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Brain Injury

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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.

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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.

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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.

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The Secretaries of the Department of Human Services, Department of Drug and Alcohol Programs, Department of Health, and Department of Aging have written a letter to human services organizations about the budget impasse and an estimated $5.9 billion in planned state and federal funding that cannot be disbursed without a signed budget. The letter details specific funds that cannot be distributed through each department.

For Gov. Shapiro to sign HB 611, the General Appropriations bill for Fiscal Year 2023/24, which was passed by both the House and Senate, Senate President Pro Tempore Kim Ward must first deliver a signed physical copy of the bill to him. Sen. Ward is the only person with the power to call the Senate into session to complete this procedural step. Ward has adjourned the Senate until Sept. 18, 2023.

Read the full letter here.

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The Americans with Disabilities (ADA) Act passed in 1990. As the country celebrates the upcoming 33rd anniversary of the ADA, the Federal Emergency Management Agency (FEMA), with the guidance of the ADA, has committed to improving services and programs to be uniformly available to individuals with disabilities and others with access and functional needs.

To support the disability community, FEMA made equity in emergency management one of the top goals in its 2022–2026 Strategic Plan. In support of this plan, the agency has:

  • Improved the survivor registration intake process nationwide, expanding disability-related questions and making it easier for people with disabilities impacted by disasters to get the assistance they need.
  • Continued updating the FEMA App, available in English and Spanish, so that it is now more accessible to people with disabilities. The app is screen reader compatible on iOS (11.0 and later) and Android (5.0) devices. The user interface has also been redesigned to fit a wider variety of screen sizes, making it easier for users to interact with it on their preferred device.
  • Worked extensively with state, local, tribal and territorial officials, and nongovernmental and private sector partners and stakeholders to facilitate ADA compliance. This includes removing physical, communication, and programmatic barriers that people with disabilities could face.
  • Designed programs, services, policies, and procedures to include the needs of people with disabilities before disasters happen, rather than solely reacting to barriers that are identified during response and recovery.

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Explore unique leadership and up-to-date support strategies in health and human services at the 2023 RCPA Annual Conference A Decade of Unity, as our speakers will be covering topics that touch on hoarding disabilities, handling subpoenas, and even tackling social anxiety with tabletop games! Held at the Hershey Lodge October 10 – 13, participants can earn CEs through these exciting and interactive workshops. Our full brochure is available, and below is a sampling of the many sessions being offered:

  • Hoarding Recovery and Maintenance Program
    • Learn about the Hoarding Recovery and Maintenance Program, which was designed to support individuals dealing with anxiety and stress as they let go of their hoarded possessions.
  • Make Difficult People Disappear: How to Reduce Stress and Eliminate Conflict in the Workplace
    • Obtain tricks and resources to not only managing stressful individuals but making them disappear without worsening the situation.
  • Investigating the Use of Tabletop Role-Playing Games as a Potential Therapeutic Intervention for Individuals With Social Anxiety
    • Discover how tabletop role-playing games like Dungeons & Dragons can assist adults in dealing with anxiety, particularly social anxiety.
  • A Treatment Outcome Measurement System That Helps to Get & Keep Treatment Funding
    • Develop a simple yet effective treatment outcome measurement system in order to keep funding, including Medicaid funding.
  • Addressing Cultural Barriers to Treatment: How to Be Respectfully Curious When Working With Families
    • Address leadership tactics for being curious yet respectful when interacting with fellow employees in order to avoid causing more harm or enforcing one’s personal beliefs.
  • Subpoenas, Court Orders, and Requests for PHI: Obligations Under HIPAA, the MHPA, and Other Statutes
    • Delve into HIPAA and PA statues in order to learn about the complexities regarding subpoenas and court-related orders when working in health and human services.
  • Enabling Technology: The Why, What, and How Needed to Make it Happen
    • Understand how companies can improve organization capacity in order to provide up-to-date technology to disabled communities.
  • 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!

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Governor Shapiro’s office published a list of regulations being considered by the state agencies in the Pennsylvania Bulletin on July 22, 2023. The document lists regulations being drafted by state agencies that cover a wide variety of activities under oversight of the state government. Under Executive Order 1996-1, all agencies under the jurisdiction of the Governor must submit for publication semi-annually an agenda of regulations under development or consideration. This list is current as of July 15, 2023.

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Photo by Markus Winkler on Unsplash

RCPA has received notification from PA Health & Wellness (PHW) regarding an update to the prior authorization process for Residential and Structured Day Habilitation services. The updates included in the notice are effective starting August 1, 2023.

Questions regarding this update should be directed to PHW’s Provider Services at 844-626-6813 or to Provider Relations via email.

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On July 13, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that announces and solicits public comments on proposed policy changes for Medicare payments under the Calendar Year (CY) 2024 Physician Fee Schedule (PFS) and other Medicare Part B issues, effective on or after January 1, 2024.

The calendar year (CY) 2024 PFS proposed rule is one of several proposed rules that reflect a broader Administration-wide strategy to create a more equitable health care system that results in better access to care, quality, affordability, and innovation.

The proposed modifications include several pertaining to telehealth policy in the Medicare program for 2024. One of the major takeaways from the proposed 2024 PFS is the clarification that certain telehealth flexibilities that were previously extended until 151 days after the end of the public health emergency (PHE) have now been extended until December 31, 2024, in accordance with amendments made by the Consolidated Appropriations Act, 2023. These extensions have been known since the CAA’s passage in December last year and has also been addressed in a series of fact sheets and FAQ documents.

However, there were also some new changes addressed in the 2024 PFS. For example, every year CMS will consider adding new services to their list of codes that are reimbursable via telehealth. While they did not decide to add any new codes on a permanent basis to the list (though many remain on the list temporarily through the end of 2024), they did propose to add a number of codes to Category 3 (CMS’ current temporary list), including certain codes for health and well-being coaching services. Additionally, CMS announced a proposed revision to their telehealth code classification process, moving from a Category 1, 2 and 3 classification system to a binary ‘permanent’ or ‘provisional’ classification in an attempt to simplify the process beginning in CY 2025. In order to make the steps for getting a code accepted for inclusion in either the permanent or provisional telehealth lists transparent, CMS proposes a five-step process that is detailed in the proposed 2024 PFS, which includes consideration of the evidence of clinical benefits.

A few additional changes proposed in the document are listed below:

  • The list of telehealth practitioners is amended to recognize marriage and family therapists and mental health counselors as telehealth practitioners, effective Jan. 1, 2024.
  • CMS will pay for place of service (POS) 10 at the non-facility PFS rate, while 02 will be paid at the facility rate beginning Jan. 1, 2024.
  • Frequency limitation would be removed for subsequent inpatient visits through the duration of CY 2024.
  • Multiple clarifications are provided for billing both remote physiologic monitoring (RPM) and remote therapy monitoring (RTM) codes.
  • Direct supervision is allowed to include real-time audio video interactive telecommunication through Dec. 31, 2024 (including for FQHCs and RHCs). Direct supervision requirements are also addressed for occupational therapists in private practice (OTPP) and physical therapists in private practice (PTPP) for unenrolled physical and occupational therapists when providing remote RTM.

CMS will be accepting comments on their proposals until 5:00 pm EST on September 11, 2023, and RCPA will review the document and work with the National Council for Mental Wellbeing in drafting recommendations. We welcome provider feedback and comments to be included and ask that you contact and share these with your RCPA Policy Director.

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