The Pennsylvania Department of Human Services (DHS) recently provided additional clarification regarding the Commonwealth’s response to a recent federal Medicaid program integrity directive issued by the Centers for Medicare & Medicaid Services (CMS) Administrator Dr. Mehmet Oz. CMS directed all state Medicaid agencies to develop and submit a comprehensive two-year provider revalidation strategy that is focused on strengthening provider oversight, including enhanced review of higher-risk providers and providers operating without a National Provider Identifier (NPI). DHS indicated that it intends to rely on its existing provider screening framework established in the Department’s 2016 provider screening bulletin to determine which provider types will be considered “high risk” for purposes of enhanced revalidation activities. What Providers Need to Know: DHS Will Use Existing High-Risk Provider Categories DHS indicated that only the provider types and sub-specialties specifically identified in its existing 2016 provider screening framework will be categorized as high risk for this initiative. In addition, providers may be categorized as high risk if they meet certain program integrity triggers, including: Newly enrolling providers of home health services or durable medical equipment supplies; Providers subject to payment suspensions based on credible allegations of fraud, waste, or abuse; Providers excluded by the U.S. Department of Health and Human Services Office of Inspector General (OIG) or another state Medicaid program within the past 10 years; Providers with outstanding DHS overpayments greater than $1,500 that are more than 30 days old and not under appeal or repayment agreement; or Providers seeking enrollment following the lifting of a federally imposed enrollment moratorium. Implications for Type 59 Attendant Care Providers For many HCBS providers, the traditional personal assistance and home care providers operating under sub-specialty 362 do not appear to be included within the high-risk categories identified by DHS. However, Provider Type 59 Attendant Care providers are included within the identified high-risk framework and should anticipate additional revalidation activity or off-cycle review. Providers should immediately verify their assigned provider sub-specialties within PROMISe to determine whether any service locations are associated with sub-specialty 050. Implications for Providers Without an NPI CMS specifically instructed states to develop strategies focused on “high-risk providers, including providers without an NPI.” At this time, DHS has not released detailed operational guidance regarding how providers without NPIs will be handled under Pennsylvania’s implementation strategy. However, providers should be aware that non-NPI status may receive increased attention during future enrollment or revalidation reviews. Providers operating without an NPI should: Review current enrollment structures; Confirm whether any service lines may eventually require NPIs; Ensure organizational and ownership information is fully current within PROMISe; and Prepare for possible future guidance related to non-NPI provider oversight. Recommended Provider Actions Verify Your Provider Type and Sub-Specialties: Log into PROMISe and review the provider type and sub-specialty assigned to each enrolled service location. To verify: Log into PROMISe. Select “ePEAP” from the menu. View the provider number displayed at the top of the screen. Select “View Specialties” on the right side of the screen. Determine Whether Any Locations Fall Within Higher-Risk Categories: Providers should identify whether any service locations are enrolled under Provider Type 59 with sub-specialty 050 or any other categories previously identified by DHS as high risk. Organizations with multiple locations should review each enrolled site individually. Review NPI Status: Providers should determine whether the organization currently maintains an NPI; which service lines operate with or without NPIs; and whether enrollment records accurately reflect current organizational structure. Even if NPIs are not currently required, providers should ensure all enrollment information is accurate and current. Consider Revalidating Early: Providers already scheduled for revalidation in 2026 should consider beginning the process earlier rather than waiting until later in the year, when statewide revalidation volume may increase significantly. Early preparation may help avoid processing delays, documentation backlogs; enrollment interruptions; and payment disruptions. Organize Revalidation Documentation Now: Providers should begin gathering and reviewing commonly requested enrollment and revalidation documentation, including: Ownership disclosures; W-9 documentation; Corporate organizational records; Insurance certificates; Licensure documentation; Compliance policies and procedures; Employee screening documentation; OIG exclusion screening records; and Any prior DHS correspondence regarding enrollment status. Operational Considerations for HCBS Providers HCBS providers should anticipate that DHS and CMS may place increased emphasis on: Provider enrollment accuracy; Ownership transparency; Exclusion screening; Claims oversight; Program integrity controls; and Documentation consistency across service locations. Providers should also expect potential increases in reviews, requests for updated document, site verification activities, and screening-related communications. Important Resources and Links CMS Medicaid Program Integrity Information HHS-OIG Exclusions Database (LEIE) Pennsylvania DHS Provider Enrollment Information PROMISe Portal RCPA will continue monitoring DHS guidance and provide information as it becomes available. If you have any questions, please contact Fady Sahhar .

