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Tags Posts tagged with "Performance-Based Contracting"

Performance-Based Contracting

The Office of Developmental Programs (ODP) has shared this important reminder for the provider forum for support provider preparedness for Support Coordination Organizations (SCO). 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:
Supports Coordination Organization (SCO)

Date and Time:
March 3, 2026
1:00 pm – 2:30 pm

Register Here

The Office of Developmental Programs (ODP) has shared this important reminder for the Performance-Based Contracting (PBC) Provider Forum for Residential Providers. This forum is provided to support provider preparedness. 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 and Time:
March 11, 2026
2:00 pm – 3:30 pm

Register Here

ODP Residential Providers are reminded that the ODP MyPBC Portal is now open for providers to submit their Performance-Based Contracting (PBC) data. The portal will remain open for providers to submit their data until March 16, 2026, at 11:59 pm.

ODP held a training for the MyPBC Portal system for Residential Service Providers. The recording of this session can be found here.

Please view ODPANN 26-017 for more details.

The Office of Developmental Programs (ODP) announces the upcoming data submission window for Performance-Based Contracting (PBC) to Providers of Residential Habilitation, Life Sharing, and/or Supported Living services in the Consolidated and/or Community Living Waivers (residential services) for contract year 2026/27.

ODP will hold a training for the MyPBC Portal system for Residential Service Providers on Thursday, February 5, 2026. Providers may register to attend using the MyPBC Portal Training GoTo Webinar link or access the MyODP Performance-Based Contracting web page for more information.

Please view ODPANN 26-017 for more details.

Photo by Markus Winkler on Unsplash

The Office of Developmental Programs (ODP) has shared an update to ODPANN 24-082. This communication advises providers of the availability of the ODP updated Guidance for Reviewing Data for Performance-Based Contracting (PBC) Measures RM-IM 01.2 and 01.3. The guidance and recorded webinar can be found on MyODP at Performance-Based Contracting – MyODP in the Data Folder. Updates appear underlined in red text.

Please view the announcement for more details.

The Office of Developmental Programs (ODP) has shared ODPANN 25-107. This communication is to inform all interested parties that the Centers for Medicare and Medicaid Services (CMS) approved amendments to the 1915(b)(4) Performance-Based Contracting (PBC) waiver and the Consolidated, Community Living, and P/FDS Waivers effective January 1, 2026. All waivers are available on the Department of Human Services’ (DHS) website.

ODP will be holding one webinar to provide a high-level overview of Performance-Based Contracting and additional major changes made in the approved waivers. There will be time during the session for presenters to answer questions submitted by participants during the webinar.

Consolidated, Community Living, and P/FDS Waiver Amendment Overview
December 15, 2025

11:00 am – 12:00 pm
Register Here

Please review the ODP Announcement for more details.

The PA Office of Developmental Programs (ODP) hosted a Supports Coordination Organization (SCO) Forum to provide status updates and data related to the recently completed desk review for Performance-Based Contracting. All PBC submissions have been scored, and results will be emailed to SCOs shortly, with final results published on the DHS website in January 2026. The new contract cycle is effective from January 1, 2026, to June 30, 2027.

Pay-for-Performance (P4P) and Portal Feedback

  • P4P Updates: Capacity building investments continue, with $3.835 million available for Credentialing and another $3.835 million available for Technology. A total of 45 SCOs submitted for at least one of these two investments.
  • MyPBC Portal: ODP requested feedback on SCOs’ experience using the new MyPBC Portal for submissions.

Notification Letters and the Critical Resolution Process

Notification letters regarding determination are now being sent, which will include a list of any performance measures the SCO did not meet.

