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Authors Posts by Melissa Dehoff

Melissa Dehoff

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Melissa Dehoff is responsible for all medical rehabilitation and brain injury service issues. Ms. Dehoff attends multiple state-level meetings to advocate on behalf of members on brain injury and rehabilitation issues and is a member of the Department of Health Traumatic Brain Injury Advisory Board.

The Long-Term Services and Supports (LTSS) Subcommittee meeting was recently held on July 2, 2025. During the meeting, a number of presentations were given. In addition to the presentations, the agenda and a document that provided follow-up information from the June 4, 2025, LTSS Subcommittee meeting were provided.

Members should take time to review the PowerPoint presentations from the meeting below:

The next LTSS Subcommittee meeting is scheduled for August 6, 2025. The meeting will be held from 10:00 am – 1:00 pm in the Forest Room at the Commonwealth Keystone Building, which is located at 400 North Street in Harrisburg, PA.

The option to participate virtually is also available. If attending virtually, please register here. After registering, you will receive a confirmation email containing information about joining the webinar. The option to call in is also available by dialing: (631) 992-3221; Access code: 625-783-611#.

Remote captioning and streaming services will be provided. If you require these services, please visit this remote captioning and streaming link.

The National Association of State Head Injury Administrators (NASHIA) will be conducting a free webinar, “Addressing the Intersection of Brain Injury, Aging, and Behavioral Health,” on July 16, 2025, from 12:00 pm – 1:15 pm. Register here.

As the population ages, the overall rate of brain injury in older adults in the US is increasing, and the intersection of brain injury and behavioral health becomes an increasingly critical topic. Brain injury can have long-lasting cognitive, behavioral, and emotional effects for older adults. Certain predisposing factors can make it more likely for an older adult to experience behavioral health challenges after a BI, including sleep problems, anxiety, substance use disorders, low income, negative thinking, and poor social functioning. A brain injury can increase the symptoms of a pre-existing behavioral health disorder. Secondary factors can complicate behavioral health conditions, such as loss of employment, inability to drive, sleep issues, relationship problems, and social isolation.

This webinar will provide an overview on the relationship between aging, brain injury, and behavioral health, highlighting the unique challenges older adults face and the strategies that can improve their quality of life. A brief introduction to the Aging and Behavioral Health Guide will be given, and attendees will learn more about tools and interventions that can support their work. National organizations who conduct work with the Aging Network and Mental Health Systems will provide tips for initiating or improving partnerships within both state aging networks and behavioral health systems.

Attendees do not need to be a member of NASHIA, and the webinar is free of charge (unless applying for a certificate of attendance or social work CEs).

The Office of Long-Term Living (OLTL) released a communication that focused on the update to the Health and Welfare Performance Measure #8 (HW-8) that was included in the OBRA Waiver amendment that was approved by the Centers for Medicare and Medicaid Services (CMS) and took effect on January 1, 2025. The update includes:

Number and percent of incidents for waiver participants each month with more than three reported incidents within the past 12 months where results of trend analysis were addressed by the Service Coordinator (SC). Numerator: Total number of incidents for waiver participants each month with more than three reported incidents within the past 12 months where results of trend analysis were addressed by the SC. Denominator: Total number of incidents for waiver participants with reported incidents within the past 12 months where a trend analysis was performed.

In accordance with this requirement, for any participant with more than three critical incidents within a 12-month period, the Service Coordinator (SC) must perform an analysis (trend analysis) and take action as necessary to prevent or mitigate further incidents. The SC must commence the analysis and implement the actions to address potential issues related to the health and welfare of the Participant within the 30-day investigation period. If additional time is needed to investigate and to implement any necessary actions to address potential issues related to the health and welfare of the Participant, the SC must document an extension in Enterprise Incident Management (EIM). The trend analysis document must be provided to a Critical Incident Management Unit (CIMU) team member for review upon request and subsequently uploaded to the respective EIM entry upon completion and submission of the critical incident report’s final section. If necessary, OLTL’s CIMU staff will provide additional feedback to the SC via the State Management Review in EIM.

For any questions regarding this change, please contact the CIMU via the resource account. Additionally, questions related to critical incidents may be emailed to the CIMU team member identified in any case-specific communication.

The House Energy & Commerce Committee will hold a hearing on June 24, 2025, regarding the Department of Health and Human Services’ (HHS) fiscal year (FY) 2026 budget. The hearing will begin at 10:00 am, and Secretary of HHS Robert F. Kennedy, Jr. is expected to serve as witness and provide testimony on the President’s proposed budget.

The hearing is open to the public and will be livestreamed online using the link above.

Photo by Markus Winkler on Unsplash

The Bureau of Human Services Licensing (BHSL) has made an additional update to the Documentation of Medical Evaluation (DME) forms. In Section 10, “Body Positioning / Movement – Level of Assistance for Ambulation or Transfers,” an option for “none” has been added.

Providers are advised to dispose of any previous versions of the updated forms. The most current versions are located below and will replace the forms on the BHSL website. You can differentiate the forms by looking at Section 10 or by referencing the date at the bottom right corner of each page, which will now be 7/25.

