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Tags Posts tagged with "Waiver"

Waiver

The Office of Developmental Programs (ODP) has shared ODPANN 24-099. This bulletin is to provide a list of current Agency With Choice (AWC) Financial Management Service (FMS) organizations available to support participants and surrogates who have chosen to self-direct some or all of their Participant Directed Services (PDS) using the AWC FMS model under the Consolidated, Community Living, and Person/Family Directed Support (P/FDS) waivers. Please view the announcement for additional details.

Happy Autumn! Please share these important workshops and Good Life Groups with your network! Register for upcoming events at PA Family Network’s website.

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The Office of Developmental Programs (ODP) has shared ODPANN 24-087, which informs stakeholders of corrections to rates for select services provided through the ODP Consolidated, Community Living, Person/Family Directed Support, and Adult Autism Waivers and base-funding that were published as final in the Pennsylvania Bulletin. Corrections were made to the following rates:

  • Community Participation Support Rates, Effective July 1, 2024; and
  • Life Sharing Without Day 1-Person Needs Group 3 and 4 Rates, Effective October 1, 2024.

The corrected final Fee Schedule Rates and Department-Established Fees for each service can also be found on DHS’s website. Please view the announcement for details.

Please share these important workshops and Good Life Groups with your network! Register for upcoming events at the PA Family Network website.      

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Photo by Markus Winkler on Unsplash

Deputy Secretary Ahrens of the Office of Developmental Programs (ODP) shared a PowerPoint today, July 25, 2024, at the MAAC meeting. Highlights included ODP’s plan to publish several documents. ODP will be submitting waiver amendments for the 1915(c) waiver and the new 1915 (b)(4) waiver to the Centers for Medicare & Medicaid Services (CMS) on July 26, 2024. In addition, ODP Bulletin 00-24-01: Performance-Based Standards for Residential Services and an ODP announcement regarding the waiver submission, including an implementation guide and provider self-assessment, will be released tomorrow, July 26.

RCPA will share these documents with members as soon as they are available.

Happy July! Share these important workshops and Good Life Groups with your network! Register for upcoming events on the PA Family Network website.

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After reviewing hundreds of comments from stakeholders, the Office of Developmental Programs (ODP) has made some initial adjustments to the proposed Performance-Based Contracting waiver for Residential Services. Areas with high volumes of comments included:

  • Select/Clinically Enhanced Tiers being reserved for agencies serving 10 or more individuals;
  • Competitive Integrated Employment standards;
  • Populations served with average Needs Level 4.5+ and average Health Care Level 3.5+ (HCL is established using the Health Risk Screening Tool);
  • Primary providers being limited to Needs Group 1-3;
  • The number of measures; and
  • The timeline for implementation.

ODP is now offering Residential providers a choice of when they are assigned into a tier. This will be based on which data they chose for ODP to review and make a tier determination upon. The choices will be:

  • Calendar year 2023 data reviewed with notification of tier assignment occurring in November, to be effective January 1, 2025 – June 2026; or
  • Review of Calendar year 2024 data with notification of tier assignment occurring in May, to be effective July 2025 – July 2026.

ODP plans to continue their review of public comments and intends to publish additional information. On July 19, ODP hopes to submit amended the 1915(c) waivers and 1915(b)4 waiver as well as publish the following supporting documents:

  • Performance Standards;
  • Implementation Plan;
  • Attestation; and
  • Provider Data Submission Tool.

On January 1, 2025, ODP intends to begin Performance-Based Contracting (pending CMS approval).

ODP will conduct a webinar for residential providers on Monday, July 22, 2024, from 3:00 pm – 4:00 pm, to review publications, changes made as a result of public comment, and instructions for tier determination and data submission. Register here. This webinar will be posted on the PBC Resource Page located on the MyODP website.

The Office of Developmental Programs (ODP) is sharing these important workshops and Good Life Groups! Register for upcoming events at PA Family Network’s website.

Support Groups

LifeCourse Workshops

Waiver Workshops

The Office of Developmental Programs (ODP) has shared ODPANN 24-041 and the accompanying survey. The purpose of this communication is to announce that amendments to the Consolidated, Person/Family Directed Support (P/FDS), Community Living, and Adult Autism Waivers were approved by CMS. The Department amended the waivers effective May 1, 2024, to allow providers to request a one-time supplemental payment to cover recruitment, retention, and any unusual staffing expenses resulting from the COVID-19 pandemic for direct support professionals, frontline supervisors, program specialists, or supports coordinators (SC).

Providers must request a Workforce Recovery Supplemental Payment by completing the survey no later than Wednesday, May 15, 2024.