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Physical Disabilities & Aging

Today CMS released guidance to the State Medicaid Directors regarding the 10% increased Federal Medicaid Assistance Percentage (FMAP) for certain Medicaid expenditures for Home and Community-Based Waiver Services (HCBS). States must use the funds to supplement and not supplant state funds expended for HCBS Waiver Services in effect as of April 1, 2021, and states must use state funds equivalent to the amount of federal funds attributable to the increased FMAP to implement or supplement the implementation of one or more activities to enhance, expand, or strengthen HCBS under the Medicaid program.

The purpose of this letter is to provide guidance to states on the implementation of section 9817 of the American Rescue Plan (ARP), as well as to describe opportunities for states to strengthen the HCBS system in response to the COVID-19 Public Health Emergency (PHE), increase access to HCBS for Medicaid beneficiaries, adequately protect the HCBS workforce, safeguard financial stability for HCBS providers, and accelerate long-term services and supports (LTSS) reform under section 9817 of the ARP.

This increased federal funding can help states increase community living options for people with disabilities, in accordance with Title II of the Americans with Disabilities  Act, 42 U.S.C. §§ 12131–12134, as interpreted by the Supreme Court in Olmstead v. L.C., 527 U.S. 581 (1999), which requires public entities to administer services to individuals with disabilities in the most integrated setting appropriate to their needs.

In addition, this letter updates Medicaid retainer payment policy for HCBS providers during the COVID-19 PHE.

The letter outlines additional guidance.

Photo by National Cancer Institute on Unsplash

The Office of Mental Health and Substance Abuse Services (OMHSAS) is pleased to share the 2020 Behavioral Health Telehealth Report, developed in collaboration with the OMHSAS Telehealth Steering Committee and Mercer Government Services Consulting. This report provides recommendations for the future of telehealth after the resolution of the COVID-19 Public Health Emergency. The work of the Steering Committee and other stakeholders has been and will continue to be vital in ensuring that the behavioral health needs of Pennsylvanians continue to be met. The report is available on the OMHSAS website.

If you have questions or feedback, please contact RCPA Policy Director Jim Sharp. If you have questions regarding this report, please email OMHSAS directly.

Are They Always Listening? How Secure is My Smart Speaker?

Wednesday, June 2, 2021 from 12:00 pm–12:45 pm
30 minutes of interactive learning, 15 minutes for questions

This presentation will answer questions related to privacy and security with smart speakers such as Amazon Alexa and Google Nest. Attendees will learn:

  • How smart speakers work;
  • How their security compares to other everyday devices like cell phones;
  • How smart speakers “listen” and “understand”;
  • What information speakers retain; and
  • How you can protect yourself.

Learn more and register here.

This webinar is hosted by Pennsylvania Assistive Technology Foundation (PATF) as part of the Smart Homes Made Simple project. Learn more about the project at SmartHomesMadeSimple.org.
Pennsylvania Assistive Technology Foundation Toll Free Voice 888.744.1938 | Voice 484.674.0506 | Fax 484.674.0510 | Email patf@patf.us | www.patf.us

This project is supported by a grant from the Pennsylvania Developmental Disabilities Council; in part by grant number 1901PASCDD-02 from the U.S. Administration for Community Living (ACL), Department of Health and Human Services, Washington, D.C. 20201. Grantees undertaking projects with government sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official ACL policy.

This session will be fully accessible, and the recording, transcript, and slides will be made available. If you have any questions or need assistance with registering, please contact Susie Daily at 888-744-1938 or by email.

Photo by Christina @ wocintechchat.com on Unsplash

The Center for Connected Health Policy (CCHP) will be conducting their third webinar as part of their spring webinar series on May 14, 2021 from 2:00 pm–3:30 pm. This webinar, Medicaid Telehealth Policies for Seniors, will bring together Medicaid officials for a panel discussion about how state programs and Medicaid agencies incorporate telehealth into their services for seniors and other benefits for dually-enrolled for Medicare and Medicaid beneficiaries. State Medicaid presenters will also discuss relevant policy changes during COVID-19 and how that has impacted plans for the future of telehealth and seniors in their states. Members interested in participating in this webinar are encouraged to register as soon as possible.

Improving Outcomes by Recognizing Fetal Alcohol Spectrum Disorders (FASD) Presented by Dan Dubovsky — Part One
This training addresses the importance of recognizing an FASD in those with whom we work or live. The brain damage seen in FASD is examined, along with common behaviors that result from this damage and that may result in misdiagnoses such as Oppositional Defiant Disorder, Attention-Deficit Hyperactivity Disorder, Conduct Disorder, Borderline Personality Disorder, and Antisocial Personality Disorder in the individual and neglect and sabotaging treatment in family members. Methods to identify those with a possible FASD are identified.
Date: Thursday, May 13, 2021, 2:00 pm–4:00 pm
Register now.

Improving Outcomes by Modifying Approaches for Those with Fetal Alcohol Spectrum Disorders (FASD) Presented by Dan Dubovsky — Part Two
This training builds on the first FASD training provided. Due to the brain damage caused by prenatal alcohol exposure, which spans the intellectual spectrum, evidence-based practices that rely on verbal interactions and reward and consequence approaches such as point, level, and privilege systems are often not successful with them and set them up to fail.
Date: Thursday, May 27, 2021, 2:00 pm–4:00 pm
Register now.

Law Enforcement-Led Diversion and Mental Health and Opioid Outreach Innovations
The purpose of this presentation is to demonstrate the significant impact first responder-led diversion can have in connecting overdose survivors and those with mental health disorders to treatment. Retired Deputy Chief Mitch Cunningham from the Wilmington, North Carolina Police Department and Sheriff Daron Hall from the Davidson County Sheriff’s Office in Nashville, Tennessee will highlight the need for diversion and cite examples of the successful programs they have implemented.
Date: Thursday, May 20, 2021, 2:00 pm
Register now.

The Office of Long-Term Living (OLTL) has scheduled a Financial Management Services (FMS) stakeholder meeting for Thursday, May 13, 2021 from 9:30 am–11:00 am. The purpose of this public meeting is to discuss upcoming changes for the administration of FMS under Community HealthChoices (CHC), the Omnibus Budget Reconciliation Act (OBRA) Waiver, and Act 150 programs. There will be representatives from both OLTL and the CHC Managed Care Organizations (MCOs) in attendance to discuss the upcoming changes.

Questions should be directed to OLTL.


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