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During a recent Home and Community-Based Services (HCBS) provider call, a number of issues and concerns were raised specific to AmeriHealth Caritas/Keystone to the Office of Long-Term Living (OLTL) staff. OLTL decided to schedule a call with staff from AmeriHealth Caritas/Keystone and providers that utilize them as their Community HealthChoices (CHC) Managed Care Organization (MCO). Some of the topics to be discussed include the CHC-MCO scorecard, timeliness and length of time for authorizations, terminations, and issues about HHA.

The call is scheduled for August 23, 2023, from 9:00 am – 10:00 am. To join in this discussion, the call information is provided below:

Microsoft Teams meeting
Join on your computer, mobile app or room device
Visit here to join the meeting

Meeting ID: 250 176 587 490
Passcode: GJwBmd
Download Teams | Join on the web

Or Call In (Audio Only)
+1 267-332-8737,,463224577#   United States, Philadelphia
Phone Conference ID: 463 224 577#
Find a local number | Reset PIN

The Medicare Payment Advisory Commission (MedPAC) has published the 2023 Data Book Health Care Spending and the Medicare Program, which provides information on national health care and Medicare spending as well as Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care in the Medicare program, and Medicare beneficiary and other payer liability. It also examines provider settings — such as hospitals and post-acute care — and presents data on Medicare spending and beneficiaries’ access to care in the setting (measured by the number of beneficiaries using the service, number of providers, volume of services, length of stay, or through direct surveys). Specifically of interest is information on dual-eligible beneficiaries, including individuals with disabilities, and information on alternative payment models.

Summer is flying by, and so, too, is the opportunity for early bird registration rates for the 2023 RCPA Annual Conference A Decade of Unity! Early bird rates end Friday, September 8, so be sure to register today and claim your seat, your hotel room, and your discount! View the full brochure for details as well as information on our roster of workshops, keynote speakers, and plenary sessions. You’ll be able to earn CEs from workshops such as:

  • Getting Past the First Meeting to the Contract Negotiation
    • Learn how to present a solution in health and human services to health plan payors based on what the payor needs and looks for.
  • Bridging Generational Differences in the Workplace
    • Explore the generational diversity in your workforce and how to leverage each generation’s strengths to your competitive advantage.
  • Transforming Organizational Wellness and Self-Advocacy Through an Evidenced-Based Practice: Improving the Lives of Employees and Individuals in Our Care
    • Identify the benefits of and methods for implementing a wellness program to improve employee wellness and support consumers and families served in MH/IDA.
  • Revealing the Potential of Smart Home Technologies for People With Disabilities Through Research and Resources
    • Examine smart home technologies, their uses for people with disabilities, and the expanding field of research and resources for the tech.
  • Our HAIR (Health Access Initiative for Recovery): Making a Difference With Health Equity
    • Listen to an in-depth overview of Community Care’s “Our HAIR” program, which was developed as a targeted intervention to address racial disparities in access to behavioral health care.
  • Implementing and Sustaining Evidence-Based Practices
    • Develop evidence-based practices for childhood trauma via CenClear’s Healing After Trauma program.
  • Selective Contracting or Managed Care: Either One Will Change Your World
    • Learn about the impact selective contracting and managed long-term services & supports will have on the IDD community.
  • Findings on Stakeholder Engagement for the PA Master Plan for Older Adults
    • Discuss what the Master Plan is intended to accomplish and learn of preliminary findings from the stakeholder engagement process.
Register today!

In addition to an impressive roster of speakers, our 2023 Conference will have an exciting array of sponsors and exhibitors. We thank those who have signed on thus far! If you are interested in sponsoring or exhibiting, visit here for more details or contact Carol Ferenz, Conference Coordinator, with any questions you may have. Keep up-to-date and register today for #rcpaconf!

The Pennsylvania Department of Aging (PDA) has announced that they will host four virtual listening sessions to present an overview of the Master Plan for Older Adults, with a concentration on the American Association of Retired Persons (AARP) 8 Domains of Livability for Age-Friendly Communities. The dates and times for the virtual listening sessions are:

  • August 8, 2023, from 3:00 pm – 4:30 pm;
  • August 17, 2023, from 3:00 pm – 4:30 pm;
  • August 22, 2023, from 10:00 am – 11:30 am; and
  • August 25, 2023, from 8:30 am – 10:00 am.

