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IDD Updates - Week of November 21
November 21, 2011

PCPA has asked ODP for clarification regarding several issues. Its responses are below:

  • HIPPA Requirements per ODP Informational Packet #170-10: Beginning January 1, 2012, a diagnosis will be required on bills sent to PROMISe for consumers receiving ODP-funded services. Informational Packet #152-11: Billing with the Diagnosis Code provides more details. A flyer on CMS version v5010 describes the electronic transactions process.
  • Medical Assistance Bulletin #99-11-05: Provider Screening of Employees and Contractors for Exclusion from Participation in Federal Health Care Programs and the Effect of Exclusion on Participation. According to ODP’s Jeanne Meikrantz, this bulletin does apply to ODP-waiver funded providers. Questions may be directed to regional ODP offices or ra-customerservice@pa.gov.

ODP has released Bulletin #00-11-06: Continuing Participation Allowance for Residential Habilitation Service Providers’ Rates. From July 1, 2099 – November 14, 2011, ODP will pay waiver ineligible payment rates with use allowance expenses included. Effective November 15, 2011, ODP will no longer fund use allowance expenses for assets included on the residential occupancy schedule (J).

Governor Corbett has signed into law Senate Bill 458, updating the terminology in the Mental Health/Mental Retardation Act of 1966 from mental retardation to intellectual disability. This becomes Act 105 of 2011. A copy is available at www.legis.state.pa.us.

ODP is still working on developing guidance for residential providers regarding the eligibility of residents for the federal food stamp program, Supplemental Nutrition Assistance Program (SNAP).  The link below provides details regarding eligibility, income levels, and what is considered a “household.” Persons with disabilities living in certain nonprofit group living arrangements (homes with no more than 16 residents) may be eligible for SNAP benefits even with the group home preparing meals. To apply contact the local county assistance office. (http://www.fns.usda.gov/snap/applicant_recipients/eligibility.htm)

PCPA serves on several restructured Office of Developmental Programs (ODP) committees which are being implemented in cooperation with the national Alliance for Full Participation. The Supports Coordination Organization (SCO) Subcommittee of this initiative is seeking one SCO and one direct service provider of employment services to volunteer to assist in developing trainings and recommendations related to employment for persons with intellectual disability. Members should let Linda Drummond know (linda@paproviders.org) if they are interested in serving on this subcommittee. 

This subcommittee is developing a survey to be sent to SCOs to determine the types of trainings that would be helpful to supports coordinators to encourage and emphasize employment options for individual with intellectual disabilities. Please share your recommendations for trainings by December 1.

ODP has released the following announcements, which are available at www.odpconsulting.net.

  • #158-11: Healthy Aging for People with Intellectual and Developmental Disabilities: Webcast. This is Lesson #1 – Overview of the demographics of the aging population, natural aging process, differences for persons with IDD, and transition based on changes to medical support needs. This is a required training for SCs and SC Supervisors and must be completed by February 17, 2012. The training is open to all AEs, direct service providers, and families.  This is the first session Dr. Morrow discussed at PCPA’s November 15 IDD Committee meeting.
  • Lifespan Respite Grant Program. The Pennsylvania Department of Aging has three grants of $5,000 each available for agencies to provide lifespan respite care to individuals and families to address unmet needs. Applicants must by a registered non-profit, serve individuals with disabilities, chronic or terminal illnesses, and administer the grant regardless of age, disability, illness or geography. Deadline for submission is December 30.
  • DP Informational Packet #159-11: Clarification for the v5010 CMS Mandate provides information for AEs, SCOs and direct service providers who submit claims for services for individuals in the waivers and base program. Beginning January 1, 2012, all electronic claims submitted to PROMISe must be in the v5010 format. The v4010 transaction should be used until December 31, 2011.
  • The recent ODP Independent Monitoring for Quality update encourages provider agencies to access the Provider Response reports for 2010/11 in HCSIS.

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