Monday, June 1, 2026 1:00 pm – 2:00 pm EDT; 12:00 pm – 1:00 pm CDT; 11:00 am – 12:00 pm MDT; 10:00 am – 11:00 am PDT Register Here Presenters: Diane Ulmer, OTR/L is an Occupational Therapist and SCI Program Manager for Madonna Rehabilitation Hospitals in Nebraska where she provides leadership over a continuum of care. She provides education throughout the region on the unique aspects of SCI care. She serves on the Nebraska AgrAbility Advisory Council, the IPRC Pediatric Neurogenic Bowel and Bladder Work Group, and is Vice President for the Nebraska Chapter of the United Spinal Association. Diane also facilitates a monthly SCI support group. Lyn Sapp, MN, RN, CRRN is a Nursing Practice Specialist for the Inpatient Rehabilitation Unit at Seattle Children’s Hospital in Seattle, Washington. The rehab unit has been her home base since 1985, with additional experiences in outpatient, home care, and school nursing. After obtaining her master’s in nursing, Lyn participated in the growth and development of the inpatient unit as a manager, educator, and nurse specialist. A post-master’s certificate in pediatrics has led to further experiences in quality improvement and staff education. As a member of the Association of Rehabilitation Nursing, she has experienced enrichment through certification, presenting, learning, publishing, and networking. Lyn also serves as an active member of the IPRC Steering Committee. Carly Rosenthal, MS, OTR/L is a pediatric occupational therapist specializing in neurorehabilitation and pelvic floor dysfunction. She currently practices at Nemours Children’s Hospital in Wilmington, Delaware, where she provides inpatient and outpatient rehabilitation for children with complex diagnoses including traumatic brain injury, cerebral palsy, spinal cord injury, and stroke. Carly is also the primary occupational therapist within the Spinal Dysfunction Clinic at Nemours. Carly’s work focuses on maximizing independence and quality of life through evidence-based, family-centered care, with a particular interest in functional continence and neurogenic bowel and bladder management. Objectives: At the end of this session, the learner will: Identify the roles of the multidisciplinary team in management of self-catheterization management of neurogenic bladder; Apply evidence-based, task-specific training techniques for self-catheterization to improve outcomes, promote independence, and reduce health risks; and Implement strategies and adaptations to promote success in independent self-catheterization. Audience: This webinar is intended for all interested members of the rehabilitation team. Level: Beginner-Intermediate Certificate of Attendance: Certificates of attendance are available for all attendees. No CEs are provided for this course. Complimentary webinars are a benefit of membership in IPRC/RCPA. Registration fee for non-members is $179. Not a member yet? Consider joining today .

On May 27, 2026, RCPA member Community Behavioral Health (CBH) held a monthly meeting for Community HealthChoices providers to communicate with and improve access to behavioral health services. Below are the materials shared in the meeting: Community Behavioral Health PowerPoint Presentation Supportive Peer Services One Pager Training Resources for CHC Providers If you have any questions, please contact Fady Sahhar .

From the Bureau of Human Services Licensing (BHSL):  The Bureau of Human Services Licensing (BHSL) would like to join you in celebrating the tremendous impact of LTC RISE (Long-Term Care Resiliency, Infrastructure Supports, and Empowerment) . Launched on January 1, 2022, in partnership with the Department of Health (DOH), the Department of Human Services (DHS), the Pennsylvania Emergency Management Agency (PEMA), and regional healthcare organizations, LTC RISE has provided comprehensive support to long‑term care settings, strengthened infection prevention practices, expanded technical assistance, and enhanced preparedness and resiliency across the Commonwealth. Over the past four+ years, LTC RISE has delivered: 24/7 call center and on-site technical support; Consultation on infection prevention, testing, personal protective equipment, staffing strategies, outbreak planning, and workforce wellness; Facility assessments and targeted recommendations; Quality‑improvement support in emergency preparedness, clinical practices, and staff development; and A sustained focus on resident-centered care and building long-term operational resilience. The program’s efforts have bolstered the safety and quality of long‑term care throughout Pennsylvania. We thank you for welcoming them into your facilities and participating in the spirit of support and partnership. LTC RISE is winding down and will be fully concluded on May 31, 2026. As the program concludes, we want to ensure facilities continue to have access to tools, supports, and resources that strengthen operations and protect residents and staff: Emergency Preparedness & Planning ASPR RISC Resource Library Staffing & Workforce Support The First 90 Days: Retention Playbook Infection Prevention & Control PA Infection Control Plan Toolkit Preventing and Responding to Respiratory Infections and Outbreaks in Long-Term Care | Infectious Diseases | CDC’s Project Firstline | AMA Ed Hub PA Epidemiology – Healthcare-Associated Infection Support Team PA Project Firstline Additional Support United Way Pennsylvania PA Long-Term Care Transformation Office (LTCTO) Thank you for your unwavering commitment to the residents of our Commonwealth. As the RISE program concludes, your continued leadership ensures that the progress made over the past several years endures. If you have any questions, please contact Fady Sahhar or the Bureau of Human Services Licensing .

The Pennsylvania Commission on Crime and Delinquency (PCCD) is now accepting applications for funding under the 2026–2027 Byrne Justice Assistance Grant (JAG) solicitation from eligible governmental and non-governmental agencies and organizations seeking to implement projects and programs that directly address the objectives and goals outlined in PCCD’s approved 2026–2030 Strategic Framework . Eligible organizations include local units of government (including counties) and non-profit organizations. A total of $8,221,880 in federal Byrne JAG funds is being announced to support this initiative. PCCD expects to fund approximately 30–35 grants with budgets not to exceed $250,000 over the two-year project period. The funding announcement details new guidelines regarding eligibility criteria, eligible program activities, and documentation. Applications must be submitted electronically through PCCD’s Egrants system by July 14, 2026. Questions regarding this funding announcement should be emailed with “2026/27 Byrne Justice Assistance Grant (JAG)” as the subject line. Questions must be received by close of business on July 7, 2026. All questions and answers will be posted under this funding announcement title on the Active Funding Announcements page of the PCCD website.

