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Physical Disabilities & Aging

The Centers for Medicare & Medicaid Services (CMS) has approved the Office of Long-Term Living’s (OLTL) Community HealthChoices (CHC) Waiver amendment that transfers oversight of Financial Management Services (FMS) from an OLTL-held contract to an administrative function of the CHC-MCOs and revises waiver performance measure AA-5. The amendment became effective on July 1, 2022.

The current approved CHC 1915(c) Waiver document with the FMS amendment can be viewed here. The link can be found under the heading “Community HealthChoices 1915(b) Managed Care and 1915(c) Home and Community-Based Waivers.”

Questions about the CHC Waiver amendment should be sent via email.

Image by Shotkitimages from Pixabay

Temple University Harrisburg recently announced their fall 2022 online training that is approved to meet the personal care home (PCH) and assisted living residence (ALR) annual training requirements.

Information about the online training sessions (including registration links) are provided below:

Those interested in participating only need to register for one session for each topic. Please read the training announcements in full before registering to ensure you are able to meet the participation requirements. Participation is limited for each course. If you register and later discover you are unable to participate, please cancel your registration to create space for other participants.

Questions about the online trainings or assistance with registration should be sent via email. If you would like information about additional trainings available for PCH and ALR administrators, please contact the Bureau of Human Services Licensing Operator Support Hotline.

Wednesday, July 13, 2022
10:30 am – 11:30 am

Pennsylvania OSHA Consultation will offer a free webinar on OSHA’s Respiratory Protection Standard 29 CFR 1910.134.

Overview:
Bryan Brougher, CSP, from the PA OSHA Consultation Program, will host the webinar. This webinar was developed to help employers comply with the respiratory protection standard. Bryan Brougher is a certified safety professional with over 30 years of experience who has been with the IUP PA OSHA Consultation program for over 20 years. Prior to his time with IUP, Bryan worked as a safety/health professional in manufacturing industries, research and development, and consulting industries.

How to Join:
Please join PA OSHA Consulting for this no obligation free webinar. You are encouraged to share this invitation with others who you feel would benefit from this content. Preregistration not required. Webinar room opens one hour prior to start time.

Join From PC, Mac, iOS or Android
Password: paosha

NOTE: If you are unable to attend the live webinar, it will be recorded and available on our website the week following the webinar here.

Registration for the RCPA Conference 2022 Together is now open! Together will be held October 11 – 14, 2022, at the Hershey Lodge in person this year. After two long years, we are looking forward to seeing everyone!

The 2022 event features more than 60 workshops, most of which will be recorded to allow participants to take advantage of viewing sessions after the event, over 90 continuing education credit options, Beacon Health Options Connections Hall, and networking events.

Keynote speakers include Dick Finnegan, a respected speaker, author, and CEO of C-Suite Analytics, providing his insight on “The Great Resignation;” Deborah Riddick, a public policy expert, to discuss how intentional collaboration, centered in curiosity, authenticity, and integrity, can help to address health disparities; and Dan Hilferty, a respected authority on health care, business, and civic engagement. Our final keynote session will be presented by conference favorite Michael Cohen, who has updated stories of unusual HR situations and strategies to resolve them.

Two plenary sessions, one with national updates from partners National Council President Chuck Ingoglia and Gabrielle Sedor of ANCOR, and the second featuring Meg Snead, Acting Secretary of the Department of Human Services, and Jennifer Smith, Secretary of the Department of Drug and Alcohol Programs.

Several sessions will focus on workforce development, workforce recruitment and retention, value-based payments, telehealth, and trauma-informed support. Learn how to effectively share your story with legislators.

Early bird registration is available now until September 9, 2022! Questions about the conference may be directed to Carol Ferenz or Sarah Eyster, Conference Coordinators.

Photo by Sincerely Media on Unsplash

RCPA regional meetings are back! We invite you to attend a regional meeting in your area on any of the following dates in August or September 2022. The meetings will focus on RCPA issues, including:

  • Legislative information;
  • Division and conference updates;
  • DHS updates; and
  • Status of the CCBHC/ICWC program in PA.

We will also provide an update to the addiction treatment community on our advocacy efforts to ensure the Opioid Use Disorder Centers of Excellence transition from a DHS-directed payment model to a state plan service is fair and manageable for providers. In addition, ProVantaCare (our sister managed care entity) will review its efforts, goals, and upcoming opportunities.

The meeting will include lunch. Immediately following lunch, we invite RCPA members and advocates to invite their consumers, children, and families to the Delta Center Convening on Telehealth, which will feature discussions and subsequent recommendations to guide the PA Delta Center team in its advocacy in developing regulations, bulletins, and practices that ensure equity and access to services for all communities. Our previous telehealth forums have been incredibly informative and enlightening as participants share their life experience and perspectives that can shape policy development. Your participation will be key to our ongoing work in ensuring a healthy and sustainable telehealth footprint in Pennsylvania. For additional information, please contact Jim Sharp, Director, Children’s Division.

