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Physical Disabilities & Aging

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The Department of Human Services (DHS) just announced that, due to reaching capacity in the February 9 meeting, they are adding a second session at 1:30 pm on the same day. If you are already registered for the morning session, do not register for the afternoon session so that they can keep enough space for all who are interested. Both sessions will be recorded and posted publicly to YouTube, and content will be roughly similar within the two sessions. DHS will share Question and Answer (Q&A) sessions from both, and a follow-up Q&A document will be shared next week.

Visit here to register for the afternoon session.

(If the registration link above does not work, please try copying this link directly into your browser: https://events.gcc.teams.microsoft.com/event/9f3d9e64-6d38-45a7-84eb-b0ae2b1aafd9@418e2841-0128-4dd5-9b6c-47fc5a9a1bde)

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The Pennsylvania Department of Human Services (DHS) is hosting a post-award forum regarding the federal Section 1115 Demonstration, which includes Medicaid coverage for out-of-state former foster care youth and substance use disorder (SUD) services. It will take place at 1:00 pm – 2:30 pm on Friday, March 8, 2024, via WebEx. The forum aims to gather public feedback on the progress of these initiatives, both of which were approved by the Centers for Medicare & Medicaid Services (CMS). The Former Foster Care Youth (FFCY) component allows Medicaid coverage for individuals under 26 who were in foster care in another state upon turning 18. The SUD component provides funding for essential SUD services, including residential care.

Register for the forum here. Written comments are also acceptable until the same date. For inquiries, contact Shivani Patel. Further details and the announcement can be found here. Please contact RCPA Policy Director Jim Sharp for any further questions.

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Today, Governor Josh Shapiro gave his second budget address to members of the General Assembly.  The Governor outlined an agenda that included new spending for direct service providers, minimum wage, education, health care, law enforcement, and a number of other initiatives. The below budget initiatives come from information from the Governor and his team, which has been made available to stakeholders. The budget proposals include:

Investing in Competitive Pay and Reimbursement of Services for Home & Community-Based Care

  • Increase in minimum wage to $15/hr.
  • $34.2 million in Community Waiver and $1.85 million in the Community Base Program, which will allow DHS to expand the number of individuals participating in home and community-based services programs.
  • Reimbursement Rates: The 2024/25 executive budget invests $213 million toward Community Waiver Program, $2.1 million in the Autism Intervention Program, and $1.1 million in the Community Base program. It also leverages $266 million in total federal funding to increase resources for providers of home and community-based services.
  • Equality in Communication Services: Inclusivity and equality require appropriate communication for Pennsylvanians with intellectual disabilities and/or autism who need it. This budget invests $934,000 to add American Sign Language and English interpreter services to program serving this population.
  • For more in-depth information regarding funding for ID/A services, visit here.

Making Pennsylvania a Leader in Economic Development, Job Creation, and Innovation

  • $500 million in PA SITES funding to bring more commercial and industrial sites online and ensure companies have options for attractive business environments where they can move quickly and thrive in Pennsylvania.
  • $25 million for the Main Street Matters program, to support small businesses and commercial corridors that are the backbone of communities across our Commonwealth.
  • $20 million to support large-scale innovation and leverage Pennsylvania’s best-in-class research and development assets.
  • $3.5 million to create and launch the Pennsylvania Regional Economic Competitiveness Challenge, which will incentivize regional growth, build vibrant and resilient regions, and support communities by investing in the development of comprehensive strategies to propel entire regions forward.

Building on Historic Education Investments & Making Progress to Support Every Pennsylvania Child

  • A historic nearly $1.1 billion increase in basic education funding — the largest increase in Pennsylvania history, recognizing the work of the BEFC and the need to direct these investments to the schools that need them the most. Of this significant increase, nearly $900 million is proposed as a first-year adequacy investment as recommended by the BEFC. The remaining $200 million will be distributed through the Basic Education Funding Formula.
  • A $50 million increase for special education funding to ensure school districts have the basic resources necessary to provide special education services to students with disabilities and special needs.
  • A $50 million annual investment in school safety and security improvements and $300 million in sustainable funding for environmental repair projects in school buildings.
  • $10 million for the Educator Talent Recruitment Account and $450,000 to support the Talent Recruitment Office at the Pennsylvania Department of Education.
  • A $5 million increase — coming to a total of $15 million — in funding for student teacher stipends to support Pennsylvanians training to become certified and committed educators.