To participate in a listening session, registration is required. Visit here to register.

The 52 Area Agencies on Aging (AAA) will also host in-person listening sessions, where the public can learn about the plan and submit input. Visit here to find a listening session by county.

Visit the PDA website for additional information on the plan. Individuals who would like to submit input on the plan can email, provide feedback through an online form, or mail the Pennsylvania Department of Aging, c/o Master Plan, 555 Walnut St., 5th Floor, Harrisburg, PA 17101.

Best Practices When Working With Medical Interpreters in Therapeutic Settings
Monday, September 11, 2023
1:00 pm – 2:00 pm EDT; 12:00 pm – 1:00 pm CDT;
11:00 am – 12:00 pm MDT; 10:00 am – 11:00 am PDT
REGISTER

Sally De Arruda, MSHA

Speaker Bio:
Azalia (Sally) De Arruda is a medical interpreter and the Language Service Manager at Mt. Washington Pediatric Hospital in Baltimore, Maryland, where she has worked for the past 16 years. Sally began her career in the Admissions Department and was instrumental in the creation of the hospital’s Language Service Program that she now leads.

Sally holds a Master’s Degree in Health Administration and has specialized training as a medical interpreter, including coursework in The Community Interpreter 40-hour training course, Medical Terminology, Qualified Bilingual Staff Program, and ACTFL Oral Proficiency Interview.

Sally is passionate that all patients should receive the best possible care, including those with limited English proficiency. Through her work on and with the rehabilitation team, Sally has developed a robust program to ensure that the best possible rehabilitation care be provided even when language barriers are present.

Objectives: At the end of this session, the learner will:

  • Identify the key differences between an interpreter and a translator;
  • Recognize behaviors, practices, or pitfalls to avoid when working with a medical interpreter;
  • Implement three practical ways for a clinician to interact with a medical interpreter during a medical appointment; and
  • Discuss the value of a medical interpreter as a member of the rehab team.

Audience: This webinar is intended for all members of the rehabilitation team, including medical staff, nurses, physical therapists, occupational therapists, speech language pathologists, licensed psychologists, mental health professionals, and other interested professionals.

Level: Intermediate

Certificate of Attendance: Certificates of attendance are available for all attendees. No CEs are provided for this course.

Registration: Registration is complimentary for members of IPRC/RCPA. Registration fee for non-members is $179. Not a member yet? Consider joining today. Multiple registrations per organization are permitted.

For those in health and human services, keeping up-to-date with the latest in payment, treatment, and worker recruitment methods is essential. At the 2023 RCPA Annual Conference A Decade of Unity, you’ll have access to workshops that both highlight and educate on the latest developments in the field, including the use of AI, selective contracting, and telehealth. Our full brochure is available, and you can expect to see workshops such as the following:

  • Guiding the Use of Evidence-Based Practice to Drive Improved Quality Outcomes Across Levels of Care
    • Examine the use of evidence-based practices and the outcomes of value-based payment programs with the PA Opioid Use Disorder Centers of Excellence.
  • Recruitment and Retention of Front Line Workers
    • Focus on the HR challenges of recruiting and retaining workers by reviewing why workers are leaving and analyzing what HR can do to meet goals.
  • Preparing Your Organization’s Infrastructure for Selective Contracting for IDD Providers
    • Define what a preferred IDD provider is when it comes to selective contracting and discuss how to prepare for transitioning your organization’s infrastructure.
  • Not If But When You Use AI and Machine Learning – But is the AI Trustworthy? Some Things to Look For
    • Discuss AI use in the health and human services field in order to make informed decisions for your organization.
  • Connecting Through Movement: Bringing Accessible and Enjoyable Movement Experiences Into the Home and Community
    • Explore ways of staying physically active in community settings with home-based, telehealth methods.
  • A Brief Multi-Disciplinary Intervention for Supporting Adults With IDD and Co-Occurring Mental Health Conditions
    • Analyze the use of the ANSA-DD for holistic intervention and treatment for those with IDD and co-occurring mental health conditions.
  • Community Partnerships That Work: Community Mental Health Centers – School Districts
    • Identify the strengths in collaboration when school districts, community mental health agencies, and their communities work together to assist families struggling with violence and trauma.
  • Leadership and Navigating Change
    • Tackle resistance in a team that is going through significant adjustments and learn how to be a leader by focusing on the ‘people side’ of change.
Register today!

