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ODP Bulletin for Comment
June 3, 2013

The Office of Developmental Programs (ODP) has released a draft bulletin, Coordination of Medical Assistance and other Insurance Benefits and the Office of Developmental Programs Waivers, for public comment by June7. Please send comment to Jeanine Zlockie (jzlockie@pa.gov) with a copy to Linda Drummond (linda@paproviders.org). A copy of the draft bulletin is available from the link above.

The bulletin is to clarify the relationship between ODP waiver services and services covered by Medical Assistance, including Early Periodic Screening, Diagnosis and Treatment (EPSDT). The ODP waivers are the payer of last resort and services should not be authorized on the Individual Support Plan for waiver payment when another third-party health insurer or federal or state program is legally liable and responsible for payment of the service. Guidance is also provided regarding procedures used by ODP to coordinate planning efforts with Administrative Entities for those aging out of EPSDT.

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