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adult autism waiver

Deadline, as Letters on a Clock
On January 14, 2020, the Office of Developmental Programs released an updated version of the Provider Agreement for Participation in Pennsylvania’s Consolidated, Person/Family Directed Support, Community Living Waivers, and Adult Autism Waiver. Providers were informed that a signed copy of this document must be received no later than close of business on March 1, 2020.

As of February 21, 2020, many providers have not submitted their signed agreements. Failure to submit a signed agreement may impact providers’ ability to successfully submit claims for services rendered after March 1, 2020.

View/download the Provider Agreement for Participation in Pennsylvania’s Consolidated, Person/Family Directed Support, Community Living Waivers and Adult Autism Waiver and the accompanying letter from Deputy Secretary for Developmental Programs Kristin Ahrens.

Submit Signed Agreements to:
ra-ODPProvideragreem@pa.gov OR

Department of Human Services Office of Developmental Programs
Attention: Provider Agreement
625 Forster Street
Health and Welfare Building, Room 413
Harrisburg, PA 17120

The Office of Developmental Programs (ODP) released notification on Tuesday, January 14, 2020 of the new Provider Agreement for Participation in Pennsylvania’s Consolidated Waiver, Person/Family Directed Support Waiver, Adult Autism Waiver and Community Living Waiver (“Waiver Programs”) that will serve as the statewide “Provider Agreement” between providers of waiver-funded services and ODP, the Department of Human Services, as the Pennsylvania State Medicaid Agency effective January 1, 2020.

This letter from ODP Deputy Secretary Kristin Ahrens was not included in the original distribution. The letter provides further clarification on the applicability of the new Provider Agreement and includes a due date for submission of the signed agreement. In addition, the Provider Agreement Form and Instructions have been updated. Every waiver provider must complete an agreement.

  • The legal entity of each waiver provider is required to submit only one agreement for that legal entity, regardless of the number of services provided or the number of service locations operated by the legal entity.
  • Each agreement must include the original signature of the provider’s Chief Executive Officer/Director/Owner.
  • Please also provide a copy of your agency’s IRS letter 147C to verify the agency’s legal name and FEIN.
  • Completed agreements may be submitted to ODP as an attachment via email.

Completed agreements may also be submitted by traditional mail to:

Department of Human Services Office of Developmental Programs
Attention: Provider Enrollment
625 Forster Street, Room 413
Health and Welfare Building
Harrisburg, PA 17120

Questions relating to the provider agreement process may be directed to the ODP Provider Enrollment Unit. Please note; this agreement is effective as of January 1, 2020. Agreements must be returned by March 1, 2020 to the ODP Provider Agreement resource account. Questions regarding this notification should also be directed to this account.

ODP Announcement 19-161 provides updates to the schedule of virtual trainings and virtual office hours during January 2020. This alignment of the training schedule for all ODP programs provides courses for supports coordination organizations and agencies, other service providers, and other professionals supporting individuals with autism, intellectual disabilities, and other developmental disabilities.

The schedule includes:

  • Friday, January 3, 2020, 2:00 pm – 3:00 pm: Open Dialogue on Technology for People with Disabilities
  • Tuesday, January 14, 2020, 1:00 pm – 3:30 pm: Navigating the Complexities of Meaningful and Functional Communication
  • Thursday, January 16, 2020, 1:00 pm – 2:00 pm: Lifecourse in Practice (for AAW and ACAP providers)
  • Tuesday, January 21, 2020, 12:00 pm – 2:00 pm: AAW and ACAP Systematic Skill Building
  • Wednesday, January 22, 2020, 2:00 pm – 3:15 pm: HRST Orientation for Pennsylvania Supports Coordination Agencies
  • Friday, January 24, 2020, 1:00 pm – 2:30 pm: Reinforcement Strategies
  • Thursday, January 30, 2020, 10:00 am – 11:30 am: AAW and Reserved Capacity
  • Friday, January 31, 2020, 2:00 pm – 4:00 pm: Incident Management (for BSASP providers)

Please see the ODP Announcement for registration information. Submit any questions about this announcement here.

ODP Announcement 19-157 provides information regarding the publication of the Department of Human Services (Department) proposed Fee Schedule Rates for Transportation Trip services that will be added to the Adult Autism Waiver (AAW) effective January 1, 2020. Public comment on these proposed changes will be accepted until 11:59 pm on January 7, 2020.

