The Office of Developmental Programs (ODP) has shared ODPANN 24-103 and its attachment. This announcement provides details about the Residential Performance-Based Contracting (PBC) Pay-for-Performance (P4P) initiatives. Please view the announcement and its attachment for additional information and details.
The Office of Development Programs (ODP) will be hosting the first quarterly residential provider forum to provide support for provider Performance-Based Contracting (PBC) preparedness. During this session, ODP will provide a status update on PBC applications; review the PBC presented to the Information Sharing and Advisory Committee (ISAC) Provider Performance Review Subcommittee; review the emerging themes or trends with the application submissions; and offer the opportunity for providers to ask questions.
Audience:
Residential Providers
Date:
October 4, 2024, 11:30 am – 1:00 pm
The Information Sharing and Advisory Committee (ISAC) met today and discussed several items of interest. Deputy Secretary Ahrens provided an update on the budget and Performance-Based Contracting, including changes made to the program based on public comment. The Deputy Secretary reported that more than 95% of current residential providers have signed a new contract, and a small number have submitted their data to be evaluated for a tier assignment in the first submission period. The majority of providers appear to be waiting until February 2025 to submit data for tier assignments.
UPDATE: The PowerPoint presentation is now available and can be viewed here.
ODP is still in the procurement process of finding a Performance Analysis Service (PAS) provider. Madeline Wagner has joined the ODP staff as the PBC Measure Coordinator and began in July. The Supports Coordinator Strategic Thinking Group is planning to reconvene on September 11, 2024.
ODP staff provided updates on the strategies that are being utilized to work toward ISAC recommendations. Recommendation #2, Promote Self-Direction, Choice & Control, and Recommendation #14, Racial Equity were reviewed.
Recommendation #1, Assure Effective Communication, and also Recommendation #8, Simplify the System, were also discussed.
The Office of Developmental Programs (ODP) has shared ODPANN 24-082. The announcement advises providers of the availability of the Incident Management (IM) Overview Dashboard to Assess Performance-Based Contracting (PBC) Measures RM-IM.01.2, .01.3, and .01.4 Guide on MyODP. Please view the announcement for information on the guide and how to access it.
The Office of Developmental Programs (ODP) has shared a reissue of ODPANN 24-081. The communication is being reissued to provide agencies with Performance-Based Contracting (PBC) specific data and instructions on how to access available data in the EIM Dashboard. Please view the communication for important information and details.
The Office of Developmental Programs (ODP) has published ODPANN 24-078, which is a resource that has been developed from questions submitted to the Performance-Based Contracting (PBC) Resource Account. Questions have been categorized by topic and performance measures.
The FAQ can be accessed at Performance-Based Contracting FAQs – MyODP. ODP will continue to update this site with answers to recurring questions that are sent to the RA account.
The Office of Developmental Programs (ODP) presented updates for residential providers on Performance-Based Contracting (PBC) this morning, July 29. The Deputy Secretary also reminded residential providers that ALL providers must submit a Residential Provider agreement to ODP by August 31, 2024. Those who have not yet submitted an agreement will be receiving a warning letter.
An overview of updates included revisions to proposed waiver submissions, an implementation plan, supporting documents, instructions for tier determination, and provider data submission. Additional information was also shared on the following:
View the full presentation here.
ODP Bulletin 00-24-01 Performance-Based Standards for Residential Services has been published, providing detailed information regarding the standards that will be utilized to evaluate performance of residential providers in PA. An expected timeline for implementation of residential performance standards and tier assignment and the evaluation standards that will be used to assign tiers to providers have also been published.
ODP submitted waiver amendments for the 1915(c) waiver and the new 1915 (b)(4) waiver to the Centers for Medicare & Medicaid Services (CMS) on July 26, 2024. RCPA anticipates the fee schedule rates will be published in the PA Bulletin on August 31, 2024. Implementation of the new rates will happen October 1, 2024, with an effective date of July 1, 2024.
All non-residential services, including participant directed services, will receive an 8% increase. All residential services will receive a 6% increase. Implementation of PBC will include rate add-ons of:
Pay for Performance will also be available.
ODP will hold a webinar on Monday, July 29, to provide an overview of these changes. You can register for the meeting here. Please direct any questions about this information to ODP electronically.
To achieve the highest tier in the Office of Developmental Program’s (ODP) new performance-based pay initiative, providers must use an EHR and an eMAR. Providers are assessed annually, and their tier determines their reimbursement rates.
Join SETWorks on Wednesday, July 31, 2024, at 12:00 pm ET for a group discussion, where they will demonstrate how they support all criteria and reporting metrics to meet the highest performance/payment tiers from ODP.
SETWorks in Pennsylvania:
After reviewing hundreds of comments from stakeholders, the Office of Developmental Programs (ODP) has made some initial adjustments to the proposed Performance-Based Contracting waiver for Residential Services. Areas with high volumes of comments included:
ODP is now offering Residential providers a choice of when they are assigned into a tier. This will be based on which data they chose for ODP to review and make a tier determination upon. The choices will be:
ODP plans to continue their review of public comments and intends to publish additional information. On July 19, ODP hopes to submit amended the 1915(c) waivers and 1915(b)4 waiver as well as publish the following supporting documents:
On January 1, 2025, ODP intends to begin Performance-Based Contracting (pending CMS approval).
ODP will conduct a webinar for residential providers on Monday, July 22, 2024, from 3:00 pm – 4:00 pm, to review publications, changes made as a result of public comment, and instructions for tier determination and data submission. Register here. This webinar will be posted on the PBC Resource Page located on the MyODP website.
