Intellectual & Developmental Disabilities

RCPA has been collaborating with the Pennsylvania Association for Nonprofit Organization (PANO) on a few issues over the past several weeks. One of those issues is how unemployment compensation is affecting RCPA members and other nonprofits. The Federal Government has legislation that will help alleviate nonprofit organizations concerns around the unemployment compensation issue. PANO has sent out the following alert to its nonprofit members; RCPA is passing along the alert because we know some of our members are affected by this issue.

The bipartisan Protecting Nonprofits from Catastrophic Cash Flow Strain Act (S. 4001) solves half of the problems nonprofits are facing with the enormous costs of reimbursing their states for benefits paid to laid off or furloughed employees. Specifically, the bill would correct the Labor Department’s interpretation that reimbursing employers must pay 100% of unemployment claims up front and then wait to get repaid 50% later. The bill currently has 16 cosponsors, evenly split between the political parties.

ACTION ITEM: Reach out to Senator Casey (D) and Senator Toomey (R) and urge them to co-sponsor S. 4001 and demand a vote this week before the Senate leaves for its July 4 break. It’s only half the unemployment insurance (UI) challenge for reimbursing employers, but it’s the most time-sensitive.

Contacting your Senators is easy. Simply email or tweet this message to each:

“@[SenatorTwitterHandle], #nonprofits in our state must have immediate relief from catastrophic cash flow strains caused by flawed Labor Department guidance. Cosponsor and insist on Senate passage this week of the bipartisan S.4001. #Relief4Charities”

For more information, read this article in today’s Nonprofit Quarterly: Act Now to Protect Nonprofits from Government-Induced Cash-Flow Strain.

Questions, please contact Jack Phillips.

As a follow up to the Bulletin published on 6/11/2020, OMAP and DHS held a public meeting emphasizing the continuing conversion to EVV, for all Personal Care Services (PCS) in the OLTL and ODP waivers, as well as the OMAP Fee For Service PCS.

Highlights:

  • The conversion to EVV for all Personal Care Services continues and is not impeded by the COVID-19 Public Health Emergency
  • The target is for all providers to be utilizing EVV by October 1, 2020
  • After November 20, 2020, non-compliant shifts will not be paid
  • The presentation outlines specific error codes and remedies to clear denials
  • Manual adjustments will be part of identifying pattern non-compliant providers

The enrollment and certification process can take up to 12 weeks. It is critical to initiate the process if your agency provides PCS and does not currently use EVV.

The recording of this session can be found here.

Future public meetings are scheduled:

  • July 30: 1:00 pm – 3:00 pm
  • August 28: 1:00 pm – 3:00 pm
  • September 25: 1:00 pm – 3:00 pm
  • October 23: 1:00 pm – 3:00 pm

Additional information can be found here.

ODP Announcement 20-081 announces an interactive, self-paced, virtual FBA training to replace the existing train-the-trainer model. The virtual course is housed on the MyODP Training & Resource Center.

This updated online FBA training aims to ensure a level of competency among Behavioral Specialists who are conducting FBAs across the Commonwealth reflecting current best practices.

The examples, tools, and strategies outlined in this training are applicable to supporting individuals from childhood through adulthood. The learner will be able to download a variety of direct and indirect assessment tools that can be put into practice immediately.

Effective immediately, newly hired Behavioral Specialists in the AAW or ACAP should complete

this virtual training prior to delivering services. Newly hired Behavioral Specialists who completed an in-person course through the train-the-trainer model prior to the release of this communication, will have access to the current online test until September of 2020. After July 31, 2020, no in-person train-the-trainer courses should be held. Behavioral Specialists that were qualified to provide BSS in the AAW or ACAP prior to the release of this communication are not required to take this course at this time.

To access the training, please use this link.

Please note: You will need to set up an account on MyODP if you have not already done so.

For questions, please submit via email.

ODP Announcement 20-080 provides information and resources related to the EIM enhancements that will go live Saturday, June 27, 2020 as part of HCSIS release 65.05.

EIM is being enhanced to include new functionality that is intended to help improve record keeping and streamline communication. The use of this additional functionality is currently optional.

The new functionality includes:

  • Document scanning and uploading capabilities: Documents such as hospital discharge summaries, staff training records, evidence showing implementation of corrective actions, etc. can now be scanned and uploaded to become part of the incident report record.
  • Incident Report Summary print option: An additional print option has been created to aid providers with achieving compliance with §§6100.401 (e) and 6100.404 (b) (1-6). This print summary option produces a condensed version of the incident report with enhanced formatting.
  • Supports Coordination Comment functionality: Functionality has been created that allows Supports Coordinators to comment on incident reports that Administrative Entity/County Management Reviewers can view and address as warranted.

For additional assistance or clarification, contact the HCSIS Helpdesk, EIM assistance mailbox or the regional office Incident or Risk Manager.

In a recent communication to RCPA and the stakeholder community, OMHSAS Deputy Secretary Kristen Houser was pleased to share the current framework for the provider Alternative Pay Arrangements (APA) that will be extended until September 30, 2020. Deputy Secretary Houser outlined the expectations that included:

  • COVID-specific APAs will remain available as an option through September 30, 2020.
  • No less than 30-day notice will be given to providers to clarify if the APAs will be ending on September 30 or continue to be an option for an additional quarter, through December 31, 2020, depending on the need due to the impact of COVID-19.
  • All APAs should now include a reconciliation to ensure no overpayments are made as providers begin to open and offer more services. Providers who are open and billing at 100% do not have the need to be included in a COVID-19 APA.

Deputy Secretary Houser stated “We understand the importance of maintaining regional agreements and oversight to allow for flexibility to meet a range of needs across the Commonwealth but also recognize that setting a statewide expectation that is consistently communicated across regions, providers and associations will help reduce confusion and subsequent questions. OMHSAS is sharing this information with provider associations and stakeholders to help alleviate any misunderstanding/miscommunication going forward, and we ask that this information be posted on BH-MCO and Primary Contractor or appropriate county websites in a location that is easy to reference. This will ensure that anyone with questions about the duration or expectations of notification of an end date will find the same information there.”

If you have additional questions, please contact your RCPA Policy Director.

ODP Announcement 20-079 provides a list of current Agency with Choice Financial Management Services (AWC FMS) organizations that are available to support participants and surrogates who have chosen to self- direct some or all of their Participant Directed Services (PDS) using the AWC FMS model and are enrolled in the Consolidated, Community Living, or Person/Family Directed Support (P/FDS) waivers.

Note: These AWC FMS organizations are not to be confused with the statewide Vendor Fiscal/Employer Agent (VF/EA) FMS organization. Currently, ODP contracts with Palco Inc. to provide FMS to waiver participants who elect to use the VF/EA FMS model.

For more information regarding the two FMS models (AWC and VF/EA) please visit the Participant Directed Services/Financial Management Services section on MyODP.