Effective January 1, 2020, the Department proposes to add Transportation Trip as a service available in the Adult Autism Waiver. The amendment to the Adult Autism Waiver that contains this change is currently with the Centers for Medicare and Medicaid Services (CMS) for approval. In anticipation of approval, a public notice was published in the Pennsylvania Bulletin Volume 49, Number 49 on Saturday, December 7, 2019. The notice informs stakeholders of the proposed Fee Schedule Rates for Transportation Trip services that will be funded through the AAW.

The title of the notice is Proposed Fee Schedule Rates for Transportation Trip Services Funded Through the Adult Autism Waiver.

One Fee Schedule Rate was developed for each Transportation Trip service zone. Transportation Trip services can be offered by providers who enroll directly with the Department to provide Transportation Trip services or through Organized Health Care Delivery System (OHCDS) providers. The assumption log used to develop these rates is available here.

The Office of Developmental Programs (ODP) has released several documents with pertinent information this month that is specifically directed to Adult Autism Waiver (AAW) and Adult Community Autism Providers (ACAP) providers and/or SCOs.

ODP Announcement 19-092 requests that Support Coordinators and Behavioral Specialists working with AAW and ACAP complete a survey about the Periodic Risk Evaluation (PRE). The data will be utilized in order to improve the user’s experience with the PRE and for supporting providers to identify and mitigate risks. The survey is to be completed by Friday, July 26, 2019; access the survey here.

ODP Announcement 19-094 communicates the process, effective immediately, for SCs in the AAW to inform individuals about the Right to be Free from Abuse initiative. This involves informing individuals about abuse, neglect, and exploitation and protections available to them. This must be completed annually during one of the quarterly in-person meetings and documented in a Service Note.

ODP Announcement 19-096 announces registration is open for a two-day Supports Coordinator training on Charting the Lifecourse by ODP. The training will provide an overview of the Charting the Lifecourse tools and resources to support the framework, and further discuss how BSASP programs can use the tools to support the people within the programs. The link to register is here.

ODP Announcement 19-099 provides clarification to AAW and ACAP Providers and SCOs about the new SPeCTRUM 2.0 Training. Due to the discovery of technical issues with some of the modules, ODP announced that while these issues are being resolved, staff and providers only need to complete part of the training. Only Modules 1 and 2 must be completed before enrolling as a new provider AND before newly hired staff may provide services to program participants. Modules 3–9 must be completed within 60 days of beginning to provide services to any program participants. Current provider and SCO staff and ACAP staff who have taken SPeCTRUM 1.0 and are currently providing services must complete all 9 modules by October 1, 2019.

Contact RCPA IDD Division Director Carol Ferenz with questions.

The Office of Developmental Programs (ODP) offers participant direction, also known as self-direction, to provide participants with a high level of choice and control over their services and supports in the ID/A waivers. In ODP’s self-direction models, the participant directs the provision of waiver services provided by Support Service Professionals, who are known as Direct Support Professionals in the Adult Autism Waiver. Support Service Professionals are the person(s) who will be hired to provide waiver services to the participant.

Participants can take advantage of self-direction opportunities through the utilization of a Financial Management Service (FMS) Organization. Participants who wish to self-direct services may do so though one of two FMS models: Agency with Choice or Vendor Fiscal/Employer Agent.

Since participant-directed services models are not available in the Adult Autism Waiver, ODP included a reserved capacity category called Participant Direction Transfers in the ID/A waiver amendments effective November 1, 2018. Each waiver reserves 5 spaces each year (for a total of 15 per year) for individuals who wish to self-direct the majority of their waiver services but are enrolled in the Adult Autism Waiver.

To begin implementation of this reserved capacity, each participant in the Adult Autism Waiver will receive a letter and a flyer from ODP announcing the availability of this reserved capacity and providing information about participant-directed services. Since there are only 5 spaces available per year in each of the ID/A waivers, the Adult Autism Waiver Supports Coordinator will need to have a discussion with each person enrolled in the Adult Autism Waiver at the first regularly scheduled meeting or monitoring to determine if he or she is interested in self-directing the majority of their waiver services and enrolling in one of the ID/A waivers. Detailed information about this process can be found in ODP Announcement 19- 036. Also see Attachment #1, Attachment #2, and Attachment #3 to the announcement.