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MR Update #06-10: Investigator Classes, Medication Training, Provider Pilots, ICF Rates, MAXIMUS Modifications, Dental Care, HCSIS Update, Transition Issues, PEAL, and PCPA Committee
August 3, 2006

Certified Investigator Classes
The Office of Mental Retardation (OMR) is sponsoring the following certified investigator classes and participants may register on the HCSIS Learning Management System:
• August 7-10, Philadelphia Mental Retardation Services, Philadelphia,
• September 11-14, Pennsylvania Child Welfare Training, Mechanicsburg,
• September 18-21, Southeast Area Development Training, King of Prussia, and
• September 25-28, Hamburg Center, Hamburg.

The Philadelphia Mental Retardation Services Risk Management Unit will also offer free intensive training services for investigators as follows:
• October 4: Starting an Investigation,
• October 13: Collection of Evidence Part I,
• October 18: Collection of Evidence Part II, and
• October 25: Reaching Conclusions/Writing Reports.

Medication Administration Trainings
OMR has scheduled two-day courses for agency trainers who train and monitor staff to administer medications and who train and monitor medication practicum observers. For additional information contact Michele Huntsman, OMR Consulting System (877-518-9597 or ocs_registrationsmh@tiu11.org). Training dates are:
• September 12-13 and February 20-21, 2007, Mechanicsburg
• September 19-20, Wilkes-Barre
• September 26-27, Lancaster
• October 3-4 and March 6-7, 2007, King of Prussia
• October 10-11 and February 27-28, 2007, Monroeville
• October 17-18, Erie
• October 24-25 and March 20-21, Philadelphia
• November 7-8, Altoona
• February 6-7, 2007, Reading
• February 13-14, 2007 and March 13-14, 2007, Pittsburgh
• March 27-28, 2007, Selinsgrove.

Provider Pilots
OMR has developed a provider qualification process to offer consistent statewide standards. There have been 20 agencies selected as part of the pilot effort. Information gathered during the pilot will be used to develop the mandatory qualifications process for Consolidated and Person/Family Directed Support waiver services providers. PCPA members selected are Step By Step and Dr. Gertrude Barber Center who will provide updates to the Mental Retardation Committee as the pilot progresses.

ICF/MR Rate Setting
Instructions have been sent to the non-state operated Intermediate Care Facilities for the Mentally Retarded (ICFs/MR) and the Intermediate Care Facilities for Persons with Other Related Conditions regarding rate setting, including changes resulting from the ICF assessments completed in accordance with Act 69 of 2003. The inflationary factor to be used for FY 2006/07 rates is two percent. For a waiver of standard interim per diem rates, the waiver request (with corresponding budgets) must be postmarked to OMR no later than October 31. For an electronic copy of this letter contact Linda Drummond at PCPA.

Modification of Residential Rates
The Department of Public Welfare has contracted with MAXIMUS to implement a new method of cost allocation for certain occupancy expenditures in residential facilities, enabling the state to increase federal reimbursement under the Consolidated Mental Retardation Waiver. Counties have been notified that modifications to residential rates for providers include allocating a portion of occupancy costs in each residential facility to services as well as room and board, based on the fact that the facilities are used both for services and as living space of persons receiving services. This changes the mix between eligible and ineligible expenditures. In cases where the rates were not included in the information to MAXIMUS, provider rates were not adjusted and the original rates will be used. FY 2006/07 rate changes will need to be made to incorporate the realignment of waiver costs. Counties will contact providers affected by these changes. For an electronic copy of this letter contact Linda Drummond.

Dental Care
The Pennsylvania Developmental Disabilities Council has provided a grant to Elwyn, Inc. to address the availability of quality dental services for persons with developmental disabilities. A series of focus groups including consumers, families, Drexel University, Philadelphia Coordinated Healthcare, and Special Smiles will be held. The groups will address best practices and barriers to services. Final recommendations will be made to the council for further development.

HCSIS Update
The latest HCSIS Update provides information regarding Release 5.5.0, OMR county allocations, Money Follows the Person, provider qualification pilots, Office of Social Programs reviews, and Act 150 billing through PROMISe. For an electronic copy contact Linda Drummond at PCPA.

Transition MOU
This past spring, Pennsylvania agencies party to the 1999 Individuals with Disabilities Memorandum of Understanding (MOU) developed and signed a Transition Memorandum of Understanding. The Departments of Education, Health, Labor and Industry, and Public Welfare have agreed to work together in support of youth and young adults with disabilities transitioning into adult life in the achievement of their desired post-school outcomes. This will focus on employment, post secondary education, training, lifelong learning, community participation, and health lifestyles. Additional information is available on the PACT web site at www.sharedwork.org.

PEAL News
Parent Education and Advocacy Leadership Center (PEAL), serving western and central Pennsylvania, provides training, information, and technical assistance based on best practices regarding disabilities to individuals and families. Providers may want to share this resource with their consumers and families. For additional information and to receive the PEAL Newsletter access www.pealcenter.org.

PCPA Committee
The next meeting of PCPA’s Mental Retardation Committee is September 19, 9:30 a.m. – 12:30 p.m. at the Holiday Inn East, Lindle Road, Harrisburg. Members not currently serving on this committee are welcome to join. Contact Linda Drummond for additional information.

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