rcpa

Shapiro Administration's Strategic Investments in ID/A Community Lead to Highest Number of Pennsylvanians Ever Served in HCBS

Thu, 28 May 2026 17:28:58 GMT

Press Release from DHS : Published May 27, 2026

Excerpt below:

McMurray, PA - Pennsylvania Department of Human Services (PA DHS) Secretary Dr. Val Arkoosh today toured Arc Human Services’ Smart Home Lab to see the innovative supports and new technology supported by the Shapiro Administration’s investments in services for Pennsylvanians with intellectual disabilities and autism (ID/A) that are helping adults with ID/A learn, explore, and understand by using assistive technology to support personal choice, agency, and more independent living on their own terms.

Because of investments made under Governor Josh Shapiro, more than 42,000 Pennsylvanians with ID/A now receive services in their home and community – the highest number in the history of Pennsylvania’s home and community-based services programs. For providers like Arc Human Services, these investments allow them to serve more Pennsylvanians with ID/A and expand the kind of support available, allowing them to use innovations like what is featured at the Smart Home Lab to support their personal wellbeing and ability to live independently.

ODP Provides Updates to PBC 2026/27 Residential Pay-for-Performance

Thu, 28 May 2026 17:26:34 GMT

The Office of Developmental Programs (ODP) has shared ODPANN 26-039 . The purpose of this communication is to provide updated details about the Residential Performance-Based Contracting (PBC) Pay-for-Performance (P4P) initiatives for Fiscal Year 2026/27. Updates are provided in red .

Please review the announcement for more details. Visit here to access the Pay for Performance (P4P): Residential Rural Capacity Expansion Plan template .

May 2026 CI Spotlight Quarterly Newsletter Released

Thu, 28 May 2026 17:25:01 GMT

The Office of Developmental Programs (ODP) has published ODPANN 26-057 . This communication is to announce the release of the latest issue of the CI Spotlight, which can be found on the Certified Investigator Program Home Page. This edition of the CI Program Spotlight includes articles on interviewing people who do not communicate in universally understood ways, Temple University’s CI Peer Reviews, and more.

If you have a suggestion for a future Spotlight article, please visit here to submit your suggestion.

PA Medicaid Revalidation Initiative and Implications for Personal Assistance HCBS Providers

Thu, 28 May 2026 17:23:08 GMT

The Pennsylvania Department of Human Services (DHS) recently provided additional clarification regarding the Commonwealth’s response to a recent federal Medicaid program integrity directive issued by the Centers for Medicare & Medicaid Services (CMS) Administrator Dr. Mehmet Oz.

CMS directed all state Medicaid agencies to develop and submit a comprehensive two-year provider revalidation strategy that is focused on strengthening provider oversight, including enhanced review of higher-risk providers and providers operating without a National Provider Identifier (NPI). DHS indicated that it intends to rely on its existing provider screening framework established in the Department’s 2016 provider screening bulletin to determine which provider types will be considered “high risk” for purposes of enhanced revalidation activities.

What Providers Need to Know:

DHS Will Use Existing High-Risk Provider Categories

DHS indicated that only the provider types and sub-specialties specifically identified in its existing 2016 provider screening framework will be categorized as high risk for this initiative.

In addition, providers may be categorized as high risk if they meet certain program integrity triggers, including:

Newly enrolling providers of home health services or durable medical equipment supplies;
Providers subject to payment suspensions based on credible allegations of fraud, waste, or abuse;
Providers excluded by the U.S. Department of Health and Human Services Office of Inspector General (OIG) or another state Medicaid program within the past 10 years;
Providers with outstanding DHS overpayments greater than $1,500 that are more than 30 days old and not under appeal or repayment agreement; or
Providers seeking enrollment following the lifting of a federally imposed enrollment moratorium.

Implications for Type 59 Attendant Care Providers

For many HCBS providers, the traditional personal assistance and home care providers operating under sub-specialty 362 do not appear to be included within the high-risk categories identified by DHS. However, Provider Type 59 Attendant Care providers are included within the identified high-risk framework and should anticipate additional revalidation activity or off-cycle review.

Providers should immediately verify their assigned provider sub-specialties within PROMISe to determine whether any service locations are associated with sub-specialty 050.

Implications for Providers Without an NPI

CMS specifically instructed states to develop strategies focused on “high-risk providers, including providers without an NPI.”

At this time, DHS has not released detailed operational guidance regarding how providers without NPIs will be handled under Pennsylvania’s implementation strategy. However, providers should be aware that non-NPI status may receive increased attention during future enrollment or revalidation reviews.

Providers operating without an NPI should:

Review current enrollment structures;
Confirm whether any service lines may eventually require NPIs;
Ensure organizational and ownership information is fully current within PROMISe; and
Prepare for possible future guidance related to non-NPI provider oversight.

Recommended Provider Actions

Verify Your Provider Type and Sub-Specialties: Log into PROMISe and review the provider type and sub-specialty assigned to each enrolled service location. To verify:

Log into PROMISe.
Select “ePEAP” from the menu.
View the provider number displayed at the top of the screen.
Select “View Specialties” on the right side of the screen.

Determine Whether Any Locations Fall Within Higher-Risk Categories: Providers should identify whether any service locations are enrolled under Provider Type 59 with sub-specialty 050 or any other categories previously identified by DHS as high risk. Organizations with multiple locations should review each enrolled site individually.

Review NPI Status: Providers should determine whether the organization currently maintains an NPI; which service lines operate with or without NPIs; and whether enrollment records accurately reflect current organizational structure. Even if NPIs are not currently required, providers should ensure all enrollment information is accurate and current.

Consider Revalidating Early: Providers already scheduled for revalidation in 2026 should consider beginning the process earlier rather than waiting until later in the year, when statewide revalidation volume may increase significantly. Early preparation may help avoid processing delays, documentation backlogs; enrollment interruptions; and payment disruptions.

Organize Revalidation Documentation Now: Providers should begin gathering and reviewing commonly requested enrollment and revalidation documentation, including:

Ownership disclosures;
W-9 documentation;
Corporate organizational records;
Insurance certificates;
Licensure documentation;
Compliance policies and procedures;
Employee screening documentation;
OIG exclusion screening records; and
Any prior DHS correspondence regarding enrollment status.

Operational Considerations for HCBS Providers

HCBS providers should anticipate that DHS and CMS may place increased emphasis on:

Provider enrollment accuracy;
Ownership transparency;
Exclusion screening;
Claims oversight;
Program integrity controls; and
Documentation consistency across service locations.

Providers should also expect potential increases in reviews, requests for updated document, site verification activities, and screening-related communications.

Important Resources and Links

RCPA will continue monitoring DHS guidance and provide information as it becomes available. If you have any questions, please contact Fady Sahhar .

REMINDER: A Multidisciplinary Approach to Continence Management and Self-Cathing

Thu, 28 May 2026 17:10:29 GMT

Monday, June 1, 2026
1:00 pm – 2:00 pm EDT; 12:00 pm – 1:00 pm CDT;
11:00 am – 12:00 pm MDT; 10:00 am – 11:00 am PDT
Register Here

Presenters:

Diane Ulmer, OTR/L is an Occupational Therapist and SCI Program Manager for Madonna Rehabilitation Hospitals in Nebraska where she provides leadership over a continuum of care. She provides education throughout the region on the unique aspects of SCI care. She serves on the Nebraska AgrAbility Advisory Council, the IPRC Pediatric Neurogenic Bowel and Bladder Work Group, and is Vice President for the Nebraska Chapter of the United Spinal Association. Diane also facilitates a monthly SCI support group.

Lyn Sapp, MN, RN, CRRN is a Nursing Practice Specialist for the Inpatient Rehabilitation Unit at Seattle Children’s Hospital in Seattle, Washington. The rehab unit has been her home base since 1985, with additional experiences in outpatient, home care, and school nursing. After obtaining her master’s in nursing, Lyn participated in the growth and development of the inpatient unit as a manager, educator, and nurse specialist. A post-master’s certificate in pediatrics has led to further experiences in quality improvement and staff education. As a member of the Association of Rehabilitation Nursing, she has experienced enrichment through certification, presenting, learning, publishing, and networking. Lyn also serves as an active member of the IPRC Steering Committee.

Carly Rosenthal, MS, OTR/L is a pediatric occupational therapist specializing in neurorehabilitation and pelvic floor dysfunction. She currently practices at Nemours Children’s Hospital in Wilmington, Delaware, where she provides inpatient and outpatient rehabilitation for children with complex diagnoses including traumatic brain injury, cerebral palsy, spinal cord injury, and stroke. Carly is also the primary occupational therapist within the Spinal Dysfunction Clinic at Nemours. Carly’s work focuses on maximizing independence and quality of life through evidence-based, family-centered care, with a particular interest in functional continence and neurogenic bowel and bladder management.

Objectives: At the end of this session, the learner will:

Identify the roles of the multidisciplinary team in management of self-catheterization management of neurogenic bladder;
Apply evidence-based, task-specific training techniques for self-catheterization to improve outcomes, promote independence, and reduce health risks; and
Implement strategies and adaptations to promote success in independent self-catheterization.

Audience: This webinar is intended for all interested members of the rehabilitation team.

Level: Beginner-Intermediate

Certificate of Attendance: Certificates of attendance are available for all attendees. No CEs are provided for this course.

Complimentary webinars are a benefit of membership in IPRC/RCPA. Registration fee for non-members is $179. Not a member yet? Consider joining today .

RCPA Member Community Behavioral Health Shares May 2026 CHC Meeting Materials

Wed, 27 May 2026 20:33:36 GMT

On May 27, 2026, RCPA member Community Behavioral Health (CBH) held a monthly meeting for Community HealthChoices providers to communicate with and improve access to behavioral health services. Below are the materials shared in the meeting:

If you have any questions, please contact Fady Sahhar .

RCPA Member Pyramid Healthcare Founder, Board Chair Jon Wolf Named PSU Philanthropist of the Year

Wed, 27 May 2026 20:30:21 GMT

Press Release from PSU : Published May 25, 2026

Excerpt below:

Penn State University has named Jon Wolf as its 2026 Philanthropist of the Year. The award, which recognizes individuals, couples, or families who have demonstrated exceptional generosity in the promotion and support of the University, celebrates Wolf’s landmark gift in 2025 to dramatically scale up the university’s resources for undergraduates studying to become addiction and recovery professionals or enter the field of mental health services.

“Mental health and substance use issues touch almost every family across the Commonwealth and the country broadly, but lingering stigma gets in the way of marshaling a response on scale with the challenge,” Wolf said. “My intention is to attract more of the best and brightest to the behavioral health counseling program at Penn State by offsetting the burden of tuition through financial support and facilitating upgrades to the teaching curriculum and faculty resources. I am enormously honored to be named Penn State’s Philanthropist of the Year, and my hope is that my story might spur others to think about how they, too, can provide gifts that enhance specific programs within the University that lift students to success and have an impact in the wider world.”

Wolf graduated from Penn State with a degree in health policy administration in 1981, followed by a master’s degree in hospital administration from George Washington University in 1983. He went on to specialize in launching and operating freestanding psychiatric and substance use treatment facilities in Georgia, Utah, Ohio, and Pennsylvania.

In 1999, he founded his own company, Pyramid Healthcare, and in his more than two decades as CEO, led its development into an integrated system of behavioral healthcare programs that employs a staff of 3,500 and operates more than 80 behavioral health treatment facilities and seven specialized schools across the eastern United States.

BHSL Issues Statement on PA LTC RISE Program Concluding May 31

Wed, 27 May 2026 20:25:21 GMT

From the Bureau of Human Services Licensing (BHSL):

The Bureau of Human Services Licensing (BHSL) would like to join you in celebrating the tremendous impact of LTC RISE (Long-Term Care Resiliency, Infrastructure Supports, and Empowerment) . Launched on January 1, 2022, in partnership with the Department of Health (DOH), the Department of Human Services (DHS), the Pennsylvania Emergency Management Agency (PEMA), and regional healthcare organizations, LTC RISE has provided comprehensive support to long‑term care settings, strengthened infection prevention practices, expanded technical assistance, and enhanced preparedness and resiliency across the Commonwealth.

Over the past four+ years, LTC RISE has delivered:

24/7 call center and on-site technical support;
Consultation on infection prevention, testing, personal protective equipment, staffing strategies, outbreak planning, and workforce wellness;
Facility assessments and targeted recommendations;
Quality‑improvement support in emergency preparedness, clinical practices, and staff development; and
A sustained focus on resident-centered care and building long-term operational resilience.

The program’s efforts have bolstered the safety and quality of long‑term care throughout Pennsylvania. We thank you for welcoming them into your facilities and participating in the spirit of support and partnership.

LTC RISE is winding down and will be fully concluded on May 31, 2026. As the program concludes, we want to ensure facilities continue to have access to tools, supports, and resources that strengthen operations and protect residents and staff:

Emergency Preparedness & Planning

ASPR RISC Resource Library

Staffing & Workforce Support

The First 90 Days: Retention Playbook

Infection Prevention & Control

Additional Support

Thank you for your unwavering commitment to the residents of our Commonwealth. As the RISE program concludes, your continued leadership ensures that the progress made over the past several years endures.

If you have any questions, please contact Fady Sahhar or the Bureau of Human Services Licensing .

ODP Shares Upcoming Changes, Launch of the 2026 MedAdmin Student and Practicum Observer Courses

Wed, 27 May 2026 20:23:27 GMT

The Office of Developmental Programs (ODP) has shared a reminder that updated Medication Administration Student and Practicum Observer Courses for 2026 will be released on June 1, 2026. After this date, new users will no longer be able to enroll in previous student courses. Learners who have already enrolled and begun the 2024 Student Courses or the Practicum Observer Course by June 1, 2026, must now complete the courses by September 1, 2026. All other learners must enroll in and take the 2026 courses after June 1, 2026. Enrollment keys for classes that were already created will not work for the 2026 courses. Trainers should create new classes in the 2026 courses and use the enrollment key generated to enroll new users in the 2026 courses.

Please see ODPANN 26-056 for additional information.

ODP to Host Medication Administration VOH on May 28

Tue, 26 May 2026 20:33:30 GMT

The Office of Developmental Programs (ODP) has announced that Virtual Office Hours (VOH) registration for May 28 is now available for Trainers, Primary Contacts, and/or Agency Administrators.

If you are interested in joining, please select the Registration link that is available on your MedAdmin Dashboard .

PCCD Now Accepting Justice Assistance Grant Applications

Tue, 26 May 2026 19:20:20 GMT

The Pennsylvania Commission on Crime and Delinquency (PCCD) is now accepting applications for funding under the 2026–2027 Byrne Justice Assistance Grant (JAG) solicitation from eligible governmental and non-governmental agencies and organizations seeking to implement projects and programs that directly address the objectives and goals outlined in PCCD’s approved 2026–2030 Strategic Framework . Eligible organizations include local units of government (including counties) and non-profit organizations.

A total of $8,221,880 in federal Byrne JAG funds is being announced to support this initiative. PCCD expects to fund approximately 30–35 grants with budgets not to exceed $250,000 over the two-year project period.

The funding announcement details new guidelines regarding eligibility criteria, eligible program activities, and documentation. Applications must be submitted electronically through PCCD’s Egrants system by July 14, 2026.

Questions regarding this funding announcement should be emailed with “2026/27 Byrne Justice Assistance Grant (JAG)” as the subject line. Questions must be received by close of business on July 7, 2026. All questions and answers will be posted under this funding announcement title on the Active Funding Announcements page of the PCCD website.

ICYMI: Op-Ed: Pennsylvania Leads the Nation in Fighting Medicaid Fraud

Tue, 26 May 2026 19:17:11 GMT

Press Release from the Department of Human Services : Published May 14, 2026

Excerpt below:

Harrisburg, PA – Pennsylvania Department of Human Services (PA DHS) Secretary Dr. Val Arkoosh this week detailed Pennsylvania’s commitment to stopping Medicaid fraud in an op-ed, highlighting the Commonwealth’s national leadership in stopping bad actors from siphoning taxpayer dollars.

Secretary Arkoosh’s op-ed details the myriad ways Pennsylvania monitors Medicaid and other public assistance programs in order to identify and stop fraud and misuse before it happens. She also explains how the dedicated staff at PA DHS operate a comprehensive fraud prevention system that preserves these critical resources for people who need them while helping to reclaim taxpayer funds.

OMHSAS to Hold Listening Sessions on Crisis Licensing Regulations

Fri, 22 May 2026 20:09:58 GMT

The Office of Mental Health and Substance Abuse Services (OMHSAS) will be hosting two (2) one-hour virtual Listening Sessions on the 55 Pa. Code Chapter 5250 Crisis Licensing Regulations. The Listening Sessions are intended to provide a high-level summary of changes being made to the final form package based on the comments received and to gather provider perspectives on those specific areas.

Please register for one of the two session dates being offered by selecting the appropriate link below.

After completing your registration, you will receive an email confirmation containing instructions to join the webinar.

If you experience any issues with the registration process, please email .

The RCPA Crisis Regulation Review Team will meet in late June as a follow-up to the listening session to develop further recommendations based upon OMHSAS’s prospective changes. If you are interested in being a part of this review team, please contact RCPA COO and Mental Health Policy Director Jim Sharp .

National Council: CMS Releases Proposed Rule for State Directed Payments

Fri, 22 May 2026 20:06:46 GMT

Message from the National Council for Mental Wellbeing:

Yesterday, the Centers for Medicare and Medicaid Services (CMS) released its proposed rule, Medicaid Managed Care State Directed Payments and Medicaid Fee-for-Service Targeted Medicaid Practitioner Payments , implementing provisions of H.R.1 to establish new limits on certain Medicaid managed care State directed payments (SDP). Additional information on the proposal can be found in the press release and fact sheet .

In alignment with H.R.1, total SDP rates are capped at 100% of Medicare in expansion states and 110% in non-expansion states for inpatient hospital services, outpatient hospital services, nursing facility services, and qualified practitioner services at an academic medical center.

Where a Medicare benchmark is unavailable, the payment limit would be 100% of the state-plan-approved rate.

However, most significantly, the proposed rule would extend the SDP limits beyond the four original services under H.R.1 (listed above) to all SDPs, regardless of service type, in all states, Washington, D.C., and all territories beginning Jan. 1, 2029. The proposed rule would also apply similar limits to certain targeted Medicaid fee-for-service payments.

This would include behavioral health SDPs and could lead to significant disruption in 2029.

Additional provisions in the proposed rule include proposals to:

Eliminate uniform increase SDPs as a permissible type of SDP for rating periods beginning on or after January 1, 2028, with a limited exception for grandfathered SDPs.
Permit states to adopt minimum or maximum fee schedules that are no greater than the applicable payment rate limit without CMS prior approval for rating periods beginning on or after January 1, 2028.
Establish new claims-level compliance and reporting requirements, including submission of provider-specific (NPI-level) data, identification of applicable benchmark rates, and documentation of controls to ensure that each individual service payment does not exceed the cap.
Introduce new reconciliation requirements for value-based payment SDPs, requiring states to demonstrate post-period compliance with the cap at the service level.
The rule specifies that payments exceeding the cap constitute Medicaid overpayments subject to recovery and reporting requirements, explicitly linking SDP limits to existing overpayment regulations.
The rule is set to be formally published in the Federal Register on May 22, with a 60-day comment period following its publication.

The National Council will continue to further review this proposal, provide you with timely updates, and will plan to submit comments on this rule. We are here to support you every step of the way through these changes. For additional information on H.R.1, please visit the National Council’s H.R.1 Hub . If you have any questions, please reach out via email .

Administrative Review Live Case Study Sessions Now Available

Thu, 21 May 2026 13:02:15 GMT

The Office of Developmental Programs (ODP) has announced that new live case study sessions for the Administrative Review (AR) Course are now available, featuring a new case study that allows participants to actively engage and apply their learning. The case study is new as of April 2026.

There are two parts to the course:

Part 1: Online Module which includes three (3) units and a quiz.
Part 2: Live case study session, held on Zoom.

Registration for the case study sessions is currently scheduled for:

Wednesday, August 26, 2026 (1:00 pm – 4:00 pm)
Friday, October 23, 2026 (9:00 am – 12:00 pm)
Thursday, December 3, (1:00 pm – 4:00 pm)

Please review ODPANN 26-055 for more details. Please send your questions regarding registration for the AR Module electronically to this inbox .

RCPA Telehealth Operations Work Group Meeting Rescheduled to June 30, 2026

Thu, 21 May 2026 12:59:06 GMT

The RCPA Telehealth Operations Work Group meeting, which was originally scheduled for Tuesday, May 26, will be rescheduled to Tuesday, June 30, from 10:00 am – 11:30 am. At this time, RCPA is working with the Department of Human Services (DHS) on specific revisions to Pennsylvania’s telehealth policies and practices, including the elimination of encounter forms for telehealth service delivery. We hope to have definitive updates at the next meeting.

Additionally, RCPA will be conducting a live survey around telehealth utilization, practices, and future expansion needs.

Register for the meeting here . Those who already registered for the original May 26 meeting do not need to re-register.

If you have any questions, comments, or agenda topics, please contact RCPA COO Jim Sharp.

Fran McDermid, MEd, Named Executive Director of RCPA Member Strawberry Fields, Inc.

Thu, 21 May 2026 12:55:35 GMT

Press Release from RCPA Member Strawberry Fields, Inc. : Published May 21, 2026

Excerpt below:

Devereux, one of the nation’s largest nonprofit providers of behavioral healthcare, today announced that Fran McDermid, M.Ed. , has been selected as executive director of Strawberry Fields, Inc.

McDermid currently serves as Strawberry Fields’ director of mental health and social enterprise operations, a position she has held since 2019. She will assume her new role on July 1.

Save the Date! 2026 Community of Practice for Supporting Families Regional Collaborative Summit Announced

Thu, 21 May 2026 12:53:54 GMT

The 2026 Community of Practice for Supporting Families Regional Collaborative Summit will be held virtually September 1 – 2. Join the Summit this September to learn from peers and professionals about how to bolster your communities of practice for supporting individuals with disabilities and/or autism (ID/A) and their families.

Visit here to learn more; registration information will be announced when available.

2026 Pennsylvania Primary Election Results

Thu, 21 May 2026 12:52:35 GMT

View a quick synopsis of the PA primary election results here at Politics PA .

Read below for a more in-depth summary, courtesy of Wojdak Government Relations.

Senate Highlights:

In the State Senate , and perhaps considered the most watched races in the PA Primary: 3 establishment Republicans were targeted for a challenge from the right in Lisa Baker (Luzerne), Camera Bartolotta (Washington) and Chris Gebhard (Lebanon). All 3 survived a very intense primary fight well-funded by the Georgia-based Pace-O-Matic manufacturer of skill-based gaming devices that have become ubiquitous across Pennsylvania and have been the subject of recent legislative efforts to tax and regulate. Over $8M was spent collectively in these three races. Their efforts were not completely shut out though, a last-minute spending blitz appears to have paid off in securing the Democratic nomination for their preferred candidate Mark Pinsley to take on incumbent Republican Senator Jarett Coleman in the Lehigh Valley. This may boost Senate Republicans chances of retaining their majority in what many are saying is a difficult political environment.

House Highlights:

The State House saw less outside spending and intensity than the Senate races, but there were a few notable upsets. The longest serving state representative and a climate champion, Democrat Greg Vitali, who has represented suburban Philadelphia since 1992, lost his primary last night to Delaware County backed candidate — Judy Trombetta. The shortest tenured state representative Ana Tiburico, a Democrat representing Allentown for only the last few months, also lost her primary to a progressive backed candidate CeCe Gerlach. Other incumbents losing were Republican Bud Cook from Greene County and Democrat Keith Harris in Philadelphia.

Congressional Highlights:

The marquee race for U.S. Congress , saw progressive State Representative Chris Rabb defeat State Senator Sharif Street to win the nomination in the Philadelphia-based Third Congressional District to replace retiring Congressman Dwight Evans. Street enjoyed significant backing from Mayor Parker and the local Democratic establishment. Governor Shapiro scored wins with his endorsed candidates winning in all four congressional races where he endorsed, all districts with Republican incumbents and perceived to be competitive in November. In those races, County Commissioner Bob Harvey (D) will take on Brian Fitzpatrick (R) in suburban Bucks County, TV anchor Janelle Stelson (D) will see a rematch with Scott Perry (R) in the Harrisburg area, Scranton Mayor Page Cognetti (D) will take on Rob Bresnahan (R) in northeastern Pennsylvania, and firefighter Rob Brooks (D) will challenge Ryan Mackenzie (R) in the Lehigh Valley.

In the race for Governor , Republican State Treasurer Republican Stacey Garrity and incumbent Democrat Josh Shapiro were unopposed for their respective nominations, but Garrity did get her preferred running mate with Allegheny GOP party chair Jason Ritchey securing the Lt. Governor nomination. Incumbent Lt. Governor Austin Davis was unopposed. (In Pennsylvania Governor and Lt. Governor candidates are selected separately in the primary but run as a team in November).

If you want to get a closer look at results for specific races, you can find the full Department of State data here .

Here are a few key articles coming out of the primary if you want to read more:

Latest Results From the 2026 Pennsylvania Primary Election (Spotlight PA)
Pa. Primary Election: Chris Rabb Wins in Contentious 3rd District Race; Democratic Nominees Set in Key Swing Districts (Inquirer)
Shapiro-Backed Brooks Wins Competitive Pennsylvania Primary (Politico)
Pennsylvania Primary Battles See Some Legislative Incumbents Fall While Gaming-Targeted Senators Hold On (Spotlight PA)
Janelle Stelson Will Face Rep. Scott Perry Again After Victory in Pa.-10 Democratic Primary (Penn Capital-Star)

Looking forward, House and Senate Members will return to Harrisburg June 1 for the budget sprint, with the fiscal year ending June 30. Then all eyes will turn to the fall election, November 3. As of today, we are 167 days away.

PCCD, Attorney General Seek Input on Statewide Reentry Strategic Plan

Thu, 21 May 2026 12:47:36 GMT

The Pennsylvania Commission on Crime and Delinquency’s (PCCD) Criminal Justice Advisory Committee and the Pennsylvania Office of Attorney General (OAG) will be forming a new Reentry Subcommittee, which will work to create a statewide reentry strategic plan for Pennsylvania. The strategic planning process will examine key trends, best practices, and recommendations for improving Pennsylvania’s reentry infrastructure. As part of the strategic planning process, PCCD and OAG are seeking stakeholders’ perspectives in helping to understand where additional improvements may be needed.

A brief 2026 PA Reentry Strategic Planning Feedback Survey is available. Responses are due no later than June 1, 2026. Your feedback will help inform planning and future engagement efforts.

Contact PCCD Policy Specialist Kristina Gonzalez with any questions.

Bureau of Blindness and Visual Services to Host Overview of Supports and Services May 22

Tue, 19 May 2026 16:35:36 GMT

The Bureau of Blindness and Visual Services (BBVS) is offering a training overview of the wide range of supports and services that they provide to individuals who are blind or have a vision impairment. Additionally, the training will also highlight how individuals with vision loss can connect to BBVS’s resources, as well as the process for receiving services. Register here to attend .

Who should attend?
All Interested Stakeholders

Date and Time:
May 22, 2026
10:00 am – 11:00 am

PA Family Network Announces June 2026 Workshops

Tue, 19 May 2026 15:39:55 GMT

Please share these important workshops and support groups with your networks! Register here for upcoming events.

Good Life Group, Support Groups

Caregiver Support Group : Wednesday, June 3, and Tuesday, June 16
Sibling Good Life Group : Monday, June 29

LifeCourse Workshops

Peace of Mind Long-Term Planning : Tuesday, June 30
Using the LifeCourse to Plan and Problem Solve Part 1 and Part 2 : Friday, June 5, and Friday, June 12
Transitions Through the LifeSpan : Monday, June 22

Waiver Workshops

Waiver Basics Part 1 and Part 2 : Wednesday, June 10, and Wednesday, June 17
Advanced Waiver Basics Part 1 and Part 2 : Tuesday, June 23, and Thursday, June 25

DHS Issues Bulletin on Rescission of Class 1 Joint Bulletins

Tue, 19 May 2026 15:37:15 GMT

The Office of Mental Health and Substance Abuse Services (OMHSAS), in partnership with other Department of Human Services Program Offices and Executive Branch agencies, has issued OMHSAS-26-03: Rescission of Joint Class One Bulletins . The purpose of this is to rescind bulletins that do not align with current policies, practices, or procedures that were jointly issued by Program Offices/Departments in the Commonwealth of Pennsylvania. This bulletin is also classified as ODP Bulletin 00-26-02, OCDEL-26-01, OCYF 00-26-01, and OIM 00-26-01.

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

RCPA Member Inglis Announces Affiliation With CIS, Expanding Employment Opportunities for People With Disabilities

Tue, 19 May 2026 15:34:31 GMT

Press Release from RCPA Member Inglis : Published May 18, 2026

Excerpt below:

Inglis, a leading nonprofit provider of services that support people with disabilities to live independently and engage fully in their communities, today announced it has signed an affiliation agreement with Community Integrated Services (CIS), a nonprofit organization specializing in supported employment services across southeastern Pennsylvania and the state of Delaware.

Founded in 1991, CIS serves more than 2,000 individuals with disabilities annually, helping them find and maintain meaningful employment. This affiliation brings together two mission-driven organizations with a shared commitment to expanding opportunity, inclusion, and independence.

DOH Advisory: 2026 Multi-Country Hantavirus Cluster Linked to Cruise Ship

Tue, 19 May 2026 15:28:42 GMT

The Pennsylvania Department of Health (PA DOH) has released an advisory regarding a multi-country cluster of Hantavirus cases linked to an international cruise ship expedition. The outbreak has been connected to the Andes virus strain, which is notable because it is the only known hantavirus capable of limited person-to-person transmission under close, prolonged exposure conditions. As of May 11, 2026, nine cases and three deaths have been reported internationally. At this time, PA DOH reports no known Pennsylvania residents connected to the outbreak.

Hantavirus infections remain extremely rare in the United States and particularly in Pennsylvania, where only two cases have been reported since 2010. Most infections are associated with exposure to rodent urine, droppings, saliva, or nesting materials in enclosed or poorly ventilated areas.

Providers and organizations should be aware of symptoms consistent with Hantavirus Pulmonary Syndrome (HPS), including fever, fatigue, muscle aches, cough, and shortness of breath, particularly when there is a known history of rodent exposure or close contact with a symptomatic individual linked to the Andes virus strain. Early symptoms may resemble influenza or COVID-19.

The Department of Health is advising healthcare providers to immediately report suspected cases to local public health authorities or the PA Department of Health at 877-PA-HEALTH.

RCPA encourages members to review the PA-HAN advisory and fact sheet for additional clinical guidance, infection control recommendations, and environmental cleaning protocols related to rodent exposure and prevention.

CommonSpirit Health to Transfer Trinity Health System to RCPA Member UPMC

Mon, 18 May 2026 19:57:18 GMT

Press Release from CommonSpirit Health : Published May 4, 2026

Excerpt below:

STEUBENVILLE, OH – May 4, 2026 – University of Pittsburgh Medical Center (UPMC) and CommonSpirit Health have signed a definitive agreement to transfer ownership of Trinity Health System, including Trinity West, Trinity East, Trinity St. Clairsville Neighborhood Hospital, Trinity Twin City Medical Center, and associated clinics, to UPMC. The transaction is expected to be completed in Fall 2026, pending regulatory review and customary closing conditions.

"Trinity Health System and UPMC share a commitment to providing top-tier care and serving the most vulnerable members of our community,” said Dwayne Richardson, interim president of Trinity Health System. "UPMC's proven track record of community service and compassionate approach to care were key factors in our decision, and will significantly benefit our patients."

Allegheny County Proposes Paid Leave Regulations; Implications for Adult Home-Based Care Providers

Mon, 18 May 2026 19:54:28 GMT

On May 13, 2026, the Allegheny County Health Department (ACHD) introduced proposed amendments to the County’s Paid Sick Leave regulations, along with a new Paid Parental Leave mandate. The proposal would significantly expand Article XXIV of the Allegheny County Health Code by requiring employers to provide extensive paid parental leave benefits directly funded by employers.

For providers delivering adult home and community-based services (HCBS), personal assistance services, and other Medicaid-funded in-home supports throughout Allegheny County, the proposal could create substantial operational and financial pressures. RCPA is closely monitoring the proposal and evaluating the implications for the broader home-based care system, workforce stability, and continuity of care for vulnerable adults.

Key Components of the Proposal:

Paid Parental Leave Requirement
The proposed regulation would require all employers operating within Allegheny County, regardless of size, to provide up to 18 weeks of paid parental leave at an employee’s full regular rate of pay.

Employees would become eligible after only 30 days of employment. Qualifying events would include childbirth, legal adoption, or permanent legal placement of a child, including foster placement. Eligible employees could use the leave at any point during the first 12 months following the qualifying event.

Unlike state-administered paid leave programs funded through payroll contributions or social insurance models, this proposal places the financial obligation directly on employers, potentially requiring providers to absorb the costs themselves or purchase supplemental private insurance coverage.

Expansion of Paid Sick Leave Requirements
The ACHD proposal also expands existing paid sick leave requirements by increasing the accrual rate from one hour earned for every 35 hours worked to one hour for every 30 hours worked. In addition, the maximum accrual cap would increase from 40 hours to 72 hours annually.

Collectively, these changes would materially increase labor costs for providers operating within an already constrained Medicaid reimbursement environment.

Public Health Rationale
ACHD has framed the proposal as a prevention-focused public health initiative intended to improve maternal and infant health outcomes and address disparities in access to paid leave benefits. County officials cited goals including reductions in postpartum depression, improved infant wellness outcomes, increased immunization compliance, and broader equity for lower-wage workers who often lack employer-sponsored leave benefits.

Status of the Proposal
The regulations are currently in the proposal stage and have not yet been adopted.

A 30-day public comment period began on May 13, 2026.
A public hearing is scheduled for June 2, 2026, at 5:30 pm in the Gold Room of the Allegheny County Courthouse.
Following the comment period, the Allegheny County Board of Health may vote on a final version before forwarding it to Allegheny County Council for approval.

Implications for Adult Home-Based Care Providers
RCPA recognizes the importance of workforce supports and family-friendly employment policies. However, the association remains deeply concerned about the impact of imposing significant new unfunded mandates on Medicaid-funded adult home-based care providers without corresponding reimbursement adjustments.

Providers delivering personal assistance services, attendant care, waiver services, and other in-home supports already operate under severe workforce shortages and historically inadequate reimbursement structures. Allegheny County continues to have some of the lowest Medicaid-funded personal assistance reimbursement rates in Pennsylvania, creating limited financial flexibility for providers to absorb substantial new labor-related costs.

Without parallel Medicaid rate increases or supplemental funding mechanisms, the proposal could accelerate provider instability, reduce service capacity, increase caregiver shortages, and ultimately jeopardize access to care for older adults and individuals with disabilities who rely on in-home services to remain safely in the community.

RCPA will be preparing formal comments regarding the proposal and continue engaging policymakers, advocates, and stakeholders to highlight the potential consequences for the adult home- and community-based care sector and the Medicaid populations it serves.

If you have any questions or comments, please contact Fady Sahhar .

IPRC Reschedules “Family-Centered Care” Webinar to June 15

Mon, 18 May 2026 19:50:02 GMT

Family-Centered Care: One Organization’s Revolutionary Approach to Include Families in All Aspects of Care
Monday, June 15, 2026
1:00 pm – 2:00 pm EDT; 12:00 pm – 1:00 pm CDT;
11:00 am – 12:00 pm MDT; 10:00 am – 11:00 am PDT
Register Here

We appreciate your patience with rescheduling this event. All previous registrants have been automatically registered for the June 15 session; no additional registration is required. We apologize if you are no longer able to attend. The webinar will be recorded and archived on the IPRC website.

Donna Provenzano, Director of Family-Centered Care
Donna Provenzano is the Director of Family-Centered Care at Children’s Specialized Hospital. She has thirty-nine years of experience in working with children, adolescents, young adults, and their families at Children’s Specialized. Donna serves on several hospital leadership committees and councils and provides administrative and operational management of Family-Centered Care and Volunteers. She supervises and partners with Family Faculty staff and coordinates with the Family Advisory Council. Donna has presented both nationally and internationally on Patient- and Family-Centered Care. Under Donna’s leadership, her department received the IPFCC Family-Centered Care Partnership Award for Social Determinants of Health (SDOH) in 2022. Donna has received additional leadership certifications from the Harvard Business School. She received her Bachelor of Science degree in Therapeutic Recreation from Ithaca College.

Linda Waddell, Family Faculty Manager
Linda Waddell is the Family Faculty Manager at Children’s Specialized Hospital. She has been employed at the hospital as a Family Faculty since June of 2008 and a member of the Children’s Specialized Hospital’s Family Advisory Council since 2014. On behalf of the hospital, Linda has presented with her team on Patient- and Family-Centered Care at regional, national, and international conferences. Most recently, Linda was a member of a panel that presented at the 2024 RISE Summit “Addressing Social Determinants of Health (SDOH): A Look into Children’s Specialized Hospital’s Program in NJ and Beyond.” Linda participates in various hospital committees and is also a member of the IPRC Steering Committee, where she provides a family member’s perspective for discussions and decision-making.

Linda was the 2019 recipient of the Lester Z. Lieberman Humanism in Healthcare Award and received the IPFCC 30th Anniversary 2022 Partnership Award on Social Determinants of Health. Linda received her Bachelor of Science degree in Business Management from Kean University. Linda’s first experience with Children’s Specialized Hospital began in 1999, receiving multiple services for her newborn, medically fragile baby. She became an expert in the experience of pediatric rehabilitation through caring for her daughter with medical complications.

Family Faculty at Children’s Specialized Hospital are paid positions held by parents and family members whose children have received or are still receiving services at Children’s Specialized Hospital Inpatient, Outpatient, or Long-Term Care sites. Their own day-to-day experiences provide a unique perspective, understanding, and empathy for families going through similar situations. Family Faculty partner with staff and families to build a respectful and understanding relationship by listening, providing insights, and encouraging positive communication between staff and families.

Objectives: At the end of this session, the learner will identify strategies to:

Embed Patient- and Family-Centered Care into your organization;
Cultivate respectful partnerships and collaboration with leadership, staff, and families;
Include families in education and training of staff at all levels; and
Engage families and staff in creating valuable resources.

Audience: This webinar is intended for all interested members of the rehabilitation team.

Level: Beginner – Intermediate

Certificate of Attendance: Certificates of attendance are available for all attendees. No CEs are provided for this course.

Complimentary webinars are a benefit of membership in IPRC/RCPA. Registration fee for non-members is $179. Not a member yet? Consider joining today .

RCPA 2026 Annual Membership Meeting Details

Fri, 15 May 2026 18:52:49 GMT

RCPA is happy to announce our 2026 Annual Membership meeting, which is scheduled for Tuesday, June 2, 2026, at 9:30 am. We are offering this meeting as a hybrid event to all members. Please register here to attend in person at the RCPA Conference Center or via webcast. It is not necessary to attend in person to cast your vote.

This year’s agenda and the 2025 Annual Meeting minutes are both available for review. The RCPA Nominating Committee has proposed a list of RCPA member representatives to serve as directors and officers of the RCPA Board of Directors. Please VOTE HERE in advance of the Annual Meeting for the election of RCPA Board of Directors and Officers.

Following the Annual Meeting, RCPA is hosting a golf outing to benefit the RCPA PAC. It’s not too late to register and join us at the Colonial Golf & Tennis Club in Harrisburg, PA! You can also become a sponsor to support the event and receive recognition. If you are not a golfer but would like to support the RCPA PAC, please consider making a personal online contribution .

For those members who wish to attend the Annual Meeting in person and need overnight accommodations, utilize the RCPA negotiated discounted rates at the following hotels:

Best Western Premier is located across from the RCPA office. RCPA rate of $119.95 plus 11% occupancy tax. Rates are based upon room availability. Reservations can be made by calling 717-735-9397.
Sheraton Harrisburg-Hershey is located on Lindle Road, Harrisburg. Rates start at $165.00 plus tax. Please use corporate code A3933 to access the special rate online. Reservations can also be made by calling 1-800-325-3535. Indicate that you are with RCPA when booking.

Thank you. We look forward to your participation!

ODP June 2026 Training and Events Calendar

Fri, 15 May 2026 16:02:07 GMT

Learning Collaborative for Professionals Supporting People with Disabilities who are Parents

Date: Thursday, June 4, 2026

Time: 10:00 am – 10:45 am

Description: The Office of Developmental Programs is pleased to share an upcoming opportunity for professionals across systems to engage in a new Learning Collaborative focused on supporting people with disabilities who are parents—or who are planning to become parents. This Learning Collaborative will bring together professionals from across state and local systems, including providers, supports coordination organizations, administrative entities, and partners in early childhood, behavioral health, and child-serving systems. Participants will engage as regional or local teams to explore effective practices, share resources, and strengthen cross-system collaboration.

Through a series of interactive sessions, the collaborative will focus on:

Identifying practical strategies and best practices to support parents with disabilities;
Promoting informed choice, supported decision-making, and rights-based approaches;
Navigating complex situations with clarity around roles, responsibilities, and system requirements;
Connecting individuals and families to a broader network of support and resources; and
Building sustainable relationships across agencies and communities.

The Learning Collaborative is designed as a community of practice, emphasizing shared learning, discussion, and real-world application. While it will not provide regulatory guidance, it will highlight key questions and opportunities to inform ongoing system improvement.

Audience: All Interested Stakeholders

After Hours with Policy from the Office of Development Programs (ODP): How Can I Share my Ideas of Make a Suggestion About an ODP Policy? What is Public Comment?

Date: Tuesday, June 23, 2026

Time: 5:30 pm – 7:00 pm

Description: The Office of Developmental Programs (ODP) invites individuals with intellectual disabilities and/or autism (ID/A) and their families to join in a virtual discussion with members of the Division of Policy and Program Innovation. These sessions are informal, meaning the conversation will not be recorded, and rules will be set before the session starts to ensure everyone feels comfortable and safe to provide questions and comments. The session will be held through Microsoft Teams.

Please note: This event is being held only for individuals and family members ; this is not an event for someone who is solely a professional.

What Will Be Covered? ODP’s policy staff is excited to engage with individuals and families about how to share a suggestion or desired change when ODP is asking for input.

The process of public comment will be explained and will include:

• How to find out when public comment is being sought;

• Why public comment is important;

• What happens with the comments after they are submitted; and

• Overall information about the public comment process.

ODP has chosen this topic for June as ODP is in the process of updating some of their waivers.

Audience: Individuals and Families

ODP Releases 2025 Multi Year Growth Strategy Report on Eliminating the Emergency Adult Waiting List

Fri, 15 May 2026 15:36:35 GMT

The Office of Developmental Programs (ODP) has shared communication ODPANN 26-054 , which announces the release of the Multi-Year Program Growth Strategy (MYPGS): Eliminating the Emergency Adult Waiting List Report 2025. The waiting list is comprised of individuals who are eligible to receive services and supports through ODP’s four home and community-based services (HCBS) waivers; however, due to insufficient waiver capacity, the state is not able to currently meet everyone’s needs. In this report, you’ll find information about ODP’s MYPGS developed to address this problem, particularly for adults on the emergency waiting list, and see the progress that has been made so far. Access the report here: 2025 Multi-Year Program Growth Strategy Report . For any questions, please submit via this email or contact Tim Sohosky , IDD Division Director or Cathy Barrick , IDD Policy Analyst.

DDAP to Use Opioid Settlement Funds to Pay for Drug Testing Strips

Fri, 15 May 2026 13:39:16 GMT

The Shapiro Administration has announced it will pay for critical drug testing supplies after the Trump Administration reversed course on allowing federal funding to be used for the test strips. The Pennsylvania Department of Drug and Alcohol Programs (DDAP) will now pay for drug testing strips using opioid settlement dollars awarded to the Commonwealth as a result of a multistate investigation of opioid manufacturers and distributors. Read the full press release .

ODP Updated Fiscal Year 2026/27 ISP Renewal Guidance

Thu, 14 May 2026 19:21:43 GMT

The Office of Developmental Programs (ODP) has shared updates to communication ODPANN 26-050 . This announcement provides technical guidance to stakeholders who participate in the FY 2026/27 Individual Support Plan (ISP) renewal process. All updated guidance appears in red . For information related to special considerations or for other questions about the ISP renewal process, please contact your respective ODP Regional Program Office.

ODP Provides Updates to Consolidated Waiver Needs Exception Allowance Process

Thu, 14 May 2026 18:14:40 GMT

The Office of Developmental Programs (ODP) announces updates to the process and procedures for requesting residential fee schedule rate exceptions in the Consolidated Waiver, referred to as a Needs Exception Allowance (NEA), previously announced in 23-083.

Additional details are available in ODPANN 26‑053 .

Key updates include:

Revised Cost Reporting Form;
Mandatory DP 1087 Submission;
Annual Submission Requirement;
Emergency or Transition NEA Requests;
Rules for Providers with an Approved NEA; and
Billing Requirements.

Key Dates:

Renewals due: June 1, 2026;
New form required for all requests effective: July 1, 2026;
Existing rates extended through: July 31, 2026; and
New SFY 2026–2027 rates effective: August 1, 2026.

OLTL Issues Reminder: Procedure Codes for Teleservices

Thu, 14 May 2026 17:29:28 GMT

The Office of Long-Term Living (OLTL) issued a notice as a reminder to all OBRA waiver providers, Service Coordinators (SCs), and Service Coordination Entities (SCEs) of the availability of Teleservice Cognitive Rehabilitation Therapy, Teleservice Counseling Services, and Teleservice Nutritional Consultation. If the participant chooses the teleservice option, these services must be on the Individual Service Plan (ISP) and billed with the correct procedure codes to accurately capture the teleservice delivery option. Teleservices are also available in the Community HealthChoices (CHC) waiver.

The following teleservices are available:

Teleservice Cognitive Rehabilitation Therapy
Provider Type: 59
Specialty Code: 207
Procedure Code: W0176

Teleservice Counseling Services
Provider Type: 59
Specialty Code: 231
Procedure Code: W0175

Teleservice Nutritional Consultation
Provider Type: 59
Specialty Code: 230
Procedure Code: W0170

Additional information on the licensure and certification requirements can be found in the Service Definitions under Appendix C of the waivers.

The Fee for Service rates for Teleservice Cognitive Rehabilitation Therapy, Teleservice Counseling Services, and Teleservice Nutritional Consultation are included in the fee schedule .

For existing Office of Long-Term Living providers to enroll in the services listed above, a request must be submitted to the enrollment and certification resource account via email . The required documentation should include an updated Provider Enrollment Information Form (PEIF), a copy of the required license or certification, and a copy of the job description for the service you are requesting to add to your provider profile.

Questions related to teleservices should be directed to the enrollment and certification unit at 800-932-0939, option 1, or via email .

National Council Webinar – HR 1 Eligibility Redeterminations: New Requirements, Timeline and Recommendations

Thu, 14 May 2026 17:04:43 GMT

Title: HR 1 Eligibility Redeterminations: New Requirements, Timeline and Recommendations

Date/Time: Tuesday, May 19, 2026 | 1:00 pm ET

Registration Link

Last summer, HR 1 was passed by Congress and introduced significant changes to the Medicaid program. Among the many provisions of the bill that impact Medicaid was a directive to increase the frequency of program eligibility redeterminations for certain enrollees, from once every twelve months to once every six months.

This webinar will explore this provision of HR 1 and its potential ramifications for both states and providers, along with recommendations on how states, behavioral health organizations, and state partners can best prepare themselves for these changes, including:

Discussion of the new requirements, including additional guidance issued by the Centers for Medicare and Medicaid Services (CMS) on March 6.
Walking through the timeline for implementation and relevant decision points that states will need to make along the way.
Discussion of recommendations for maintaining coverage for as many individuals as possible, while ensuring workforce and technical capacities remain strong.

Residential Performance-Based Contracting Residential Tier Assignment Letters Shared

Thu, 14 May 2026 16:09:36 GMT

The Office of Developmental Programs (ODP) provides notification to all residential providers that Performance-Based Contracting (PBC) Residential Provider Tier Determination Letters are being sent via email on May 14, 2026. The letters will be sent to all MyPBC Portal Primary and Secondary Contacts. For questions regarding this update, please contact Tim Sohosky .

RCPA Member OneWell Healthcare Announces Strategic Partnership Initiative with Gwynedd Mercy University

Thu, 14 May 2026 14:49:01 GMT

From OneWell Post on May 13, 2026

Excited and truly grateful to announce a strategic partnership initiative between OneWell Health Care and Gwynedd Mercy University focused on advancing the future of home and community-based healthcare workforce development and clinical excellence.

What makes this relationship especially meaningful is the history and mission behind GMercyU itself. Founded by the Sisters of Mercy, whose vision began in Dublin, Ireland through Catherine McAuley’s commitment to serving those in need, the university has spent generations helping individuals and communities through education, compassion, and service [read full post] .

Governor Shapiro Issues Proclamation Declaring May 2026 as Mental Health Awareness Month

Thu, 14 May 2026 13:46:33 GMT

Thank you, Governor Josh Shapiro, for recognizing Mental Health Awareness Month 2026! With special gratitude to all of the MH providers offering services across Pennsylvania. View the proclamation here .

#MHAwarenessMonth, #BeTheDifference

Find Power in Purpose at the 2026 RCPA Conference!

Wed, 13 May 2026 17:42:49 GMT

Power in Purpose at the 2026 RCPA Conference!

The RCPA 2026 Annual Conference, Power in Purpose: Promoting Possibilities, will take place from September 29 – October 2 at the Hershey Lodge. This conference is consistently a landmark event for the Pennsylvania behavioral health, brain injury, children’s, early intervention, intellectual and developmental disabilities, medical rehabilitation, and physical disabilities and aging provider communities.

Several popular speakers are participating this year, including:

Dave Raymond, the "Hero of Happiness" — Author, international keynote speaker, thought leader, and the original Phillie Phanatic.
Judge Victor Reyes — Renowned facilitator of discussions on self-respect, self-compassion, domestic violence, and leader of yoga/mindfulness classes.
Jennifer Lynn Robison – Lifestyle and communications expert, TEDx speaker, media contributor, and traumatic brain injury survivor/advocate.
Ed Krow — Talent Transformation Expert on understanding the employee/employer dynamic, achieving talent and culture transformations, and turning negative growth into success.

Connections Hall
In addition to the Connections Hall activities, there are many networking opportunities throughout the conference. Exhibitors will also have the chance to compete for "Best of Show!"

Sponsor and Exhibitor Opportunities
Our conference is privileged to have the support of the finest organizations in the field. Contributing organizations are honored by RCPA through sponsorship circles. View our Sponsor/Exhibitor/Advertiser brochure , for the opportunity of name recognition and exhibitor booth self-selection (with completed contract and payment). Sponsorships and exhibit booths are reserved on a first-come, first-served basis. The deadline to submit all materials and be listed on the website, mobile app, and in the conference program is Tuesday, September 8. Please contact Conference Coordinator Carol Ferenz with any questions.

RCPA thanks these organizations that have committed their support to our 2026 Conference. You help make this conference an extraordinary, educational, and meaningful event for Pennsylvania's provider communities!

PA Partners for a Good Life Network Meeting on June 2

Tue, 12 May 2026 20:26:49 GMT

The Office of Developmental Programs (ODP) in partnership with the Office of Vocational Rehabilitation (OVR) and the Pennsylvania Department of Education (PDE) invites you to join this virtual session “How Do You Step Into Advocacy?”

This meeting will bring together individuals, families, and professionals across systems as equal partners to strengthen person- and family-centered practices.

When:
Tuesday, June 2, 2026 | 10:00 am – 11:30 am

Individuals, family members, professionals, advocates, community partners, and anyone interested in person- and family-centered practices are encouraged to attend.

Please see the flyer for additional details and a link to register.

Gaudenzia’s “From Adversity to Hope” Highlights Recovery’s Impact, Importance of Access to Care

Tue, 12 May 2026 18:33:26 GMT

Gaudenzia recently hosted its annual “From Adversity to Hope” event in Philadelphia, convening community leaders, partners, and advocates to highlight the impact of recovery and the importance of expanding access to care.

Prior to the event, keynote speaker and national recovery advocate Darryl Strawberry, an eight-time Major League Baseball All-Star and four-time World Series Champion, visited two Gaudenzia programs—Riverview Wellness Village and the Diagnostic & Rehabilitation Center (DRC)—where he spent time with individuals in recovery. Through small-group engagement and personal connection, he shared his lived experience and reinforced a powerful message: recovery is possible.

These visits underscore the importance of community-based treatment, peer connection, and integrated care models that support individuals and families across the recovery journey—particularly as providers continue working to meet growing and increasingly complex behavioral health needs.

READY Communities 2026 Pilot Grant Opportunity

Tue, 12 May 2026 18:09:47 GMT

The READY Communities Funding Collaborative is a new public-philanthropic pilot grantmaking program sponsored by the Pennsylvania Department of Aging (PDA), coordinated by Grantmakers In Aging (GIA), and supported by Pennsylvania’s philanthropic organizations. The Collaborative will align public and philanthropic resources to support Pennsylvania’s communities in becoming accessible, inclusive, vibrant places for older residents, people living with dementia, and neighbors of all ages.

The 2026 Grant Cycle RFP will focus on community-driven projects that align with at least one of the five priorities of Aging Our Way, PA , the Commonwealth’s 10-year Multisector Plan for Aging (MPA), and support a community’s older residents, neighbors living with dementia, or both. For the 2026 READY Communities grant cycle, PDA will contribute $325,000 in public seed funding. Using these funds, PDA will commit a minimum of 50% of the requested amount for selected projects. Participating philanthropic organizations across the state will then have the opportunity to review selected applications to contribute to or match public investment.

Applications will be evaluated based on strategic alignment, equitable impact, budget feasibility, and strength of community partnerships.

View the RFP and apply by June 12.

REMINDER: Registration Now Open for the RCPA PAC Spring 2026 Golf Outing!

Tue, 12 May 2026 15:42:48 GMT

Please disregard this reminder if you have already registered.

Join RCPA for an afternoon of golf on Tuesday, June 2, 2026 . The event will be held in support of the RCPA PAC and take place at the Colonial Golf & Tennis Club in Harrisburg, PA. Lunch and registration will be at 11:30 am, with a shotgun start at 1:00 pm. Register to attend today !

We hope you will consider becoming a sponsor in support of this fundraiser! Sponsorship will allow your company to receive name recognition, and we’re excited to have even more opportunities to showcase your company this year.

Not a golfer but would still like to support the RCPA PAC? For your convenience, you can now make a personal online contribution , which will provide financial support to state legislators or representatives who have demonstrated a strong, consistent, and positive interest in our legislative priorities. If you are interested in learning more about the RCPA PAC or donating, please visit our website or email Jack Phillips , Director of Government Affairs.

If you have any questions regarding registration or sponsorship, please contact Christine Tartaglione . See you on the golf course!

JEVS Human Services and RCPA Member Northeast Treatment Centers Announce Service Integration Plan

Mon, 11 May 2026 20:28:48 GMT

For Immediate Release: May 11, 2026

Media Contact: Mike Dunn, 215-570-3432

The goal is to ensure the sustainability of NET’s behavioral health services, benefiting thousands of clients who receive critical services.

(Philadelphia) - JEVS Human Services (JEVS) and Northeast Treatment Centers (NET) today announced they are finalizing a plan to enhance the sustainability of NET’s behavioral health services, strengthen both organizations, and ensure continued quality care for clients. The plan will allow both JEVS and NET to continue their missions [read full release] .

NCI-AD™ 2024–2025 National Report Released

Mon, 11 May 2026 20:03:17 GMT

The National Core Indicators – Aging and Disabilities (NCI-AD™) 2024–2025 National Report has been released. For the last ten years, NCI-AD has partnered with states to gather data on the experiences of people using long-term services and supports across the US.

Pennsylvania does not currently participate in the data gathering for this report. However, the same key areas are included in the CAHPS survey, which will be reviewed by the CHC-MCOs at the PD&A meeting on 5/14/2026. Several of the opportunities for improvement will also be evident in the presentations.

The 2024–25 NCI-AD survey included more than 20,000 individuals across 24 states receiving services through HCBS waivers, nursing facilities, PACE, and Older Americans Act programs. Overall, the findings reflect strong access to community supports and healthcare, while also highlighting ongoing workforce and service gaps.

Approximately 68% of respondents said they participate in preferred activities as much as they want, 92% reported reliable transportation to medical appointments, and 73% said they consistently have transportation for community activities. Nearly all respondents (95%) reported being able to connect with friends and family when desired, although 17% still reported frequent loneliness. Access to healthy food, mental health services, and annual wellness visits remained high at roughly 87%–89%, yet only 14% described their overall health as excellent or very good.

The survey also underscored the growing reliance on family caregivers within LTSS. About 40% of respondents identified a paid family member or friend as their primary support person, while 22% reported frequent staff turnover. Although 89% said services help them live the life they want, only 72% felt their services fully met their goals and needs. Among individuals reporting unmet needs, just 55% said their case manager discussed additional service options with them.

Since 2016, states have used NCI-AD data to evaluate aging and disability systems, identify quality improvement opportunities, and support policy discussions related to Medicaid and long-term services and supports.

To access the report, use this link: Reports | NCI-AD (National Core Indicators-Aging and Disabilities) . If you have any questions, please contact Fady Sahhar .

DHS Releases Preliminary HR 1 Plan Documentation for Review and Feedback

Mon, 11 May 2026 19:31:03 GMT

RCPA Presents HR 1 Medicaid Summit

RCPA would like to thank our members and stakeholders for joining the RCPA HR 1 Medicaid Summit this morning with our Federal and State partners. The Summit provided an excellent opportunity to hear about the Federal and State landscape of HR 1 implementation and act as a call for collaboration in ensuring vulnerable Pennsylvanians have ongoing access to care. RCPA will be providing a follow up to the webinar as well as an RCPA HR 1 Medicaid Resource Guide in the coming weeks.

