ODP October ISAC Meeting Information
Resources
Meeting Materials From October 4 MLTSS Subcommittee Now Available
The meeting materials from the October 4, 2022 Managed Long-Term Services and Supports (MLTSS) Subcommittee meeting are now available. You can find the materials below:
October Marks Crime Prevention Month
CMS Releases Statement and Q&A Document on IRF-PAI 4.0 Non-Compliance
RCPA has been in communication with the American Medical Rehabilitation Providers Association (AMRPA), who has been working with the Centers for Medicare and Medicaid Services (CMS) to ensure inpatient rehabilitation facilities (IRFs) do not face inappropriate non-compliance penalties related to the IRF Patient Assessment Instrument (PAI) version 4.0 that is set to go into effect tomorrow (October 1, 2022). One particular concern is new items in version 4.0 do not include a “skip logic” to account for unplanned discharges that classify as incomplete stays. This oversight could lead to many IRFs not meeting the 95 percent data completion threshold for the Inpatient Rehabilitation Facility Quality Reporting Program (IRF QRP).
Yesterday, CMS released a statement on the issue along with a Question & Answer (Q&A) document. CMS also noted that the agency will determine if a permanent fix is necessary and will release any related guidance or data specifications in the coming weeks.
ProVantaCare Launches eAccessTM Physical Health and Analytics Resource
Meeting Materials From September MLTSS Subcommittee Are Now Available
The Office of Long-Term Living (OLTL) has released the meeting materials from the September 7, 2022, Managed Long-Term Services and Supports (MLTSS) Subcommittee meeting. In addition to the PowerPoint presentations being included, there is also a meeting transcript. You can find the materials below:
- 2021 HCBS CAHPS Statewide Survey Results
- August 3 MLTSS Follow-Up Documents & Links
- Home Modifications During Nursing Home Transition Overview
- Home Modifications During Nursing Home Transition — Complete
- MLTSS Subcommittee Meeting Transcript
- OLTL Updates — Sept. 7, 2022
- Public Health Emergency Unwinding Strategies & Activities
The next MLTSS Subcommittee meeting is scheduled for October 4, 2022.
RCPA IDD Division Meeting Summary
IRF-PAI 4.0 Q&A Document Issued by CMS
The Centers for Medicare and Medicaid Services (CMS) has issued a quarterly (consolidated from June 2020 to September 2022) inpatient rehabilitation facility patient assessment instrument (IRF-PAI) Question and Answer (Q&A) document in light of the release of the IRF-PAI 4.0. This document focuses on questions submitted to the IRF Quality Reporting Program (QRP) Help Desk related to the IRF-PAI version 4.0 and consolidates guidance from prior releases.
Philadelphia Health Law Project Resource: Writing a Letter of Medical Necessity
The Pennsylvania Health Law Project (PHLP) has a new resource for health care providers that explains how to write a strong letter of medical necessity when requesting Personal Assistance Services (PAS).
The brochure includes some sample language that may be useful in describing your medial opinion. The guide outlines seven key steps:
- Introduce Yourself and Why You’re Writing
- Describe Your Patient
- Explain WHY the Requested PAS Hours Are Medically Necessary
- Expand on Your Opinion With Helpful Details
- Restate Your Conclusion
- Proofread
- Sign, Date, & Deliver
FASD United Weekly Roundup — August 22, 2022
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