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Tags Posts tagged with "Referral"

Referral

The Office of Developmental Programs (ODP) has announced a delay in the implementation of the Performance-Based Contracting (PBC) measure RD.01.1, which restricts residential placement options for individuals with higher needs. As originally written, RD.01.1 stated that beginning January 1, 2026, primary tier providers would not be permitted to accept new referrals for individuals assessed at Needs Group 5 (NG5) or higher. This requirement has now been delayed by two years.

  • Effective January 1, 2028, primary tier providers may not accept new referrals for individuals in NG5 or higher.
  • This restriction does not apply to:
    • Individuals already receiving residential services prior to January 1, 2028; or
    • Individuals whose needs assessment results in an increase to NG5 or greater after services have begun.

Until December 31, 2027, it remains permissible for Administrative Entities (AE) and Supports Coordination Organizations (SCO) to refer individuals in NG5 to a primary provider. However, AEs and SCOs may choose to limit these referrals to Select and Clinically Enhanced providers.

Contact:

Questions regarding this announcement should be directed to ODP electronically.

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Rehabilitation and Community Providers Association (RCPA) has reached a new milestone of more than 400 members! Since its inception eleven years ago, the association has continued to steadily grow. We are excited about the success of the association, not just in terms of the number of members, but also the team we have put together to support this increase.

“Our ability to reach this milestone is a direct result of several factors: our advocacy and work, but also our members recommending RCPA membership to other agencies and organizations,” Richard S. Edley, PhD, President and CEO, shared. “To be clear, this isn’t just about numbers. We strategically set out to be large and diverse, so we can be a strong voice on behalf of our members. Having members and staff in every district in PA, across a range of health and human services and touching so many individuals and families, is meaningful and impactful.”

Do you know an organization that would benefit from RCPA membership? Please contact Tieanna Lloyd, Membership Services/Business Partnerships Manager. The RCPA Board of Directors and Staff thank all of you for your continued support of the association!