Brain Injury

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Beginning in January 2019, Community HealthChoices (CHC) will go into effect in the Southeast part of the state. To help providers learn more about CHC and ask questions, community meetings have been scheduled starting at the end of August and will continue through mid-October. Providers are encouraged to attend one of these sessions. Registration is required (either online or by telephone) and space is limited. Please see this schedule for the dates, times, and locations of the meetings. Contact Melissa Dehoff at RCPA with any questions.

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The June 2018 Medicaid and CHIP Payment and Access Commission (MACPAC) Report to Congress included a chapter on Managed Long-Term Services and Supports (MLTSS). The chapter provides an overview of MLTSS, the growing role of managed care in long-term services and supports, reviews the results of MACPAC’s initial work in this area, and identifies gaps in our knowledge about what drives     success in MLTSS programs. It also includes highlights of reports describing state MLTSS programs and program outcomes. In addition, the report focuses on operational issues and the future of MLTSS.

In preparation for the launch of Community HealthChoices (CHC) in the Southeast region, this CHC Fact Sheet explains the delivery of service coordination through the program. Under CHC, service coordination is a function of the managed care organizations (MCOs). A service coordinator is the MCO’s designated, accountable point-of-contact for each participant receiving long-term care services, their person-centered service plan, and service coordination. Therefore, the Office of Long-Term Living (OLTL) sees the service coordinators as part of the MCO under CHC.

In addition to the fact sheets, there are now short, easily digestible overview trainings on CHC that can be found here in order to increase stakeholder knowledge in anticipation of the Southeast rollout of the program.

To assist stakeholders in finding answers to questions more quickly, all FAQs have been consolidated into a single CHC Questions and Answers Document. The new document is in searchable PDF format and contains a table of contents that allows the user to easily move to different sections within the document.

The CHC Questions and Answers Document can be found on both the Participant and Provider sections of the CHC website by clicking on “View CHC Publications” or by following this link.

CONTACT: If you have any questions, please visit the CHC website or submit comments via email.

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The Pennsylvania Department of Health (DOH), Bureau of Family Health (BFH) has been awarded the Administration for Community Living (ACL) Traumatic Brain Injury (TBI) State Partnership Program Mentor Grant. This funding opportunity will allow for the BFH to develop a NeuroResource Facilitation Program. The program will connect families and individuals with TBI to services and resources through case management. The BFH will also fund brain injury education and training to increase knowledge of TBI with a focus on TBI screening in the juvenile justice and the older adult population. The overall project aim is to help maximize the health, independence, and well-being of persons with TBI and their families in Pennsylvania. Through the Mentor Grant Program, the BFH will also mentor other states to assist with enhancing their programming, and will collaborate with ACL and other Mentor States to build on the overall TBI infrastructure. Contact Melissa Dehoff, RCPA Director of Rehabilitation Services, with questions.

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As a result of the many Community HealthChoices (CHC) stakeholder events, the Department of Human Services (DHS) has added frequently asked questions (FAQ) documents to the CHC website for providers and participants.

To assist stakeholders in finding answers to questions more quickly, DHS recently consolidated all FAQs into a single CHC Questions and Answers document. This new document is in a searchable pdf format and contains a table of contents that allows the user to easily move to different sections within the document.

For more information, visit the DHS CHC web page.

This week, both the US Senate and US House introduced bipartisan legislation (HR 5912 in the House and S 2897 in the Senate) designed to delay implementation of the Electronic Visit Verification (EVV) provision of the 21st Century Cures Act and require public input from stakeholders. The bill was led by Senators Lisa Murkowski (R-AK) and Sherrod Brown (D-OH) and co-sponsored by a range of Democrats and Republicans in the Senate and House. The EVV delay bill gives states an additional year to implement EVV, having it take effect on January 1, 2020 instead of January 1, 2019.

In late 2016, Congress had ordered states to install EVV systems as a way of preventing fraud in Medicaid as part of the 21st Century Cures Act, but many challenges arose after the bill passed. This is partially due to CMS not releasing guidance on the EVV statute until May 2018, leaving states in the dark for a full 18 months following passage of the EVV law. Even despite CMS’ recent guidance, many concerns remain about which disability supports and services are required to comply with the rule. Additionally, because there has been little stakeholder input, questions abound about privacy, costs, and other aspects of compliance.

Please contact your legislators and ask them to support the EVV delay bill. The American Network of Community Options and Resources (ANCOR) has been instrumental in advocating for this legislation; RCPA is proud to be a member of ANCOR and appreciates their initiative on this issue.

The following documents provide information from the Association of People Supporting Employment First (APSE) regarding the Certified Employment Specialist Professional (CESP) recertification process and the requirements for Continuing Education (CE) credits.

The CESP Certification is valid for a 3-year period, during which time the CESP must demonstrate a commitment to professional development by obtaining 36 CE Credits in order to maintain their certification. One CE credit is equivalent to one hour of clock time (except as noted on the “Requirements for Continuing Education Form”). Documentation which verifies the reported number of CE credits must be submitted with the recertification application. Repeat CE activities/content within the same 3-year recertification cycle will NOT count for credit.

In addition to providing appropriate documentation of 36 CE Credits, the recertification application must be submitted with the recertification fee of $125 paid per 3-year term.

Please refer to the following documents for more detailed information:

On May 11, 2018, the US Department of Veterans Affairs (VA) announced a new federal rule that will allow VA doctors, nurses, and other health care providers to administer care to Veterans using telehealth, regardless of where in the United States the provider or Veteran is located. This includes across state lines and outside of a VA facility.

Previously, it was unclear whether VA providers could furnish care to Veterans in other states through telehealth because of licensing restrictions or state-specific telehealth laws. This new rule exercises federal preemption to override those state restrictions, paving the way for VA to expand care to Veterans using telehealth.

The Office of Long Term Living (OLTL) is inviting all interested parties to participate in a webinar that provides information on Certified Employment Support Professional (CESP) certification/credentialing. The growth in the number of individuals seeking CESP certification demonstrates the increased demand for training and consultation to educate and certify employment support professionals. These webinars will cover the basics of the CESP, including the upcoming changes to the test delivery to be given in a computer-based format. While information will be presented on the OLTL requirements on certification/credentialing, and the impact the requirements have on the certification of organizations and staff, these webinars should provide helpful information to ODP Stakeholders as well. The webinar will provide information about this certification, the process of becoming certified, the requirements, and the opportunities that exist for organizations to rise to this challenge.

The webinars will be presented by Ms. Kari Tietjen, CESP Director, National Association of People Supporting Employment. The OLTL requirements will be presented by Mr. Edward M. Butler, Employment Specialist, OLTL.

Please register here for the CESP Webinar on Monday, July 9, 2018, 1:00 PM EDT

Please register here for the CESP Webinar on Tuesday, July 10, 2018, 9:00 AM EDT

After registering, you will receive a confirmation email containing information about joining the webinar. If you have questions regarding this email, please contact Edward M. Butler, OLTL, via email or call 717-214-3718. ODP Stakeholders with questions, please contact the Employment Leads in your region.