In addition to an impressive roster of speakers, our 2023 Conference will have an exciting array of sponsors and exhibitors. We thank those who have signed on thus far! If you are interested in sponsoring or exhibiting, visit here for more details or contact Carol Ferenz, Conference Coordinator, with any questions you may have. Keep up-to-date and register today for #rcpaconf!

If you haven’t registered yet for the 2023 RCPA Annual Conference A Decade of Unity, then don’t wait any longer! Our plenary sessions throughout the week are sure to inspire you with new ideas to tackle priorities in health and human services. Looking ahead, we have:

  • Returning speaker Michael Cohen, Esq., addressing practical ways for attracting high-caliber employees in a rapidly-changing job market;
  • A panel addressing the realities of the workforce crisis, featuring Tine Hansen-Turton of Woods Services, Toni Pergolin of Bancroft, Rita Gardner of Melmark, and Marco Giordano of Resources for Human Services; and
  • National updates from National Council for Mental Wellbeing’s Chuck Ingoglia as well as ANCOR’s Donna Martin.

Be sure to view our registration brochure to book your seat (and your hotel room) today!

We extend our thanks to those organizations that have already contributed and shown their support! Sponsor and exhibitor spots are filling up quickly, so complete the sponsor/exhibitor brochure today! As a reminder, sponsors, exhibitors, and advertisers who wish to be listed on the website, the mobile app, and in the conference program must submit all materials by September 8. In order to be considered for booth self-selection, a completed contract with payment must be submitted, and no reservation is considered complete without payment. If questions remain, please contact Carol Ferenz, Conference Coordinator.

Caregiver supporting sick elderly man in the wheelchair during stay in the hospice

The U.S. Department of Health and Human Services (HHS), through the Centers for Medicare and Medicaid Services (CMS), announced the new Guiding an Improved Dementia Experience (GUIDE) Model. The purpose and goal of this model is to improve the quality of life for people living with dementia, reduce strain on unpaid caregivers, and help people remain in their homes and communities through a package of care coordination and management, caregiver education and support, and respite services.

Through the GUIDE Model, CMS will test an alternative payment for participants who deliver key supportive services to people with dementia, including comprehensive, person-centered assessments and care plans, care coordination, and 24/7 access to a support line. Under the model, people with dementia and their caregivers will have access to a care navigator, who will help them access services and supports, including clinical services and non-clinical services such as meals and transportation through community-based organizations.

The GUIDE model supports President Biden’s Executive Order that directed HHS to develop a new health care payment and service delivery model focused on dementia care that would include family caregiver supports.

There is a web page that has been created specific to this care model that provides additional information, including a link to a webinar that will provide an overview of this care model scheduled for August 10, 2023:

CMS will release the application for GUIDE, a voluntary, nationwide model, in the fall of 2023. Prior to the application release, interested organizations are encouraged to submit Letters of Intent to CMS by September 15, 2023. The model will run for eight years beginning July 1, 2024.

If you are interested in receiving additional information, updates or have questions about the GUIDE model, please send an email to the GUIDE Model team’s inbox.

The next Managed Long-Term Services and Supports (MLTSS) Subcommittee is scheduled for August 2, 2023, from 10:00 am – 1:00 pm. The meeting will be held in the Honors Suite, 1st Floor, 333 Market St., Harrisburg, PA 17126. Participation is also available by conference call, via webinar, or through remote streaming. Please see the information below:

Conference Line:
Bridge Number: 1-213-929-4212
PIN: 445023599#
Webinar Link
Remote Streaming Link

View the agenda for the August 2 meeting here. Questions about the meeting should be sent in via email.