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Mental Health

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On Wednesday, November 20, the Office of Mental Health and Substance Abuse Services (OMHSAS) conducted its most recent WebEx, outlining several key areas to the Intensive Behavioral Health Services (IBHS) implementation. The materials for the presentation can be found here.

This presentation provided an overview of the following:

  • Written Orders;
  • Assessment;
  • Training Approval Process;
  • Current Department Approved Trainings;
  • Family Outreach;
  • Medical Necessity Guidelines;
  • Licensing;
  • Enrollment/ Billing; and
  • Rates.

This link will direct you to the IBHS Website on the HealthChoices server. At the bottom of the page is the repository of information on these topics as well as the updated FAQ. The RCPA IBHS Work Group will be reconvening in early December to continue to address implementation issues in conjunction with OMHSAS. If you have any questions or feedback, please contact RCPA Children’s Division Director Jim Sharp.

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On October 8, 2019, the Office of Mental Health and Substance Abuse Services (OMHSAS) hosted a statewide webinar to discuss Act 147 of 2004, Mental Health Treatment – Consent to Treatment, Release of Medical Records. The recording of the webinar, along with supporting documentation, can be found here. A frequently asked questions document is also being created and will be available upon completion.

Act 147 has elicited many questions and discussions across our mental health and school-based services committees. We recommend you share this information with your program leadership, perhaps as part of training. We will continue to review Act 147 in our work groups and report out on information and activities as warranted.

If you have any questions or feedback, please submit them to this email and copy RCPA Children’s Division Director Jim Sharp on the correspondence.

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There is pending legislation in Washington that will focus on multiple entry points for physical and mental health services, for individuals incarcerated in jails and prisons.

The first piece of legislation, the Humane Correctional Health Care Act (HR 4141), asserts that a legislative goal is to increase medical assistance services and access to quality care, as well as access to these services upon return to the community.

See Rep. Kuster’s op-ed in the Washington Post with Senator Booker, and an editorial in the Concord Monitor, on the Human Correctional Health Care Act (HR 4141) — legislation that would extend Medicaid eligibility to inmates of public institutions. Rep. Kuster’s office is ramping up outreach to build co-sponsorship support for the bill, and is working hard to make the legislation bipartisan. Current group supporters of HR 4141 can activate grassroots efforts to help build bipartisan support; if your group would like to support the bill, please contact Marisa Salemme.

The second is an outpatient services bill that outlines the guarantee of three outpatient physical and three mental health visits at a minimum for inmates returning to community settings. Staff from Rep. Lauren Underwood’s (D-IL) office reached out, sharing the above referenced DRAFT text and is soliciting feedback on a bill they plan to introduce later this year. The bill would require commercial plans to cover three outpatient mental health visits per year without any cost-sharing requirements (it would also cover three primary care visits without cost sharing).

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

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Press Release from Governor Tom Wolf

Council on Reform Submits Recommendations for the Protection of Vulnerable Populations to Gov. Wolf
> Public Comment Period through December 16, 2019 <

November 1, 2019

Harrisburg, PA – Today, Governor Tom Wolf’s Council on Reform, established through his Protection of Vulnerable Populations Executive Order 2019-05, submitted its recommendations for improving the state’s systems to protect its most vulnerable individuals and families.

In late July, Gov. Wolf charged this diverse group of community leaders, providers, stakeholders, and cabinet members with taking a comprehensive look at needs to best serve the state’s vulnerable populations with a mandate to report those recommendations back to him by Nov. 1.

“I took action in July to address long-standing issues with the state’s systems designed to protect our most vulnerable,” Gov. Wolf said. “The first task for the newly formed Council on Reform was to buckle down and develop a comprehensive list of recommendations for how we can best protect vulnerable Pennsylvanians.

“My thanks to all of the council members who shared their expertise and considerable time, and to those who participated by meeting with council members or submitting information and recommendations. Your tireless commitment to this process demonstrates your passion for protecting all Pennsylvanians, especially our most vulnerable. I look forward to reading and analyzing these recommendations and to our next steps to make much-needed changes.”

The 25-member council held its first meeting immediately following the governor’s announcement. In determining its charter and scope, the council defined populations and subpopulations, established committees, and adopted values.

The council determined it would look at protecting vulnerable populations from three perspectives with a separate committee for each: prevention and diversion, protection and intervention, and justice and support.

