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Tags Posts tagged with "OMHSAS"

OMHSAS

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Last year, RCPA met with its provider members regarding the provision of group psychotherapy services via telehealth in the client’s home. RCPA then met with the Office of Mental Health and Substance Abuse Services (OMHSAS) to discuss the possibility of allowing this flexibility in an effort to fully realize the use of telehealth technology to enhance access.

Today, the Department of Human Services’ Medical Assistance (MA) Bulletin #99-25-02 outlines revisions to the MA fee schedule. The following changes are specific to behavioral services and are effective May 1, 2025:

  • Procedure code 99452 (Interprofessional Services) is now open for provider type (PT)/Specialty combination 08/184 (Outpatient Drug and Alcohol).
  • Place of Service (POS) 10 — Telehealth Provided in Patient’s Home is now available to use with the procedure code 90853 (group psychotherapy) for PT/Specialty combination 08/110 (Psychiatric Outpatient).

Please see the section titled “Behavioral Health Services” on page 6 of the bulletin for additional information related to these revisions.

If you have questions about these changes, please reach out to OMHSAS electronically or RCPA COO and Policy Director Jim Sharp.

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In a presentation to the Medical Assistance Advisory Committee today, Office of Mental Health and Substance Abuse Services (OMHSAS) Deputy Secretary Jen Smith shared data that shows a significant increase over the past three years in behavioral health managed care organization (BH-MCO) decisions to deny services to their members or contracted providers.

In addition to denial data for calendar years 2022 through 2024, the report also provides data on grievances and complaints and defines what each of those is. Notably, the 2024 data does not include the fourth quarter of the year.

The most egregious service type denials are seen in two categories: 1) non-hospital residential withdrawal management, rehabilitation and halfway-house services for drug/alcohol abuse or substance use disorders; and 2) IBHS for children and adolescents with mental health or substance use disorders. Although the IBHS denials appear down slightly in 2024, when the fourth quarter data is added, the number is likely to increase. On the SUD side, even without fourth quarter data, denials for the non-hospital residential substance use disorder treatment services are up 45 percent over 2023.

The presentation breaks down the number of denials per year per BH-MCO since 2022.

The increases in denials in 2024 occurred at the same time OMHSAS acknowledged a significant miscalculation of capitation rates, resulting in underfunding of the behavioral health system, including primary contractors and BH-MCOs, by hundreds of millions of dollars.

Deputy Secretary Smith cautioned that there are multiple factors to consider when reviewing the data and increase in denials, including Pennsylvania’s SUD treatment system’s ongoing alignment with ASAM Criteria and the increased BH-MCO scrutiny on providers and individual BH-MCO interpretation of ASAM Criteria.

The full presentation is available here.

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The Department of Human Services’ invites you to the Department of Human Services (DHS) Statewide Positive Approaches & Practices Meeting. Jointly hosted by the Office of Mental Health and Substance Abuse Services (OMHSAS) and the Office of Developmental Programs (ODP), this quarterly meeting aims to provide the most recent research and resources for people with mental health and behavioral challenges, intellectual disabilities, autism, and other developmental disabilities to live an everyday life. Please see the flyer for detailed information.

Date: May 15, 2025
Time: 10:00 am – 3:00 pm
Location: Zoom Webinar

  • Morning Session: Run. Dance. Play. What’s Your Move? Promoting Physical Activity with the Move Your Way® Campaign
  • Afternoon Session #1: Unlocking Potential: An Overview of Special Olympics Pennsylvania’s Community Sport, Health & Fitness, and In-School Programs
  • Afternoon Session #2: What’s Strong With You? A Shift to Resiliency-Informed Care

Register Here

The Zoom link for joining the session will be sent to the email you used to register. This link will be unique to your registration. Please do not share this link.

Questions? Send via email to PATraining.

Please note that Certificates of Attendance are not issued for Statewide Positive Approaches and Practices Meetings.