The PCH form is the HS 2136, and the ALR form is the HS 2148. Reminder: These forms must be utilized for all medical evaluations, effective July 1, 2025. The forms may also be used immediately.

Details of the forms were discussed during the June 12 webinar. A recording of the webinar will be posted on the BHSL website.

Additional questions regarding this should sent electronically.

The Long-Term Services and Supports (LTSS) Subcommittee meeting was recently held on June 4, 2025. During the meeting, a number of presentations were given. In addition to the presentations, the agenda and a document that provided follow-up items from the May 7, 2025, LTSS Subcommittee meeting were provided.

Members should take time to review the PowerPoint presentations from the meeting below:

The next LTSS Subcommittee meeting is scheduled for July 2, 2025. The meeting will be held from 10:00 am – 1:00 pm in the Forest Room at the Commonwealth Keystone Building, which is located at 400 North Street in Harrisburg, PA.

The option to participate virtually is also available. If attending virtually, please register here. After registering, you will receive a confirmation email containing information about joining the webinar. The option to call in is also available by dialing: (631) 992-3221; Access code: 422-861-033#.

Remote captioning and streaming services will be provided. If you require these services, please visit this remote captioning and streaming services link.

The Centers for Medicare and Medicaid Services (CMS) recently released their CMS Fast Facts resource document for 2022 – 2025. The document includes summary information on Medicare and Medicaid total program enrollment, utilization, and expenditures, as well as the total number of Medicare providers, including physicians by specialty area.

There are a number of new items provided in 2025:

  • Medicare Populations, Calendar Year (CY) 2024
  • Medicaid & Children’s Health Insurance Program (CHIP) Populations, CY 2024
  • Medicare Deductibles, Coinsurance, Premiums, CY 2025
  • Original Medicare Persons Served and Payments by Type of Service, CY 2023
  • Medicare Part D Utilization and Expenditures, CY 2023
  • Medicaid & CHIP Payments by Type of Service, FY 2023
  • Medicare Institutional Providers, CY 2023
  • Medicare Non-Institutional Providers by Specialty, CY 2023
  • Medicare Durable Medical Equipment Prosthetics, Orthotics & Supplies (DMEPOS) Providers by Specialty, CY 2023
  • Medicare Prepaid Contracts, February 2025
  • National Health Expenditures, CY 2023
  • CMS Financial Data, FY 2024

The Pennsylvania Office of Developmental Programs (ODP), Office of Long-Term Living (OLTL), Temple University, and the University of Kansas have established the PA Technology Accelerator, a series of activities intended to support PA in becoming the next Technology First State. As a Technology First State, programs and policies are modernized and harmonized to ensure seamless deployment and training on innovative technology solutions.

Providers play a critical role in achieving this goal and are invited to complete an online survey to inform technology resources and supports for providers across the state.

Providers are requested to complete one (1) survey per organization and submit responses by June 13, 2025. The survey should take less than one hour to complete. Responses will provide critical information to build and enhance programs to ensure providers have the necessary information and tools to advance access to technology solutions for their clients across the Commonwealth.

If you have questions or would like to preview the survey content before responding, please contact Kaley Day. For additional information, view the Provider Survey Recruitment Flyer.

Take the Survey

Or copy and paste the URL below into your internet browser:
https://kusurvey.ca1.qualtrics.com/jfe/form/SV_9Hoe5ZKZEClXU5E

The Long-Term Services and Supports (LTSS) Subcommittee meeting was recently held on May 7, 2025. During the meeting, a number of presentations were given. In addition to the presentations, the agenda and a document that provided follow-up items from the LTSS Subcommittee meeting on April 2, 2025, were provided.

Members should take time to review the PowerPoint presentations from the meeting below:

The next LTSS Subcommittee meeting is scheduled for June 4, 2025. The meeting will be held from 10:00 am – 1:00 pm in the Forest Room at the Commonwealth Keystone Building, which is located at 400 North Street in Harrisburg, PA. The option to participate virtually is also available.

If attending virtually, please register here. The option to call in is also available by dialing (415) 655-0052, access code 886-801-808#.

The Pennsylvania Department of Human Services (DHS) Office of Long-Term Living (OLTL) is offering a webinar on the PA Achieving a Better Life Experience (ABLE) Savings Program on May 21, 2025, from 12:00 pm – 1:00 pm. Register here.

A PA ABLE savings account gives individuals with qualified disabilities and their families and friends a tax-free way to save for a wide range of disability-related expenses while maintaining important benefits. The state and federal tax-free investment options are offered to encourage eligible individuals and their families to save private funds to support health, independence, and quality of life.

Some of the agenda topics will include eligibility requirements for opening a PA ABLE account, federal and state tax benefits of PA ABLE, and how a PA ABLE account interacts with current benefits.

OLTL Service Coordinators, Direct Service Providers, Community HealthChoices (CHC) Managed Care Organization (MCO) staff, and any individuals who work in employment supports are encouraged to participate in this webinar, as it will help them understand the PA ABLE Program and how it can benefit the OLTL participants they serve.

After registering, you will receive a confirmation email containing information about joining the webinar. If you require accommodations to participate in this webinar, please contact OLTL via email.

Questions regarding this webinar should be directed to Randy Loss, OLTL.