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The Centers for Medicare and Medicaid Services (CMS) issued Medicare Learning Network (MLN) Matters article MM12063 entitled “Calendar Year (CY) 2021 Update for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule”. It becomes effective on January 1, 2021. This article includes material on the data files, update factors, and other information related to the update of the fee schedule. The DMEPOS fee schedule is updated on an annual basis. For CY 2021, an update factor of 0.2 percent is applied to certain DMEPOS fee schedule amounts. Additional details specific to supplies are provided in the article.

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From ANCOR:

The American Association on Intellectual and Developmental Disabilities (AAIDD) released a research brief this month. The purpose of this brief is to provide an overview of what the research to date reveals about people with intellectual and developmental disabilities (IDD), COVID-19, and vaccination. The research to date indicates that people with IDD (a) are more likely to be exposed to COVID-19 and have poorer COVID-19-related health outcomes than the general public; (b) are as likely as the general population to engage in preventive health strategies; and (c) have experienced massive disruption in health, home, and community services, exacerbating existing inequities in health care and putting additional pressure on already overtaxed formal and informal support networks.

AAIDD also shared this resource, which offers research, commentary, and editorials concerning COVID-19. It is searchable by keyword.

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FOR IMMEDIATE RELEASE
December 17, 2020

Harrisburg, PA – The Wolf Administration issued recommendations to help individuals and families stay safe during the 2020 holiday season. Families are encouraged to hold virtual gatherings in order to mitigate the risk of COVID-19 transmission. The Centers for Disease Control and Prevention (CDC) indicates that small household gatherings are a large contributor to the rise in COVID-19 cases, and exposure at these events can contribute to the spread once the holidays are over.

The Administration strongly recommends against participating in holiday gatherings with individuals or groups outside of your household. This advice is especially pertinent for individuals who are at increased risk for severe COVID-19 infection such as older adults, individuals with certain medical conditions, and any resident of a long-term care facility.

“As COVID-19 cases continue to rise, and as we enter the flu season, it’s important that we continue to take this virus seriously. That means continuing to wear masks and forego social gatherings, even holiday gatherings, to protect those we love,” said Department of Human Services (DHS) Secretary Teresa Miller. “There are massive surges of positive COVID-19 cases in the majority of Pennsylvania counties, and protecting those most vulnerable to severe COVID-19 infection is critical. I urge everyone to remember the risks and do what they can to keep each other, their loved ones, and vulnerable people safe during this holiday season.”

The Departments of Health and Human Services have issued guidance to all long-term care facilities and nursing homes; they should review it with their residents to make sure that they are safe over the holidays. Those who are at increased risk for severe illness from COVID-19 should avoid in-person gatherings with people who do not live in the same household.

Addressing the Needs of Older Adults During the Holidays

Under normal circumstances, the holiday season can be a stressful time for many people, including older adults. However, this is a holiday season like no other because it is happening during what may be the most challenging year many have ever faced. This fact is particularly true for older adults who have been struggling throughout this year because of the lack of both family and personal connections.

The Pennsylvania Department of Aging’s Office of the Long-Term Care Ombudsman continues to connect with long-term care residents through virtual meetings via Zoom, Facetime, or phone calls. The office has provided funds to local ombudsman programs through the CARES Act to use for technology and outdoor visitation, weather permitting.

The Ombudsman’s next Virtual Family Council meeting to support families of long-term care residents will be held on Tuesday, December 29, 2020 from 4:30 pm – 6:00 pm. PEERs (Pennsylvania Empowered Expert Residents) will join this meeting to discuss the COVID-19 pandemic from the long-term care resident’s perspective. PEERs are individuals living in long-term care settings who have been trained to advocate to improve the quality of life in their homes. To attend, email Jay Rotz and use “Virtual Family Council” in the subject line to receive a meeting link and instructions.

During December and January, the Pennsylvania Council on Aging’s (PCoA) Social Isolation Task Force is holding free virtual small-group interactive sessions that are designed to help older adults safeguard their mental, spiritual, and physical health. Now more than ever, these tips and reminders are critically important. These sessions will also give seniors the chance to maximize the positive impact of the council’s interactive “Strengthening Older Lives Online (SOLO)” guide. Sign up for a session here.

The Department of Aging and Pennsylvania Council on Aging have worked on solutions to help older adults meet the many challenges of this pandemic, including social isolation, throughout its duration. These efforts have resulted in the development of resources and partnerships to help older adults connect with loved ones and stay mentally and physically healthy during the COVID-19 pandemic. Aging and its 52 Area Agencies on Aging, covering the commonwealth’s 67 counties, have continued to operate during the pandemic and offer virtual activities, including health and wellness programs. Find your local area Agency on Aging here.

These resources include an online COVID-19 resource guide for older adults, a new health and wellness guide titled “Strengthening Older Lives Online (SOLO)”, and a family support forum called the Virtual Family Council, which holds bi-weekly virtual support meetings for families with loved ones who are living in long-term care facilities. Information about all of these resources can be found on the Department of Aging’s website. More information on the Virtual Family Council can be found here. The SOLO guide can be found here.