Press Release from the Department of Human Services : Published May 14, 2026

Message from the National Council for Mental Wellbeing: Yesterday, the Centers for Medicare and Medicaid Services (CMS) released its proposed rule, Medicaid Managed Care State Directed Payments and Medicaid Fee-for-Service Targeted Medicaid Practitioner Payments , implementing provisions of H.R.1 to establish new limits on certain Medicaid managed care State directed payments (SDP). Additional information on the proposal can be found in the press release and fact sheet . In alignment with H.R.1, total SDP rates are capped at 100% of Medicare in expansion states and 110% in non-expansion states for inpatient hospital services, outpatient hospital services, nursing facility services, and qualified practitioner services at an academic medical center. Where a Medicare benchmark is unavailable, the payment limit would be 100% of the state-plan-approved rate. However, most significantly, the proposed rule would extend the SDP limits beyond the four original services under H.R.1 (listed above) to all SDPs, regardless of service type, in all states, Washington, D.C., and all territories beginning Jan. 1, 2029. The proposed rule would also apply similar limits to certain targeted Medicaid fee-for-service payments. This would include behavioral health SDPs and could lead to significant disruption in 2029. Additional provisions in the proposed rule include proposals to: Eliminate uniform increase SDPs as a permissible type of SDP for rating periods beginning on or after January 1, 2028, with a limited exception for grandfathered SDPs. Permit states to adopt minimum or maximum fee schedules that are no greater than the applicable payment rate limit without CMS prior approval for rating periods beginning on or after January 1, 2028. Establish new claims-level compliance and reporting requirements, including submission of provider-specific (NPI-level) data, identification of applicable benchmark rates, and documentation of controls to ensure that each individual service payment does not exceed the cap. Introduce new reconciliation requirements for value-based payment SDPs, requiring states to demonstrate post-period compliance with the cap at the service level. The rule specifies that payments exceeding the cap constitute Medicaid overpayments subject to recovery and reporting requirements, explicitly linking SDP limits to existing overpayment regulations. The rule is set to be formally published in the Federal Register on May 22, with a 60-day comment period following its publication. The National Council will continue to further review this proposal, provide you with timely updates, and will plan to submit comments on this rule. We are here to support you every step of the way through these changes. For additional information on H.R.1, please visit the National Council’s H.R.1 Hub . If you have any questions, please reach out via email .

The Bureau of Blindness and Visual Services (BBVS) is offering a training overview of the wide range of supports and services that they provide to individuals who are blind or have a vision impairment. Additionally, the training will also highlight how individuals with vision loss can connect to BBVS’s resources, as well as the process for receiving services. Register here to attend . Who should attend? All Interested Stakeholders Date and Time: May 22, 2026 10:00 am – 11:00 am

The Office of Mental Health and Substance Abuse Services (OMHSAS), in partnership with other Department of Human Services Program Offices and Executive Branch agencies, has issued OMHSAS-26-03: Rescission of Joint Class One Bulletins . The purpose of this is to rescind bulletins that do not align with current policies, practices, or procedures that were jointly issued by Program Offices/Departments in the Commonwealth of Pennsylvania. This bulletin is also classified as ODP Bulletin 00-26-02, OCDEL-26-01, OCYF 00-26-01, and OIM 00-26-01. If you any questions, please contact your RCPA Policy Director.

The Pennsylvania Department of Health (PA DOH) has released an advisory regarding a multi-country cluster of Hantavirus cases linked to an international cruise ship expedition. The outbreak has been connected to the Andes virus strain, which is notable because it is the only known hantavirus capable of limited person-to-person transmission under close, prolonged exposure conditions. As of May 11, 2026, nine cases and three deaths have been reported internationally. At this time, PA DOH reports no known Pennsylvania residents connected to the outbreak. Hantavirus infections remain extremely rare in the United States and particularly in Pennsylvania, where only two cases have been reported since 2010. Most infections are associated with exposure to rodent urine, droppings, saliva, or nesting materials in enclosed or poorly ventilated areas. Providers and organizations should be aware of symptoms consistent with Hantavirus Pulmonary Syndrome (HPS), including fever, fatigue, muscle aches, cough, and shortness of breath, particularly when there is a known history of rodent exposure or close contact with a symptomatic individual linked to the Andes virus strain. Early symptoms may resemble influenza or COVID-19. The Department of Health is advising healthcare providers to immediately report suspected cases to local public health authorities or the PA Department of Health at 877-PA-HEALTH. RCPA encourages members to review the PA-HAN advisory and fact sheet for additional clinical guidance, infection control recommendations, and environmental cleaning protocols related to rodent exposure and prevention.

