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STAT

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Photo by National Cancer Institute on Unsplash

The Specialty Telehealth and Assessment Team (STAT) is a 24/7 telehealth service that provides health assessments. The service is consultative and provides disability specific advice of when to best seek additional or in-person medical treatment for the participants. This is a service that occurs in the participant’s private home or residential home to help assess their need for medical attention.

This service does not duplicate any service that is available through the state plan, and, very importantly, this service is not intended to replace in-person exams. The goal is not to prevent people from going to the emergency room or seeing a physician in person when needed. It is a support that can help to alleviate the burden of going to the emergency department or urgent care when it is not absolutely necessary for the individual to be seen in person.

The STAT waiver service is provided as a monthly service and billed in monthly units. One unit equals one month at 55 dollars a unit. All individuals that are involved in an ID/A waiver, Person/Family Directed Support (PFDS) waiver, Community Living waiver, and the Consolidated waiver are eligible for this service. The STAT waiver service is available for individuals of all ages and all living situations as long as they are enrolled in one of the ID/A waivers. In order to access this service, STAT must be added to the ISP via a critical revision or at the time of the annual ISP and must be authorized by the administrative entity prior to the service being used. STAT costs are included in the annual limit for P/FDS and Community Living waivers.

STAT is a unique and specialized service. The physicians that provide this service are educated in the guidelines for the provision of health care to individuals with intellectual and developmental disabilities. All staff who render the service have completed a specialized training curriculum on how to provide medical assessment, treatment interventions, and recommendations regarding the health care needs of individuals with intellectual disabilities, developmental disabilities, or autism. This service is provided and overseen by physicians who are licensed to practice medicine in the Commonwealth of Pennsylvania or have appropriate reciprocity.

The STAT waiver service has been available since March of 2024 and has grown steadily since. There are currently over 5,500 individuals using the service with two providers available, StationMD and Senacare. The service has maintained approximately a 94% treat in place rate since it became available, saving time and resources by avoiding unnecessary Emergency Department and urgent care visits.

We encourage SCs to provide education to individuals, families, and teams about how the STAT service can help.

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Enhancing Access to Specialized Care: The Impact of the STAT Waiver Service and BH Services
Free Webinar for RCPA members

Tuesday, June 24, 2025
11:00 am – 12:00 pm
Register Here

This session will explore the impact of the STAT (Specialized Telehealth and Assessment Team) service in Pennsylvania, focusing on its role in improving access to care for individuals with intellectual and developmental disabilities (I/DD). Key data will highlight how STAT connects individuals to specialists trained to meet their unique needs and its positive impacts on both individuals and Direct Support Professionals (DSP).

A discussion with Barber National Institute will showcase how they use StationMD services for STAT and Behavioral Health support. The provider will share how StationMD enhances behavioral health care for individuals with I/DD, while offering valuable support to DSPs by providing timely guidance in complex situations.

Lastly, this session will emphasize how STAT and StationMD services complement each other to improve access to care and to enhance the quality of life for individuals with I/DD.

Presenters:
Matthew Kaufman, MD, FACEP, Chief Executive Officer, StationMD
Thad Jackman, Senior Director of Residential Services, Barber National Institute

Objectives: Following this course, the learner will:

  • Describe the role of the STAT Waiver Service in providing individuals access to specialized clinicians 24/7 to meet their unique needs;
  • Analyze the impact of StationMD Behavioral Health services in enhancing the timely delivery of expert support for their behavioral and developmental needs; and
  • Discuss how the integration of STAT and StationMD Behavioral Health services collaboratively address barriers to care and improve the overall quality of life for individuals with I/DD.

Certificates of attendance are available to RCPA members who attend this webinar; anyone interested in a certificate should contact Cathy Barrick. To apply for CEs, you will need to register for the RCPA Annual Conference Strive to Thrive and indicate you attended the webinar in your CE packet, which will be made available on the mobile app.

Contact Carol Ferenz, Conference Coordinator, for details, or visit the RCPA Conference website for information on workshops, sponsors, exhibitors, and more!

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Enhancing Access to Specialized Care: The Impact of the STAT Waiver Service and BH Services
Free Webinar for RCPA members

Tuesday, June 24, 2025
11:00 am – 12:00 pm
Register Here

This session will explore the impact of the STAT (Specialized Telehealth and Assessment Team) service in Pennsylvania, focusing on its role in improving access to care for individuals with intellectual and developmental disabilities (I/DD). Key data will highlight how STAT connects individuals to specialists trained to meet their unique needs and its positive impacts on both individuals and Direct Support Professionals (DSP).

A discussion with Barber National Institute will showcase how they use StationMD services for STAT and Behavioral Health support. The provider will share how StationMD enhances behavioral health care for individuals with I/DD, while offering valuable support to DSPs by providing timely guidance in complex situations.

