DHS is proposing the following changes to the CHC waiver:
- Add a teleservice option to the following waiver services:
- Behavior therapy.
- Benefits counseling.
- Add language to specifically address teleservice delivery of waiver services and the Home and Community- Based Settings (HCBS) rule based on sections added to the waiver application.
- Remove and modify outdated language throughout waiver.
The proposed CHC waiver amendment and a summary of all revisions are available for review
here.
Written comments regarding the proposed renewal to OBRA should be sent to the Department of Human Services, Office of Long-Term Living, Bureau of Policy Development and Communications Management, Attention: Keeley Anglin—CHC Waiver Amendment, P.O. Box 8025, Harrisburg, PA 17105-8025. Comments can also be sent
via email. Use ”CHC Waiver Amendment” as the subject line. Comments received within 30 days will be considered in subsequent revisions to the proposed amendment.
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DHS is proposing the following changes to the OBRA waiver:
- Add a teleservice option to the following waiver services:
- Behavior therapy.
- Benefits counseling.
- Revise outdated language regarding the OLTL quality improvement strategy and quality monitoring processes.
- Add language regarding the need for a Service Coordinator to reassess a participant due to a trigger event.
- Add language to specifically address teleservice delivery of waiver services and the Home and Community-Based Settings (HCBS) rule based on new sections in the waiver application.
- Add language to comply with the Centers for Medicare and Medicaid Services (CMS) Ensuring Access to Medicaid Services Final Rule (Access Rule) to update the complaint process for the fee-for-service waiver and update the timeframe to resolve a complaint from 45 to 60 days due to the additional requirements of the Access Rule.
- Update OLTL’s goals for unduplicated number of waiver participants who are expected to elect participant direction.
- Modify performance measures AA-2 and QP-2 and divide SP-5 into three separate performance measures: SP-5 (amount, frequency and duration), SP-9 (type) and SP-10 (scope).
- Remove and modify outdated language throughout waiver.
The proposed OBRA waiver renewal and a summary of all revisions are available for review
here.
Written comments regarding the proposed renewal to OBRA waiver should be sent to the Department of Human Services, Office of Long-Term Living, Bureau of Policy Development and Communications Management, Attention: Keeley Anglin—OBRA Waiver Renewal, P.O. Box 8025, Harrisburg, PA 17105-8025. Comments can also be sent
via email. Use ”OBRA Waiver Renewal” as the subject line. Comments received within 30 days will be considered.