On May 13, 2026, the Allegheny County Health Department (ACHD) introduced proposed amendments to the County’s Paid Sick Leave regulations, along with a new Paid Parental Leave mandate. The proposal would significantly expand Article XXIV of the Allegheny County Health Code by requiring employers to provide extensive paid parental leave benefits directly funded by employers. For providers delivering adult home and community-based services (HCBS), personal assistance services, and other Medicaid-funded in-home supports throughout Allegheny County, the proposal could create substantial operational and financial pressures. RCPA is closely monitoring the proposal and evaluating the implications for the broader home-based care system, workforce stability, and continuity of care for vulnerable adults. Key Components of the Proposal: Paid Parental Leave Requirement The proposed regulation would require all employers operating within Allegheny County, regardless of size, to provide up to 18 weeks of paid parental leave at an employee’s full regular rate of pay. Employees would become eligible after only 30 days of employment. Qualifying events would include childbirth, legal adoption, or permanent legal placement of a child, including foster placement. Eligible employees could use the leave at any point during the first 12 months following the qualifying event. Unlike state-administered paid leave programs funded through payroll contributions or social insurance models, this proposal places the financial obligation directly on employers, potentially requiring providers to absorb the costs themselves or purchase supplemental private insurance coverage. Expansion of Paid Sick Leave Requirements The ACHD proposal also expands existing paid sick leave requirements by increasing the accrual rate from one hour earned for every 35 hours worked to one hour for every 30 hours worked. In addition, the maximum accrual cap would increase from 40 hours to 72 hours annually. Collectively, these changes would materially increase labor costs for providers operating within an already constrained Medicaid reimbursement environment. Public Health Rationale ACHD has framed the proposal as a prevention-focused public health initiative intended to improve maternal and infant health outcomes and address disparities in access to paid leave benefits. County officials cited goals including reductions in postpartum depression, improved infant wellness outcomes, increased immunization compliance, and broader equity for lower-wage workers who often lack employer-sponsored leave benefits. Status of the Proposal The regulations are currently in the proposal stage and have not yet been adopted. A 30-day public comment period began on May 13, 2026. A public hearing is scheduled for June 2, 2026, at 5:30 pm in the Gold Room of the Allegheny County Courthouse. Following the comment period, the Allegheny County Board of Health may vote on a final version before forwarding it to Allegheny County Council for approval. Implications for Adult Home-Based Care Providers RCPA recognizes the importance of workforce supports and family-friendly employment policies. However, the association remains deeply concerned about the impact of imposing significant new unfunded mandates on Medicaid-funded adult home-based care providers without corresponding reimbursement adjustments. Providers delivering personal assistance services, attendant care, waiver services, and other in-home supports already operate under severe workforce shortages and historically inadequate reimbursement structures. Allegheny County continues to have some of the lowest Medicaid-funded personal assistance reimbursement rates in Pennsylvania, creating limited financial flexibility for providers to absorb substantial new labor-related costs. Without parallel Medicaid rate increases or supplemental funding mechanisms, the proposal could accelerate provider instability, reduce service capacity, increase caregiver shortages, and ultimately jeopardize access to care for older adults and individuals with disabilities who rely on in-home services to remain safely in the community. RCPA will be preparing formal comments regarding the proposal and continue engaging policymakers, advocates, and stakeholders to highlight the potential consequences for the adult home- and community-based care sector and the Medicaid populations it serves. If you have any questions or comments, please contact Fady Sahhar .

Family-Centered Care: One Organization’s Revolutionary Approach to Include Families in All Aspects of Care Monday, June 15, 2026 1:00 pm – 2:00 pm EDT; 12:00 pm – 1:00 pm CDT; 11:00 am – 12:00 pm MDT; 10:00 am – 11:00 am PDT Register Here We appreciate your patience with rescheduling this event. All previous registrants have been automatically registered for the June 15 session; no additional registration is required. We apologize if you are no longer able to attend. The webinar will be recorded and archived on the IPRC website. Donna Provenzano, Director of Family-Centered Care Donna Provenzano is the Director of Family-Centered Care at Children’s Specialized Hospital. She has thirty-nine years of experience in working with children, adolescents, young adults, and their families at Children’s Specialized. Donna serves on several hospital leadership committees and councils and provides administrative and operational management of Family-Centered Care and Volunteers. She supervises and partners with Family Faculty staff and coordinates with the Family Advisory Council. Donna has presented both nationally and internationally on Patient- and Family-Centered Care. Under Donna’s leadership, her department received the IPFCC Family-Centered Care Partnership Award for Social Determinants of Health (SDOH) in 2022. Donna has received additional leadership certifications from the Harvard Business School. She received her Bachelor of Science degree in Therapeutic Recreation from Ithaca College. Linda Waddell, Family Faculty Manager Linda Waddell is the Family Faculty Manager at Children’s Specialized Hospital. She has been employed at the hospital as a Family Faculty since June of 2008 and a member of the Children’s Specialized Hospital’s Family Advisory Council since 2014. On behalf of the hospital, Linda has presented with her team on Patient- and Family-Centered Care at regional, national, and international conferences. Most recently, Linda was a member of a panel that presented at the 2024 RISE Summit “Addressing Social Determinants of Health (SDOH): A Look into Children’s Specialized Hospital’s Program in NJ and Beyond.” Linda participates in various hospital committees and is also a member of the IPRC Steering Committee, where she provides a family member’s perspective for discussions and decision-making. Linda was the 2019 recipient of the Lester Z. Lieberman Humanism in Healthcare Award and received the IPFCC 30th Anniversary 2022 Partnership Award on Social Determinants of Health. Linda received her Bachelor of Science degree in Business Management from Kean University. Linda’s first experience with Children’s Specialized Hospital began in 1999, receiving multiple services for her newborn, medically fragile baby. She became an expert in the experience of pediatric rehabilitation through caring for her daughter with medical complications. Family Faculty at Children’s Specialized Hospital are paid positions held by parents and family members whose children have received or are still receiving services at Children’s Specialized Hospital Inpatient, Outpatient, or Long-Term Care sites. Their own day-to-day experiences provide a unique perspective, understanding, and empathy for families going through similar situations. Family Faculty partner with staff and families to build a respectful and understanding relationship by listening, providing insights, and encouraging positive communication between staff and families. Objectives: At the end of this session, the learner will identify strategies to: Embed Patient- and Family-Centered Care into your organization; Cultivate respectful partnerships and collaboration with leadership, staff, and families; Include families in education and training of staff at all levels; and Engage families and staff in creating valuable resources. Audience: This webinar is intended for all interested members of the rehabilitation team. Level: Beginner – Intermediate Certificate of Attendance: Certificates of attendance are available for all attendees. No CEs are provided for this course. Complimentary webinars are a benefit of membership in IPRC/RCPA. Registration fee for non-members is $179. Not a member yet? Consider joining today .

