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Govt. Affairs

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The Provider Revalidation Webinar, with Jamie Buchenauer from DHS, was held on Wednesday, January 6. RCPA members and invited guests received answers to many of their questions regarding the revalidation process. Also on hand to offer input and answer questions were Ron Melusky and Chuck Frick from ODP, Lisa Page from OMHSAS, and Rosemary Cosgrove from OMAP. A recorded version of this webinar is available. The PowerPoint presentation is also available to download or print.

Other information supplied by DHS:

ODP email – RA-odpproviderenroll@pa.gov
OMHSAS email – HC-Services@pa.gov
OMAP email – RA-ProvApp@pa.gov

https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R371PI.pdf – Page 24 outlines the screening levels.

Link to the OMHSAS 14-03 bulletin regarding revalidation – http://www.dpw.state.pa.us/cs/groups/webcontent/documents/bulletin_admin/c_093853.pdf

ODP Provider Enrollment
General ODP enrollment programs
1-888-565-9435
Fax: 717-783-5141
Hours of operations: Monday – Friday, 8 AM – 5 PM
Office of Long Term Living (OLTL) Provider Call Center
Assists with nursing facilities, ICF/MRs, LIFE program billing questions, OLTL waivers billing and general enrollment questions
1-800-932-0939
Hours of operation: Monday – Thursday, 9 AM – 12 PM & 1 PM – 4 PM
Provider Enrollment – OMAP
Provides assistance regarding MA enrollment processes and MA enrollment file maintenance;
General MA enrollment questions
1-800-537-8862
Hours of operation: Monday – Friday, 8 AM-4:30 PM
 
Behavioral Health Provider Hotline – OMHSAS
Assistance with technical issues (billing/recipient eligibility) from BH provider, BH MCOs, counties etc.
1-800-433-4459
Hours of operation: Monday – Friday, 8:00 AM-3:45 PM

DHS Desk Reference –   http://www.dhs.pa.gov/cs/groups/webcontent/documents/webcopy/c_214048.pdf

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Over the weekend, the House failed to pass SB 1071, which is the hybrid pension bill, by a vote of 52/149 with no support from the Democratic Caucus and over 60 Republicans. After the vote, numerous meetings were held among leadership. Once the meetings concluded, the House floated the possibility of forging ahead with some type of stopgap measure that would fund education and human services. However, the governor and Senate leadership indicated that a stopgap budget was a non-starter.

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House Republican leaders told Governor Wolf he has 24 hours to prove that he has enough votes in the House to pass a spending and tax proposal he supports. If he cannot show he has the votes, House Republican leadership said they will propose a stopgap funding bill to end the state government’s five-and-a-half month budget stalemate.

According to House Majority Leader Dave Reed, he wants to hold final votes this weekend. As of today, the governor, both caucuses in the Senate, as well as House Democrats, support the $30.8 billion budget as well as the $1 billion-plus tax plan. The House Republican majority wants a pared down $30.2 billion budget which would include smaller spending and tax increases.

It should be an interesting day at the Capitol. The governor must have all 83 (Rep. Louise Bishop resigned on Wednesday) of the House Democrat Caucus be in favor of the budget – to date, not all members of the Democrat Caucus have supported the governor’s budget proposal. In addition, the governor would have to pick up between 20 and 30 Republican votes, depending on whether members of his own caucus go against him.

Stay tuned! RCPA will continue to provide updates on the budget. RCPA encourages members to continue to contact the governor and state legislators to inform them why it’s necessary for them to pass a state budget sooner rather than later. Questions, contact Jack Phillips.

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This article from Capitolwire is a good and extensive overview of what is going on with the budget here in Harrisburg. Health and Human service budget line items are still fluid until the House and Senate negotiate a final budget deal. RCPA will provide updates on any budget deal, and RCPA encourages members to continue to contact the governor and state legislators to inform them why it’s necessary for them to pass a state budget sooner rather than later. Questions, contact Jack Phillips.

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Today, the County Commissioners Association of Pennsylvania (CCAP) sent out a press release, stating that the organization has authorized their counsel to explore options to end the current six month state budget impasse, and to prevent future threats to key human services programs provided at the county level. CCAP will have legal counsel research potential litigation options against the Commonwealth regarding the release of state and federal monies for essential services.

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On November 23, the leadership of the Office of Mental Health and Substance Abuse Services (OMHSAS), including Deputy Secretary Dennis Marion and Medical Director Dr. Dale Adair, provided a webcast presentation on the development of Applied Behavior Analysis (ABA) services for children with an Autism Spectrum Disorder (ASD). The webcast to more than 130 RCPA members reviewed the current concepts and recommendations developed by a clinical work group, assisting OMHSAS in the development of ABA medical necessity guidelines, clarifying the authorization pathway for Behavioral Health Rehabilitation Services for children and adolescents diagnosed with Autism Spectrum Disorder.

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