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Medical Rehab

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Education and Rehabilitation: Maintaining Continuity Through Rehabilitation to School Re-Entry
Monday, March 13, 2023
12:00 pm – 1:00 pm EST; 11:00 am – 12:00 pm CST;
10:00 am – 11:00 am MST; 9:00 am – 10:00 am PST

Debbie South, MEd
Jodi Krause, MA, CBIS
Emily Frank, CBIS
Stephanie Volker, MS, CCC-SLP
Speaker/Panelist Bios:

Debbie South

Debbie South is a School Liaison Specialist with the Division of Physical Medicine and Rehabilitation at Cincinnati Children’s Hospital Medical Center and a member of the multidisciplinary team in the Complex Brain Health and Wellness Clinic. For the past nine years, she has provided support and recommendations to families and school teams when planning patients’ return to school after hospitalization with inpatient rehabilitation. Prior to her liaison position with Cincinnati Children’s Hospital, Debbie taught science for 22 years in both the private and public school settings.

Debbie received both her undergraduate and master’s degrees in education from Xavier University, with a graduate certification from George Washington University in Brain Injury and Transition Services. She is currently obtaining her certificate as a Brain Injury Specialist through Brain Injury Association of America.

Jodi Krause

Bringing experience from teaching in both public and private schools, Jodi Krause joined Children’s Hospital Colorado in 2010 as a Learning Specialist in the Learning Services Clinic, where she provided educational evaluations and therapy for students with developmental reading disabilities. In 2011, she transitioned to the inpatient teaching team.

Collaborating with a rehab psychology colleague, Jodi created a new model for education on the rehabilitation unit. In 2012, they launched a multidisciplinary classroom experience to improve the return to school process for patients, families, and school teams. In 2017, she transitioned into her current role, where she sees patients in the Acquired Brain Injury Clinic alongside physicians, psychologists, and other members of the therapy team.

Emily Frank

Emily Frank currently serves as the Inpatient School Specialist for Rehabilitation at Children’s Hospital Colorado, bringing to the role her prior experience teaching in both public and charter schools. She leads a daily school group for the rehabilitation patients and supports the return to school process for patients, families, and school teams.

Emily joined Children’s Hospital Colorado team in 2018, gaining valuable training and experience working in the rehabilitation classroom. She developed an understanding of the learning needs of children with brain injuries and the long-term impact on their return to school. She provided education support for children with rehabilitation needs as well as those served in the Center for Cancer Care and Blood Disorders Specialty areas. In 2021, she transitioned into her current role as the Inpatient School Specialist for Rehab and took over the inpatient classroom.

Stephanie Volker

Stephanie Volker is speech/language pathologist at Cincinnati Children’s Hospital in the Division of Speech Language Pathology, specializing in providing cognitive-communication rehabilitation to children and adolescents with impairments due to acquired brain injury (ABI) or chronic conditions.

Stephanie was instrumental in creating and developing Cincinnati Children’s Outpatient Neuro-rehabilitation Team: a family-centered, collaborative, comprehensive outpatient rehabilitation program for children and adolescents who have sustained an ABI. She serves as an expert clinical leader and mentor to clinicians on her teams. Stephanie lectures on a variety of topics related to ABI and cognitive-communication rehabilitation for the adult and pediatric populations at the local, state, and national levels.

Stephanie received her Bachelor of Science in Education and Master of Science in Speech Language Pathology at Miami University in 1994 and 1995 respectively, and achieved Certified Brain Injury Specialist Certification in 2005.

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

  • Understand key stakeholder perspectives regarding the school re-entry process for students with acquired brain injuries​;
  • Review models, approaches, processes, and protocols of 2 different multidisciplinary rehab school programs in pediatric institutions (inpatient and outpatient);
  • Identify practical strategies for rehab professionals when interfacing with school districts/education partners; and
  • Discuss the importance of ongoing collaboration among stakeholders and with other institutions to support all children to ensure the best outcomes following an acquired brain injury.

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.

REGISTER

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House Republican Appropriations Chairman Seth Grove will lead a roundtable discussion with Medicaid (MA) Managed Care Organizations (MCOs) on February 7, 2023, at 10:00 am.

Committee Chairman Grove will be joined by House members and the following testifiers:

  • Emily Katz, Executive Director of PAMCO;
  • Joanne McFall, Market President of Keystone First;
  • Matthew Hurford, President/CEO of Community Care Behavioral Health;
  • James Schuster, Chief Medical Officer of UPMC Insurance Services Division;
  • Jack Carroll, Executive Director of Cumberland-Perry Drug & Alcohol Commission;
  • John Koehn, Market President of Community HealthChoices, AmeriHealth Caritas;
  • Justin Davis, Plan President/CEO of PA Health & Wellness; and
  • Brendan Harris, Vice President of Community HealthChoices, UPMC Health Plan.

The hearing will be held in Room 60 East Wing, Main Capitol, State Capitol Complex in Harrisburg. The hearing will also be streamed live.

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Hole torn in a dollar bill with medicaid text

Because of the continuous coverage requirement, states were able to use additional money from the federal government during the federal public health emergency (PHE) for health care programs like Medicaid if they kept people covered. Therefore, Pennsylvanians did not lose their Medicaid/Medical Assistance (MA) or CHIP coverage if their income changed or they did not complete a renewal during the PHE.