RCPA is happy to announce our 2026 Annual Membership meeting, which is scheduled for Tuesday, June 2, 2026, at 9:30 am. We are offering this meeting as a hybrid event to all members. Please register here to attend in person at the RCPA Conference Center or via webcast. It is not necessary to attend in person to cast your vote. This year’s agenda and the 2025 Annual Meeting minutes are both available for review. The RCPA Nominating Committee has proposed a list of RCPA member representatives to serve as directors and officers of the RCPA Board of Directors. Please VOTE HERE in advance of the Annual Meeting for the election of RCPA Board of Directors and Officers. Following the Annual Meeting, RCPA is hosting a golf outing to benefit the RCPA PAC. It’s not too late to register and join us at the Colonial Golf & Tennis Club in Harrisburg, PA! You can also become a sponsor to support the event and receive recognition. If you are not a golfer but would like to support the RCPA PAC, please consider making a personal online contribution . For those members who wish to attend the Annual Meeting in person and need overnight accommodations, utilize the RCPA negotiated discounted rates at the following hotels: Best Western Premier is located across from the RCPA office. RCPA rate of $119.95 plus 11% occupancy tax. Rates are based upon room availability. Reservations can be made by calling 717-735-9397. Sheraton Harrisburg-Hershey is located on Lindle Road, Harrisburg. Rates start at $165.00 plus tax. Please use corporate code A3933 to access the special rate online. Reservations can also be made by calling 1-800-325-3535. Indicate that you are with RCPA when booking. Thank you. We look forward to your participation!

The Office of Long-Term Living (OLTL) issued a notice as a reminder to all OBRA waiver providers, Service Coordinators (SCs), and Service Coordination Entities (SCEs) of the availability of Teleservice Cognitive Rehabilitation Therapy, Teleservice Counseling Services, and Teleservice Nutritional Consultation. If the participant chooses the teleservice option, these services must be on the Individual Service Plan (ISP) and billed with the correct procedure codes to accurately capture the teleservice delivery option. Teleservices are also available in the Community HealthChoices (CHC) waiver. The following teleservices are available:  Teleservice Cognitive Rehabilitation Therapy Provider Type: 59 Specialty Code: 207 Procedure Code: W0176 Teleservice Counseling Services Provider Type: 59 Specialty Code: 231 Procedure Code: W0175 Teleservice Nutritional Consultation Provider Type: 59 Specialty Code: 230 Procedure Code: W0170 Additional information on the licensure and certification requirements can be found in the Service Definitions under Appendix C of the waivers. OBRA Waiver CHC Waiver The Fee for Service rates for Teleservice Cognitive Rehabilitation Therapy, Teleservice Counseling Services, and Teleservice Nutritional Consultation are included in the fee schedule . For existing Office of Long-Term Living providers to enroll in the services listed above, a request must be submitted to the enrollment and certification resource account via email . The required documentation should include an updated Provider Enrollment Information Form (PEIF), a copy of the required license or certification, and a copy of the job description for the service you are requesting to add to your provider profile. Questions related to teleservices should be directed to the enrollment and certification unit at 800-932-0939, option 1, or via email .

Title: HR 1 Eligibility Redeterminations: New Requirements, Timeline and Recommendations Date/Time: Tuesday, May 19, 2026 | 1:00 pm ET  Registration Link Last summer, HR 1 was passed by Congress and introduced significant changes to the Medicaid program. Among the many provisions of the bill that impact Medicaid was a directive to increase the frequency of program eligibility redeterminations for certain enrollees, from once every twelve months to once every six months. This webinar will explore this provision of HR 1 and its potential ramifications for both states and providers, along with recommendations on how states, behavioral health organizations, and state partners can best prepare themselves for these changes, including: Discussion of the new requirements, including additional guidance issued by the Centers for Medicare and Medicaid Services (CMS) on March 6. Walking through the timeline for implementation and relevant decision points that states will need to make along the way. Discussion of recommendations for maintaining coverage for as many individuals as possible, while ensuring workforce and technical capacities remain strong. Register for the webinar here . Please contact RCPA Policy Specialist Emma Sharp with any questions.