Lastly, this session will emphasize how STAT and StationMD services complement each other to improve access to care and to enhance the quality of life for individuals with I/DD.

Presenters:
Matthew Kaufman, MD, FACEP, Chief Executive Officer, StationMD
Thad Jackman, Senior Director of Residential Services, Barber National Institute

Objectives: Following this course, the learner will:

  • Describe the role of the STAT Waiver Service in providing individuals access to specialized clinicians 24/7 to meet their unique needs;
  • Analyze the impact of StationMD Behavioral Health services in enhancing the timely delivery of expert support for their behavioral and developmental needs; and
  • Discuss how the integration of STAT and StationMD Behavioral Health services collaboratively address barriers to care and improve the overall quality of life for individuals with I/DD.

Certificates of attendance are available to RCPA members who attend this webinar; anyone interested in a certificate should contact Cathy Barrick. To apply for CEs, you will need to register for the RCPA Annual Conference Strive to Thrive and indicate you attended the webinar in your CE packet, which will be made available on the mobile app.

Contact Carol Ferenz, Conference Coordinator, for details, or visit the RCPA Conference website for information on workshops, sponsors, exhibitors, and more!

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The Office of Developmental Programs (ODP) met with stakeholders today, October 30, 2024, to discuss waiver amendments and to provide an overview of Performance-Based Contracting.

Waiver Amendments included:

Waiver Capacity:

  • When an individual is in an acute care hospital and receiving waiver services, ODP will not need to reserve (hold) the individual’s waiver. They will maintain enrollment in the waiver.
  • Language was updated for waiver capacity for high school graduates in the P/FDS waiver. AEs can reserve the waiver capacity for 180 days prior to when services are needed. Students can remain in service until their 22nd birthday.

Assistive Technology:

  • Updated language to explain when an independent evaluation is required and when it is optional:
    • REQUIRED: A device will cost $750 or more.
    • OPTIONAL: A device will cost less than $750.
  • An independent evaluation can be done if the team decides it would be beneficial.
  • Evaluations are included in the $10,000 lifetime limit.

Community Participation Support:

  • The Community Participation Support provider must complete and update an analysis of the following at least yearly to support individuals to experience meaningful community inclusion:
    • Strongest interests and personal preferences for community activities;
    • Skills, strengths, and other contributions likely to be valuable to employers or the community; and
    • Conditions necessary for successful community inclusion and/or competitive integrated employment.

American Sign Language (ASL) – English Interpreter Service:

  • English Interpreter service will be added to ODP’s waivers effective January 1, 2025.

Music, Art, & Equine Assisted Therapy:

  • The cumulative maximum limit of any combination of Music Therapy, Art Therapy, or Equine Assisted Therapy has increased from 26 to 52 hours per fiscal year.

STAT Overview:

  • The Specialty Telehealth and Assessment Team service was implemented in March 2024. This service may also be delivered to the participant during temporary travel, per ODP’s travel policy.

Waiver Corrections:
Life Sharing:

  • The following may not be authorized for participants who receive Life Sharing services: Residential Habilitation; Supported Living; Respite (15-minute or Day) (has been removed).

Supported Living Corrections:

  • The following services may not be authorized for participants who receive Supported Living services: Life Sharing; Residential Habilitation; Respite (15-minute or Day); Homemaker/Chore; In-Home and Community Supports; Behavioral Supports; Therapies; Shift Nursing; Consultative Nutritional Services; Communication Specialist and Specialize.

Benefits Counseling:

  • New billable indirect activities are added. The limit has increased from 15 hours per fiscal year to 24 hours per fiscal year.

The Performance-Based Contracting Review Included:

  • Effective January 1, 2025, Performance-Based Contracting will be implemented for the following services funded through the Consolidated and Community Living Waivers:
    •  Residential Habilitation;
    •  Life Sharing; and
    •  Supported Living.
  • Changes to Enrollment of New Providers.
  • What are Performance Standards?
  • What are Provider Tiers?
  • What Do These Changes Mean to Individuals and Families?

All performance-based contracting questions can be sent electronically.

Please see the distributed PowerPoint for additional information.

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The Office of Developmental Programs (ODP) is pleased to offer a webinar regarding the Specialty Telehealth and Assessment Team (STAT) waiver service. STAT is a new waiver service available to individuals in the Person/Family Directed Support (P/FDS), Community Living, and Consolidated Waiver programs. STAT is a telehealth service that is consultative and provides disability-specific advice on when best to seek additional or in-person medical treatment for the participant. It provides 24/7 access to physicians with extensive education and experience within the IDA population 365 days a year, who triage and evaluate medical conditions as needed. This webinar will provide an in-depth look at the STAT waiver service, how it works, and the benefit to participants.

ODP Will be holding two sessions. The information will be the same at both. Pre-registration is required. Select the preferred session date to register.

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