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Telehealth

RCPA attended the Office of Mental Health and Substance Abuse Services (OMHSAS) telehealth webinar on Monday, January 29, alongside many provider members, regarding the Federal payment conditions related to the delivery of telehealth services and the requirement that the physicians or clinicians must present in the office, or that the client must be in the office during the telehealth session, to meet the guideline. It was explained that despite the standards outlined in the current OMHSAS Telebehavioral Health Bulletin, under the Federal “4 walls” statute, this is a required Federal Medicaid payment condition. These requirements cannot be waived.

The purpose of today’s call was twofold: explaining the “4 walls” requirements, and for providers to give vital feedback to OMHSAS on the impacts, challenges, and barriers to accessing services that this may create for consumers and families. This Medicaid standard remains in effect, and RCPA recommends provider members review their operating practices to ensure compliance.

During this time, RCPA will continue its efforts and work with OMHSAS, the HealthChoices partners, and stakeholders to ensure access to services via telehealth. You can review today’s OMHSAS telehealth webinar slide deck. We are also looking to obtain a recording of the webinar to share with our members.

If you have questions, please contact RCPA Policy Director Jim Sharp. The next RCPA Telehealth Operations Committee meeting is scheduled for Tuesday, February 27; however, we will be reviewing if we need to meet sooner based on current information.

Please share this information with your stakeholder networks.

The Office of Mental Health and Substance Abuse Services (OMHSAS) is holding a series of virtual conversations on Monday, January 29, to discuss opportunities in modernizing tele-behavioral health services within the Commonwealth. These meetings will be held using Microsoft Teams, and time will be allotted for discussion. To facilitate discussions most efficiently, OMHSAS will hold three meetings based on stakeholder type: BH-MCO/Primary Contractor/County Mental Health Administrators, licensed service providers, and individuals who access services and their families. Please choose the most appropriate webinar for you. The licensed service providers forum will be at 11:00 am. Attendance will be taken so that feedback can be cataloged accordingly.

These conversations will drive OMHSAS closer to finding solutions to the complicated work of increasing access to behavioral health services that are utilizing tele-behavioral health platforms and ensuring service recipients have a choice. This first conversation will focus on psychiatric outpatient clinic services and telehealth.

Join on your computer, mobile app or room device
Visit here to join the meeting
Meeting ID: 290 432 891 13
Passcode: 6nz9cp
Download Teams | Join on the web
Or call in (audio only)
+1 267-332-8737,,985858579#   United States, Philadelphia
Phone Conference ID: 985 858 579#

OMHSAS looks forward to you joining this critical conversation. If you have questions, please contact RCPA Policy Director Jim Sharp.

The PA House of Representatives passed HB 1300 (Fiscal Code) by a vote of 121-82. The Fiscal Code contains language appropriating the $100 million for mental health funding, which follows the recommendations of the Behavioral Health Commission’s recommendations. The Fiscal Code also provides another $34.5 million to expand mental health services, $34 million for workforce initiatives, and over $30 million for criminal justice and public safety.

The House also passed HB 1456, a general appropriations bill. HB 1456 passed by a vote of 115-88. The bill provided new monies of $50 million towards intellectual disabilities and direct support professional (DSP) workforce retention. The bill would also fund $642 million for Penn State University, the University of Pittsburgh (Pitt), and Temple University. While there is good news for the IDD providers in regards to additional workforce funding, the bill was challenged by House Republicans because the Penn State, Pitt, and Temple funding requires a two-thirds (supermajority) vote, which was why the colleges were not funded back in June.

This week, the House also passed a tax code bill and a school code bill.

Despite the flurry of legislative activity on the code bills in the House, the code bills will not have to go to the Senate for a concurrence vote. The code bills passed by the House contain new spending (i.e. IDD workforce retention), and the new spending was not negotiated with the Senate; therefore, the expectation is that because there is not a deal between the House and the Senate on the new spending, the Senate will not concur on the code bills.

The Senate will return to session on Monday, October 16.