Power in Purpose at the 2026 RCPA Conference! The RCPA 2026 Annual Conference, Power in Purpose: Promoting Possibilities, will take place from September 29 – October 2 at the Hershey Lodge. This conference is consistently a landmark event for the Pennsylvania behavioral health, brain injury, children’s, early intervention, intellectual and developmental disabilities, medical rehabilitation, and physical disabilities and aging provider communities. Several popular speakers are participating this year, including: Dave Raymond, the "Hero of Happiness" — Author, international keynote speaker, thought leader, and the original Phillie Phanatic. Judge Victor Reyes — Renowned facilitator of discussions on self-respect, self-compassion, domestic violence, and leader of yoga/mindfulness classes. Jennifer Lynn Robison – Lifestyle and communications expert, TEDx speaker, media contributor, and traumatic brain injury survivor/advocate. Ed Krow — Talent Transformation Expert on understanding the employee/employer dynamic, achieving talent and culture transformations, and turning negative growth into success. Connections Hall In addition to the Connections Hall activities, there are many networking opportunities throughout the conference. Exhibitors will also have the chance to compete for "Best of Show!" Sponsor and Exhibitor Opportunities Our conference is privileged to have the support of the finest organizations in the field. Contributing organizations are honored by RCPA through sponsorship circles. View our Sponsor/Exhibitor/Advertiser brochure , for the opportunity of name recognition and exhibitor booth self-selection (with completed contract and payment). Sponsorships and exhibit booths are reserved on a first-come, first-served basis. The deadline to submit all materials and be listed on the website, mobile app, and in the conference program is Tuesday, September 8. Please contact Conference Coordinator Carol Ferenz with any questions. RCPA thanks these organizations that have committed their support to our 2026 Conference. You help make this conference an extraordinary, educational, and meaningful event for Pennsylvania's provider communities!

The National Core Indicators – Aging and Disabilities (NCI-AD™) 2024–2025 National Report has been released. For the last ten years, NCI-AD has partnered with states to gather data on the experiences of people using long-term services and supports across the US. Pennsylvania does not currently participate in the data gathering for this report. However, the same key areas are included in the CAHPS survey, which will be reviewed by the CHC-MCOs at the PD&A meeting on 5/14/2026. Several of the opportunities for improvement will also be evident in the presentations. The 2024–25 NCI-AD survey included more than 20,000 individuals across 24 states receiving services through HCBS waivers, nursing facilities, PACE, and Older Americans Act programs. Overall, the findings reflect strong access to community supports and healthcare, while also highlighting ongoing workforce and service gaps. Approximately 68% of respondents said they participate in preferred activities as much as they want, 92% reported reliable transportation to medical appointments, and 73% said they consistently have transportation for community activities. Nearly all respondents (95%) reported being able to connect with friends and family when desired, although 17% still reported frequent loneliness. Access to healthy food, mental health services, and annual wellness visits remained high at roughly 87%–89%, yet only 14% described their overall health as excellent or very good. The survey also underscored the growing reliance on family caregivers within LTSS. About 40% of respondents identified a paid family member or friend as their primary support person, while 22% reported frequent staff turnover. Although 89% said services help them live the life they want, only 72% felt their services fully met their goals and needs. Among individuals reporting unmet needs, just 55% said their case manager discussed additional service options with them. Since 2016, states have used NCI-AD data to evaluate aging and disability systems, identify quality improvement opportunities, and support policy discussions related to Medicaid and long-term services and supports. To access the report, use this link: Reports | NCI-AD (National Core Indicators-Aging and Disabilities) . If you have any questions, please contact Fady Sahhar .

RCPA Presents HR 1 Medicaid Summit

Please disregard this reminder if you have already registered. Palliative Care Through the Rehab Continuum: Caring for Children With Complex Needs Thursday, May 14, 2026 12:00 pm – 1:00 pm EDT; 11:00 am – 12:00 pm CDT; 10:00 am – 11:00 am MDT; 9:00 am – 10:00 am PDT Register Here Kara Monnin, PhD Kara Monnin is a Clinical Assistant Professor of Pediatrics at Nationwide Children’s Hospital (NCH) and Ohio State University’s School of Medicine in Columbus, OH. She provides clinical services across multiple inpatient units, including Complex Healthcare, Inpatient Physical Medicine and Rehabilitation, and acute care services (PICU, Trauma/Surgery/Neurosurgery). Dr. Monnin also serves as a member of the Advanced Illness Management/Palliative Care Team at NCH, and she specializes in traumatic brain injury, rehabilitation populations, and children and adolescents with complex medical needs. Ryan Jenkins, MD Ryan Jenkins is a Clinical Assistant Professor of Anesthesiology and a pediatric hospice and palliative medicine physician on the Advanced Illness Management Palliative Care Team at Nationwide Children’s Hospital. He provides inpatient, outpatient, and home-based palliative and hospice care to patients and families across the Nationwide Children’s healthcare system. His academic work includes the teaching of primary palliative care skills to learners of different disciplines and backgrounds. Objectives: At the end of this session, the learner will: Engage with palliative care providers (in the full scope of their practice) throughout the spectrum of illness, not just at end of life; Recognize common medical and psychological paradigms at key stages of illness; Understand how the goals of medical care after a significant neurological illness can change over time to include elements of recovery, stabilization, and/or prioritizing comfort; and Identify key takeaways for practice across the rehab continuum. Audience: This webinar is intended for all interested members of the rehabilitation team. Level: Beginner-Intermediate Certificate of Attendance: Certificates of attendance are available for all attendees. No CEs are provided for this course. Complimentary webinars are a benefit of membership in IPRC/RCPA. Registration fee for non-members is $179. Not a member yet? Consider joining today.