Delivering a New Blueprint for Higher Education Grounded in Access & Affordability

  • $975 million in this new governance system that combines our community colleges and PASSHE schools — a 15 percent increase from $850 million last year in state investment in state-owned universities, community colleges, and the students they serve.
  • A 5 percent increase in institutional support for the Commonwealth’s state-related universities — Penn State, Temple, Lincoln, and Pitt — and a 15 percent increase to Thaddeus Stevens College of Technology.
  • An increase in financial aid for students who attend the schools under the new governance system, so that Pennsylvanians making up to the median income will pay no more than $1,000 in tuition and fees per semester.
  • An increase in financial aid for students who attend the schools under the new governance system, so that Pennsylvanians making up to the median income will pay no more than $1,000 in tuition and fees per semester beginning in FY 2025/26.
  • Increasing Pennsylvania Higher Education Assistance Agency (PHEAA) state grants by $1,000, bringing the maximum award up from $5,750 to $6,750 beginning in FY 2025/26.
  • Investing $279 million annually starting in FY 2025/26 so Pennsylvania students can attend college in-state with a limited debt load after they graduate and can enter the workforce ready to start their careers and build a future in our Commonwealth.

The above are highlights of the Governor’s proposed budget. RCPA will be examining the budget spreadsheets over the next few days, will be attending the DHS Budget Overview this Friday afternoon, and will update members with any new information as it becomes available during the budget season.

If you have any questions, please contact Jack Phillips.

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Secretary Val Arkoosh and leadership from the Department of Human Services (DHS) will host a webinar to discuss the proposed 2024/25 budget for the department. The briefing will take place at 10:00 am on Friday, February 9. If you are unable to attend, the briefing will be recorded and available for viewing afterwards.

Visit here to register for the briefing. DHS encourages individuals to submit questions ahead of the briefing so they can prepare as much information as possible. The Departments will follow up on any questions that they are unable to answer during the webinar.

(If the registration link above does not work, please try copying this link directly into your browser: https://events.gcc.teams.microsoft.com/event/3049c317-17f6-46ab-8396-1e5f3a370422@418e2841-0128-4dd5-9b6c-47fc5a9a1bde)

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RCPA is continuing to accept proposals for our 2024 Conference Embracing Challenges, Empowering Success, which will be held September 24 – 27 at the Hershey Lodge for a statewide audience. Our Conference Committee seeks 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 the use of artificial intelligence, telehealth innovations, and employing people with disabilities;
  • Provide specific skills and information related to individual and organizational leadership development and enhancement;
  • Discuss advanced ethics practices and suicide prevention;
  • Address system changes that affect business practices, including integrated care strategies, value-based purchasing, performance-based contracting, acquisitions and 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 businesses; 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 we highly encourage you to forward this opportunity to those who are exceptionally good speakers and have state-of-the-art information to share. Individuals are welcome to submit multiple proposals.

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 11, 2024, 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.

Notification of inclusion for the conference will be made via email by Friday, May 17, 2024. Questions may be directed to Carol Ferenz, Conference Coordinator.

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On January 26, 2024, the Centers for Medicare & Medicaid Services (CMS) forwarded the final Medicaid Access Rule (CMS-2442-F) to the Office of Management and Budget (OMB) for the last review step before Federal Register publication.

The proposed Medicaid Access Rule contained a number of policies, including the much-discussed 80/20 provision that would require 80 percent of all Medicaid payments to be spent on direct care workers and direct service professionals compensation for personal care services.

RCPA commented on these proposed regulations and will continue to monitor progress with our federal partners. The OMB is expected to issue its comments in April. If you have questions, please contact RCPA Policy Director Fady Sahhar.

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