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Tags Posts tagged with "Performance-Based Contracting"

Performance-Based Contracting

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The Office of Developmental Programs (ODP) has shared Bulletin 00-25-03 and its two accompanying attachments. The purpose of this bulletin is to announce the performance standards Supports Coordination Organizations must meet as part of ODP’s implementation of performance-based contracting for Supports Coordination and Targeted Support Management services. Attachment 1 outlines the performance standards and measures. Attachment 2 provides the expected timeline for implementation of performance-based contracting for Supports Coordination and Targeted Support Management services.

Please view the bulletin and attachments for additional information and details.

Attachments:

  • Attachment 1: Supports Coordination Performance Standards
  • Attachment 2: Supports Coordination Organization Performance Standard Evaluation Timeline

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The Office of Developmental Programs (ODP) held the SCO Performance-Based Contracting (PBC) Introductory Session today.

ODP received approximately 140 people’s and organizations’ comments during the public comment period. Deputy Secretary Kristen Ahrens stated that comments were very helpful and specific in finalizing the proposed plan being submitted to CMS.

General recommendations received:

  • Implement one set of standards for all SCOs (no tiers);
  • Require more than 2 SCOs in each county;
  • More and clearer engagement and education for individuals and families; and
  • Develop resources for SCOs to use.

Timeline considerations:
Feedback on the performance measures:
Rates:15-minute units vs monthly units

  • Concerns of using both
  • Average hours in the assumptions

Handouts from today’s session are available here.

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The Office of Developmental Programs (ODP) has shared ODPANN 25-072 and its accompanying attachments. The purpose of this announcement is to provide updated guidance for completing the SC Individual Monitoring Tool (IMT), specifically regarding when self-employment is considered Competitive Integrated Employment (CIE).

With the implementation of Performance-Based Contracting (PBC) for ID/A Residential Providers and SCOs, ODP has reviewed how CIE data is collected and interpreted. Because CIE performance measures rely on information collected through the SC IMT, ODP is issuing updated guidance to clarify how SCs should apply CIE criteria — particularly in cases involving self-employment. While PBC is not being implemented for Residential Providers or SCOs enrolled in the AAW, the AAW is also updating its IMT guidance in alignment with the ID/A IMT guidance.

These updates do not change the monitoring tool questions themselves in either the ID/A or AAW IMT. The new guidance provides additional instructions to ensure consistent understanding and documentation.

ATTACHMENTS:

  • Attachment #1: ID/A Individual Support Plan Monitoring Tool – SC Guidance Document – Reissued 7/23/2025
  • Attachment #2: AAW SC Individual Monitoring Guidance – Reissued 7-2025

Please review the announcement and attachments for additional information and details.

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Join the Office of Developmental Programs (ODP) for the first Supports Coordination Organizations (SCO) Summit. ODP staff will discuss major changes to Performance-Based Contracting (PBC) due on feedback received from public comments, review preparedness tools, and provide additional detail about future SCO PBC Summits.

Audience: Supports Coordination Organizations (SCO)

Date: July 28, 2025, 1:00 pm – 2:30 pm

Register Here

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The Office of Developmental Programs (ODP) has released a significant update on the status of the Performance-Based Contracting (PBC) framework for Supports Coordination Organizations (SCO). Key changes reflect both public feedback and a shift towards a more unified and outcomes-driven service system. Based on comments from over 140 stakeholders, ODP has confirmed that all SCOs will be held to the same performance standards through a phased approach — eliminating previously proposed tiers. The timeline for tier determination has been adjusted (now set for 8/15/25 – 9/15/25), with performance measure submissions required between 10/1/25 – 11/1/25 to allow time for preparation and systems development.

In terms of payment structure, the transition to a monthly case rate model for all SCOs is scheduled to begin July 1, 2026. The definition of “Intensive TSM” has been revised, and billing guidance will now include qualified tasks for Associate SCs. These changes reflect a broader move away from task-based reimbursement toward an outcome- and quality-focused model, aligning with CMS’s HCBS Quality Measure Set and Pennsylvania’s population health priorities.

Next steps include the submission of 1915(b)(4) and (c) waiver amendments to CMS in late July, publication of finalized documents (including an implementation guide and preparedness toolkit), and SCO forums starting July 28. A new Performance Analysis Services (PAS) vendor is also developing a data system to support outcome tracking and analysis. ODP emphasizes that this transition requires a mindset shift — from measuring quantity to prioritizing quality and individual outcomes such as employment, community living, and health stabilization.

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Photo by Markus Winkler on Unsplash

The Office of Developmental Programs (ODP) has reissued ODPANN 25-062 and its accompanying attachment. This announcement is to:

  • Provide details about information that will be sent to individuals and their families regarding the assignment of Performance-Based Contracting (PBC) tiers for residential service providers; and
  • To equip Supports Coordinators (SC) and Supports Coordination Organizations (SCO) with the necessary information and resources to respond to questions from individuals and families about the PBC tier assignment.

This announcement is being reissued with updates to the following links: “What is Performance-Based Contracting?” and “Performance-Based Contracting Frequently Asked Questions (FAQ) for Individuals and Families.”

Please view the announcement for additional information and details.

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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.

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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.

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