This morning, DHS released the following set of communications and documents related to the State’s HR 1 implementation. The release of these preliminary guidances provides the backdrop for members to review and provide feedback. This activity supports the collaborative process of a successful implementation and we hope stakeholders take advantage of this opportunity. Organizations and individuals can submit their feedback via this email or through RCPA by Friday, May 29 .

Documents List

Pennsylvania’s Proposed Medical Frailty Process
DRAFT PA Medical Frailty Codes
CER Overview Slides
Visuals of COMPASS New Application
Visuals of COMPASS Renewal
CER Initial Outreach Letter – initial outreach letter informing individuals currently in the Medicaid Expansion Population, and those joining the Medicaid Expansion population prior to 1/1/27, of upcoming CER requirements and key information
CER Outreach Letter Periodic – recurring outreach will be periodic as determined by CMS
CER Non-compliance Notice Application – CER non-compliance notice informing new applicants of the specific due date (35 days from the mail date) by which they must demonstrate CER compliance or exclusion
CER Non-compliance Notice Renewal – if CER exemption/compliance cannot be determined during ex parte, notice informing individuals of the specific due date (35 days from the mail date) by which they must demonstrate CER compliance or exclusion
CER Self-Assessment – CER self-assessment form allowing individuals to self-attest to CER activities and exemptions when that information is not provided on the application; mailed with the CER Non-Compliance Notice

Regarding the medical frailty overview and draft code list – in 2025, federal changes to the Medicaid program created community engagement requirements for certain individuals in the adult Medicaid expansion population beginning in January 2027. The law exempts certain individuals from these requirements, including an individual who is “medically frail or otherwise has special medical needs.”

The attached code list is a preliminary technical reference intended to support administrative review of existing records. It is not the only pathway for identifying medical frailty. DHS also expects to use additional available information, and some individuals may need to provide information when medical frailty cannot be identified through administrative records.

Please note that the documents are drafts and remain subject to change. The code list has not been approved by CMS and may be updated as implementation planning continues, clinical and operational review advances, and final CMS guidance is issued.

If you have questions and or would like your organizations feedback for included in the RCPA comments, please contact RCPA COO Jim Sharp or Policy Specialist Emma Sharp .

ODP Requires Updated CLE and ME Agreements in Participant-Directed Services

Mon, 11 May 2026 16:02:45 GMT

The Office of Developmental Programs (ODP) has updated the Common Law Employer (CLE) and Managing Employer (ME) agreements to clarify, among other changes, the number of hours per week a Support Service Professional (SSP) may be scheduled to provide services and the number of hours per week relatives may be scheduled to provide services. ODP has also updated the CLE and ME agreements to require that CLEs and MEs ensure that all waiver services provided by an SSP are provided in Pennsylvania and states contiguous to Pennsylvania.

All agreements signed prior to May 8, 2026 will be considered null and void by ODP as of August 6, 2026. Failure to submit a new CLE Consent Form or ME Agreement Form to the responsible Financial Management Services (FMS) vendor will require corrective action and may result in termination of the CLE or ME. Please see announcement ODPANN 26-051 for more information.

REMINDER: IPRC Webinar “Palliative Care Through the Rehab Continuum” to Be Held May 14

Mon, 11 May 2026 14:55:39 GMT

Please disregard this reminder if you have already registered.

Palliative Care Through the Rehab Continuum: Caring for Children With Complex Needs

Thursday, May 14, 2026
12:00 pm – 1:00 pm EDT; 11:00 am – 12:00 pm CDT;
10:00 am – 11:00 am MDT; 9:00 am – 10:00 am PDT
Register Here

Kara Monnin, PhD
Kara Monnin is a Clinical Assistant Professor of Pediatrics at Nationwide Children’s Hospital (NCH) and Ohio State University’s School of Medicine in Columbus, OH. She provides clinical services across multiple inpatient units, including Complex Healthcare, Inpatient Physical Medicine and Rehabilitation, and acute care services (PICU, Trauma/Surgery/Neurosurgery). Dr. Monnin also serves as a member of the Advanced Illness Management/Palliative Care Team at NCH, and she specializes in traumatic brain injury, rehabilitation populations, and children and adolescents with complex medical needs.

Ryan Jenkins, MD
Ryan Jenkins is a Clinical Assistant Professor of Anesthesiology and a pediatric hospice and palliative medicine physician on the Advanced Illness Management Palliative Care Team at Nationwide Children’s Hospital. He provides inpatient, outpatient, and home-based palliative and hospice care to patients and families across the Nationwide Children’s healthcare system. His academic work includes the teaching of primary palliative care skills to learners of different disciplines and backgrounds.

Objectives: At the end of this session, the learner will:

Engage with palliative care providers (in the full scope of their practice) throughout the spectrum of illness, not just at end of life;
Recognize common medical and psychological paradigms at key stages of illness;
Understand how the goals of medical care after a significant neurological illness can change over time to include elements of recovery, stabilization, and/or prioritizing comfort; and
Identify key takeaways for practice across the rehab continuum.

Audience: This webinar is intended for all interested members of the rehabilitation team.

Level: Beginner-Intermediate

Certificate of Attendance: Certificates of attendance are available for all attendees. No CEs are provided for this course.

Complimentary webinars are a benefit of membership in IPRC/RCPA. Registration fee for non-members is $179. Not a member yet? Consider joining today.

June IDD Committee Meeting Rescheduled to June 11

Mon, 11 May 2026 13:24:30 GMT

Due to conflicts with a recently scheduled session of the Office of Developmental Programs (ODP) Information Sharing and Advisory Committee (ISAC), the June IDD Committee meeting will be rescheduled from Thursday, June 4, to Thursday, June 11. The time will remain the same, 12:30 pm – 3:30 pm. If you have already registered, you do not need to re-register. If you have not yet registered, you can register for the meeting here .

Contact Tim Sohosky with any questions regarding the meeting.

States Scramble to Submit Medicaid ‘Provider Revalidation’ Plans to CMS

Fri, 08 May 2026 16:43:20 GMT

Source: Becker's Hospital Review
By: Alan Condon and Andrew Cass
Thursday, April 30th, 2026

CMS is requiring all 50 states to audit Medicaid providers and submit detailed plans to the agency by May 23, with hospital leaders eager to understand both the scope and the limits of what’s being asked.

CMS Administrator Mehmet Oz, MD, sent a letter April 23 to all state Medicaid directors directing them to develop and submit a comprehensive two-year provider revalidation strategy [read full article] .

_______________________________________

View JDSUPRA's article on the same topic here .

Virtual Institute: Advancing Behavioral Health Services for Community HealthChoices Members

Thu, 07 May 2026 18:40:26 GMT

About the Conference Sessions
The behavioral health needs of Community HealthChoices members require comprehensive and innovative approaches. Join the Community Care Behavioral Health Organization for updates from leaders in behavioral health strategies and interventions. The virtual institute will focus on the following themes:

Lifestyle modifications to improve health and decrease cognitive decline;
Relationship between chronic medical conditions and mental health; and
How grief shows up across the lifespan.

Attendance is free of charge and includes continuing education credits. We encourage behavioral health and long-term care providers, administrators, primary contractors, county partners, members, families, and other interested professionals to attend [view flyer for details and to register] .

Inside Aging: May 2026 Newsletter Now Available

Thu, 07 May 2026 18:22:54 GMT

Read the newsletter here.

IN THIS ISSUE:

Focus on Aging News | Older Artists of PA Showcase Call for Submissions Open, During Older Americans Month – Champion Your Health with Healthy Steps, Aging Together in PA Recognized with Broadcasters Award, READY Communities Funding Collaborative Grant Applications Open and More!
What's New in the Commonwealth | Primary Election Important Dates, State of the Woman Report
In-Person and Virtual Events | Dementia Friendly PA Hosts Memory Café Webinar
Update on Legislation | Looking Back, Looking Ahead

Crisis Services Update: OMHSAS Regulatory Listening Session

Thu, 07 May 2026 16:06:36 GMT

The Office of Mental Health and Substance Abuse Services (OMHSAS) will be hosting an hour-long virtual listening session on the 55 Pa. Code Chapter 5250 Crisis Licensing Regulations. The listening session is intended to provide an overview of selected updates currently being advanced and to gather provider perspectives on those specific areas.

The listening session will be offered on two different dates. Please mark your calendars for one of the following:

Session 1: Tuesday, June 9 from 10:00 am – 11:00 am
Session 2: Monday, June 15 from 1:00 pm – 2:00 pm

Additional details, including registration information, will be coming soon.

Supports Coordination Organization Fiscal Year Renewal Process

Thu, 07 May 2026 14:55:24 GMT

The Office of Developmental Programs is asking SC Organizations to hold off on completing Fiscal Year Renewals for waiver enrolled individuals at this time. You may complete SC Only Fiscal Year Renewals. A revised communication with additional guidance will be distributed shortly. Please contact ODP directly with any questions.

CMS Reports Calculation Issue with Changes in Skin Integrity Measure

Wed, 06 May 2026 18:26:53 GMT

The Centers for Medicare and Medicaid Services (CMS) recently identified a calculation issue that impacted values for the Changes in Skin Integrity measure in the inpatient rehabilitation facility (IRF) Provider Preview Reports. According to CMS, a logic error led to inaccurate assessment-based measure results for a subset of IRFs, impacting values for the Changes in Skin Integrity Post-Acute Care: Pressure Ulcer/Injury measure.

Per CMS, they reissued corrected IRF Provider Preview Reports for all affected providers. The revised reports include updated assessment-based measure results for the June 2026 Care Compare refresh.

To ensure accuracy and proper handling of data, CMS is requesting that any IRFs noticing ongoing discrepancies—especially for the Pressure Ulcer/Injury measure—contact the CMS IRF Help Desk directly. Provider-specific data review requests must come from the IRFs themselves so that CMS can securely and efficiently validate the underlying assessment data.

IDD Advocates Demand Increased Support for Individuals And Families

Wed, 06 May 2026 17:19:25 GMT

Advocates from across PA gathered at the State Capitol to demand increased funding and support for individuals with intellectual and developmental disabilities [read full article] .

RCPA Partner Greenspace Health Presents: Advancing SUD Treatment Through MBC on June 4

Wed, 06 May 2026 16:41:42 GMT

Title: Advancing SUD Treatment Through MBC
Date/Time: Thursday, June 4, 2026 | 1:00 pm – 2:00 pm EDT
Registration Link: Advancing Substance Use Disorder Treatment Through Measurement-Based Care

Our partners at Greenspace Health are hosting an educational webinar focused on improving substance use disorder (SUD) treatment through Measurement-Based Care (MBC).

SUD care presents unique challenges where traditional pre and post models of measurement may not capture the complexities of recovery. As a result, many organizations are working without the consistent, actionable data needed to fully understand and support client progress.

On June 4, from 1:00 pm – 2:00 pm EDT, tune in to hear from a panel of clinical and research leaders from the Yale MBC Collective and the HEALing Measurement Center as they share practical insights on applying MBC in SUD settings:

Dr. Jessica Barber, Assistant Clinical Professor, Yale University School of Medicine;

Dr. Sandra Resnick, Professor of Psychiatry, Yale University School of Medicine;

Dr. Kelli Scott, Assistant Professor, Center for Dissemination and Implementation Science, Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine; and

Host: Simon Weisz, President & Co-Founder, Greenspace Health.

This is a great opportunity to explore how MBC can help address SUD treatment challenges by equipping providers with the tools and insights needed to deliver more consistent, outcomes-informed care. Attendees will learn how to integrate MBC into workflows, scale across diverse programs, and use data to inform care decisions.

We encourage all RCPA behavioral health provider members to join this important conversation and learn from experts who are actively advancing MBC in substance use care.

ODP Provides 2026/27 Individual Support Plan Renewal Guidance

Tue, 05 May 2026 16:33:12 GMT

ODP Announcement ODPANN 26‑050 provides technical guidance for stakeholders involved in the FY 2026/27 Individual Support Plan (ISP) renewal process.

The following topical areas are addressed in this communication:

Guidance for Updating FY 2026/27 Renewal Plans;
FY 2026/27 Waiver Rate Load;
Supports Coordination Billing Changes;
Variance Process for Established Service Requirements;
NG5 and Residential Rate Exception NEA process;
Data Clean Up Efforts;
When to Create FY 2026/27 ISPs;
Reserve to Encumbrance (R2E); and
Resources.

Please see the bulletin for more instructions and information. For information related to special considerations or for other questions about the ISP renewal process, please contact your respective ODP Regional Program Office.

Commonwealth Court Publishes Opinion in Dunkelberger v DHS

Tue, 05 May 2026 15:51:59 GMT

On May 4, 2026, the Pennsylvania Commonwealth Court granted an application to publish its previously unpublished opinion in Dunkelberger v. Department of Human Services (DHS). The underlying decision is significant, as the Court invalidated the Office of Developmental Programs’ (ODP) “40/60 rule” as applied to family caregivers.

With the Court’s decision now published, it is formally recognized as precedential authority. As such, it is binding on lower courts until it is overruled or limited by a higher court or subsequent decision.

The publication of this decision elevates its legal significance beyond the parties involved in Dunkelberger. Because the ruling now carries precedential weight, DHS and its program offices must account for the Court’s analysis when developing, enforcing, or revising policies that impact providers and caregivers. This includes heightened scrutiny of administrative rules that may not be clearly supported by statute or adopted through proper regulatory procedures. Over time, this decision may serve as a reference point in future legal challenges and could shape how DHS approaches policy development, stakeholder engagement, and compliance with administrative law requirements.

RCPA will continue to monitor developments arising from this decision and will remain engaged with DHS, its subsidiary offices, and our association partners to promote consistent, transparent, and legally sound rulemaking practices. For questions regarding this update, please contact Tim Sohosky .

Mental Health Advocates March Around State Capitol for Advocacy Day 2026

Mon, 04 May 2026 21:47:18 GMT

Pennsylvania coalition marched around the Capitol building to call on lawmakers to strengthen mental health funding, services

HARRISBURG, PA — Hundreds of mental health advocates from across the commonwealth marched around the Pennsylvania State Capitol on Monday, May 4, as part of Mental Health Advocacy Day 2026, a statewide event to elevate lived experience, celebrate recovery, and push for the supports and resources that strengthen Pennsylvania communities. The event was supported by the Rehabilitation & Community Providers Association (RCPA), one of the largest and most diverse state health and human services trade associations in the nation.

The day featured a press conference in the Capitol Rotunda, followed by the march around the Capitol building grounds. Speakers included Rep. Jennifer O'Mara (D-Delaware) and Jen Smith, Deputy Secretary of the Department of Human Services' Office of Mental Health and Substance Abuse Services.

"Mental health touches every family, every community, and every corner of this Commonwealth," said Rep. O'Mara. "This march sends a clear message to Harrisburg: Pennsylvanians are watching, and they expect us to act."

"Recovery is real, and the people who marched at the Capitol today are living proof," said Jen Smith, Deputy Secretary, DHS Office of Mental Health and Substance Abuse Services. "Their stories deserve to be heard by every legislator in this building."

Mental Health Advocacy Day brought together individuals with lived experience, family members, service providers, and community leaders to engage directly with lawmakers and draw attention to mental health priorities across the state. The event was powered by a broad network of partner organizations that unite each year to lift a shared voice for mental health.

When asked later about this event, Dr. Richard Edley, RCPA President and CEO remarked, "This is what grassroots advocacy looks like. People from every region of the state came together — not for any single organization, but for a shared commitment to a stronger mental health system."

###

About the Rehabilitation and Community Providers Association (RCPA):
With more than 400 members, the majority of who serve over one million Pennsylvanians annually, Rehabilitation and Community Providers Association (RCPA) is among the largest and most diverse state health and human services trade associations in the nation. RCPA provider members offer mental health, substance use disorder, intellectual and developmental disabilities, children and youth, criminal and juvenile justice, brain injury, medical rehabilitation, pediatric rehabilitation, and physical disabilities and aging services, across all settings and levels of care. Visit www.paproviders.org for more information.

RCPA Member KidsPeace to Become Affiliate of Inperium, Inc.

Mon, 04 May 2026 15:50:33 GMT

SCHNECKSVILLE, PA (May 4, 2026) – KidsPeace announced that it has entered into an affiliation agreement with Inperium, Inc., effective May 1, 2026.

KidsPeace, which provides mental and behavioral health services to children and young people, said the affiliation will strengthen its financial security by expanding access to capital and enhancing efficiencies in key back-office support functions. These improvements will help ensure the organization can continue delivering high-quality programs for its clients in support of its mission [read full release] .

Policies and Procedures for Appeals and Hearings for ODP Funded Services

Fri, 01 May 2026 20:59:29 GMT

The Office of Developmental Programs (ODP) has shared Bulletin 00-26-01 , which clarifies appeal and hearing processes for individuals who are applying, or already authorized, for Targeted Support Management services, Base-Funded services, or services through the Person/Family-Directed Support, Community Living, Consolidated, or Adult Autism Waivers.

This bulletin will:

Clarify ODP’s policies and procedures on an individual’s right to appeal a service or eligibility determination and have a hearing;
Clarify the decisions to which the appeal and hearing processes apply; and
Incorporate and provide guidance about an expedited appeal process.

Attachments:

Attachment 1 – Guidance and Procedures for Individuals Applying for or Enrolled to Receive Services Through a Waiver or Requesting or Receiving Targeted Support Management Services.
Attachment 2 – Guidance and Procedures for Individuals Applying for or Receiving Base-Funded ODP Services.
Attachment 3 – DP 458, Notice of Eligibility or Service Determination and Fair Hearing Request Form.

A version of the DP 458 translated in Spanish will be released soon. Stakeholders will be notified when this version of the form is ready for use.

Implications of Governor Shapiro’s Executive Orders and Impact on HCBS Providers

Fri, 01 May 2026 19:12:07 GMT

In September 2025, RCPA raised concerns about the risks of Federal actions to weaken the enforcement of Section 504 of the Rehabilitation Act, and subsequent civil rights and access legislation like the ADA and AIDA. Last week, Governor Shapiro issued three executive orders addressing the risks arising from Federal actions, and establishing an Advisory Commission on People with Disabilities. RCPA has been named as a member of this Commission.

Governor Shapiro’s recent executive actions on disability rights in Pennsylvania should be understood as a proactive state-level backstop against emerging federal uncertainty around Section 504 enforcement. The orders largely reinforce existing non-discrimination standards across state agencies, strengthen accessibility expectations in service delivery, and signal continued administrative prioritization of disability protections in publicly funded programs. In practical terms, Pennsylvania is attempting to “lock in” operational compliance with 504-like principles—particularly around equal access, program integration, and avoidance of discriminatory policies—even if federal interpretation or enforcement weakens.

From a policy alignment standpoint, the orders are directionally consistent with longstanding 504 requirements but go a step further in emphasizing state accountability mechanisms. This includes clearer expectations for agencies administering Medicaid, education, and human services programs to maintain accessible systems, grievance pathways, and oversight of contractors. For HCBS providers, the implication is that Pennsylvania is unlikely to relax enforcement posture; if anything, scrutiny around access, reasonable accommodations, and community-based integration could intensify through state channels regardless of federal shifts.

For providers, the practical implication is a heightened expectation of demonstrable compliance rather than passive alignment. Agencies could anticipate closer review of intake and assessment practices, service authorization decisions, and any policies that could create access barriers for individuals with disabilities. MCOs and state auditors are likely to expect clear documentation of accommodations, staff training on disability rights, and evidence that services are delivered in the least restrictive, community-integrated settings. Contractually, this may also translate into more explicit non-discrimination clauses, performance measures tied to access and equity, and increased exposure to grievance-driven audits or corrective action plans.

The net effect is that Pennsylvania is positioning itself as a “floor state” for disability rights—maintaining continuity even if federal protections erode or become inconsistently applied. For providers and managed care stakeholders, this reduces regulatory ambiguity within the state but increases the importance of state-specific compliance alignment. Operationally, organizations should view these executive actions not as new requirements, but as a reaffirmation that Pennsylvania will continue to enforce 504-equivalent standards through its own regulatory and contractual frameworks.

If you have any questions, please contact Fady Sahhar .

How to Share Ideas with ODP and What Public Comment Means

Fri, 01 May 2026 17:58:57 GMT

The Office of Developmental Programs (ODP) invites individuals with intellectual disabilities and/or autism (ID/A) and their families to join in a virtual discussion with members of the Division of Policy and Program Innovation. These sessions are informal — meaning the conversation will not be recorded, and rules will be set before the session starts, to ensure everyone feels comfortable and safe to provide questions and comments. The session will be held through Microsoft Teams.

Please note: This event is being held exclusively for individuals and family members ; this is not an event for someone who is solely a professional.

What Will Be Covered?
ODP’s policy staff is excited to engage with individuals and families about how to share a suggestion or desired change when ODP is asking for input. The process of public comment will be explained and will include:

How to find out when public comment is being sought;
Why public comment is important;
What happens with the comments after they are submitted; and
Overall information about the public comment process.

ODP has chosen this topic for June as ODP is in the process of updating some of their waivers.

Who should attend?

Individuals and Families

Date and Time:

Tuesday, June 23, 2026, 5:30 pm – 7:00 pm

After Hours with Policy from the Office of Developmental Programs (ODP): How Can I Share my Ideas or Make a Suggestion About an ODP Policy? What is Public Comment?

OCDEL Update on Mass Claims Adjustment: Next Steps for Failed Claims

Fri, 01 May 2026 17:29:34 GMT

The Office of Child Development & Early Learning notified all County Early Intervention (EI) programs and providers regarding next steps for past claims that failed the auto-correction to update payment to the new rate approved for 2025–26.

As expected, there were many ICNs that failed the Mass Claims Adjustment. The Bureau has prepared a document for each EI program to distribute to their contracted providers. The document includes the provider’s name, the original ICN that did not successfully mass adjust, and the Error Status Codes (ESC) that prevented the claim adjustment. EI Programs should work together with providers to resolve these claims errors. After successful resolution of the claims error, providers will be responsible for performing their own claims adjustment for the claims that failed the Mass Claims Adjustment.

Next Steps:

EI County Programs can access their document within DocuShare using these instructions: OCDEL – Bureau of Early Intervention Services- Infant/Toddler & Preschool General Information – PROGRAM NAME – Adhoc Query Results.
EI county programs should immediately download the file and share each provider’s information separately. DO NOT forward the entire document to all providers.
EI providers and county programs should work together to resolve the claims errors.
EI providers will submit their own claims adjustment according to timelines. It is recommended that claims are prioritized by date of service, focusing on July and August claims first and then moving to claims later within the 2025/26 fiscal year.

Resource documentation regarding ESCs that resulted in the failed Mass Claims Adjustment is available by accessing the Learning Management System within this course: PELICAN EI Provider: Financial Management.

Moving forward:

Using the newly published Fiscal Year 2025/26 Fee Schedule – file NEW claims on or after 3/9/26 that contain a date of service on or after 7/1/25.

Using the newly published Fiscal Year 2025/26 Fee Schedule – adjust claims filed on or after 3/9/26 that contain a date of service on or after 7/1/25 if the OLD fee schedule was used.

IMPORTANT REMINDER:

OCDEL reminds providers of the timely filling of all claims. The regulation at 55 Pa. Code § 1101.68 (relating to invoicing for services) establishes requirements for submitting claims for services rendered. Early Intervention evaluations, IFSP services, and Service Coordination claims are all required to follow this regulation.

A provider shall submit original or initial invoices to be received by the Department within a maximum of 180 days after the date the services were rendered or compensable items provided.
Resubmission of a rejected original claim or a claim adjustment shall be received by the Department within 365 days of the date of service.

Bring Possibilities to Life at the 2026 RCPA Conference!

Thu, 30 Apr 2026 20:41:40 GMT

RCPA will be hosting our 2026 Annual Conference, Power in Purpose: Promoting Possibilities, from September 29 – October 2 at the Hershey Lodge. This conference is consistently a landmark event for the Pennsylvania behavioral health, brain injury, children’s, early intervention, intellectual and developmental disabilities, medical rehabilitation, and physical disabilities and aging provider communities.

A number of popular speakers are presenting this year, including:

Dave Raymond, the "Hero of Happiness" — Author, international keynote speaker, thought leader, and the original Phillie Phanatic.
Judge Victor Reyes — Renowned facilitator of discussions on self-respect, self-compassion, domestic violence, and leader of yoga/mindfulness classes.
Jennifer Lynn Robison – Lifestyle and communications expert, TEDx speaker, media contributor, and traumatic brain injury survivor/advocate.
Ed Krow — Talent Transformation Expert on understanding the employee/employer dynamic, achieving talent and culture transformations, and turning negative growth into success.

Connections Hall
In addition to Connections Hall activities, there are numerous networking opportunities throughout the conference. There will also be an opportunity to compete for "Best of Show!"

Sponsor and Exhibitor Opportunities
Our conference is privileged to have the support of the finest organizations in the field. Contributing organizations are honored by RCPA through sponsorship circles. View our Sponsor/Exhibitor/Advertiser brochure , for the opportunity of name recognition and exhibitor booth self-selection (with completed contract and payment). Sponsorships and exhibit booths are reserved on a first-come, first-served basis. The deadline to submit all materials and be listed on the website, mobile app, and in the conference program is Tuesday, September 8.

Please contact Conference Coordinator Carol Ferenz with any questions.

RCPA thanks these organizations that have committed their support to our 2026 Conference. You help make our conference an extraordinary, educational, and meaningful event for Pennsylvania's provider communities!

House Passes Bill That Would Enshrine LGBTQ Nondiscrimination Protections in State Law

Thu, 30 Apr 2026 16:03:39 GMT

Tuesday’s vote is the latest attempt to advance LGBTQ nondiscrimination protections in Pennsylvania.

Lawmakers in the Pennsylvania House passed legislation on Tuesday that would add the commonwealth to the growing list of states that have enshrined nondiscrimination protections for LGBTQ individuals into state law – a vote that came despite Republican concerns that the bill would jeopardize fairness in women’s sports and infringe upon religious liberties [read full article] .

Chestnut Ridge Counseling Services Inc. Receives a Grant Award from Staunton Farm Foundation

Wed, 29 Apr 2026 20:30:05 GMT

For immediate release:

Chestnut Ridge Counseling Services Inc. (CRCSI) is thrilled to announce that it has received a $100,000 grant from Staunton Farm Foundation to enhance the agency’s new Electronic Health Record in the upcoming year. This monumental task could potentially support a new approach to providing treatment through the utilization of integrated assessment and diagnostic tools, providing real time outcomes. Those rich outcomes will enhance the process of care and the collaboration between patient and treatment providers.

CRCSI turned to Staunton Farm Foundation for assistance with this project, being aware of the Foundation’s extensive philanthropic history of funding initiatives to improve mental health and substance abuse services for the residents of the area. Additionally, CRCSI has been the recipient of past awards from the Foundation and has had the pleasure of working with them on previous rewarding projects.

CRCSI has been a leader in mental health care in Western Pennsylvania since 1969 and has long been active in community projects that inspire the health of the community. CRCSI collaborates with other agencies and partners including, but not limited to, Fayette County Drug & Alcohol Commission, Fayette County Behavioral Health Administration, Carelon Health of Pennsylvania, and WVU Medicine/ Uniontown Hospital, to name a few.

Staunton Farm Foundation is dedicated to improving the lives of people who live with mental illness and substance use disorders. The Foundation works to enhance behavioral health treatment, support, and recovery through grant making to nonprofit organizations in 10 southwestern Pennsylvania counties (Allegheny, Armstrong, Beaver, Butler, Fayette, Greene, Indiana, Lawrence, Washington, and Westmoreland). Learn more at www.StauntonFarm.org .

Devereux/TCV Community Services Opens STAIRS Intensive Residential Treatment Program in Homestead

Mon, 27 Apr 2026 21:23:38 GMT

The program serves youth, ages 6 to 21, with a primary behavioral health diagnosis,

along with autism and/or an intellectual disability

---

Homestead, PA – April 27, 2026 – Today, Devereux/TCV Community Services, one of Allegheny County’s most respected nonprofit organizations, opened the STAIRS program, an intensive residential treatment program, at Devereux Pennsylvania’s Pittsburgh Autism and Education Center of Excellence in Homestead [view full release] .

Basics of Medicaid HCBS Infographic

Mon, 27 Apr 2026 18:44:55 GMT

ADvancing States, in partnership with the National Association of State Directors of Developmental Disabilities and the National Association of Medicaid Directors, is excited to share a new infographic on the purpose, value, and impact of Medicaid HCBS. This resource includes an overview of key services, facts, and figures on HCBS utilization and spending, and trends and growth through rebalancing efforts. ADvancing States encourages members to use and share this infographic as a foundation for conversations about Medicaid HCBS. Use this link to view and download the infographic.

ODP Delays Implementation of the SCO Fee Schedule Rates

Fri, 24 Apr 2026 21:20:30 GMT

The Office of Developmental Programs (ODP) is delaying the eﬀective date of the published Fee Schedule until January 1, 2027, to allow additional time for transition activities related to the rates changing from 15-minute Fee Schedule Rates to monthly case rates and ﬂat fee-for-service rates. Notice of the change in eﬀective date will be published in a future Pennsylvania Bulletin.

ODP is delaying implementation of the changes to Supports Coordination rate structure and related billing practices until January 1, 2027.
Supports Coordination services will continue to be billed in 15-minute units and HCSIS and PROMISe changes will not be eﬀective until January 1, 2027.
ODP will provide additional details related to training materials and opportunities in the coming weeks.

Please contact your respective ODP Regional Supports Coordination Lead with any questions regarding this announcement.

Pittsburgh Mercy Partners With NFL to Support Individuals Experiencing Homelessness

Fri, 24 Apr 2026 21:15:00 GMT

PITTSBURGH, PA — Pittsburgh Mercy is proud to announce a meaningful collaboration with the NFL, bringing together volunteers and community partners to make a lasting impact beyond the football field. Through this joint effort, teams assembled donation kits to support individuals served by Pittsburgh Mercy’s Operation Safety Net and the Light of Life Rescue Mission [read full release] .

ODP Shares Information on Family Medical Support Assistance

Fri, 24 Apr 2026 21:06:39 GMT

The Office of Developmental Programs (ODP) issued Announcement 26-045 on April 23, 2026, to provide a reminder and detailed information regarding the Family Medical Support Assistance (FMSA) waiver service and upcoming educational webinars.

Family Medical Support Assistance (FMSA) Overview

Service Intent: Created in 2022 and approved by CMS, FMSA is designed to relieve families of some of the administrative and coordination responsibilities associated with caring for loved ones with complex medical needs.
Eligibility Criteria: To qualify for FMSA, individuals must:
Be in Needs Group 3 or higher;
Use medically necessary technology;
Require nursing care; and
Live in a private home (the service is not available to those in Life Sharing, Supported Living, or Residential Habilitation, as these models already include such support).

Core Service Components

The FMSA service is divided into two primary categories of activity:

Administrative and Support Coordination: Performed by qualified staff to assist with:

Scheduling and coordinating medical appointments and transportation;
Assisting with the acquisition and maintenance of medications, supplies, and equipment;
Collaborating with Individual Support Plan (ISP) team members; and
Training staff and unpaid supports on non-medical aspects of the ISP.

Nursing Oversight: Performed by a licensed nurse, focusing on:

Clinical assessments of the individual’s medical condition;
Identifying and providing training related to medically complex conditions for both paid and unpaid caregivers; and
Consulting directly with doctors and other healthcare professionals.

CANCELLED: Upcoming Webinars
ODP has cancelled these webinars:

For Professionals: Thursday, May 21, 2026, from 11:00 am – 12:30 pm
For Individuals and Families: Friday, May 29, 2026, from 10:00 am – 11:30 am

Questions regarding this communication or the FMSA service should be directed to the appropriate ODP Regional Office.

Barber National Institute Announces Lake Erie Odyssey, a New Adapted Obstacle Course Event Sept. 12

Fri, 24 Apr 2026 20:32:44 GMT

For Release Wednesday, April 22, 2026

Contact: Tammy Roche (814) 969-8027

Barber National Institute announces Lake Erie Odyssey, a new adapted obstacle course event

ERIE, Pa. (April 22, 202 6) Barber National Institute today announced the launch of Lake Erie Odyssey, a new adapted obstacle course event designed for teens and adults with disabilities, following national recognition of an adapted experience that originated within Barber Beast on the Bay [read full release] .

PAʼs First RHTP Funding Opportunity

Fri, 24 Apr 2026 20:26:34 GMT

A total of $25,000,000 in RHTP funding is available to stabilize or enhance rural health care access, promote rural well-being and fall under one of the following six initiatives in the Department’s federally approved RHTP application [read full announcement] .

Temple University Offers Paid Research Opportunities about Employment Services

Fri, 24 Apr 2026 20:19:58 GMT

Temple University is conducting a survey to better understand and improve employment services for people with disabilities in Pennsylvania, including those who use languages other than English.

This information will be included in the Comprehensive Statewide Needs Assessment (CSNA), conducted in collaboration with the Office of Vocational Rehabilitation (OVR) and the Pennsylvania Rehabilitation Council (PaRC), and will inform the State Plan.

You are eligible if you:

Are 18 years or older;
Work for an organization in Pennsylvania; and
Work for an organization that provides services to people with disabilities who speak languages other than English.

The survey takes approximately 15–20 minutes to complete. It asks about your experiences providing employment services, including challenges, supports, and training needs. Participants will receive a $25 gift card.

Participate in the survey, or learn more

Thank you for considering this opportunity to share your experiences and improve services for people with disabilities who speak languages other than English.

ODP Shares April 2026 ISAC Materials

Thu, 23 Apr 2026 21:13:39 GMT

The Office of Developmental Programs (ODP) met for the Information Sharing and Advisory Committee (ISAC) meeting on April 21, 2026, to provide general updates as well as information on recent executive orders and three key ISAC recommendation areas.

General ODP Updates

Executive Orders: Governor Shapiro signed three executive orders to protect the rights and privacy of people with disabilities; create a new Advisory Commission on People with Disabilities; and update the Developmental Disabilities Council.
Respiratory Illness Data: As of late February 2026, respiratory illness activity (COVID-19 and Flu) in Pennsylvania was reported as "Low" and decreasing, while RSV was "Moderate" with no change.
Skin Integrity Initiative: ODP recognized November 20, 2025, as Pressure Injury Awareness Day to highlight the prevention of life-threatening pressure injuries. Risk stratification is being used to prioritize outreach for individuals most in need.
Specialty Telehealth and Assessment Team (STAT): This consultative waiver service provides disability-specific advice for participants in private or residential homes to determine if in-person medical treatment is necessary. Between April 2025 and March 2026, the service achieved a 94.6% "Treat in Place" rate.

___________________________________

ISAC Recommendation #4: Support Families Throughout the Lifespan

Family Engagement Survey: Preliminary results from a survey on provider engagement showed that 86% of respondents felt their provider built and maintained a relationship with them.
Supporting Parents with Disabilities: A learning collaborative is scheduled for June 4, 2026, to identify best practices and provide tools for people with disabilities in parenting roles.
Family Medical Support Assistance (FMSA): ODP will hold a webinar on May 29, 2026, to explain this waiver service, which was created in 2022 to support families.

___________________________________

ISAC Recommendation #5: Promote Health, Wellness, and Safety

Health Risk Screening Tool (HRST): As of March 2026, 14,517 individuals out of a population of 14,869 have been screened using this 22-item scale to identify risks of illness and health destabilization.
Choking/Dysphagia Taskforce: Following concerns regarding choking-related incidents, a multi-office taskforce was formed to provide educational resources and food texture modification references.

___________________________________

ISAC Recommendation #6: Support People with Complex Needs

TRAIN Program: This program equips licensed clinicians to use evidence-based practices for trauma recovery in neurodivergent individuals. To date, 106 clinicians have participated, and the tenth cohort began on April 14, 2026.
Capacity Building Institutes (CBI): Cycle 10 of the CBI is scheduled to begin in September 2026. The Pediatric CBI has already represented 34 of 67 Pennsylvania counties in its first three cohorts.
Project ECHO: This model uses "flash talks" and case-based learning to build competence in supporting autistic adults. A new series focusing on mental health and primary care providers is planned for 2026.

___________________________________

Pediatric Shift Care & Complex Care Resource Centers (PCCRC)

Initiative Overview: Funded by $114.9M in ARPA funds, this initiative aims to improve Pennsylvania's pediatric shift nursing model.

Impact in 2025: Pediatric Coaches served families in 54 of 67 counties, supporting over 300 unique families. Family Facilitators successfully managed 25 discharges from hospitals to community settings and 6 diversions from facility-level care

___________________________________

For Questions or Additional Information
Please contact Tim Sohosky for any follow-up or inquiries related to this update.

ODP Clarifies Residential Habilitation Qualification Requirements for Individuals With an MCC

Thu, 23 Apr 2026 20:49:15 GMT

The Office of Developmental Programs (ODP) has clarified qualification requirements for Residential Habilitation in the Consolidated Waiver specifically for individuals with a Medically Complex Condition (MCC).

Currently, there are about ten providers qualified to provide Residential Habilitation to individuals with an MCC in the Consolidated Waiver. To ensure that individuals with an MCC have access to needed services, current residential providers are encouraged to become qualified to provide Residential Habilitation to individuals with a MCC.

Please see ODPANN 26-044 for more information and details on the following:

Why Should Providers Become Qualified?
What are the Steps for Current Residential Providers to become an MCC Residential Habilitation Provider?
What are the Responsibilities of the Administrative Entity (AE) to Support Current Residential Providers to become MCC Qualified?

Questions about this communication should be directed to the appropriate ODP Regional Office.

OCDEL Issues Update on Mass Claims Adjustment

Tue, 21 Apr 2026 12:59:53 GMT

The Office of Child Development & Early Learning (OCDEL) notified all County Early Intervention (EI) Programs and Providers that they will perform one final Mass Claims Adjustment on April 21, 2026.

As a result of the final analysis of the denied claims file, they were able to identify that many of the denied claims can be processed again and should result in a Paid claim. This final Mass Claims Adjustment will significantly reduce the manual efforts for both the County and EI Provider.

Immediately following this final Mass Claims Adjustment, a revised and final report of denied claims will be issued to all County EI programs to distribute to their contracted providers.

Reminder of Next Steps:

Using the newly published Fiscal Year 2025/26 Fee Schedule — File NEW claims on or after March 9, 2026, that contain a date of service on or after July 1, 2025.
Using the newly published Fiscal Year 2025/26 Fee Schedule — Adjust claims filed on or after March 9, 2026, that contain a date of service on or after July 1, 2025, if the OLD fee schedule was used.

The Bureau thanks all stakeholders for their patience as they work to streamline the process and expedite the payments for provided Early Intervention services.

Governor Shapiro Signs Three New Executive Orders, Benefiting People With Disabilities

Tue, 21 Apr 2026 12:57:31 GMT

The Department of Human Services (DHS) recently announced that Governor Shapiro signed three new executive orders (EO) to benefit people with disabilities. The following information comes from the Office of Long-Term Living:

The first Executive Order rescinds and replaces EO 2002-5 and will protect the rights, dignity, and privacy of people with disabilities by reaffirming the Commonwealth’s longstanding nondiscrimination commitment and emphasizing the need that these protections require renewed attention and action, not just compliance. This order will ensure data collection by Commonwealth agencies is limited to the minimum data necessary and proper processes are followed by Commonwealth agencies, including collection in health care, research, and compliance in the law.

The Governor’s second Executive Order rescinds EO 2006-09 and EO 2016-03 and establishes the Governor’s Advisory Commission on People with Disabilities , which will consist of up to 30 volunteer members, appointed by the Governor, including individuals with disabilities, family members, or those with relevant expertise. The members will serve two-year terms. The new commissioners will recommend policy changes across the disabilities spectrum, engage with federal/state/local agencies, communicate Administration initiatives to the public, and compile information on programs, funding, and additional supports to create an inclusive resource for individuals with disabilities and their family members across Pennsylvania.

Individuals interested in the Governor’s Advisory Commission on People with Disabilities Executive Director position, may apply here or by visiting the Commonwealth of PA – Opportunities for All Job Seekers page.

The third Executive Order rescinds EO 1997-2 and reestablishes the Development Disabilities (DD) Council so that it can continue to fulfill Pennsylvania’s obligations under the federal Developmental Disabilities Act. The independently operated DD Council is more narrowly focused than the newly-created Commission and will advise the Governor on all matters affecting individuals with developmental disabilities in Pennsylvania, and advocate for improved independence, productivity, and community inclusion. The Council will continue to develop and implement a statewide plan and advocate for systemic change across the Commonwealth.

More information about the Governor’s press release and the three new Executive Orders can be found on the Commonwealth of Pennsylvania Newsroom page.

IPRC Webinar “Palliative Care Through the Rehab Continuum” to Be Held May 14

Tue, 21 Apr 2026 12:54:08 GMT

Palliative Care Through the Rehab Continuum: Caring for Children With Complex Needs

Thursday, May 14, 2026
12:00 pm – 1:00 pm EDT; 11:00 am – 12:00 pm CDT;
10:00 am – 11:00 am MDT; 9:00 am – 10:00 am PDT
Register Here

Objectives: At the end of this session, the learner will:

Engage with palliative care providers (in the full scope of their practice) throughout the spectrum of illness, not just at end of life;
Recognize common medical and psychological paradigms at key stages of illness;
Understand how the goals of medical care after a significant neurological illness can change over time to include elements of recovery, stabilization, and/or prioritizing comfort; and
Identify key takeaways for practice across the rehab continuum.

Audience: This webinar is intended for all interested members of the rehabilitation team.

Level: Beginner-Intermediate

Certificate of Attendance: Certificates of attendance are available for all attendees. No CEs are provided for this course.

Complimentary webinars are a benefit of membership in IPRC/RCPA. Registration fee for non-members is $179. Not a member yet? Consider joining today.

ZMark Health to Host “Strengthening Self-Pay Collections” Webinar May 21

Tue, 21 Apr 2026 12:51:25 GMT

Strengthening Behavioral Health Self‑Pay Collections: Best Practices & Strategies
Thursday, May 21, 2026 | 1:00 pm
Register Here

Join Heather Hearn , Chief Revenue Officer, RCPA Business Member ZMark Health, for a focused session on strengthening self‑pay collections through clear communication, consistent processes, and thoughtfully designed workflows for behavioral health settings. Co-hosting this webinar will be RCPA COO and Mental Health Services Division Director Jim Sharp .

During this session, ZMark Health will cover:

Setting financial expectations early and with clarity;
Normalizing collections at the point of service;
Applying financial policies consistently; and
Additional best practices.

As a leader in revenue cycle services for behavioral health organizations, ZMark Health will share practical insights and actionable strategies to help streamline self‑pay workflows and enhance the patient financial experience.

This session supports our ongoing efforts to improve operational efficiency, strengthen financial performance, and deliver service excellence. We hope you can join us!

PA Minimum Wage Debate Raises Alarms for Home Care Providers, RCPA President/CEO Richard Edley Quoted

Tue, 21 Apr 2026 12:48:50 GMT

Article by USA Today Network : Published via AOL April 21, 2026

Excerpt below:

Richard Edley, CEO of the Rehabilitation and Community Providers Association , which represents a wide range of health and human service agencies across the commonwealth, said it’s high time to raise the Keystone State's minimum wage. He doesn’t believe the adjustment will threaten RCPA members, so long as it’s well-executed.

The minimum wage bill that recently passed in the Pennsylvania House of Representatives would phase in the increase over several years , not reaching $15 until 2029, he noted. The gradual rollout would give human service providers time to lobby for more resources, he said.

Governor Shapiro Proclaims April 18, 2026 as Move Your Way Day

Mon, 20 Apr 2026 14:55:01 GMT

View the proclamation here .

DDAP Seeks Insight on Workforce Training Needs

Mon, 20 Apr 2026 12:38:17 GMT

The Department of Drug and Alcohol Programs (DDAP) Training Section is gathering input from professionals in the substance use disorder and problem gambling fields who serve in supervisory, management, and executive roles. Your feedback will help DDAP better understand workforce training needs, preferences, and barriers and inform future training opportunities.

If you previously completed this survey when it was shared last month, there is no need to complete it again.

The deadline to complete the survey is Friday, May 1.

Registration Now Open for June Certified Investigator Forum

Mon, 20 Apr 2026 12:36:26 GMT

The Office of Developmental Programs (ODP) has shared ODPANN 26-043 , which states that the Temple University Harrisburg Certified Investigator Program will be facilitating the June Forum for Certified Investigators (CI) and others involved in the incident investigation process.

During this forum, ODP and the CI Program staff will explain the new quality review tool and share standards and trends identified during the current quality review process.

Date and Time:
Friday, June 12, 2026
10:00 am – 11:30 am
Topic: “Raising the Standard: The Temple – ODP Investigation Quality Review Process in Depth”
Register Here: CI Forum

Please complete a short survey and submit your topic-related questions before the close of business on Friday, June 5.

View the announcement for more information and details.

CMS Proposes to Expand Its Comprehensive Care for Joint Replacement Model

Fri, 17 Apr 2026 15:25:28 GMT

The Centers for Medicare and Medicaid Services (CMS) recently released the fiscal year (FY) 2027 hospital inpatient prospective payment system (IPPS) proposed rule . Included in this rule is a proposal for the expansion of CMS’s Comprehensive Care for Joint Replacement (CCJR) model nationwide to improve care coordination and reduce costs for Medicare patients undergoing hip, knee, and ankle replacements. The model would hold hospitals accountable for the full episode of care, including surgery and 90 days of recovery, encouraging better outcomes and a more efficient use of resources.

For background purposes, from April 2016 through December 2024, the CMS Innovation Center tested the CJR Model to improve care for Medicare patients undergoing joint replacement procedures. During that time, the model generated significant Medicare savings while maintaining quality of care for beneficiaries. Under the CJR Model, hospitals were held responsible for Medicare spending for the joint replacement surgery, the hospital stay, and the first 90 days of recovery, including follow-up care such as physical therapy.

Based on the evaluation of the CJR Model, the CJR Expanded (CJR-X) Model would create strong incentives for hospitals to coordinate care more effectively, avoid unnecessary services like avoidable re-hospitalization and emergency care, and focus on delivering the best outcomes for patients. It would specifically encourage better communication with post-acute care providers to support recovery. Beginning October 1, 2027, CJR-X would be required for most hospitals, making it the first mandatory, nationwide test of an episode-based payment model.

Comments on the proposed rule are due by June 9, 2026.

In Response to RFK Jr.’s ‘Autism Registry,’ Gov. Josh Shapiro Won’t Let PA Share Disability Data With the Federal Government

Fri, 17 Apr 2026 15:22:52 GMT

Article by The Philadelphia Inquirer : Published April 26, 2026

Excerpt below:

HARRISBURG — Pennsylvania will not share disability data with the federal government under an executive order signed Wednesday by Gov. Josh Shapiro .

Citing Health and Human Services Secretary Robert F. Kennedy Jr.’s effort to use Medicaid and Medicare data to determine the cause of autism, Shapiro directed Pennsylvania not to participate unless required under federal law.

ANCOR Issues Response to Robert F. Kennedy, Jr.’s Concerning Remarks About Home- and Community-Based Services

Fri, 17 Apr 2026 15:20:10 GMT

Read the press release here .

Excerpt below:

“Recent public comments denigrating critical home- and community-based services (HCBS) made by the federal leaders that oversee Medicaid programs are deeply concerning. The undervaluing of HCBS demeans the very real, complex, and difficult work that caregivers—whether paid or unpaid—provide.

“Medicaid HCBS programs are much more than supporting an individual with the daily and essential needs that many of us take for granted, like getting dressed in the morning or traveling to a medical appointment. Indeed, for individuals with intellectual and developmental disabilities (I/DD), these services support skill development towards greater independence, community integration, and employment that enable people with I/DD to forego expensive public institutions and live full lives in their homes and communities."

ODP Shares Important Reminder on Maintaining and Verifying Medicaid Eligibility

Fri, 17 Apr 2026 15:15:39 GMT

The Office of Developmental Programs (ODP) has shared a reminder of the importance of supporting individuals in maintaining their eligibility for Medicaid and in verifying an individual’s eligibility for Medicaid prior to delivering services.

Each month, the Office of Developmental Programs (ODP) generates an “MA Reapplications Due Soon” report for each Administrative Entity (AE) and Supports Coordination Organization (SCO). The report is uploaded to the internet version of DocuShare and can be found using the following path:

AEs: ODP –> Division of Program Analysis –> Select Region Folder –> Select County/Joinder Folder –> County Dashboards
Intellectual Disability/Autism (ID/A) SCOs: ODP –> Division of Program Analysis –> ID/A Supports Coordination Organization –> Select Region Folder –> Select the ID/A SCO
Adult Autism Waiver (AAW) SCOs: ODP’s Bureau of Supports for Autism and Special Populations (BSASP) sends each SCO a monthly report of impacted individuals they serve for follow-up. Please note that AAW SCOs who are serving individuals whose MA is not coming due within the next four months will not receive a monthly report.

Please view ODPANN 25-097 for additional details and information.

Attachments:

Now Available: Updated SPeCTRUM Training for Consolidated and Community Living Waiver Providers

Fri, 17 Apr 2026 15:12:04 GMT

The Office of Developmental Programs (ODP) has shared ODPANN 26-042 . This communication announces updated SPeCTRUM training is now available on MyODP for Consolidated and Community Living Waiver Providers. This announcement obsoletes ODPANN 19-072, 19-121, and 20-032.

The updated SPeCTRUM training consists of multiple self-paced modules and has enhanced webinar capabilities, updated content, and has been streamlined while continuing to provide foundational information necessary to support adults with autism spectrum disorder (ASD).

Users must complete all the modules for the training to be considered complete. To satisfy the basic autism training requirement for Residential Performance-Based Contracting measures CN-DD/Bx.01.1S and CN-DD/Bx.01.1CE for all Direct Support Professionals (DSP), Frontline Supervisors (FLS), and program managers must complete SPeCTRUM: Office of Developmental Programs Online Autism Competency Training. This training also fulfills §6100.143 ongoing training requirements. Users will be required to view all 8 modules and receive a 100% on related quiz questions for the training to populate on the MyTranscript Report.

Effective July 1, 2026, previously accepted Relias trainings will no longer be accepted as alternatives for meeting the requirements associated with Residential Performance-Based Contracting measures CN-DD/Bx.01.1S and CN-DD/Bx.01.1CE.

SPeCTRUM training is available on MyODP’s website .

PA Family Network Announces May 2026 Workshops

Fri, 17 Apr 2026 15:09:01 GMT

Please share these important workshops and support groups with your networks! Register here for upcoming events.

Good Life Group, Support Groups

Caregiver Support Group : Wednesday, May 6, and Tuesday, May 19

LifeCourse Workshops

Peace of Mind Long-Term Planning : Wednesday, May 27
Using the LifeCourse to Plan and Problem Solve Part 1 & 2 : Thursday, May 7, and Thursday, May 14
Transitions Through the LifeSpan : Thursday, May 28

Waiver Workshops

Waiver Basics Part 1 & 2 : Monday, May 11, and Monday, May 18
Waiver Basics (additional session) Part 1 : Friday, May 22
Advanced Waiver Basics Part 1 & 2 : Wednesday, May 13, and Wednesday, May 20

FDA Alert: Philips Issues Correction for Trilogy Evo Platform Ventilators

Fri, 17 Apr 2026 15:02:46 GMT

The Office of Developmental Programs (ODP) shared this important announcement from the U. S. Food and Drug Administration (FDA). The FDA is aware that Philips has issued a letter to affected customers recommending all Trilogy ventilators be corrected prior to continued use. This includes Trilogy EVO, Trilogy EV300, Trilogy Evo O2, and Trilogy Evo Universal devices.

Philips has identified three issues affecting Trilogy Evo Platform ventilators:

Using non-pneumatic nebulizers with Trilogy Evo Platform ventilators may result in a discrepancy between the set tidal volume and the tidal volume received by the patient.

Aerosol buildup on the internal flow sensor may interfere with the sensor’s ability to accurately measure airflow, leading to incorrect flow calculations and potentially impacting the therapy delivered to the patient.

In some situations, the Obstruction Alarm does not trigger within the timeframe dictated by the relevant standards – two breath cycles, or five seconds. In certain ventilation modes, with or without backup rates, the alarm could be delayed by up to four breaths.

This recall involves correcting devices and does not involve removing them from where they are used or sold. The FDA has identified this recall as the most serious type. This device may cause serious injury or death if you continue to use it without correction. View the full list of affected products here .

What to Do:

Update all Trilogy Evo Platform ventilators with software version 1.05.15.00. Stop all use of non-pneumatic nebulizers with all Trilogy Evo Platform ventilators. Review the latest User Manual Addendum.

On March 2, Philips sent all affected customers a letter recommending the following actions:

Update all Trilogy Evo Platform ventilators with software version 1.05.15.00. The software is available as free download through the My Philips for Professionals (MyP4P) and InCenter websites.
Review the latest version of the User Manual Addendum. Ensure a copy of all product literature, including the User Manual Addendum, is included with every Trilogy Evo Platform ventilator in your fleet.
Stop all use of non-pneumatic nebulizers, including vibrating mesh nebulizers, with all Trilogy Evo Platform ventilators.
Communicate this notice to anyone in your organization who interacts with a Trilogy Evo Platform ventilator, including clinicians, therapists, nurses, caregivers, and patients. Ensure they are aware of the changes regarding the use of nebulizers with these ventilators and that non-pneumatic nebulizers are not to be used.

If a Trilogy Evo Platform ventilator previously in your possession has been transferred, ensure this information is communicated to them, including the User Manual Addendum.

Visit the FDA’s website for additional information and next steps.

OMHSAS Responds to RCPA Inquiry on IBHS Training

Thu, 16 Apr 2026 12:42:51 GMT

Last week, the Office of Mental Health and Substance Abuse Services (OMHSAS) provided updated behavioral health technician/behavioral health technician-applied behavior analysis (BHT/BHT-ABA) training information based on changes to the Behavior Analyst Certification Board (BACB) implemented on January 1, 2026.

RCPA, on behalf of its members, expressed concerns to the Department that the bulletin implied that all current RBT’s would have to retake the 40 hours of training under the new 3rd edition. OMHSAS’s Children’s Bureau responded that this would not be the case and provided the following clarification below for RCPA members.

Dear RCPA,

Thank you for your outreach regarding the April 2nd letter OMHSAS issued to share information on the updated BACB training changes.

The purpose of this training clarification is to inform providers about the language changes between the BACB’s training curriculum and the Pennsylvania IBHS regulations, as well as to raise awareness of updates to current training standards.

Current BHTs and BHT‑ABA staff are not required to repeat the 40‑hour RBT course sequence due to these changes. Instead, annual staff training plans should incorporate the new content areas to ensure that all individuals delivering ABA services receive consistent training across the same domains of skill and service provision.

Staff whose qualifications rely primarily on training and coursework based on the RBT Task List — now the Test Content Outline — are the most affected by these updates. These individuals should work to obtain the additional content areas identified in the Test Content Outline, as described in the training letter.

RBTs certified by the BACB will continue to follow the Board’s established recertification and continuing education requirements.

These updates are not intended to create a financial burden for providers. Rather, they serve as guidance to ensure staff competencies remain current and aligned with best practices in Applied Behavior Analysis, supporting high‑quality service delivery across IBHS programs.

Finally, practitioners have an ethical obligation to maintain updated training that is aligned with their scope of practice so they remain knowledgeable about new developments in the field and continue to provide services that are current and relevant in the field.

If staff meet the regulatory requirements, they are in compliance, and their training plan should reflect any work needed to obtain new training.

We thank our IBHS Steering Committee for their leadership and guidance in the process. If you have any questions, please contact RCPA Policy Associate Emma Sharp .

May 2026 ODP Training Calendar Now Available

Thu, 16 Apr 2026 12:39:49 GMT

View the training calendar here .

ODP Announces the Release of the Multi-Year Program Growth Dashboard on MyODP

Wed, 15 Apr 2026 12:36:51 GMT

The Office of Developmental Programs (ODP) has shared the release of the Multi-Year Program Growth Dashboard on MyODP. This dashboard presents key metrics aligned with the Department of Human Services (DHS) Office of Developmental Programs Multi-Year Program Growth Strategy. This strategy is focused on expanding access to home and community-based services (HCBS), increasing system capacity, and making measurable progress toward eliminating the emergency waiting list for adults with intellectual disabilities and autism.

The dashboard will be updated on a quarterly basis and reflects changes in waitlist status, service access, and enrollment trends over time. It is designed to support ongoing monitoring of progress, inform strategic decision-making, and ensure accountability in advancing ODP’s long-term system transformation and service expansion goals.

Stakeholders are encouraged to review the dashboard regularly to stay informed on progress and key developments.

Access the dashboard here .

ODP Releases Updated 2025 Employment First Report

Wed, 15 Apr 2026 12:29:21 GMT

The Office of Developmental Programs (ODP) is reissuing the 2025 Employment First Report. The purpose of the reissue is to update data contained in Appendix A and B.

ODP believes that all people with an intellectual disability and/or autism must be encouraged to pursue their vision for an everyday life, which may include working in competitive integrated employment. Competitive integrated employment offers a person an opportunity to achieve economic independence, build self-confidence, enhance self-determination, and meet new people while building new skills. The Everyday Lives: Values in Action publication, developed by the ODP Information Sharing and Advisory Committee (ISAC), which includes self-advocates, reads, “Employment is a centerpiece of adulthood and must be available for every person. The benefits of employment for people with disabilities are significant and are the same as for people without disabilities.” This report serves as an update to all stakeholders on the progress that has been made to support individuals served by ODP on finding and maintaining competitive integrated employment.

