Intellectual & Developmental Disabilities

The Office of Developmental Programs (ODP) has contracted with Temple University’s Institute on Disabilities to provide Supports Broker Classroom Certification Training on Thursday, March 14 & Friday, March 15, at Glad Tidings Assembly of God, 1110 Snyder Rd, West Lawn, PA 19609. Training will take place from 10:00 am – 4:00 pm each day.

Participants must complete the 7 Supports Broker Certification Modules prior to registration. Once all modules are completed, a registration link for certification classes will be made available to the participant on the Supports Broker Certification course page. You will receive a confirmation e-mail after selecting “Book Now” for the date you wish to attend. If you have any questions regarding the online modules or classroom certification registration, please contact Denise Beckett.

*Please contact Denise Beckett for special accommodation requests no later than February 28, 2019.

March is National Developmental Disabilities Awareness Month, a time to educate our communities on the needs of individuals with intellectual and developmental disabilities (IDD) and reflect on the progress made toward improving quality of life for them. The National Association of Councils on Developmental Disabilities (NACDD) partners with the Association of University Centers on Disabilities (AUCD) and the National Disability Rights Network (NDRN) to create a social media campaign that highlights the many ways in which people with and without disabilities come together to form strong, diverse communities. The campaign seeks to raise awareness about the inclusion of people with developmental disabilities in all areas of community life.

Help promote the positive message that individuals with developmental disabilities are “Just like You!“

“Just Like You,” from Informing Families: watch video here. Please share any success stories on your social media and use the hashtag #DDAwareness19.

This year’s imagery features art by Gary Murrel. Gary’s artwork is simultaneously complex and simple; his minimalist style of detailing people and faces evoke a depth of expression and emotion that is immediate and powerful. To read more about Gary, visit https://art-enables.org/artist/?id=44906

ODP Announcement 19-018 announces a new requirement and training for all SCOs and providers of AAW services to develop Quality Management Plans (QM Plans), and accompanying Action Plans, effective July 1, 2019, per the new Chapter 6100 regulations.

QM Planning is a major way in which ODP promotes continuous quality improvement for the individuals they serve. Under ODP’s Chapter 51 regulations, SCOs and providers delivering AAW services only were exempt from these QM Planning requirements while SCOs and providers of Consolidated, P/FDS, and Community Living (ID/A) Waiver services were required to develop and implement QM Plans and Action Plans.

As of July 1, 2019, all SCOs and providers serving participants in the AAW program as well as in the ID/A programs will be required to comply with the new Chapter 6100.45 Quality Management regulations by developing QM Plans and accompanying Action Plans.

ODP will provide webinar training for AAW SCOs and providers on development of QM Plans and Action Plans on Monday, March 18, 2019, from 10:00 am – 11:30 am. Register online for the AAW Provider – Quality Management Webinar (Note: This training will be recorded and posted to MyODP.org for future viewing).

In preparation for this session on QM Planning, SCOs and providers are encouraged to access additional training on ODP’s overarching Quality Management Strategy on MyODP.org by clicking on Training, Quality Management, Quality Management Training Modules.

Training topics include:

  • Everyday Lives: Values in Action;
  • Recommendations of ODP’s Information Sharing and Advisory Committee (ISAC);
  • Quality Assessment and Improvement (QA&I) Process; and
  • QM Plans and Action Plans.

Please submit any questions regarding this communication via email to Patrick Keating with “QM Plans” in the subject line.

The Department of Health (DOH) published final-form sexual assault victim emergency services regulations January 26, 2008 and amended 28 Pa. Code Part IV, Subpart B (relating to general and special hospitals) to add specific requirements for hospitals relating to the provision of sexual assault emergency services.

Hospitals that decide they may not provide emergency contraception due to a stated religious or moral belief contrary to providing this medication are required to give notice to the DOH of the decision. Hospitals that refer all emergency patients to other hospitals after institution of essential life-saving measures and decide not to provide any sexual assault emergency services are required to give notice to the DOH of the decision, and the DOH must annually publish the lists of hospitals in the Pennsylvania Bulletin that have chosen not to provide emergency contraception under 28 Pa. Code § 117.57 or any sexual assault emergency services under 28 Pa. Code § 117.58. The following lists were published on Saturday, February 23, 2019 in accordance with those provisions and do not create any new obligations for hospitals or relieve hospitals of any existing obligations.

