Physical Disabilities & Aging

The following documents provide information from the Association of People Supporting Employment First (APSE) regarding the Certified Employment Specialist Professional (CESP) recertification process and the requirements for Continuing Education (CE) credits.

The CESP Certification is valid for a 3-year period, during which time the CESP must demonstrate a commitment to professional development by obtaining 36 CE Credits in order to maintain their certification. One CE credit is equivalent to one hour of clock time (except as noted on the “Requirements for Continuing Education Form”). Documentation which verifies the reported number of CE credits must be submitted with the recertification application. Repeat CE activities/content within the same 3-year recertification cycle will NOT count for credit.

In addition to providing appropriate documentation of 36 CE Credits, the recertification application must be submitted with the recertification fee of $125 paid per 3-year term.

Please refer to the following documents for more detailed information:

The Department of Human Services (DHS) has announced that effective July 1, 2018, the cost of child abuse clearances will increase from $8 to $13. Child abuse clearance fees for volunteers will continue to be waived one time within a five-year period.

The legislative passage of Act 40 of 2017 included the increase to assist in covering actual costs for processing child abuse clearances, after the previously amended Child Protective Services Law (CPSL) expanded who is required to receive clearances, and instituted a five-year renewal cycle. Beginning in December 2014, individuals who required clearances expanded to include: volunteers, youth camp employees, coaches, youth mentors, Boy Scout and Girl Scout leaders, work study programs, internships, family-living home employees, and community-home employees for individuals with disabilities.

In 2014 and 2015, legislation was passed amending the CPSL. These amendments expanded clearance and background check requirements for individuals working or volunteering with children. In 2016, DHS received 951,414 child abuse clearance applications and identified 2,272 substantiated or alleged perpetrators of child abuse.

For more information on clearance and background check requirements as required by the CPSL, please visit this website.

The Office of Long Term Living (OLTL) is inviting all interested parties to participate in a webinar that provides information on Certified Employment Support Professional (CESP) certification/credentialing. The growth in the number of individuals seeking CESP certification demonstrates the increased demand for training and consultation to educate and certify employment support professionals. These webinars will cover the basics of the CESP, including the upcoming changes to the test delivery to be given in a computer-based format. While information will be presented on the OLTL requirements on certification/credentialing, and the impact the requirements have on the certification of organizations and staff, these webinars should provide helpful information to ODP Stakeholders as well. The webinar will provide information about this certification, the process of becoming certified, the requirements, and the opportunities that exist for organizations to rise to this challenge.

The webinars will be presented by Ms. Kari Tietjen, CESP Director, National Association of People Supporting Employment. The OLTL requirements will be presented by Mr. Edward M. Butler, Employment Specialist, OLTL.

Please register here for the CESP Webinar on Monday, July 9, 2018, 1:00 PM EDT

Please register here for the CESP Webinar on Tuesday, July 10, 2018, 9:00 AM EDT

After registering, you will receive a confirmation email containing information about joining the webinar. If you have questions regarding this email, please contact Edward M. Butler, OLTL, via email or call 717-214-3718. ODP Stakeholders with questions, please contact the Employment Leads in your region.

Educational Provider Sessions are now scheduled in the Southeast Region to learn about Community HealthChoices (CHC). Several sessions have been scheduled throughout June in various locations.  Targeted provider groups include: home and community-based services, service coordinators and area agencies on aging (AAAs), behavioral health, physical health services, nursing facilities, and transportation providers.

JUNE 4–8 • PHILADELPHIA COUNTY
Temple University, Ritter Hall
1301 Cecil B. Moore Ave., Philadelphia, PA 19122

JUNE 18 • CHESTER COUNTY
West Chester University, Sykes Student Union
700 S High St, West Chester, PA 19382

JUNE 19 • DELAWARE COUNTY
Stay tuned for updates regarding the Delaware location

JUNE 20 • MONTGOMERY COUNTY
Montgomery County Community College, Central Campus
340 DeKalb Pike, Blue Bell, PA 19422

JUNE 21 • BUCKS COUNTY
Bucks County Community College, Newtown Campus
275 Swamp Rd, Newtown, PA 18940

Follow this link for more information and to register.

The Department of Health and Human Services (HHS) has committed to improving the Medicare claims appeals process. This commitment includes the internal implementation of an expanded Settlement Conference Facilitation (SCF) program by the Office of Medicare Hearings and Appeals (OMHA). SCF is an alternative dispute resolution process at OMHA that gives certain providers and suppliers an opportunity to resolve their eligible Part A and Part B appeals.

 

In order to educate all Medicare Part A and Medicare Part B providers and suppliers who have OMHA or Medicare Appeals Council appeals pending, an SCF Expansion Open Door Call will be held on Tuesday, May 22, 2018 at 1:30 pm. The call will focus on the logistics of the SCF process and SCF eligibility criteria. Providers that plan to join the call are encouraged to submit their questions in advance via email and include “SCF May 22 Call” in the subject line. To participate, registration is required. Additionally, providers are encouraged to read the updated SCF expansion materials, including an SCF Expansion Frequently Asked Questions document, on the website.