  • Mandatory QM Plans: SCOs with unmet measures are required to create and implement a Quality Management Plan (QMP) to meet the standards before the next PBC submission period.
  • Resolution Deadline is Strict: The most crucial detail shared is the deadline for challenging an unmet measure determination. SCOs will have only seven calendar days from the receipt of their determination letter to initiate the Resolution Process.
  • Process Guidance: The Resolution Process is strictly for submitting existing documentation that was inadvertently omitted or contained typographical errors to refute ODP’s determination. This is not an opportunity to create new materials solely to meet the standard, and newly created policies, plans, or comments on the process will not be reviewed.

Top Unmet Measures

The presentation included a breakdown of the top unmet measures across all SCOs, highlighting specific compliance challenges:

Measure Measure Description Number of SCOs Unmet Percent of SCOs Unmet
PCP.01.2 90% compliance with monitoring frequency by waiver type 38 73%
QDI.01.6 Restrictive procedure data is 86% accurate as compared to the most current BSP. 30 58%
RN.01 Register in PA Navigate Resource Platform as a CBO 15 23%

QDI (Quality Data Integrity) Measures: The purpose of QDI measures is to stress that SCOs are the primary source of data collection, and data integrity is essential for data-driven policies. ODP plans to drop these measures over time as performance improves.

  • For QDI.01.1 (Demographic Data), ODP focused on Completeness (86% threshold) this cycle, as checking for both ‘Complete AND Accurate’ resulted in nearly every SCO failing the measure. The threshold is set to increase to 93% for the FY 2027/28 contract cycle.
  • The target for PCP.01.2 (Monitoring Frequency Compliance) is 90% (P/FDS: once every three months; Consolidated/Community Living: once every two months). This threshold is also scheduled to increase to 93% in the FY 2027-2028 contract cycle.

Restrictive Procedures and Dissatisfaction Measures

  • Restrictive Procedures (RP): ODP presented details on the calculation for QDI.01.6, which compares the restrictive procedure checkbox in HCSIS against the most current Behavior Support Plan (BSP) summary text. Data showed a continued overall decrease in the rate of Restrictive Procedures incidents from 2022 to 2024.
  • Dissatisfaction Measure: For the Dissatisfaction Measure, ODP will utilize the data submitted by SCOs (the number of individuals who chose another SCO due to dissatisfaction and the reasons why) to establish a baseline for the measure and determine how to proceed with it in the future.

The presentation slide deck can be found here. SCO Providers are encouraged to continue to submit feedback and questions to ODP via the PBC Inbox.

For questions or comments, please contact Tim Sohosky.

Photo by Markus Winkler on Unsplash

The Office of Developmental Programs (ODP) has shared an update to ODPANN 25-075. This announcement informs stakeholders of updates to the Implementation Guide. All changes are highlighted in red within the communication. The attachment to this communication replaces Appendix C: Supports Coordination Minimum Activity for Billing. Each document referenced in this announcement can be found at MyODP’s website under Performance-Based Contracting. Please review the announcement for additional details.

The Office of Developmental Programs (ODP) has published announcement ODPANN 25-096 to notify stakeholders that ODP has published the Frequently Asked Questions (FAQ) received about Supports Coordination Organization Performance-Based Contracting (SCO-PBC). The FAQ resource has been developed from questions submitted during webinar summits, virtual office hours, and to the PBC Resource Account. Questions have been categorized by topic and performance measures.

The FAQ can be accessed on MyODP at the SCO Frequently Asked Questions web page.

SCOs should continue to send questions via email so ODP can ensure they are answered consistently.

The Office of Developmental Program (ODP) has begun posting the Supports Coordination Organization (SCO) Performance-Based Contracting (PBC) Measures on Docushare. Please note that all reports are compiled by MPI, not by Service Location.

The SCO PBC Measures report is specific to entities providing ID Waivers and TSM. If your SCO does not have a report available, feel free to reach out for clarification.

Some SCOs may currently experience access issues due to recent employee role changes that were not accompanied by updated DocuShare access requests to ODP. If this applies to your organization, please contact us so we can assist.

If you have any questions about the report, please reach out to the ODP Data Analysis team via email.

Thank you for your continued collaboration.