RCPA - Rehabilitation and Community Providers Association


IDD Update
January 20, 2012

PCPA has heard that several providers have received letters from the Office of Developmental Programs (ODP) resetting some of the recoupment/payment amounts. It is the association’s understanding that these items are appealable to the Department of Public Welfare (DPW) Bureau of Hearings and Appeals even if the provider did not appeal earlier letters covering the timeframe. You have 33 days from the date of the letter to file a formal appeal.
The IDA Coalition sent a letter to ODP’s Kevin Friel on January 20 to address issues he presented to the coalition in December 2011, such as if the six percent rate adjustment factor (RAF) was an appropriate mechanism to deal with increased provider costs. The coalition’s response highlights:

  • That ODP must take responsibility for being the cause of the cost increases, which result from its authorization of additional services for existing waiver participants, and therefore take responsibility for funding and paying for the cost of the additional services they authorize;
  • While the overall cost of the ID waiver program is increasing as a result of ODP actions, provider unit costs have decreased since the initiation of ODP’s Prospective Payment System; and
  • The imposition of a RAF is therefore not an appropriate or equitable payment policy to deal with the increased costs caused by ODP’s authorizations for additional service. 

ODP has released Informational Memo #002-12: SSI Increase for Calendar Year 2012. The federal Supplemental Security Income (SSI) payment amount has increased 3.6 percent, effective January 1. This increase impacts the amount providers charge to wavier- and base-funded individuals for room and board costs and the amount submitted on claims for the ineligible portion of waiver-funded residential services.

PCPA is asking its members to let it know the impact of the state’s decision to reduce the assets limit for persons receiving Food Stamps and how many waiver recipients will be losing eligibility by February 3. Knowing the total amounts the ID system will be losing is important as discussions with members of the House and Senate Appropriations Committee move forward after the governor’s budget is released February 7.  Send the number of individuals losing Food Stamps and, if known, the weekly/monthly/yearly amount to Linda Drummond.

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