Source: Becker's Hospital Review By: Alan Condon and Andrew Cass Thursday, April 30th, 2026 CMS is requiring all 50 states to audit Medicaid providers and submit detailed plans to the agency by May 23, with hospital leaders eager to understand both the scope and the limits of what’s being asked. CMS Administrator Mehmet Oz, MD, sent a letter April 23 to all state Medicaid directors directing them to develop and submit a comprehensive two-year provider revalidation strategy [read full article] . _______________________________________  View JDSUPRA's article on the same topic here .

About the Conference Sessions The behavioral health needs of Community HealthChoices members require comprehensive and innovative approaches. Join the Community Care Behavioral Health Organization for updates from leaders in behavioral health strategies and interventions. The virtual institute will focus on the following themes: Lifestyle modifications to improve health and decrease cognitive decline; Relationship between chronic medical conditions and mental health; and How grief shows up across the lifespan. Attendance is free of charge and includes continuing education credits. We encourage behavioral health and long-term care providers, administrators, primary contractors, county partners, members, families, and other interested professionals to attend [view flyer for details and to register] .

In September 2025, RCPA raised concerns about the risks of Federal actions to weaken the enforcement of Section 504 of the Rehabilitation Act, and subsequent civil rights and access legislation like the ADA and AIDA. Last week, Governor Shapiro issued three executive orders addressing the risks arising from Federal actions, and establishing an Advisory Commission on People with Disabilities. RCPA has been named as a member of this Commission. Governor Shapiro’s recent executive actions on disability rights in Pennsylvania should be understood as a proactive state-level backstop against emerging federal uncertainty around Section 504 enforcement. The orders largely reinforce existing non-discrimination standards across state agencies, strengthen accessibility expectations in service delivery, and signal continued administrative prioritization of disability protections in publicly funded programs. In practical terms, Pennsylvania is attempting to “lock in” operational compliance with 504-like principles—particularly around equal access, program integration, and avoidance of discriminatory policies—even if federal interpretation or enforcement weakens. From a policy alignment standpoint, the orders are directionally consistent with longstanding 504 requirements but go a step further in emphasizing state accountability mechanisms. This includes clearer expectations for agencies administering Medicaid, education, and human services programs to maintain accessible systems, grievance pathways, and oversight of contractors. For HCBS providers, the implication is that Pennsylvania is unlikely to relax enforcement posture; if anything, scrutiny around access, reasonable accommodations, and community-based integration could intensify through state channels regardless of federal shifts. For providers, the practical implication is a heightened expectation of demonstrable compliance rather than passive alignment. Agencies could anticipate closer review of intake and assessment practices, service authorization decisions, and any policies that could create access barriers for individuals with disabilities. MCOs and state auditors are likely to expect clear documentation of accommodations, staff training on disability rights, and evidence that services are delivered in the least restrictive, community-integrated settings. Contractually, this may also translate into more explicit non-discrimination clauses, performance measures tied to access and equity, and increased exposure to grievance-driven audits or corrective action plans. The net effect is that Pennsylvania is positioning itself as a “floor state” for disability rights—maintaining continuity even if federal protections erode or become inconsistently applied. For providers and managed care stakeholders, this reduces regulatory ambiguity within the state but increases the importance of state-specific compliance alignment. Operationally, organizations should view these executive actions not as new requirements, but as a reaffirmation that Pennsylvania will continue to enforce 504-equivalent standards through its own regulatory and contractual frameworks. If you have any questions, please contact Fady Sahhar .

ADvancing States, in partnership with the National Association of State Directors of Developmental Disabilities and the National Association of Medicaid Directors, is excited to share a new infographic on the purpose, value, and impact of Medicaid HCBS. This resource includes an overview of key services, facts, and figures on HCBS utilization and spending, and trends and growth through rebalancing efforts. ADvancing States encourages members to use and share this infographic as a foundation for conversations about Medicaid HCBS. Use this link to view and download the infographic.

Temple University is conducting a survey to better understand and improve employment services for people with disabilities in Pennsylvania, including those who use languages other than English. This information will be included in the Comprehensive Statewide Needs Assessment (CSNA), conducted in collaboration with the Office of Vocational Rehabilitation (OVR) and the Pennsylvania Rehabilitation Council (PaRC), and will inform the State Plan. You are eligible if you: Are 18 years or older; Work for an organization in Pennsylvania; and Work for an organization that provides services to people with disabilities who speak languages other than English. The survey takes approximately 15–20 minutes to complete. It asks about your experiences providing employment services, including challenges, supports, and training needs. Participants will receive a $25 gift card. Participate in the survey, or learn more  Thank you for considering this opportunity to share your experiences and improve services for people with disabilities who speak languages other than English.

