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On April 25, 2024, at 12:00 pm, a virtual statewide briefing will be conducted on Medicaid unwinding and expanded enrollment options. This event will feature Health and Human Services (HHS) Regional Director Melissa Herd, Pennsylvania Department of Human Services Secretary Val Arkoosh, and Pennie Executive Director Devon Trolley.
The agenda will include a briefing on what’s happening at the federal level when it comes to Medicaid, an update on the Medicaid “unwinding” process currently wrapping up in Pennsylvania, and the expanded eligibility requirements for enrolling in Pennie coverage even when it’s not open enrollment.
To register, please visit here.
The Pennsylvania Department of Drug and Alcohol Programs (DDAP) is hosting its annual Recovery Month Kick-Off event on September 12 at Soldiers and Sailors Grove in Harrisburg. The focus of the 2024 kick-off will be total wellness in recovery. To participate in the event, complete the survey by June 28 to indicate if you or your agency would like to provide an interactive activity (such as yoga, music therapy, or meditation) or have a resource table. Space is limited, so responses will be accepted on a first-come, first-served basis. The event will take place outdoors, with a rain date of Sept. 13. It will be held at the venue located on the fountain side of the state capitol building between Commonwealth Avenue and State Street.
The While House issued a press release announcing that the Access Final Rule will be released later today. These regulations include:
We will continue to monitor the details of these regulations and Pennsylvania’s plans to comply. If you have any questions, please contact Fady Sahhar.
The Office of Developmental Programs (ODP) invites you to save the date for the 2024 Pennsylvania Autism Training Conference! The conference will be held virtually from November 5 – 7, 2024. More details, as well as registration information, is to follow.
Do you know an artist or storyteller? Encourage them to share their talents at PATC!
Call for Personal Stories: Calling all self-advocates with autism! Share your story at the 2024 PA Autism Training Conference. Choose from one of our featured prompts and let your voice be heard! Stories will be displayed virtually during the conference and beyond. Must be 14 or older to participate. Visit here to learn more! Submissions Due: August 2, 2024.
Call for Artists: ODP would like to invite artists with autism to exhibit their work virtually during the 2024 Pennsylvania Autism Training Conference. The art show will consist of images links of artwork supplied by the artists, as well as to their website or email addresses for further information for attendees. Visit here to learn more. Submissions Due: September 6, 2024.
The Department of Human Services (Department) is making available for public review and comment the Office of Developmental Programs’ (ODP) proposed application for a section 1915(b)(4) waiver for a selective contracting program as well as amendments to the Consolidated and Community Living waivers required to implement selective contracting for Residential Habilitation, Life Sharing, and Supported Living services. The selective contracting program will be referred to as Performance-Based Contracting.
The Department is also making available for public review and comment additional proposed amendments to the Consolidated, Community Living, Person/Family Directed Support (P/FDS), and Adult Autism Waivers that are not related to implementation of selective contracting. Changes are proposed to become effective on January 1, 2025.
When performance-based contracting is implemented, all currently enrolled residential providers will have the opportunity to enter into a performance-based contract with ODP. To help support providers with the new requirements and process, ODP will hold provider trainings so that providers have a clear understanding of the process and expectations. As part of this process, providers will submit documentation demonstrating compliance with the performance areas identified by ODP. Additionally, ODP will use data from participant experience surveys, claims, incident management, health risk screening, administrative entities, and a new Performance Analysis Services vendor to evaluate each provider’s performance against the established standards and determine the tier in which the provider will be placed.
Providers will be placed in one of the following tiers based on their performance:
The Department proposes the following substantive amendments to the Consolidated and Community Living waivers that will support the implementation of performance-based contracting, effective January 1, 2025:
Supplemental payments will be calculated for residential providers meeting or exceeding performance standards as a one-time or combined payment up to 3% of ODP-eligible service revenue from the applicable review period or established payment amount per qualifying event. Providers that have been determined to be a Primary, Select, or Clinically Enhanced provider are eligible to receive the supplemental payments.
Other proposed amendments unrelated to Performance-Based Contracting include:
The Department proposes the following substantive amendments to the Adult Autism Waiver that are not related to implementation of performance-based contracting effective January 1, 2025:
View Performance-Based Contracting Information:
View Proposed Changes to the Waivers, Including Changes Not Related to Performance-Based Contracting:
Comments received within 45 days of publication of this notice will be reviewed and considered for revisions to the proposed application for a section 1915(b)(4) waiver as well as proposed amendments to the waivers. Comments should be addressed to Julie Mochon, Department of Human Services, Office of Developmental Programs, 625 Forster Street, Room 510, Harrisburg, PA 17120. Comments may also be submitted to the Department via email using the subject header ”Waiver Comments.”
RCPA will be scheduling a meeting for members to develop comments in response to these proposed amendments. Please contact Carol Ferenz with any questions.
The Office of Developmental Programs (ODP) has shared ODPANN 24-037. The purpose of this announcement is to provide guidance for the Fiscal Year (FY) 2024/25 renewal period.
The following topical areas are addressed in this communication:
Please view the announcement for information and details.