Populations were broken out by age with subpopulations to ensure vulnerabilities unique to each were considered:

Ages 0-17
Subpopulations – African Americans, Asian American & Pacific Islanders, Latinos, LGBTQ+ children, young women, children experiencing mental illness, children with intellectual disabilities/autism, children with physical/sensory disabilities, delinquent children, and dependent children

Ages 18-59
Subpopulations – African Americans, Asian American & Pacific Islanders, Latinos, LGBTQ+ adults, veterans, women, adults experiencing mental illness, adults with intellectual disabilities/autism, adults with physical/sensory disabilities, adults with Alzheimer’s or a related dementia, and domestic violence victims

Ages 60+
Subpopulations – African Americans, Asian American & Pacific Islanders, Latinos, LGBTQ+ seniors, women, veterans, seniors experiencing mental illness, seniors with intellectual disabilities/autism, seniors with physical/sensory disabilities, seniors with Alzheimer’s or a related dementia, and domestic violence victims

The council recommended two overarching goals for Pennsylvania to better protect vulnerable populations:
• Empower and strengthen the workforce serving vulnerable populations by providing comprehensive training, livable salaries and benefits, and support for staff experiencing vicarious trauma.

  • Empower communities and vulnerable populations by ensuring access to services for all Pennsylvanians and conducting culturally appropriate and diverse outreach efforts.

The council adopted values they believe to be relevant to protecting and serving vulnerable populations – these values are reflected throughout the recommendations:

Cultural Competence – Recognizing and honoring diversity

Person-Centered Approach – Focusing on the individual’s best interest

Community Engagement – Hearing from vulnerable populations, families, experts, and stakeholders

Context & Awareness – Understanding current environment and avoiding past failings

Trauma-Informed – Utilizing trauma-informed approaches across all systems

Workforce Empowerment – Ensuring the workforce is equipped and supported

Members heard from a wide array of existing oversight and advisory bodies, stakeholders, legislators, and constituents. Information was provided through in-person meetings, letters, emails, and a webform that council members distributed to their networks. These contributors provide recommendations for the council to consider and essential insight and context to ensure the council was fully informed. Many council members also served on advisory bodies connected to this work.

The council compiled the recommendations submitted by others along with recommendations from existing reports and assigned them to the appropriate committee for review and consideration. Committee members reviewed all that was submitted, identified common trends, eliminated duplication, and developed new recommendations.

After committees finalized their lists of recommendations, themes were identified that spanned all populations and committees. The result is the comprehensive list of recommendations presented to Gov. Wolf today.

The council advised Gov. Wolf that it “fully recognizes the funding implications of the recommendations that have been developed and the substantial amount of time and work it takes to carry out these recommendations. It is our hope that Pennsylvania will rise to the occasion and put its best effort into driving this much needed change – our most vulnerable are counting on it.”

The council asked that the governor direct the appropriate agencies, organizations, branches of government, and advisory bodies to carry out the recommendations he would like to move forward.

As the council carried out its process, they believed more could be done to engage with constituents. To achieve this, the council added an online public comment form available today through Dec. 16.

View press release online

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The Pennsylvania Health Access Network is working on a project funded by the PA Disabilities Council to improve access to health care for people with disabilities in Central PA. As a part of this project, they have developed a survey they are asking providers who serve people with disabilities to complete. The data from these surveys will be used to develop trainings and policy initiatives. Please take a few minutes to complete the survey in order to provide input on this project. Please use this contact email for more information.

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Step By Step executive Jim Bobeck has recently announced his retirement. Bobeck served for 33 years as Step By Step’s President and CEO and oversaw an agency that began in the Wilkes-Barre area in the 1970s, which grew to include more than 1,300 employees serving over 2,000 individuals in 18 counties throughout Pennsylvania.

Bobeck has been an active leader for RCPA, as well as its predecessor organization, PARF.

Mr. George Rable, Chairperson of the Step By Step Board of Directors noted, “Under Jim’s leadership and dedication, the Agency has grown tenfold serving a diverse population. He will certainly be missed.”

Bobeck remarked, “I’ve been privileged to be surrounded by the best human service professionals anywhere. Together we developed a community system of care for people with disabilities that ranks as one of the best in the country. Thank you to my lifetime friends made here, and thank you to our consumers who gave me a life filled with purpose.”

Step By Step’s Board of Directors has formed an executive search committee and plans to announce the hiring of a new CEO in the near future.

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On October 19, 2019 DHS and OMHSAS release the newly promulgated IBHS Regulations; Title 55, Chapters 1155 and 5240. The new regulations will be in full effect in 90 days.

This link to the DHS/Health Choices IBHS web page will be the repository for Information regarding IBHS and the ongoing implementation.

This site has access links to the IBHS Regulations, the IBHS Preamble, upcoming regional training information and registration, as well as important IBHS forms, including the IBHS FAQ link. Access the new IBHS Regulations here.

If you have any questions regarding the IBHS regulations, upcoming training, or feedback, please contact RCPA Children’s Division Director Jim Sharp.

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