The Office of Developmental Programs (ODP) has clarified qualification requirements for Residential Habilitation in the Consolidated Waiver specifically for individuals with a Medically Complex Condition (MCC). Currently, there are about ten providers qualified to provide Residential Habilitation to individuals with an MCC in the Consolidated Waiver. To ensure that individuals with an MCC have access to needed services, current residential providers are encouraged to become qualified to provide Residential Habilitation to individuals with a MCC. Please see ODPANN 26-044 for more information and details on the following: Why Should Providers Become Qualified? What are the Steps for Current Residential Providers to become an MCC Residential Habilitation Provider? What are the Responsibilities of the Administrative Entity (AE) to Support Current Residential Providers to become MCC Qualified? Questions about this communication should be directed to the appropriate ODP Regional Office.

Palliative Care Through the Rehab Continuum: Caring for Children With Complex Needs Thursday, May 14, 2026 12:00 pm – 1:00 pm EDT; 11:00 am – 12:00 pm CDT; 10:00 am – 11:00 am MDT; 9:00 am – 10:00 am PDT Register Here Kara Monnin, PhD Kara Monnin is a Clinical Assistant Professor of Pediatrics at Nationwide Children’s Hospital (NCH) and Ohio State University’s School of Medicine in Columbus, OH. She provides clinical services across multiple inpatient units, including Complex Healthcare, Inpatient Physical Medicine and Rehabilitation, and acute care services (PICU, Trauma/Surgery/Neurosurgery). Dr. Monnin also serves as a member of the Advanced Illness Management/Palliative Care Team at NCH, and she specializes in traumatic brain injury, rehabilitation populations, and children and adolescents with complex medical needs. Ryan Jenkins, MD Ryan Jenkins is a Clinical Assistant Professor of Anesthesiology and a pediatric hospice and palliative medicine physician on the Advanced Illness Management Palliative Care Team at Nationwide Children’s Hospital. He provides inpatient, outpatient, and home-based palliative and hospice care to patients and families across the Nationwide Children’s healthcare system. His academic work includes the teaching of primary palliative care skills to learners of different disciplines and backgrounds. Objectives: At the end of this session, the learner will: Engage with palliative care providers (in the full scope of their practice) throughout the spectrum of illness, not just at end of life; Recognize common medical and psychological paradigms at key stages of illness; Understand how the goals of medical care after a significant neurological illness can change over time to include elements of recovery, stabilization, and/or prioritizing comfort; and Identify key takeaways for practice across the rehab continuum. Audience: This webinar is intended for all interested members of the rehabilitation team. Level: Beginner-Intermediate Certificate of Attendance: Certificates of attendance are available for all attendees. No CEs are provided for this course. Complimentary webinars are a benefit of membership in IPRC/RCPA. Registration fee for non-members is $179. Not a member yet? Consider joining today.

Each year, the beginning of April marks the start of our membership renewal period. The renewal email has been sent to the renewal contact(s) for Rehabilitation and Community Providers Association (RCPA) members, as well as members of the International Pediatric Rehabilitation Collaborative (IPRC).To renew your organization’s membership, please forward a completed membership application and dues payment by July 1, 2026, to Tieanna Lloyd . RCPA members can access membership applications on our website’s Join/Renew web page . IPRC members can access the membership application on IPRC’s website . Questions? Contact Tieanna Lloyd , Membership Services/Business Partnerships Manager.

On Monday, May 11, 2026, RCPA will be hosting a virtual H.R. 1 Medicaid Summit for all members, non-members, and stakeholders from 9:00 am – 10:00 am. This summit will feature guest panelists who will provide Federal and State updates on the implementation and impacts of the pending Medicaid changes. We will also explore the role of providers, advocates, and stakeholders in the process to ensure access and care for vulnerable Pennsylvanians. Register for the summit here . As part of the event, we will have a Q&A segment. If you have any questions you would like to ask during the Q&A segment, or if you have any general questions regarding the virtual summit, please forward them to RCPA Behavioral Health Policy Associate Emma Sharp .

Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, and Congressman Morgan Griffith (VA-09), Chairman of the Subcommittee on Health, recently announced a hearing titled Healthier America: Legislative Proposals to Improve Public Health . The hearing, scheduled for April 15, 2026, at 10:15 am, will focus on the bills below that address various areas of public health, including disease research and prevention efforts, bolstering resources for rural medical services and health care providers, promoting healthy activities, and increasing access to care. H.R. 4348 , To reauthorize the Kay Hagan Tick Act, and for other purposes Reps. Smith-NJ and Doggett H.R. 4541 , EARLY Act Reauthorization of 2025 Reps. Wasserman Schultz and Miller-Meeks H.R. 3747 , Accelerating Access to Dementia and Alzheimer’s Provider Training Act Reps. Balderson and Barragán H.R. 8209 , School-Based Health Centers Reauthorization Act of 2026 Reps. Tonko and Balderson H.R. 5160 , Stem Cell Therapeutic and Research Reauthorization Act of 2025 Reps. Smith-NJ and Matsui H.R. 8205 , Accelerating Access to Critical Therapies for ALS Reauthorization Act of 2026 Reps. Quigley and Calvert H.R. 6121 , Promoting Physical Activity for Americans Act Reps. Moore and Panetta Nutrition Education and Chronic Disease Prevention in Community Health Centers Act of 2026 Rep. Harshbarger H.R. 8201 , Expanding Community Access to Health Services Act Rep. Lee-NV Digital Health Screeners Act of 2026 Rep. Balderson The hearing will be open to the public and will be livestreamed online.