“Since the start of this pandemic, we have worked diligently to address the needs of older Pennsylvanians, especially those who are at risk of being or who are actually socially isolated. The forced isolation of COVID-19 has intensified this problem. As a result, we have adapted our services to provide support and resources to help Pennsylvania seniors maintain good mental and physical health, and we want to ensure that they are aware of these services, especially during this holiday season,” said Secretary of Aging Robert Torres.     

Mental Health

People who experience feelings of anxiety or depression may experience more distress during the holiday season than during normal times. Given the challenges we are all currently facing, all Pennsylvanians should take extra care to be mindful of their mental health and tend to their overall health and wellness during this time. Check in with yourself, and be honest about how you are feeling with yourself and your support network. If you need someone to talk to or a little extra support, help is available.

DHS’s mental health support and referral helpline, Persevere PA, is available 24/7 and is a free resource that is staffed by skilled and compassionate caseworkers who are available to counsel Pennsylvanians who are struggling with anxiety and other challenging emotions. The helpline caseworkers can refer callers to community-based resources that can further help to meet individual needs. Pennsylvanians can contact Persevere PA at 1-855-284-2494. For TTY, dial 724-631-5600.

If you or someone you love is in crisis, the National Suicide Prevention Lifeline is available by calling 1-800-273-8255. The hotline is staffed 24/7 by trained counselors who can offer free, confidential support. Spanish speakers who need immediate assistance can call 1-888-628-9454. Help can also be accessed through the Crisis Text Line by texting “PA” to 741-741.

A Plain Communities Helpline is also available through WellSpan at Philhaven at 717-989-8661. The Plain Communities Outpatient Clinic provides high quality mental health care that is sensitive to the values of the plain sect community.

The stress and loneliness of this time may also make things harder for those who are currently battling a substance use disorder, but treatment and resources are available to help. The Department of Drug and Alcohol Programs’s Get Help Now helpline can be reached at 1-800-662-HELP.

For more information on the latest guidance on COVID-19, visit this webpage.

MEDIA CONTACT: Erin James

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Photo by Markus Winkler on Unsplash

Good afternoon Department of Drug and Alcohol Programs (DDAP) Stakeholders,

I hope this message finds you and your loved ones well during this unique holiday season. I wanted to take the opportunity to address a much anticipated and historic aspect of supporting Pennsylvanians through the pandemic – the long-awaited arrival of the first COVID-19 vaccines.

As I am sure you are aware, the commonwealth received its first allotment of COVID-19 from Pfizer on Monday of this week. As detailed in the Department of Health’s interim vaccine distribution plan, the first priority group to be vaccinated is our Pennsylvania hospital workers who are directly caring for COVID-19 patients. As more vaccine doses become available, the Department of Health will continue to ensure that they arrive at the designated enrolled hospital and health-care systems throughout the commonwealth or the established vaccine distribution partners. These sites will then administer vaccinations to the groups identified in the current distribution plan.

I want to take a moment to reiterate two very important aspects of the vaccine distribution:

  1. At this time, there is a very limited supply to meet the demand of Pennsylvanians who are currently eligible for the vaccine. However, myself and the entire Wolf Administration want to assure each of you, your staff and coworkers, and your loved ones that all Pennsylvanians who would like to be vaccinated will have access to the vaccine. This is simply the first step in a vaccination process that will take months to complete.
  2. If you have taken the time to review the plan, you will see that there are still many details that need to be finalized and subgroups who need to be identified. The Department of Health has stated that the interim plan is very much a working document, and it will continue to be updated as the Center for Disease Control and Prevention’s Advisory Committee on Immunization Practices identifies further priority populations. At this time, drug and alcohol treatment providers are referenced in the plan as eligible for vaccinations during phase 1b. It is also important to recognize that the “vaccination phases” will happen at their own pace throughout the commonwealth. For example, if vaccine distributors in the western part of the commonwealth vaccinate Pennsylvanians more quickly than those in the central area, then they will move through priority populations and “phases” more rapidly.

At this time, vaccination distribution planning remains very fluid due to key aspects of planning and preparation that are still outstanding. These aspects include the amount of vaccine dosages available to Pennsylvanians, which vaccine will be available, and which private/public partners have the storage capabilities and sheer manpower to host a vaccine distribution site.

I write today to express the Department of Drug and Alcohol Programs’s commitment to each of you. We pledge to be transparent throughout the vaccine planning process when answering questions that include but are not limited to:

  • When treatment providers will be eligible for vaccinations;
  • How providers will receive notifications of vaccine availability; and
  • Where individuals need to be present in order to access their vaccination.

We are working closely with the Department of Health to provide information to you as quickly as possible, but I ask for your continued patience as the logistics are developed and finalized.

For the most up-to-date information on Pennsylvania’s vaccine distribution, I encourage each of you to regularly visit the Department of Health’s COVID-19 vaccine portion of their website as well as their news section, which provides updates on how many vaccine doses have arrived and where the vaccine has been received in Pennsylvania. Feel free to utilize the COVID-19 vaccine toolkit, which provides vaccine development background, facts, and graphics for your facilities and social media channels.

Thank you for your continued patience as more information becomes available and for your continued partnership in ensuring that all members of Pennsylvania’s drug and alcohol system remain safe.

Be well,

Jen Smith

DDAP Secretary

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