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Children's Services

The Pennsylvania Department of Education (PDE) has released guidance on Act 1 of 2022, which promotes timely high school graduation, facilitates equal access to academics and extracurricular activities, and the removal of systemic barriers for students who experience education instability as defined by the legislation.

Additionally, Act 1 confers specific duties on all school entities, including school districts, charter schools, regional charter schools, cyber charter schools, intermediate units, and career and technical schools. Act 1 does not in any way alter or undermine the rights of students with disabilities or abridge other state or federal laws that protect eligible students.

If you have further questions, please contact RCPA Policy Director Jim Sharp.

PFSA is continuing to offer virtual Mandated Reporter Training at no cost to mandated reporters in Pennsylvania.

This three-hour virtual training is approved by the Departments of Human Services, Education, and State and meets all requirements for training on recognizing and reporting child abuse (to include Act 126 for school employees). It is also approved for continuing education credits under Act 31 (Department of State for health-related licenses) and Act 48 (Department of Education for teachers) at no cost. PFSA will submit your training verification to the Department of State or Education as appropriate on your behalf (details provided during training).

Please register for your preferred training date and time by selecting one of the session links below. Each person must log in through separate devices using the unique access link emailed to them after registration in order to receive credit.

For questions or to schedule a session specifically for your organization, please email PFSA. If you have further questions please contact, RCPA Children’s Policy Director Jim Sharp.

Monday. Aug. 8, 6:00 pm – 9:00 pm

Wednesday, Aug. 10, 1:00 pm – 4:00 pm

Friday, Aug. 12, 9:00 am – 12:00 pm

Saturday, Aug. 13, 9:00 am – 12:00 pm

Tuesday, Aug. 16, 9:00 am – 12:00 pm

Thursday, Aug. 18, 1:00 pm – 4:00 pm

Tuesday, Aug. 23, 9:00 am – 12:00 pm

The Centers for Medicare and Medicaid Services (CMS) recently released a Request for Information (RFI) requesting public comments on the Medicare Advantage program. CMS is asking for input on ways to achieve the agency’s vision so that all parts of Medicare are working towards a future where people with Medicare receive more equitable, high quality, and person-centered care that is affordable and sustainable, essentially asking for ways to strengthen this program.

CMS’s intent is to better align the Medical Assistance (MA) program with the agency’s vision for Medicare and the CMS Strategic Pillars. CMS is strongly emphasizing the importance of stakeholder comments for this process. This openness to feedback presents MA plans, providers, and other stakeholders an opportunity to inform the agency’s early thinking as it considers potential regulatory actions impacting supplemental benefits, value-based contracting arrangements, risk adjustment, prior authorization, and marketing among other issues.

CMS will accept comments on the RFI until August 31, 2022.

Counties Face Uncertainty on State Funding for Mental Health Services
By Robert Swift
Capitolwire Staff Reporter

HARRISBURG (Aug. 2) — County officials face some uncertainty in running their basic mental health programs upon learning they get flat funding under the new state budget.

Getting a level amount of state aid means counties will have difficulty reducing waiting lists for services which are widespread, hiring to address staff shortages, and expanding services to meet various mental health needs, said Lisa Schaefer, executive director of the County Commissioners Association of Pennsylvania, on Tuesday.

“We are certainly disappointed,” she said. “There is certainly a lot of good increased funding could do.”

CCAP learned this week there is no increase in that line item as analysis continues with the Fiscal Year 2022/23 budget enacted early last month.

CCAP is part of a coalition that lobbied this year to end level state funding for basic county mental health services for the past 11 years. Gov. Tom Wolf proposed a $36.6 million increase to restore much of a decade-old cut in state aid to county-run mental health programs, but that didn’t make the final budget enacted last month.

Instead the budget provides an additional $53 million for assorted mental health-related needs, including the county programs and state-run hospitals.

“Counties can continue to get grants for mental health programs from the Department of Human Services under the Community Mental Health Services Block Grant (CMHSBG),” said DHS spokesman Brandon Cwalina.

“This funding supports counties in their planning and implementation of mobile crisis services, as well as crisis receiving and stabilization services, that meet national standards for crisis intervention services,” he said.

“It can also be used to support service expansion efforts that ensure a full continuum of community crisis intervention services for anyone regardless of insurer or ability to pay…” said Cwalina. “Counties have until 2025 to use the funds available through these CMHSBG grant allocations to continue the building of crisis mental health service infrastructures across the commonwealth.”

And the budget directs $100 million in unspent federal COVID relief funds for general mental health programs and an additional $100 million in COVID funds for school mental health grants.

The one-time funding comes after lawmakers of both parties said this year that more needs to be done to address mental health issues among Pennsylvanians.

Counties could get a share of that, but Schaefer said annual funding is needed to rebuild the counties network of mental health programs.

The $100 million for general mental health programs can’t be spent until a new special state commission meets and makes recommendations for to how to spend it the money and the Legislature passes enabling legislation.

Whether that happens during the remainder of Gov. Tom Wolf’s term or after a new governor takes office next January is uncertain.

The 24-member Behavioral Health Commission for Adult Mental Health is charged with considering funding for the following areas: telemedicine services, mental and behavioral payment parity, workforce development and retention, expansion of peer support services, crisis services, integration of behavioral support and substances abuse disorder treatment, cultural issues in providing behavioral health care, impact of health on behavioral health, intersection of behavioral health and the criminal justice system, and timely delivery of psychiatric care.

The commission composed of state officials and legislative appointees, is supposed to hold its first meeting by September and hold at least two meetings, one with rural care providers and law enforcement and one with urban or suburban providers and law enforcement.

Counties will have a representative on the commission who can advocate for funding, said Schaefer.

“The $100 million in ARPA funding and the grants available through the CMHSBG are a start, but further investment will be necessary to support growing behavioral health care needs,” said Cwalina. “The Wolf administration is encouraged by the General Assembly’s recognition of ongoing need through their establishment of the Behavioral Health Commission for Adult Mental Health, and we hope the recommendations adopted by the commission will be considered for future investments outside of ARPA funds.”


RCPA has been asked to be a part of the Behavioral Health Commission process and will continue its collective efforts with the Mental Health Safety Net Coalition to create sustainable pathways for all mental health funding platforms in Pennsylvania.

If you have any questions, please contact your RCPA Policy Director.

Message from the National Council for Mental Wellbeing:

Proposed updates to the 2023 Physician Fee Schedule would expand access to mental health and substance use services and allow some providers more flexibility in treating Medicare enrollees. Reserve a spot today to join the National Council for Mental Wellbeing for a special webinar discussing the “incident to” billing provisions and what they mean for providers.

Register Now

Title: ‘Incident To’ Provisions of the Proposed 2023 Physician Fee Schedule
Time: August 16, 2022, at 12:00 pm ET

  • The Centers for Medicare and Medicaid Services (CMS) is proposing updates to the 2023 Physician Fee Schedule that would create an exception to the direct supervision requirement of “incident to” billing to allow for general supervision, which would allow certain mental health providers to be reimbursed without the physician or non-physician practitioners on-site requirement.
  • Medicare’s Physician Fee Schedule, updated yearly, contains a comprehensive listing of the maximum fees physicians and other providers may be reimbursed under fee-for-service in Medicare.

In this webinar, participants will be provided:

  • Overview of “incident to” billing in Medicare;
  • Summary of the “incident to” proposed rule changes for 2023;
  • Analysis of the impact and implications to providers;
  • Context for the applicability to dual eligible individuals; and
  • Dedicated Q&A period.

Questions? Contact us!