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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 Centers for Medicare and Medicaid Services (CMS) has released the calendar year (CY) 2024 therapy services KX Modifier threshold amounts. The CY 2024 amounts are as follows:

  • $2,330 for physical therapy (PT) and Speech-language Pathology (SLP) services combined; and
  • $2,330 for occupational therapy service.

Additional information can be found on the following web pages:

The Independent Regulatory Review Commission (IRRC) recently posted a proposed regulation from the Pennsylvania Department of State on behalf of the State Board of Physical Therapy (PT) for consideration.

The State Board of Physical Therapy (Board) proposes to amend §§ 40.1, 40.14, 40.15, 40.61, 40.63, 40.67, 40.163, 40.164, and 40.192. The proposed rulemaking will allow physical therapist (PT) students and physical therapist assistant (PTA) students to sit for the requisite examinations up to 90 days prior to graduation from their respective programs, and it will allow PTs and PTAs to receive a limited amount of continuing education credit for providing clinical instruction to student PTs and student PTAs at clinical facilities affiliated with accredited programs. Additionally, the proposed rulemaking will allow applicants to directly register for the national examination with the examination provider, by removing the requirement that the applicant first seek the Board’s permission. Lastly, it will allow applicants to sit for a third or successive examination, after two failures, without first seeking the Board’s permission.

The amendments will be effective upon notice or publication of the final-form rulemaking in the Pennsylvania Bulletin scheduled for January 27, 2024. The proposed regulation will be open for public comment upon publication, and comments will be accepted through February 26, 2024. Written comments, recommendations, or objections regarding this proposed rulemaking should be sent to Thomas M. Davis, Board Counsel, at P.O. Box 69523, Harrisburg, PA 17106-9523 or by email within 30 days of publication of this proposed rulemaking in the Pennsylvania Bulletin. Please reference “Regulation No. 16A-6522 (Early Exam, CE for Clinical Instruction, and AAP)” when submitting comments. IRRC comments on the proposed regulation will be due by March 27, 2024.

The Office of Long-Term Living (OLTL) has announced that they will be hosting a second Transportation Summit webinar on Wednesday, February 7, from 1:00 pm to 3:00 pm. This is an open forum for anyone interested in discussing transportation in the Community HealthChoices (CHC) Program. There will be staff from various programs on the call, including the managed care organizations (MCOs) and transportation brokers, Medical Assistance Transportation Program (MATP), Pennsylvania Department of Transportation (PennDOT), etc. They will be on the call to listen to your feedback and answer questions as they are able.

During the webinar, there will be three ways for individuals to ask questions. You can either submit your questions (to be read during the meeting) to OLTL in advance by emailing Cortney Alvord; use the “raise hand” feature during the webinar and you will be unmuted so you can ask your question; or you can type your question into the “chat” box located on the right side of your screen.

Please register here. After registering, you will receive a confirmation email containing information about joining the webinar. Questions about the webinar should be directed to Cortney Alvord.

The Department of Health’s (DOH) Bureau of Family Health issued a flyer about planned events across the state related to Pennsylvania’s Title V Maternal and Child Health Services Block Grant. This grant serves to improve the health and well-being of the nation’s mothers, infants, children, and youth, including children and youth with special health care needs and their families.

Parents and caregivers, families with special needs, birthing people and their partners, and youth are all welcome and invited to participate in these events. Maternal and child health care, and other professionals and organizations serving this population in Pennsylvania, are also welcome to share their thoughts! Attendees are invited to help identify the seven to ten priorities that will drive Pennsylvania’s Title V programs.

Please refer to the flyer for additional information, including the dates, times, and locations of the upcoming events.

On January 8, 2024, the Pennsylvania Department of Labor & Industry (L&I) announced the availability of $2.8M in reemployment funds for the Direct Care Worker Job Quality (DCWJQ) Grant. The grant funding is to be used to boost PA’s direct care workforce by improving job quality and increasing career advancement opportunities. Applicants may request awards of up to $600,000 each.

Additional information about this funding is posted on the L&I grant opportunity web page. This information includes the grant itself, the application form, project summary, budget form, and the Worker Protection and Investment Certificate form.

The application deadline for the DCWJQ Grant is February 29, 2024, at 4:00 pm ET.

The meeting documents from the January 3, 2024, Managed Long-Term Services and Supports (MLTSS) Subcommittee meeting are now available below and include the agenda and PowerPoint presentations.

Today’s MLTSS Subcommittee meeting was the final meeting. The MLTSS Subcommittee will merge with the Long-Term Services and Supports (LTSS) Subcommittee beginning in February. The first merged meeting is scheduled for February 1, 2024. Additional information about that meeting will be forthcoming.

On December 29, 2023, the Department of Human Services (DHS) issued to the CHC-MCOs a revised edition of “Operations Memo (#2019-05): Circumstances When Community Health Choices (CHC)-Managed Care Organizations (MCOs) Must Transmit the Home and Community-Based Services (HCBS) Eligibility/Ineligibility/Change Form (PA 1768).” The PA 1768 (included in the Operations Memo) is used to notify the County Assistance Office (CAO) when a CHC participant is determined clinically eligible for CHC HCBS or when a CHC participant, who is receiving HCBS, experiences a change affecting his or her eligibility for HCBS.

This revised operations memo describes situations where the CHC-MCO sends the PA 1768 to the CAO. The memo has also been revised to include Money Follows the Person (MFP) information to communicate on the PA 1768 (Attachment 8), and to update a participant letter (Attachment 4: CHC HCBS Termination Letter (No Response).

If you have any questions, please contact Melissa Dehoff.