Access the 2025 Employment First report . This document can also be found by visiting the MyODP Employment Home page .

OCYF Releases Proposed Regulations for Residential Services for Children and Youth

Wed, 15 Apr 2026 12:27:23 GMT

The Department of Human Services (DHS) Office of Children, Youth and Families (OCYF) has released #14-559: Residential Services for Children and Youth proposed regulations.

The Department is proposing to update the licensure requirements for children and youth facilities by revising Chapter 3800 to clarify that it does not apply to child residential facilities, secure residential facilities, or secure detention facilities for youth. Instead, the Department is proposing three new, updated regulatory licensure chapters for children and youth facilities: Chapter 3900 (relating to child and youth facility requirements), Chapter 3910 (relating to child residential facilities), and Chapter 3920 (relating to secure residential and secure detention facilities for youth). The purpose of the rulemaking is to update the requirements to strengthen and improve the minimum health and safety standards for these facilities to protect the health, safety, and well-being of children and youth receiving care.

The Independent Regulatory Review Commission (IRRC) will be accepting public comments for the proposed regulation until July 7, 2026. RCPA will convene a regulatory review team to analyze the proposed regulatory package and prepare public comments.

Please contact RCPA Policy Associate Emma Sharp if you are interested in joining the regulatory review group.

Pennsylvania Lawmakers Propose Purple Alert System for Missing Individuals With Disabilities

Mon, 13 Apr 2026 13:15:05 GMT

Article by WGAL News 8 : Published April 10, 2026

Excerpt below:

Pennsylvania lawmakers are advancing a bill to create a purple alert system aimed at quickly locating missing individuals with mental or physical disabilities.

The proposed system would specifically target at-risk individuals with conditions such as autism or Down syndrome.

The bill, titled "Aiden's Law," is named after a nonverbal autistic boy from Columbia County who went missing in October 2022 and was later found dead in the Susquehanna River.

DOH Primary Care Loan Repayment Program Includes SUD, BH Professionals

Mon, 13 Apr 2026 13:11:41 GMT

The Pennsylvania Department of Health (DOH) has opened a new application period for the Primary Care Practitioner Loan Repayment Program . The program supports health care professionals, including those providing substance use disorder (SUD) and behavioral health (BH) services, who serve in underserved communities across Pennsylvania through loan repayment assistance to eligible providers in exchange for a two-year service commitment at an approved site. Its primary purpose is to increase access to care in underserved areas by supporting and retaining the workforce.

The program is open to a range of licensed providers, including:

Psychiatrists and psychiatric nurse practitioners/physician assistants;
Licensed behavioral health professionals (LCSWs, LPCs, LMFTs, psychologists); and
Primary care providers (physicians, nurse practitioners, physician assistants, certified nurse midwives).

To be eligible, applicants must:

Be licensed to practice in Pennsylvania;
Work at an approved site serving at least 30 percent low-income patients or located in a Health Professional Shortage Area; and
Commit to two years of full-time or half-time service.

Eligible practice sites may include community-based settings such as community behavioral health clinics; outpatient SUD and BH treatment providers; and federally qualified health centers and similar settings. Benefits include:

Loan repayment assistance to reduce education-related debt;
An opportunity to provide care in high-need communities; and
Up to $80,000 (full-time) or $40,000 (half-time) for physicians, dentists, and psychologists, OR up to $48,000 (full-time) or $24,000 (half-time) for other eligible providers.

The application process closes Friday, May 4, and applications must be submitted online. More information is available online . Email DOH with questions.

RCPA 2026/27 Membership Renewal Period Begins

Mon, 13 Apr 2026 13:08:25 GMT

Each year, the beginning of April marks the start of our membership renewal period. The renewal email has been sent to the renewal contact(s) for Rehabilitation and Community Providers Association (RCPA) members, as well as members of the International Pediatric Rehabilitation Collaborative (IPRC).To renew your organization’s membership, please forward a completed membership application and dues payment by July 1, 2026, to Tieanna Lloyd .

RCPA members can access membership applications on our website’s Join/Renew web page .
IPRC members can access the membership application on IPRC’s website .

Questions? Contact Tieanna Lloyd , Membership Services/Business Partnerships Manager.

DHS Provides Updated Guidance for Complex Needs Planning for Children, Youth, and Young Adults

Fri, 10 Apr 2026 18:07:59 GMT

The Pennsylvania Department of Human Services (DHS) has released DHS-26-01 Complex Needs Planning for Children, Youth, and Young Adults Through Age 21 . This bulletin updates guidance provided in 14-Bul-110 Complex Case Planning for Children and Youth Under Age 21. The guidance clarifies the referral process, roles, and responsibilities; offers the availability of technical assistance; and describes the benefit of technical assistance to the agencies in the human services systems that support children, youth, young adults through age 21 and their families and/or caregivers.

This bulletin, an online referral form, and suggested resources (tools/templates) are now posted on the DHS website .

If you have questions regarding this bulletin, the online referral form, or the suggested resources, please contact DHS electronically .

RCPA to Host Virtual H.R. 1 Medicaid Summit on May 11

Fri, 10 Apr 2026 13:29:50 GMT

On Monday, May 11, 2026, RCPA will be hosting a virtual H.R. 1 Medicaid Summit for all members, non-members, and stakeholders from 9:00 am – 10:00 am. This summit will feature guest panelists who will provide Federal and State updates on the implementation and impacts of the pending Medicaid changes. We will also explore the role of providers, advocates, and stakeholders in the process to ensure access and care for vulnerable Pennsylvanians.

Register for the summit here .

As part of the event, we will have a Q&A segment. If you have any questions you would like to ask during the Q&A segment, or if you have any general questions regarding the virtual summit, please forward them to RCPA Behavioral Health Policy Associate Emma Sharp .

OCDEL Completes Mass Claims Adjustment for All Paid EI Claims Between July 1, 2025 – March 8, 2026

Thu, 09 Apr 2026 20:40:28 GMT

The Office of Child Development & Early Learning (OCDEL) has completed the Mass Claims Adjustment for all PAID CLAIMS of Early Intervention (EI) services that contain a date of service between July 1, 2025 – March 8, 2026 and were filed on or before March 8, 2026.

Due the high volume of claims, the Mass Claims Adjustment was processed in daily batches with a summary of claims below:

Week 1: March 16, 2026
Claims Adjusted for Speech Therapy
Claims Adjusted for Occupational Therapy
Claims Adjusted for Physical Therapy
Week 2: March 23, 2026
Claims Adjusted for Special Instruction
Claims Adjusted for Audiology/Evaluation/Teaming
Claims Adjusted for Service Coordination

A complete review of the Mass Claims Adjustment was performed during the week of March 30, and a final batch of claims were processed on April 7, representing claims with a date of services of July 1, 2025.

Reminder of Next Steps:

Using the newly published Fiscal Year 2025/26 Fee Schedule, file NEW claims on or after March 9, 2026, that contain a date of service on or after July 1, 2025.
Using the newly published Fiscal Year 2025/26 Fee Schedule, adjust claims filed on or after March 9, 2026, that contain a date of service on or after July 1, 2025, if the OLD fee schedule was used.

IMPORATANT:

As expected, OCDEL reports that there are many ICNs that failed the Mass Claims Adjustment. The Bureau is preparing a document for each County to distribute to their contracted providers that includes the original ICN that did not successfully Mass Adjust. Detailed instructions will be included with this document for how the Infant Toddler program and EI Provider can work together to resolve the claims errors. After successful resolution of the claims error, providers will be responsible for performing their own Claims Adjustment for the claims that failed the Mass Claims Adjustment .

View the following links for more information:

EI Fee Schedule 2025/26
Announcement EI 26-03
Claims Process Steps: RA Mailing Dates | Department of Human Services | Commonwealth of Pennsylvania

Kyle Gravel Named Vice President of Autism Services at RCPA Member Devereux

Wed, 08 Apr 2026 20:59:15 GMT

Villanova, PA – April 8, 2026 – Devereux, one of the nation’s largest nonprofit providers of behavioral healthcare, today announced that Kyle Gravel, M.S., LMFT, BCBA, CCATP-CA, ASDCS , has been selected for the newly created position of vice president of autism services, effective immediately.

As a member of Devereux’s executive leadership team, Gravel will oversee strategies, innovations and expansion efforts of the organization’s new national autism services division. Specifically, he will lead the development and execution of a national autism expansion strategy, assess existing service offerings, identify areas for strategic growth, and drive a growth-based business plan focused on service innovation. Gravel also will ensure alignment and consistency across all Devereux autism programs, while promoting evidence-based practices and high standards of compassionate care.

“Kyle is a strategic and visionary leader, and we are thrilled to welcome him to our team,” said Devereux Executive Vice President and Chief Operating Officer Rhea Fernandes, Psy.D. “His expertise will be instrumental as we grow our national autism services division, expanding our reach and deepening our impact across the country. Kyle will be responsible for strengthening and elevating our services so we can continue to make a meaningful difference in the lives of the individuals and families we are privileged to serve.”

About Kyle Gravel, M.S., LMFT, BCBA, CCATP-CA, ASDCS

Kyle Gravel, M.S., LMFT, BCBA, CCATP-CA, ASDCS, holds more than 20 years of experience driving scalable performance, data integration and multidisciplinary collaboration across national healthcare and behavioral health organizations. Prior to joining Devereux, Gravel spent eight years at Cortica in San Diego, most recently serving as vice president/head of regional operations. His previous roles at Cortica included area director of operations; regional director of cognitive and behavior therapies; director of cognitive and behavior therapies; and associate director of cognitive and behavior therapies. Before this, Gravel spent 10 years at Behavioral Support Partnership in Garden Grove, California, most recently in the role of director of parent training services.

Gravel earned a Bachelor of Arts in psychology from the University of Connecticut and a Master of Science in clinical psychology from California State University, Fullerton. He is a licensed marriage and family therapist; Board Certified Behavior Analyst; certified child and adolescent anxiety treatment professional; certified autism spectrum disorder clinical specialist; and is pivotal response treatment certified, level 2.

About Devereux

Devereux is one of the nation’s largest nonprofit organizations, providing services, insight and leadership in the evolving field of behavioral healthcare. Founded in 1912, Devereux operates a comprehensive national network of clinical, therapeutic, educational and employment programs that positively impact the lives of more than 10,000 children, adults – and their families – every year. The organization’s unique approach combines evidence-based interventions with compassionate family engagement.

With nearly 6,500 employees working in programs across the country, Devereux is a trusted partner for families, schools and communities, serving many of our country’s populations in the areas of autism, intellectual and developmental disabilities, specialty mental health, education and foster care. For more than a century, Devereux has been guided by a simple and enduring mission: To change lives by unlocking and nurturing human potential for people living with emotional, behavioral and cognitive differences. Learn more: www.devereux.org .

###

The Arc of PA Announces 3rd Annual Disability Health Action Summit

Wed, 08 Apr 2026 13:14:25 GMT

The Arc of Pennsylvania is hosting the 3rd Annual Disability Health Action Summit from May 19–20, 2026, in Camp Hill, PA. This is an in-person only event, taking place at the Penn Harris Hotel & Convention Center. The Arc of PA is excited to announce Theo Brady, Executive Director of NCIL, will keynote on Tuesday, May 19, and Secretary Valerie Arkoosh will keynote on May 20.

For a complete agenda and registration, please visit The Arc of PA’s website . Scholarships for self-advocates and student discounts are available! Space is limited, to register today!

Visit here to view the flyer for more details .

Legislative Hearing to Focus on Solutions Aimed at Improving Health of Americans

Wed, 08 Apr 2026 13:10:02 GMT

Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, and Congressman Morgan Griffith (VA-09), Chairman of the Subcommittee on Health, recently announced a hearing titled Healthier America: Legislative Proposals to Improve Public Health .

The hearing, scheduled for April 15, 2026, at 10:15 am, will focus on the bills below that address various areas of public health, including disease research and prevention efforts, bolstering resources for rural medical services and health care providers, promoting healthy activities, and increasing access to care.

H.R. 4348 , To reauthorize the Kay Hagan Tick Act, and for other purposes
Reps. Smith-NJ and Doggett
H.R. 4541 , EARLY Act Reauthorization of 2025
Reps. Wasserman Schultz and Miller-Meeks
H.R. 3747 , Accelerating Access to Dementia and Alzheimer’s Provider Training Act
Reps. Balderson and Barragán
H.R. 8209 , School-Based Health Centers Reauthorization Act of 2026
Reps. Tonko and Balderson
H.R. 5160 , Stem Cell Therapeutic and Research Reauthorization Act of 2025
Reps. Smith-NJ and Matsui
H.R. 8205 , Accelerating Access to Critical Therapies for ALS Reauthorization Act of 2026
Reps. Quigley and Calvert
H.R. 6121 , Promoting Physical Activity for Americans Act
Reps. Moore and Panetta
Nutrition Education and Chronic Disease Prevention in Community Health Centers Act of 2026
Rep. Harshbarger
H.R. 8201 , Expanding Community Access to Health Services Act
Rep. Lee-NV
Digital Health Screeners Act of 2026
Rep. Balderson

The hearing will be open to the public and will be livestreamed online.

DHS Releases Details From Rural Health Transformation Plan Webinar

Wed, 08 Apr 2026 12:55:32 GMT

The Department of Human Services (DHS) held a “kickoff” webinar to discuss the Rural Health Transformation Plan (RHTP) and have released the recording and slides for the presentation, which are available here . DHS is currently awaiting the release of the Request for Proposal (RFP) for the first phase of Year 1 implementation.

Year 1 Funding Mechanisms will include:

Expansion of existing programs;
Program payments;
Intergovernmental agreements; and
Grant agreements.

If your organization has an interest in these RFPs, RCPA will provide updates as appropriate, but we also encourage you to sign up directly for the DHS listserv info. Direct RHTP inquiries can be sent here .

RCPA Member KidsPeace to Stage 3rd Annual Dodgeball Tournament June 18, 2026

Tue, 07 Apr 2026 16:21:29 GMT

For the third year, a one-time gym class tradition returns to help kids in need, as KidsPeace announced that the 3rd Annual KidsPeace Dodgeball Tournament will be held on Thursday, June 18, 2026, at the organization’s Orchard Hills Campus in Orefield, PA. View the flyer for details of this event.

Temple University: Celebrate National Speech-Language-Hearing Month with TechOWL Webinars!

Tue, 07 Apr 2026 13:25:02 GMT

View the flyer here.

ODP Shares Updates to PUNS Manual

Tue, 07 Apr 2026 13:21:47 GMT

The Office of Developmental Programs (ODP) has shared updates to ODPANN 26-028 . The purpose of this communication is to distribute the updated Prioritization of Urgency of Need for Services (PUNS) Manual and the revised DP1055 – PUNS Form, effective February 2026, and to announce the implementation of related updates to the Emergency PUNS process. Updates appear in underlined red text.

This communication formally distributes:

The Updated PUNS Manual
The Emergency Supplemental Form
Updated to include comment boxes, instructions for duplicating the form, and reviewing submissions.
Supplemental Form Instructions can be found here .
The Revised DP1055

These updates are part of the Office of Developmental Programs’ continued implementation of the Multi-Year Program Growth Strategy and are intended to strengthen the accuracy, consistency, and documentation of Emergency Need determinations statewide.

Please review the announcement for more details.

Save the Date: ODP Announces Learning Collaborative on Supporting Parents With Disabilities

Tue, 07 Apr 2026 13:19:49 GMT

The Office of Developmental Programs is pleased to share an upcoming opportunity for professionals across systems to engage in a new Learning Collaborative focused on supporting people with disabilities who are parents or who are planning to become parents.

This Learning Collaborative will bring together professionals from across state and local systems, including providers, supports coordination organizations, administrative entities, and partners in early childhood, behavioral health, and child-serving systems. Participants will engage as regional or local teams to explore effective practices, share resources, and strengthen cross-system collaboration.

Through a series of interactive sessions, the collaborative will focus on:

Identifying practical strategies and best practices to support parents with disabilities;

Promoting informed choice, supported decision-making, and rights-based approaches;
Navigating complex situations with clarity around roles, responsibilities, and system requirements;
Connecting individuals and families to a broader network of supports and resources; and
Building sustainable relationships across agencies and communities.

An informational webinar on June 4, 2026 , will provide more details about the collaborative, expectations for participation, and how to get involved.

We hope you will consider joining and sharing this opportunity with others in your network.

Registration details will be announced in the coming weeks — stay tuned!

ODP Provides Updated SPeCTRUM Training

Tue, 07 Apr 2026 13:15:32 GMT

The Office of Developmental Programs (ODP) has shared ODPANN 26-040 . This communication states that the updated SPeCTRUM training is now available on MyODP. It also outlines completion requirements and provides guidance regarding documentation, transition timelines, and prior version applicability. This announcement obsoletes ODPANN 19-072, 19-121, and 20-032.

The updated SPeCTRUM training has enhanced webinar capabilities, updated content, and has been streamlined while continuing to provide foundational information necessary to support adults with autism spectrum disorder (ASD).

SPeCTRUM training is available on MyODP’s website .

Questions regarding SPeCTRUM training requirements may be directed to the BSASP Training inbox .

OMHSAS Releases Revised County Cost Center Bulletin

Tue, 07 Apr 2026 13:13:10 GMT

The Office of Mental Health and Substance Abuse Services (OMHSAS) has notified counties of the finalization of the Cost Center Bulletin , which states:

The purpose of this bulletin is to accommodate data reporting for the changing and growing array of services provided by county Mental Health Administrations using federal, state, and county funding. This bulletin establishes new cost centers, updates existing cost centers, and combines existing cost centers. It enables appropriate reporting and monitoring of expenditure and service information for a number of community mental health services. The reporting of county mental health program costs must conform to the cost centers identified in this bulletin beginning with the County Human Service Plans and Income and Expenditures Report for State Fiscal Year 2026/2027.

The complete bulletin is available here . If you have any questions, please contact OMHSAS via email or RCPA COO and Mental Health Policy Director Jim Shar p .

MyODP News Online — April 3, 2026

Mon, 06 Apr 2026 13:09:33 GMT

Read the online digest here.

Stories include:

April is Autism Awareness Month
Registration is Now Open for the Everyday Lives2026 Virtual Conference!
Autism Unmasked Episode 8: Emergency Visits – Supporting Autistic Patients & Their Caregivers

PATC 2026: Call for Presentation Presenters

Mon, 06 Apr 2026 13:06:35 GMT

The Office of Developmental Programs (ODP) is requesting presentation proposals for its 19th annual Pennsylvania Autism Training Conference (PATC). The conference will be held virtually with an interactive schedule on November 4 – 5, 2026 . PATC invites professionals, clinicians, autistic self-advocates, and their families/caregivers to learn from leading experts in the field of autism supports. We are interested to hear from people who have developed and/or effectively implemented models in the following areas:

Communication approaches, modalities, and technical advancements;
Supporting autistic individuals with profound support needs;
The neuroscience of autism;
Applications in genetic testing;
Sensory impacts and strategies;
Executive functioning;
Understanding and implementing the foundational frameworks Applied Behavioral Analysis (ABA);
Supporting the family and other caregivers;
Competitive Integrated Employment; and
Community and cultural competence.

Submit your proposal for PATC 2026 here. The deadline to submit proposals is May 29, 2026.

OLTL Shares April 1 LTSS Subcommittee Meeting Materials

Mon, 06 Apr 2026 13:00:09 GMT

The Office of Long-Term Living (OLTL) has distributed the PowerPoint and additional items from the April 1 Long-Term Services and Supports (LTSS) Subcommittee meeting. Highlights from the meeting include:

The CAHPS survey results for 2025 were presented at the aggregate level. Several key measures were below the target of 86%, but no specific action plans or remediation was discussed.
The transcript reflects the discussion around the opportunities in improved Behavioral Health supports and transportation services.

Also available are the March 11 Follow-Up Responses , including the indication of growing importance of Assisted Living Residences as an “in lieu of” service, as it moves a step closer to becoming an approved CHC waiver service.

If you have any questions, please contact Fady Sahhar .

OCDEL Releases Family Leadership Toolkit Resource

Mon, 06 Apr 2026 12:57:25 GMT

The Office of Child Development and Early Learning (OCDEL) has released the Family Leadership Toolkit, which is designed for state-level professionals and family leaders working to elevate family voices in systems changes. The Family Leadership Toolkit offers practical tools, strategies, and real-world examples to help build strong, collaborative partnerships between professionals and family leaders. You can:

Use it to guide leadership development.
Share it with your networks and colleagues.
Introduce it in meetings, trainings, and planning sessions.
Promote it through your organization’s communication channels.

Access The Family Leadership Toolkit here . For questions, please reach out to OCDEL via email .

Additional questions can be directed to RCPA COO and Mental Health Policy Director Jim Sharp .

CMS Releases FY 2027 IRF PPS Proposed Rule

Fri, 03 Apr 2026 13:14:47 GMT

The Centers for Medicare and Medicaid Services (CMS) has released the fiscal year (FY) 2027 inpatient rehabilitation facility prospective payment system (IRF PPS) proposed rule .

The proposed rule includes some technical proposals that would modify the IRF coverage and documentation requirements as well as IRF QRP submission deadlines. The proposed rule does not include any proposals to modify the existing IRF transfer policy. The proposed rule does, however, include several Requests for Information (RFI) that could indicate potential future impactful changes.

On the FY 2027 payment side, the rule would provide an overall 2.8% increase to estimated payments per discharge, compared to the 2.6% payment update that CMS finalized for FY 2026.

FY 2027 Payment Updates

Aggregate Estimated Payment Increase: 2.8% / $355 million (field-wide)
Market Basket Update (with Productivity Adjustment): 2.4%
Labor-Related Share: 74.5%
Standard Payment Conversion Factor: $19,881
Outlier Threshold: $8,689 (from $10,141 in FY 2026)

FY 2027 Coverage, Payment, and Documentation Policy Changes

Initiation of Therapy Requirement
CMS proposes to clarify the requirement that therapy be initiated within 36 hours of midnight of the day of admission to the IRF.

Documenting Function in Preadmission Screen
CMS proposes to expand the elements required in the preadmission screening (PAS) to include “current functional status” as well as prior level of function.

Timing of Interdisciplinary Team Meeting
CMS proposes to tighten the requirement for the timing of the weekly interdisciplinary team meeting by requiring an initial interdisciplinary team meeting to occur “on or before the fourth day from midnight on the date the patient is admitted” and subsequent team meetings to occur “at least once per week after the date of the prior team meeting.”

Request for Information on Future IRF Payment Reform
The rule includes an extensive Request for Information (RFI) on future IRF payment reform, specifically two major areas of reform:

Refining the current IRF patient classification system by creating a draft list of IRF-specific clinical categories; and
Creating a new system of comorbidity scoring to better account for the severity and number of comorbidities for IRF patients.

The RFI does not propose any of these changes be implemented in FY 2027 but requests stakeholder feedback on both areas. CMS also references two new technical reports addressing their PPS changes under consideration; these are available for download as part of the rule’s associated data files here .

FY 2027 Quality Reporting Program Updates

Proposal to Revise Data Submission Deadlines for the IRF QRP
For the FY 2029 IRF QRP, which will be based upon Calendar Year 2027 data, CMS is proposing to reduce this timeline to the “15th day of the second month following the end of calendar quarter.”

The proposed rule will be published in the Federal Register on April 6, 2026. Comments on the proposed rule are due by June 1, 2026.

ODP Issues Details on Residential P4P for FY 2026/27

Fri, 03 Apr 2026 13:06:32 GMT

The Office of Developmental Programs (ODP) has released Announcement 26-039 and its accompanying attachment , detailing the Pay-for-Performance (P4P) initiatives under Performance-Based Contracting (PBC) for the 2026/27 fiscal year. These initiatives provide supplemental payments to eligible residential providers who meet or exceed specific performance benchmarks.

Providers of Residential Habilitation, Life Sharing, and Supported Living services provided through the Consolidated and Community Living Waivers that are assigned to the Primary, Select, or Clinically Enhanced tiers are eligible to participate.

P4P Initiative Areas:

Staff Credentialing: Focuses on stabilizing the workforce by incentivizing DSP and FLS credentialing.
Criteria: Providers must have 25–30% of DSPs and 45–50% of FLSs credentialed by December 31, 2026.
Payment: 0.3% of the prior calendar year’s residential revenue, paid in May 2027.
Rural Capacity Expansion: Supports increasing service capacity in designated rural counties.
Criteria: Development and approval of a Rural Capacity Expansion Plan with Administrative Entities (AE).
Payment: Tiered milestone payments (Planning: $10,000; Implementation: $15,000; Stability: $25,000).
Transition to Independent Living: Incentivizes moving individuals from licensed Residential Habilitation (4 or fewer people) to Life Sharing or Supported Living.
Payment: Two payments of $15,000 (totaling $30,000 per individual) based on successful transition and six-month retention.
Remote Supports: Allows providers to retain savings when utilizing remote supports while billing the daily fee schedule rate.

Important Deadlines:

Credentialing Data Submission: February 15, 2027 – March 15, 2027.
Rural Capacity Milestones: Submission deadlines vary by milestone (October 2026, January 2027, and April 2027).

Providers should review the detailed criteria in the ODP announcement attachment to ensure internal tracking systems are aligned with the required reporting metrics for 2026/27.

Questions can be directed via email .

OMHSAS Issues Correction to Bulletin on Payment Regulations for Psychiatric Rehabilitation Services

Fri, 03 Apr 2026 13:02:03 GMT

The Office of Mental Health and Substance Abuse (OMHSAS) is issuing a correction to the OMHSAS-26-01 Payment for Psychiatric Rehabilitation Services bulletin that was originally issued on February 6, 2026.

This correction addresses a typo in the service description for Psychiatric Rehab Mobile – Group. The previous bulletin incorrectly listed the group size limit as two (2). The correct maximum group size is no more than five (5) individuals in alignment with the licensing standard in § 5230.54 (a)(2). This update corrects the group size limit to five in the service description for procedure code H0036.

Please refer to the updated version of the Payment for Psychiatric Rehabilitation Services .

If you have any questions, please contact OMHSAS for further clarification. Members may also direct questions to RCPA COO and Mental Health Policy Director Jim Sharp .

RCPA Member Keystone Human Services Announces Merger With Mikayla's Voice

Fri, 03 Apr 2026 12:58:11 GMT

Press Release from RCPA Member Keystone Human Services : Published April 1, 2026

Excerpt below:

Harrisburg, PA (April 1, 2026) – Keystone Human Services and Mikayla’s Voice are proud to announce their official merger, effective April 1, 2026. Together, these mission-driven organizations are working to create welcoming environments and empower people with and without disabilities so everyone can thrive.

“Mikayla’s Voice has always believed that everyone belongs and our work in schools demonstrates the power of understanding, acceptance, and friendship,” said Rita Cheskiewicz, Executive Director of Mikayla’s Voice. “Joining KHS strengthens our mission as we gain access to operational and administrative resources, allowing us to create even greater opportunities for belonging in the community.”

State Lawmaker Highlights Bill That Would Fund Social Services During a Budget Impasse

Fri, 03 Apr 2026 12:54:42 GMT

Article by Fox43 : Published April 2, 2026

Excerpt below:

ELIZABETHTOWN, Pa. — With three months until the state budget deadline, a Lancaster County lawmaker is looking to protect people from budget impasses.

On Thursday, Republican State Representative Tom Jones highlighted House Bill 1947, also known as the “Responsible Budgeting Act.” The bill would allow schools and social services to receive state funding, even in the event of another budget impasse.

PA Commonwealth Court Invalidates DHS CHC Procurement

Fri, 03 Apr 2026 12:52:29 GMT

The following information is courtesy of the Wojdak Government Relations Team. Please be aware that this is simply a summary and is not a legal opinion. For additional information or legal analysis, please contact a lawyer.

The Pennsylvania Commonwealth Court issued two coordinated decisions that invalidate the Department of Human Services’ Community HealthChoices (CHC) procurement (RFA 31-22).

Gateway Health Plan v. DHS
UnitedHealthcare v. DHS (note that in this decision, the court simply affirmed the Court’s reasoning in Gateway).

What the Court Decided

The Court found that DHS failed to demonstrate that it conducted required zone-specific evaluations for each of the five CHC regions, despite the RFA explicitly requiring that approach. All applicants received identical scores across all zones — an outcome the Court described as statistically implausible and inconsistent with prior procurements.

Because DHS did not follow the RFA’s mandatory evaluation structure and failed to provide a rational explanation for the scoring results, the Court held that the procurement was arbitrary, capricious, and contrary to law. As such, the Court reversed DHS’s determinations and cancelled the CHC award in its entirety.

Operational Implications

DHS cannot move forward with negotiations or implementation under the cancelled award.
Current CHC contracts are expected to remain in place pending DHS next steps.
DHS must now choose whether to re-issue a corrected RFA, re-evaluate submissions (unlikely given the Court’s findings), or appeal.
Plans should expect a period of operational status quo while DHS evaluates its path forward.
The decision may influence how DHS structures future procurements, particularly around. evaluation transparency

Potential Legal Next Steps

If DHS appeals:

DHS may petition the Pennsylvania Supreme Court for allowance of appeal.
DHS may seek a stay of the Commonwealth Court’s order.
If a stay is granted, DHS could resume work with selected plans during the appeal.
If no stay is granted, the procurement remains cancelled during the appellate process.

If DHS does not appeal:

DHS will need to restart the procurement — likely through a revised RFA or new competitive process.
A new procurement timeline would likely extend many months.

OLTL Releases Revision to Participant Review Tool

Thu, 02 Apr 2026 12:47:12 GMT

The Office of Long-Term Living (OLTL) released Bulletin 59-26-03 , which updates the standardized Participant Review Tool (PRT) for Service Coordinators (SC). The bulletin provides additional clarification on the location of face-to-face visits with participants when completing the PRT. The bulletin also provides guidance to SCs on when increased face-to-face visits with program participants should be scheduled to protect their health, safety, and welfare.

This bulletin rescinds OLTL Bulletin 59-26-02 and any other OLTL policy documents or parts of policy documents that are inconsistent with this bulletin’s contents.

This bulletin applies to enrolled Service Coordination Entities (SCE) performing services in OLTL Medical Assistance Home and Community-Based Services (HCBS) for the OBRA waiver and the Act 150 Program.

Trump’s Hunt for Undocumented Medicaid Enrollees Yields Few Violators

Wed, 01 Apr 2026 13:11:50 GMT

Article by KFF Health News : Published March 31, 2026

Excerpt below:

Last August, as part of the federal government’s crackdown on people in the country illegally, the Trump administration sent states the names of hundreds of thousands of Medicaid enrollees with orders to determine whether they were ineligible based on immigration status.

But seven months later, findings from five states shared with KFF Health News show that the reviews have uncovered little evidence of a widespread problem.

DHS Presents Rural Health Transformation Plan Implementation Overview

Wed, 01 Apr 2026 13:09:31 GMT

Yesterday, March 31, 2026, the Department of Human Services (DHS) held a “kickoff” webinar to discuss the Rural Health Transformation Plan (RHTP). The slides have not been released; however, RCPA will share the PowerPoint with members once they are available.

The webinar did not provide definitive next steps in terms of which category of Request for Proposal (RFP) would be released and when. RFPs will be periodically rolled out, and DHS indicated that the first RFP release would be in the next two weeks. The Department also shared the broad categories of project areas for consideration, stating that all RFP responses should closely tie back to their approved CMS plan.

DHS touched on the fact that RHTP funding and compliance will be achieved through continual cooperative agreements with CMS. Below is a broader timeline highlighting certain reporting and funding dates, as well as broader categorical areas the state is pursuing.

End of First Reporting Period – July 31, 2026
First Annual Report Due to CMS – August 31, 2026
Obligation of Year 1 Funding – October 30, 2026
Year 2 Funding – October 31, 2026
Quarterly Reports Due to CMS – November 29, 2026; March 1, 2027, May 30, 2027
Spending Deadline for Year 1 – September 30, 2027
By March 31, 2028, CMS will begin determining the amount of unused funds from the prior period to redistribute them to other states.

Year 1 Funding Mechanisms will include:

Expansion of existing programs;
Program payments;
Intergovernmental agreements; and
Grant agreements.

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

DHS Shares New Tools to Track, Manage, and Protect Benefits

Tue, 31 Mar 2026 14:22:04 GMT

The Pennsylvania Department of Human Services has been rolling out new tools over the last year to help Pennsylvanians track, manage, and protect their benefits.

Here’s what’s new:

My Benefits Status Tracker
Self-Service Password Reset
Lock EBT Cards

View the Substack post for complete details!

U.S. Supreme Court Ruling Against Conversion Therapy Ban

Tue, 31 Mar 2026 14:17:22 GMT

On March 31, 2026, the U.S. Supreme Court ruled 8–1 against a Colorado law that prohibited licensed mental health professionals from providing “conversion therapy” to minors. The case, Chiles v. Salazar, centered on whether the state could restrict certain counseling conversations aimed at changing a minor’s sexual orientation or gender identity.

Key points of the decision:

The Court held that Colorado’s law violated the First Amendment , concluding it restricted counselors’ speech based on viewpoint.
The majority, written by Justice Neil Gorsuch, said the statute regulated what therapists could say , which triggered strict constitutional scrutiny.
The Court determined the state’s attempt to frame the ban as regulation of professional conduct was insufficient because the therapy involved speech rather than physical treatment .
Justice Ketanji Brown Jackson issued the lone dissent, arguing states should be able to regulate harmful healthcare practices and protect minors.

The ruling may affect similar bans in more than 20 other states , putting them at risk of legal challenges. Supporters say the decision protects free speech and religious expression in counseling. Critics, including medical and LGBTQ+ advocacy groups, warn that it could weaken protections for youth from practices widely considered harmful.

View Pennsylvania’s stance on conversion therapy .

Updated MyTranscript Report, Instructions for Re-taking MyODP Courses Now Available

Tue, 31 Mar 2026 14:15:10 GMT

The Office of Developmental Programs (ODP) has shared ODPANN 26-038 . This announcement informs users that the MyTranscript report available on MyODP has been updated to include three distinct categories and to provide instructions for accessing the reports as well as to provide instructions on re-taking MyODP courses.

The first MyTranscript report is called “MyTranscript Course Completion” and will capture trainings completed after December 1, 2025.
The second MyTranscript report is called “MyTranscript Certificates” and captures specific trainings where a certificate was or is currently being issued.
The third MyTranscript report is called “MyTranscript Historical Completion” and will capture data of certificates that were issued before December 1, 2025.

Please view the announcement for m ore details.

SCA Rate-Setting Process to Be Waived for FY 2026/27; Providers May Still Request an Increase

Mon, 30 Mar 2026 16:25:40 GMT

The Pennsylvania Department of Drug and Alcohol Programs (DDAP) is waiving the rate-setting requirements (i.e., XYZ package) for Fiscal Year (FY) 2026/27, reasoning that rates established as a result of last year’s rate-setting process only became effective on January 1, 2026. Even with the waiver, DDAP has asked the single county authorities (SCA) to allow any providers with special circumstances or considerations to be allowed to request a rate change.

Communication, including the 2026/27 XYZ package, from SCAs to their provider networks is expected next week. Providers seeking a rate change will likely have 30 days to complete the package, with an anticipated two- to three-week SCA review process, though these details could change. As new details emerge, RCPA will update the membership.

The XYZ package is a financial reporting and rate-setting process used by DDAP and SCAs to establish residential SUD treatment rates for SCA-funded clients.

Updated Incident Management FAQ Document Now Available

Mon, 30 Mar 2026 14:10:37 GMT

The Office of Developmental Programs (ODP) has shared updates to ODPANN 26-037 . The purpose of this communication is to announce the release of the updated Incident Management (IM) Frequently Asked Questions (FAQ) document on MyODP. This FAQ has been developed to answer commonly asked questions about incident management. The questions that have been added appear with a blue background , and any updated answer from a previous question is italicized.

Please view the announcement for more details.

Attachment:

Incident Management Frequently Asked Questions 3-25-2026

ODP Releases 2025 Employment First Report

Mon, 30 Mar 2026 14:08:52 GMT

The Office of Developmental Programs (ODP) has announced the release of the 2025 Employment First report. ODP believes that all people with an intellectual disability and/or autism must be encouraged to pursue their vision for an everyday life, which may include working in competitive integrated employment. Competitive integrated employment offers a person an opportunity to achieve economic independence, build self-confidence, enhance self-determination, and meet new people while building new skills. The Everyday Lives: Values in Action publication, developed by the ODP Information Sharing and Advisory Committee (ISAC), which includes self-advocates, reads:

“Employment is a centerpiece of adulthood and must be available for every person. The benefits of employment for people with disabilities are significant and are the same as for people without disabilities.”

This report serves as an u pdate to all stakeholders on the progress that has been made to support individuals served by ODP on finding and maintaining competitive integrated employment.

Access the 2025 Employment First report here . This document can also be found by visiting the MyODP Employment Home page .

2026 Everyday Lives Virtual Conference “Breaking Barriers and Building Futures” May 6–16

Mon, 30 Mar 2026 14:06:51 GMT

The Office of Developmental Programs (ODP) invites you to register for its Everyday Lives 2026 Virtual Conference !

The 2026 Everyday Lives Conference will include ODP’s annual Dual Diagnosis Conference as a pre-conference event, jointly hosted with the Office of Mental Health and Substance Abuse Services (OMHSAS). The biannual Everyday Lives Conference, hosted by the Pennsylvania Office of Developmental Programs (ODP), invites individuals with a disability and/or autism (ID/A), family members, caregivers, and support professionals to engage in presentations and panels focused on sharing information that empowers the everyday lives of individuals with disabilities throughout Pennsylvania. The 2026 Everyday Lives Conference (EDL) will be held virtually throughout the first two weeks of May 2026. The conference theme for 2026 is “Breaking Barriers and Building Futures.” View the conference program for more information , including the full conference agenda.

Learn More and Register Here

What to Expect:

The virtual conference will be hosted through the online platform Whova and will feature six days of presentations. A series of watch parties will be hosted throughout the state as an opportunity for conference-goers to connect and engage with the conference content together. Follow the registration link for more information.

The conference program is broken into three sections. Each conference section (excluding the post-conference) will include presentations for all ODP stakeholders, but some sessions may cater more to one audience than another. Regardless, ODP invites all audiences to attend every session. Content will be accessible and relevant to all.

Learn more at the EverydayLives website.

Registration Now Open for the RCPA PAC Spring 2026 Golf Outing!

Mon, 30 Mar 2026 14:03:57 GMT

We hope you will consider becoming a sponsor in support of this fundraiser! Sponsorship will allow your company to receive name recognition, and we’re excited to have even more opportunities to showcase your company this year. We hope we can count on your support for this event.

Not a golfer but would still like to support the RCPA PAC? For your convenience, you can now make a personal online contribution , which will provide financial support to state legislators or representatives who have demonstrated a strong, consistent, and positive interest in our legislative priorities. If you are interested in learning more about the RCPA PAC or donating, please visit our website or email Jack Phillips , Director of Government Affairs.

See you on the golf course! If you have any questions regarding registration or sponsorship, please contact Christine Tartaglione .

Home Care Workers Advocate to End Red Tape Fatigue, RCPA President/CEO Richard Edley and RCPA Member Voices of Independence CEO Shona Eakin Quoted

Mon, 30 Mar 2026 14:01:17 GMT

Article by WENY News : Published March 27, 2026

Excerpt below:

“The workforce shortage is real. The turn over rate, vacancies, and so forth,” said Richard Edley, president of Pennsylvania’s Rehabilitation & Community Providers Association. The group coordinates advocacy for most of the human service providers in the state.

Government reimbursement doesn’t just go into worker pay- it also covers the administrative and physical costs of running an agency.

“If you have if you have one audit, two audits, maybe. But sometimes five and six?Where you feel like you just got finished and then you’re doing another one?” Eakin said, describing the administrative fatigue.

RCPA Shares Updates on DHS H.R. 1 Committee, Eligibility, and SNAP Requirements

Fri, 27 Mar 2026 16:58:59 GMT

As the Center for Medicare and Medicaid Services (CMS) continues to provide updates on the H.R. 1 implementation, the PA Department of Human Services (DHS) has provided some updated information and guidance on their activities outlining the state’s plan for compliance by January 1, 2027.

DHS H.R. 1 Steering Committee

As previously reported, DHS has created an H.R. 1 Steering Committee, which was initially thought to be the group tasked with oversight of implementation and stakeholder feedback as the state seeks to finalize their policies and practices to support implementation of the Medicaid eligibility and community engagement requirements.

The first meeting yielded a slide deck outlining the timeframes for implementation, and RCPA has created a one-page timeline for Medicaid change implementation.

It was reported this week at the Medical Assistance Advisory Committee (MAAC)meeting that the DHS H.R. 1 Steering Committee will be responsible for reporting out of activities but will not serve as a work group. RCPA CEO and President Richard Edley, a member of the Steering Committee, questioned the lack of stakeholder engagement, with an emphasis on the need for a group that can provide critical feedback to DHS. The hope is the MAAC and its various subcommittees can function as this forum.

Eligibility Redeterminations

CMS has released guidance to the States relating to the eligibility standards with two separate options for implementation timelines: either beginning all new redetermination effective January 1, 2027, or redetermination will occur at the natural expiration of the current expansion enrollees’ eligibility in 2027.

Our partners at the National Council have provided the following resources:

New SNAP Work and Education Program Certification Process

DHS has also announced a new initiative to certify more eligible work and education programs that serve SNAP recipients. This new certification program will increase the number of work and education providers available statewide, which will help SNAP recipients meet their federal work and community engagement reporting requirements .

Through the new process, work and education programs that are not currently contracted as DHS SNAP Employment and Training (SNAP E&T) programs but provide similar services can apply for PA DHS certification. This certification is only through PA DHS and helps ensure SNAP recipients are meeting federal work and community engagement requirements. The certification program eligibility criteria and application form can be found here .

Previously, there was no way for other work and education programs to receive PA DHS certification. This new, simple process requires some basic information about the organization, the number of anticipated participants slots, and typical weekly program hours. Streamlining the certification process means that more Pennsylvanians who are already participating in work, education, or training can meet their federal work and community engagement reporting requirements to remain eligible for SNAP benefits.

PA DHS encourages work and education programs that are not already a PA DHS SNAP E&T program to apply for certification if they already provide work and education services to SNAP recipients and meet the outlined criteria. Please note that becoming DHS-certified as a qualified SNAP work and education program recognizes that a program meets the requirements of a SNAP E&T program and does not mean state or federal funding will be available for this program.

If SNAP recipients have questions about how to report work, education, training, or volunteering activities, they can talk with a caseworker at DHS’ County Assistance Office or call the Customer Service Center at 877-395-8930 (or 215-560-7226 for people living in Philadelphia).

If a Pennsylvanian loses SNAP benefits, they can reapply anytime.

PA DHS strongly encourages people to reapply if they lost benefits but have since started to meet work, training, education, or volunteering requirements or meet an exemption . If Pennsylvanians aren’t sure whether they are eligible for SNAP benefits, PA DHS’ online screening tool can help. By answering a quick and simple set of yes or no questions , SNAP applicants and recipients can find out if they still need to meet the work requirements, if they’ve started meeting the work requirements, or if they are likely to now be eligible for an exemption.

Please contact your RCPA Policy Director with any questions.

RCPA Member Access Services Highlights Inclusive Employment Programs

Fri, 27 Mar 2026 16:30:05 GMT

Press Release from RCPA Member Access Services : Published March 26, 2026

‘A Fundamental Right’: PA House Again Passes Bill to End State’s Unenforced Gay Marriage Ban

Fri, 27 Mar 2026 16:22:52 GMT

Article by PennLive : Published March 25, 2026

Excerpt below:

A bill to repeal Pennsylvania’s currently-unenforceable same-sex marriage ban cleared the state House for the second time on Wednesday, with the partisan divide on the issue little changed in two years.

The measure, which would strike the line in state law saying that marriage is “between one man and one woman,” passed on a 127-to-72 vote , with all but one Democrat voting for it, along with 26 Republicans .

Life Sharing Resources Now Available on MyODP

Thu, 26 Mar 2026 14:40:28 GMT

The Office of Developmental Programs (ODP) has announced the release of new and updated resources available through MyODP to support Life Sharing services. These materials have been developed to enhance the quality, consistency, and effectiveness of Life Sharing services provided to individuals with intellectual disabilities and autism across Pennsylvania.

In alignment with the mission of ODP, resources are intended to inform providers, along with individuals and families, about Life Sharing and support person-centered approaches across all Life Sharing settings.

Key Updates Include:

Resource materials for providers, families, and Support Coordinators;
Guidance reflecting current service definitions and rates;
Tools to support effective person-centered service planning; and
Recorded webinars about Life Sharing services.

ODP remains committed to ensuring that individuals receiving services experience safe, supportive, and meaningful living environments. These resources are an important step in advancing that commitment and fostering continuous improvement across the system.

We encourage all providers, families, and partners to review and utilize these materials as part of their ongoing efforts to deliver high-quality Life Sharing services.

Resources can be accessed by clicking the following link: Life Sharing – MyODP

Or by navigating to MyODP’s website , clicking the “Resources” tab at the top of the page, then selecting “Life Sharing” from the drop-down menu.

RCPA Member Vista Autism Services Expands Employment Services to York County

Thu, 26 Mar 2026 14:37:23 GMT

Press Release from RCPA Member Vista Autism Services : Published March 25, 2026

Excerpt below:

For a lot of adults with autism, the question isn’t whether they can work. It’s whether anyone will give them the chance — and the right kind of support to make it stick.

Vista Autism Services has been answering that question for adults across southcentral Pennsylvania for years. Now, we’re bringing that same support to York County.

ODP, Temple University Announce New “Interviewing the Victim” Training

Tue, 24 Mar 2026 12:56:12 GMT

The Office of Developmental Programs (ODP) and Temple University have developed a new online training module shared in ODPANN 26-036 . The newly released lesson provides an additional learning opportunity designed to enhance skills relating to interviewing the victim of an incident and supplies helpful information to Certified Investigators (CI), Administrative Review Committee members, CI Peer Reviewers, Incident Management (IM) Reps, and others involved in the incident investigation process. The “Interviewing the Victim” lesson has been added to the Additional Learning Opportunities section on the MyODP, PA ODP Certified Investigator Program Home page.

Please view the announcement for more details.

AARP Public Policy Institute Publishes New Research Insights on Brain Health

Tue, 24 Mar 2026 12:54:46 GMT

The American Association of Retired Persons (AARP) Public Policy Institute has released a series of new research insights that highlights American adults’ views on a variety of issue areas. One of the recent releases focuses on brain health and includes the following resource topics:

Healthy Eating
Dementia
Hearing and Brain Health
Traumatic Brain Injury
Music and Brain Health
Mental Health, Emotional Well-Being, and Resiliency
Delirium

Visit here to read more about each of these resource topics.

Medication Administration April–June 2026 Train-the-Trainer Face-to-Face Schedule Released

Mon, 23 Mar 2026 12:51:19 GMT

The Office of Developmental Programs (ODP) has shared the Medication Administration face-to-face schedule for April–June 2026 in ODPANN 26-035 . New Trainer classes are for first-time trainers who are designated as “New Trainer” and start at 8:30 am.

Recertifying Trainer Classes are available in the morning and in the afternoon according to the schedule. Morning classes are designated as AM Recertification classes and will start at 8:30 am. Afternoon classes are designated as PM Recertification classes and will start at 1:00 pm.

You may register for one of these sessions after completing the course materials in the Train-the-Trainer course on MyODP’s Medication Administration website .

Please review the announcement for class schedule and additional details.

From Data to Decisions: A Hands-On Workshop for Providers, SCOs

Mon, 23 Mar 2026 12:38:20 GMT

A Hands-On Workshop in Incident Management Data Organization, Analysis, Risk Identification, and Action Planning for Providers and Supports Coordination Organizations (SCO)

The Office of Developmental Programs (ODP) invites providers and SCOs to register for its training workshop “From Data to Decisions.” Findings from the most recent Quality, Assessment & Improvement (QA&I) cycle identified opportunities for improvement in conducting and documenting incident management trend analyses in accordance with IM Bulletin 00-21-02. To support this effort, ODP is hosting training sessions focused on using available tools, strengthening the analysis and documentation, and using risk management strategies to identify risk and develop effective actions.

Registration is free, but pre-registration is required to attend.

If you are a provider, register for one of four available sessions by following the registration links below:

If you are SCO staff, register below:

Friday, July 10, 2026, 9:00 am – 12:30 pm EDT

CMS Final Rule Implements Requirements for Administrative Simplification of HIPAA, ACA

Mon, 23 Mar 2026 12:34:49 GMT

The Centers for Medicare and Medicaid Services (CMS) has released the final rule that implements requirements of the Administrative Simplification subtitle of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), and the Patient Protection and Affordable Care Act (ACA), as amended by the Health Care and Education Reconciliation Act of 2010, enacted on March 30, 2010.

Specifically, this final rule adopts standards for health care claims attachments transactions, which will support health care claims transactions and a standard for electronic signatures to be used in conjunction with health care claims attachments transactions.

The final rule will slash wasteful spending and antiquated paperwork by swapping out faxing and mailing for streamlined electronic transactions. This action lets providers spend less time on administrative hassle and more time caring for patients and is projected to save the healthcare industry approximately $781 million on an annual basis.

The final rule will be published in tomorrow’s (March 24, 2026) Federal Register and will become effective on May 19, 2026. Covered entities must comply by May 19, 2028.

Service Coordinators Annual Review Process in HCSIS

Fri, 20 Mar 2026 14:08:25 GMT

The Office of Long-Term Living (OLTL) provided notification to Service Coordination Entities (SCE) of the annual review process in the Home and Community Services Information System (HCSIS) for the Act 150 program and OBRA Waiver. Use this link to find the procedures and instructions for entering these service plans in HCSIS starting Wednesday, April 1, 2026 .

The annual review process is a good time to review your caseloads and finalize any disenrollments or inactive service plans. Please reference the following documents for additional information, including how file closures may impact the current annual review process:

If you have any additional questions or wish to receive the attached forms in an alternate format, please contact Brian Lester via email or call 717-346-0716.

ODP Issues Reminder on 6100 Annual Training Requirements

Fri, 20 Mar 2026 14:03:27 GMT

The Office of Developmental Programs (ODP) has issued Announcement 26-034 reminding providers and Supports Coordination Organizations (SCO) of the annual training requirements under Chapter 6100. Key highlights include:

24 hours annually required for Direct Support Professionals (DSP), Support Coordinators, life sharers, and their supervisors.
12 hours annually required for administrative, management, and ancillary staff, as well as certain contractors, volunteers, and interns working independently with individuals.
Training must cover core topics, including person-centered practices, abuse prevention and reporting, individual rights, incident recognition, behavior supports (if applicable), and implementation of individual plans.
ODP offers free trainings via MyODP, many of which are NADSP-accredited and count toward credentialing.
Providers and SCOs must maintain detailed training records, and staff are responsible for retaining their own training transcripts.

Members are encouraged to review their current training practices to ensure full compliance with Chapter 6100 requirements.

Please direct any questions or feedback to Tim Sohosky .

Novitas Solutions Introduces New, Improved Medicare Navigator Program

Fri, 20 Mar 2026 13:58:31 GMT

Novitas Solutions, the Medicare Administrative Contractor (MAC) for Pennsylvania, has announced the introduction of a new and improved Medicare Navigator program for providers.

The program includes webinars focused on supporting providers so they can successfully navigate Medicare program requirements and submit complete, accurate transactions. March’s Medicare Navigator Program also spotlights the Foundations of Compliance :

March 24, Foundations of Compliance: Locating and Utilizing Local Coverage Determinations (LCDs)
March 26, Foundations of Compliance: Purposeful Documentation

Members are encouraged to review Novitas’s event calendar for the full listing of events and opportunities to register.

MHSN Coalition Urges General Assembly for Funding

Fri, 20 Mar 2026 13:55:44 GMT

The Mental Health Safety Net (MHSN) Coalition is a group of stakeholders participating in a joint advocacy effort to protect and preserve our mental health service delivery system. The Coalition’s first advocacy bulletin discusses the critical areas of funding for the FY 2026/27 budget, including community mental health, school-based services, crisis intervention services, Behavioral HealthChoices programs, and impacts associated with the implementation of H.R. 1.

The full letter can be read here .

RCPA invites all members, non-members, and systems-wide behavioral health stakeholders to participate in the Mental Health Safety Net Coalition meetings that will be occurring throughout the budget season. These meetings will serve to update the group on strategy, activities, and engagement opportunities.

Also note that the Mental Health Safety Net Coalition will also be participating in the RCPA Capitol Day on Wednesday March 25, 2026 , with the event starting at 10:00 am in the Capitol Rotunda in Harrisburg.

Please contact Emma Sharp with any questions or if you would like to join the Coalition.

2026 CMS Burden Reduction Conference: Recordings and Key Takeaways

Fri, 20 Mar 2026 13:53:34 GMT

From Centers for Medicare & Medicaid Services (CMS):

On February 25, 2026, the Centers for Medicare & Medicaid Services (CMS) had the pleasure of hosting the 2026 CMS Burden Reduction Conference. Thank you to everyone who joined us, both in person and virtually, and contributed to such a thoughtful and energizing discussion.

Conference videos are now available here .

This year’s conference featured a keynote address from CMS Administrator Dr. Mehmet Oz, opening remarks from CMS Chief Operating Officer and Deputy Administrator Kim Brandt, closing remarks from CMS Center of Medicare Director, Deputy Administrator, and HHS Chief Counselor Chris Klomp, and panel discussions focused on:

Increasing transparency in healthcare;
Transforming chronic care; and
Using technology and AI tools to empower clinicians and patients.

What We Heard

Across conversations, several clear and actionable themes stood out:

A call for faster, more measurable action:
Stakeholders are looking to CMS to simplify requirements, better align programs, and deliver changes that are clear and trackable.
Prior authorization is a top near-term opportunity:
Participants emphasized more standardized, transparent, and automated processes, including reduced documentation and real-time decisions.
Stronger Medicare Advantage oversight can reduce downstream burden:
Clearer expectations and more consistent enforcement across MA plans were seen as key to reducing friction for providers and improving patient experience.
Administrative burden impacts patient access:
Burden is not just operational, it contributes to delays in care, clinician burnout, and reduced capacity.
Technology should reduce work, not add to it:
Stakeholders support AI and digital tools that eliminate manual processes and integrate into existing workflows.

At CMS, we are committed to turning these insights into action, advancing meaningful, measurable changes that reduce burden and improve care. CMS also remains committed to continuing this dialogue and working alongside all of you as we move forward.

Thank you again to the nearly 2,000 participants from across the country who made this conference such a success. The momentum from this conference is just the beginning and we’re excited for what’s ahead as we work together to improve patients’ lives by transforming how care is delivered and putting Patients over Paperwork!

Materials from March 2026 LTSS Meeting

Thu, 19 Mar 2026 20:51:32 GMT

In addition to the OLTL updates, key items presented included the trends in PAS Person-Centered Plans and ensuing reductions in hours . This highlighted significant differences between the three CHC-MCOs.

The in-depth presentation of Assisted Living Facilities as an “in lieu of” service provides the platform for potentially introducing this setting as part of the acceptable community settings, where other waiver services may be delivered. This would also be a departure from Pennsylvania’s definition of HCBS settings, but aligns with 23 other states where Assisted Living is included in the HCBS waivers.

If you have any questions, please contact Fady Sahhar .

PA Family Network Announces April 2026 Workshops

Thu, 19 Mar 2026 16:32:51 GMT

Please share these important workshops and support groups with your networks! Register here for upcoming events.

Good Life Group, Support Groups

Caregiver Support Group : Wednesday, April 1 and Tuesday, April 21
Sibling Good Life Group : Monday, April 27

Life Course Workshops

Peace of Mind Long-Term Planning : Thursday, April 30
Using the LifeCourse to Plan and Problem Solve Part 1 & 2: Thursday, April 2 and Thursday, April 9

Waiver Workshops

Waiver Basics Part 1: Monday, April 6 and Friday, April 10
Waiver Basics Part 2: Saturday, April 11 and Monday, April 13
Advanced Waiver Basics Part 1 & 2: Tuesday, April 14 and Tuesday, April 28
Advanced Waiver Basics, Saturdays Part 1 & 2: Saturday, April 18 and Saturday, April 25

Office of Developmental Programs April 2026 Training and Events Calendar

Thu, 19 Mar 2026 15:56:19 GMT

View the April 2026 training calendar here .

Registration for Certified Investigator (CI) Initial Certification Course Now Open!

Thu, 19 Mar 2026 15:01:07 GMT

The Office of Developmental Programs (ODP) has shared communication ODPANN 26-033 , to announce that registration for the May – August 2026 CI Initial Certification Course cohorts is now open in MyODP.

To Register for a cohort of the Initial Certification course:

Log into your MyODP.org account.
Go to the Certified Investigator Initial Certification Course Information page.
Read the information on the page to ensure you understand certification eligibility and course completion requirements.
Follow the instructions on the “Certified Investigator Initial Certification Course Registration for May – August 2026” section of the page.

Please review the announcement for more details.

National Center on Law & Elder Rights Contract Terminated

Wed, 18 Mar 2026 13:44:44 GMT

View the announcement here.

Excerpt below:

The Trump Administration has terminated Justice in Aging’s contract to administer the National Center on Law and Elder Rights (NCLER) , effectively ending a critical program that efficiently protected elder rights, promoted the well-being and independence of older adults, and helped them live free from abuse and exploitation.

NCLER, a resource center which Justice in Aging operated for nearly ten years, provided tools, specialized expertise, and trainings to assist legal and aging services providers in serving their low-income older adult clients.

IM4Q Annual Statewide Training to Be Held July 21–22

Wed, 18 Mar 2026 13:42:51 GMT

View the flyer for details.