However, starting April 1, 2023, Pennsylvania and other states will have to start disenrolling people if households are ineligible for MA at the time of their renewal or do not complete their renewal. The Pennsylvania Department of Human Services (DHS) will have to return to normal renewal processing procedures for Pennsylvanians enrolled in MA and the CHIP. Renewals will be completed over 12 months. Everyone with MA or CHIP coverage will need to submit a renewal to see if they are still eligible.

In Pennsylvania, approximately 3.5 million people rely on Medicaid. Last year, it was estimated that about 500,000 of those would lose coverage when the continuous coverage requirement ended, creating access issues for individuals and exacerbating financial challenges for providers.

The Pennsylvania Department of Human Services has created an online resource, including a stakeholder toolkit as well as a guide on how to become a helper, that provides resources for groups like providers to communicate ways for Pennsylvanians who receive MA or CHIP coverage to continue their coverage.

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Greenspace Health has their next educational panel in the calendar, focused on a topic relevant to all of you — the value of therapeutic alliance. Dr. Brent Mallinckrodt, co-author of the 18-item “Brief Revised Working Alliance Inventory” (BR-WAI), will share the importance of the client-clinician relationship, the three vital components of a strong therapeutic alliance, and how to best use the BR-WAI in practice. To round out the conversation will be Emily Miller, a Master’s Level Psychotherapist and National Clinical Counselor from Pinebrook Family Answers in Pennsylvania, speaking on her experience of using the BR-WAI in practice and the impact it’s had on her clients’ outcomes.

You won’t want to miss this opportunity to learn more about one of the most important predictors of positive symptom change for people in care: the working alliance.

Register here: How To Measure and Improve Therapeutic Alliance — February 23 at 1:00 pm EST.

Watch this short video for highlights from the last educational panel hosted by Greenspace Health, featuring the Yale Measurement-Based Care Collaborative!

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The Centers for Medicare and Medicaid Services (CMS) has updated the calendar year (CY) 2023 per beneficiary threshold amounts for therapy services. These threshold amounts, also known as therapy caps, are reflected on claims with the KX modifier to confirm that services are medically necessary as justified by appropriate documentation in the medical record. There is one amount for Physical Therapy (PT) and Speech-Language Pathology (SLP) services combined and a separate amount for Occupational Therapy (OT) services. Claims from providers for therapy services above the threshold amounts without the KX modifier are denied.

For CY 2023, the KX modifier threshold amounts are: (a) $2,230 for PT and SLP services combined, and (b) $2,230 for OT services.

For additional information, refer to CMS Transmittal 11626 and the 2023 Therapy Code List and Dispositions.

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Photo by Kane Reinholdtsen on Unsplash

The 2023 RCPA Conference, which will be celebrating our 10-year anniversary as a leader in shaping policy and enhancing lives, will be held October 10 – 13 at the Hershey Lodge for a statewide audience. The Conference Committee is seeking workshop proposals in every area for possible inclusion, particularly those that assist providers in developing and maintaining high-quality, stable, and effective treatments, services, and agencies in an industry where change is constant. The committee looks for presentations that:

  • Highlight new policy, research, and treatment initiatives, such as telehealth innovations, suicide prevention, and employing people with disabilities;
  • Provide specific skills and information related to individual and organizational leadership development and enhancement;
  • Discuss advanced ethics practices;
  • Address system changes that affect business practices, including integrated care strategies, value-based purchasing, acquisitions/mergers, and alternative payment models;
  • Provide guidance on building a culture of a committed workforce, including recruitment and employee development as well as effective remote workforce strategies;
  • Offer concrete skills and tools to operate more efficient, effective agencies; and
  • Inspire ideas for organizations to be leaders in their field.

The committee welcomes any proposal that addresses these and other topics essential to rehabilitation, mental health, substance use disorder, children’s health, aging, physical disabilities, and intellectual/developmental disabilities & autism. Members are encouraged to consider submitting and to forward this opportunity to those who are exceptionally good speakers and have state-of-the-art information to share.

The Call for Proposals (featuring a complete listing of focus tracks) and accompanying Guidelines for Developing Educational Objectives detail requirements for submissions. The deadline for submissions is Monday, March 13, 2023, at 5:00 pm. Proposals must be submitted electronically on the form provided; confirmation of receipt will be sent. Proposals submitted after the deadline will not be considered.

If the proposal is accepted, individuals must be prepared to present on any day of the conference. Workshops are 90 or 180 minutes in length. At the time of acceptance, presenters will be required to confirm the ability to submit workshop handouts electronically four weeks prior to the conference. Individuals unable to meet this expectation should not submit proposals for consideration.

Individuals are welcome to submit multiple proposals. Notification of inclusion will be made via email by Friday, May 12, 2023. Questions may be directed to Carol Ferenz, Conference Coordinator.

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The Finance & Reimbursement Committee would like to remind members that recipients of Federal Provider Relief Fund Phase 4 payments must report on the use of those funds by March 31, 2023.

Per the HRSA website, PRF Phase 4 is under the following timeframes:

  • Payments Received Period: 7/1/2021 – 12/31/2021
  • Period of Availability: 1/1/2020 – 12/31/2022
  • Reporting Time Period: 1/1/2023 – 3/31/2023

For further information, please visit the HRSA website.

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The agenda for the February 1, 2023, Managed Long-Term Services and Supports (MLTSS) Subcommittee has been released. The meeting will be held in person at the PA Department of Education Honors Suite, 1st Floor, 333 Market Street Harrisburg, PA 17126 from 10:00 am – 1:00 pm. There is also the option to participate via webcast. The link to register to participate via webcast, as well as the remote streaming link, is available on the agenda.

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