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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.

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:

  1. Introduce Yourself and Why You’re Writing
  2. Describe Your Patient
  3. Explain WHY the Requested PAS Hours Are Medically Necessary
  4. Expand on Your Opinion With Helpful Details
  5. Restate Your Conclusion
  6. Proofread
  7. Sign, Date, & Deliver

Read PHLP’s Guide for Physicians

Read PHLP’s Sample Letter of Medical Necessity

Macro of burning candle isolated on black background

Overdose is the leading cause of death for people ages 18 to 45 in America. Today, August 31, 2022, is International Overdose Awareness Day (IOAD). It is the world’s largest annual campaign to end overdose. The day honors those who have died from an overdose and offers an opportunity to reflect on the grief of those left behind while bringing attention to issues surrounding substance use disorders (SUDs) and overdose deaths. IOAD allows people to grieve as they choose without fear of stigmatization.

Pennsylvania Department of Drug and Alcohol Secretary Jennifer Smith offered a video message, including resources to help those with an SUD. Those resources include:

General Resources:

IOAD Resources:

Equity-Related Resources:

The Office of Developmental Programs (ODP) presented updated details regarding requirements for providers regarding claim and service documentation in a webinar on August 4, 2022. Bulletin 00-22-03 “Technical Guidance for Claim and Service Documentation” was reviewed along with the following documents:

The purpose of this guide is to offer resources in one central location for those who support or care for someone who is Deaf, Hard of Hearing, or DeafBlind and receives supports from the Office of Developmental Programs (ODP). The guide provides some of the most frequently accessed resources to assist in addressing the unique needs of these populations, such as information about American Sign Language (ASL) courses, apps, home modifications, assistive technology, a foundational organizations directory, and so much more!

Development of this guide included input from individuals within the Deaf, DeafBlind, hard of hearing, and hearing communities and will be revised annually by ODP’s Deaf, DeafBlind, and Hard of Hearing Advisory Committee.

This guide can be found here. For questions, email ODP Deaf Services.

The COVID-19 pandemic has highlighted the fundamental role that infection prevention and control (IPC) practices play in the delivery of safe healthcare and sustaining a strong, healthy community. The pandemic has taught us that not all healthcare settings have the same needs, abilities, or serve the same populations, and because of that, each facility may have their own set of unique IPC challenges. Behavioral health/psychiatric facilities, drug & alcohol treatment centers, and group homes have been identified as the state’s non-traditional healthcare settings, and through experience, we have learned that these sites may require additional IPC support and resources. Recognizing this need, DOH has created the Non-traditional Infection Control Consulting (NICC) Team.

The NICC Team is a group of certified, experienced infection preventionists with commitment to empowering and supporting non-traditional healthcare settings throughout the Commonwealth of Pennsylvania as they aim to reduce transmissible diseases and conditions. To assist in promoting integration of best practice IPC principles into all roles and aspects of care in these settings, the NICC Team can provide the following free of cost services:

  1. Infection prevention and control consultations;
  2. Guided facility assessments;
  3. Policy and guidance interpretation and recommendations (DOH, CDC, CMS, DHS, etc.);
  4. Education and training resources; and
  5. Tools and resources to support facility needs, including audit tools, checklists, and fact sheets.

Please review the more detailed information sheet about the team’s services and an introductory program flyer to share with non-traditional healthcare partners & facilities. This new resource is intended to increase awareness of IPC best practices as they aim to ensure patient safety in all PA healthcare settings.