Senate Health and Human Services Committee Holds Hearing On Medication to Treat OUD; RCPA Testifies

Wed, 18 Mar 2026 13:38:50 GMT

The Senate Health and Human Services Committee held a hearing on Tuesday, March 17, to discuss the role of medication to treat opioid use disorder. RCPA SUD Treatment Services Policy Director Jason Snyder was one of six to testify at the hearing .

RCPA testified that although its SUD treatment provider members advocate for medication and behavioral therapies as the most effective pathway for patients to stop their use of illicit opioids and begin making the many difficult changes necessary to sustain their recovery, any policy that creates barriers to accessing medication puts lives at risk.

Video of the hearing is also available online (Jason’s testimony begins at the 24:19 mark).

Chester County Chosen for National Youth Mental Health Pilot, Supported by RCPA Member NAMI Keystone

Tue, 17 Mar 2026 13:47:59 GMT

Article by MyChesco : Published March 13, 2026

Excerpt below:

WEST CHESTER, PA — Chester County has been selected as one of six counties nationwide to pilot a training program designed to help police, first responders, and community providers better respond to youth experiencing mental health crises.

What This Means for You

Local police, educators, and first responders are receiving specialized training on youth mental health.
The program aims to improve how young people in crisis are identified and connected with services.
Chester County will help test a national pilot that could expand to other communities.

RCPA to Convene Adult MH Residential Work Group

Mon, 16 Mar 2026 12:38:24 GMT

As RCPA continues to serve our members’ needs across the behavioral health service continuum, we will be convening an Adult Mental Health Residential Work Group. This committee will be structured and function in a similar manner to our other work groups, with the goal being to address the outlying barriers providers face within the residential services arena.

RCPA is at its best with committed partnership and collaboration; therefore, the committee will be open to all RCPA members. We will tentatively have our first meeting in late April or early May, after we develop our participant list. The early work will include the development of a strategic agenda that begins to address the challenges related to regulations, workforce, program sustainability, and operations.

If you are interested in participating, please contact RCPA COO and Mental Health Policy Director Jim Sharp via email .

RCPA Publishes White Paper Detailing School-Based Mental Health Blueprint

Mon, 16 Mar 2026 12:34:37 GMT

RCPA has published an updated position paper outlining community-based mental health services and school-based mental health partnerships. Governor Shapiro has once again proposed $100 million dollars in his budget for school mental health and safety, and RCPA has provided a blueprint for effective allocation, including a deepened partnership between schools and community providers.

A question regarding the proposed $100 million for school-based mental health was posed in the DHS Senate budget hearing, specifically concerning the lack of collaboration between existing community providers and the schools. RCPA will be sharing this position statement with the Senators who voiced their concern on the matter.

RCPA would like to thank its School-Based Behavioral Health Committee for their partnership in drafting this position paper and for their continued advocacy for student mental health.

Please contact RCPA Policy Associate Emma Sharp with any questions.

NCI-AD Releases "Care That Counts" Study Detailing Paid Family Caregiving

Mon, 16 Mar 2026 12:31:46 GMT

Read the study here.

Summary:

The National Core Indicators - Aging and Disability (NCI-AD) recently released a study summary infographic of "Care that Counts," a new study about paid family caregiving. NCI-AD is a collaboration between ADvancing States, Human Services Research Institute, and participating states.

The goal of Care that Counts was to better understand how caregiving is associated with the quality of life of people who use home and community-based services (HCBS). The study found that, compared to those whose main helper is a paid staff person, people whose main helper is a paid family member are significantly more likely to report positively about their services and supports. In addition, the people who reported the lowest rates of caregiver turnover were the people whose main helper was paid family.

OCDEL Announces Coordinated Mass Rate Adjustment for Processed and Paid Early Intervention Claims

Fri, 13 Mar 2026 13:35:58 GMT

The 2025/26 Budget signed by Governor Josh Shapiro included an additional $13.2 million in state funding for Early Intervention services, with $10 million of this funding specifically targeting provider rates. Last month, the Office of Child Development and Early Learning (OCDEL) released Announcement EI 26-03 and the 2025/26 Fee Schedule , which included a 7% rate increase for Early Intervention services, with some exceptions.

This week, OCDEL announced next steps for a coordinated mass adjustment for processed and paid Early Intervention claims for services delivered in Fiscal Year 2025/2026. The adjustment process will begin the week of March 16, 2026; OCDEL did not give a timeline for completion.

The notice reads:

The Office of Child Development & Early Learning is preparing to perform a Mass Claims Adjustment for all PAID CLAIMS of Early Intervention services that contain a date of service between 7/1/25 – 3/8/26 and were filed on or before 3/8/26. The adjustment process will begin the week of 3/16/26. Due to the high volume of claims, they will be processed in batches. OCDEL is committed to providing updates on the progress of the mass adjustment throughout the week.

Any providers with paid claims that contain a date of service between 7/1/25 – 3/8/26 and were filed on or before 3/8/26 do not need to process their own claims adjustments. When the Mass Claims Adjustment is completed, providers will receive Payment Files and RAs (as applicable) displaying a new ICN beginning with 52. A uniform “billed amount” is being applied to this special Mass Adjustment of $1,000. All claims will correctly “cut-back” to the new Fiscal Year 2025-2026 rates.

Providers are responsible for the following:

Using the newly published Fiscal Year 2025-2026 Fee Schedule — File NEW claims on or after 3/9/26 that contain a date of service on or after 7/1/25.
Using the newly published Fiscal Year 2025-2026 Fee Schedule — Adjust claims filed on or after 3/9/26 that contain a date of service on or after 7/1/25 if the OLD fee schedule was used.

While it is not recommended that providers submit their own Claims Adjustments for PAID CLAIMS of Early Intervention services that contain a date of service between 7/1/25–3/8/26 and were filed on or before 3/8/26, this will not impact the OCDEL initiated Mass Claims Adjustment.

For OCDEL initiated Mass Claims Adjustments, denied claims will be reported directly from our MMIS provider to OCDEL. In the unlikely event of a Mass Claims Adjustment denial, an OCDEL team member will reach out to the County in which your claims denied to coordinate corrections.

OCDEL would like to remind providers of the timely filling of all claims.

Timely Filing

The regulation at 55 Pa. Cde § 1101.68 (relating to invoicing for services) establishes requirements for submitting claims for services rendered. Early Intervention evaluations, IFSP services and Service Coordination claims are all required to follow this regulation.

There are only a few exceptions that are permitted which are related to PELICAN-EI record issues when there is a change of the child’s MCI or a record change for an adoption. OCDEL is not permitted to allow payment for claims submitted beyond the 180-day regulatory timelines for reasons including but not limited to provider billing errors, billing software issues or personnel vacancies/absences.

Any claims filed after the 180-day filing limit will result in a suspended status. When this happens, an email must be sent immediately to ra-ocdintervention@pa.gov with the ICN for the suspended claim and a description for the system reason. If an email regarding the suspended claim(s) is not received, the claim will be automatically denied.

Please forward this message to your contracted providers and direct any questions to your assigned EI Advisor.

OCDEL would like to remind providers of the opportunity to receive claims processing training Gainwell Technologies.

Gainwell Technologies offers PROMISe™ enrollment and billing training for Early Intervention providers. Accessing these training courses is a good opportunity for all Early Intervention providers to be supported in implementing accurate enrollment and billing practices.

PROMISe™ Provider Education & Training :

Webinar recordings are available on the website related to:

How to Submit 180 Day Electronic Submissions and ACN Electronic Attachments
How to Submit Revalidations, Reactivations, and Change Request Applications

Provider Portal Training on the topics listed below are also offered on request. Training is conducted via a virtual room (VR) and can be requested via email .

Providers should please include the following information when making a request: 13-digit Provider Number, Provider name, Contact name and phone number:

Review of PROMISe™ Portal including registration
Eligibility Verification
Claim completion review (new, adjustments and voids)
Claim Inquiry Search
Enrolled Provider Search
ERA and EFT Enrollment
Review of Remittance Advice Statement
Enrollment Information
Review of DHS Website including fee schedule, MA regulation, MA Bulletins and Provider Quick Tips

Questions should be directed to the County in which services are contracted.

Visit here for more information on Claims Processing Steps. Contact Cindi Hobbes if you have any questions.

Autism Spectrum Disorder Seminar 2026 — Registration Now Open!

Fri, 13 Mar 2026 13:25:49 GMT

Topic — Best Practices in Behavioral Assessment and Treatment

Regardless of our role, we should all continuously strive to implement best practices when supporting someone who may have behaviors that are challenging or not yet understood. This training will focus on ways that, within your role, you can ensure that the behavioral support you are providing is sound, appropriate, and implemented with fidelity and integrity. ODP will offer two tracks held across different days and times that focus on the role you play in this process.

Please choose 1 date for the appropriate track that best represents your role. There is no cost to attend the training, but pre-registration is required.

Note: Both tracks will provide best practice information grounded in peer-reviewed and evidence-based research and will not address ODP program-specific service definitions, procedures, or guidelines.

Track 1 is for any Behavioral Specialist (and their supervisors) who completes behavioral assessments, develops behavioral plans, and trains others on the implementation of the plan. This session will discuss best practices to conduct better assessments and develop better behavioral support plans while acknowledging barriers and pitfalls to these processes.

Virtual Session on Microsoft Teams. Please attend only 1 session. All sessions will cover the same material.

April 9, 2026, 1:00 pm – 3:00 pm
April 12, 2026, 10:00 am – 12:00 pm
April 16, 2026, 9:00 am – 11:00 am
April 20, 2026, 12:00 pm – 2:00 pm

Track 2 is for any professional (and their supervisors), including Supports Coordinators (SC) , who implements behavioral plans and who work directly with individuals. This session will present an introduction to the essential components of effective behavioral assessment and treatment with an emphasis on best practices to support the implementation of a Behavioral Support Plan.

Virtual Session on Microsoft Teams. Please attend only 1 session. All sessions will cover the same material.

April 10, 2026 12:00 pm – 2:00 pm
April 15, 2026 11:00 am – 1:00 pm
April 17, 2026 11:00 am – 1:00 pm
April 23, 2026 2:00 pm – 4:00 pm

Presented By:
The ODP Clinical Team
Register Here

Continuing Education Units (CEU):
This training satisfies the basic autism training requirement for Residential Performance-Based Contracting measures CN-DD/Bx.01.1S and CN-DD/Bx.01.1CE for all Direct Support Professionals (DSP), Frontline Supervisors (FLS), and program managers.

This training also fulfills 6100 ongoing training requirements.

Please contact the Bureau of Supports for Autism and Special Populations (BSASP) Training Inb ox with questions.

Brain Injury Association of America Shares 2026 State of Brain Injury Report

Fri, 13 Mar 2026 12:28:58 GMT

Read the report here.

RCPA Partner Clinically AI Inducts RCPA President and CEO Richard Edley Into Behavioral Health Hall of Fame, Discusses Advocacy for Human Services

Thu, 12 Mar 2026 13:18:23 GMT

RCPA Partner Clinically AI announced on Wednesday, March 11 , that it was inducting RCPA President and CEO Richard Edley into its Behavioral Health Hall of Fame. Richard has been recognized for his career in advocating for those in health and human services, and during a discussion with Clinically AI on their podcast “The Tea in Behavioral Health,” Richard discussed both his history and how he got started as well as the current major trends in behavioral healthcare.

You can listen to the podcast here as well as read the newsletter detailing Richard’s achievements. As Clinically AI notes:

Richard Edley built RCPA from a quiet association into a 420-organization powerhouse that fights for behavioral health at every level of government. His induction into the Behavioral Health Hall of Fame recognizes decades of advocacy that has shaped policy, protected funding, and made sure behavioral health always has a seat at the table.

March is Cerebral Palsy Awareness Month

Thu, 12 Mar 2026 13:09:03 GMT

View the Awareness Month Guide.

Can A Polarizing Kennedy Deliver on the Great American Recovery Initiative?

Wed, 11 Mar 2026 20:43:58 GMT

US Health and Human Services (HHS) Secretary Robert F. Kennedy Jr.’s beliefs and philosophy on addiction and recovery can elicit strong emotions and reactions.

There are some who refer to him as a “crackpot,” pushing antiquated, ineffective, and potentially dangerous solutions instead of focusing on evidence-based treatments and programs that research has demonstrated to be effective. His promotion of “ healing farms , ” for example, has been much maligned among some advocacy movements.

To other, less vocal camps, Kennedy is a sane voice in the wilderness, a sage put in a position of power to not only carry a message of real recovery but to implement policies that align with his own experience. He is not shy about his recovery from addiction through a 12-step program for which a higher power is a foundational element.

President Trump’s recent executive orde r establishing the Great American Recovery Initiative is the most concrete example yet of Kennedy’s opportunity to imprint the treatment and recovery system.

According to a Feb. 2 press rel ease from HHS , “The centerpiece of this plan is a $100 million investment to solve long-standing homelessness issues, fight opioid addiction, and improve public safety by expanding treatment that emphasizes recovery and self-sufficiency.”

The $100 million will fund a pilot program called STREETS – Safety Through Recovery, Engagement and Evidence-Based Treatment and Supports. It intends to build “integrated care systems for people experiencing homelessness, substance abuse and mental health challenges and helping them find housing and employment.”

Reaction has been lu kewarm at best and highly critical at worst , likely in part to the dearth of details about the pilot program, including basic information about how the program will actually operate as well as which eight cities will be included. Moreover, this very work to attempt to integrate beyond physical and behavioral health to include health-related social needs has been going on in communities for many years. In addition, the Trump administration’s ongoing negative rhetoric about and actions toward harm reduction and its whipsaw approach to SAMHSA grant funding have generated skepticism and criticism. Kennedy himself is a reason for much of the apprehension.

His unabashed embrace of abstinence, spirituality, and God—hallmarks of 12-step programs that many advocates have continually criticized for their doctrine of powerlessness over addiction—feels threaded throughout STREETS. In fact, Kennedy intends to “welcome full participation from faith-based organizations in (SAMHSA’S) programs and activities.” And descriptions of his own recovery seem to differ from what had been a recently emerging mentality that claimed someone is in recovery when they say they’re in recovery, despite other personal actions that may conflict with longstanding recovery beliefs.

Yet to this point, Kennedy has not implemente d any policies that have directly limited access to medications to treat addiction. As well, there is an argument to be made that his emphasis on connection, spirituality, and religion are, in fact, rooted in science .

Is Kennedy’s approach and demeanor at times hard to accept? Is he (even purposely) out of touch with or dismissive of how the public discourse and science have evolved over the past 15 to 20 years? For many, yes. C onsider the example of how he refers to “addicts” and “alcoholics” in recently launching a bipartisan initiative called Action for Progress with his cousin Patrick Kennedy.

Still, he has the opportunity t o walk the tightrope to leverage his experience and philosophies in a way that improves the treatment model in place today, creating a stronger continuum of care—including medication and other evidence-based practices—for those suffering from substance use disorder, enabling social connectedness, sense of community, belongingness, and meaning and purpose. Not only are these values Kennedy holds, they are key tenets of SAMHSA’s working definition of recovery .

With his first sub stantive SUD initiative in his hands, time will soon tell whether he can—or is willing—to walk that line.

National Council Shares White Paper and Recommendations on HR1 Work Requirements

Wed, 11 Mar 2026 17:16:19 GMT

From our partners at the National Council for Mental Wellbeing:

As part of our ongoing efforts to assist you with implementation of H.R. 1, the National Council for Mental Wellbeing’s Policy and Advocacy Team is preparing a series of white papers on several of the bill’s Medicaid provisions. The first in this series is, “ H.R. 1 and the Impact of Medicaid Work Requirements .”

H.R. 1 introduces significant changes to Medicaid, including new community engagement (work) requirements for Medicaid expansion enrollees. With implementation beginning in most states on Jan. 1, 2027, and state systems under pressure, we wanted to equip you with a clear, practical resource for navigating the new requirements.

“H.R. 1 and the Impact of Medicaid Work Requirements” provides background information on the requirements delineated in H.R. 1, lessons learned from previous work requirement implementation efforts by several states, and recommendations for clinics and the Centers for Medicare and Medicaid Services (CMS) on best practices for implementation.

We recognize that many of your organizations serve people who are most directly affected by these changes, including people living with mental health and substance use challenges who may qualify for exemptions under the law. While we await work requirements guidance from CMS, our goal is to make sure you have the most up-to-date information and tools available to help protect continuity of care for your clients.

We hope this white paper serves as a helpful resource as you plan for implementation. Please don’t hesitate to reach out via email with any questions related to this resource or any other issues regarding H.R. 1.

ODP to Launch Updated SPeCTRUM Course April 2026

Wed, 11 Mar 2026 13:02:36 GMT

The Office of Developmental Programs (ODP) and the Bureau of Supports for Autism and Special Populations (BSASP), in collaboration with Autism Services, Education, Resources, and Training (ASERT), has announced the upcoming release of a new SPeCTRUM training course. This updated course will replace the existing SPeCTRUM 2.0 currently available on MyODP. The revised SPeCTRUM training will include enhanced webinar capabilities, updated content, and a variety of interactive learning features designed to support an improved and more engaging learning experience for participants.

For applicable providers of the Consolidated Waiver, in the interim of this new course becoming available, the recording of the Autism Spectrum Disorders: An Overview and Practical Application is now available as an alternative to SPeCTRUM 2.0 for the purposes of satisfying the basic autism training requirement for Residential Performance-Based Contracting measures CN-DD/Bx.01.1S and CN-DD/Bx.01.1CE for all Direct Support Professionals (DSP), Frontline Supervisors (FLS), and program managers. This training also fulfills §6100.143 ongoing training requirements. Users will be required to view 4 hours’ worth of training content and pass a 10 question quiz before the course displays on MyTranscript.

Staff providing services under the Adult Autism Waiver (AAW) and Adult Community Autism Program (ACAP) are required to take SPeCTRUM 2.0 or the upcoming updated SPeCTRUM course once it becomes available. Additional communication is forthcoming.

MyODP users who are currently working toward completion of the SPeCTRUM 2.0 course must complete all required modules by 11:59 pm on Tuesday, March 31, 2026. The course will be retired effective April 1, 2026, and will no longer be accessible on MyODP. Any incomplete progress toward module completion that has not been finalized by the deadline will not be retained.

RCPA Member Achieva Announces Planned Retirement of President and CEO Steve Suroviec

Wed, 11 Mar 2026 13:00:22 GMT

Press Release From RCPA Member Achieva : Published March 10, 2026

Excerpt below:

Pittsburgh, PA - Achieva, a leading disability services organization in southwestern Pennsylvania, announced today that its President and CEO, Steve Suroviec, will retire at the end of 2026. Suroviec, who joined Achieva in December 2017, shared his plans with the Board of Trustees during their March 9th meeting.

Suroviec is widely recognized for championing innovation and person-centered culture, strengthening Achieva’s financial position, and being a stalwart supporter of Achieva’s advocacy and family support mission.

NTG Announces Webinars on Dementia Care for Adults With IDD

Tue, 10 Mar 2026 12:54:39 GMT

View the flyer for details.

DHS Shares SNAP Employment and Training Programs

Tue, 10 Mar 2026 12:51:26 GMT

The Pennsylvania Department of Human Services (PA DHS) has developed a communications toolkit available at DHS’s website to help Pennsylvanians understand SNAP work and reporting requirements as well as how to meet them.

SNAP Employment and Training (E&T) services are important for Pennsylvanians who are applying for or receiving SNAP and who must meet federal work and reporting requirements because these services will help them meet the requirements.

SNAP recipients must work, volunteer, or participate in an education or training program for at least 20 hours a week (or 80 hours each month) AND report to PA DHS they are meeting this requirement. If SNAP recipients do not meet the work and reporting requirements, they can only receive three months of SNAP benefits in a three-year period.

Please contact RCPA Policy Associate Emma Sharp with any questions.

CMS Issues Guidance on Medicaid Eligibility Determinations

Tue, 10 Mar 2026 12:48:15 GMT

From our national partners at ANCOR:

The Centers for Medicare & Medicaid Services (CMS) released guidance on the implementation of the Medicaid eligibility-related requirements from last year’s budget reconciliation legislation that, among other things, requires states to verify the eligibility of beneficiaries in the Medicaid expansion population every six months beginning January 1, 2027.

In this guidance letter, CMS provides a summary of the eligibility changes required by the new law along with the following direction and clarification to states in the implementation of these new requirements:

A reminder for states that, as they begin conducting six-month renewal activities, they will also need to ensure beneficiary compliance with Medicaid work and community engagement requirements;
A description of different options, along with illustrative examples, for states to consider in implementing six-month eligibility redeterminations for both new and existing beneficiaries;
How states should treat households with different renewal schedules, movement between eligibility groups at the time of renewal, and coordination with recertifications or reviews for other government-funded programs, such as the Supplemental Nutrition Assistance Program (SNAP); and
Directions for states to submit a state plan amendment (SPA) no later than March 31, 2027, to reflect compliance with the new eligibility redetermination requirements.

For additional information about the 2025 budget reconciliation law, please visit CMS’s technical assistance and guidance website as well as ANCOR’s Medicaid Resource Center .

Inside Aging March 2026 Newsletter Now Available

Mon, 09 Mar 2026 12:42:42 GMT

Read the newsletter here.

IN THIS ISSUE: Focus on Aging News : First Local Area Agencies on Aging Develop Teams to Protect Older Adults from Abuse, Direct Care Worker Survey, PA CareKit Learning Opportunities, Volunteer Conference | What's New in the Commonwealth : Provide Input – Governor’s Advisory Commission on Women Survey, Property Tax/Rent Rebate Program Offers Help with Applications, Medicare Advantage Open Enrollment, LIHEAP Enrollment Open and More | Good Feels : Korean War Veteran Celebrates 100th Birthday, Celebrating Retirements | In-person and Virtual Events : Registration Open for PA Senior Games, Mid-Atlantic Intergenerational Conference, PA Women Veterans Conference and Resource Fair and More

ODP Publishes Final Supports Coordination, Targeted Support Management Rates Effective July 1, 2026

Fri, 06 Mar 2026 13:28:02 GMT

The Office of Developmental Programs (ODP) has shared ODPANN 26-031 . The purpose of this announcement is to inform stakeholders that rates effective July 1, 2026, for Supports Coordination funded through the Consolidated, Community Living, and Person/Family Directed Support (P/FDS) Waivers and TSM have been published as final in the Pennsylvania Bulletin, Volume 56, Number 10 , published on Saturday, March 7, 2026 .

To align payment with outcomes, beginning July 1, 2026, all SCOs will receive:

Monthly case rates for Consolidated and Community Living Waiver participants;
Monthly case rates for P/FDS Waiver participants and individuals who receive Intensive TSM;
A standard case rate for individuals receiving Standard TSM paid upon completion of an annual Individual Support Plan and upon completion of required mid-year monitoring; and
One flat fee-for-service rate that covers each individual’s initial person-centered planning and initial Individual Support Plan development.

Please view the announcement for more details.

DHS HR 1 Medicaid Steering Committee Update

Fri, 06 Mar 2026 13:24:40 GMT

As the Pennsylvania Department of Human Services (DHS) prepares for the upcoming changes in the federal Medicaid standards set for implementation in January 2027, DHS has convened a statewide HR1 Steering Committee. This group is tasked with reviewing policy and practice drafts from the Department as it relates to their response to the pending Medicaid changes, including new eligibility and work requirements for recipients and communicating the implementation of Pennsylvania’s overall plan.

The steering committee is comprised of state leadership, advocates, and payers. RCPA providers will be represented by RCPA President and CEO Richard Edley. RCPA’s involvement will bolster our role as a lead advocate for members and stakeholders as it relates to Medicaid HR 1 activities. Additionally, RCPA has contracted with former Pennsylvania Medicaid Director Leesa Allen to assist in developing our internal strategies and advocacy platform.

The steering committee had its initial meeting yesterday, March 5, 2026, to lay out the groundwork for the group and presented an initial PowerPoint presentation that looks at some of the foundational information around Medicaid, CHIP, and SNAP changes.

If you have questions or feedback, please contact your respective RCPA Policy Director or COO Jim Sharp .

DHS House Budget Hearing Summary and RCPA Divisional Highlights

Fri, 06 Mar 2026 13:20:12 GMT

This week, March 2-6, the Pennsylvania House Appropriations Committee held their budget hearing for the Department of Human Services (DHS), giving legislators an opportunity to ask the Department questions regarding the proposed Fiscal Year (FY) 2026/27 budget.

Many of the questions posed by legislators were in regard to federal changes from HR 1 and the impacts that these changes will have on Pennsylvanians. DHS Secretary Arkoosh explained how changes presented in HR 1 will affect the Commonwealth’s Medicaid and SNAP systems, as well as how these changes are directly reflected in the proposed budget. The changes made to Medicaid through HR 1 will result in an increased number of uninsured Pennsylvanians and a potential $20 billion cut to the program over the next decade. The Secretary noted this would be a worst-case scenario but a scenario that stakeholders need to be mindful of. She also explained that Governor Shapiro has proposed several initiatives to help reduce the future Medicaid spend, such as the Food is Medicine program and housing supports for unhoused individuals with significant medical conditions. These programs will be evaluated for their effectiveness for the possibility of future expansion.

Legislators are also concerned with how these changes will impact Pennsylvania’s hospitals, since an increase in uninsured individuals will lead to an increase in uncompensated care, putting more hospitals at risk of closure, as many are already operating with negative profit margins. Legislators asked if the $193 million that Pennsylvania secured through the Rural Health Transformation Program (RHTP) will be utilized. Secretary Arkoosh explained that the dollars will be allocated to each region using a formula allocation, then the region will be able to prioritize how those dollars are used based on what is allowed in the grant. The Secretary noted that, unfortunately, RHTP grant dollars are not allowed to be used to aid in covering hospital operating expenses.

RCPA Divisional Highlights:

Behavioral Health:

Behavioral Health Capitation: Legislators voiced concern that increases in capitation will become unsustainable and were interested in possibilities to reduce the cost of growth while still acknowledging that this is necessary expenditure. Secretary Arkoosh assured the House that DHS has developed programs that will lead to lower Medicaid utilization. She also noted that through fraud, waste, and abuse efforts, the state has recouped more than $400 million in recoveries in the last year, and the state is continuing to ensure that payment error rates remain as low as possible.
County Mental Health Funding: Secretary Arkoosh states that despite Governor Shapiro’s initial investments in County Mental Health Base Funding, they have fallen short of the $60 million investment that was promised. The Office of Mental Health and Substance Abuse Services (OMHSAS) is working with counties for a consolidated community reporting initiative to indicate how the money has been spent by the counties and joinders. As of December 2025, 97% of counties or joinders have submitted their data for the report.

Brain Injury:

Residential Habilitation Rate Increases: Representative Flood focused on the findings from the HCBS Rate & Wage Study from 2025 that showed rate inadequacies that exist in HCBS. Specifically, a 44% rate increase was necessary for Residential Habilitation services, along with the lack of rate increases to this group of providers since 2010. Secretary Arkoosh was also asked whether there is a capacity issue. Secretary Arkoosh cited that they have no evidence of a wait-list issue. When asked if DHS is considering a future increase for this group of providers, Secretary Arkoosh stated they have no evidence that individuals are not getting the services they need, and that if an individual had an unmet need, CHC-MCO Service Coordinators would report this. Regarding rates, Arkoosh stated the providers are able to negotiate their rates with the CHC-MCOs.

Children’s Services:

Representative Donahue referenced the 2024 Early Intervention Rate Methodology Study, which found that infant and toddler EI services are underfunded by about $71 million statewide, and asked if DHS has a plan to close the gap. The Secretary did not commit to additional funding but ensured that the Department is monitoring rates and access to services, believes that provider networks are adequate, and that children are receiving services. She mentioned that DHS would raise the issue again if they determine a rate increase becomes essential.

Intellectual Disabilities & Autism:

Placement of Individuals with ID/A in Community HealthChoices vs. ODP Waivers: Appropriations Committee members raised concerns about individuals with intellectual disabilities or autism (ID/A) who are placed in the Community HealthChoices (CHC) program rather than the Office of Developmental Programs (ODP) waiver system. Secretary Arkoosh clarified that CHC is an entitlement program and some individuals with ID/A may qualify for it while they wait for an ODP waiver slot. For individuals whose primary needs are medical or nursing services, CHC may be sufficient. However, for those who require specialized developmental disability supports such as habilitation, skill development, and disability-specific staffing, CHC may not fully meet their needs because providers are not specifically trained for the ID/A population. As a result, some individuals remain on the adult emergency waiting list for ODP waivers while receiving partial services through CHC.
Reducing the ID/A Emergency Waiting List: During the hearing, Secretary Arkoosh addressed questions regarding Pennsylvania’s emergency waiting list for individuals with intellectual disabilities and autism. DHS reported that the list has been reduced by approximately 31% since 2024 due to a combination of increased state funding for additional waiver slots and policy changes allowing counties greater flexibility to manage services within budget allocations rather than fixed slot counts. Once an individual is enrolled in an ODP waiver, they are removed from the waiting list because the program becomes responsible for meeting their assessed needs through services or unpaid supports. Oversight occurs through supports coordinators who meet regularly with participants to ensure service plans are implemented. The Department also monitors spending and service authorizations through dashboards shared with counties to ensure resources remain within appropriated budgets.
Access to Services Challenges After Waiver Approval for Individuals with ID/A: Appropriate Committee members shared concerns from families that even after individuals with intellectual disabilities receive approval for waiver services, they may struggle to access those services because providers lack sufficient workforce capacity. Constituents described situations where individuals technically have service authorization but cannot find staff or providers to deliver supports. DHS acknowledged that these challenges can occur and explained that service coordination systems track individuals’ needs and monitor whether services are being delivered as planned. While the state may authorize services through waiver enrollment, the ability to fully implement those services can depend on provider staffing levels and workforce availability. This issue reflects broader workforce shortages in human services and affects how quickly individuals can begin receiving the full set of supports for which they are eligible.
Note: RCPA has requested DHS provide data around the “hidden” waiting list where an individual is authorized but does not receive any/all of the services needed.

RCPA would like to thank the legislators who took the time to ask questions impacting our membership. Please contact your RCPA Policy Director with any questions.

ODP Introduces New Communication Corner Quarterly Newsletter

Thu, 05 Mar 2026 15:21:24 GMT

View the newsletter.

Federal Committee Requests Information From PA on Medicaid Program Integrity

Thu, 05 Mar 2026 15:19:26 GMT

The U.S. House Energy and Commerce Committee recently sent a letter to Governor Josh Shapiro and DHS Secretary Valerie Arkoosh requesting information about fraud, waste, and abuse prevention in Pennsylvania’s Medicaid program. The request is part of a broader federal oversight effort examining Medicaid program integrity following recent fraud investigations in multiple states. Similar letters were also sent to officials in ME, NE, NY, OR, WA, VT, CO, CA, and MA .

The Committee is seeking details on Pennsylvania’s fraud prevention efforts, including audits, provider screening processes, improper payment recovery, enforcement actions, and oversight of Medicaid programs, such as Home and Community-Based Services.

The letter references several recent Medicaid fraud prosecutions in Pennsylvania. However, it also highlights that Pennsylvania’s Medicaid Fraud Control Section charged more fraud cases than any other state in FY 2024 and ranked third nationally in criminal convictions. The fact that these cases were identified and prosecuted demonstrates that Pennsylvania’s fraud, waste, and abuse prevention systems are actively working to detect and address wrongdoing.

RCPA recognizes that this new federal focus on Medicaid program integrity may intersect with our ongoing advocacy to eliminate the requirement for signed encounter forms in Medicaid-funded services. RCPA has long maintained that the current requirement is administratively burdensome and does not meaningfully strengthen program integrity compared to other documentation and verification mechanisms already in place. While our advocacy continues, increased federal scrutiny around fraud prevention may influence how state and federal policymakers evaluate documentation and verification requirements moving forward.

The Pennsylvania Department of Human Services must submit responses to the Committee by March 17, 2026. RCPA will continue to monitor developments and provide updates as appropriate.

CMS Delays Enforcement of Grievance System Requirements of Access Rule

Thu, 05 Mar 2026 15:17:40 GMT

From our national partners at ANCOR:

The Centers for Medicare and Medicaid Services (CMS) released an informational bulletin announcing that it will not take enforcement action against states with respect to the Fee-For-Service grievance system requirements included within the Ensuring Access to Medicaid Services final rule (Access Rule).

The Access Rule requires states to have such systems in place by July 9, 2026. However, CMS will now delay its enforcement of those requirements until December 31, 2027. CMS states that it will use this time to “consider proposing changes to these requirements in future notice-and-comment rulemaking.”

According to CMS, this delayed enforcement will also provide states more time to integrate their electronic grievance systems into their incident management systems. Additionally, it will allow them to focus more resources toward implementation of the provisions of last year’s budget reconciliation legislation.

For additional information about the Access Rule, please visit ANCOR’s Access Rule Resource Center as well as our implementation timeline of the requirements of both the Access Rule as well as the budget reconciliation l aw.

Shapiro Administration Protects Consumers, Fines Aetna $550,000 for Violations of Mental Health Parity Laws

Wed, 04 Mar 2026 15:11:42 GMT

Press Release by Pennsylvania Insurance Department (PID) : Published March 3, 2026

Excerpt below:

Harrisburg, PA – The Pennsylvania Insurance Department (PID) today announced the results of a market conduct exam on Aetna that found several violations by the health insurance company that negatively impacted policyholders. As a result, the company must pay a $550,000 penalty, fix its practices, and repay affected Pennsylvanians. PID's market conduct exams are one of the most impactful ways the Shapiro Administration prioritizes consumer protection. These exams hold insurance companies accountable and ensure Pennsylvania families receive the coverage they are promised.

DHS Shares Video on SNAP Changes

Wed, 04 Mar 2026 15:08:58 GMT

Over the past few months, there have been important changes to SNAP that may affect Pennsylvanians’ eligibility for the program.

To help SNAP recipients and those who work with them understand what’s new, the PA Department of Human Services (DHS) has posted a new video to their YouTube channel . The video explains changes to SNAP over the past six months, including who is subject to new work and reporting requirements, how to meet those requirements, and tools that are available to help Pennsylvanians meet the requirements.

Free NASHIA Webinar to Focus on BI Resource Facilitation, New Resource Implementation Guide

Tue, 03 Mar 2026 13:50:48 GMT

The National Association of State Head Injury Administrators (NASHIA) will be offering a free webinar that will focus on Brain Injury Resource Facilitation (BIRF) and the new Moody Implementation Guide. This free webinar will be conducted on May 6, 2026, from 1:00 pm – 2:00 pm.

Brain Injury Resource Facilitation is a structured intervention that connects individuals with brain injury to essential resources to enhance independence and improve outcomes, using a flexible, person-centered approach. It involves needs assessment, resource navigation/service connection, and progress monitoring to identify a person’s strengths and challenges to set goals and coordinate supports. BIRF is an effective intervention for academic, employment, and community success.

This webinar will include a discussion of BIRF and the new Resource Facilitation Implementation Guide , geared towards addressing these challenges and providing a map to follow for best practice in this area. Funded by the Moody Endowment and created collaboratively through NASHIA, this guide will be a current and future tool for consistent service delivery and data collection/utilization for rationale to sustain these supports.

To participate in this webinar, registration is required.

Governor Shapiro Proclaims March 2026 as Brain Injury Awareness Month

Mon, 02 Mar 2026 14:04:10 GMT

View the proclamation.

DOL Issues Proposed Rule on Worker Classification

Mon, 02 Mar 2026 13:42:03 GMT

The U.S. Department of Labor’s (DOL) Wage and Hour Division (WHD) published a proposed rule concerning the process and criteria used to determine a worker’s classification as an employee or an independent contractor under the Fair Labor Standards Act and related federal laws.

This proposed rule would rescind DOL’s 2024 Final Rule addressing the classification of independent contractors and replace it with an analysis for employee classification similar to the one adopted by DOL in 2021. The classification analysis in the proposed rule would:

Apply an “economic reality” test to determine whether a worker is in business for himself or herself as an independent contractor or is an employee economically dependent on an employer for work;
Identify and explain two “core factors” to help determine if a worker is economically dependent on an employer for work or in business for him- or herself:
The nature and degree of control over the work; and
The worker’s opportunity for profit or loss based on initiative and/or investment;
Identify other factors to help determine a worker’s status as an employee or independent contractor, including the amount of skill required for the work, degree of permanence of the working relationship, and whether the work is part of an integrated unit of production;
Advise that the actual practice of the worker and the potential employer is more relevant than what may be contractually or theoretically possible; and
Provide eight fact-specific examples applying the factors to real-life circumstances.

Last year, DOL published guidance advising WHD field staff on the analysis to apply when determining employee or independent contractor status. That guidance instructed agency investigators to stop applying the analysis from DOL’s 2024 rule in current enforcement matters but, instead, rely on the principles outlined in Field Assistance Bulletin No. 2025-1 and Fact Sheet #13 .

The 2024 final rule prompted a number of federal lawsuits challenging its legality. As a result, DOL said last year that it would be “…reconsidering the 2024 Rule, including whether to rescind the regulation.”

DOL will be accepting comments on this proposed rule through 11:59 pm (ET) April 28, 2026 .

ODP Shares Sensory Friendly Preparedness Guide for Large-Scale Events

Mon, 02 Mar 2026 13:37:40 GMT

The Office of Developmental Programs (ODP) has shared ODPANN 26-030 .

The purpose of this communication is to introduce the guide Sensory Friendly Preparedness Guide for Large-Scale Events and the accompanying social story. The guide is designed to support providers in assessing and preparing for planned large-scale public events. This resource aims to help ensure that individuals receiving services remain safe and continue to access the support they need throughout such events.

Please view the announcement for more details.

ATTACHMENTS:

MA Fee Schedule Revisions for OBRA Waiver & Act 150 Program Published

Mon, 02 Mar 2026 13:34:10 GMT

On February 28, 2026, the Department of Human Services (DHS) Office of Long-Term Living (OLTL) published a notice in the Pennsylvania Bulletin announcing a change in the fee schedule rates in the OBRA Waiver and the Act 150 Program for Participant-Directed Personal Assistance Services (PAS) procedure codes W1792 and W1792 TU. This fee schedule rate change is effective January 1, 2026. A revised fee schedule is available here .

Written comments regarding these fee schedule rates can be sent to the Department of Human Services, Office of Long-Term Living, Bureau of Policy Development and Communications Management, P.O. Box 8025, Harrisburg, PA 17105-8025. Comments can also be submitted via email . Comments received within the 30-day comment period will be considered in subsequent revisions to the fee schedule.

OLTL previously issued a listserv on December 19, 2025, confirming the Fiscal Year 2025/26 budget, signed into law on November 12, 2025, which included a $21 million investment to strengthen the workforce through increased wages for direct care workers (DCW) providing services in the Participant-Directed model for OLTL Fee-for-Service programs.

To support the January 1, 2026, effective date, OLTL updated the PROMISe™ system and the Home and Community Services Information System (HCSIS) with the revised rates. Service Coordinators (SC) did not need to make any service plan updates for the rate change, as a HCSIS system-wide update was implemented to make the necessary service data rate updates to the affected service plans.

SCs are encouraged to reach out to OBRA Waiver and Act 150 Program participants that utilize Participant-Directed PAS to ensure they are aware of the rate change and that their DCWs may receive increases in their pay rates.

SCs may also receive specific questions from OBRA Waiver and Act 150 Program participants that utilize Participant-Directed PAS supported by Financial Management Services (FMS) through the FMS vendor Public Partnerships, LLC (PPL). SCs should refer participants to the PPL Customer Service hotline at 877-908-1750 for specific questions about how the rate increase in the OBRA Waiver and Act 150 Program will impact the pay of their DCWs.

Governor Shapiro Proclaims March 2026 as Developmental Disabilities Awareness Month

Mon, 02 Mar 2026 13:31:28 GMT

View the proclamation.

DHS Senate Budget Hearing Summary and RCPA Divisional Highlights

Fri, 27 Feb 2026 14:33:56 GMT

Earlier this week, Pennsylvania’s Senate Appropriations Committee held a public hearing to review the Department of Human Services (DHS) Fiscal Year (FY) 2026/27 proposed budget, with the goal of learning more about the Department’s portion of the overall proposal. The hearings were led by Senate Appropriations Majority Chair Scott Martin, while DHS was represented by Secretary Arkoosh, Fiscal Director Gloria Gilligan, and program deputies.

Governor Shapiro proposed a $53.3 billion spending plan in early February, representing a $2.7 billion (5.4%) increase over the previous fiscal year. Within this proposal, the allocation from the General Fund for DHS is $21.9 billion, which increases to $67.2 billion with federal support and other funds. See the DHS Blue Book for a detailed explanation of the appropriations.

On the Republican side of the Appropriations Committee, questions focused on the long-term fiscal sustainability of the Governor’s proposal, with concern about how costs greatly exceed anticipated revenues. There was also concern on the proposed budget’s reliance upon the rainy-day fund, potentially leaving the state vulnerable to future economic downturns. Republicans also voiced worries regarding hospital closures, especially in rural areas.

Democrats focused the majority of their questions on the essential nature of human services and external threats posed by federal legislative changes. They highlighted the impending implications of HR1, arguing that it would severely undermine Pennsylvania’s social safety net with reductions upward of $20 billion over the next decade.

RCPA Divisional Highlights:

Children’s Services:

When asked about the $100 million for school mental health and safety, Secretary Arkoosh explained that those funds are not allocated through DHS and instead flow through the Pennsylvania Commission on Crime and Delinquency (PCCD).
Questions were also asked regarding the lack of community provider involvement in school-based mental health programs, noting that there is no need to create a secondary school mental health system, and urging for coordination between counties and schools. RCPA will be releasing a school-based mental health position statement outlining a blueprint for sustaining and growing the existing treatment service delivery relationship between schools and community-based mental health providers.

Early Intervention:

In response to a question regarding the apparent cut of $5.2 million to Early Intervention Part C funding that is listed in the Blue Book, the Secretary shared that there is no cut in funding to EI Part C, but instead, the budget will utilize carryover funds from the prior year rather than requesting additional funds from the General Fund. She highlighted that the 7% increase in provider rates from 2025/26 will be annualized in next year’s budget.
When asked why the Department did not request additional funds for EI Part C to shore up a skilled workforce and serve additional children rather than keep a flat budget, the Secretary did not directly respond. Instead, she again mentioned the 2025/26 provider rate increase.

Intellectual and Developmental Disabilities (IDD):

Waiting list initiatives have resulted in a significant reduction in previous waiting list numbers. A reduction of approximately 30% has been achieved by ODP initiatives.
In response to DHS cost-cutting measures, Secretary Arkoosh shared an update about the recently implemented Specialized Assessment and Treatment (STAT) program that supports a physical health telehealth assessment on demand for individuals in the waiver program. This assessment is intended to divert individuals from the emergency room when those services are not medically necessary. Since its implementation, there have been approximately 5,500 individuals who have used the services. Those individuals received 8,942 assessments, which have prevented nearly 7,000 unneeded emergency room visits, creating significant cost savings.
For increases in State Center funding, Secretary Arkoosh confirmed that State Centers are operating at less than 50% of their bed capacity; however, she also confirmed that staffing expenses are commensurate to the actual census. The proposed budget increase of $1.9 million was attributed to increases in staffing expenses and physical plant upkeep costs. She also confirmed that there is no plan to close either of the two remaining State Centers.
In response to a question regarding the allocation of funding for new waiver slots, the Secretary explained that of the proposed $76.8 million for the Community Waiver Program, there is an allocation of $30 million to fund new waiver slots. The remaining $46.8 million is allocated to fund annualization of rate adjustments, account for changes in FMAP, and fund ICF beds to be converted to community waiver programs.

Mental Health:

When asked about the lack of County mental health base funding, Secretary Arkoosh explained the important activities that these base funds are utilized for, including psychiatric treatment, competency evaluations, targeted case management, community residential services, drop-in centers, and many more. She also explained that these county base funds help pay for people who are either uninsured or underinsured. She mentioned that the Governor has called for a total increase of $60 million of base funds, and that so far $40 million has appropriated, but was unable to account for the lack of base funds in the proposed 2026/27 budget.

Office of Long-Term Living (OLTL):

In response to a question regarding the lack of rate increase for Brain Injury providers since 2010, the Secretary explained the complexity of the system but ensured that both she and Deputy Secretary Marsala have been working closely with providers to help them understand how they can bill for services.
There was a discussion regarding the self-direction rates and hours worked and the intersection of whether refugee workers and undocumented immigrants are eligible to work.

Please reach out to your RCPA Policy Director with any questions. The House Appropriations Budget Hearing for DHS takes place on Wednesday, March 4 at 10:00 am. The hearing can be livestreamed here .

RCPA Member Vista Autism Services to Host Practical Functional Assessment and Skill-Based Treatment Workshop June 22–23

Fri, 27 Feb 2026 14:24:08 GMT

View the flyer for complete details.

RCPA Member McAuley Ministries Awards Over $2 Million in Grants to 27 Local Nonprofit Organizations

Thu, 26 Feb 2026 21:35:02 GMT

Press release by McAuley Ministries : Published February 26, 2026

Excerpt below:

PITTSBURGH (February 26, 2026) – McAuley Ministries , Pittsburgh Mercy’s grant-making foundation, awarded 29 grants totaling over $2 million. The grants help fund capacity building, education, empowerment, essential needs & social services, legacy programs, and whole-person health initiatives in Pittsburgh’s Hill District, Uptown, and West Oakland communities, its three focus neighborhoods, collectively referred to as the Mercy Corridor.

CMS Releases CY 2026 KX Modifier Threshold Amounts for Therapy Services

Thu, 26 Feb 2026 18:19:27 GMT

The Centers for Medicare and Medicaid Services (CMS) has released the calendar year (CY) 2026 KX modifier threshold amounts for therapy services.

The CY 2026 KX modifier threshold amount is $2,480 for:

Physical therapy and speech-language pathology services combined; and
Occupational therapy services.

Additional information on this topic is provided below:

Therapy Services web page, including CY 2026:

ODP Announces New Administrative Review (AR) Live Case Study Sessions

Thu, 26 Feb 2026 17:55:00 GMT

The Office of Developmental Programs (ODP) has shared communication ODPANN 26-029 . The purpose of this communication is to announce that new live case study sessions for the AR Course are now available, featuring a new case study that allows participants to actively engage and apply their learning. The AR course page can be accessed by using the AR Training link and logging into MyODP.

Registration for the case study sessions is currently scheduled for:

Tuesday, April 28, 2026 (1:00 pm – 4:00 pm)
Wednesday, June 10, 2026 (9:00 am – 12:00 pm)

Please review the announcement for more details.

DDAP Awards More Than $100k to Community-Based Organizations to Address SUD-Related Stigma

Wed, 25 Feb 2026 21:54:37 GMT

The Pennsylvania Department of Drug and Alcohol Programs is awarding more than $100,000 to community-based organizations serving 10 counties to assist with their efforts in reducing the stigma associated with substance use disorder (SUD).

Pennsylvania’s statewide anti-stigma campaign, Life Unites Us, addresses stigma by investing in those who are doing the work at the local level. By prioritizing compassionate, judgment-free care, DDAP intends to help more Pennsylvanians access life-saving resources and achieve recovery.

Life Unites Us (LUU) is a research-driven campaign that uses social media to spread stories of individuals in recovery, their family members, and allies who support those with SUD. In addition to offering stigma reduction grants, LUU gives local organizations an opportunity to learn through webinars, fosters community partnerships to promote recovery-focused support at the local level, and maintains an interactive data dashboard detailing the campaign’s progress.

The following community-based organizations will receive up to $29,000 each to help fund stigma reduction:

Hope Works : Fayette County;
Drop-In Center Recovery Collective | Oasis Community Recovery Club , Walking Free Clubhouse , and New Possibilities Recovery Drop-In Center : Northumberland, Snyder, Union, Montour, and Columbia counties;
This Is My Quest : Tioga, Potter, and Bradford counties; and
Ark of Safety : Philadelphia.

Read the full press release .

DDAP Releases Report on Housing Access Among People Who Use Drugs

Wed, 25 Feb 2026 21:49:31 GMT

The Pennsylvania Department of Drug and Alcohol Programs (DDAP) State Epidemiological Outcomes Workgroup (SEOW), in partnership with the Department of Community Health and Prevention at Drexel University’s Dornsife School of Public Health , has released a new report, “Housing Access Among People Who Use Drugs in Pennsylvania.” The report explores the intersection of homelessness and substance use across the Commonwealth.

Key topics include:

Prevalence of homelessness in the United States and Pennsylvania;
Substance use among people experiencing homelessness in the United States and Pennsylvania;
Housing availability;
Results from a survey of 137 housing providers assessing availability and barriers for people who use drugs; and
Best practices for increasing housing access for people who use drugs.

SEOW brings together governmental and non-governmental partners statewide to inform state and community decisions on substance use and behavioral health programs, practices, and policies across Pennsylvania. To view previous SEOW reports, visit DDAP’s Document Library .

NOW AVAILABLE: Resource for Communicating With Individuals Who Are Blind or Have a Vision Impairment

Wed, 25 Feb 2026 21:40:08 GMT

The Office of Developmental Programs (ODP) is happy to announce a new resource: “ Communicating with Individuals who are Blind or have a Vision Impairment. ” This resource provides some basic information on vision, the most common eye disorders, and how they impact a person’s vision, as well as strategies for effective communication when supporting these individuals.

The key to achieving effective communication with a person with vision impairment is to consciously accept the responsibility for it. How an individual is impacted will vary and communication access depends on individual needs, looking different for each person. ODP hopes this resource will provide valuable information on communicating and supporting individuals with a visual impairment. Please contact the ODP Special Populations Unit with any questions.

RCPA Member KidsPeace and Lehigh Carbon CC Launch Innovative Training/Certification Partnership for Mental and BH Workforce

Tue, 24 Feb 2026 17:04:19 GMT

Excerpt below:

SCHNECKSVILLE, PA (February 24, 2026) - KidsPeace and Lehigh Carbon Community College (LCCC) have launched an innovative partnership designed to help students accelerate their professional development and pursue meaningful careers in children’s mental health and behavioral services.

The new Mental Health Technician (MHT) Training Academy certification program provides students with a comprehensive foundation in clinical, regulatory, and ethical considerations in mental healthcare, grounded in KidsPeace’s more than 140-year legacy of world-class care for children and families. The curriculum blends classroom instruction, simulation laboratory sessions, and job-shadowing opportunities at KidsPeace’s Orchard Hills Campus in Orefield, PA, with in-depth coaching by professionals from the KidsPeace Institute.

Press Release from RCPA Member KidsPeace : Published February 24, 2026

RCPA Member Strawberry Fields Inc. CEO Cynthia Pasquinelli to Retire After 40+ Years of Outstanding Service

Tue, 24 Feb 2026 16:34:44 GMT

“My time at Strawberry Fields has been one of the greatest privileges of my life. Working alongside a passionate and talented team of staff and board members, we have expanded opportunities, empowered individuals and strengthened a mission that changes lives every day. I am incredibly proud to have played such a part in shaping the organization Strawberry Fields has become”

– Strawberry Fields Chief Executive Officer Cynthia “Cindy” Pasquinelli

Throughout her decades-long career at Strawberry Fields Inc. , an affiliate of Devereux, Pasquinelli has led with passion, purpose and an unyielding commitment to providing the highest quality programs and services for individuals and families with intellectual and developmental disabilities, autism, and mental health challenges in Centre County, Pennsylvania.

Pasquinelli joined Strawberry Fields in 1985 as the director of mental health services. Two years later, she assumed the role of acting chief executive officer before being appointed to the position permanently.

On July 31, Pasquinelli will retire after 41 years of exceptional leadership and service to the organization.

“When I first joined Strawberry Fields, we offered just three programs. Today, we provide more than 20, including a variety of intellectual and developmental disability, mental health and early intervention services, along with two social enterprises that create employment opportunities for adults with disabilities,” said Pasquinelli. “We have always believed our role is to serve the community, and growing these programs, while witnessing the growth of the individuals in our care, has been extremely rewarding.”

Devereux President and CEO Carl E. Clark II noted, “Cindy’s leadership has been truly transformative. Her vision, integrity and deep expertise have made a lasting impact on Strawberry Fields, and the individuals and families served by the organization. Through her steadfast focus on person-centered, community-driven care, she has positioned Strawberry Fields for long-term success. As a result of her tireless efforts to improve the lives of those in need, her legacy will be felt for years to come.”

Creating opportunities, transforming lives
During her tenure, Pasquinelli said one thing she is most proud of is opening Strawberry Fields’ social enterprises: Scraps and Skeins , a creative reuse store, in 2015, and Good Day Café , a coffee shop, in 2018.

“We employ approximately 20 adults with disabilities at Good Day Café and seven with mental health challenges at Scraps and Skeins,” explained Pasquinelli. “Working at these businesses provides our individuals an opportunity to showcase their unique skills and talents, build life and social skills, and engage in their community.”

Pasquinelli added that launching Scraps and Skeins and Good Day Café has also had a positive impact on the organization as a whole: “People can see, firsthand, the meaningful difference we are making. We have grown our base of supporters as a result, which has allowed us to start new endeavors.”

Ensuring long-term sustainability
In 2025, under Pasquinelli’s leadership, Strawberry Fields became an affiliate of Devereux. Pasquinelli said the partnership strengthens Strawberry Fields’ ability to serve its community while ensuring long-term sustainability.

“Through this partnership, we have exciting new opportunities to innovate and grow,” Pasquinelli shared. “With Devereux’s support, we are preparing to introduce a new family-based mental health service and expand our autism assessment services in rural areas outside of Centre County. These efforts will help us reach more people, address emerging needs and continue to build a stronger, more connected community.”

Future plans
After her retirement, Pasquinelli plans to continue supporting Devereux in its efforts to forge new partnerships with organizations like Strawberry Fields that share its dedication to making a difference in the lives of individuals and families in need.

Most importantly, she will focus on continuing to develop the David Pasquinelli Memorial Fund for Strawberry Fields, which was established by the organization’s Board of Directors in 2022 in memory of Pasquinelli’s son.

“The funds raised will support Scraps and Skeins and Good Day Café, as well as any new projects that may need seed money,” Pasquinelli noted. “While I will be stepping away from my full-time role, I am excited to work with Strawberry Fields as it enters its next chapter and continues to grow and evolve.”

Learn more about Strawberry Fields Inc. , and learn more about Devereux .

Register Now for the DHS Autism and the Justice System In-Person Forum April 29

Tue, 24 Feb 2026 14:18:48 GMT

View the flyer for complete details.

ODP Shares Updates to the PUNS Manual, DP1055, and Supplemental Form

Tue, 24 Feb 2026 14:15:20 GMT

The Office of Developmental Programs (ODP) has shared ODPANN 26-028 . The purpose of this communication is to distribute the updated Prioritization of Urgency of Need for Services (PUNS) Manual and the revised DP1055 – PUNS Form, effective February 2026, and to announce the implementation of related updates to the Emergency PUNS process.

Please review the announcement for more details.

Attachments:

OPEN MINDS: RCPA Member Magellan Health Announces Sale Agreement With Madison Health Group

Tue, 24 Feb 2026 14:09:07 GMT

Article by OPEN MINDS : Published February 18, 2026

Article reprinted with permission from OPEN MINDS. To sign up for a free OPEN MINDS news feed on https://www.openminds.com/market-intelligence/ , go to https://www.openminds.com/membership/ .

Legislators Discuss State Budget Proposal at Legislative Breakfast, Hosted by the Luzerne Wyoming County Providers Association

Mon, 23 Feb 2026 13:56:28 GMT

Article by Times Leader : Published February 20, 2026

Excerpt below:

WILKES-BARRE — Richard S. Edley, PhD, President & CEO of the Rehabilitation & Community Providers Association (RCPA), hosted a Legislative Breakfast Friday morning to discuss and advocate for issues members face.

While Edley and about 75 members gathered at the Westmoreland Club in Wilkes-Barre, one issue was front and center — funding.

Edley said RCPA continues to monitor federal and state issues, working closely with all its partners, educating legislators and staff, and updating its membership on key policy discussions in areas of critical importance, such as Medicaid (e.g., Federal HR 1) and its impact on service provision.

National Council Shares Overview of Survey on HR 1 Impacts

Mon, 23 Feb 2026 13:53:00 GMT

From our partners at the National Council on Mental Wellbeing:

In December, the National Council for Mental Wellbeing conducted our H.R.1 baseline member survey to measure the challenges facing clinics and provider organizations prior to this legislation’s implementation.

H.R.1 was passed by Congress and signed into law last July, making significant changes to Medicaid. Your ongoing participation in our surveys helps us assess the impact and better support you throughout its implementation.

Surveys will be conducted again following the widespread disbursement of Rural Health Transformation Program funds later this year, and in 2027, following the enactment of some of H.R.1’s most impactful provisions, like community engagement requirements and more frequent Medicaid eligibility redeterminations.

You can access the short summary of the baseline survey results.

Comparing this snapshot of the challenges facing members in the current moment to future survey results will demonstrate H.R.1’s impacts as we continue to engage policymakers.

We thank everyone who responded to the survey and helped provide this crucial data. While H.R.1 implementation may seem daunting, we are committed to providing information and resources, like our H.R.1 Implementation Journey Map and our Rural Health Transformation Program overview , to assist you throughout the process.

--------------------------------------------------------

RCPA thanks our members for their participation i n the survey. If you have additional questions, please contact RCPA COO Jim Sharp .

Immigration Enforcement Advisory for Health Care and Social Services Facilities

Mon, 23 Feb 2026 13:47:41 GMT

Message from the PA Department of Human Services (DHS):

Under the current federal administration, the U.S. Department of Homeland Security (U.S. DHS) has lifted restrictions that previously prohibited Immigration and Customs Enforcement (ICE) and Customs and Border Protection (CBP) officers from carrying out immigration enforcement actions, including arrests, in protected areas such as medical and behavioral health care facilities and social services establishments. It is now possible that U.S. DHS may attempt to conduct immigration enforcement activities in these settings.

