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ID/MR and Autism Update #08-05: ODP Cost Reports, Billing Guides and Update, PCPA Training, SIS Bulletin, SIS Research, PCPA Annual Conference, Federal Issues, and Autism Update
August 5, 2008

ODP Releases Provider Cost Reports
The Office of Developmental Programs (ODP) has posted the newly released direct service provider costs reports on the ODP Consulting web site (www.odpconsulting.net). Available are copies of the cost reports and instructions, provider requirements matrix, and draft service definitions. According to the instructions providers must submit actual, final cost reports no later than September 30, based on 2007/08 costs. PCPA and the Provider Council have requested ODP move this date to allow more time for providers to complete the new reports. Notification that this will occur has not been received.

The cost reports for supports coordination organizations are still under development.

PCPA Cost Report and Compliance Training
PCPA’s training for mental retardation direct service providers to address “Developing Direct Service Rates and Compliance Issues in the Cost Report World” is September 4 at the Carlisle Country Club. The training is directed to PCPA direct provider members. Details are available from Linda Drummond.

This session will be presented by Paul B. Stanalonis, executive officer, Stanalonis & Associates, LLC, a PCPA-endorsed vendor. Stanalonis has submitted cost reports to the Department of Public Welfare (DPW) for 20 years. Topics to be addressed include:

  • ODP Cost Report completion,
  • Cost allocation methodologies and strategies,
  • Issues to consider when completing the cost report, and
  • Cost report submission and auditing issues.

ODP Billing Guide
ODP has developed a block-by-block billing reference guide to assist certain provider types in successfully completing the paper CMS-1500 form for claims related to base, Person/Family, Directed Service, and Consolidated waiver services. Any invoices submitted directly to PROMISe for Targeted Service Management (T1017) or waiver supports coordination (W7210) will be rejected. Providers should continue to bill for these services through HCSIS. The updated billing guides are available at www.dpw.state.pa.us/Resources/Documents/Pdf/BillingGuidesRegs/ODPBaseConsoldiatedWaivers.pdf. Questions may be directed to ra-ratesetting@state.pa.us.

SIS Bulletin and Update
ODP has released the final bulletin for the “Supports Intensity Scale (SIS) and PA Plus Users Manual”, SIS/ISP Crosswalk, and SIS Update addressing Ascend assessments and trainings. The PA Plus component is still in development and ODP anticipates a December 2008/January 2009 HCSIS release. Questions may be directed to SIS Project Manager, Diane Cashman (dcashman@state.pa.us).

Ascend has 32 assessors who have completed the required training and have been approved to complete SIS assessments. There are four individuals who have attained trainer status to train new assessors. Three additional assessors need to complete practice assessments to finalize their training. Therefore, Ascend is looking for respondents in Butler, Bucks, and Philadelphia counties to volunteer to assist with this. Please contact Julie Cantrell (jcantrell@ascendami.com or 615-620-3422) if interested in participating.

SIS Research Papers
New research publications by national experts on the SIS assessment tool developed by the American Association on Intellectual and Developmental Disabilities indicate this assessment yields solid information about individuals with intellectual disabilities. SIS addresses 85 life areas based on the person’s needs and goals. Feedback for states using SIS shows that the focus is on measuring the support needs as opposed to deficits of individuals. There are four white papers available from the SIS web site (www.siswebsite.org). The topics are Resource Allocations, Individualized Service Planning, Reliability and Psychometric Properties, and International Implementation.

ODP Update

  • ODP continues to work on its FY 2008/09 budget based on the one percent cost-of-living adjustment and 1.3 percent cuts approved by the legislature. How this will impact services, waiting list, and providers has not yet been determined but Deputy Secretary Casey has indicated he will strive for no cuts to provider’s current budgets and maintaining most of the waiting list initiatives.
  • Casey is open to recommendations from providers regarding ideas to help providers cut costs such as revisions to Medication Administration requirements and procedures.
  • The Person/Family Directed Services waiver cap is being raised to $26,000, but needs federal approval before being implemented.
  • Technical assistance on ODP cost reports will be available to providers by Mercer Consulting and will be coordinated through ODP Regional Offices.
  • ODP continues to work on developing a policy on revenue reconciliation and once developed the Financial Implementation Advisory Team (FIAT) will be reactivated to review.
  • The provider qualification process is moving forward with over 120 providers being qualified. The verification and disqualification processes are still in development.

PCPA Conference
Using Your I’s: Inspiration, Innovation, Integration is the theme of PCPA’s 2008 Conference, October 6-8, at Seven Springs Mountain Resort, Champion, PA. Details on the schedule and registration are available at www.paproviders.org. Select either “Annual Conference” or the logo icon. Presentations specific to intellectual disabilities include:

  • Behind Closed Doors – No More! Bringing Sexuality into Everyday Lives
  • Completing the Transition to Fee-for-Service in MR Services
  • Strategies and Transition Issues for Students with Autism Spectrum Disorder
  • Intellectual/Developmental Disabilities and Mental Health: New Name, New Advances
  • Managing Challenging Behaviors in Individuals with Developmental/Intellectual Disabilities
  • Dialogue with OPD: Up to the Minute Information

Federal Issues

  • The US House and Senate are in recess until after Labor Day when they return for three weeks to address the American’s With Disabilities Amendment Act, Social Security Income Extension for Elderly and Disabled Refugees Act, and FY 2009 appropriations bills.
  • Senate Resolution 613 will designate the week of September 8 as “National Direct Support Professionals Recognition Week.”
  • The House Energy and Commerce’s Health Subcommittee held a hearing on HR 5268 to provide a temporary increase in the Federal Medial Assistance Percentage; companion bill S 2620 was referred to the Senate Finance Committee.
  • S 2950 to increase housing, awareness, and demonstration services for individuals with autism spectrum disorders was referred to the Health and Education Committee; companion bill HR 6282 was referred to House Committees of Energy and Commerce and Financial Services.

Autism Update

  • Adult Autism waiver applicants must apply through the Bureau of Autism Services (BAS) toll-free number 866-539-7689; applications are due by August 11.
  • A summary of the Autism Insurance Act of 2008 (Act 62/HB1150) signed into law on July 9, is available in PCPA’s August Provider News on page 13 (www.paproviders.org).
  • BAS is in negotiations for Autism Services, Education, Research and Training Regional Centers (ASERT) with The Pennsylvania State University at Hershey in partnership with Philhaven’s Autism Center and the Vista Foundation; Children’s Hospital of Philadelphia, Drexel, Lehigh, and Holy Family Universities consortium; and Western Psychiatric Institute and Clinic of UPMC Shadyside Presbyterian.
  • The Theiss Early Autism Program of Western Psychiatric Institute and Clinic, Pittsburgh, provides intensive, evidence-based treatment for children in a partial hospitalization preschool setting. Children ages two to five receive one-on-one instruction through Applied Behavior Analysis. For details contact the program at 412-281-1269.
  • William Stillman, autism spectrum self-advocate, author, and consultant, who presented at PCPA’s December 12007 Central Region Meeting, has published several books which may be of interest. Information on When Your Child has Asperger’s Syndrome and The Autism Answer Book is available at www.williamstillman.com.

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