Please see the full agenda here. Registration is required.

We hope you will join us for this regional event! Please register below:

Monday, August 1 – RCPA Central Regional Meeting and Delta Center Telehealth Convening
Sheraton Harrisburg Hershey Hotel, 4650 Lindle Road, Harrisburg, PA 17111
Register Here

Tuesday, August 2 – RCPA NE Regional Meeting and Delta Center Telehealth Convening
Holiday Inn Wilkes Barre, 600 Wildflower Drive, Wilkes-Barre, PA 18702
Register Here

Friday, August 19 – RCPA Western Regional Meeting and Delta Center Telehealth Convening
RLA Learning and Conference Center, 850 Cranberry Woods Drive, Cranberry Township, PA 16066
Register Here

Friday, September 16 – RCPA SE Regional Meeting and Delta Center Telehealth Convening
The Alloy King of Prussia, a DoubleTree by Hilton, 301 W. Dekalb Pike, King of Prussia, PA 19406
Register Here

Capitolwire: New Year Dawns Without Budget in Place

By: John Finnerty, Capitolwire.com Bureau Chief

HARRISBURG (July 1) – The new fiscal year started this morning without a state budget in place to pay for it and no obvious signal that the Legislature will quickly get a budget to the governor.

Late Thursday, Senate officials announced that the chamber won’t even be in session on Friday, though the Senate has plans to be in session on Saturday and Sunday. The House is scheduled to be in session Friday and Saturday, though at the close of Thursday’s session, Speaker Bryan Cutler, R-Lancaster, reminded members to monitor their emails for updates on session days.

Despite the annoying aggravation of having to work through the holiday weekend, the broader immediate sting of failing to meet the state budget deadline doesn’t exist anymore due to a 2009 Supreme Court decision requiring that state employees must continue to receive their paychecks even if the budget hasn’t been passed.

Rep. Stan Saylor, R-York, the Majority chairman of the House Appropriations Committee, said that not having a budget in place has little, if any, immediate impact on state agencies.

Gov. Tom Wolf has been pushing for a dramatic increase in spending while Republicans have been trying to get the governor to agree to rollback controversial proposals including the bridge tolling plan (though a Commonwealth Court ruling Thursday ordered that the tolling plan be halted) and charter school regulations.

Alexis Campbell, a PennDOT spokeswoman, said that while the tolling plan has been met with objections, the administration is still waiting for lawmakers to explain how to pay for the needed bridge repairs and in the long-term replace the gas tax.

“To date, the legislature has failed to offer any solutions beyond their approval of this P3 initiative, that will assist the administration’s desire to phase out the gas tax. The Wolf Administration continues to welcome discussions with the General Assembly on alternative funding sources that can replace the gas tax, which is no longer a dependable source of funding to meet all bridge and highway needs in this commonwealth,” she said.

Republicans say they are interested in restraining Wolf’s spending proposals in order to position the state to better weather an economic slowdown.

“Senate Republicans continue to work towards a budget that invests in the people of Pennsylvania and ensures the financial stability of the Commonwealth as we face economic headwinds due to the Biden Administration’s inflationary policies,” Erica Clayton Wright, a spokeswoman for Senate Majority Leader Kim Ward, R-Westmoreland, said in a statement released late Thursday night.

Amidst all of this, former President Donald Trump weighed in earlier this week, issuing a statement in support of a poll watcher bill sponsored by Sen. Doug Mastriano, R-Franklin, and calling for Republicans to refuse to pass a budget unless it includes other election integrity changes.

Groups lobbying for election access have called for Wolf to veto Mastriano’s Senate Bill 573, and a Wolf spokeswoman strongly hinted that Wolf would veto the legislation, saying the administration “strongly opposes” the bill.

(Source: Capitolwire, July 1, 2022).

RCPA has signed onto a letter to Congressional leaders of the Ways and Means Committee and the Senate Committee on Finance, along with 244 other signatories, outlining the need for parity in addiction and mental health care under Medicare.

As the President’s 2023 Budget and Senate Finance Committee’s bipartisan report has highlighted, Medicare is not subject to the Mental Health Parity and Addiction Equity Act (Parity Act). As a result, Medicare beneficiaries do not have coverage of or access to the full range of mental health and substance use disorder benefits they need, and often lose access to treatment they were receiving prior to becoming eligible for Medicare. Although Congress has eliminated disparate financial requirements for Medicare beneficiaries, Medicare still imposes both quantitative (e.g. 190-day lifetime limitation on psychiatric hospital care) and non-quantitative treatment limitations that would violate the Parity Act. Applying the Parity Act to Medicare Parts A, B, C, and D is the critical next step to make mental health and substance use disorder services available and accessible to the millions of Medicare beneficiaries in need of treatment.

Read the full letter here.