The Pennsylvania Department of Human Services, along with the departments of Aging, Drug and Alcohol Programs, and Health, has prepared a non-regulatory advisory to provide general information about federal law applicable to immigration enforcement activities at health care and social services facilities. We also advise facility leadership and counsel to develop a written policy and standard operating procedures for what to do if immigration enforcement agents arrive on facility property or seek information about individuals you serve for immigration enforcement reasons.

In developing these policies and procedures, the Pennsylvania Department of Human Services advises that you consider:

Designating legal and administrative point person(s) by name and phone number who will interact with immigration agents and review legal documents;
Planning for how your facility will respond to requests for information, requests to enter non-public spaces to conduct an arrest, and immigration enforcement activity in public spaces;
Engaging in advance with stakeholders and necessary resources; and
Minimizing disruption to individuals served.

This advisory does not provide legal advice. Consult a licensed attorney or accredited representative for legal questions about a specific situation.

Thank you for your service to Pennsylvania.

DHS Releases 2026/27 Blue Book; RCPA Shares Divisional Analysis

Fri, 20 Feb 2026 14:56:12 GMT

In advance of the House and Senate hearings, the Department of Human Services (DHS) has released their “ Blue Book ” detailing the Department’s appropriations for the proposed 2026/27 budget. The proposed DHS budget reaches a total of $67.2 billion, with $21.9 billion in state funding, $39.7 billion in federal funding, and $5.6 billion in other funds, making it the largest spend category in the proposed budget.

Within the DHS budget, Long-Term Living remains the largest expenditure of DHS’ state General Funds at approximately 35%, Medicaid healthcare delivery for both physical and behavioral health at 30%, and ID/A at 15%. The remaining 25% is spread across county child welfare, mental health and substance abuse, income maintenance, etc.

The Blue Book provides greater detail on the allocation of these funds, with particular detail regarding the Medicaid capitation and Fee-For-Service (FFS) appropriations. It also addresses Medicaid capitation rates. The budget proposal requests nearly $1 billion to reflect the changes in the number of eligible individuals and the rates paid by DHS to the MCOs due to higher acuity patients.

For FFS, appropriation shows that General Fund, QCA-funded, and Philadelphia Hospital Assessment payments are level-funded, which is consistent with FY 2025/26. These payments would include Inpatient, Outpatient, Medical Education, and Community Access funds, as well as QCA-solely funded payments, such as Rehabilitation, MA Dependency, Sole-Community hospital payments, and more. The FFS appropriation also reflects the proposed implementation of components of the Keystones of Health (1115 waiver). This includes services such as transitional housing, reentry supports, and food as medicine initiatives. Whether or not this is ultimately included relies upon the passage of the 1115 waiver, which is uncertain.

Key Highlights by Division:

Behavioral Health

BH Capitation
The 2026/27 proposed budget includes a nearly 6 percent increase to $5.9 billion in behavioral health Medicaid capitation funding. Of this total, nearly $2 billion are state dollars, a 3 percent increase over the current fiscal year budget. The remainder are federal matching dollars. The behavioral health Medicaid capitation line item is the amount of money from which behavioral health Medicaid managed care organizations reimburse providers for mental health and SUD treatment services.

Intellectual and Developmental Disabilities

Approximately 5.35% Increase for Community Waiver Programs: The budget proposes an approximate 2.8% increase in state funds over FY 2025/26 funding levels for the Intellectual Disability (ID) Community Waiver programs (Consolidated, Community Living, and PFD/S waivers). Corresponding increases in the federal funding shows an aggregate funding increase of 5.35% in this line item.
It is important to note that this increase is not classified as a rate increase in any source documents.
The funding appears primarily intended to carry forward existing services with recognition utilization trend cost increases.
No Identified Rate Adjustments: The FY 2026/27 Blue Book materials do not reflect any proposed rate increases for ID community waiver programs.
A lack of rate adjustments continues to raise concerns regarding system sustainability, including workforce stabilization and inflationary factors (e.g., wages, benefits, insurance, utilities).
Providers should assume that the increase is not new discretionary funding but rather supports ongoing service costs.
$30 Million for Partial-Year Funding of New Waiver Slots: The proposal includes $30 million in state funds to support:
400 new Consolidated Waiver slots; and
850 new Community Living Waiver slots.
IMPORTANT NOTE: The Blue Book citation indicates that this allocation provides six months of funding for these new slots.
Additional clarification is needed regarding whether this assumes a mid-year implementation (e.g., January 2027 effective date) or a phased-in enrollment process.
Provider capacity (staffing, available beds, enrollment/licensing, etc.) will directly impact successful implementation of these additional slots.
$2.9 Million for Annualization of Performance-Based Contracting (PBC) Initiatives: The budget proposes an additional $2.9 million in state funds to annualize previously implemented PBC initiatives.
This appears to support the ongoing cost of PBC structures already put into place that were previously utilizing ARPA funding.
The proposal does not include new, dedicated funding for future PBC expansions or additional administrative burden placed on providers.
Ongoing ICF-to-Community Waiver Conversions: The budget indicates ongoing efforts to convert Intermediate Care Facility (ICF) beds into Community Waiver Programs.
This continues previous efforts to move away from ICF programs to more integrated community-based services.
ARPA Funding: ARPA funding provided under the American Rescue Plan Act of 2021 will be exhausted by June 30, 2026 per legislative requirements.

OLTL and Community HealthChoices

The Community HealthChoices 2026/27 budget request continues to move the programs away from Fee-For-Service to Managed Care. The OBRA Waiver funding was reduced by an additional $50 million to less than $500 million in total. Meanwhile Community HealthChoices increased from $18.1 to $19.9 billion, an increase of 9.9%.
The increase in Community HealthChoices reflects increasing levels of acuity of the participants served and an increase of approximately 1,000 new participants per month. No rate increases are projected in this budget. The increase in acuity was addressed through $212 PMPM in the MCO capitation rate.
The only major opportunity for providers is in $87 million allocated to MCO Pay-For-Performance, which contractually includes targets for nursing home transition, improvements in HEDIS measures, and higher utilization of employment services.

Early Intervention

After a record-setting 7% increase in Early Intervention Part C provider rates for 2025/26, a positive step towards narrowing the nearly 40% funding gap identified by the OCDEL rate study, the 2026/27 Blue Book shows a nearly 3.9% decrease in total funding for Early Intervention Part C. OCDEL leadership explains this decrease as apparent, not actual, and is due to the use of carryover funds from the prior year. This raises questions regarding these excess funds and any services that may have gone undelivered.
The Blue Book also projects a decrease in Federal Medicaid dollars funneling through the EI program. This validates RCPA’s efforts, in conjunction with other stakeholders, to develop a pattern of long-term stabilizing funding increases in line with the OCDEL Rate Methodology Funding report and increase awareness and education campaigns focused on increasing actualization of all eligible Federal Medicaid funding for the program.

Contact your RCPA Policy Director with any questions.

ODP Shares Updates for MyTranscript Reports

Fri, 20 Feb 2026 14:46:32 GMT

The Office of Developmental Programs (ODP) has shared ODPANN 26-027 . This announcement shares that an update has been made to Part 1 and Part 2 of the MyTranscript reports and is now available to access from the MyTranscript link in the navigation bar. Users will now be able to export the MyTranscript report as a PDF. Please visit here to view instructions on how to print the MyTranscript reports.

View the announcement for more details .

ODP Shares Vol. 3.1 of CI Program Spotlight Quarterly Newsletter

Fri, 20 Feb 2026 14:44:33 GMT

The Office of Developmental Programs (ODP) has shared ODPANN 26-026 . This communication announces the release of a new issue of the quarterly newsletter. The newly released CI Program Spotlight, Volume 3, Issue 1, may be found on the MyODP website by following the link on the CI Program home page.

Please view the announcement for more details.

Justice in Aging Shares Fact Sheet on Impact of HR1 on Older Immigrants’ Access to Health Care

Thu, 19 Feb 2026 14:26:49 GMT

View the announcement here .

Family Peer Support Organization Allegheny Family Network Welcomes New CEO, John Eliyas

Wed, 18 Feb 2026 20:53:45 GMT

FOR IMMEDIATE RELEASE

Allegheny Family Network Celebrates the Retirement of CEO Ruth Fox, Welcomes John Eliyas as Incoming Chief Executive Officer

Pittsburgh, PA — [February 9, 2026] — After more than four decades of dedicated service to children, families, and communities, Ruth Fox, Chief Executive Officer of Allegheny Family Network (AFN), has announced her retirement, closing a transformative chapter in the organization’s history. AFN also proudly announces the appointment of John J. Eliyas, MA, CPG, as its new Chief Executive Officer, ushering in the next era of leadership and growth.

Welcoming a Seasoned Behavioral Health Leader
As AFN looks to the future, the Board of Directors has appointed John J. Eliyas, MA, CPG, a respected behavioral health executive with more than 30 years of experience across mental health, substance use, forensic, and community-based systems.

John, of Penn Township, Pa., most recently served as Executive Director of Behavioral Health at Merakey, where he oversaw residential, outpatient, forensic, and community programming across Western Pennsylvania. Throughout his career, he has built multidisciplinary teams, expanded services, increased revenue, and strengthened system partnerships.

His leadership philosophy centers on collaboration, frontline engagement, and empowering staff and families — values closely aligned with AFN’s family-run model.

“I am honored to step into this role and build on the incredible foundation Ruth and the AFN team have created,” said Eliyas. “Family voice and peer support are critical to strong communities, and I look forward to partnering with families, staff, and stakeholders to expand AFN’s impact across Pennsylvania.”

John shares "lived experience" as a parent and caregiver, personally and professionally, across a variety of systems.

Honoring a Visionary Leader
Ruth Fox has devoted her career to uplifting families and strengthening mental health systems across Western Pa. Beginning her professional journey as a nurse and community volunteer, Ruth transitioned into behavioral health leadership, where she discovered her calling: ensuring families have a voice and a choice in their care.

Ruth, of Cheswick, Pa., began her position as Executive Director in 2008. Under her leadership:

Budget growth from $250,000 to $6.1 million
Staff expansion from 5 to 56 team members
Service reach from 30 families per month to more than 467 families monthly
Launch of the family-run statewide organization, the PA Parent and Family Alliance
Innovative partnerships with family peer support and crisis response systems

Her leadership story is deeply personal as well as professional. Inspired by her own family’s lived experience navigating mental health challenges, Ruth built AFN around compassion, resilience, and the belief that every family deserves support, dignity, and hope. Ruth’s work has empowered thousands of caregivers and families over her tenure.

“Leading Allegheny Family Network has been one of the greatest privileges of my life,” said Fox. “My wish is that the organization continues to grow, and continues to help families who are working hard so that their children can succeed.”

A Strong Future Ahead
AFN’s Board of Directors shared that this transition reflects continuity and growth.

“Ruth’s legacy is woven into the heart of our organization,” said Lisa Stefanko, Board Chair. “John brings the experience, integrity, and vision needed to carry that mission forward. Together, this moment represents both celebration and opportunity.”

Allegheny Family Network remains committed to strengthening families, elevating lived experience, and ensuring that families have access to meaningful support and advocacy.

About Allegheny Family Network
Allegheny Family Network is the largest family-run nonprofit organization dedicated to supporting families raising children and loved ones with mental health or emotional challenges in Pennsylvania. Through peer support, advocacy, education, and system partnership, AFN empowers families to build resilience, connection, and hope. AFN is based in Pittsburgh, with a satellite office in Natrona Heights, Allegheny County. It services almost 500 families monthly with Comprehensive Family Peer Support Services, Support Groups, Education Programs and Partnerships with child and family-serving systems. AFN has a staff comprised of parents with lived experience of raising children with mental health, behavioral health or trauma, from the Executive Team to the frontline staff.

Media Contact:
Misty Chybrzynski Woody
Chief Strategy & Development Officer
Allegheny Family Network
Office / Cell: 412-438-6130

PCHC Shares Free Webinar Series on Supporting Adults With IDD and Dementia

Wed, 18 Feb 2026 16:20:10 GMT

View the flyer for complete details .

Registration Now Open for Spring/Summer 2026 ODP QM Certification Classes

Tue, 17 Feb 2026 16:18:06 GMT

The Office of Developmental Programs (ODP) has shared ODPANN 26-024 . This announcement provides information on how to register for new 2026 Quality Management (QM) Certification virtual classes.

Key things you should know about the virtual class:

Class size is limited to 32 participants.
Classes are held over 2 consecutive days, from 9:30 am – 2:30 pm.
Prerequisite modules are required to prepare learners for the class and must be completed prior to attending class.

Spring/Summer 2026 Class Dates:

April 27 – 28
May 11 – 12
June 15 – 16
July 13 – 14
July 27 – 28

On Demand Access to ANCOR’s Trends Webinar Series Open to RCPA Members

Tue, 17 Feb 2026 16:15:36 GMT

As an RCPA member, your agency is also a 100% ANCOR member. With your ANCOR membership, you are positioned at the forefront of a rapidly shifting landscape. With managed care expanding, AI reshaping service delivery, and a surge of for-profit players entering the field, the need for strategic foresight has never been more critical.

To help you navigate these complexities, we invite you to take full advantage of your exclusive member benefits through RCPA’s investment in ANCOR’s 100% membership program by accessing their popular three-part series: “ Navigating the Future of I/DD Service Delivery .”

This series is designed to transform overwhelming industry changes into real opportunities for innovation and mission-driven growth. You will gain access to ANCOR subject-matter experts and industry leaders who will help you prepare for a successful 2026 and beyond.

What you’ll gain from these exclusive sessions:

Receive practical tools to track the implementation of the HCBS Access Rule and the recent budget reconciliation law.
Explore the evolving funding environment, from value-based payment models and managed care to the accelerating pace of mergers and acquisitions.
Gain a competitive edge by examining emerging trends in AI, technology, and residential and employment services.

Under the facilitation of ANCOR COO Gabrielle Sedor, you will hear from a powerhouse lineup of presenters, including:

Lydia Dawson, VP of Government Relations, ANCOR
Tom Rice, Director, Policy & Regulatory Affairs, ANCOR
Donna Martin, VP, State Partnerships & Innovation, ANCOR
Mary Sowers, Executive Director of NASDDDS.
Shea Tanis, Principal Investigator for the State of the States in IDD Project.
Leaders from Centene and Consulting for Human Services.

This series is entirely free and exclusively available to ANCOR members .

Don’t leave your 2026 strategy to chance. Leverage your membership and register to access the on-demand recordings to ensure your organization is ready for the future.

OCDEL Publishes FY 2025/26 Early Intervention Fee Schedule With 7% Rate Increase

Tue, 17 Feb 2026 16:10:54 GMT

The Fiscal Year (FY) 2025/26 budget signed by Governor Josh Shapiro included an additional $13.2 million in state funding for Early Intervention (EI) services, with $10 million of this funding specifically targeting provider rates.

Last Friday, the Office of Child Development and Early Learning (OCDEL) released the 2025/26 Fee Schedule , which included a 7% increase for Early Intervention services, with some exceptions.

Infant Toddler Early Intervention Programs and providers should now use the updated Fiscal Year 2025/26 fee schedule rates to bill for all services delivered on or after July 1, 2025. OCDEL will coordinate with County programs to communicate a Mass Adjustment coordination with all Early Intervention providers for services already billed that are eligible for a rate adjustment.

This news comes after months of joint advocacy from RCPA, EIPA, PennAEYC, and other EI provider groups. RCPA is grateful for these strong partnerships, and we recognize this commitment to investment in the Early Intervention Part C Program by Governor Shapiro, OCDEL, and the PA General Assembly.

Read the full announcement here .

Advance Rates for NatCon26 End March 12

Tue, 17 Feb 2026 16:05:00 GMT

RCPA wishes to remind members that Advance Rates for National Council’s 2026 Conference (NatCon26) are still available, so don’t miss your chance — register today !

The event is being held April 27 – 29, 2026, in Denver, Colorado. Advance rates are available through March 12.

After March 12, there will still be ways to save on your registration fees:

A group registration discount is available for Full Conference registrations. After you purchase two Full Conference registrations, you will receive a $50 discount off each additional Full Conference registration, provided they are made within the same transaction.
Note: If you plan on registering 10 or more individuals, contact the National Council to learn about additional group savings.
RCPA is a “100% Association Member” of the National Council. RCPA Members who register for the Full Conference or for One Day will receive an additional $50 discount. No code is needed; the National Council will automatically apply the discount.

When registering for this event, please select 100% Association Member for the Full Conference or One Day options. If you do not see member pricing, please contact National Council’s Membership Help Desk and include your name, email address, and organization name.

FDA Issues Alert for Medline Updated Instructions for Use With Homecare Beds

Tue, 17 Feb 2026 15:59:48 GMT

The Office of Developmental Programs (ODP) has shared this important announcement from the U.S. Food and Drug Administration (FDA) “ FDA MedWatch – Medline Updates Instructions for Use for Homecare Beds .”

This recall involves updating instructions for using devices and does not involve removing them from where they are used or sold. The FDA has identified this recall as the most serious type. This device may cause serious injury or death if you continue to use it without following the updated instructions.

Read the FDA Alert for full details.

Disability Rights Groups Warn Congress: SAVE Act Bills Would Block Millions From Voting

Tue, 17 Feb 2026 15:54:26 GMT

Read the statement from the National Council on Accessible Voting .

Excerpt below:

Disability and civil rights organizations are calling on Congress to stand against the SAVE Act, SAVE America Act, and MEGA Act . These bills will make it much harder for people with disabilities to vote.

If passed, these bills would:

Limit vote-by-mail
Limit who can give help to voters with disabilities
Require hard-to-get documents, such as passports or birth certificates, to register to vote .

Aging and Disability Advocates Help Push Back on HUD’s Efforts to Dismantle Permanent Supportive Housing

Fri, 13 Feb 2026 18:49:05 GMT

Read the full Justice in Aging article .

E xcerpt below:

The recent Consolidated Appropriations Act of 2026 (CAA) includes important housing provisions that protect permanent supportive housing (PSH) and other forms of assistance for older adults at risk of or experiencing homelessness.

Over 170,000 people in PSH – most of whom are older adults and people with disabilities – were at risk of losing their homes under the Trump Administration’s plans to gut funding for PSH in the Continuum of Care (CoC) homeless assistance program. While threats to PSH are not over, the CAA’s housing provisions promote stability in CoC funding that will help PSH residents stay housed this year.

CHCS Shares Federal Rural Health Transformation Plan Resources

Fri, 13 Feb 2026 18:45:54 GMT

RCPA has been a long-time partner of the Center for Health Care Strategies (CHCS), a policy design and implementation organization devoted to improving outcomes for people enrolled in Medicaid.

Our collaborative efforts across the arena of Medicaid and the pending impacts of HR 1 remain a critical connection point to ensure access in Pennsylvania.

On behalf of CHCS, RCPA would like to share this update on resources related to the Rural Health Transformation Project. Per the update:

The federal Rural Health Transformation Program (RHTP) , authorized under the 2025 budget reconciliation act (P.L. 119-21), will distribute $50 billion to all 50 states from 2026 to 2030 — serving as a partial offset to Medicaid cuts. In designing and launching RHTP plans, state agencies must meet ambitious federal expectations and timelines. Experiences from other large-scale statewide efforts — such as the American Rescue Plan Act, Opioid Settlement Funds , multisector plans for aging (MPA), and the Centers for Medicare & Medicaid Services’ (CMS) State Innovation Models (SIM) demonstration — can help inform state planning.

This brief provides practical recommendations to help states establish the administrative infrastructure needed to implement their RHTP plans. Drawing on insights from state officials involved with similar transformation efforts, as well as the Center for Health Care Strategies’ (CHCS) experience supporting this work, the brief highlights best practices and common pitfalls across four core domains:

While not exhaustive, this brief outlines practical lessons that state staff can use to guide RHTP activities during the critical first six to nine months of program design and implementation, helping states build a strong foundation for long-term success.

Additionally, CHCS published a series of tip sheets to aid stakeholders in exploring strategies and initiatives within the project. The tip sheets offer resources for strengthening rural health, including workforce and access issues.

If members have any questions regarding this update or the Rural Health Transformation Plan, please contact RCPA COO Jim Sharp .

From the National Council: Second Reconciliation Bill Unlikely

Fri, 13 Feb 2026 14:59:17 GMT

Message from the National Council for Mental Wellbeing:

Negotiations continued this week as Congress attempted to obtain a funding agreement for the Department of Homeland Security. However, it appears all but certain that Republicans and Democrats will be unable to reach a consensus before funding for the agency expires at midnight on Friday, Feb. 13. Without a deal, a partial government shutdown will occur, impacting only those programs and services Homeland Security administers. Programs administered by the Department of Health and Human Services (HHS), including those overseen by the Substance Abuse and Mental Health Services Administration and the Centers for Medicare and Medicaid Services (CMS), would not be affected by the shutdown.

Elsewhere, President Trump this week said that he does not think another reconciliation package will be needed (subscription required) before the end of the current session of Congress. Trump said, “We’ve gotten everything passed that we need for four years,” primarily through the passage of H.R. 1 in July 2025. The comments came following congressional Republicans’ talks about what they would include in a follow-up to H.R. 1. While the president didn’t rule out more legislation, he signaled he’s focused on smaller bills, saying they may instead “perfect” what has already passed.

RCPA Announces New Partnership with The Human Services Leadership Institute

Thu, 12 Feb 2026 21:49:40 GMT

RCPA is pleased to announce our partnership with The Human Services Leadership Institute (HSLI).

HSLI is led by Tim Nolan, EdD, who has worked with tens of thousands of people leaders and hundreds of organizations in the human services field, with a focus on improving employee commitment, engagement, performance, and retention.

Tim is the author of 14 books, including:

The Essential Handbook for Highly Effective Human Service Professionals, 2 ^nd Edition

o Ideal for frontline staff

The Essential Handbook for Highly Effective Human Service Managers, 3 ^rd Edition

o Perfect for people leaders at all levels

Highly Effective Human Service Organizations

o Great for organizational leaders looking to improve systems and processes

There are several exclusive benefits for RCPA members:

Discounts on registrations for upcoming Highly Effective Human Service Managers Program. Two cohorts will be opening soon for RCPA members:
One cohort will be for frontline supervisors
One cohort will be for directors and above
Discounts for consultation and purchase of the Highly Effective Human Service Managers Program for your organization.
Tim can lead this program or you can select the self-facilitation option which includes all materials and a facilitator guide.
Over 8,000 have participated in this dynamic and transformative experience that will lead to high levels of employee, manager, and organizational performance.
A recent client experienced a 25% improvement in employee retention after completing the program.

Visit the HSLI website to learn more.

RCPA Member Devereux President and CEO Carl E. Clark II Elected Chair of Greenleaf Center’s Board of Trustees

Thu, 12 Feb 2026 18:53:54 GMT

Devereux is thrilled to announce that President and CEO Carl E. Clark II was recently elected chair of the Greenleaf Center for Servant Leadership Board of Trustees.

Clark was elected to a one-year term (Jan. 1–Dec. 31, 2026), having served as an active member of the Board since 2019. The Greenleaf Center for Servant Leadership is a nonprofit organization whose mission is to advance the awareness, understanding and practice of Servant Leadership by individuals and organizations.

“I am honored to be elected chair of Greenleaf’s esteemed Board of Trustees,” said Clark. “Since launching our Servant Leadership initiative in 2018, Devereux has created an enhanced work environment that empowers team members to share ideas that benefit the individuals and families we serve and our overall organization. In my new role, I look forward to helping advance Greenleaf’s mission, grow its impact and ensure Servant Leadership remains a relevant and actionable model for leaders who want to build trust, develop others and serve with purpose.”

Greenleaf Executive Director Reginald “Reggie” Lewis noted, “Carl is a genuine believer! He truly embodies and lives by the principles of Servant Leadership – a leadership approach that places less of an emphasis on titles and positional authority to focus on the well-being of those served. Over the past several years, Carl has been instrumental in providing guidance on the Center’s efforts to redesign its consultative services to better assist organizations across sectors striving to improve workplace culture and achieve greater societal impact.”

Building on Greenleaf’s legacy
As chair of the Greenleaf Board, Clark will help guide the strategic vision and priorities of the longest, continuously operating Servant Leadership nonprofit organization in the world.

“Carl’s natural inclination to listen first makes him extremely approachable and an ideal thought partner,” Lewis shared. “He has consistently made himself available to advise and support our Center’s strategic direction. Our Board and staff enter this new year with enormous enthusiasm in anticipation of all the ways Carl will assist us in building on Greenleaf’s momentum to strengthen organizations around the country.”

Clark added, “I am committed to building on Greenleaf’s legacy while helping guide a strategic vision rooted in service and putting people first. Together, with my colleagues on the Board, we will continue to elevate Servant Leadership, strengthen its influence and drive meaningful, lasting change.”

About the Greenleaf Center for Servant Leadership
The Greenleaf Center for Servant Leadership was founded in 1964 by Robert K. Greenleaf. Servant Leadership is a philosophy and set of practices that enriches the lives of individuals, builds better organizations and ultimately creates a more just and caring world. While Servant Leadership is a timeless concept, the phrase “Servant Leadership” was coined by Greenleaf in his 1970 essay, The Servant as Leader. The Greenleaf Center for Servant Leadership programs include the Greenleaf Academy, Outside Engagements Portfolio, Next Generation Initiative, Greenleaf Scholars, Coffee with Webinar Series and Greenleaf Public Policy Lecture.

Learn more about Devereux .

ODP Publishes Room and Board FAQ Version 2

Wed, 11 Feb 2026 14:54:31 GMT

The Office of Developmental Programs (ODP) has shared ODPANN 26-023 .

The purpose of this announcement is to inform all interested parties of the ODP publication of the Room and Board FAQ Version 2.

Please view the announcement for more details. The FAQ can be found below:

Room and Board Frequently Asked Questions (FAQ), Version 2

ACRE Trainings Now Available

Wed, 11 Feb 2026 14:51:40 GMT

The Arc of PA invites you to the upcoming ACRE trainings!

If you want to earn an ACRE certification or learn best practices in Supported Employment and Community Participation Services, sign up for one of these upcoming trainings.

February 18–20
March 11–13
April 8–10

You can find more information regarding each training, including registration information and costs at The Arc of PA’s website .

RCPA Shares DHS Secretary Arkoosh Budget Presentation Overview

Wed, 11 Feb 2026 14:49:11 GMT

On Friday, February 6, Department of Human Services (DHS) Secretary Val Arkoosh presented an overview of Governor Shapiro’s proposed Fiscal Year (FY) 2026/27 budget and detailed the projected spending across DHS, which totals $21.94 billion in state funding.

The Secretary highlighted that all three Medicaid managed care programs, as well as waiver programs for people with intellectual disabilities and autism, are receiving increases, largely driven by patient needs and costs associated with delivering care. The proposed FY 2026/27 budget includes $39.7 billion in federal funding as well as $5.6 billion from augmentations and additional programs, such as lottery and tobacco funds, making the total DHS funding $67.2 billion.

The Secretary expressed how the proposed budget reflects the direct impacts of HR 1, with significant federal funding at risk. The distribution for the 2026/27 budget is based upon the current structure of Medicaid and other federally funded programs, but the Secretary noted that beginning in 2028, changes in Medicaid financing rules will remove $20 billion from Pennsylvania’s Medicaid program over the following decade.

Budget Highlights and Investments

Investments in Health:
Food is Medicine: $900,000 (federalizes to $2.3 million) in state funds to launch a pilot program that will provide nutritionally appropriate food to improve quality of life and health outcomes while lowering overall health care costs for Medicaid recipients with significant health care needs.
Housing Stability: $1 million in state funds (federalizes to $2.5 million) to launch a pilot that will connect people experiencing homelessness to stable housing and services that improve health and care management.
Reentry Supports: $900,000 in state funds (federalizes to $2.7 million) to provide pre-release coverage (up to 90 days prior to release from a State Correctional Institution) for substance use care and intensive case management.
Continuing ODP Multi-Year Growth Strategy: Building upon Shapiro’s 2024 multi-year strategy to expand access to home and community-based services and effectively end the emergency waiting list of adults with intellectual disabilities with autism, the proposed budget allots $30 million in state funds, which federalizes to $66.2 million. This will allow for 850 more people to be served in the Community Living Waiver and 400 more people to be served in the Consolidated Waiver.
Supporting 988 Call Centers and Crisis Services: The proposed budget includes a $10 million investment in the crisis response workforce to help 988 call centers, as well as $5 million in state funds to continue prior year commitments for emergency behavioral walk-in centers.
Sustaining Early Intervention Rate Increase: The Secretary stated that the EI line item in the executive budget reflects the changing state cost to run the program and not an anticipated cut in funding. The release of the DHS Blue Book will have more information about the total funding with federal match. DHS intends to keep the new, updated rates from the 2025/26 budget, and revised rates will be released soon.
County Base Mental Health Services Funding: RCPA has confirmed that there will be no allocation increase for county base funding. While previous budgets had included $20 million for county base mental health funding, it was not included in the 2025/26 budget or the proposed 2026/27 budget.

Due to technical difficulties, DHS was unable to record the webinar, but the presentation slides and transcript can both be viewed.

Please contact your RCPA Policy Director with any questions or concerns.

ODP Announces a New Training Available on MyODP

Tue, 10 Feb 2026 13:49:39 GMT

The Office of Developmental Programs (ODP) has shared ODPANN 26-022 .

This announcement is for a new Participant Directed Services training, “Understanding, Promoting, and Monitoring Participant Directed Services in Pennsylvania,” which is now available on MyODP.

This course is available wit hin the Participant Directed Services category under the ‘Topics’ drop-down menu on MyODP’s website or by navigating directly to the course .

Please view the announcement for more details.

ODP Shares Updated Guidance for Reviewing Data for PBC Measures

Tue, 10 Feb 2026 13:47:10 GMT

The Office of Developmental Programs (ODP) has shared an update to ODPANN 24-082 .

The Guidance for Reviewing Data for Performance-Based Contracting (PBC) Measures RM-IM 01.2 and 01.3 has been updated to reflect enhancements to the Incident Reporting Overview Dashboard and to the Incident Management Review Report. Updates to this announcement appear underlined in red .

The guidance can be found on the MyODP PBC Residential Services Page within the Data Folder.

Psychiatric Rehabilitation Services Added to MA Fee Schedule

Mon, 09 Feb 2026 13:42:37 GMT

The Office of Mental Health and Substance Abuse Services (OMHSAS) has announced that Psychiatric Rehabilitation Services (PRS) has been added to the Medical Assistance Program Fee Schedule, effective January 1, 2026.

On January 30, 2026, the Centers for Medicare & Medicaid Services approved the addition of PRS as a rehabilitative service to the Medicaid State Plan, leading to the issuance of OMHSAS-26-01, “Payment for Psychiatric Rehabilitation Services.” Prior to the inclusion in the Medicaid State Plan, PRS was available only to MA beneficiaries enrolled in Behavioral Health HealthChoices as an in lieu of service. PRS is now available as a state plan service to MA beneficiaries in the Fee-for-Service and Behavioral Health HealthChoices delivery systems.

The published bulletin OMHSAS-26-01 can be found here . Please contact RCPA COO and Mental Health Director Jim Sharp with any questions.

RCPA IDD Policy Director Tim Sohosky Honored for Commitment to Public Education

Mon, 09 Feb 2026 13:38:47 GMT

In honor of School Directors Recognition Month, Tim Sohosky has been honored for dedicated commitment to public education in service to the community.

Inside Aging February 2026 Newsletter Now Available

Fri, 06 Feb 2026 19:34:25 GMT

Read the newsletter here .

IN THIS ISSUE: Focus on Aging News : Governor Shapiro’s Budget Address, Black History Commemoration, Nearly 600 Attend ADRD Symposium, Share Program Expands to Lancaster County | What's New in the Commonwealth: Property Tax/Rent Rebate Open for Applications, New Tool to Report SNAP Work Requirements, Medicare Advantage Open Enrollment Now Underway, Heart Health Month and National Caregivers Day | Good Feels | In-person and Virtual Events: Register for the Volunteer Network Conference, Dementia Friendly Pennsylvania Webinar | Update on Legislation

ODP Shares the ISAC Provider Performance Review Subcommittee 2026 Meeting Schedule

Fri, 06 Feb 2026 19:30:13 GMT

The Pennsylvania Department of Human Services (DHS) Office of Developmental Programs (ODP) has shared the Information Sharing and Advisory Committee (ISAC) Provider Performance Review Subcommittee 2026 Meeting Schedule.

Time: The meetings are scheduled to take place on Thursdays, from 1:00 pm – 4:00 pm, unless otherwise specified.

Save the Dates:

March 5, 2026
June 4, 2026, 9:00 am – 12:00 pm
September 3, 2026
December 3, 2026

Location: Meetings will be held remotely. Links to register and participate will be shared closer to the meeting date.

If you have any questions, please contact TaWanda Jackson .

IRRC Releases Comments on Mental Health Procedures Act

Fri, 06 Feb 2026 19:27:26 GMT

The Independent Regulatory Review Commission (IRRC) has released their comments on the proposed rulemaking for the Mental Health Procedures Act.

The IRRC summarized the questions and concerns that were submitted by legislators, providers, and stakeholders during the public comment period and made recommendations for clarity. The Department of Human Services (DHS) must consider and respond to the IRRC’s comments and all comments submitted during the comment period as they prepare their final form regulations.

The majority of the comments were in regard to proposed “Section 5100.33. Patient’s access to records and control over release of records,” where commentors voiced concern of potential conflict with existing statutes. The IRRC also responded to the legislative comments from Rep. Doyle Heffley, Republican Chairman of the House Human Services Committee, who emphasized the importance of resolving the questions asked by providers and stakeholders.

Please contact RCPA Policy Associate Emma Sharp with any questions.

Registration Open for 2026 CJAB Conference

Fri, 06 Feb 2026 19:24:08 GMT

Registration for the Pennsylvania Commission on Crime and Delinquency’s (PCCD) 2026 CJAB Conference “Driving Change Together” is now open.

The conference will be held April 21–22 at the Penn Stater Hotel and Conference Center in State College. This year’s event will bring together criminal justice, behavioral health, and treatment partners for an engaging and thought-provoking event, featuring national and local experts who will examine rethinking the criminal justice system, shifting from reactive measures to cooperative solutions to foster meaningful change.

Criminal justice advisory boards (CJAB) are local planning and problem-solving groups. PCCD supports CJABs in getting started and with assistance on strategies and project implementation.

To register for the conference and view the agendas and session descriptions, visit the 2026 CJAB Conference web page on PCCD’s website.

The deadline for the discounted room rate of $139 is Friday, March 20.

RCPA Capitol Day to Be Held March 25

Fri, 06 Feb 2026 19:21:45 GMT

Advocate for yourselves and others by meeting with legislators directly!

Take the opportunity to join RCPA as we hold our annual Capitol Day this year on Wednesday, March 25 . We will hold a press conference in the Main Rotunda between 10:00 am – 11:00 am, which will include legislators and leaders in human services.

You can register for our Capitol Day press conference by contacting Christine Tartaglione . Please let us know if additional staff or colleagues within your organization are planning to attend Capitol Day with you.

RCPA requests that members schedule appointments with their Senate and House legislators directly to discuss the state budget, legislation, and regulations either prior to or immediately after our press conference. If you have questions or concerns regarding scheduling an appointment with a legislator, please contact Jack Phillips, Director of Government Affairs.

We ask that you use RCPA’s 2026 legislative priorities during your legislative visits. As an additional resource, members can visit the Pennsylvania Capitol website to locate parking and view maps of the building, and you may use the following resources for coordinating your day at the Capitol:

If you have questions regarding our 2026 Capitol Day, please contact Jack Phillips . We look forward to seeing you at the Capit ol!

RCPA 2025 Year in Review: Advancing Advocacy and Impact

Fri, 06 Feb 2026 19:13:37 GMT

RCPA remains a leading voice for Pennsylvania’s health and human services providers, advocating for policies that support access, sustainability, and quality care.

Th e 2025 Year in Review highlights key accomplishments that reflect our collective advocacy efforts, strengthened alliances, and measurable progress toward shared priorities. These successes help ensure providers can continue delivering critical services to individuals, families, and communities across the Commonwealth.

Read RCPA’s 2025 Year in Review

If you have any questions or comments regarding the Year in Review, please contact your respective RCPA Policy Director.

Dr. Marissa Leslie Named Senior VP and Chief Medical and Clinical Officer at RCPA Member Devereux

Fri, 06 Feb 2026 15:00:52 GMT

Villanova, PA – Feb. 5, 2026 – Devereux, one of the nation’s largest nonprofit providers of behavioral healthcare, today announced that Marissa Leslie, M.D. , has been selected as the organization’s senior vice president and chief medical and clinical officer. She will assume her new role on April 22, 2026 [read full release] .

Lisa McCann Elected Chair of RCPA Member Devereux Board of Trustees

Thu, 05 Feb 2026 19:43:47 GMT

Villanova, PA – Feb. 4, 2026 – Devereux, one of the nation’s largest nonprofit providers of behavioral healthcare, today announced Lisa McCann has been elected chair of the organization’s National Board of Trustees.

A trustee since 2017, McCann most recently held the role of vice chair of the Board. She was elected chair during Devereux’s November Board meeting. She also served as chair of the People Operations Committee [read full article] .

$30M Gift Supercharges Pediatric Care Across PA, From CHOP to Rural ERs, RCPA Member CHOP Featured

Thu, 05 Feb 2026 14:58:28 GMT

Article by MyChesco : Published February 3, 2026

Excerpt below:

PHILADELPHIA, PA — Tech entrepreneur and philanthropist Jared Isaacman has pledged $30 million to three of Pennsylvania’s leading health systems, directing major investments toward pediatric care, emergency services, and long-term medical innovation across the Commonwealth.

The commitment will support Children’s Hospital of Philadelphia, UPMC Children’s Hospital Foundation, and The Guthrie Clinic, reinforcing care delivery from densely populated suburban corridors to rural communities in north-central Pennsylvania. The funds are intended to expand access, modernize facilities, and strengthen specialized services for children and families statewide.

OLTL Announces Upcoming PA ABLE Savings Program Webinar on February 25

Thu, 05 Feb 2026 14:55:04 GMT

The Pennsylvania Department of Human Services (DHS) Office of Long-Term Living (OLTL) has announced an upcoming webinar on the PA Achieving a Better Life Experience (ABLE) Savings program .

This webinar is scheduled for February 25, 2026, from 12:00 pm – 1:00 pm. To participate in this webinar, register using this registration link .

A PA ABLE savings account gives individuals with qualified disabilities and their families and friends a tax-free way to save for a wide range of disability-related expenses while maintaining important benefits. The state and federal tax-free investment options are offered to encourage Eligible Individuals and their families to save private funds to support health, independence, and quality of life.

Some of the topics that will be discussed include eligibility requirements for opening a PA ABLE account, federal and state tax benefits of PA ABLE, and how a PA ABLE account interacts with current benefits. Additionally, information on the recent age eligibility expansion will be discussed.

OLTL Service Coordinators, Direct Service Providers, Community HealthChoices Managed Care Organization (CHC-MCO) staff, and any individuals who work in employment supports are strongly encouraged to participate in this webinar, as it will help them understand the PA ABLE Program and how it can benefit the OLTL participants they serve.

After registering, you will receive a confirmation email containing information about joining the webinar.

Questions regarding the webinar should be directed to Randy Loss , OLTL.

Join RCPA in Supporting the Pennsylvania Reception at NatCon26

Wed, 04 Feb 2026 16:18:02 GMT

Each year at the National Council for Mental Wellbeing Conference, RCPA, together with our sponsors, hosts the Pennsylvania Reception.

This reception has become a signature event, consistently well attended and widely recognized as a highlight of the conference for Pennsylvania registrants, National Council leadership and staff, and invited guests from across the country.

We are pleased to once again host the Pennsylvania Reception and will be holding it Tuesday evening, April 28, as part of the 2026 National Council Conference (NatCon26) at the Colorado Convention Center in Denver, CO. The event provides an excellent opportunity to connect with colleagues, celebrate Pennsylvania’s provider community, and showcase the organizations that support this event. Additional details will be shared as plans are finalized.

The continued success of the Pennsylvania Reception is made possible through the generous support of our sponsors. Sponsorship includes prominent recognition and helps provide a first-class event, featuring food, beverages, entertainment, and meaningful networking opportunities.

If you are interested in sponsoring the 2026 Pennsylvania Reception or have any questions, please contact Tina Miletic .

RCPA sincerely thanks our past sponsors and looks forward to your continued partnership and support in 2026.

ODP Confirms SCO P4P Payments

Wed, 04 Feb 2026 16:13:11 GMT

The Office of Developmental Programs (ODP) has confirmed that Supports Coordination Organizations (SCO) payments for Pay-for-Performance (P4P) as well as regular cycle payments that were on the same remittance advice have now been fully approved. SCOs should expect those payments in their accounts either Wednesday, February 4, or Thursday, February 5.

Governor Shapiro’s 2026/27 Budget Address Overview

Wed, 04 Feb 2026 16:10:24 GMT

On February 3, 2026, Governor Josh Shapiro delivered his fourth budget address to the Pennsylvania General Assembly.

He began the address by commending the significant growth of the Commonwealth over the last three years, highlighting improvements in quality education, agriculture, energy, and becoming the only state in the Northeast with a growing economy.

Shapiro’s 2026/27 proposed budget calls for $53.3 billion in state General Funds expenditures, with Medicaid (32%) and Education (36%) being the largest spend categories. Other expenditures include:

Human Services and other DHS programs (9%);
Corrections and Parole (6%);
Higher Education (4%);
Debt Service (3%); and
10% remaining for all other categories.

The 2026/27 budget also includes supplemental appropriations of $390.3 million to increase the FY 2025/26 General Fund spend to $51.5 billion. The majority of this increase is attributed towards DHS programs and Education through the end of FY 2025/26, with a $374.5 million increase for human services related to increased projections of utilization, caseloads, and enrollments anticipated through June 2026.

Similar to last year’s address, Shapiro called for the legalization and taxation of adult use cannabis as well as taxing and regulating skill games terminals in order to support the proposed 2026/27 expenditure. The budget would also be funded by transferring $4.6 billion from the Budget Stabilization Reserve Fund (Rainy Day Fund) to the General Fund, which would leave the Rainy Day Fund balance at $3.3 billion.

2026/27 Proposed Budget Highlights:

Behavioral Health

Behavioral Health Medicaid Capitation: The 2026/27 proposed budget includes a 15% increase to $4.4 billion in Medicaid capitation funding to the behavioral and physical HealthChoices programs. This is the amount of money from which behavioral health Medicaid managed care organizations reimburse providers for mental health and SUD treatment services. At this point, how the total capitation funding breaks out between behavioral and physical health is not known. The current fiscal year budget includes $1.95 billion in behavioral health Medicaid capitation.
Substance Use Disorder Funding: The Department of Drug and Alcohol Programs saw a $300,000 increase in its general operations fund but was otherwise flat-funded. Most of DDAP’s state dollars are passed onto Single County Authorities to fund treatment at the county level.
Adult Use Recreational Marijuana: The proposed budget included $730 million in anticipated revenue from legalized adult use recreational marijuana, which, if legalized by the legislature, would take effect January 1, 2027.
Mental Health Services: The proposed budget includes a $65 million (+6.9%) increase, including $10 million to support the 988 network, $7.3 million to expand diversion and discharge programs for individuals with mental illness currently in the criminal justice system, and $5 million to maintain walk-in mental health crisis stabilization centers.
School Mental Health: Shapiro proposed $100 million for school mental health and safety, totaling in $400 million over his term.

Intellectual and Developmental Disabilities

Intellectual Disabilities Community Waiver: The Governor’s proposed FY 2026/27 budget includes a $76.8 million increase for the Intellectual Disabilities Community Waiver line item, largely intended to maintain existing services and enrollment rather than expand capacity. No funding is currently explicitly proposed for waiting list initiatives.
ARPA HCBS Funding: One-Time ARPA HCBS funding is ending in 2026. A limited backfill is proposed to continue select initiatives, raising questions about the long-term sustainability of workforce and service enhancements supported with one-time federal funds.
Minimum Wage Increase: The proposal to increase the minimum wage to $15/hour, effective January 1, 2027, would significantly impact IDD providers without a clearly identified, corresponding waiver rate adjustment in the budget.
Emphasis on Stability: Overall, the budget proposal shows a focus on maintaining current system stability. Ongoing workforce cost pressures and rate adequacy remain key concerns for IDD service providers.

Community HealthChoices

The initial release of the Governor’s 2026/27 budget for the Department of Human Services (DHS) includes an increase of 7.47% for Medical Assistance/Community HealthChoices. RCPA will be working with DHS to determine what this increase to the CHC-MCOs will encompass and how this could impact members under the Community HealthChoices program.

While this brief overview provides a snapshot of the Governor’s proposed budget, RCPA Policy Staff will be working with our lobbying partners, healthcare experts, and systems’ stakeholders to provide a thorough analysis of the budget to members. We have confirmed that DHS will be hosting a virtual proposed budget briefing on its portion of the State Budget funding this Friday, February 6, 2026. The virtual briefing will provide some additional details, but the DHS “Blue Book” provides the most detail on certain appropriation lines and should be available in the coming weeks in advance of its hearings with the Senate and House Appropriations Committees.

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

ODP Health Alert: Confirmed Measles Cases in Pennsylvania

Wed, 04 Feb 2026 15:11:40 GMT

The Pennsylvania Department of Health (DOH) has confirmed 5 cases of measles in Lancaster Co. They are the first case of measles in 2026.

The Office of Developmental Programs is sharing this Health Alert with stakeholders for awareness.

Contact your healthcare provider immediately if you have symptoms consistent with measles or believe you may have been exposed to a person with measles.

Read the full Health Alert here .

Senate Passes FY26 Funding for Mental Health and SUD

Wed, 04 Feb 2026 15:05:01 GMT

From our partners at the National Council for Mental Wellbeing:

After a brief partial shutdown on Feb. 3, Congress passed an amended funding package that includes funding for five appropriations bills; the package now goes to the president’s desk for signature. The package also includes a two-week continuing resolution to temporarily fund the Department of Homeland Security (DHS) while a longer term deal is negotiated. If no funding deal is reached for DHS within the two-week timeframe, it is possible another partial shutdown will occur; however, Health and Human Services (HHS) programs would not be impacted.

Funding for HHS is included in the final fiscal year (FY) 2026 funding for the Labor, Health and Human Services, Education, and Related Agencies (LHHS) bill. See the Consolidated Appropriations Act, 2026 bill text and its accompanying report language .

Total funding for the Substance Abuse and Mental Health Services Administration (SAMHSA) was provided at $7.4 billion, relatively level to funding provided in FY24, when appropriations bills were last enacted (FY25 saw a year-long continuing resolution rather than an appropriations bill).

Overall, many mental health and substance use programs saw level or slightly increased funding. This is a tremendous win for the field, particularly in a challenging fiscal environment .

_______________________________________________________________________

The Medicare telehealth waivers expired on January 30, 2026; and after a brief lapse in the telehealth waivers and a partial shutdown of the federal government, this passage restores continuity to Medicare telehealth coverage and a return to permanent, pre-pandemic policy. The extension will maintain key flexibilities, including expanded originating sites, geographic waivers, and eligibility for certain providers that would otherwise be unavailable under permanent Medicare telehealth rules. Additionally, this will apply retroactively and cover the lapse period for the delivery and billing of these services.

Additional language in the agreement includes a requirement that the Department of Health and Human Services (HHS) notify the committee at least three days prior to announcing or providing notice of a grant termination and directs SAMHSA to consult with Congress before issuing a funding opportunity announcement. This language provides additional congressional oversight in the agency grant making process.

If you have any questions, please contact RCPA COO & Mental Health Division Director J im Sharp .

Gov. Shapiro Unveils PA Budget Plan That ‘Builds on Progress’ and Raids the Piggybank

Tue, 03 Feb 2026 16:02:01 GMT

Article by PennLive : Published February 3, 2026

Excerpt below:

Gov. Josh Shapiro is proposing a $53.26 billion state budget for the fiscal year starting July 1 that increases spending for schools and the most vulnerable, but also exceeds projected revenues by nearly $4.6 billion.

That deficit is likely the first, and one of the biggest problems that legislative Republicans will find with the plan.

March 2026 CI Forum Registration Now Open

Tue, 03 Feb 2026 15:58:07 GMT

The Office of Developmental Programs (ODP) announced that registration is now open for the March Certified Investigator (CI) Forum.

The Temple University Harrisburg Certified Investigator Program and ODP will be facilitating Forums for Certified Investigators and others involved in the incident investigation process.

Please see ODPANN 26-018 for information on how to register and other important details .

National Council’s Group Purchasing Program

Tue, 03 Feb 2026 15:55:50 GMT

RCPA has partnered with the National Council for Mental Wellbeing (NC) to provide a cost-saving purchasing solution designed to meet the unique needs of your organization: the National Council Group Purchasing Program (GPP) .

This members-only benefit unlocks significant savings without the hassle of traditional purchasing.

Powered by Pandion, the GPP offers savings of 10% – 30% across a wide range of categories, such as food, transportation, medical supplies, software, and office essentials. Benefits include:

Lower Costs, Same Quality: Bulk purchasing power results in big savings on everyday essentials.
Predictable Pricing: Pre-negotiated rates help you budget with confidence.
More funds for your mission, as savings can be directed to staffing, patient care, or expansion.
Expertise in vendor research and negotiations at your fingertips.
Trusted Suppliers: Obtain top-quality products from leading businesses at discounted rates.
Simplified Purchasing: One streamlined network for all your procurement needs.

To learn more about this free, member-focused program , including implementation “next steps,” download the NC’s GPP flyer or watch this webinar . On behalf of RCPA, thank you for your membership, and thank you for the work you’re doing to connect more people to high-quality, comprehensive care!

ODP Announces EIM Dashboard Enhancements

Mon, 02 Feb 2026 15:52:14 GMT

The Office of Developmental Programs (ODP) has shared ODPANN 26-016 .

This communication announces enhancements to the EIM Incident Management Review Report and to the Incident Reporting Overview Dashboard and to provide advance notice that EIM will be unavailable to all users from 6:00 am ET until 6:30 pm ET on Saturday, February 7, 2026.

Please view the announcement for more details.

ODP Shares Preparation Tools and Key Dates for Residential Provider PBC

Mon, 02 Feb 2026 15:47:55 GMT

The Office of Developmental Programs (ODP) announces the upcoming data submission window for Performance-Based Contracting (PBC) to Providers of Residential Habilitation, Life Sharing, and/or Supported Living services in the Consolidated and/or Community Living Waivers (residential services) for contract year 2026/27.

ODP will hold a training for the MyPBC Portal system for Residential Service Providers on Thursday, February 5, 2026. Providers may register to attend using the MyPBC Portal Training GoTo Webinar link or access the MyODP Performance-Based Contracting web page for more information.

Please view ODPANN 26-017 for more details.

Sponsor, Exhibit, and Advertise at the 2026 RCPA Conference!

Mon, 02 Feb 2026 15:42:44 GMT

Join RCPA as we host the 2026 Annual Conference Power in Purpose: Promoting Possibilities from September 29 – October 2 at the Hershey Lodge.

The event is a highlight for the Pennsylvania behavioral health, brain injury, children’s, early intervention, intellectual and developmental disabilities, medical rehabilitation, and physical disabilities and aging provider communities. RCPA staff and the Conference Committee are excited to release this year’s Sponsors, Exhibitors, and Advertiser Brochure, which features many opportunities to get in on the action and network with providers. Booth self-selection will also be available for exhibitors and exhibiting sponsors. In order to be considered for self-selection, a completed contract with payment must be submitted.

Network and Compete in Connections Hall
Connections Hall activities take place during the two busiest days of the conference, and many networking opportunities are available throughout the event. You’ll also be able to compete and have a chance to win “Best of Show!”

Exciting Sponsorship Opportunities
RCPA is privileged to have the backing of the finest organizations in the field for our conference. Through the use of sponsorship circles, RCPA is able to honor all supporting organizations.

Sign Up Now!
Sponsors, exhibitors, and advertisers who wish to be listed on the website, on the mobile app, and in the conference program must submit all materials by Tuesday, September 8 .

The association looks forward to welcoming you at the conference! Space and opportunities are reserved on a first-come, first-served basis, and no reservation is considered complete without payment. If questions remain, please contact Carol Ferenz , Conference Coordinator.

ODP Shares Supportive Housing Pilot Data

Mon, 02 Feb 2026 13:46:35 GMT

The Office of Developmental Programs (ODP) Intellectual Disability/Autism (ID/A) Supportive Housing Pilot , which launched on March 1, 2024, currently operates across ten counties.

This program empowers individuals with ID/A to live in their own homes in the community by providing a combination of financial assistance and supportive services.

As of January 1, 2026, there are 129 individuals enrolled in the pilot and 169 pending applicants. Enrolled individuals have shared positive feedback, highlighting their appreciation for their homes, their staff, and the freedom to manage their own schedules.

From a fiscal perspective, the pilot is demonstrating impressive cost-effectiveness. The annual service cost per individual in the Supportive Housing Pilot is $98,991, compared to $267,225 for traditional licensed residential group homes. For individuals transitioning from group homes, the average yearly savings is $75,117.34, with specific savings ranging from $10,757.03 to $135,402.00.

To date, 22 individuals have successfully transitioned off the subsidy, which averages $724.03 per person.

2026 CHC and OBRA Waiver Amendments and Renewals Released for Public Comment

Fri, 30 Jan 2026 15:33:53 GMT

The Department of Human Services (DHS) is making available for public review and comments the Office of Long-Term Living’s (OLTL) proposed amendment for the Community HealthChoices (CHC) waiver and the proposed renewal of the OBRA waiver. The proposed amendment of the CHC waiver and renewal of the OBRA waiver will be effective July 1, 2026.

DHS is proposing the following changes to the CHC waiver :

Add a teleservice option to the following waiver services:
Behavior therapy.
Benefits counseling.
Add language to specifically address teleservice delivery of waiver services and the Home and Community- Based Settings (HCBS) rule based on sections added to the waiver application.
Remove and modify outdated language throughout waiver.

The proposed CHC waiver amendment and a summary of all revisions are available for review here .

Written comments regarding the proposed renewal to OBRA should be sent to the Department of Human Services, Office of Long-Term Living, Bureau of Policy Development and Communications Management, Attention: Keeley Anglin—CHC Waiver Amendment, P.O. Box 8025, Harrisburg, PA 17105-8025. Comments can also be sent via email . Use ”CHC Waiver Amendment” as the subject line. Comments received within 30 days will be considered in subsequent revisions to the proposed amendment.

--------------------------------------------------------------------------------------------

DHS is proposing the following changes to the OBRA waiver :

Add a teleservice option to the following waiver services:
Behavior therapy.
Benefits counseling.
Revise outdated language regarding the OLTL quality improvement strategy and quality monitoring processes.
Add language regarding the need for a Service Coordinator to reassess a participant due to a trigger event.
Add language to specifically address teleservice delivery of waiver services and the Home and Community-Based Settings (HCBS) rule based on new sections in the waiver application.
Add language to comply with the Centers for Medicare and Medicaid Services (CMS) Ensuring Access to Medicaid Services Final Rule (Access Rule) to update the complaint process for the fee-for-service waiver and update the timeframe to resolve a complaint from 45 to 60 days due to the additional requirements of the Access Rule.
Update OLTL’s goals for unduplicated number of waiver participants who are expected to elect participant direction.
Modify performance measures AA-2 and QP-2 and divide SP-5 into three separate performance measures: SP-5 (amount, frequency and duration), SP-9 (type) and SP-10 (scope).
Remove and modify outdated language throughout waiver.

The proposed OBRA waiver renewal and a summary of all revisions are available for review here .

Written comments regarding the proposed renewal to OBRA waiver should be sent to the Department of Human Services, Office of Long-Term Living, Bureau of Policy Development and Communications Management, Attention: Keeley Anglin—OBRA Waiver Renewal, P.O. Box 8025, Harrisburg, PA 17105-8025. Comments can also be sent via email . Use ”OBRA Waiver Renewal” as the subject line. Comments received within 30 days will be considered.

CMS Releases Proposed Rulemaking for Input on Strengthening Supply Chain for PPE & Medications

Fri, 30 Jan 2026 15:17:41 GMT

The Centers for Medicare and Medicaid Services (CMS) released an Advance Notice of Proposed Rulemaking (ANPRM) to obtain public feedback on potential approaches to strengthen the American-made supply chain for personal protective equipment (PPE) and essential medicines.

Building on lessons learned during the COVID-19 public health emergency (PHE), CMS is exploring ways to reduce reliance on foreign-made medical supplies and enhance the nation’s readiness for future emergencies while supporting American workers and manufacturers.

The proposed rule requests comments on new avenues CMS may consider promoting domestic purchasing by hospitals that participate in the Medicare program, including the potential creation of a new “Secure American Medical Supplies” designation for hospitals committed to American-made purchasing and streamlined payment approaches to help offset the resource costs of domestic procurement.

Comments on the ANPRM are due by March 30, 2026.

White House Announces Great American Recovery Initiative

Fri, 30 Jan 2026 13:54:27 GMT

On January 29, 2026, President Trump signed an Executive Order to create the White House Great American Recovery Initiative in an effort to coordinate a federal response to addiction across America and prevent fatal overdoses.

This new initiative serves as part of Trump’s commitment to ending the addiction crisis and ensuring Americans have access to the support and care they need.

The Great American Recovery Initiative will be led by Health and Human Services Secretary Robert F. Kennedy Jr., along with Senior Advisor for Addiction Recovery Kathryn Burgum, and will also include the Attorney General, Interior, Labor, Housing and Urban Development, and Veterans Affairs Secretaries.