Due to the Southeast Community HealthChoices (CHC) provider meetings being held in Philadelphia on June 4 – June 8, 2018, the Managed Long-Term Services and Supports (MLTSS) Subcommittee meeting scheduled for June 6, 2018 has been rescheduled for Wednesday, May 30, 2018. The May 30 MLTSS Subcommittee meeting will be held at the Pennsylvania Department of Education, Honor’s Suite, 1st Floor, 333 Market Street Tower, Harrisburg, PA 17126 from 10:00 am to 1:00 pm.

If you have any questions, please contact the Office of Long-Term Living via email or call 717-857-3280.

Community HealthChoices (CHC) is coming in January 2019 to Bucks, Chester, Delaware, Montgomery, and Philadelphia counties.

Here is what you need to know:

  • Find CHC information online for providers or participants. The website will be updated as events are scheduled, so check back often.
  • Click here to take our online trainings and read CHC fact sheets.
  • Contact a CHC managed care organization (CHC-MCO) to become part of their provider network:
    • Keystone First Community HealthChoices
      Phone: 1-800-521-6007 // Email
    • Pennsylvania Health & Wellness
      Phone: 1-844-626-6813 // Email
    • UPMC Community HealthChoices
      Phone: 1-844-860-9303 // Email
  • Sign up and encourage your peers to subscribe to CHC emails here. By signing up, you will receive regular communications regarding CHC distributed from the Office of Long-Term Living.

Here’s a schedule of what’s coming up:

Late Spring/Early Summer 2018

Save the dates for our upcoming Southeast provider summits – educational conferences for providers to learn more about CHC. More information regarding time and location coming soon!

  • Philadelphia: June 4–8
  • Chester County: June 18
  • Delaware County: June 19
  • Montgomery County: June 20
  • Bucks County: June 21

Summer 2018

An introductory flyer will be sent to participants identified within the CHC population.

Fall 2018

  • Notices and enrollment packets will be mailed to participants.
  • Information on the LIFE Program will be sent to potentially eligible participants.
  • Informational sessions will be held for participants to learn about CHC and how to select a CHC-MCO.
  • For a full look at the CHC implementation timeline, use this link.
  • To learn the differences between CHC vs HealthChoices, use this link.

If you have any questions, please contact the Office of Long-Term Living’s provider line at 1-800-932-0939 or visit the HealthChoices website.

On January 24, the Office of Long-Term Living (OLTL) sent an email to Community HealthChoices (CHC) providers stating “All OLTL Direct Service Providers will now submit critical incidents into EIM for participants enrolled in CHC.” Pennsylvania Health and Wellness is offering two webinars on March 28 to train providers on using the system.

The webinar will cover:

  • Critical Incident Reporting Requirements
  • Definition of Critical Incidents
  • How to obtain access to EIM
  • EIM System Training

10:00 am – 11:30 am session – Click here to register
1:00 pm – 2:30 pm session – Click here to register

If an agency has previously attended this training provided by UPMC or AmeriHealth Caritas, it is not necessary to attend this session.

Background
In administering the Office of Long-Term Living (OLTL) Home and Community-Based Services (HCBS) Waivers, OLTL requires service coordinators to monitor that waiver participants receive all HCBS services authorized in their service plans and to develop a backup plan in case a service could not be provided. If a provider is unable to provide an authorized service, the service coordinator must work with the participant to secure another provider to provide the service as specified in the participant’s backup plan. In addition, service coordinators and providers must report critical incidents, including any occurring as a result of the participant’s failure to receive services which placed the participant’s health or safety at risk, in accordance with OLTL’s Critical Incident Management Bulletin.

Policy
With the implementation of Community HealthChoices (CHC), OLTL is adopting a different reporting process for HCBS similar to the process currently implemented in the HealthChoices program. Since CHC-MCOs cover all authorized home health skilled care, home health aide, and personal assistance services, OLTL is expanding the current HealthChoices operations report to identify all missed services for participants who utilize these services.

Providers of CHC-covered home health skilled care, home health aide services, and personal assistance services must submit information on missed services to the CHC-MCOs. CHC-MCOs must submit a missed services operations report to OLTL on a monthly basis that includes detailed information on missed services, such as the date of the missed service, the reason for the missed service, and actions taken to address the missed service in both the short and long term.

In its CHC oversight role, OLTL will review these monthly reports along with complaint and grievance, CHC-MCO inquiry, and EIM data to monitor the health and welfare of CHC participants. Providers who do not submit the required information to the CHC-MCO may face corrective actions.

CHC-MCOs will notify their home health and home care network providers of their reporting requirements. Please direct any questions about these reporting requirements to the CHC-MCOs.