Health Care Reform

RCPA was pleased to have played a role in Pennsylvania’s Collaborative Care Summit. This joint effort was sponsored by the Office of Mental Health and Substance Abuse Services, Department of Health, Department of Drug and Alcohol Programs, Office of Medical Assistance Programs, Pennsylvania Psychiatric Leadership Council, Pennsylvania Psychiatric Society, Rehabilitation and Community Providers Association, PH/BH Learning Community, Community Care Behavioral Health Organization, and Western Psychiatric Institute and Clinic. The information presented focused on the importance of strengthening the link between meeting individuals’ physical and behavioral health care needs, and the collaboration between medical and behavioral health professionals. The presentation materials from the summit are now available to practitioners, providers, health system and health insurance leaders, and policymakers across Pennsylvania.

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On May 16 the Pennsylvania Department of Health published a notice in the Pennsylvania Bulletin regarding photo identification badge requirements. The notice provides the required provisions of section 809.2 of the Health Care Facilities Act (Act 2010-110) passed on November 23, 2010. Included in the provisions are the individuals that must wear photo identification badges and the badge requirements, including specific requirements on titles. The provisions in this notice become effective June 1.

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Secretary Ted Dallas sent a notice out on April 20 highlighting the changes resulting from the Affordable Care Act (ACA). If you enrolled on or before March 25, 2011, you must be revalidated by March 24, 2016; if you enrolled after March 25, 2011, your revalidation must occur on or before five years from the date of initial enrollment. The Pennsylvania Office of Medical Assistance Programs issued a Bulletin on Provider Revalidation on March 7, 2014.

Information is available on the DHS website regarding the requirements and process of revalidation (also called re-enrollment). Also included is a link to the Quick Tip 155 to view each service location revalidation due date.

Access the most current Pennsylvania PROMISe™ Provider Enrollment base application, dated March 2.

Two program offices have issued additional information:

The Office of Long Term Living required all of their providers to re-enroll as Provider Type 59 by December 31, 2014.
*Information provided by Joan Martin, senior associate, S.R. Wojdak & Associates

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The Department of Human Services has prepared training/informational guides to help providers, business and community partners in the transition to the new HealthChoices Expansion Program. These were added to the HealthChoicesPA.com website under the Provider Information tab.

Included are the following:

  • Eligibility Verification System
  • Benefit Package Coverage and Limits
  • Transition Plans
  • Continuity of Care
  • Template for Resources
  • Recipient Benefit Package
  • Copayments
  • Health Screening