Primary goals of the initiative include increasing addiction awareness, advising agencies on program implementation, advising agencies on directing appropriate grants to support addiction recovery, and consulting with states and other entities to ensure Americans have access to addiction treatment. The White House also released a fact sheet to detail the goals of the initiative and their current progress in addiction treatment.

Secretary Kennedy is scheduled to appear Monday, February 2, 2026, to discuss more details and announce another initiative related to mental health and addiction. RCPA will continue to update members as information becomes available.

The Institute on Disabilities at Temple University to Host Workshops on Talking About Sexuality

Thu, 29 Jan 2026 14:08:48 GMT

Talking About Sexuality: A Workshop for Parents of Youth and Adults with Intellectual and Developmental Disabilities

Session 1: Wednesday, February 11, 6:00 pm – 8:00 pm
Session 2: Monday, May 11, 6:00 pm – 8:00 pm
Register Here

Talking about sexuality with your loved ones with disabilities can be difficult. As parents and family members, we often worry whether they can be safe from harm in relationships. This workshop from Elevatus Training, LLC will help you become more comfortable and prepared for these conversations. Topics include:

What is Sexual Health?
Barriers to Communicating
Human Sexual Development
Tips for Talking

This training is free, provided virtually, and features small and large group discussions. Registration is required.

Sessions are capped at 40 participants. Automatic closed captioning and image descriptions will be provided. Contact Temple University via email to request additional access needs or questions.

This workshop is hosted and facilitated by the Healthy Sexuality Project at the Institute on Disabilities . This workshop is written and designed by Elevatus Training, LLC . The Healthy Sexuality Project is a program of the Institute on Disabilities at Temple University.

ODP Announces the Opening of the 2025 National Core Indicators® State of the Workforce Survey Portal

Thu, 29 Jan 2026 14:04:23 GMT

The Office of Developmental Programs (ODP) has shared ODPANN 26-015 .

This communication is to inform providers that the 2024 National Core Indicators® Intellectual and Developmental Disabilities (NCI®-IDD) State of the Workforce survey portal expects to open on February 9, 2026.

Attachment:

2025 NCI®-IDD State of The Workforce Survey

Please view the announcement for more details.

ODP Shares QA&I Cycle 2 and HCBS Rule Licensing Inspection Statewide Report

Thu, 29 Jan 2026 14:01:02 GMT

The Office of Developmental Programs (ODP) has shared the release of the Quality Assessment and Improvement (QA&I) and Home & Community-Based Settings Rule Licensing Inspection Statewide Report, which includes QA&I Cycle 2 and licensing inspection data from fiscal years (FY) 2022/23, 2023/24, and 2024/25.

This report is located online at MyODP’s website in the QA&I Reports section or directly here .

Please view communication ODPANN 26-014 for more details .

Update for SCO Pay-for-Performance Initiative Payments

Wed, 28 Jan 2026 18:26:17 GMT

As an update, the Office of Developmental Programs (ODP) continues to work closely with the Treasury as they conduct their reviews of payments related to the Supports Coordination Organization (SCO) Pay-for-Performance initiative.

While they cannot provide a timeframe for completion of the reviews, it should be noted that payment is generally seen by providers within 2–3 days of approval versus waiting for the next payment cycle. All Pay-for-Performance payments are under review; however, there is nothing specifically required from any SCOs at this point in time.

ODP will continue to monitor payment status and will send updates as they receive new information.

Advancing Inclusivity in the IDD Space — Relias Webinar on February 24

Wed, 28 Jan 2026 18:24:31 GMT

Advancing Inclusivity in the IDD Space
February 24, 2026
2:00 pm ET
Register Here

Explore how inclusive practices in the IDD space support person-centered care, improve outcomes, and strengthen the workforce. Through examples and real-world strategies, Relias highlights how organizations can embed inclusivity into daily practice, policies, and culture to better support individuals with IDD.

Join RCPA partner Relias on February 24 at 2:00 pm ET to hear Christina Marsack-Topolewski, PhD, LMSW, dive into:

What inclusivity means in IDD services and why it is critical to quality, person-centered care;
Practical strategies to support dignity, autonomy, and diverse identities across care settings; and
How inclusive practices positively impact staff engagement, retention, and organizational culture.

DDAP Awards Nine Grants Totaling $1.2 Million to SCAs for Recovery Housing, Supports for Young Adults

Tue, 27 Jan 2026 19:06:20 GMT

The Pennsylvania Department of Drug and Alcohol Programs (DDAP) is awarding more than $1.2 million to expand access to recovery housing and recovery support services throughout Pennsylvania for young adults 18–24 years old who have opioid or stimulant use disorders. DDAP is awarding grants to nine Single County Authorities (SCA) to fund the effort.

Currently, there are about 430 DDAP-licensed recovery houses across the Commonwealth. The purpose of the Administration’s licensure program is to help empower sustained recovery for individuals with substance use disorder (SUD) by ensuring a network of safe drug and alcohol recovery houses. Drug and alcohol recovery houses are required to be licensed in order to receive referrals from state agencies or state-funded facilities or to receive federal or state funding to deliver recovery house services.

The grant funds will be used to supplement existing resources, ensuring that current services are expanded rather than replaced, and that recovery housing remains accessible and safe through Pennsylvania.

DDAP is awarding nine grants, which will run through September 30, 2026, to the following SCAs serving 14 counties:

Berks County Council on Chemical Abuse: Berks County
Blair County Drug and Alcohol Program, Inc.: Blair County
Columbia Montour Snyder Union Drug & Alcohol Services: Columbia, Montour, Snyder, and Union Counites
Delaware County Department of Human Services, Division of Drug and Alcohol Programs: Delaware County
Erie County Office of Drug and Alcohol Abuse: Erie County
Lackawanna/Susquehanna Office of Drug and Alcohol Programs: Lackawanna and Susquehanna Counties
Somerset Single County Authority for Drug and Alcohol: Somerset County
Westmoreland Drug & Alcohol Commission, Inc.: Westmoreland County
York Adams Drug and Alcohol Commission: York and Adams Counties

Read the full press release .

Feb. 16 Deadline Nears for SUD Provider Compliance With Final Rule on 42 CFR Part 2: Notice of Privacy Practices

Tue, 27 Jan 2026 19:04:05 GMT

In April 2024, the U.S. Department of Health and Human Services (HHS) issued a final rule on 42 CFR Part 2 that modified the Notice of Privacy Practices (NPP) requirements related to the confidentiality of substance use disorder (SUD) treatment records to align with other HHS regulations.

The new NPP requirements apply to any HIPAA covered entity that creates or maintains protected health information (PHI) that is also a record of SUD treatment provided by a Part 2 program. In addition to ensuring compliance with the protections of Part 2, such entities must update their NPP no later than February 16, 2026 , to comply with the updated rules.

The National Council for Mental Wellbeing is developing a list of resources to help providers make the necessary changes to their NPP to comply with the final rule. As soon as it is complete, RCPA will distribute it.

In the meantime, there are several resources online that help to explain the change and compliance with it, including this Patient Notice Template from the Center of Excellence for Protected Health Information, which provides a framework that Part 2 programs may adapt to reflect their particular policies and practices. It reflects the 2024 Final Rule’s amendments to Section 2.22 of 42 CFR Part 2.

DHS Launches New Website, Shares Inquiry Form for PA Rural Health Transformation Plan

Tue, 27 Jan 2026 18:58:12 GMT

The Department of Human Services (DHS) has launched a new website for the PA Rural Health Transformation Plan, containing information on goals as well as links to the full plan and news updates.

While a formal RFP process has not yet been released, providers can submit the following inquiry form . This brief survey provides each organization with an opportunity to introduce your agency and services you offer, ask questions regarding the Rural Health Transformation Plan, and identify the Rural Care Collaborative region(s) where you and/or your organization is based or provides services (see map below). Once submitted, DHS will review and respond to your inquiry as soon as possible.

Providers and stakeholders may also sign up for updates on the Rural Health Transformation Plan.

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

RCPA Shares 2026 Global and Divisional Legislative and Administrative Priorities

Tue, 27 Jan 2026 18:53:07 GMT

Message from Richard S. Edley, PhD, President/CEO of RCPA:

On behalf of RCPA, I am pleased to share our 2026 Global and Divisional Legislative and Administrative Priorities , which are the result of a collaborative effort among RCPA’s policy directors, member-led steering committees and work groups, government affairs partners, and the broader membership. These priorities will serve as the foundation of our strategy in 2026 and beyond, guiding us in our work with the General Assembly, Shapiro Administration, and other key stakeholders. Our goal in that effort, as always, is to support our members in their mission to serve Pennsylvania’s most vulnerable citizens.

In these uncertain times, it will take a collective effort by all of us to meet the challenges that lie ahead. We look forward to working with you to do just that. Our Legislative and Administrative Priorities brochure is a “living” document; that is, as issues change throughout the year, we will continue to adapt these priorities. This document serves as the initial foundation and guide.

If you have any comments or questions about how you can get more involved, please contact me via email or your RCPA policy director(s).

Mental Health Safety Net Coalition Meeting Announced for February 13

Mon, 26 Jan 2026 13:37:12 GMT

RCPA will reengage with all members, non-members, and systems-wide behavioral health stakeholders to participate in the Mental Health Safety Net Coalition.

The Coalition is focused on developing strategies, activities, and engagement opportunities to support behavioral health funding in the Commonwealth.

The Coalition will have its first meeting on Friday, February 13, 2026, from 12:00 pm – 1:00 pm. This meeting will give the group an opportunity to review last year’s budget, Governor Shapiro’s proposed budget, and initial strategies for the Fiscal Year (FY) 2026/27. It will also give us an opportunity to develop questions for legislators for the DHS budget hearings in late February and early March. Register for the meeting by contacting Emma Sharp , RCPA Policy Associate.

As the group continues to meet, we will develop our overall advocacy blueprint to ensure the communication of our message and stakeholder engagement is focused on protecting and preserving our mental health service delivery system.

The meetings will be held via Microsoft Teams; information will be sent to those interested in the Coalition. RCPA invites all to participate. If you would like to join the Coalition or have any questions, please contact Emma Sharp .

ODP Clarifies Licensure of Older Adult Daily Living Centers

Fri, 23 Jan 2026 13:44:26 GMT

The Office of Developmental Programs (ODP) has provided clarification as to when a provider licensed under 55 Pa. Code Chapter 2380 is required to also obtain licensure as an Older Adult Daily Living Center (OADLC) from the Pennsylvania Department of Aging (PDA). Please view ODPANN 26-013 for details.

ODP Issues Reminder to SCOs on Accessing Specialty Telehealth and Assessment Team Resources

Fri, 23 Jan 2026 13:40:54 GMT

The Specialty Telehealth and Assessment Team (STAT) is a 24/7 telehealth service that provides health assessments.

The service is consultative and provides disability specific advice of when to best seek additional or in-person medical treatment for the participants. This is a service that occurs in the participant’s private home or residential home to help assess their need for medical attention.

This service does not duplicate any service that is available through the state plan, and, very importantly, this service is not intended to replace in-person exams. The goal is not to prevent people from going to the emergency room or seeing a physician in person when needed. It is a support that can help to alleviate the burden of going to the emergency department or urgent care when it is not absolutely necessary for the individual to be seen in person.

The STAT waiver service is provided as a monthly service and billed in monthly units. One unit equals one month at 55 dollars a unit. All individuals that are involved in an ID/A waiver, Person/Family Directed Support (PFDS) waiver, Community Living waiver, and the Consolidated waiver are eligible for this service. The STAT waiver service is available for individuals of all ages and all living situations as long as they are enrolled in one of the ID/A waivers. In order to access this service, STAT must be added to the ISP via a critical revision or at the time of the annual ISP and must be authorized by the administrative entity prior to the service being used. STAT costs are included in the annual limit for P/FDS and Community Living waivers.

STAT is a unique and specialized service. The physicians that provide this service are educated in the guidelines for the provision of health care to individuals with intellectual and developmental disabilities. All staff who render the service have completed a specialized training curriculum on how to provide medical assessment, treatment interventions, and recommendations regarding the health care needs of individuals with intellectual disabilities, developmental disabilities, or autism. This service is provided and overseen by physicians who are licensed to practice medicine in the Commonwealth of Pennsylvania or have appropriate reciprocity.

The STAT waiver service has been available since March of 2024 and has grown steadily since. There are currently over 5,500 individuals using the service with two providers available, StationMD and Senacare . The service has maintained approximately a 94% treat in place rate since it became available, saving time and resources by avoiding unnecessary Emergency Department and urgent care visits.

We encourage SCs to provide education to individuals, families, and teams about how the STAT service can help.

SCO Waiver Payments Impacted by P4P Payments

Thu, 22 Jan 2026 15:00:18 GMT

The Office of Developmental Programs (ODP) has been made aware that this week’s SCO waiver payments were impacted by Pay for Performance (P4P) payments.

P4P Technology and Credentialing payments were included in the same remittance advice as waiver payments. Presently, the Treasury is conducting a post-audit of these transactions. As soon as the Treasury’s audit is completed, payments on the January 12, 2026, remittance advices will be released. Payments on subsequent RAs that do not include P4P payments are expected to pay in the usual time frames.

HR Committee: January 14 Meeting Follow-Up

Thu, 22 Jan 2026 14:56:02 GMT

Follow-up information from the HR Committee meeting held on January 14, 2026, is available below:

We are pleased to announce the two new co-chairs of the HR Committee:

Jennifer Park from Chestnut Ridge Counseling Services, Inc.
Candace Osunsade from The Ramsay Group

Save the Dates

RCPA Capitol Day will be held on Wednesday, March 25, 2026, at 10:00 am in the PA Capitol’s Main Rotunda
The 2026 RCPA Conference will be held at the Hershey Lodge September 29 – October 2, 2026.

Here are links to the AI House Bills that Jason Snyder, SUD Treatment Services Director, BH Division, spoke about. Please send any questions you may have to him electronically .

HB 1925 (Venkat)/ SB 1113 (Pisciottano [companion bill to HB 1925]): Regulation of the Use of Artificial Intelligence in Healthcare
HB 1993 (Shusterman): Regulating the Use of AI in Mental Health Care
HB 2100 (O’Mara/Bizarro): Artificial Intelligence and Counseling Services

The remaining 2026 HR Committee meeting dates are:

April 15
August 12
November 18

We encourage you to reach out to Christine Tartaglione with any suggested topics for future HR Committee meetings.

Early Bird Rates for NatCon 2026 End Today!

Thu, 22 Jan 2026 13:54:31 GMT

Today is the last day to take advantage of early bird rates for NatCon 2026, which will be held April 27 – 29, 2026, in Denver, Colorado. You can register here for the event.

After January 22, there will still be ways to save on your registration fees:

Advance rates will become available from January 23 – March 12, 2026.
A group registration discount is available for Full Conference registrations. After you purchase two Full Conference registrations, you will receive a $50 discount off each additional Full Conference registration, provided they are made within the same transaction.
Note: If you plan on registering 10 or more individuals, contact the National Council to learn about additional group savings.
RCPA is a “100% Association Member” of the National Council. RCPA Members who register for the Full Conference or for One Day will receive an additional $50 discount. No code is needed; the National Council will automatically apply the discount.

Contact the National Council with any questions.

LTSS Subcommittee February 4 Agenda, Meeting Link Released

Thu, 22 Jan 2026 13:46:22 GMT

The Office of Long-Term Living (OLTL) has released the agenda and call information for the February 4, 2026, Long-Term Services and Supports (LTSS) Subcommittee meeting.

This meeting will be held via webinar/remote streaming only from 10:00 am – 1:00 pm.

Comments and questions for this meeting should be sent electronically .

The conference line for the meeting is:
Bridge Number: 1 (914) 614-3221 PIN: 938-224-090#
Webinar Link
Remote Streaming Link

For additional information about this meeting, visit the LTSS Subcommittee website .

CMS Releases Revisions to Telehealth & Remote Monitoring

Thu, 22 Jan 2026 13:36:43 GMT

The Centers for Medicare and Medicaid Services (CMS) recently released a revised Medicare Learning Network (MLN) booklet that contains revisions to telehealth and remote monitoring.

Specific changes noted in this publication include:

The addition of a resource link for the latest telehealth information;
Additional information on how to suppress a practitioner’s home address in PECOS;
The removal of telehealth frequency limitations for subsequent inpatient, nursing facility, and critical care consultations;
Permanently allowing teaching and supervising physicians to supervise through virtual presence;
Continued payment to Rural Health Clinics (RHC) and Federally Qualified Health Centers (FQHC) for medical telehealth services through December 31, 2026;
Starting in CY 2026, only adding services to the Medicare telehealth services list on a permanent basis;
The addition of 5 new CPT and HCPCS codes to the Medicare telehealth services list; and
For CY 2026, updates to the:
Medicare Economic Index; and
Originating site fee.

Members are encouraged to review the booklet for more details on these changes.

Free Member Webinar on PA Navigate Announced

Thu, 22 Jan 2026 13:34:11 GMT

RCPA is pleased to join the Community Action Association of Pennsylvania (CAAP), in partnership with Central PA Connect Health Information Exchange (HIE), for an interactive information session on PA Navigate, the statewide platform designed to strengthen connections between healthcare providers and community-based organizations.

This session will provide an overview of PA Navigate, the stakeholders involved, and how the platform supports coordinated referrals and resource connections to address social determinants of health. Participants will learn how PA Navigate can be used to identify community resources, streamline referrals, and improve collaboration across sectors. The session will also highlight how PA Navigate can be leveraged to promote volunteer opportunities that help individuals meet work or community engagement requirements and maintain eligibility for SNAP and other public benefits.

Whether you are a healthcare provider or a community-based organization, this session will highlight practical ways PA Navigate can support your work and enhance outcomes for the communities you serve. CAAP will present this webinar on two separate dates for your scheduling convenience.

Please register for the option that best fits your schedule:

At the end of the session, attendees will:

Understand the role of PA Navigate in addressing social determinants of health by connecting clients to essential resources, such as food, housing, transportation, financial assistance, and medical care, and explain how these services support whole-person care;
Understand the role of the Community Action Association of PA as the Community Engagement Partner for PA Navigate to support community-based organizations (CBO) across the state as well as the valuable role of regional health information exchanges;
Demonstrate the ability to navigate the PA Navigate platform effectively, including how to search for local services, initiate referrals for clients, support client self-referrals, and track outcomes to ensure coordinated and timely access to community-based supports; and
Develop strategies to integrate PA Navigate into existing workflows to strengthen cross-sector collaboration, improve communication between healthcare and social service providers, and enhance client engagement and care continuity.

We look forward to your participation. Please contact J im Sharp for related questions.

RCPA Member McAuley Ministries Announces The 2025 Sister Susan Welsh Good Neighbor Award Honorees

Wed, 21 Jan 2026 16:01:29 GMT

PITTSBURGH (January 19, 2026) – McAuley Ministries, the grant-making foundation of Pittsburgh Mercy, is proud to announce the recipients of the 2025 Sister Susan Welsh Good Neighbor Award: Erikka B. Grayson and Belinda “Ms. Bee” Upsher.

Established in 2019, the award honors residents of Pittsburgh’s Hill District, Uptown, and West Oakland, the three communities historically served by the Sisters of Mercy and now envisioned as the Mercy Corridor. The award recognizes individuals who exemplify what it means to be a “good neighbor” through volunteerism, community organizing, and acts of kindness. Each year, two honorees are selected – one young adult (ages 18-39) and one adult (ages 40 and over) [read full release] .

Early Bird Rates for NatCon 2026 End January 22

Tue, 20 Jan 2026 21:49:04 GMT

This is a reminder that registration for NatCon 2026 is open!

The event is being held April 27 – 29, 2026, in Denver, Colorado. Early Bird rates are available through this Thursday, January 22.

After January 22, there will still be ways to save on your registration fees:

Advance rates will become available from January 23 – March 12, 2026.
A group registration discount is available for Full Conference registrations. After you purchase two Full Conference registrations, you will receive a $50 discount off each additional Full Conference registration, provided they are made within the same transaction.
Note: If you plan on registering 10 or more individuals, contact the National Council to learn about additional group savings.
RCPA is a “100% Association Member” of the National Council. RCPA Members who register for the Full Conference or for One Day will receive an additional $50 discount. No code is needed; the National Council will automatically apply the discount.

Contact the National Council with any questions.

PA Family Network Announces February 2026 Workshops

Tue, 20 Jan 2026 21:43:09 GMT

Please share these important workshops and support groups with your networks! Register for upcoming events at PA Family Network’s website .

Good Life Group, Support Groups

Caregiver Support Group : Wednesday, February 4, and Tuesday, February 17
Sibling Good Life Group : Monday, February 23

LifeCourse Workshops

Peace of Mind Long-Term Planning : Wednesday, February 18
Using the LifeCourse to Plan and Problem Solve Part 1 & 2 : Friday, February 6, and Friday, February 13

Waiver Workshops

Waiver Basics Part 1 & 2 : Wednesday, February 4, and Wednesday, February 11
Advanced Waiver Basics Part 1 & 2 : Tuesday , February 10, and Tuesday, February 24

RCPA Member Venango Training & Development Center, Inc. Appoints Joanne McGuire as Chief Program Officer for IDD

Tue, 20 Jan 2026 21:39:50 GMT

The Venango Training & Development Center, Inc. is pleased to announce that Joanne McGuire has been appointed Chief Program Officer for Intellectual and Developmental Disabilities (IDD) .

With over 20 years of experience in both direct care and management within the special needs field, Joanne brings a broad range of professional and programmatic expertise to her new role. After spending 14 years as a co-owner and program operator of an IDD residential program, she joined VTDC in 2022.

As a testament to her dedication to the individuals VTDC serves, Joanne chose to return to her roots in direct care, beginning her tenure at VTDC as a Community Employment Program Specialist . In this role, she supported individuals with intellectual, mental health, and physical disabilities in obtaining competitive employment through personalized coaching supports.

VTDC quickly recognized Joanne’s strengths and leadership abilities. Over the past four years, she advanced through several supervisory positions that capitalized on her organizational, programmatic, and administrative skills.

In response to the evolving landscape of the human services field, VTDC recently reorganized to enhance support for its IDD and employment programs. As part of this initiative, the position of IDD Chief Program Officer was created within the Executive Management Team.

VTDC is excited to welcome Joanne into this leadership role and looks forward to her continued collaboration with the community to ensure high-quality programming, stability, and growth.

A Car Accident Derailed His Education 25 Years Ago. Now He’s Returning to College Alongside Others With Physical Disabilities. | Featuring RCPA Member Inglis

Tue, 20 Jan 2026 21:37:37 GMT

Article by Philadelphia Inquirer : Posted January 16, 2026

Dual Diagnosis Professional Conference Series (DDPCS) February 2026: Bringing America Greatness on February 19

Tue, 20 Jan 2026 21:34:24 GMT

Bringing America Greatness — Serving the Disability Community With Cultural Competency/Do No Harm
February 19, 2026
10:00 am – 1:00 pm
Register Here

Session Description:

Cultural Competency is necessary for every American, regardless of age, race, religion, gender or sexual orientation, economic status, disability, or handicap. Being different does not guarantee the ability to relate positively to our diversity, in a personal or professional way. This training will help develop skills that focus on living-working-playing-learning together. These skills must be practiced and learned across all sectors of our society. Emphasis will be placed on equity as a right for all Americans embraced by leaders of people everywhere from birth to adulthood. Thus, cultural competency as a skill set is both beyond but essential to diversity and inclusion efforts, providing a chemistry for “greatness” in America.

The session is free, but registration is required, and attendance is on a first-come, first-served basis.

Please review the flyer for additional details.

The session will be offered virtually via the Zoom platform. The Zoom link for joining the session will be sent to the email you used to register. This link will be unique to your registration. Please do not share this link.

Send questions on registration electronically .

Mental Health in the Pennsylvania Farm Show Spotlight as Feds Abruptly Terminate Grant Funding** | RCPA President & CEO Richard Edley Quoted

Fri, 16 Jan 2026 17:49:59 GMT

Article from Pennsylvania Capital-Star : Published January 14, 2026

**On Thursday morning, the New York Times reported that the Substance Abuse and Mental Health Services Administration restored grant funding following pushback. This story was updated at 11:10 am on January 15, 2026.

Adult Autism Waiver 5-Year Renewal Open for Public Comment

Fri, 16 Jan 2026 17:47:09 GMT

The Office of Developmental Programs (ODP) is pleased to invite public comment on proposed changes for the renewal of the Adult Autism Waiver (AAW).

The Centers for Medicare and Medicaid Services (CMS) approves waivers for a five-year period, and the current AAW expires on June 30, 2026. Therefore, ODP must submit a renewal for the AAW to CMS no later than April 1, 2026. The AAW renewal is anticipated to be effective on July 1, 2026.

The public comment period starts on January 17, 2026, and ends on February 16, 2026, at 11:59 pm.

As part of this process, ODP is seeking your valuable feedback and comments on the AAW.

Proposed substantive changes include:

Separating out Life Sharing and Residential Habilitation: Community Homes as distinct services.
Removing the lifetime funding limit on Assistive Technology devices and replacing it with a $3,000 annual limit. Participants who need Assistive Technology that exceeds this limit may request an exception.
Extending the re-authorization period for Career Planning services from 90 days to 6 months and removing time limitations for the Supported Employment service.
Clarifying the components of the Specialized Skill Development (SSD) service.
Removing Speech/Language service component from the Therapy service.
Enhancing Home Modification service to include additional allowances.

The pro posed changes discussed in the section above are available to help all interested persons provide public comment . Public comments will be accepted via email, written comments, and verbal comments during a webinar held on February 9, 2026. All comments received by 11:59 pm on February 16, 2026, will be reviewed and considered for revisions to the AAW submitted to CMS.

Please review O DPANN 26-011 for more details.

Quality Management Recertification for ODP QM Certificate Holders

Fri, 16 Jan 2026 17:43:31 GMT

The Office of Developmental Programs (ODP) reminds quality management (QM) certificate holders who achieved certification/recertification during calendar year 2024, that they must recertify by December 31, 2026. 

Maintaining certification through recertifying every two years is highly recommended to keep QM skills honed and refreshed. Additional information on the QM process is included in ODPANN 26-010 .

OLTL Issues Bulletin on Update to Participant Review Tool

Fri, 16 Jan 2026 17:41:05 GMT

Today, the Office of Long-Term Living (OLTL) issued Bulletin 59-26-02 , “Participant Review Tool,” which updates the standardized Participant Review Tool (PRT) for Service Coordinators (SC) as well as provides additional clarification on the location of face-to-face visits with participants when completing the PRT.

This bulletin also provides guidance to SCs on when increased face-to-face visits with program participants should be scheduled to protect their health, safety, and welfare. This bulletin rescinds OLTL Bulletin 59-16-12 and any other OLTL policy documents or parts of policy documents that are inconsistent with this bulletin’s contents. This bulletin applies to enrolled Service Coordination Entities (SCEs) performing services in OLTL Medical Assistance Home and Community-Based Services (HCBS) for the OBRA waiver and the Act 150 Program.

Members are encouraged to review the bulletin, as well as the following documents that were included with the bulletin :

Shapiro Administration Releases Overdose Prevention Program Report, Touts Decrease in Deaths Across PA

Fri, 16 Jan 2026 17:35:41 GMT

Yesterday, January 15, 2026, Governor Josh Shapiro, alongside Pennsylvania Department of Drug and Alcohol Programs Secretary Dr. Latika Davis-Jones and Department of Health Secretary Dr. Debra Bogen, led a roundtable discussion at Wyoming County Emergency Management Agency on efforts to save lives, prevent fatal overdoses, and support families struggling with substance use disorder.

The visit followed the release of the Shapiro Administration’s Overdose Prevention Program Annual Report , which details significant progress in reducing overdose deaths across Pennsylvania.

Between October 2024 and September 2025, frontline organizations reported over 11,400 overdose reversals linked to naloxone distributed through the Administration’s initiative — representing thousands of lives saved through timely intervention. Early estimates show that in 2025, Pennsylvania saw the fewest overdose deaths in more than a decade.

Read the complete press release .

Drexel University Behavioral Healthcare Education’s One-Day Summit Issues Call for Proposals

Fri, 16 Jan 2026 17:30:09 GMT

Drexel University Behavioral Healthcare Education (BHE) will be hosting their second Annual One-Day Summit “Hot Topics: Trends and Challenges in Behavioral Healthcare,” on Friday, May 29, 2026, which will be held virtually via Zoom.

The BHE team invites you to submit an abstract for a 60-minute workshop, which will consist of 50 minutes for the presentation and 10 minutes for questions and answers.

The deadline to submit proposals is Friday, February 27, 2026 .

Please note: Although presenters will not be financially compensated for their presentations, all presenters are invited to attend the entirety of the summit, earning the maximum number of continuing education credits free of charge.

For more details and the proposal submission form, refer to the BHE Conferences website .

The Supervisor-Centric Retention Blueprint: Complimentary RCPA Member Webinar February 18

Thu, 15 Jan 2026 17:26:40 GMT

RCPA is pleased to offer members a free webinar with Nate Beers, a respected IDD leader known for translating behavioral science into practical solutions for today’s workforce challenges.

The webinar is scheduled for Wednesday, February 18, 2026, from 10:00 am – 11:00 am. Register for the webinar here .

No More Guessing: A Clear Framework for Supervisor-Led Retention

Frontline supervisors shape the everyday experience of Direct Support Professionals — often more than any policy, incentive program, or org-wide initiative. Yet most supervisors step into these critical roles without training in the people-leadership skills that matter most: navigating tough conversations, providing effective feedback, building trust, and shaping the culture of their teams.

The result? Turnover patterns that look random but are actually predictable — and preventable.

This session introduces a simple but powerful framework based on behavioral science that helps agencies build teams people never want to leave. Attendees will learn how to identify the seven early-warning signs that a team is at risk and discover a practical weekly supervisor strategy that strengthens communication, connection, and confidence for both new hires and seasoned staff.

This is a clear, actionable roadmap for leaders who want less churn, less chaos, and more stability — starting with supervisors.

Presenter Bio:

Nate Beers, BCBA, is the founder of IDD Leader and host of The IDD Leader Podcast, where he helps agency leaders stop the exhausting staff-turnover cycle and — finally — save both hundreds of headaches and thousands of dollars. With a background in behavioral science and over 20 years in human services leadership, Nate brings practical, evidence-based strategies that actually work on the frontlines.

Learning Objectives:

By the end of this session, participants will be able to:

Identify the seven early-warning indicators that a supervisor is unintentionally driving turnover;
Explain why behavior-based supervisor habits outperform traditional “leadership training” models in human services;
Implement one simple weekly supervisor routine that improves trust, clarity, and retention within days; and
Prioritize which supervisor skills and habits will create the greatest retention impact within their agency.

Register for the webinar here .

Free tools and resources for human services leaders are available at The IDD Leader website .

ODP February 2026 Training Calendar Now Available

Thu, 15 Jan 2026 17:22:56 GMT

View the calendar for a complete listing of training events for February 2026.

ODP Provides Written Notice of AAW SCO Requalification Requirements

Wed, 14 Jan 2026 14:03:17 GMT

The Office of Developmental Programs (ODP) has shared ODPANN 26-008 .

This communication is to inform all Adult Autism Waiver (AAW) Supports Coordination Organizations (SCO), whose last digit of their Master Provider Index (MPI) number is 6, 7, 8, or 9 as well as new SCOs who enrolled in the AAW during fiscal year 2024/25, that they must submit their qualification documentation to the Office of Developmental Programs (ODP), Bureau of Supports for Autism and Special Populations (BSASP) between February 1, 2026, through March 31, 2026.

Documentation must include a completed AAW SCO Qualification form and SCO Qualification Documentation Record , as well as any other required supporting documentation.

Please view the announcement for more details.

ODP Shares Information From Provider Technology Solutions Readiness Session

Wed, 14 Jan 2026 14:00:10 GMT

The Pennsylvania Office of Developmental Programs (ODP) shared information on how the Provider Technology Solutions Readiness Assessment can guide your agency towards innovation and transformative technology adoption for the people you support.

Customized for the Commonwealth of Pennsylvania, the Provider Readiness Assessment is a self-administered evaluation designed for service provider organizations interested in adopting or expanding the use of supportive technology and technology solutions for people with disabilities and older Pennsylvanians. The results of this assessment will assist your organization in understanding areas of strengths and needs for successful technology implementation and provide recommendations for sustainable change.

Handouts shared today :

ODP Shares Qualification Process for New ID/A Provider Applicants

Tue, 13 Jan 2026 14:49:42 GMT

The Office of Developmental Programs (ODP) has shared ODPANN 26-006 .

The purpose of this communication is to provide a clear, step-by-step process for new provider applicants seeking qualification under the Office of Developmental Programs (ODP) ID/A waivers. The steps flow in the order they must be completed, making it easier for providers and AEs to follow the required sequence from PAO through qualification, enrollment, and service authorization.

Please view the announcement for more details.

ATTACHMENTS:

Attachment #1 : New Provider Qualification Approval Template

Attachment #2 : New Provider Qualification – Additional Information Needed Template

Attachment #3 : New Provider Qualification Not Approved Template

UPDATE: Notice of Change to Federal Reimbursement of Transportation Costs

Tue, 13 Jan 2026 14:45:03 GMT

The Office of Developmental Programs (ODP) has shared an update to ODPANN 26-005 , which was posted yesterday, January 12, 2026.

The purpose of this update is to clarify calculation methods for the new federal reimbursement for transportation costs. All updated information will appear in red, underlined font .

NOTE: The release of this communication obsoletes ODP Announcement 25-004.

Please view the announcement for more details.

ASERT Seeks Volunteers for Art Therapy Research Opportunity

Tue, 13 Jan 2026 14:39:54 GMT

View the flyer for complete details .

WellKids by PA Health & Wellness to Join CHIP Network

Tue, 13 Jan 2026 14:33:18 GMT

The Pennsylvania Department of Human Services announced that WellKids by PA Health & Wellness will join the network of managed care organizations that offer health coverage through the Children’s Health Insurance Program (CHIP).

This marks the first CHIP re-procurement since 2013, expanding the number of affordable health coverage options for children and teens in Pennsylvania. Effective January 2026, CHIP will operate a network of nine managed care organizations, providing comprehensive health coverage for eligible children across the state.

CHIP serves children and teenagers up to age 19 who are not eligible for Medicaid, offering health coverage for free or at a low cost based on family income and providing a variety of insurance plans to best meet a family’s needs. WellKids by PA Health & Wellness will provide a full range of services, including preventative, routine, urgent, and emergency care for physical and behavioral health, as well as coverage for dental, vision, and pharmacy services.

Contact RCPA Policy Associate Emma Sharp with any questions.

Upcoming Trainings for ODP’s Life Sharing Waiver Service Announced

Tue, 13 Jan 2026 14:31:02 GMT

The Office of Developmental Programs (ODP) wants to continue to expand the use of the Life Sharing service, as this service is rated as having one of the highest satisfactions by individuals for having an everyday life (IM4Q data).

ODP is hosting two webinars to provide education and an explanation about the Life Sharing service.

To regist er:

Please see ODPANN 26-007 for more details.

DHS Announces the Pediatric Capacity Building Institute Year 3

Mon, 12 Jan 2026 20:55:17 GMT

The Pennsylvania Department of Human Services (DHS) is excited to announce the Third Annual Pediatric Capacity Building Institute (PCBI). PCBI is a unique, interactive, educational experience which will occur monthly from March 2026 to October 2026. DHS strives to bring exceptional speakers who engage participants in a wide range of topics designed to better support children and families with complex needs across the Commonwealth. Some of the topics include infant mental health, leading through change, multisystemic planning, impact of trauma on children and families, vicarious trauma among professionals, expressive therapies and much more. PCBI also strives to incorporate the voices and experience of the children and families using these supports and services at every juncture. PCBI is open to professionals across systems with an interest in learning more about supporting children with complex needs and system change.

Please review the invitation to apply for more details and to complete the interest survey . Interest surveys must be completed by January 29, 2026. Applicants will be notified of their selection status by February 5, 2026 via email. Contact RCPA Behavioral Health Policy Associate Emma Sharp with any questions.

ODP Hosts PBC Quarterly Provider Forums for Residential Providers 2026

Mon, 12 Jan 2026 19:37:31 GMT

These forums are being held to support provider preparedness. The Office of Development Programs (ODP) will review the quarterly forums and discuss data presented to the Information Sharing and Advisory Committee (ISAC) Provider Performance Review Subcommittee. ODP will also review the emerging themes or trends with the implementation of performance-based contracting.

Audience:

Residential Providers

Dates and Registration Links:

March 11, 2026, 2:00 pm – 3:30 PM

Performance Based Contracting Quarterly Provider Forum – Residential

June 10, 2026, 1:30 pm – 3:00 pm

Performance Based Contracting Quarterly Provider Forum – Residential

September 9, 2026, 2:00 pm – 3:30 pm

Performance Based Contracting Quarterly Provider Forum – Residential

December 9, 2026, 1:30 pm – 3:00 pm

Performance Based Contracting Quarterly Provider Forum – Residential

ODP Hosts PBC Quarterly Provider Forums for SCOs 2026

Mon, 12 Jan 2026 18:50:07 GMT

These forums are being provided to support provider preparedness. The Office of Development Programs (ODP) will review the quarterly forums and discuss data presented to the Information Sharing and Advisory Committee (ISAC) Provider Performance Review Subcommittee. ODP will also review the emerging themes or trends with the implementation of performance-based contracting.

Audience:
Supports Coordination Organization (SCO)

Dates and Registration Links:

Tuesday, March 3, 2026, 1:00 pm – 2:30 pm
Performance Based Contracting Quarterly Provider Forum – Supports Coordination Organization (SCO)

Tuesday, June 2, 2026, 10:00 am – 11:30 am
Performance Based Contracting Quarterly Provider Forum – Supports Coordination Organization (SCO)

Tuesday, September 1, 2026, 1:00 pm – 2:30 pm
Performance Based Contracting Quarterly Provider Forum – Supports Coordination Organization (SCO)

Tuesday, December 1, 2026, 1:00 pm – 2:30 pm
Performance Based Contracting Quarterly Provider Forum – Supports Coordination Organization (SCO)

RCPA Submits Public Comments to the IRRC: Revised Mental Health Procedures Standards

Mon, 12 Jan 2026 17:42:38 GMT

In response to the Office of Mental Health and Substance Abuse Services’ (OMHSAS) proposed Regulation #14-558: Mental Health Procedure RCPA, in partnership with its members, has submitted public comments .

The proposed regulations align the Department's regulations with the Mental Health Procedures Act by adding definitions of "business associate" and "covered entity," and adding those entities to the list of parties to which the Department may disclose confidential information.

RCPA did request that OMHSAS provide further clarification on the impacts and intersects of the proposed standards for youth and parental consents outlined in Act 65.

RCPA fully supports the proposed regulations that will align departmental regulations with Act 32 of 2022 and the Health Insurance Portability and Accountability Act of 1996 (HIPAA) requirements.

We look forward to working with the Department in the communication and ongoing implementation of the proposed regulatory changes, including the release of a Regulatory Compliance Guide after final promulgation. If you have any questions, please contact RCPA COO and Mental Health Services Director Jim Sharp .

New OIG Guidance Raises Concerns About Sign-On Bonuses in Family Caregiver Models

Mon, 12 Jan 2026 17:18:20 GMT

The US Department of Health and Human Services Office of Inspector General (OIG) has issued Advisory Opinion 25-12, providing important guidance for home care providers regarding the use of sign-on bonuses and recruitment incentives, particularly in Medicaid-funded family caregiver and agency models.

Overview of the Advisory Opinion
OIG reviewed a proposed arrangement in which a home care agency planned to offer sign-on bonuses to prospective caregivers, many of whom were expected to be family members of Medicaid beneficiaries. These caregivers would effectively influence or determine the selection of the agency providing services to their relatives. The bonuses were publicly advertised and structured in a way that OIG determined could improperly influence provider choice.

OIG’s Determination
OIG concluded that the proposed arrangement presented a significant risk under:

The Federal Anti-Kickback Statute (AKS), and
The Beneficiary Inducements Civil Monetary Penalty (CMP) Law.

While OIG reaffirmed that sign-on bonuses are generally permissible as part of routine employee recruitment, it emphasized that the bonuses in this case were closely tied to securing Medicaid-reimbursed business, rather than solely to hiring staff.

Why This Matters
This opinion underscores a critical compliance principle for home care providers:

Recruitment incentives may become unlawful if they are perceived as influencing a beneficiary’s choice of provider for federally funded services.

OIG highlighted several risk factors, including:

Incentives offered to individuals able to direct or steer provider selection;
Targeting family caregivers of Medicaid beneficiaries;
Public marketing that links employment incentives to service enrollment; and
Lack of separation between hiring decisions and Medicaid revenue generation.

Practical Compliance Considerations
Providers—especially those operating family caregiver, PAS, Consumer Directed-like, or Self-Directed Medicaid programs—should carefully evaluate recruitment and marketing practices:

Ensure bonuses are clearly tied to employment, not referrals or enrollment;
Avoid incentive structures that implicitly reward provider selection;
Maintain clear separation between recruitment, marketing, and intake functions; and
Review bonus programs with legal counsel for AKS and CMP compliance.

Bottom Line
Advisory Opinion 25-12 serves as a caution that even common labor-market practices can pose federal compliance risks when they intersect with beneficiary choice and Medicaid-funded services. Providers should take proactive steps to ensure recruitment strategies remain compliant as family caregiver models continue to expand. If you have any questions, please contact Fady Sahhar , Physical Disabilities & Aging Division Director.

Act 150 Program Sliding Fee Scale for Calendar Year 2026

Mon, 12 Jan 2026 17:11:17 GMT

The purpose of this 2026 Act 150 Sliding Fee Scale bulletin is to provide the most recent sliding fee scale to all Office of Long-Term Living (OLTL) Service Coordination Entities (SCEs) working with Act 150 Program participants. This bulletin applies to SCEs that provide service coordination services to participants in the Act 150 Program.

The 2026 Act 150 Sliding Fee Scale Bulletin (54-26-01, 59-26-01) has been posted to the Bulletins web page on the Department of Human Services (DHS) website. This bulletin has an issue date of January 1, 2026, and also an effective date of January 1, 2026.

This bulletin rescinds OLTL Bulletin 54-25-01, 59-25-01, issued on January 1, 2025, and all other communications, bulletins, and/or directives distributing previous sliding fee scales for the Act 150 Program.

ODP Shares Updated Provider Qualification Process

Mon, 12 Jan 2026 17:03:18 GMT

The Office of Developmental Programs (ODP) has shared communication ODPANN 26-004 , in order to share the updated Provider Qualification Process. The Centers for Medicare and Medicaid Services (CMS) require a statewide process to ensure providers are qualified to render services to waiver-funded individuals. The Provider Qualification Process described in this communication outlines the steps the assigned Administrative Entity (AE) and provider must follow to meet these requirements, and the steps Supports Coordinators (SCs) take to transition individuals if needed. This communication does not describe the qualification process for SC organizations.

The release of this communication obsoletes ODP Announcement 25-014 Provider Qualification Process Update. Please review the announcement for more details.

ODP Shares Updates to the Individual Support Plan (ISP) Bulletin Attachments

Fri, 09 Jan 2026 15:54:40 GMT

The Office of Developmental Programs (ODP) has shared communication ODPANN 26-003 . The purpose of this communication is to announce the release of the ISP Manual that includes changes due to the January 1, 2026 amendments to the Consolidated, Community Living, and Person/Family-Directed Support waivers. Please review the announcement for more details.

ATTACHMENTS:

ANCOR Shares Implementation Timeline: Access Rule and Budget Reconciliation Law

Thu, 08 Jan 2026 15:08:49 GMT

The HCBS Access Rule and the 2025 Budget Reconciliation Law made significant changes to how Medicaid-funded supports for people with intellectual and developmental disabilities (I/DD) are structured, delivered, reported, and financed. Implementation of major provisions of both the rule and the law began in 2025 and will continue to be phased in through the end of 2034. To help prepare for these new regulatory and statutory requirements, ANCOR developed this timeline summarizing the major provisions of both the rule and the law along with their respective implementation dates. Please contact Tim Sohosky for any follow-up or inquiries related to this update.

ID/A Associations Urge ODP Action on Community Participation Support (CPS)

Wed, 07 Jan 2026 18:39:58 GMT

RCPA, along with The Alliance CSP, The Arc of Pennsylvania, MAX Association, PAR, and The Provider Alliance, submitted a joint letter to ODP Deputy Secretary Kristin Ahrens outlining recommended improvements to Community Participation Support (CPS).

The letter highlights policy and regulatory barriers affecting person-centered services, workforce stability, and provider sustainability, and urges ODP to pursue near-term solutions through policy clarification or regulatory waivers.

Key recommendations include:

Planning and Coordination Billing: Allow billing for planning and coordination while CPS services are delivered and permit billing at ratios aligned with individuals’ actual support needs (e.g., 1:1, 1:2, 1:3). Associations recommend a new billing code/modifier or a statewide ODP announcement.
Program Specialist Education Requirements: Align education requirements for program specialists in Chapters 2380 and 2390 with Life Sharing and unlicensed residential models by permitting a high school diploma plus six years of ID/A experience, ideally through a blanket waiver announced via ODP Bulletin.
Dual Licensure for Chapter 2380 Programs: Eliminate dual licensure with the Department of Aging for providers billing exclusively to ODP when serving individuals age 60 and over, and remove the age cap of 59 in Chapter 2380 through regulatory change or waiver.
Rounding of 15-Minute Units: Allow rounding of 15-minute service units to reduce administrative burden and align with Office of Long-Term Living practices.

The associations stress that these changes are essential to sustaining safe, meaningful, and person-centered CPS services. RCPA will continue advocacy with ODP and provide updates as they are available.

For Questions or Additional Information
Please contact Tim Sohosky for any follow-up or inquiries related to this update.

Exclusive Benefit: Registration Discounts for the 2026 ANCOR Annual Conference

Wed, 07 Jan 2026 18:28:23 GMT

RCPA is pleased to remind you that all RCPA members are also 100% members of ANCOR (American Network of Community Options and Resources).

This partnership entitles you to exclusive benefits, including a specialized discount for the upcoming ANCOR Annual Conference, which is taking place April 21 – 23, 2026.

How to Access Your Discount:

When registering for the conference, please use the following credentials to secure your member savings:

Discount Code: 100STATE26
Value: $100 off registration
Eligibility: This code is applicable to single full conference registrations only (self-registration only).

Group Registrations:

For 100% members looking to register a group of regular attendees, please do not use the individual code. Instead, you should use the 100% Member Group Registrations ONLY link found on the ANCOR registration portal to ensure your group discount is applied correctly.

Don't miss this opportunity to connect with providers from across the country, share best practices, and advocate for the profession at the national level!

For Questions or Additional Information
Please contact Tim Sohosky for any follow-up or inquiries related to this update.

Disability Scoop: In Historic Move, Wheelchair User Goes To Space

Tue, 06 Jan 2026 13:16:57 GMT

Article from Disability Scoop : Published January 6, 2026

Excerpt below:

Michaela “Michi” Benthaus, an aerospace and mechatronics engineer at the European Space Agency who uses a wheelchair, traveled to space in late December.

Benthaus was one of six passengers on Blue Origin’s New Shepard rocket for the journey above the Kármán line, the internationally recognized boundary of space, days after its initial launch was scrubbed due to unspecified issues.

ODP Releases Winter 2026 QM Spotlight

Mon, 05 Jan 2026 13:27:42 GMT

The Office of Developmental Programs (ODP) has released the sixteenth in a series of its quarterly publication QM Spotlight .

This issue focuses on the QA&I Self-Assessment and how to use it well, so that the QA&I process becomes predictable, manageable, and an opportunity – not a surprise.

View the QM SPOTLIGHT, Issue 16 – Winter Edition 2026 .

ODP Shares Guidance on AAW Provider Billing for ISP Team Meetings

Mon, 05 Jan 2026 13:25:25 GMT

The Office of Developmental Programs (ODP) has shared ODPANN 26-002 .

The purpose of this communication is to provide guidance regarding the intent and purpose of an Individual Support Plan (ISP) meeting and whether attending an ISP meeting is a billable unit of service.

Please view the announcement for more details. Questions about this announcement should be directed to the appropriate ODP BSASP Regional Office.

PCHC to Host Fatal Five Dysphagia Training

Mon, 05 Jan 2026 13:22:29 GMT

View the full schedule here .

CMS Announces Establishment of the Office of Rural Health Transformation

Wed, 31 Dec 2025 14:05:31 GMT

Following the creation of the Rural Health Transformation (RHT) Program under President Trump’s Working Families Tax Cut legislation, the Centers for Medicare and Medicaid Services (CMS) has announced the establishment of the Office of Rural Health Transformation (ORHT).

This new office will be located within the Center for Medicaid and CHIP Services (CMCS) and will continue overseeing the RHT Program. The RHT Program is a $50 billion initiative to strengthen rural health systems and expand access to care nationwide. Pennsylvania will receive nearly $200 million in 2026.

ORHT, which announced approved awardees on December 29, 2025, will guide states in implementing their rural health transformation plans, provide technical assistance, coordinate federal and state partnerships, and ensure strong oversight and accountability throughout the five-year program, which will run through September 30, 2031.

FDA Issues Correction for Continuous Glucose Monitoring Software

Wed, 31 Dec 2025 13:58:40 GMT

Dexcom Issues Correction for Dexcom G6 and G6 Pro Software:

This recall involves correcting devices and does not involve removing the devices from where they are used or sold. The FDA has identified this recall as the most serious type. This device may cause serious injury or death if you continue to use it without correction.

Affected Product

Product Name: Dexcom G6 Continuous Glucose Monitoring System G6 and G6 Pro Android US CGM App, Version 1.15.0
This correction only affects users of v.1.15.0 of the Android US App and does not apply to other users. All affected devices have been updated to resolve this issue.
Unique Device Identifier (UDI): SW11678: 00386270000811

What to Do
Upgrade from app version 1.15.0 as soon as possible.

On September 18, Dexcom Inc. sent all affected customers an Urgent Medical Device Correction message recommending the following actions:

Upgrade from app version 1.15.0 as soon as possible.
Open App Store and search for Dexcom G6 app.
Install latest Dexcom G6 app version.
Open Dexcom G6 app.
Contact Technical Support at 1-844-478-1600 for further assistance.
Users will no longer be able to use app version 1.15.0 after October 6, 2025.

Reason for Correction
Dexcom Inc. is correcting the Dexcom G6 Continuous Glucose Monitoring System’s G6 and G6 Pro Android US CGM App version 1.15.0 due to an identified bug that can cause the app to terminate unexpectedly. As a result, the user may not receive estimated glucose values, alarms, or alerts. If a user is unaware that the app has terminated, there is potential for missed detection of a high blood sugar (hyperglycemic) or low blood sugar (hypoglycemic) event.

The use of affected product may cause serious adverse health consequences, including hyperglycemia, hypoglycemia, and death.

As of September 16, Dexcom has not reported any serious injuries or deaths associated with this issue.

Device Use
The Dexcom G6 Continuous Glucose Monitoring System is a real-time continuous glucose monitoring system that sends glucose readings to a compatible smart device or the Dexcom receiver every five minutes. The Dexcom G6 and G6 Pro Android US CGM App is an application for compatible smart devices that displays glucose levels and trends.

Contact Information
Customers in the U.S. with questions about this recall should contact Dexcom Technical Support at 1-844-478-1600.

Additional FDA Resources

Unique Device Identifier (UDI)
The unique device identifier (UDI) helps identify individual medical devices sold in the United States from manufacturing through distribution to patient use. The UDI allows for more accurate reporting, reviewing, and analyzing of adverse event reports so that devices can be identified, and problems potentially corrected more quickly.

How do I report a problem?
Health care professionals and consumers may report adverse reactions or quality problems they experienced using these devices to MedWatch: The FDA Safety Information and Adverse Event Reporting Program.

Date Change Announced for March 2026 LTSS Subcommittee Meeting

Wed, 31 Dec 2025 13:53:48 GMT

Due to scheduling conflicts, the March 2026 date for the Long-Terms Services and Supports Subcommittee (LTSS) meeting has been changed.

The meeting has been changed from March 4, 2026, to March 11, 2026 . The meeting will be held via webinar and remote streaming, from 10:00 am – 1:00 pm.

Questions and comments may be submitted electronically .

AAW Feedback Session on New Assessment Bundle

Wed, 31 Dec 2025 13:37:30 GMT

On July 1, 2025, the Bureau of Supports for Autism and Special Populations (BSASP) rolled out a new assessment bundle for the Adult Autism Waiver (AAW).

The Office of Developmental Programs (ODP) is interested in hearing from Supports Coordinators (SC) and providers on their experiences with implementing the new assessments.

Please join ODP for a Virtual Office Hour (VOH) to share feedback, ask questions, and review resource materials.

Who should attend?
All AAW SCs and Providers

Date: January 30, 2026
Time: 10:00 am – 11:30 am
Register Here

CMS Announces Awards to Strengthen Rural Health; PA to Receive Nearly $200M in 2026

Tue, 30 Dec 2025 13:28:57 GMT

Press release from the Centers for Medicare & Medicaid Services :

The Centers for Medicare & Medicaid Services (CMS) has announced that all 50 states will receive awards under the Rural Health Transformation Program, a $50 billion initiative established under President Trump’s Working Families Tax Cuts legislation (Public Law 119-21) to strengthen and modernize health care in rural communities across the country. In 2026, states will receive first-year awards from CMS averaging $200 million, within a range of $147 million to $281 million. This unprecedented federal investment will help states expand access to care in rural communities, strengthen the rural health workforce, modernize rural facilities and technology, and support innovative models that bring high-quality, dependable care closer to home.

Awardees and Funding Amounts

The Rural Health Transformation Program’s $50 billion in funds will be allocated to approved states over five years, with $10 billion available each year from 2026 through 2030. As directed by Public Law 119-21:

50% of the funding is distributed equally among all approved states . This provides states with a strong foundation to begin implementing their Rural Health Transformation Plans; and
50% is allocated based on a variety of factors. As described in the Notice of Funding Opportunity , those factors include individual state metrics around rurality and a state’s rural health system, current or proposed state policy actions that enhance access and quality of care in rural communities, and application initiatives or activities that reflect the greatest potential for, and scale of, impact on the health of rural communities. All scoring factors are outlined further in the Notice of Funding Opportunity.

_______________________________________________________________________

Read the full press release here .

Pennsylvania submitted their plan to CMS in November, and the plan is currently being evaluated. CMS made funding awards to all 50 states, with Pennsylvania receiving $193,294,054.

RCPA continues to work with the Department of Human Services (DHS) in answering questions from members as well as gaining an understanding on the implementation values for PA specific initiatives from both funding allocation pathways.

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

Pennsylvania Budget Finally Clears, With Not Much Optimism Ahead (RCPA President/CEO Richard Edley Interviewed)

Mon, 29 Dec 2025 17:00:36 GMT

Excerpt below:

In a state with a lengthy history of delays in adopting a budget (see “Pennsylvania providers feel pinch from another state budget delay,” MHW, Aug. 25, 2025; https://doi.org/10.1002/mhw.34564 ), mental health and other human-services providers will quickly turn their attention to seeking to avert a similar scenario in fiscal year 2026-2027. Richard Edley, Ph.D., president and CEO of the state’s Rehabilitation & Community Providers Association (RCPA), told MHW that the broad-based Coalition of Critical Services Providers will meet in January as they attempt to take a proactive approach to advocacy for the next budget process.

“We’re already so late into the next budget cycle,” Edley said. “We just can’t be four or five months out again.”

Article from Mental Health Weekly : Published December 22, 2025

Trump Administration Issues Policy Changes on Provision of Gender-Affirming Care

Mon, 29 Dec 2025 16:23:47 GMT

On January 28, 2025, President Trump issued Executive Order 14187 (Protecting Children from Chemical and Surgical Mutilation), directing federal agencies to cut off federal funding and support for gender-affirming care for people under age 19, including puberty blockers, hormone therapy, and gender-affirming surgery.

On December 18, 2025, health officials from the Trump administration announced several additional policy changes that, if finalized, will have the effect of essentially banning gender-affirming care for transgender young people, even in states where it remains legal.

One rule would prohibit Medicaid from covering any medical care provided to transgender patients younger than age 18 and prohibit reimbursement though CHIP (Children’s Health Insurance Program) for gender-affirming care for patients under 19.

Additionally, all Medicare and Medicaid funding would be blocked for any services at hospitals that provide pediatric gender-affirming care. This means that hospitals and doctors that perform gender-affirming care on minors will have to forgo federal Medicare and Medicaid funding under the new proposed rules. Virtually every hospital in the country relies on this funding, so the rule would have a wide-ranging impact and could likely make gender-affirming care inaccessible nationwide.

The proposed rules would exclude gender dysphoria not caused by physical impairment from civil-rights health care protections, reducing legal safeguards against discrimination in medical care.

This multi-pronged plan from DHS is part of the Trump Administration’s efforts to limit gender-affirming care, and if finalized, could have a profound impact on care delivery for transgender and gender non-conforming individuals.

ODP Announces Employment Service Definition Q&A V.3, Employment Services Quick Guide V.2

Wed, 24 Dec 2025 14:23:05 GMT

The Office of Developmental Programs (ODP) has shared ODPANN 25-117 .

This communication is intended to inform all interested parties of the Office of Developmental Programs (ODP) publication of updated versions of the Intellectual Disability/Autism (ID/A) Employment Services Definition Question and Answer (Q&A) and the Employment Service Definition Quick Guide for ID/A Waivers and Base-Funded Participants.

NOTE : The release of this communication obsoletes ODP Announcement 19-025 – Now Available Updated ID/A Waiver Employment Service Definition Question and Answer Document and ID/A Waiver Employment Service Definition Quick Guide.

