or their delegates for initiating the involuntary commitment of individuals at risk of harming themselves or others due to behaviors associated with acute mental illness. This bulletin announces that OMHSAS has revised forms for voluntary and involuntary commitment evaluations. Each of the revised forms has updated language, including changes accounting for Act 65 of 2020, references from “DPW” to “DHS,” and general clarification and modernization of the language within the forms.

The non-English versions are still in process, and another announcement will be posted when the links to those versions are available.

MH-783 Bulletin can be found DHS’s Bulletin web page. Additional forms can be found here.

Please contact RCPA Policy Associate Emma Sharp with any questions.

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