The following list of hospitals have provided notice to the DOH that the hospital may not provide emergency contraception due to a stated religious or moral belief:

Hospital Name City, Zip Code
Holy Spirit Hospital Camp Hill, 17011
Geisinger Jersey Shore Hospital Jersey Shore, 17740
Mercy Fitzgerald Hospital Darby, 19023
Mercy Philadelphia Hospital Philadelphia, 19143
Suburban Community Hospital East Norriton, 19401
Millcreek Community Hospital Erie, 16509
Muncy Valley Hospital Muncy, 17756
Nazareth Hospital Philadelphia, 19152
Physicians Care Surgical Hospital Royersford, 19468
Regional Hospital of Scranton Scranton, 18501
Sacred Heart Hospital Allentown, 18102
St. Joseph Medical Center Reading, 19603
St. Mary Medical Center Langhorne, 19047
UPMC Mercy Pittsburgh, 15219
Williamsport Regional Medical Center Williamsport, 17701

 

The following list of hospitals have provided notice to the DOH that the hospital may not provide any sexual assault emergency services due to the limited services provided by the hospital:

Hospital Name City, Zip Code
Allied Services Institute of Rehabilitation—Scranton Scranton, 18501
John Heinz Institute of Rehabilitation Medicine—
Wilkes-Barre
Wilkes-Barre Township, 18702
Kindred Hospital South Philadelphia Philadelphia, 19145
OSS Health York, 17402
Physicians Care Surgical Hospital Royersford, 19468
Rothman Orthopedic Specialty Hospital Bensalem, 19020

 

Additional information regarding the sexual assault victim emergency services regulations and emergency contraception, and an up-to-date list of hospitals not providing emergency contraception under 28 Pa. Code § 117.57 or not providing any sexual assault emergency services under 28 Pa. Code § 117.58, is available on the Department’s website.

Effective February 1, 2019, Supports Coordinators (SCs) are to follow the interim guidance given in ODP Announcement 19-013 on how to complete ODP’s revised Prioritization of Urgency of Needs of Services (PUNS) form that will go-live in the Home and Community Services Information System (HCSIS) on February 1, 2019. ODP also provided an Interim Guidance document. The revisions to the PUNS form were limited to text changes only. The format of the tool and HCSIS functionality remain the same.

The reasons for the changes are:

  • Refinement of questions to collect more accurate information about needs and stressors;
  • Emphasis on conversation between SC, individual, and family about short-term and long-term needs;
  • Better align the PUNS Form with the current waiver; and
  • Allow better planning for the needs of individuals locally as well as the overall ODP system.

SCs should continue to use the PUNS Disagreement Form and letter located at www.dhs.pa.gov until the updated PUNS bulletin and attachments are published.

If you have questions, please reach out to your regional PUNS Lead:

Kristin Ahrens, Deputy Secretary for ODP and Ryan Hyde, Acting Executive Director for Office of Vocational Rehabilitation (OVR), signed a joint bulletin on February 14, 2019 to become effective on February 15, 2019. Bulletin 00-19-01 provides updated guidance regarding requirements for when individuals must be referred to OVR to align with the requirements in the current Consolidated Waiver, Person/Family Direct Support (P/FDS) Waiver, Community Living Waiver, and Adult Autism Waiver (the ODP Waivers), and the Workforce Innovation and Opportunity Act (WIOA) (Pub.L. 113-128) and clarifies that the guidance in this bulletin applies to employment-related services funded through base-funding provided for by the Mental Health and Intellectual Disability Act of 1966 (50 P.S. §§ 4101-4704).

In accordance with the Employment First Act (62 P.S. §§ 3401-3409), competitive integrated employment is the preferred outcome for individuals receiving services funded through the ODP Waivers or base-funding and OVR services. An employment outcome is the first and preferred outcome because it provides many benefits to the individual including, but not limited to: increased opportunities for economic self-sufficiency, an opportunity to contribute to the community, a chance to build a network of social relationships, and the creation of opportunities for lifelong learning. An employment outcome is also consistent with the overall goals and recommendations in Everyday Lives: Values in Action, the document that provides guiding principles for the Office of Developmental Programs (ODP).

The employment recommendation in Everyday Lives: Values in Action states: “Employment is a centerpiece of adulthood and must be available for every person. The benefits of employment for people with disabilities are significant and are the same as for people without disabilities.” In addition, Everyday Lives: Values in Action includes the following value statement developed by self-advocates: “I want to work and/or have other ways to contribute to my community. My family, supporters, and community support me to find and keep a real job that I like with good wages and benefits or start and run my own business, and/or volunteer the way I want in my community.”