Please review the announcement for more details.

ATTACHMENTS:

JCJC Releases 2026 Staff Development Schedule Booklet

Wed, 24 Dec 2025 14:20:04 GMT

The Juvenile Court Judges’ Commission (JCJC) is excited to announce the release of the 2026 Staff Development Schedule Booklet .

This booklet includes a list of in-person and virtual workshops currently scheduled in the JCJC Event Management System (JEMS) for the entire year. The booklet workshops will contain engaging, informative, and valuable training opportunities for juvenile justice professionals.

Additional workshops will be added to the JEMS schedule throughout the year; RCPA will send updates as they occur.

For questions regarding the Staff Development Schedule or suggestions for future workshops, please contact Sonya Stokes, Coordinator of Professional Development .

Contact RCPA Policy Associate Emma Sharp with any additional questions.

National Core Indicators Shares State of the Workforce Report

Tue, 23 Dec 2025 14:16:27 GMT

Message from National Core Indicators:

The NCI-IDD SoTW is the most comprehensive data on Direct Support Professional (DSP) workforce providing direct services to adults with intellectual and developmental disabilities (IDD). We remain committed to partnering with states, agencies, and people with IDD to use these data to strengthen Medicaid-funded services and supports and ensure DSPs are valued for their essential role supporting people with IDD.

A few report highlights:

In 2024, we collected data from 3,936 provider agencies representing 344,179 DSPs in 26 states and the District of Columbia. The data for 2024 suggest some positive trends for the state of the IDD DSP workforce. For example:

Across the nation, the median hourly wage for DSPs is $18.39, which is more than a dollar increase from the median hourly wage of $17.20 in 2023.
The weighted average turnover ratio was 37%, with nearly two in three DSPs who left their employers (64%) having been with their agency for less than one year.
On average, 26% of agencies report they turned away or stopped accepting referrals due to staffing issues, down from 38% in 2023.

State DD agencies have worked tirelessly to address the ongoing workforce shortages for DSPs, and these data suggest slight but hopeful trends in key indicators. Altogether, NCI-IDD SoTW provide valuable insights about opportunities to enhance retention of DSPs and improve the continuity of services.

_________________________________________________________________

The full report can be found here at this link .

For questions or comments, please contact Tim Sohosky .

Homecare Services Likely to See the Greatest Impact of HR1 Spending Cuts, Per KFF Study

Tue, 23 Dec 2025 14:07:48 GMT

Study by KFF : Published November 20, 2025

Excerpt below:

Medicaid’s significant spending on home care and the availability of mechanisms for limiting such spending could spur states to cut home care spending in response to the 2025 reconciliation law . Cutting spending on home care could result in either fewer people receiving any benefits or people receiving fewer covered services, even though the need for home care is unlikely to fall in future years. The recently passed reconciliation law is estimated to reduce federal Medicaid spending by $911 billion between 2025 and 2034, roughly a 14% reduction in federal funding for the program. During the last major reduction in federal Medicaid spending, all states reduced spending on home care by serving fewer people (40 states) or by cutting benefits or payment rates for long-term care providers (47 states).

ODP Shares Updated Adult Autism Waiver Provider Qualification Process

Tue, 23 Dec 2025 14:03:17 GMT

The Office of Developmental Programs (ODP) has shared ODPANN 25-116 .

The purpose of this communication is to inform providers of Adult Autism Waiver (AAW) services and Supports Coordination Organizations (SCO) of the updated provider qualification process.

The Centers for Medicare and Medicaid Services (CMS) require a statewide process to ensure providers are qualified to render services to waiver-funded individuals. The Provider Qualification Process described in the communication outlines the steps the provider must follow to meet these requirements, and the steps Supports Coordinators (SC) must take to transition individuals if needed. This communication does not describe the qualification process for AAW SCOs.

NOTE: The release of this communication obsoletes ODP Announcement 20-110 New Adult Autism Waiver (AAW) Provider Qualification Process.

Providers that are shared across Intellectual Disability/Autism (ID/A) and the AAW must complete the Provider Qualification processes with both their assigned Administrative Entity (AE) for the ID/A waivers and the Bureau of Supports for Autism and Special Populations (BSASP) for the AAW.

Please view the full announcement for complete details.

Proposed Rule Includes Updates to Disclosure Requirements to Health Care Transparency Rules

Tue, 23 Dec 2025 14:00:05 GMT

The Centers for Medicare & Medicaid Services (CMS), in partnership with the Department of Labor and the Department of the Treasury (the Departments), included major updates to the health care price transparency rules established during President Trump’s first term in a proposed rule published in today’s Federal Register .

The proposed rule is in line with Executive Order 14221 , which ensures health care pricing data is not only public but impactful and actionable.

Key improvements include:

Requiring plans and issuers to exclude from the In-network Rate Files certain data for services providers would be unlikely to perform.
Reorganizing In-network Rate Files by provider network rather than by plan, cutting redundancy, and aligning with how most hospitals report data pursuant to the Hospital Price Transparency requirements.
Requiring Change-log and Utilization Files so users can easily identify what has changed from one In-network Rate File to the next and have clear information on which in-network providers are actively furnishing which items and services.
Reducing reporting cadence for In-network Rate and Allowed Amount Files from monthly to quarterly, significantly reducing burden while maintaining meaningful transparency.
Increasing the amount of out-of-network pricing information reported by reorganizing Allowed Amount files by health insurance market type, reducing the claims threshold to 11 or more claims, and increasing the reporting period from 90 days to 6 months and the lookback period of data from 180 days to 9 months.

The Departments are proposing these changes to open the door for more organizations, including those with fewer technical resources, to analyze pricing data, build consumer-friendly tools, and drive competition across the health care industry.

Under the proposal, group health plans and health insurance issuers would be required to provide the same detailed cost-sharing information whether viewed online, or in print or provided by telephone, upon request. This modernization would ensure that transparency is not limited by internet access or digital literacy. Further, updated disclosures will take into account new federal protections against balance billing under the No Surprises Act. These disclosures would ensure patients understand their rights and potential financial responsibilities before they seek care.

Additional information is provided on the CMS fact sheet . Feedback and comments on the proposed rule will be accepted until February 23, 2026.

Updated and Translated Individual Support Plan Signature Form (DP 1032) Now Available

Mon, 22 Dec 2025 13:45:36 GMT

The Office of Developmental Programs (ODP) has shared ODPANN 25-113 .

This communication includes an updated version of the Intellectual Disability/Autism (ID/A) Individual Support Plan Signature Form (DP 1032) that was released with the ODP Announcement 25-012: Updates to the Individual Support Plan (ISP) Bulletin Attachments. After the release, ODP was informed that the MCI Number and the individual’s name needed to be added to each page of the form. This form has also been translated into Spanish.

The revised and translated forms may be found on the MyODP Forms page .

Questions about this communication should be directed to the appropriate Office of Developmental Programs Regional Office.

DDAP Offering New Virtual Format for Clinical Supervision Training

Mon, 22 Dec 2025 13:41:27 GMT

The Pennsylvania Department of Drug and Alcohol Programs (DDAP) is offering a new virtual format for the clinical supervision training .

This instructor-led virtual training builds on foundational coursework and gives participants the opportunity to practice clinical supervision skills, along with tools to support assessment and effective work with supervisees.

The next session will be held daily at 9:00 am – 4:00 pm Monday, January 26, through Friday, January 30.

Log into DDAP’s Training Management System (TMS) to request a virtual seat and review registration and payment instructions for the $300 training. Payment must be submitted by check or money order, as detailed in TMS. Space is limited, and registrations are processed in the order received.

Completion of the Clinical Supervision Training Foundations course , available on demand through TMS, is required before enrolling.

Clinical supervisors and lead counselors with less than two years of supervisory experience are required to complete the core curriculum offering in TMS or a DDAP-approved core curriculum in clinical supervision .

Please send any questions electronically .

DOH Seeking SUD Treatment Providers’ Experience With Medetomidine

Mon, 22 Dec 2025 13:35:01 GMT

Medetomidine is a veterinary sedative, similar to xylazine, that was first found in Philadelphia’s drug supply in May 2024 .

Since then, it has spread across Pennsylvania. Medetomidine is 100-200 times more potent than xylazine and can cause longer-lasting sedation, low heart rates, and more severe withdrawal symptoms. It is not an opioid but is found in the illicit drug supply.

The Pennsylvania Department of Health (DOH) is seeking information about complications associated with medetomidine in the drug supply. DOH is particularly interested in SUD treatment providers’ responses to the following.

Are you seeing an influx in clients presenting with worsening withdrawal symptoms (e.g., racing heart, severe nausea, high blood pressure, tremors, confusion)?
Are you seeing an increase in clients leaving against medical advice?
Have you had to send clients to the hospital because their symptoms required a higher level of care?
Are there any other changes you are noticing in your community that you think DOH should know about?

You can email your responses to DOH Senior Harm Reduction Technical Advisor Roseanne Scotti or RCPA SUD Treatment Policy Director Jason Snyder .

Thryve Labs and RCPA Member Barber National Institute Take Next Step in Pilot Partnership to Advance AI-Enhanced Caregiving Technologies

Mon, 22 Dec 2025 13:32:27 GMT

Press release by Barber National Institute : Published December 10, 2025

Excerpt below:

Erie, PA – Wednesday, Dec. 10, 2025 – Thryve Labs, an AI-powered caregiving technology company, today took the next step in a pilot partnership with Barber National Institute to deploy intelligent monitoring technology in community homes serving individuals with intellectual disabilities and autism.

The two organizations have reached a critical milestone, identifying a pilot location and establishing a clear timeline for the partnership. The collaboration aims to combine real-world insights from staff and families - backed by decades of personcentered care expertise - with Thryve's AI models to improve outcomes for both residents and their caregivers.

ODP Shares Recorded Webinar on the January 1, 2026 Changes to the ID/A Waivers

Mon, 22 Dec 2025 13:27:04 GMT

The Office of Developmental Programs (ODP) has shared ODPANN 25-114 .

This communication notifies all interested parties of the recorded webinar that explained the January 2026 Waiver Amendments. This webinar and is now posted on the MyODP website .

The webinar contains a brief high-level overview of Performance-Based Contracting as well as changes not related to Performance-Based Contracting that impact ODP’s Consolidated, Community Living, and Person/Family Directed Supports (P/FDS) waivers.

Please review the announcement for more details.

OLTL Announces Participant Directed (Consumer) Personal Assistance Services Rate Increase

Fri, 19 Dec 2025 13:47:39 GMT

The Fiscal Year 2025/26 budget, signed into law on November 12, 2025, includes a $21 million investment to strengthen the workforce through increased wages for direct care workers providing services in the Participant Directed Model for Office of Long-Term Living (OLTL) programs.

This additional funding provides for a rate increase in the OBRA Waiver and Act 150 Program for Participant Directed (Consumer) Personal Assistance Services procedure codes W1792 and W1792 TU, effective January 1, 2026.

In anticipation of the upcoming rate increase, OLTL is updating the OLTL Home and Community-Based Waiver Services Rates fee schedule, for which additional communication will be sent in the future. To support the January 1, 2026, effective date, OLTL will be updating their systems to include PROMISe™ and the Home and Community Services Information System (HCSIS) with the revised rates. Service Coordinators do not need to make any service plan updates for the upcoming rate change, as a HCSIS system-wide update is being implemented to make the necessary service data rate updates to the affected service plans.

Please contact the OLTL Provider Inquiry Line at 800-932-0939, OPTION 2, Monday to Friday, from 9:00 am – 12:00 pm and 1:00 pm – 4:00 pm.

Washingtonian Names National Council President/CEO Chuck Ingoglia One of the “Most Influential People Shaping Healthcare Policy” for 2025

Fri, 19 Dec 2025 13:39:33 GMT

Article by Washingtonian : Posted December 18, 2025

Congratulations to National Council for Mental Wellbeing President and CEO Chuck Ingoglia for being named by the Washingtonian as one of the “Most Influential People Shaping Healthcare Policy” for 2025!

National Council Releases H.R. 1 Implementation Journey Map

Fri, 19 Dec 2025 13:34:38 GMT

The National Council for Mental Wellbeing has released a Journey Map for the implementation of H.R. 1 with clear, actionable information and guidance on upcoming policy changes, roles of key stakeholders, and opportunities for engagement.

The guide takes a yearly approach to explain a summary of the year’s implementation dates and highlights key engagement opportunities for that year.

The Journey Map also outlines proactive practice considerations that providers can use to plan for upcoming changes to Medicaid policy, such as:

Look to plan education, outreach, and enrollee evaluation for other eligibility pathways, coverage, and benefits;
Addressing systems needed for proactive disability determination;
Look to identify key places to minimize administrative burden and maximize exemptions; and
Begin collecting data on impact to establish a baseline and evaluate as more changes come into effect.

The guide also alludes to an informational bulletin released by CMS on December 8, detailing rulemaking on the new community engagement requirements. RCPA will review the bulletin internally with policy leadership as well as with DHS on the impacts and implementation values.

If you have any questions, please contact RCPA Policy Associate Emma Sharp .

December 2025 Provider Performance Review Meeting Materials and Updates Now Available

Thu, 18 Dec 2025 14:07:24 GMT

The Office of Developmental Programs (ODP) convened for the Provider Performance Review Subcommittee on December 18, 2025, to provide updates on service utilization, National Core Indicators (NCI), and family engagement initiatives.

Service Utilization Updates

The statewide summary for services in CY 2025 highlights a continued focus on community-based and non-residential options.

Residential and Non-Residential Distribution: As of late 2025, Non-Residential Services account for the majority of utilization at 71.12%.
Residential Service Breakdown: Within residential settings, Residential Habilitation remains the most common at 25.68%, followed by Life Sharing at 2.76% and Supported Living at 0.44%.
Housing Support: ODP tracked the percentage of enrolled individuals receiving Housing Transition and Tenancy Services by SCO for CY 2025, with participation rates reaching up to 6% among certain providers.

National Core Indicators (NCI) and Satisfaction

ODP shared findings from the NCI-IDD In-Person Survey (2023/24) to measure person-centered outcomes and satisfaction.

Community Inclusion (NCI-IDD PCP-5): Pennsylvania’s average satisfaction with community inclusion was 84% for FY 2023/24, consistently exceeding the NCI-IDD national average of 82%.
Activity Satisfaction: High percentages of participants reported they “go out to eat enough” (77%), “go shopping enough” (81%), and “go out into the community enough” (80%).
Future Performance-Based Contracting: Beginning January 1, 2026, SCOs will be required to attest to supporting ODP data collection for this measure to inform future performance benchmarks.
Service Plan Relevance (NCI-IDD PCP-2): 92% of respondents reported “Yes,” their service plan includes things that are important to them.
Benchmarking: By 2027, SCO performance on this measure is expected to meet or exceed 90%.

Residential Services: Family Engagement

ODP is actively measuring how well providers engage with and support families through communication and relationship building.

Performance Measure (QI.03.3): Effective January 1, 2025, providers must attest to assisting ODP in collecting data on family satisfaction with provider engagement.
Family Satisfaction Survey Status: As of December 2025, 1,790 family members of individuals in residential habilitation have responded to the survey.
Provider Participation: Currently, 350 providers have positive response rates, while 18 providers have not yet been heard from.
Deadline: The survey is scheduled to close on December 31, 2025.

For Questions or Additional Information
Please contact Tim Sohosky for any follow-up or inquiries related to this update.

IRRC Releases Licensure of Crisis Intervention Services Comments

Thu, 18 Dec 2025 14:00:03 GMT

The Independent Regulatory Review Commission (IRRC) has published their comments on the proposed Licensure of Crisis Intervention Services regulations, summarizing the comments submitted by the stakeholder community during the public comment period.

As part of the IRRC’s regulatory process, OMHSAS will have to address and clarify any questions that have been submitted.

Similar to RCPA’s public comments , the IRRC response highlights concerns regarding the proposed rulemaking in the following areas:

Potential issues with “one-size-fits-all” approach to crisis intervention.
Lack of availability of qualified staff and how to pay for them.
Elimination of an “in-between” level of care by imposing hospital-like standards that do not align with current outpatient structures.
Possibility of inadequate government funding to cover providers’ implementation costs.
Lack of inclusion and integration with law enforcement, first responders, 911 operators, and 988 lifeline centers.

In support of RCPA’s recommendation, the IRRC comments also urge the Department to reconvene the stakeholder work group that had been assembled in 2021, especially given the drastic shift in the mental health landscape that has occurred since the group last met.

Please contact Emma Sharp with any questions.

CMS Releases IRF-PAI Guidance & Update on Falls Measure

Thu, 18 Dec 2025 13:50:42 GMT

The Centers for Medicare and Medicaid Services (CMS) recently published an errata document to the inpatient rehabilitation facility patient assessment instrument (IRF-PAI) Manual, Version 4.2, related to the coding of items J1750, J1800, and J1900.

This errata document was issued to update guidance related to the Falls with Major Injury (FMI) measure in the IRF Quality Reporting Program (QRP), which is effective on January 1, 2026. Specifically, the guidance related to item J1900 Number of Falls Since Admission item has revisions to the definition of Injury (except Major) and Major Injury.

CMS also released the official Technical Specification Report for the Falls with Major Injury (FMI) measure. This report incorporates feedback received during the cross-setting Technical Expert Panel (TEP) held in May 2025. The report provides an overview of the measure, a high-level summary of the key features of the re-specified measure, a description of the methodology used to construct the FMI measure, and an overview of measure testing results. Additional guidance and related updates to the IRF-PAI Manual, Quality Measure Calculations and Reporting User’s Manual, and public reporting timelines will be provided at a future date. The report is available in the Downloads section on the IRF QRP Measures Information web page .

Mental Health Care Workers Face Too Many Needs and Not Enough Money on the Front Line of PA’s Self-Made Crisis, RCPA Member Scranton Counseling Center Featured

Wed, 17 Dec 2025 17:55:33 GMT

Article by Spotlight PA : Posted December 17, 2025

Excerpt below:

Part three of Spotlight PA’s The Cost of Failing series:

The online reviews of Scranton Counseling Center can be as scathing as they are glowing.

“I really like this place it makes me feel safe to talk to people.” Five stars.

“I have been a waitlist for ten months now for therapy.” One star.

“Fantastic!”

“The worst.”

“I wish I had gone sooner.”

“Stay away at all costs!”

This is the reality of providing mental health care in Pennsylvania.

Scranton Counseling is a community mental health provider serving Lackawanna and Susquehanna Counties where staffers try to stick to a simple ethos: Help everyone they can.

New Veteran Protections Divide Legislators

Wed, 17 Dec 2025 17:50:54 GMT

Article by The Center Square : Posted December 17, 2025

Excerpt below:

(The Center Square) - Advances in neuroscience have made increasingly clear the connection between traumatic brain injury and behavior challenges like irritability, aggression, and impulsivity.

For veterans, that means the same service they provided their country can contribute to criminal acts that harm their communities and ultimately cost their freedom.

That’s why Pennsylvania law allows veterans to present traumatic brain injury and post-traumatic stress disorder as mitigating factors during sentencing after they’ve been convicted of a crime. For those who haven’t received a diagnosis at that time, possible conditions are not considered.

Bill Would Create Alert When Children With Autism Go Missing in Pennsylvania

Wed, 17 Dec 2025 17:44:15 GMT

Article by ABC27 : Posted December 6, 2025

Excerpt below:

(WHTM) — Legislation is in the works for a statewide warning system to locate missing children with autism.

State Rep. Robert Leadbeter (R-Columbia County) announced the formal introduction of a bill to create a “Purple Alert” system. It would quickly notify police and community members when a child with autism, or other cognitive issues, is missing.

Updated Guide for Using the IM Overview Dashboard to Assess PBC Measures Now Available

Wed, 17 Dec 2025 16:13:19 GMT

The Office of Developmental Programs (ODP) has shared an update to ODPANN 24-082 .

This communication advises providers of the availability of the ODP updated Guidance for Reviewing Data for Performance-Based Contracting (PBC) Measures RM-IM 01.2 and 01.3. The guidance and recorded webinar can be found on MyODP at Performance-Based Contracting – MyODP in the Data Folder. Updates appear underlined in red text.

Please view the announcement for more details.

BU Awarded $15M to Lead Effort to Diagnose CTE During Life

Tue, 16 Dec 2025 14:55:22 GMT

Article by The Brink : Posted in the Fall 2025 publication

RCPA IDD Director Tim Sohosky Discusses “The Long Game Behind Sustainable Services” on IDD Leaders Podcast

Tue, 16 Dec 2025 14:49:24 GMT

The Long Game Behind Sustainable Services w/ RCPA
Ep. 63 • December 15, 2025

In this conversation, host Nate Beers sits down with Tim Sohosky from RCPA to talk about the long game in disability services: how change actually happens, why efficiency alone isn’t enough, and what leaders need to pay attention to now if they want their organizations — and their people — to thrive long-term.

This is Part 2 of their conversation. They explore:

How advocacy moves from frustration to real system change;
Why outcomes matter more than ever (and what we’re measuring wrong);
The hidden strain leaders feel when innovation collides with regulation;
What sustainable leadership looks like five to ten years out; and
How building a bench of future leaders protects everything you’re working toward.

This episode isn’t about quick fixes. It’s about perspective, patience, and making decisions today that future leaders — and the people you support — will thank you for.

Watch/listen to the podcast here . Visit the IDD Leaders podcast website for more information on the podcast and organization.

January 2026 ODP Training Calendar Now Available

Tue, 16 Dec 2025 14:46:05 GMT

View the calendar for a complete listing of training events for January 2026.

OMHSAS Releases 4 Walls Telehealth Bulletin

Fri, 12 Dec 2025 17:41:39 GMT

Message from the Office of Mental Health and Substance Abuse Services (OMHSAS):

The Pennsylvania Department of Human Services’ (DHS) Office of Mental Health and Substance Abuse Services (OMHSAS) is issuing the bulletin OMHSAS-25-05 “Behavioral Health Clinic Services Provided Outside of the Clinic,” effective November 12, 2025, following changes to Federal Regulation 42 CFR 440.90(d).

OMHSAS 25-05 announces an amendment to Pennsylvania’s Medicaid State Plan which allows all behavioral health clinics that are enrolled in the Medical Assistance (MA) Program, who deliver services through the fee-for-service and managed care systems, to provide clinically appropriate services outside of the clinic. Behavioral health clinics include psychiatric outpatient clinics, outpatient drug and alcohol clinics, and methadone maintenance clinics.

Furthermore, OMHSAS-25-05 also announces the abrogation of 55 Pa Code §§ 1153.14(6) (relating to noncovered services) and 55 Pa. Code 1223.14(11) (relating to noncovered services) by Act 46 of 2025.

The guidance in OMHSAS-25-05 is separate from any “telehealth only” licensure and guidance that may be in place. The changes discussed in this bulletin also do not apply to the existing Mobile Mental Health Telehealth (MMHT) services.

Questions and comments can be directed to OMHSAS via email . RCPA members can also contact RCPA COO and MH Policy Director Jim Sharp with any questions.

MedPAC Issues Draft IRF Payment Recommendations

Fri, 12 Dec 2025 17:37:22 GMT

At the December 4, 2025, Medicare Payment Advisory Commission (MedPAC) annual session on payment adequacy for Medicare providers, draft fiscal year (FY) 2027 payment recommendations were issued.

The recommendations , “Assessing Payment Adequacy and Updating Payments: Inpatient Rehabilitation Facility (IRF) Services,” were shared. Included in their presentation were their findings on admissions, financial performance by IRF provider type, quality metrics, and other relevant data points. In addition to the payment-focused sessions, the meeting included a general session on post-acute care trends and “key issues,” which compared various patient- and payment-focused data across IRFs, skilled nursing facilities (SNF), and home health agencies (HHA).

During the IRF payment session, MedPAC advanced a draft recommendation calling for Congress to reduce the 2026 Medicare base payment rate for IRFs by 7 percent in FY 2027. This draft recommendation is identical to last year’s recommendation and marks an increase over the FY 2025 recommendation (a 5% cut to the Medicare base payment rate) and the FY 2024 finalized recommendation (3% cut).

MedPAC’s recommendations are advisory in nature, and most of MedPAC’s work can only be implemented via Congressional action. RCPA will monitor the status of these recommendations through close collaboration with the American Medical Rehabilitation Providers Association (AMRPA).

ODP Issues Clarification on Qualification Requirements for Providers

Fri, 12 Dec 2025 17:33:21 GMT

The Office of Developmental Programs (ODP) has shared ODPANN 25-111 .

This communication clarifies new qualification requirements for providers of CPS, In-Home and Community Support and/or Companion services in the Consolidated, Community Living, and P/FDS Waivers that were recently approved by the Centers for Medicare and Medicaid Services (CMS). These requirements do not apply to services rendered by Support Service Professionals through a Participant-Directed Services option.

These amendments include the following provider qualification requirements:

Providers newly enrolling to render Community Participation Support, In-Home and Community Support, and/or Companion must provide Office of Developmental Programs (ODP) home and community-based services to a minimum of 3 separate and distinct participants in the first fiscal year after enrollment.
Starting July 1, 2026, currently enrolled providers must render ODP home and community-based services to a minimum of 3 separate and distinct participants each fiscal year. ODP will use the provider’s Master Provider Index number to determine if the provider is rendering any ODP waiver services to a minimum of 3 separate and distinct participants.
Additionally, the provider must render ODP home and community-based services each quarter.

Please review the announcement for more detail s.

Medication Administration January – March 2026 Training Schedule Announced

Fri, 12 Dec 2025 17:30:24 GMT

The Office of Developmental Programs (ODP) has shared the Medication Administration January – March 2026 Train-the-Trainer Face-to-Face schedule in ODPANN 25-112 .

You may register for one of these sessions after completing the course materials in the Train-the-Trainer course on MyODP’s Medication Administration website . Please see the communication for training dates and more information.

ODP Shares ISAC Member List

Thu, 11 Dec 2025 18:01:39 GMT

The Office of Developmental Programs (ODP) has shared the current membership for the Information Sharing and Advisory Committee (ISAC).

RCPA members are encouraged to share feedback and concerns appropriate for discussion and review at ISAC with Tim Sohosky .

The ISAC membership list can be found here .

ODP Issues Clarification of MA 51 Completion, Shares Revised Guidelines

Thu, 11 Dec 2025 17:57:47 GMT

The Office of Developmental Programs (ODP) has shared ODPANN 025-109 to provide clarification about the completion of the MA 51 or medical evaluation discussed in previous bulletin 00-25-02, along with a revised attachment.

Attachment:

Common Intelligence Measures and Interpretive Guidelines for Standardized Assessments 9-25-25 (updated 12/10/2025)

The purpose of this requirement is to ensure that individuals are accessing healthcare at least once every three years. In practice, this will primarily affect those who are not receiving residential services, since residential licensing regulations already require annual physicals.

Please review the announcement for details.

ODP Issues Easier to Understand Bulletin Regarding Communication

Thu, 11 Dec 2025 17:49:55 GMT

Communication Bulletin 00-25-05 was published and shared last week.

The purpose of the bulletin was to establish the Office of Developmental Programs’ (ODP’s) policy on communication and assure all individuals have an effective way to communicate.

To further provide access to the bulletin, ODP has shared another version of the bulletin in easier-to-understand terms and with pictures. This version will be available on MyODP as an attachment to the original bulletin communication released on December 1, 2025.

The following bulletins below are no longer in use:

Office of Developmental Programs 00-14-04, Accessibility of Intellectual Disability Services for Individuals Who Are Deaf
Office of Developmental Programs 00-08-18, Communication Supports and Services

CCBHC Legislation Introduced in the Senate

Thu, 11 Dec 2025 17:45:07 GMT

The U.S. Senate has introduced the bipartisan Ensuring Excellence in Mental Health Act , which will serve as a crucial step in expanding nationwide access to Certified Community Behavioral Health Clinics (CCBHC).

CCBHCs were established by Congress in 2014 and launched through a demonstration, which Pennsylvania was part of, in 2017. There are now more than 500 CCBHCs across the nation that serve millions of people, and Congress is building momentum to continue to expand access to high-quality mental health and substance use care.

Per the National Council for Mental Wellbeing , key provisions include:

Establishing the CCBHC prospective payment system as a sustainable option for states implementing the model under the state Medicaid option. This allows them to expand the availability of evidence-based services, increase their workforce, and integrate services with other providers in their communities.
Advancing care integration by enabling CCBHCs to provider additional services, including primary care.
Establishing CCBHCs as a provider type with prospective payment in Medicare, strengthening their ability to serve older adults.

RCPA will continue our efforts with members and providers of ICWC/CCBHC programs with a hope of expanding both in the coming years. Please contact Emma Sharp with any questions.

Representative Fitzpatrick Files Discharge Petition to Force Vote on Bipartisan Bill Preventing ACA Premium Spikes

Thu, 11 Dec 2025 14:33:53 GMT

For Immediate Release
December 10, 2025
Media Contact: Casey-Lee Waldron

WASHINGTON, D.C. — Today, Congressman Brian Fitzpatrick (PA-1) released the following statement after filing a discharge petition to bring his Bipartisan Health Insurance Affordability Act directly to the House floor for a vote, ensuring Congress takes action to prevent devastating health insurance premium increases when current protections expire at the end of the year:

“Congress cannot sit idle while American families face a preventable crisis. Our job is to protect the people we serve, and that responsibility demands immediate action.

If these protections expire, millions of Americans will be hit with premium increases they simply cannot afford, forcing impossible choices about their health, their finances, and their futures. They deserve a concrete solution now—not promises of one later.

For months, I have worked with Republicans and Democrats in both chambers, along with input from the Administration, to build a bipartisan solution that can actually pass—not a political messaging exercise. This bill delivers the urgent help families need now, while giving Congress the runway to keep improving our healthcare system for the long term. Responsible governance means securing 80 percent of what families need today, rather than risking 100 percent of nothing tomorrow.

Filing this discharge petition ensures the House will have the opportunity—and obligation—to vote. Every member must decide whom they serve: the people, or the politics. We can prevent this—and we must. If 217 of my colleagues are willing to join me in putting constituents first, we can protect working- and middle-class families from a catastrophic crisis.

Our neighbors are counting on us. I’m calling on my colleagues to sign this petition, bring this two-party solution to the floor, and deliver the security and certainty American families deserve.”

About the Bipartisan Health Insurance Affordability Act:

Fitzpatrick (PA-01) was joined by Representatives Jared Golden (ME-02), Tom Suozzi (NY-02), Don Bacon (NE-02), Rob Bresnahan (PA-08), Marie Gluesenkamp Perez (WA-03), Donald G. Davis (NC-01), and Nicole Malliotakis (NY-11) to introduce the Bipartisan Health Insurance Affordability Act , a two-party, targeted solution to prevent a sharp jump in healthcare costs as current protections expire and ensure millions of Americans can maintain affordable coverage.

Without immediate congressional action, the scheduled expiration of the Affordable Care Act’s enhanced premium tax credits would result in steep, sudden cost increases and widespread loss of coverage—destabilizing the healthcare markets working families rely upon.

Key Provisions of the Bipartisan Health Insurance Affordability Act

The legislation advances five reforms designed to protect affordability, strengthen accountability, and ensure taxpayer value:

Prevents Premium Spikes: Extends enhanced premium tax credits through 2027, to protect families from abrupt monthly cost increases.
Restores Consumer Control: Stops unauthorized plan and subsidy changes by requiring consent and prompt notification before any modifications take effect.
Shines Light on Middlemen: Ends hidden spread pricing, severs PBM profits from drug prices, and requires full rebate pass-through to ensure savings reach patients.
Gives Families New Tools to Manage Costs: Expands access to Health Savings Accounts and simplifies premium payments to reduce disruptions in coverage.
Smart Stewardship of Taxpayer Dollars: Modernizes eligibility and introduces a reasonable minimum contribution to protect long-term affordability and responsible stewardship of federal dollars.

Read the full bill text here .

####

April – June 2026 LTSS Subcommittee Meetings Changed to Hybrid

Wed, 10 Dec 2025 14:26:16 GMT

On November 12, 2025, the Fiscal Year 2025/26 Budget was signed into law, removing travel restrictions.

As a result, OLTL will resume holding hybrid LTSS Subcommittee meetings . The meetings scheduled for April 2026 – June 2026, which were changed to webinar and remote streaming only earlier this year, are now scheduled to be held as both in-person and webinar with remote streaming.

Since the travel ban has been lifted, reimbursement for Subcommittee members’ travel expenses may be submitted with an itemized receipt for review.

The Office of Long-Term Living appreciates your understanding and flexibility.

Please share this message with staff, participants, and any other interested parties.

If you have questions about the LTSS Subcommittee Meetings, please send them electronically .

PA Rural Health Transformation Project Summary Now Available

Wed, 10 Dec 2025 14:05:08 GMT

RCPA wishes to share with members a Federal and PA Rural Health Transformation Project Summary of the PA Rural Health Transformation Program.

This summary highlights the proposed initiatives PA will focus on, which involves six coordinated initiatives spanning technology/infrastructure, workforce, maternal health, behavioral health, aging, and EMS across all rural counties.

The PA Department of Human Services (DHS) will act as the “Health Hub” and handle statewide programs and contracts as well as serve as the liaison to CMS. Meanwhile, the Partnerships for Regional Economic Performance (PREP)-based Rural Care Collaborative (RCC) will lead regional implementation and prioritize strategies.

RCPA urges members to meet with their regional PREP-based RCC in order to explore opportunities for partnership.

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

RCPA Member KidsPeace Named 2025 “Culture Leader” by Leading Employee Recognition Firm

Tue, 09 Dec 2025 20:13:28 GMT

Press release from KidsPeace : Released December 9, 2025

Excerpt below:

SCHNECKSVILLE, PA (December 9, 2025) – KidsPeace announced that it has been named a “Culture Leader” by Kudos®, a leading employee recognition, rewards and corporate culture platform provider.

KidsPeace is one of only eighteen organizations across North America to receive the “Culture Leader” designation from Kudos. According to Kudos’ announcement: “This year’s winners distinguished themselves through their unwavering commitment to meaningful employee recognition, proving that genuine appreciation is the cornerstone of strong, connected teams. Applications impressed with innovative initiatives ranging from dynamic well-being programs to creative engagement strategies that inspire and empower employees every day.”

Maintaining Healthy Skin and Healing Wounds Training Webinar on January 22

Tue, 09 Dec 2025 18:30:51 GMT

View the flyer here.

The skin is our best barrier for keeping us healthy. Keeping the skin intact is essential. However, the skin is the most commonly injured body area, so being aware of emergency care is also crucial.

Joyce Black, PhD, RN, FAAN, CWS, is a Professor of Nursing at the University of Nebraska Medical Center’s College of Nursing in Omaha, Nebraska. She is also a member of the Board of Directors of the National Pressure Injury Advisory Panel.

Prepared People Save Lives — Hazard Vulnerability Assessment Toolkit Now Available

Tue, 09 Dec 2025 18:22:37 GMT

The Office of Developmental Programs (ODP) has shared ODPANN 25-108 , which gives information on a toolkit that is designed to assist providers with assessing and preparing for unexpected events to ensure the individuals they are supporting remain safe and continue to receive the services they need in the event of an emergency.

The Prepared People Save Lives Toolkit is available for download and use on the MyODP website .

It contains a Hazard Vulnerability Assessment (HVA), which will:

Identify and rank different hazards (natural disasters, technology failures, human-caused dangers);
Look at how vulnerable the program is and figure out what may need improvement through planning factors; and
Allow for continuous process improvement annually, making services resilient, and more prepared for emergencies.

Please review the communication for more detail s.

RCPA Member TrueNorth Wellness Services Welcomes New Chief Executive Officer

Tue, 09 Dec 2025 15:19:56 GMT

TrueNorth Wellness Services (TNWS) and its Board of Directors are pleased to announce the appointment of Steven (Steve) J. Schedler, LCSW, CAADC, CCS as its new Chief Executive Officer (CEO), effective January 5, 2026.

With a strong record of leadership in the mental health field, Steve brings a renewed vision for expanding and strengthening our commitment to providing compassionate, high quality behavioral health and wellness services to the communities we serve. Throughout his career, he has demonstrated a deep commitment to expanding access to high quality behavioral health and wellness services, values that align closely with TrueNorth’s intended mission.

We are confident that Steve’s vision and leadership will help TNWS continue to grow and serve our communities with excellence.

Steve replaces Chuck Smith, who has served as the TNWS interim CEO since April 2025.

Professional Background
Steve Schedler comes to TNWS with over 20 years’ experience in the behavioral health field. Since 2020, he has served as the Executive Director of Samaritan Center, where he oversaw clinical and administrative operations. Prior to that, he served as Executive Director of Naaman Center, a role he led a comprehensive array of addiction treatment services.

These combined leadership experiences, along his roles as a therapist, have equipped Steve with a deep understanding of behavioral health systems, as well as a proven ability to guide diverse teams, implement strategic initiatives and support sustainable service delivery.

Education
Steve holds a Bachelor of Science degree in Psychology from The Pennsylvania State University, a Masters of Social Work degree from Temple University, along with several professional designations.

Personal Background
A native of Franklin County (Mont Alto), PA and a Waynesboro High School graduate, Steve currently lives in Hershey, PA with his wife Amy and two children, Levi and Maddie.

As we begin this new chapter, we are confident that Steve’s leadership and experience will guide TNWS toward continues growth impact. We welcome Steve to TNWS and look forward to the positive energy and directio n he will deliver to our team.

December 2025 ISAC Meeting Materials and Updates Now Available

Tue, 09 Dec 2025 15:02:04 GMT

The Office of Developmental Programs (ODP) convened for the Information Sharing and Advisory Committee (ISAC) meeting on December 9, 2025, to provide updates on the impacts of the enacted state budget and two key recommendation areas.

General ODP Updates

State Budget FY 2025/26: The General Appropriations Bill passed on November 12. The Community Waiver appropriation is $21M less than the Governor’s proposed budget but still represents an increase from FY 2024/25. A $5.8M reduction in the State Center Appropriation will be transferred to ID/A Home and Community-Based Services (HCBS) Augmentation.
Medicaid Eligibility Tools: ODP Announcement 25-097, “Maintaining and Verifying Medicaid Eligibility,” has been released. ODP participants must complete and submit their Medicaid renewal paperwork to the County Assistance Office (CAO) to maintain coverage and services. Participants are advised to look for a “PINK Envelope!” for their renewal.
Waiver Submissions: ODP submitted the 1915(b)(4) waiver and the Consolidated, Community Living, and P/FDS Waivers to the Centers for Medicare and Medicaid Services (CMS) for review and approval on July 31.
Project ECHO: ODP is offering “Project ECHO: Building Competence in Supporting Autistic Adults with Profound Support Needs”. This is a free virtual program open to ODP residential provider staff, beginning January 6, for 10 weekly sessions.
Provider Innovation Series: A new series will showcase provider-led innovative practices that promote peer-to-peer learning. The first selected provider(s) are scheduled to present at the Everyday Lives Conference in May 2026.
Hazard Vulnerability Assessment (HVA): ODP provided a Provider HVA Implementation Roadmap, which includes key steps such as forming a preparedness workgroup (Months 0–2), selecting top hazards (Months 2–4), conducting sensory-friendly drills (Months 4–6), and implementing site-specific mitigations (Months 6–9).

ISAC Recommendation #8: Simplify the System

The recommendation aims to make the system of supports and funding as straightforward as possible.

Individual Support Plan (ISP) Redesign: The goal is to reduce the time to complete and update the ISP and increase the positive experience of stakeholders.
Pre-population of Data: Data will be pre-populated from the Person Record into the ISP, including demographics and the Individual’s Support Team.
Auto-population: Health Risk Screening Tool (HRST) score data will be auto-populated into the Medical History and Meals and Eating sections. Supports Intensity Scale (SIS) data will also be used to inform the ISP.
Enterprise Case Management System: ODP is working to design and implement a new enterprise case management system to provide direct access to the ISP for individuals, their families, and authorized providers.

ISAC Recommendation #9: Improve Quality

The core principle is to plan and deliver services that measure person-centered outcomes and continuously improve quality of life.

Quality Management (QM) Certification: ODP continues to offer its QM Certification curriculum. As of November 25, 2025, a total of 2,379 individuals are certified, with Providers accounting for the largest group at 1,729.
Data Collection: ODP will continue its annual participation in the Independent Monitoring for Quality (IM4Q) and National Core Indicators (NCI) surveys to gather satisfaction data from individuals and families.
Performance-Based Contracting (PBC): Residential Providers have completed the first round of data submissions, scoring, and tier assignments. Funds for tiers and Pay for Performance (P4P) Milestone 1 have been distributed. Improvements noted include:
An increase in enrolled providers offering Lifesharing (81 to 90) and Supported Living (115 to 135) from July 2023 to January 2025.
Major improvements in health risk screenings (80% reduction in individuals without screening).
A 20% increase in 7-day and 30-day follow-up appointments after inpatient hospitalizations.
Incident Management (IM) Rebalancing Initiative:
Phase 1 (Interim Support) is Complete: ODP Announcement 25-093 was released on October 7, 2025, to clarify current IM requirements, standardize practices, and eliminate Optionally Reportable Events (ORE).
Phase 2 (Policy & System Modernization) is In-Progress: This phase involves changes to the overall IM structure, a new IM Bulletin, and updates to the reporting processes and systems.

The 2026 Calendar of ISAC meetings were also shared and can be found here .

For Questions or Additional Information
Please contact Tim Sohosky for any follow-up or inquiries related to this update.

SC PBC and January Waiver Amendment Approval

Mon, 08 Dec 2025 20:56:33 GMT

The Office of Developmental Programs (ODP) has shared ODPANN 25-107 .

This communication is to inform all interested parties that the Centers for Medicare and Medicaid Services (CMS) approved amendments to the 1915(b)(4) Performance-Based Contracting (PBC) waiver and the Consolidated, Community Living, and P/FDS Waivers effective January 1, 2026. All waivers are available on the Department of Human Services’ (DHS) website.

RCPA IDD Director Tim Sohosky Discusses “The Connection Every IDD Leader Needs” on IDD Leaders Podcast

Mon, 08 Dec 2025 20:31:21 GMT

The Connection Every IDD Leader Needs w/ RCPA
Ep. 62 • December 8, 2025

In this episode of the IDD Leaders podcast, podcast host, Nate Beers, sits down with Tim Sohosky, IDD Director at RCPA (Rehabilitation and Community Providers Association), to uncover one of the most overlooked advantages available to leaders in the IDD field: your provider association.

If you’ve ever felt like you’re leading in isolation, drowning in vacancies, or constantly reacting to new regulations — you’re not alone. And you don’t have to keep going solo. Tim shares insider insights on how high-performing leaders stay ahead of staffing challenges, influence policy before it hits their agencies, and tap into resources that make their jobs easier (and their teams stronger).

Watch/listen to the podcast here . Visit the IDD Leaders podcast website for more information on the podcast and organization.

White House Releases “Fostering the Future” Executive Order

Fri, 05 Dec 2025 21:01:42 GMT

On November 13, 2025, President Trump signed the executive order “ Fostering the Future for American Children and Families ,” an initiative to be led by the Office of the First Lady.

The order is aimed at supporting children transitioning out of foster care into adulthood by modernizing the out-of-date child welfare system.

The Secretary of Health and Human Services must take the appropriate actions for the following within the next 180 days:

Update regulations, policies, and practices to improve data collection;
Promote modernization of child welfare information systems;
Expand States’ use of technological solutions; and
Publish an annual scorecard to measure and evaluate State-level achievement.

The HHS Secretary, in coordination with the First Lady and heads of other applicable offices, are to establish a “Fostering the Future” initiative to develop partnerships with agencies, private sector organizations, academic institutions, and non-profit entities to aid in the transition out of the foster care system. The order also calls for the development of an online platform to assist in the navigation of the transition, and an increase in the role of Education and Training Vouchers and educational scholarships. This initiative will be funded by the reallocation of funds returned by the States from Federal programs designed to assist in the transition out of foster care, but further details have not been clarified.

The final section of the Executive Order outlines the role of HHS in coordination with the Director of the White House Office of Faith and the White House Office of Intergovernmental Affairs, to:

“(a) take appropriate action to address State and local policies and practices that inappropriately prohibit participation in federally-funded child-welfare programs by qualified individuals or organizations based upon their sincerely held religious beliefs or moral convictions; and (b) take appropriate actions to increase partnerships between agencies and faith-based organizations and houses of worship to serve families whose children have been placed in foster care or are at risk of being placed in foster care.”

This order explicitly encourages partnerships with faith-based organizations and removes barriers for faith-motivated foster/adoptive families. While faith-based groups currently play a significant role in the foster care system, this order increases ethical tensions regarding what safeguards exist to protect foster youth who come from non-religious or different religious/cultural backgrounds from pressure to conform.

Further concerns with this order lay with language regarding “biological truths.” This term implies that LGBTQIA+, non-binary, or gender non-conforming individuals somehow conflict with science and is used to delegitimize trans and nonbinary identities. There is concern that partnerships with faith-based and other community organizations may not align with youth’s identities, especially older youth in the LGBTQIA+ community. Further guidance will be needed to ensure that any partnerships with faith-based organizations must be voluntary and respectful of each youth’s identity.

Additional concerns arise regarding equity of family selection and pairing/matching systems. Preferential selection of faith-based foster/adoptive families may lead to “religious filtering.” Potential foster/adoptive parents may be selected not on their capacity to care or their qualifications, but on religious affiliation or ideological alignment — which could lead to unfair exclusion of qualified non-religious or differently religious households. Upcoming policy changes could undermine equity and non-discrimination in the foster care system.

RCPA will keep abreast of developments on this issue and further guidance for agencies and individuals involved in the foster care system.

Please contact Em ma Sharp with any questions.

HB 2070 Introduced: Dry Needling as an Acceptable Practice Within PT

Thu, 04 Dec 2025 21:21:09 GMT

Representative John Schlegel has introduced a co-sponsorship memo regarding House Bill 2070 , Clarifying Dry Needling as an Acceptable Practice within Physical Therapy (PT).

The American Physical Therapy Association (APTA) recognizes dry needling as being within the physical therapist scope of practice. However, Pennsylvania’s Physical Therapy Practice Act (Act 110 of 1975) does not explicitly allow or deny the performance of this type of therapy. This creates a legal gray area and causes uncertainty among licensed physical therapists. Due to the current law’s silence on this treatment technique, legislative clarification is needed.

Dry needling (sometimes referred to as “trigger point dry needling” or “intramuscular manual therapy”) is a treatment method used to relieve muscle pain and stiffness and to improve range of motion. It is important to note that dry needling and acupuncture are not the same, though both are considered needle-based therapies. These procedures have different medical origins, needle placement and application techniques, and serve different purposes.

HB 2070 clarifies that licensed physical therapists may perform dry needling therapy given certain education and training requirements are met and will further specify that dry needling does not include the practice of acupuncture.

A majority of states acknowledge that dry needling is within the scope of practice for physical therapists, including our neighboring states of Delaware, Maryland, New Jersey, Ohio, and West Virginia.

The bill was referred to the House professional licensure committee on December 3, 2025.

ODP Shares December 2025 CI Program Spotlight Quarterly Newsletter

Thu, 04 Dec 2025 21:12:43 GMT

The Office of Developmental Programs (ODP) has shared ODPANN 25-085 .

This communication announces the release of a new issue of the quarterly newsletter, The Certified Investigator (CI) Program Spotlight . The CI Program Spotlight, Volume 2, Issue 3 , may be found by logging into MyODP and visiting the CI Program Spotlight Newsletter web page.

Staff News from RCPA Member Montgomery County Dept of Health and Human Services

Thu, 04 Dec 2025 18:07:58 GMT

Congratulations to LeeAnn Moyer on her retirement as Managed Care Solutions Administrator of Montgomery County, PA!

More than 40 years in county government is a body of service work to be proud of. Also, congratulations to LeeAnn’s successor, Meghan Schrag, who has been with Montgomery County since 2018. We wish them both the best in their future endeavors!

DEA Releases Fourth Temporary Extension of Telemedicine Flexibilities

Wed, 03 Dec 2025 15:26:49 GMT

Message from the Center for Connected Health Policy (CCHP) :

On November 10, 2025, the U.S. Drug Enforcement Administration (DEA) posted a fourth temporary extension of the COVID-19 telemedicine flexibilities for prescribing controlled substances. These flexibilities were set to expire at the end of the year. Although the DEA has not yet released the full text of the extension — including how long it will last. At this point, the final rule is still pending regulatory review. Historically, extensions have added a year of continued flexibility, though this extension could be shorter. For context, the previous extension , issued in November 2024, extended the telemedicine allowances through December 31, 2025. Until the fourth extension rule is approved and the complete text published, the duration and any potential policy adjustments remain unknown.

As background, permanent federal law under the Ryan Haight Online Pharmacy Consumer Protection Act of 2008 largely prohibits the prescribing of controlled substances without an initial in-person examination. While the statute outlines several exceptions under the defined “practice of telemedicine,” these apply primarily when a patient is located in a hospital or clinic or in the presence of another practitioner. As a result, these exceptions do not cover the routine model of telehealth widely used today, in which the patient (and sometimes the provider) participate from home settings. Importantly, the in-person requirement under the Ryan Haight Act applies only to the initial visit, and the DEA has never required subsequent in-person encounters. While the full details are not yet available, it is likely that the forthcoming temporary extension will mirror previous ones by continuing to suspend the initial in-person visit requirement for the period of the extension.

It is important to note that these DEA extensions affect only federally-controlled substance prescribing rules. States maintain their own requirements, which may include stricter requirements for in-person visits prior to the prescribing of controlled substances. Please check the Online Prescribing category of CCHP’s Policy Finder to reference state specific requirements.

Additionally, the DEA’s in-person prescribing requirement is separate from Medicare’s policy requiring an in-person visit within six months prior to an initial telehealth mental health service and annually thereafter. That Medicare mental health requirement — often confused with the DEA’s prescribing standard — is tied to Medicare reimbursement rules and applies only to Medicare beneficiaries and providers seeking reimbursement for mental health services through Medicare if their situations do not meet certain exceptions, not to all patients. Additionally, this Medicare in-person visit requirement is currently waived until January 30, 2026 (as passed in the most recent government funding bill ), whereas the DEA’s in-person requirement, which is the topic of this particular newsletter and the new fourth extension rule, governs all practitioners prescribing controlled substances nationwide, regardless of payer.

_________________________________________________________________

If RCPA members have any questions, please contact RCPA COO and Mental Health Policy Director Jim Sharp .

Social Security Administration Announces 2026 Cost of Living Adjustment

Wed, 03 Dec 2025 15:19:36 GMT

The Office of Developmental Programs (ODP) has shared ODPANN 25-105 .

The purpose of this communication is to provide notice that the Federal Supplemental Security Income (SSI) payment will increase beginning in January 2026.

The SSI federal program provides benefits to adults and children who meet the SSA’s requirements for disability, income, and resources. This income benefit is designed to help qualified individuals meet basic needs for food, clothing, and shelter. Periodically, COLA affects the maximum monthly allotment. Effective January 2026, the SSA increased the SSI allotment by 2.8 percent to reflect an increase in the cost of living.

To account for the new COLA, room and board agreements should be reviewed to determine appropriate adjustment. The Room and Board Residency Agreement § 6100.687 (DP 1077) is found on the MyODP website .

Please see the bulletin for additional information. If you have any questions, please reach out to your Office of Developmental Programs (ODP) Regional Office.

CCHP Shares Patient and Provider Telehealth Education Resources

Wed, 03 Dec 2025 14:59:24 GMT

New Patient & Provider Telehealth Education Resources!

Excerpt from "New Patient & Provider Telehealth Education Resources!":

The Center for Connected Health Policy (CCHP) has developed several new telehealth resources created specifically for the Intellectually/Developmentally Disabled (IDD) community. Made possible through generous funding from the WITH Foundation , this series of resources aims to improve IDD patients and caregivers’ awareness and knowledge of telehealth including how it can be used to receive health services. Resources were also developed to assist providers in providing IDD patients with a positive experience in their telehealth visits.

OMHSAS and OMAP Issue Juvenile Post-Carceral Programming Bulletin

Tue, 02 Dec 2025 18:28:45 GMT

The Pennsylvania Department of Human Services’ (DHS) Office of Mental Health and Substance Abuse Services (OMHSAS) and the Office of Medical Assistance Programs (OMAP) have jointly issued the Medical Assistance Bulletin Targeted Case Management Services for Eligible Juveniles Enrolled in Medical Assistance Prior to Release From a Carceral Setting , implementing Section 5121 of the Consolidated Appropriations Act, 2023.

Eligible juveniles are individuals under 21 years of age who are determined eligible for MA or an individual 18–25 years of age who was determined eligible for the mandatory eligibility group for former foster care children.

This bulletin advises providers of billing procedures for the physical health (PH) and behavioral health (BH) Targeted Case Management (TCM) services provided to eligible juveniles enrolled in the Medical Assistance (MA) Program within 30 days of release from a carceral setting and for at least 30 days following release. This bulletin also advises providers of a new provider specialty (Spec) for TCM services.

Questions and comments can be sent electronically . You can also contact RCPA Policy Associate Emma Sharp with any questions.

FASD Respect Act Becomes Law

Tue, 02 Dec 2025 18:23:09 GMT

Early this year, the FASD Respect Act was introduced in the Senate to authorize and modify programs administered by the Department of Health and Human Services to address fetal alcohol spectrum disorders (FASD), and became a provision of the SUPPORT for Patients and Communities Reauthorization Act.

The bill sought to establish FASD Centers for Excellence to support FASD prevention through screenings, public awareness, and trainings at a local and state level. In September, Congress passed the SUPPORT Act, and last week the President signed it into law, which officially authorizes the FASD Respect Act.

The legislation will allow the US Department of Health and Human Services to promote and fund FASD education and awareness, as well as the promotion of FASD resources. Beyond funding and program expansion, the FASD Respect Act will task the federal government with addressing FASD through a realigned perspective that supports individuals and families and respects their lived experience.

Please contact Emma Sharp with any questions.

ODP Shares Updates on SCO Performance-Based Contracting

Tue, 02 Dec 2025 16:02:42 GMT

The PA Office of Developmental Programs (ODP) hosted a Supports Coordination Organization (SCO) Forum to provide status updates and data related to the recently completed desk review for Performance-Based Contracting.

All PBC submissions have been scored, and results will be emailed to SCOs shortly, with final results published on the DHS website in January 2026. The new contract cycle is effective from January 1, 2026, to June 30, 2027.

Pay-for-Performance (P4P) and Portal Feedback

P4P Updates: Capacity building investments continue, with $3.835 million available for Credentialing and another $3.835 million available for Technology. A total of 45 SCOs submitted for at least one of these two investments.
MyPBC Portal: ODP requested feedback on SCOs’ experience using the new MyPBC Portal for submissions.

Notification Letters and the Critical Resolution Process

Notification letters regarding determination are now being sent, which will include a list of any performance measures the SCO did not meet.

Mandatory QM Plans: SCOs with unmet measures are required to create and implement a Quality Management Plan (QMP) to meet the standards before the next PBC submission period.
Resolution Deadline is Strict: The most crucial detail shared is the deadline for challenging an unmet measure determination. SCOs will have only seven calendar days from the receipt of their determination letter to initiate the Resolution Process.
Process Guidance: The Resolution Process is strictly for submitting existing documentation that was inadvertently omitted or contained typographical errors to refute ODP’s determination. This is not an opportunity to create new materials solely to meet the standard, and newly created policies, plans, or comments on the process will not be reviewed.

Top Unmet Measures

The presentation included a breakdown of the top unmet measures across all SCOs, highlighting specific compliance challenges:

Measure — Measure Description — Number of SCOs Unmet — Percent of SCOs Unmet

PCP.01.2 — 90% compliance with monitoring frequency by waiver type — 38 —73%
QDI.01.6 — Restrictive procedure data is 86% accurate as compared to the most current BSP. — 30 — 58%
RN.01 — Register in PA Navigate Resource Platform as a CBO — 15 — 23%

QDI (Quality Data Integrity) Measures: The purpose of QDI measures is to stress that SCOs are the primary source of data collection, and data integrity is essential for data-driven policies. ODP plans to drop these measures over time as performance improves.

For QDI.01.1 (Demographic Data), ODP focused on Completeness (86% threshold) this cycle, as checking for both ‘Complete AND Accurate’ resulted in nearly every SCO failing the measure. The threshold is set to increase to 93% for the FY 2027/28 contract cycle.
The target for PCP.01.2 (Monitoring Frequency Compliance) is 90% (P/FDS: once every three months; Consolidated/Community Living: once every two months). This threshold is also scheduled to increase to 93% in the FY 2027-2028 contract cycle.

Restrictive Procedures and Dissatisfaction Measures

Restrictive Procedures (RP): ODP presented details on the calculation for QDI.01.6, which compares the restrictive procedure checkbox in HCSIS against the most current Behavior Support Plan (BSP) summary text. Data showed a continued overall decrease in the rate of Restrictive Procedures incidents from 2022 to 2024.
Dissatisfaction Measure: For the Dissatisfaction Measure, ODP will utilize the data submitted by SCOs (the number of individuals who chose another SCO due to dissatisfaction and the reasons why) to establish a baseline for the measure and determine how to proceed with it in the future.

The presentation slide deck can be foun d here . SCO Providers are encouraged to continue to submit feedback and questions to ODP via the PBC Inbox .

For questions or comments, please contact Ti m Sohosky .

RCPA Opposes SB 716: Involuntary Commitment for SUD

Tue, 02 Dec 2025 15:43:41 GMT

RCPA has formalized its opposition to SB 716 in a brief position paper .

Senator Laughlin’s SB 716 would amend Pennsylvania’s Mental Health Procedures Act (MHPA) by defining substance use disorder (SUD) as a mental illness, thereby subjecting those with an SUD to the same procedures outlined in MHPA, including an involuntary commitment to a 120-hour hold in a psychiatric hospital, which is commonly referred to as a 302 (Section 302 of MHPA).