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The Office of Mental Health and Substance Abuse Services (OMHSAS) April 2025 Stakeholder webinar is currently scheduled for Thursday, April 24, 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) 247-8422
Access Code: 757-198-515

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The Intersection of Mental and Physical Health Impacting our Communities: Part 1

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

This issue of the Positive Approaches Journal looks at topics related to challenges around maintaining and supporting both physical and mental health, as well as information on resources. This issue looks at the shortage of both primary health and mental health care professionals, and the five primary health conditions that can significantly elevate the risk of severe illness and death in individuals with ID/A. Other topics include: supporting the nutritional needs of individuals with autism, utilizing a public health approach to address wellness for individuals who have encountered trauma, and supporting individuals and their families who have survived suicide.

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

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The Office of Mental Health and Substance Abuse Services (OMHSAS) conducted Technical Assistance (TA) sessions regarding the updated Psychiatric Rehabilitation Services (PRS) regulations outlined in 55 Pa. Code Chapter 5230. These sessions were held in November 2024 for licensed PRS providers and Behavioral Health Managed Care Organizations (BH-MCO). The revised regulations became effective on January 18, 2025. To further support licensed PRS providers and BH-MCOs in implementing the new regulatory requirements, OMHSAS has released a Frequently Asked Questions (FAQ) document addressing common questions identified during those sessions. The FAQ document is now available; you can view the document here.

The FAQ document can also be found at the links below.

Comments and questions regarding this memorandum should be submitted via email to the DHS Psych Rehab inbox. You can also contact RCPA Policy Associate Emma Sharp.

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The Office of Mental Health and Substance Abuse Services (OMHSAS) has announced the speakers for their Children’s Crisis Intervention Forum, which will be held April 29 – 30, 2025, at the Hilton Harrisburg. The speakers will include:

  • Drew Martel, LISW, CADC, is a leading expert in crisis intervention and suicide prevention, overseeing crisis response programs at CommUnity Crisis Services.
  • Amanda Gillespie, LISW-S, is the MRSS Coordinator at Case Western Reserve University, with expertise in crisis intervention and youth mental health.
  • Heather Distin, Project Director at Case Western Reserve University, is a licensed clinical counselor with 20 years of experience in youth behavioral health and multi-system collaboration.
  • Ashley Nichols-Kaye, MS, MHP, CHCO, is the Program Manager for Human Services Quality Management and HIPAA Compliance at Venango County Human Services.
  • Dr. Rhonda Boyd is a faculty member at PolicyLab at Children’s Hospital of Philadelphia (CHOP) and an associate professor of Psychology in Psychiatry at the University of Pennsylvania School of Medicine. She is also the associate director of CHOP’s Child and Adolescent Mood Program.
  • Jennifer Foxworthy, a retired U.S. Navy veteran, is the Founder and CEO of Inspirationally Speaking, LLC, and Unstoppable You Ministries, Inc., serving others as a motivational speaker, author, and coach.

From experienced insights to actionable strategies, these speakers (and more) will inspire your impact!

Date: Tuesday, April 29 – Wednesday, April 30, 2025
Location: Hilton Harrisburg (discounted accommodations available)
Parking: Discounted parking provided to conference guests
Register Today – Space is Limited!

Please contact RCPA Policy Associate Emma Sharp with any questions.

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The Office of Mental Health and Substance Abuse Services (OMHSAS) is pleased to announce that the draft application for the Fiscal Year 2025 Projects for Assistance in Transition from Homelessness (PATH) grant is now available for public comments. The draft application has been posted for public review on the Mental Health in PA website.

The PATH grant is a non-competitive formula grant available to all states and territories by the Stewart B. McKinney Homeless Assistance Amendments Act of 1990. PATH programs serve individuals with serious mental illness experiencing or at imminent risk of homelessness. The PATH grant application is submitted to the federal agency Substance Abuse and Mental Health Services Administration (SAMHSA) annually.

Please note that this is the Pennsylvania application to SAMHSA. This is not a request for new PATH project proposals.

The PATH Application public comment period will remain open until 10:00 am Friday, March 21, 2025. If you have any questions or comments, please send them to Lauren MacWithey, Pennsylvania PATH Grant Coordinator, via email.

Please contact RCPA Policy Associate Emma Sharp with any additional questions.

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