ODP and OVR have been working closely together to ensure that all individuals enrolled in ODP Waivers or receiving base-funded services have access to experiences and services that will enable them to obtain an employment outcome and receive the benefits that come from being employed. Supports Coordinators must refer an individual to OVR for OVR to determine the individual’s eligibility for services when an individual who is enrolled in an ODP Waiver or is receiving base-funded services indicates an interest in seeking employment or requests that the following employment-related services be added to his or her Individual Support Plan (ISP):

Consolidated, P/FDS, and Community Living Waivers:

  • Advanced Supported Employment;
  • Supported Employment;
  • Small Group Employment;
  • Community Participation Support; and
  • Education Support.

Adult Autism Waiver:

  • Supported Employment;
  • Career Planning; and
  • Transitional Work.

All other services offered by the ODP Waivers do not require a referral to OVR.

Once an individual is referred to OVR, OVR will determine using its own eligibility standards and criteria if the individual is eligible for OVR services. OVR will not make a determination if employment-related services provided through ODP Waivers or base-funded services are needed or appropriate for the individual.

It is critical that OVR staff and Supports Coordinators engage in ongoing conversations during the OVR referral and eligibility determination process to ensure that timely eligibility determinations are made. Ongoing conversations allow OVR staff and Supports Coordinators to discuss the following topics:

  • Whether additional information is needed by OVR staff to make an eligibility determination.
  • If OVR staff has any concerns about the individual. For example, OVR staff may report that the individual has experienced a prolonged illness that has impacted OVR staff’s ability to set up meetings and determine the individual’s eligibility for OVR services.
  • The date that OVR staff expects to make an eligibility determination.
  • Services and supports that OVR staff is exploring with the individual.

In some circumstances, OVR may not have the capacity to serve every individual referred by a Supports Coordinator in a timely manner. In such cases, there are special provisions in the ODP Waivers that allow the Supports Coordinator to access Waiver funding without receipt of an OVR eligibility determination.

Please see the bulletin and:

Contact Carol Ferenz, RCPA IDD Division Director, with questions.

ODP Announcement 19-017 provides guidance for assisting individuals with transitioning from nursing facilities into waiver services. When an individual is in reserved waiver capacity status, due to requiring hospital and/or nursing home care beyond 30 days, or has been identified as eligible to receive services offered in an ODP waiver upon discharge from the nursing facility, the AE, county MH/ID program, SC, or TSM provider will need to assist the individual in transitioning from the nursing facility. As part of the transition process, a PA 1768 form needs to be completed.

It is important that the PA 1768 form is completed and submitted to the County Assistance Office (CAO) prior to the individual’s discharge, so that there is no interruption in service. The submission of the PA 1768 form in advance of the anticipated discharge date allows the CAO to enter a waiver code in the individual’s record.

The nursing facility will coordinate with the individual and family, the AE, county MH/ID program, SC, or TSM provider as appropriate, to determine an anticipated date of discharge from the nursing facility. The individual must begin to receive waiver services on the day he or she is discharged from the nursing facility.

The AE, county MH/ID program, SC, or TSM provider is responsible to complete the PA 1768 form. The completed PA 1768 form will be sent to the CAO at least two weeks prior to the anticipated date of discharge. For more information about completing the PA 1768, please refer to ODP bulletin 00-18-02, Home and Community-Based Services (HCBS) Eligibility/Ineligibility/Change Form (PA 1768) and Instructions.

The nursing facility is responsible to complete and submit the Long Term Care Admission Discharge Transmittal form (MA 103) to the CAO when the individual is discharged from the nursing facility. During the transition process, if the AE, county MH/ID program, SC, or TSM provider becomes aware that the nursing facility did not complete and submit the MA 103 to the CAO, a request should be made to the nursing facility to complete and submit this form. Enrollment into a waiver cannot be completed until the CAO receives the MA 103. Depending on the individual’s circumstances, the actual discharge date may be sooner or later than the originally anticipated discharge date, or the individual may not be discharged at all.

Please direct questions regarding this Announcement to the appropriate ODP Regional Office.

All provider members of RCPA became full members of ANCOR at the beginning of the calendar year 2019. Join in this webinar to learn about the benefits now available to you as an RCPA/ANCOR member. Gabrielle Sedor, Chief Operations Officer, will lead a discussion explaining all the resources now available to you, including:

  • Monday Capital Correspondence;
  • Friday Weekly Update;
  • Conference and webinars at member rates;
  • Action Alerts;
  • Access to the ACC; and
  • Federal Updates.

The welcome webinar will be held Wednesday, February 27, 2019, 4:00 pm – 4:30 pm. This webinar will be recorded so if you are unable to participate, you may view it at a later time. Register here to participate. For questions about ANCOR, please visit the ANCOR official website.