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Tags Posts tagged with "PBC"

PBC

Checklist concept - checklist, paper and pen

In alignment with key quality metrics and the implementation of “Everyday Lives: Values into Action,” all Administrative Entities (AE), Support Coordination Organizers (SCO), and Providers are required to complete a Quality Assessment & Improvement (QA&I) self-assessment of their performance on the provision of services and supports to individuals annually. The QA&I self-assessment requirement applies to all entities, regardless of the type of review (i.e., full review or record review only).

Exception: The QA&I Self-Assessment will be optional for SCOs scheduled to receive a full review in C3Y1, due to the concurrent demands of preparing for Performance-Based Contracting (PBC).

On July 1, 2025, a hyperlink will be sent to the email address of the entity’s primary contact from the QA&I Process mailbox ([email protected]) with the subject line “Action Required! The QA&I Cycle 3, Year 1 Self-Assessment – (Entity) is now available!” If the primary contact does not receive this email, please check spam and junk mail folders to ensure the email did not filter to one of those folders in error. If the entity’s primary contact does not receive the link by the end of the day on July 1, please email the QA&I Process mailbox for assistance.

All self-assessments must be submitted electronically to ODP via QuestionPro utilizing the hyperlink. Each entity must complete the applicable self-assessment by COB August 31, 2025. An entity shall submit only ONE self-assessment for their entire agency.

If an entity does not complete a self-assessment, a Directed Corrective Action Plan (DCAP) will be issued and ODP and/or the AE may elect to conduct a full review regardless of an organization’s regularly scheduled full review within the three-year cycle.

Please direct any inquiries, issues, or concerns regarding this communication to the QA&I Process mailbox. Read the ODP Announcement for more details.

On June 16, 2025, the Office of Developmental Programs (ODP) held its quarterly Performance-Based Contracting (PBC) Provider Forum. During this session, ODP presented and reviewed current PBC data to support provider preparedness and engagement in the PBC process.

ODP will continue to review the content of these quarterly forums, including the data presented, with the Information Sharing and Advisory Committee (ISAC) Provider Performance Review Subcommittee. In addition, ODP will analyze emerging trends and themes related to the ongoing implementation of performance-based contracting.

The slides from the presentation are available here. A recording of the forum will be released at a later date by ODP.

For questions or comments, please reach out to Tim Sohosky.

The Office of Developmental Programs (ODP) has shared ODPANN 25-056, which states that the Performance-Based Contracting (PBC) Residential Provider Directory is now available. PBC applies to the Consolidated Waiver and the Community Living Waiver. Individuals and families can use this directory for additional information when making a choice of providers.

Providers are placed in one of the following tiers based on their performance in the areas described below:

  • Primary: For providers that meet current standards and a few additional measures.
  • Select: For providers that deliver at least two of the three residential services in the Performance-Based Contracting model and meet the additional measures.
  • Clinically Enhanced: For providers that offer clinically enhanced medical or behavioral supports and meet the enhanced measures.

The website also indicates if a provider is in conditional status due to a licensing enforcement action.

If you have any questions, please reach out to the ODP PBC inbox.

The Office of Developmental Programs (ODP) has begun distributing notifications related to Performance-Based Contracting (PBC) and Pay-for-Performance (P4P) awards to designated representatives of residential providers.

If you have not yet received your PBC or P4P notification, please contact ODP electronically.

If you believe there is a discrepancy in your tier determination or P4P award, please reach out directly to Tim Sohosky for assistance with resolving the issue.

The Office of Developmental Programs (ODP) is hosting a forum to support provider preparedness regarding performance-based contracting. ODP will review the quarterly forums and discuss data presented to the Information Sharing and Advisory Committee (ISAC) Provider Performance Review Subcommittee. ODP will also review the emerging themes or trends with the implementation of performance-based contracting.

Audience: Residential Providers

Date: June 16, 2025, 1:30 pm – 3:00 pm

Register Here

Image by Werner Moser from Pixabay

The Office of Developmental Programs (ODP) is hosting a series of public comment webinars to provide an overview of how ODP proposes to implement Performance-Based Contracting (PBC) for Supports Coordination (SC) services, effective January 1, 2026. Additional proposed changes to the Consolidated, Person/Family Directed Support (P/FDS), and Community Living Waivers that are not related to Performance-Based Contracting will also be covered.

Preregistration is required. Registered participants will have the opportunity to provide verbal comments during the session. Each session will also be held for specific stakeholder groups.

The SCO meeting will be held May 6, 2025, at 1:00 pm – 2:30 pm. You can register here.

The Office of Developmental Programs (ODP) has shared ODPANN 25-041, which informs all interested stakeholders of the opportunity to submit public comments on:

  • Performance-Based Contracting for Supports Coordination services scheduled to take effect January 1, 2026. This includes:
    • Proposed changes to the 1915(b)(4) waiver and Consolidated, Community Living, and P/FDS waivers related to Performance-Based Contracting;
    • Proposed Implementation Plan for Performance-Based Contracting for Supports Coordination;
    • Proposed rates effective July 1, 2026, for Supports Coordination Organizations that meet criteria for the Select tier; and
    • Proposed changes to the Targeted Support Management State Plan.
  • Additional waiver amendments (not related to Performance-Based Contracting) to the Consolidated, Community Living, and P/FDS waivers scheduled to take effect January 1, 2026.

The public comment period starts on April 19, 2025, and ends on May 26, 2025, at 11:59 pm for all proposed changes in this communication. Please view the announcement for additional information and details.