RCPA determined its position after months of discussion and analysis, including:

Written input from the entire RCPA SUD treatment provider membership;
Extensive conversations and meetings with RCPA members, including SUD and mental health treatment providers, the SUD Steering Committee, and governmental entities;
Multiple meetings with staff from key legislators’ offices, including Sen. Laughlin;
Multiple meetings with the Shapiro administration; and
A review of published research detailing experiences other states have had with involuntary commitment for SUD.

RCPA has offered to work with the legislature and Sen. Laughlin to implement alternative strategies that are proven effective in reducing overdoses and connecting those with SUD to treatment.

RCPA Member Merakey to Host 5th Annual Dual Diagnosis Virtual Conference on February 25, 2026

Mon, 01 Dec 2025 19:16:49 GMT

View the flyer for complete details.

ODP Shares Communication Policies and Definitions

Mon, 01 Dec 2025 19:09:49 GMT

The Office of Developmental Programs (ODP) has shared Bulletin 00-25-05 .

The purpose of this bulletin is to establish the ODP policy on communication and assure all individuals have an effective way to communicate in order to express choice and ensure health and safety. Please review the Bulletin and accompanying attachment for additional information.

Attachment 1: Communication Definitions

In accordance with ODP’s Everyday Lives: Values in Action, individuals and their families identified several areas of importance for increasing the overall quality of their lives. One of those priorities is communication. It is ODP’s goal that every person has an effective way to communicate in order to express choice and ensure health and safety. All forms of communication should consider and include the individual’s language preferences and use of current technology.

Comments and questions regarding this bulletin should be directed to the appropriate ODP Regional Program Office.

Visit the Office of Developmental Programs website for more details.

RCPA Member KidsPeace’s Healing Magazine Examines Opportunities for Youth, Staff, and Caregiving Organizations in Mental/Behavioral Healthcare

Wed, 26 Nov 2025 20:06:34 GMT

Press release by KidsPeace : Released November 26, 2025

Excerpt below:

SCHNECKSVILLE, PA (November 26, 2025) — The latest issue of KidsPeace’s Healing Magazine offers readers insights into opportunities for addressing critical needs in the changing world of mental and behavioral healthcare. The Fall/Winter 2025 edition, online now, explores ways patients, staff and provider organizations can take advantage of such opportunities:

A treatment model called acute partial hospitalization fills the gap for adolescents with needs falling between in-patient treatment and outpatient services.
A major university seeks to address the need for more skilled workers in child mental health, by creating an entirely new discipline for staff in the field.
A common approach to making manufacturing operations more efficient has the potential to meet the same need among behavioral health providers.
Therapists can use the cutting-edge technology of virtual reality to reach their hard-to-treat clients – while their organizations look for ways to make the identification and use of technological advancements part of their culture.

National Council for Mental Wellbeing, NASMHPD Announce Major Investment in CCBHCs

Wed, 26 Nov 2025 19:52:56 GMT

Read the full press release here .

Excerpt below:

WASHINGTON, D.C. (Nov. 20, 2025) — The National Council for Mental Wellbeing and the National Association of State Mental Health Program Directors (NASMHPD) today announced a multistate pilot project to improve access to behavioral health care services provided by Certified Community Behavioral Health Clinics (CCBHCs).

Ballmer Group Philanthropy, founded by Connie and Steve Ballmer, is making its first-ever investment in CCBHCs to improve access to care for residents in Illinois, Kansas and Michigan. It is one of the organization’s largest investments to date in behavioral health services, with a commitment of more than $72 million over three years.

The project will provide critical technical assistance support to states and clinics to advance the vision and impact of the CCBHC model. CCBHCs provide mental health and substance use services to anyone who walks through the door, regardless of a person’s ability to pay. Through their documented ability to improve access to mental health care, lifesaving substance use treatment, recovery supports, crisis services, integrated care and other services, CCBHCs are eliminating barriers to care for people in hundreds of communities.

A Concussion Changed How I Learn and Taught Me What Resilience Really Means | Opinion

Wed, 26 Nov 2025 19:40:49 GMT

Article by PennLive : Posted November 26, 2025

Excerpt below:

It was a sunny, cold afternoon in January 2020, when I was in the seventh grade, right before COVID hit. My friends and I were playing catch during recess, laughing the way only kids can— carefree, bright, and full of possibilities.

I reached up to grab the football, but it slipped through my hands. In an instant, happiness turned into excruciating pain. The point of the ball struck my left temple, knocking my glasses to the ground. At that moment, my lens shattered, and so did my world as I knew it.

DHS Releases New Work Requirements Resource for SNAP Recipients & Applicants

Tue, 25 Nov 2025 18:17:10 GMT

Message from PA DHS:

Under new federal rules, to keep or become eligible for SNAP benefits, some recipients will have to meet work requirements that include working, volunteering, or participating in an education or training program for at least 20 hours a week (or 80 hours each month) AND report that they are meeting these work requirements.

To help SNAP recipients and applicants find out if they need to meet this requirement, the Pennsylvania Department of Human Services (PA DHS) has launched a new online screening tool .

By answering a simple set of yes or no questions , SNAP applicants and recipients can find out if they need to meet the work requirements, if they are already meeting the work requirements, or if they are eligible for an exemption.

The screening tool is not a final determination of whether someone is meeting the work requirements or is eligible for an exemption, but it can help recipients and applicants have a more informed conversation with their caseworker.

The new work requirements will apply to Pennsylvanians who:

Are between 18-64 years old;
Do not have a dependent child under 14 years old; and
Are considered physically and mentally able to work.

In addition, being a veteran or a current or former foster youth age 18–24 will no longer be an exemption.

Some people may still be exempt from work and reporting requireme nts if they meet a different exemption . You can learn more about these work reporting requirements, who they affect, and more about exemptions at DHS’s website .

State Budget Investments Help Fight Food Insecurity

Pennsylvania’s charitable food network and our agricultural community are vital to keeping our neighbors and communities fed. Governor Shapiro’s 2025/26 budget delivers major investments to combat hunger, strengthen the charitable food network, and support Pennsylvania farmers. The budget includes a h istoric $11 million increase for food security , including:

$3 million for the State Food Purchase Program and $1 million for the Pennsylvania Agricultural Surplus System (PASS);
$2 million for a new state Food Bucks program to supplement SNAP; and
$5 million in new funding to Pennsylvania food banks.

Help Us Spread the Word

PA DHS has developed a communications toolkit to help Pennsylvanians understand the changes happening to SNAP.

We ask RCPA members, advocates, and stakeholders to v iew and share the toolkit , which includes sample text, social media posts, and more.

CY 2026 Final Outpatient Payment Rule Released

Tue, 25 Nov 2025 18:05:49 GMT

The Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2026 Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) final payment system rule.

The final rule not only includes policies and payment rates for CY 2026 but also updates CMS’ existing Hospital Price Transparency requirements. Hospitals and ASCs that meet their quality reporting requirements will see a 2.6% increase in their OPPS rates. CMS also finalized proposals to eliminate the Inpatient Only list over a three-year period, beginning with the removal of nearly 300 musculoskeletal procedures from the list in CY 2026.

For additional information, members are encouraged to review CMS’ press release on the rule as well as the fact sheet .

Updated Waiver Amendment Submissions and Supporting Documents for SC PBC

Mon, 24 Nov 2025 18:32:33 GMT

The Office of Developmental Programs (ODP) has shared an update to ODPANN 25-075 .

This announcement informs stakeholders of updates to the Implementation Guide. All changes are highlighted in red within the communication. The attachment to this communication replaces Appendix C: Supports Coordination Minimum Activity for Billing . Each document referenced in this announcement can be found at MyODP’s website under Performance-Based Contracting. Please review the announcement for additional details.

Mental Health America Releases 2025 Annual Report

Mon, 24 Nov 2025 18:28:24 GMT

Mental Health America has released their State of Mental Health in America 2025 Report.

The report highlights the latest national data and provides state-level rankings on mental health and wellbeing in the U.S. It serves as a collection of data across all 50 states and the District of Columbia, with the goal of providing a snapshot of mental health status among youth and adults, tracking changes in prevalence of mental health issues and access to mental health care, and understanding how changes in national data reflect the impact of legislation and policies.

The report highlights:

Prevalence of mental health and substance use issues;
Access to adequate insurance and mental health care; and
Which states have higher barriers in accessing mental health care.

Pennsylvania ranked 7th in the overall rankings, indicating a lower prevalence of mental illness and higher rates of access to care. Individually, PA was ranked 4th in access to care, 30th in prevalence of any mental illness, and 31st in mental health workforce availability.

Read the full report here . Please contact Emma Sharp with any questions.

CMS Publishes Draft IRF-PAI Version 4.4

Mon, 24 Nov 2025 18:24:55 GMT

The Centers for Medicare and Medicaid Services (CMS) has published the draft inpatient rehabilitation facility patient assessment instrument (IRF-PAI) version 4.4.

This version of the IRF-PAI becomes effective on October 1, 2026.

This draft version has the following modifications from the current IRF-PAI Version 4.2:

IRF-PAI Item 8. Gender – has been moved to IRF-PAI Item A0810. Sex.
IRF-PAI Item 14. Admission Class – has been removed.
Transportation Item A1250 – has been modified into Transportation Item A1255 with new item verbiage and response options and is only to be collected at admission. Transportation item A1250 has been removed from the discharge assessment.
Item O0350. Patient’s COVID-19 vaccination is up to date – has been removed from the discharge assessment.

As finalized in the fiscal year (FY) 2026 Final Rule, draft version 4.4 also removes the Section R Social Needs items. The four items removed were social determinants of health (SDoH) data elements related to living situation, food, and utilities, which were previously scheduled to be implemented October 1, 2026.

PA Releases Rural Health Transformation Plan

Mon, 24 Nov 2025 18:21:21 GMT

From Pennsylvania Capital-Star “Pa.’s Rural Health Application Reveals Priorities in Federal Funding Request,” November 20, 2025:

Pennsylvania is hoping to secure its own slice of a $50 billion rural health fund in the face of federal Medicaid cuts, with a focus on bolstering a beleaguered workforce and expanding health access for more than two million people.

The Rural Health Transformation Fund was a last-minute addition to President Donald Trump’s summer budget bill that imposed Medicaid work requirements and cut upwards of $51 billion in funding to the commonwealth over the next decade. That new fund is worth roughly 37% of the estimated lost Medicaid funding in rural areas …

The 67-page application requests up to $200 million in annual funding over the next five years, totaling $1 billion. Its six focuses include: technology and infrastructure, workforce, maternal health services, behavioral health services, aging and access, and emergency medical services and transportation.

The U.S. Department of Human Services is expected to award funding by the end of the year.

Key objective targets are:

Access to care: More than 85% of Pennsylvanians can get a routine primary care appointment within four weeks and urgent care appointments within one week.
Digital connectivity and telehealth: More than 85% of rural hospitals and clinics will have broadband and telehealth functionality. More than 50% of rural hospitals and clinics connected via Fast Healthcare Interoperability Resources.
Workforce adequacy: Reduce rural hospital vacancy rates by 10% for key direct care roles. Add three new rural training programs.
System sustainability: More than 60% of systems partnered with rural Community Health Centers for specialty care.
Health outcomes: Reduce the number of pregnant women living in rural areas with inadequate prenatal care by 20%.

_______________________________________________________________

From the PA Rural Health Transformation (RHT) Program Application :

Pennsylvania’s rural health transformation strategy is grounded in a balance of statewide coordination and regional leadership and collaboration. Pennsylvania’s “Health Hub” state agencies (Human Services, Health, Aging, Insurance, Drug and Alcohol Programs), and other partner agencies will establish clear strategic priorities focusing on access, workforce, maternal health, aging, behavioral health, EMS and infrastructure. Pennsylvania will leverage statewide technical expertise, evaluation, and financial oversight and support. Strong regional rural care collaborative will be composed of a roster of regional stakeholders that prioritize local needs, develop effective local sustainable solutions, and leverage existing resources and assets.

Pennsylvania will leverage established regional entities that coordinate regional economic development. These Partnerships for Regional Economic Performance (PREP) organizations are long-standing, quasi-governmental organizations that convene regional stakeholders, administer federal and state grants, collect local data, report outcomes, and catalyze public and private partnerships for regional economic development. They bring established governance structures, convening power, and a track record of successful cross-sector collaboration. PREPs (Figure 2) will convene regional stakeholders to create Rural Care Collaborative (RCCs) to align initiatives with regional economic planning and development – making the RHTP investments sustainable and promoting long-term partnerships.

If you have any questions, please contact RCPA COO and Mental Health Policy Director Jim Sharp .

ODP Shares HCQU Responsibilities and Reporting Templates

Fri, 21 Nov 2025 18:38:19 GMT

The Office of Developmental Programs (ODP) has shared Bulletin 00-25-04 and the following attachments.

Attachment 1 – Template for HCQU Scope of Work and Payment Structure
Attachment 2 – HCQU Annual Plan and Reporting Templates
Attachment 3 – Current Health Care Quality Units

This bulletin explains the responsibilities of the Health Care Quality Units (HCQU) and establishes standards for planning and reporting.

The purpose of the HCQUs is to enhance the health and wellness of individuals with I/DD or autism through collaboration with providers of I/DD and autism services, AEs, Supports Coordinators/Targeted Support Managers, and healthcare providers, by raising awareness about community health resources and providing education for stakeholders about the physical health, behavioral health, and wellness needs unique to the individuals they support. The HCQUs strive to improve access to appropriate physical and behavioral healthcare for individuals with I/DD or autism, as well as improve capacity for risk assessment and risk mitigation. The HCQUs are comprised of professionals with expertise in the areas of I/DD or autism and healthcare.

HCQU Functions:

Each HCQU’s contract will specifically outline the HCQU’s responsibilities and requirements, total budget, payment triggers, and reporting requirements. HCQU responsibilities include the following:

Assessment of Individual and Community Needs
Training
Technical Assistance
Health Risk Screening
Outreach and Education
Collaboration
Response to Imminent Risk
Documentation and Reporting

Please see the bulletin for additional details and information.

Comments and questions regardin g this bulletin should be directed to the appropriate ODP Regional Program Office. Visit the ODP website for regional office information.

ODP Shares Registration Details for Upcoming 2026 QM Certification Virtual Classes

Wed, 19 Nov 2025 18:54:51 GMT

The Office of Developmental Programs (ODP) has shared ODPANN 25-102 .

This announcement provides information about the 2026 Virtual Quality Management (QM) Certification classes, including when and how to register. Please view the announcement for additional details.

ODP Prepares to Participate in the 2025 NCI®-IDD State of the Workforce Survey

Wed, 19 Nov 2025 18:52:11 GMT

The Office of Developmental Programs (ODP) has shared ODPANN 25-103 with an accompanying attachment .

The purpose of this announcement is to inform provider agencies of ODP’s participation in the 2025 National Core Indicators® Intellectual and Developmental Disabilities (NCI®-IDD) State of the Workforce (SoTW) survey and to request confirmation of current contact information from eligible providers. Please view the announcement and attachment for information and details.

National Council Publishes Performance Benchmarks for Utilization of LAMs

Wed, 19 Nov 2025 18:44:37 GMT

Earlier this week, the National Council for Mental Wellbeing published a report on the utilization of long-acting medications (LAM), providing the first-ever standardized performance measures and benchmarks to help providers optimize their use of LAMs.

LAMs are consistently underutilized despite strong evidence of their superior outcomes compared to oral medications. However, a set of standardized performance benchmarks provided in the report will make practice patterns visible and drive systematic improvement. The goal of the report is to help every provider identify opportunities to offer these evidence-based treatments to appropriate patients.

Key Report Highlights:
LAMs remain dramatically underutilized despite years of education and case discussions. The problem is not with knowledge, but with measurement.

Two Critical Gaps:
Initiation: Many eligible patients never receive their first dose of an LAM.
Continuation: There is a substantial drop-off between first and second administrations of LAMs.
Evidence-based benchmarks can drive real change. The Medical Director Institute proposes:
Antipsychotic LAMs : 30% initiation benchmark with 85% continuation to second dose.
Opioid Use Disorder LAMs : 10% initiation benchmark with 80% continuation to second dose.
Alcohol Use Disorder LAMs : 10% initiation benchmark with 60% continuation to second dose.

Read the full report here .

RCPA Submits Proposed Crisis Regulation Comments to IRRC

Tue, 18 Nov 2025 18:59:13 GMT

RCPA, in partnership with its members, has submitted public comments in response to the Office of Mental Health and Substance Abuse Services’ (OMHSAS) proposed Licensure of Crisis Intervention Services regulations.

RCPA thanks OMHSAS for their effort in creating licensing standards that align with national best practice standards for the Commonwealth’s crisis intervention system and their receptivity to further recommendations from current crisis providers.

The proposed regulations have been reviewed by members of RCPA’s 988/Crisis Work Group, who are some of the most experienced and knowledgeable leaders in Pennsylvania’s Crisis System. With their expertise, RCPA developed comments and recommendations to guide the State towards meaningful regulations for Crisis Intervention Licensure.

The largest areas of concern in the proposed regulations are in regard to the staffing requirements and fiscal impacts, which led to the following recommendations:

Flexibility in the staffing requirements to account for the national behavioral health workforce shortage.
A transparent cost analysis of the true cost of implementing the regulations to ensure that the regulations do not become an unfunded mandate.
Increased clarity on the role of community outpatient clinics that are not connected to larger hospital systems.
The assembly of a stakeholder work group, similar to the forums that OMHSAS convened for their PRTF regulations, to ensure that provider and other stakeholder concerns are addressed before promulgation of the regulations.

Read RCPA’s full public comments here . Contact Emma Sharp with any questions.

Evolving Legal Considerations of DEI — Free Webinar on Nov. 20

Fri, 14 Nov 2025 17:35:44 GMT

Evolving Legal Considerations of DEI: What Employers Need to Know
Thursday, November 20, 2025
12:00 pm – 12:30 pm
Register Here

As the legal and political landscape continues to shift, employers are facing new pressure to balance inclusion goals with compliance requirements.

In this 30-minute live session, attorneys from Diversity Resources’ partner firm Epstein Becker Green will unpack what is changing, what remains protected, and how organizations can move forward with confidence.

You will gain from this webinar:

A clearer understanding of executive orders and their impact on employers;
Practical steps to stay compliant while maintaining inclusive practices; and
Guidance on how to navigate growing uncertainty around DEI initiatives.

This session will not be recorded to allow for open, candid discussion.

PA Passes Legislation for Telehealth “4 Walls” Compliance

Thu, 13 Nov 2025 19:34:20 GMT

With the signing of the Human Services Code Bill by Governor Shapiro, the final hurdle in meeting the compliance requirements of the Federal “4 Walls” Telehealth Standards has been cleared.

The legislation addressed the outlying PA Medicaid payment requirements for delivering and receiving mental health or substance abuse treatment services outside the four physical walls of a clinic. The legislative pathway was paved with the passing of HB1590 in the spring and its movement over to the Senate Health & Human Services Committee, where it eventually made its way to the Human Services Code Bill.

This summer, the Centers for Medicare and Medicaid Services (CMS) approved the Office of Mental Health and Substance Abuse Services (OMHSAS) State Plan Amendment, which addresses the operational practice considerations for the “4 Walls” requirements. The abrogation of the following completes all required federal compliance requirements:

Section 443.16. Abrogation of Regulatory Requirements for Payment for Outpatient Behavioral Health Facilities abrogates sections 1153.14(6) and 1223.14(11) from 55 Pa. Code to the extent that they limit medical assistance payments only for behavioral health services provided within the physical confines of a behavioral health clinic facility.

As reported earlier by OMHSAS, the next step in the process will be the distribution of a “Telehealth 4 Walls Bulletin” that will address the specifics, though there is no current timeframe for its release.

RCPA would like to thank OMHSAS for its partnership in this two-year process as well as our members and legislators for their advocacy and support. If you have any questions, please contact RCPA COO and Mental Health Policy Director Jim Sharp .

National Council Shares Update on Shutdown Resolution, Survey Results

Thu, 13 Nov 2025 19:06:33 GMT

Message from National Council for Mental Wellbeing:

On Wednesday, Nov. 12, Congress passed a government funding package ending the longest shutdown in history, with the bill passing the Senate by a vote of 60-40 and the House by a vote of 222-209.

The bill would extend current funding levels for most federal agencies and programs through Jan. 30, 2026. You can find a summary of the CR and the full text . Congress will need to pass additional legislation before Jan. 30 to prevent another shutdown from occurring.

The funding package includes three full-year appropriations bills that will fully fund the Department of Agriculture, Food and Drug Administration, Department of Veterans Affairs, military construction projects and operations of Congress through Sept. 30, 2026.

The bill guarantees backpay for furloughed workers, requires the administration to rehire federal workers who were laid off through reduction in force (RIF) efforts since Oct. 1, and prevents future RIFs during the CR (through Jan. 30, 2026). Notably, this bill progressed despite lacking any extension of the Affordable Care Act premium tax subsidies (though Republican leadership has promised a December vote). These subsidies will expire on Dec. 31, 2025, absent further congressional action prior to that date. Members of both chambers are continuing active negotiations over a possible extension of the subsidies.

Also included in the funding package is an extension of Medicare telehealth flexibilities through Jan. 30, 2026. This includes delaying the requirement that patients receiving mental health services via telehealth must have at least one in-person visit in the six months preceding their first telehealth appointment. We anticipate that telehealth claims that have been on hold may be paid retroactive to Oct. 1. However, the Centers for Medicare and Medicaid Services (CMS) will likely need to issue guidance clarifying that these claims can now be paid, or if a provider rendered a service on or after Oct.1 that held a claim, that it can now be submitted for reimbursement. We will keep you updated on any guidance issued by CMS over the coming days.

Survey Results

Relatedly, on Oct. 27, the National Council for Mental Wellbeing circulated a survey to collect data on the federal government shutdown and its impact on our members.

The survey is now closed, and we have prepared a summary of the results . Members voiced concerns regarding the financial impact of the shutdown on their organizations, as well as the effects on their clients (including those caused by the pause of SNAP benefits).

As you’ll see, the results also highlight issues extending beyond the direct impact of the shutdown. Members also expressed concerns over the potential expiration of the Affordable Care Act premium tax credits and policy changes affecting Medicaid. These policy changes include the Medicaid provisions of H.R.1, legislation signed into law in July which introduces new work requirements, more frequent eligibility redeterminations, and cost-sharing requirements, among others.

We’re grateful to those of you who completed the survey for taking the time to provide your valuable feedback. We will use these survey results to inform lawmakers of the risks presented by potential future shutdowns and broader policy changes affecting the field, which impact mental health and substance use care providers and the millions of people they serve across the country.

If you have questions about the funding package or the survey results, please don’t hesitate to reach out to the Policy Team at policy@thenationalcouncil.org . Thank you!

Registration for January – April 2026 CI Initial Certification Course Now Open

Wed, 12 Nov 2025 17:33:21 GMT

The Office of Developmental Programs (ODP) has shared ODPANN 25-101 .

Registration for the January – April 2026 Certified Investigator (CI) Initial Certification Course is now open on the MyODP website . Please view the announcement for registration information and additional details.

Pennsylvania Budget Agreement Reached

Wed, 12 Nov 2025 17:26:36 GMT

Governor Josh Shapiro and members of the General Assembly have agreed to a $50.1 billion budget for the 2025/26 Fiscal Year.

This is $2.3 billion more than last year’s budget but less than the Governor’s $51.5 billion proposed budget. The budget includes a $105 million increase in basic education, $665 million for highway improvements, and $1 billion for highway maintenance.

For Human Services, the General Budget bill includes the following increases from 2024/25 to the 2025/26 budget:

Medical Assistance – Capitation: +3.5%
Medical Assistance – Fee For Service: +.4%
Medical Assistance for Workers with Disabilities: +12.3%
Medical Assistance – Transportation: +5.9%
Medical Assistance – Long-Term Living: +4.7%
Medical Assistance – Community Health Choices: +10.7%
Long-Term Managed Care: +6.8%
Intellectual Disabilities – Community Base Program: +4.4%
Intellectual Disabilities – Intermediate Care Facilities: +2.9%
Intellectual Disabilities – Community Waiver Program: +6.1%
Autism Intervention Services: +12.9%
Early Intervention: 7.1%

The following lines have been flatlined or cut between the 2024/25 and 2025/26 budgets:

Behavioral Health Services: 0.0%
Mental Health Services: -1.9%
Intellectual Disabilities State Centers: -5.2%

Please find the entire 2025/26 Budget spreadsheets here .

Additionally, in other Code bills, $20 million was appropriated for county-based mental health funding, and the Four Walls payment issue was resolved in the human services code bill by abrogating 1153.15(6) and 1223.14(11) from 55 Pa. Code.

Contac t Jack Phillips with any questions.

AARP Report: Two Million Pennsylvanians Shoulder Unpaid Caregiving Burden

Mon, 10 Nov 2025 18:16:14 GMT

Article by MyChesCo : Posted November 8, 2025

Excerpt from the article:

HARRISBURG, PA — Nearly one in four adults in Pennsylvania—more than two million people—are unpaid family caregivers, according to new data from AARP’s Caregiving in the U.S. 2025: Caring Across States report. The study reveals a growing crisis of financial strain, emotional stress, and limited support among those caring for aging parents, spouses, or loved ones with complex medical needs.

ODP Shares Life Sharing Educational Resources

Fri, 07 Nov 2025 18:30:14 GMT

Life Sharing is a service that has one of the highest rates of satisfaction aligning with an everyday life (Independent Monitoring for Quality (IM4Q)).

The Office of Developmental Programs (ODP) wants this service to continue to grow and is providing information to educate everyone about the Life Sharing service. The first step was to create promotional materials to assist with their goal. These documents were created with the assistance of Providers of Life Sharing, Administrative Entities, ODP, and feedback from Supports Coordinators.

In the near future, webinars will also be provided on Life Sharing, and ODP will communicate with stakeholders when these dates are set.

What are These Documents?

There are two documents available:

The Life Sharing Brochure is intended for individuals and families with the hope that Residential Providers that offer the Life Sharing service and Supports Coordination Organizations will print these out and disseminate at their headquarters as well as pass them out as appropriate. This document easily describes what Life Sharing is at a high level.
A one-page document, “ Information to Help Supports Coordinators Talk to Individuals and Families About Life Sharing ,” is intended for Supports Coordinators to use when having conversations with individuals and families. ODP hopes Supports Coordinators will utilize this form at Individual Support Plan (ISP) meetings and on a more routine basis to help individuals and families understand what the Life Sharing service is and to help them understand there are multiple options for residential services.

MyODP News Online — November 7, 2025

Fri, 07 Nov 2025 18:24:25 GMT

Read the MyODP News Online Digest here .

For complete stories, please visit MyODP News Online. For all available webinar recordings, please visit MyODP’s Webinar Library .

Story suggestions and/or comments may be sent to: ra-pwmyodp@pa.gov .

These Are Real People: Pennsylvania Care Providers Decry 4-Month State Funding Delay

Thu, 06 Nov 2025 18:40:02 GMT

Features quotes from RCPA President/CEO Richard Edley, and RCPA members Joanne Tangney of Success Rehabilitation, Inc. and Melissa Mcgoey of Merakey

Source: Phillyburbs.com | November 5, 2025

Agencies that care for some of Pennsylvania’s most vulnerable residents are borrowing money from banks and family members, digging deep into their savings and pulling back services to cope with a state budget that’s more than four months late.

These providers give shelter to individuals with debilitating mental health conditions, in-home support for disabled and older people and therapy for children with developmental delays.

But with a partisan logjam leaving Pennsylvania without a budget since July 1, the agencies are now missing millions in government funding that should compensate them for these safety net responsibilities. The lapse has put many of them in a bind: Either withdraw services from people who depend on them or work without pay until the state passes a spending plan.

“There’s no money, but (officials) are asking the providers to figure out how to do it,” said Mia Haney, CEO of the Pennsylvania Homecare Association . “If the provider says no, they’re the one making the call that the consumer can’t get the care.”

Not all human services funding in the commonwealth has dried up, as many counties step in with assistance and Medicaid revenues continue unabated.

However, state aid often fills gaps for people who don’t qualify for federal assistance or who are on waitlists. The aid also helps provide early intervention for children and support for older Pennsylvanians who want to keep living in their homes rather than moving into institutional settings.

For instance, Pennsylvania Lottery money is the primary revenue source for the 52 local agencies that run programs for older adults , said Rebecca May-Cole, executive director of the Pennsylvania Association of Area Agencies on Aging .

Statewide, at least 1,449 older people are on waitlists for services because of the delay in payments, and more than 500 individuals have been affected as agencies scale back the number of home-delivered meals they provide, according to a survey recently conducted by May-Cole’s association. Because not all area agencies responded to the survey, those figures likely underrepresent the problem, she said.

“It’s unconscionable to me that we’re not able to support these people in their homes and prevent this kind of damage to somebody because of budget impasses, a lack of funding,” May-Cole said. “These are real people. This is my mother, my grandmother, my neighbor.”

‘Difficult way to run a business’

Joanne Tangney, CEO of a Pennsylvania company that serves clients who have concussions and other brain trauma, said people arrive at Success Rehabilitation with a wide variety of needs, reflecting the complexities of the brain and what happens when it is injured.

Sometimes, the trauma causes paralysis or another physical impairment. It can also bring a host of mental health issues, from depression and eating disorders to substance abuse, Tangney said.

Clients are often covered through Medicaid, and Success Rehabilitation is still getting that revenue. But the state typically provides short-term funding — totaling up to $100,000 or a year of support — for people who haven’t yet enrolled in a permanent assistance program or those with less severe conditions who might only need temporary services.

That money has halted for the time being, and Tangney estimated Success Rehabilitation is owed about $250,000. However, she said her company has continued caring for clients who should be covered by this revenue stream.

“To be honest, it’s a difficult way to run a business, it really is, when you just don’t know what’s coming down the pike,” she said.

Jean Hurd’s son, Radi, is a longtime client at Success Rehabilitation because of a brain injury he suffered about 18 years ago when a truck struck him. After coming out of a coma, Radi made a remarkable recovery, Hurd said, regaining the ability to walk and talk.

But the brain injury left him with cognitive complications, making it hard for him to remember step-by-step instructions and leading to agitation in group social settings.

“Imagine if you had no filter for some of the thoughts in your mind. So you’re really angry with someone and you really would like to curse them out,” she said. “Well, Radi will just go ahead and do that.”

After years of therapy and support, Hurd said Radi, now 40, has made significant strides in managing these behaviors and is a “delight” to spend time with. He lives with a roommate in a Success Rehabilitation townhome in Bucks County, socializes with friends he’s met through the brain injury program and tends a vegetable garden in his back yard. Hurd hopes that, as his healing continues, he’ll eventually be able to work a job.

Success Rehabilitation hasn’t yet scaled back services or reduced staffing because of the budget impasse, but Tangney said she’s prepared to borrow money through a line of credit if the budget stalemate keeps going. Suspending services is not an option given the acuity level of the clients, some of whom can be physically aggressive, she said.

“If things got to where we could not safely care for the clients, we would be looking at discharging clients with an average age … of 40 into nursing homes.” she said.

Working without pay

Michele Mann, owner of a Monroe County agency that helps babies and toddlers with developmental disabilities, said she’s had to borrow money from relatives to help cover a roughly $30,000 shortfall during the budget impasse, a significant sum for her relatively small company.

Still, she said ECD Connections has continued offering speech, occupational and physical therapies to families, knowing how critical the first three years of life are in a child’s development.

“If you take care of the issues when they’re younger, they can be repaired or rectified … and they won’t need services as they get older, which then becomes more expensive,” Mann said. “So these little babes cannot afford to be without services.”

Many of the commonwealth’s aging agencies are surviving by pulling from their savings, and the survey distributed by May-Cole’s association found 24 of them have collectively spent at least $31.4 million in reserves since July. They’ve also imposed hiring freezes, borrowed funds and asked landlords and vendors for forbearance.

But they’ve also had to chip away at certain services, she said.

Some, she said, have stopped distributing personal alert systems that allow older adults to summon help if they fall or need emergency assistance. Though simple, these devices are sometimes all someone needs to live safely on their own, she said.

Other older adults just require some help getting dressed or bathing in order to live independently. But because of the ongoing funding delays, some area agencies have started waitlists for this personal care aid, according to May-Cole.

The ongoing funding freeze is also undermining financial stability of the commonwealth’s senior centers at a time when 23 of them are at risk of closure. The area agency that serves Erie County has already shut down one center because of the impasse, May-Cole reported.

And Haney said some home care providers for elderly and disabled people have chosen to focus their limited staffing on clients who are still bringing in revenue, pulling services away from individuals whose care is currently not being reimbursed.

Many counties have stepped in to prop up their local aging agencies and other human service providers, but it’s unclear how long that funding will last. If big jurisdictions cut off support, even large, financially resilient organizations could start buckling, said Melissa McGoey, a north-central Pennsylvania executive for Merakey , a human services provider with a national footprint.

Merakey’s size has insulated it from some of the recent funding impacts, she said, but the company can’t go forever without reimbursement for services it offers Pennsylvanians dealing with behavioral health problems and intellectual and developmental disabilities, she said.

Twelve counties in the commonwealth — including Carbon, Monroe, Pike and Schuylkill counties — have stopped paying so far, and she estimates the company is owed about $3 million in compensation. If Philadelphia and Allegheny County follow suit, she said Merakey would be forced into painful decisions.

“If they cease their payments, our ability to continue operations, it’s going to be severely impacted,” she said. “We’re going to face program closures and difficulty paying our employees, for sure.”

Ripple effects

There were signs in late October that Senate Republicans and House Democrats in Harrisburg might be nearing a budget deal, figuring out how to settle major disagreements over education funding and energy policy, SpotlightPA reported .

Though agencies expect they’ll eventually get reimbursed by the state or counties for the services they’ve already offered, they’ll likely have to eat any borrowing costs they’ve incurred in the meantime. This prospect is a bitter pill for organizations still smarting from the debt they accumulated during past budget holdups, according to the Rehabilitation and Community Providers Association .

“They cannot weather the same burden again, and some of those resources are no longer available to them,” Richard Edley, the association’s president, wrote in a Sept. 30 letter to Gov. Josh Shapiro and legislative leaders.

The stalemate also deepens the financial predicament for agencies that say they’re grappling with years of underfunding. Tangney said providers in her field haven’t seen an increase in 15 years and have barely scraped by, let alone saved up large amounts of cash to survive hard times.

In-home caregivers and early intervention specialists also say they’ve been pushing the state for reimbursement increases so they can keep up with inflation and manage staffing shortages.

Even when state lawmakers do finally adopt a budget, May-Cole anticipates it will take officials time to work through the four-month backlog in payments. It could be weeks before the money actually lands in providers’ bank accounts, she worries.

Even if human services agencies can reopen their services, she said they might hesitate, since state leaders are making a habit of blowing their budget deadlines. This is the fourth late spending plan in a row , so even as providers recover from one impasse, some might start steeling themselves for the next one.

“I’m going to have to keep more money in reserve and not touch it,” Mann said. “God forbid this should happen again.”

Bethany Rodgers is a USA TODAY Network Pennsylvania investigative journalist.

HR Committee: November 5 Meeting Follow-Up

Thu, 06 Nov 2025 17:20:21 GMT

Follow-up information from the HR Committee meeting held on November 5, 2025, is available below:

The results of the survey conducted by The Coalition of Critical Service Providers in regard to the budget impasse can be found here .

Tim Sohosky, RCPA IDD Division Director, sp oke about House Bill 1939; a summary can be found here . View the actual text of the bill .

It has been announced that Traci Gorma n-Donnon and Yusef Joyner will be stepping down from their roles as co-chairs of the HR Committee. The committee is currently seeking volunteers to take on the leadership of this important group. Those interested are encouraged to reach out to Christine Tartaglione . A heartfelt thank you to Traci and Yusef for their years of dedication and exemplary leadership.

The Gray Area Between MOUD Research And Reality: Two Viewpoints On Why It Matters – Part II

Wed, 05 Nov 2025 19:33:00 GMT

Editor’s note: I asked my good friend Chris McKenzie, Community Relations Coordinator at Pinnacle Treatment Centers, to collaborate with me on a blog about what we both see as a gap between what research tells us about medications to treat opioid use disorder and the prevailing attitudes toward it in the treatment and recovery communities. Last month, we shared our firsthand experiences as Part I of a two-part blog . Here in Part II, we discuss our suggestions for greater genuine acceptance of multiple pathways to recovery.

So how do we move closer to true acceptance of multiple pathways to recovery, including the use of medications to treat opioid use disorder (MOUD)?

Promoting multiple pathways to recovery by providing rote education and training on medication is not enough.

Our experiences highlight the urgent need to provide living proof that reality does in fact reflect the research.

We can argue that the stigma held against those who recover with medication is the same stigma that stops them from coming forward, but, for the most part, it’s hard for us to buy that. In a past professional experience, one of us (Jason) undertook an effort to identify clients being treated with methadone who were willing to tell their stories publicly and had no problem finding them. Not coincidentally, every one of them essentially said the same thing: abstinence-based residential treatment did not work for them, and methadone saved their lives.

In 2019, the City of Philadelphia launched a media campaign urging people battling opioid addiction to seek medication-assisted treatment . The campaign featured several people whose recovery pathway included medication. Sadly, six years later, we’re still having the same conversation. Perhaps it’s time to revisit a similar campaign.

Our experiences also highlight the urgent need to do more to align research with actual practice.

Relative to the services they provide, programs — from recovery community organizations to treatment providers to recovery houses — must begin to explicitly recognize and genuinely honor all evidence-based and lived-experience pathways. Recognition will help people feel validated in whatever pathway fits them the best and positions community organizations as inclusive, increasing access and retention, two critical components to long-term recovery.

Though many organizations will say they do this, the rhetoric often doesn’t match reality. Within the last two months, one of us (Jason) heard a nursing director of a large residential treatment facility repeatedly call the organization’s attempt to retain patients in treatment through liberal medication policies “gross.” That is the front line of medical services, and it’s impossible to believe that perspective does not permeate much of that facility and organization.

Clearly, then, in many instances, culture needs to change, from the grass tops to the grassroots.

Developing an ambassador program is one strategy to begin to change culture. Components of such a strategy include: identifying and training employee MOUD ambassadors to help educate peers and walk the walk, so to speak, of recognition and validation of multiple pathways we suggest; enabling the ambassadors to serve as linkage between peers on the front line of treatment and senior leadership to elevate concerns and questions and, conversely, bring back solutions; and supporting them in delivering the message that MOUD works.

Advocacy is also essential. Advocating for recovery houses to meet licensing standards, for example, which include accepting all forms of MOUD, will expand housing options and reduce discrimination while ensuring that people have access to stable and supportive environments. Similarly, advocating for treatment providers to genuinely meet contractual obligations to accept anyone using any Food and Drug Administration-approved MOUD will remove artificial barriers to appropriate levels of care.

Finally, and most importantly, is the involvement of people with lived experience in policy and practice design. Establishing advisory boards with a diverse set of voices will give the people who are affected by recovery-related policies real power to shape the services that they are using and reduce feelings of marginalization because programs reflect their needs. For organizations, this means increased trust and community buy-in that will help avoid costly mistakes in program design.

Ultimately, bridging the gap between research and reality is about respect for other people’s experiences and goals. When organizations embrace this broader view of recovery, communities thrive, and people are given every opportunity to succeed.

What are your thoughts on moving closer to true acceptance of multiple pathways to recovery, including the use of medications? If you have any ideas about this or thoughts on the subject or the blog in general, let us know.

Email Jason or Chris with your thoughts, or start a conversation on LinkedIn .

Pennsylvania 2025 Election Results

Wed, 05 Nov 2025 18:47:21 GMT

Pennsylvania held its elections Tuesday, November 4, 2025, with local elections and the PA Supreme Court taking center stage.

The results were called before midnight, with Democratic Supreme Court Justices Christine Donohue, Kevin Dougherty, and David Wecht retaining their seats. The trio were elected in 2015 and will continue to serve for another 10 years; however, Supreme Court Justice Donohue will hit mandatory retirement age in 2027.

Other key elections included Harrisburg’s mayoral election, Pittsburgh’s mayoral election, the retention of Judge Michael Wojcik on Commonwealth Court, and the retention of Judge Alice Dubow on Superior Court. To see full results, visit here .

NatCon 2026 Registration Is Now Open!

Wed, 05 Nov 2025 18:44:44 GMT

Registration for NatCon 2026 is now open!

The event is April 27 – 29, 2026, in Denver, Colorado. There are three ways to save on your registration fees:

Early Bird rates are available now through January 22, 2026. Advance rates will then be available from January 23, 2026 – March 12, 2026.
A group registration discount is available for Full Conference registrations. After you purchase two Full Conference registrations, you will receive a $50 discount off each additional Full Conference registration, provided they are made within the same transaction.
Note: If you plan on registering 10 or more individuals, contact the National Council to learn about additional group savings.
RCPA is a “100% Association Member” of the National Council. RCPA Members who register for the Full Conference or for One Day will receive an additional $50 discount. No code is needed; the National Council will automatically apply the discount.

Contact the National Council with any questions.

IM4Q Shares October Information Update

Mon, 03 Nov 2025 18:57:01 GMT

Independent Monitoring for Quality (IM4Q) has released its October update, highlighting current activities and opportunities for involvement.

The update includes information on the 2025–2026 cycle, including sample distribution, upcoming survey materials, training reminders, and data system updates. It also provides updates on the external evaluation, Enterprise Case Management reports, and resources available on MyODP. Local programs are encouraged to review and provide feedback on reports, share lessons learned from the QA&I cycle, and ensure required trainings are completed.

In addition, the IM4Q Statewide Steering Committee is seeking new self-advocate and family member participants. The committee brings together individuals with disabilities, families, and system partners to share input and help guide statewide IM4Q efforts.

Members meet quarterly (mostly online), are compensated for participation, and play a key role in shaping IM4Q surveys, reviewing reports, and ensuring that stakeholder voices are represented.

The full IM4Q October Information Updat e can be found here .
The IM4Q Steering Committee Membership flyer with details on how to join can be found here .

For questions or addition al information, please contact Lee Stephens, Human Services Analyst, Office of Developmental Programs, via email or at 717-783-5773.

NCN Files Lawsuit to Protect Access to Critical Food Assistance During Government Shutdown

Fri, 31 Oct 2025 19:13:27 GMT

Read the full announcement here .

Excerpt from the announcement below:

Today, the National Council of Nonprofits (NCN) filed a lawsuit in the U.S. District Court for the District of Rhode Island together with a broad coalition of community- and faith-based nonprofit organizations, small businesses and unions, and local governments to help protect access to critical food assistance for millions of Americans during the federal government shutdown.

Update on HB1939 – ID/A Market Index for DSP Services

Fri, 31 Oct 2025 15:06:45 GMT

HB1939, the ID/A Market Index for DSP Services , was originally scheduled for a vote in the House Human Services Committee on Wednesday, October 29, 2025.

However, the bill was removed from consideration prior to the vote due to identified deficiencies in the bill’s language. Revisions are currently underway to address these issues, and it is anticipated that the committee will reconsider the bill for a vote sometime in November 2025.

RCPA continues to closely monitor the bill’s progress and will provide updates to members as new information becomes available.

Please direct any questions regarding this legislation to Tim Sohosky .

October 2025 ISAC Meeting Materials and Updates Now Available

Fri, 31 Oct 2025 15:03:09 GMT

The Information Sharing and Advisory Committee (ISAC) recently convened to discuss several important issues impacting the Intellectual and Developmental Disabilities (IDD) community.

Below is a summary of the updates and discussion points from the meeting:

Updates from ODP

Deputy Secretary Ahrens and ODP Staff shared ODP updates with the committee. Major themes of the updates included:

Waiver Updates: CMS approved the January 2026 ID/A HCBS waiver amendments with no major changes; AAW renewal is planned for July 2026 with public comment expected early next year.
Performance-Based Contracting: Supports Coordination Organizations (SCO) have submitted performance data and signed agreements under the new contracting model.
Residential Initiatives: ODP will hold stakeholder discussion boards and focus groups this fall to examine 1-person licensed residential homes.
Employment Focus: ODP highlighted ongoing employment initiatives, including the release of 2025 Race and Employment Reports, a steady increase in individuals with competitive integrated employment, and recognition of National Disability Employment Awareness Month.

ISAC Recommendation and Updates

For Questions or Additional Information
Please contact Tim Sohosky for any follow-up or inquiries related to this update.

Philabundance Shares Information, Resources as Lapse in SNAP Benefits Takes Effect

Thu, 30 Oct 2025 15:14:41 GMT

Read the full press release here .

Excerpt from the press release below:

As of October 1, the federal government is shut down, because Congress did not pass funding legislation. As the shutdown continues — now the second longest in history — with no clear end in sight, the harm caused to our communities is reaching new levels. In addition to federal workers going without pay, SNAP (and likely WIC) benefits will become unavailable starting in November until Congress reaches a bipartisan agreement to reopen the government, or the U.S. Department of Agriculture decides to release contingency funding for SNAP (neither of which is likely in time to avoid a November benefits disruption).

RCPA Welcomes New Partner: Inspection Management System by PUPS Software

Wed, 29 Oct 2025 18:28:18 GMT

The Rehabilitation and Community Providers Association (RCPA) is pleased to announce a new partnership with the Inspection Management System by PUPS Software.

This collaboration gives RCPA members exclusive access to a proven, easy-to-use technology that helps organizations manage inspections more efficiently, stay compliant, and save valuable time.

About the Inspection Management System by PUPS Software
The Inspection Management System is a cloud-based tool designed specifically for health and human services providers. It helps organizations plan, conduct, and track inspections from start to finish, keeping teams organized, accountable, and ready for audits at any time. Common inspection types include Fire Safety, Interior and Exterior Site, Licensing, Vehicle , and other program-specific or custom inspections tailored to each organization’s needs.

The platform keeps everything organized in one place, provides automated reminders and reports, and makes it simple to monitor trends across multiple sites. By replacing manual paperwork with automated workflows, organizations can focus less on administration and more on providing quality care.

What RCPA Members Can Expect
RCPA members can look forward to:

A simple, intuitive platform built for health and human services providers;
Secure online access to inspection data, reports, and follow-up actions;
Automation tools that save time, reduce errors, and improve accountability;
Dedicated onboarding and responsive support from the friendly PUPS team; and
An exclusive RCPA member discount of $1,200 per month (a 20% savings off the regular $1,500 rate).

What RCPA Members Are Saying
“PUPS Software’s Inspection Management System has made a huge difference in how we manage our internal inspections, ” said Justin Hymon, Senior Vice President of Operations at Step By Step, Inc. “It’s easy to use, helps us stay organized, and gives our teams more time to focus on the people we serve instead of chasing down paperwork. Now that we have clear visibility into every location, I don’t have to worry about what I can’t see. I’d recommend it to any provider looking to simplify their compliance process.”

About PUPS Software
PUPS Software, developed by Willetts Technology, creates smart, simple tools that bring clarity, automation, and insight to human services organizations. With over 25 years of industry experience, the PUPS team partners with providers to streamline compliance, improve communication, and support the people who make care possible .

To learn more or schedule a demo, visit pupssoftware.com or contact Mike McAllister, Account Executive .

ANCOR Shares 2025 Workforce Crisis Survey Findings and Recommendations

Wed, 29 Oct 2025 15:29:20 GMT

Read the full report here .

The report includes an executive summary, key findings, recommendations, and concluding remarks.

DHS Launches Human Services Helpers Program

Wed, 29 Oct 2025 15:24:06 GMT

The Pennsylvania Department of Human Services is launching Human Services Helpers , a Substack that will cover updates on DHS programs, news from the agency, and how organizations and partners can help their communities.

Specifically, as DHS implements changes required by the federal government under HR1, Human Services Helpers will share resources and tips to help Pennsylvanians affected by these changes understand what is happening and what they must do to keep their benefits. News on the federal government shutdown and its impact on programs like SNAP and LIHEAP will also be shared through this platform.

Please contact your respective RCPA Policy Director with any questions.

Pennsylvania Providers Nervous as State Budget Impasse Drags On, RCPA President/CEO Richard Edley Quoted

Wed, 29 Oct 2025 15:20:57 GMT

Read the full news article here .

Excerpt from the news article below:

As a political stalemate over passage of Pennsylvania's state budget approaches its fourth month, the state's mental health provider community is growing increasingly concerned over potential long-term damage to safety-net services.

Amid increasing warnings that some provider agencies will not survive a protracted delay in government payments for care, the budget impasse involving Gov. Josh Shapiro and the two houses of the state's General Assembly shows no tangible sign of a resolution.

RCPA Member WellSpan to Provide 1 Million Meals to CPFB to Address Food Insecurities

Tue, 28 Oct 2025 19:19:55 GMT

Press release from WellSpan : Posted October 24, 2025

Excerpt below:

To address the rising risk of food insecurity impacting Central Pennsylvanians, WellSpan Health is today announcing a planned contribution to the Central Pennsylvania Food Bank that will equate to 1 million meals in this time of need. WellSpan will step up to meet the growing need with a $275,000 contribution that will support local food banks and pantries as Supplemental Nutrition Assistance Program (SNAP) funding is set to run out in Central Pennsylvania related to the ongoing federal government shutdown. SNAP provides food benefits to low-income families to supplement their grocery budget so they can afford the nutritious food essential to health and well-being. According to the Pennsylvania Department of Human Services, nearly 2 million Pennsylvanians receive SNAP benefits.

ODP Shares Resources for Maintaining and Verifying Medicaid Eligibility

Tue, 28 Oct 2025 19:04:08 GMT

The Office of Developmental Programs (ODP) has shared ODPANN 25-097 and its accompanying attachments.

This communication informs all parties of the importance of supporting individuals in maintaining their eligibility for Medicaid and in verifying an individual’s eligibility for Medicaid prior to delivering services. Read the announcement for details, and view the attachments below:

McCormick Tours New Treatment Facility for Veterans

Tue, 28 Oct 2025 15:32:49 GMT

Article by The Center Square : Posted October 27, 2025

Excerpt below:

(The Center Square) - U.S. Senator Dave McCormick visited Aurelius Brain Health and Human Performance at Harrisburg University Monday.

The lawmaker hoped to learn about advancements in treatment for traumatic brain injury and other neurological and mental health issues common among military veterans.

Specifically, veterans have high rates of comorbidities, including post-traumatic stress disorder, major depression and traumatic brain injuries from events like concussions.

Update Issued for Incident Management Rebalancing Initiative Phase 1 Guidance

Tue, 28 Oct 2025 14:23:50 GMT

The Office of Developmental Programs (ODP) has shared an update to communication ODPANN 25-093 . The purpose of this announcement is to provide updated guidance related to the ODP Incident Management (IM) Rebalancing Initiative.

Updates have been made to the “Clarifying the Definition of Serious Injury” section of this announcement. Updates appear in red text. The guidelines are organized into seven separate topics covering the following:

Finalizing Incident Reports
Reducing Duplicative and Multiple Incident Reports
Clarifying the Definition of Serious Injury
Clarifying the Definition for Discovery Date
Managing Events Occurring Prior to Enrollment
Discontinuing the Use of Optionally Reportable Events (OREs)
Discontinuing the Use of Illness/Other and Illness/COVID Incident Categories.

Please view the announcement for additional information and details.

No-Cost CEs Now Available Through FR-ACT Program

Mon, 27 Oct 2025 16:17:51 GMT

The Office of Children, Youth and Families is offering no-cost continuing education opportunities for service professionals.

The Department’s First Responder Addiction and Connection to Treatment program (FR-ACT) is a training program within the Office of Drug Surveillance and Misuse Prevention that was established to ensure first responders and public safety professionals, including CYS professionals, have the tools necessary to respond to the overdose epidemic. Training is offered at no cost and is available in all 67 counties across Pennsylvania. The Department works with an expert training vendor, St. Joseph’s University, to deliver live trainings.

FR-ACT trains and provides skills to first responders and public safety professionals on opioid use disorder, overdose response, and related information, including:

Substance use disorder as a chronic disease;
Stigma reduction;
Providing resources to overdose survivors and families;
Naloxone use and leave-behind practices; and
Warm hand-offs and connection to treatment.

Continuing education credits are now available for Pennsylvania State Board of Social Workers, Marriage and Family Therapists, and Professional Counselors licensees who complete FR-ACT training. There are two ways to participate:

Complete the online, self-study training on TRAIN PA and earn 1 credit hour. Self-study training is available here .
Schedule a training for yourself or your agency by contacting St. Joseph’s University Center for Addiction and Recover Education . OR, you can email the Department . Credit hours available to participants of live training will depend on the length of live training.

More information about FR-ACT may be found here . Please contact Emma Sharp with any questions.

RCPA Shares Update on Medicare Telehealth Claims Hold

Wed, 22 Oct 2025 14:35:35 GMT

The Centers for Medicare and Medicaid Services (CMS) instructed all Medicare Administrative Contractors (MAC) to lift the claims hold and process claims with dates of service of October 1, 2025, or later for certain services impacted by select expired Medicare legislative payment provisions passed under the Full-Year Continuing Appropriations and Extensions Act, 2025 (Pub. L. 119-4, March 15, 2025).

This includes claims paid under the Medicare Physician Fee Schedule, ground ambulance transport claims, and Federally Qualified Health Center (FQHC) claims. This also includes telehealth claims that CMS can confirm are definitively for behavioral and mental health services. CMS has directed all MACs to continue to temporarily hold claims for other telehealth services (i.e. those that CMS cannot confirm are definitively for behavioral and mental health services) and for acute Hospital Care at Home claims.

Beginning October 1, 2025, many of the statutory limitations on payment for Medicare telehealth services that were lifted and subsequently extended in response to the COVID-19 Public Health Emergency through legislation again took effect for services that are not behavioral health services. These include prohibition of many services provided to beneficiaries in their homes and outside of rural areas, as well as hospice recertifications that require a face-to-face encounter. In the absence of Congressional action, practitioners who choose to perform telehealth services that are not payable by Medicare on or after October 1, 2025 may want to evaluate providing beneficiaries with an Advance Beneficiary Notice of Noncoverage (ABN). Further information on the use of an ABN, including ABN forms and form instructions, are available at CMS’ website . Practitioners should monitor Congressional action and may choose to hold claims associated with telehealth services that are currently not payable by Medicare in the absence of Congressional action. Visit here for more information.

CMS notes that the Bipartisan Budget Act of 2018 (Pub. L. 115-123, February 9, 2018), which added section 1899(l) to the Social Security Act, allows clinicians in applicable Medicare Shared Savings Program Accountable Care Organizations (ACO) to provide and receive payment for covered telehealth services to certain Medicare beneficiaries without geographic restrictions and in the beneficiary’s home. Separate from requirements to participate in the Medicare Shared Savings Program, there is no special application or approval process for applicable ACOs, their ACO participants, or ACO providers/suppliers to offer these covered telehealth services. Clinicians in applicable ACOs can furnish and receive payment for covered telehealth services under these special telehealth flexibilities. For clinicians in applicable ACOs, telehealth claims that CMS can confirm are definitively for behavioral and mental health services will be paid. At this time, claims for some telehealth services will continue to be held. View the fact sheet for information on to which ACOs these flexibilities apply.

If you have questions, please contact RCPA COO and Mental Health Policy Director Jim Sharp .

OMHSAS Procurement Announcement: Fairweather Lodge Initiative Services

Wed, 22 Oct 2025 13:15:24 GMT

A Request for Applications (RFA) regarding Fairweather Lodge Initiative Services (25-RFA-13798) has been issued and is available for review at PA-eMarketplace .

The Department's Office of Mental Health and Substance Abuse Services (OMHSAS) is seeking a non-profit (501(c)(3)) registered Pennsylvania-based organization to manage and implement the Fairweather Lodge (FWL) model across the Commonwealth. The FWL model is a structured, community-based program that supports individuals with serious mental illness in their recovery while fostering independence. FWL will expand home- and community-based services by developing two to five new Lodges, which will create permanent housing opportunities for up to eighteen individuals.

If you are interested in this or other RFAs, please sign up for PA State Procurement eAlerts here .

Please submit your questions via email .

SNAP Benefits Paused Starting November 1

Tue, 21 Oct 2025 16:29:00 GMT

Information provided by The Arc Alliance:

Due to the federal government shutdown, SNAP (food stamp) benefits will not be paid starting November 1, 2025.

5 THINGS YOU NEED TO KNOW:

1) FEDERAL SHUTDOWN
SNAP benefits will be temporarily stopped beginning November 1, 2025 . Payments will resume once the shutdown is over and funding is restored. Visit here to read more .

2) EBT CARDS
Starting November 1 , EBT networks may be shut off at grocery stores and retailers. This means you may not be able to use any remaining balance on your EBT card after October 31.

3) FOOD RESOURCES
The Arc Alliance has created a Food Resource Page with local Food Banks and Food Pantries by county . These are separate from SNAP , but please note — they may become very busy as many Pennsylvanians seek help. Visit for the Food Resource Page .

4) LOCAL CHURCH PANTRIES
Church food pantries often have more flexibility than larger food banks because they don’t rely on government funds. We recommend contacting your local church or parish to ask about their food support options. (Some are listed on our Food Resource Page .)

5) QUESTIONS ABOUT SNAP BENEFITS

If you have questions about your benefits, contact your County Assistance Office (CAO) and speak with your caseworker. Find your CAO’s contact information here .

The Arc Alliance is here to support you and your family during this difficult time. Please share this information with others who may be affected.

RCPA Submits Joint Fiscal Year (FY) 2026/27 Budget Request Letter to Governor Shapiro

Tue, 21 Oct 2025 16:23:55 GMT

RCPA, along with The Alliance CSP, The Arc of Pennsylvania, PAR, and The Provider Alliance, has submitted a joint budget request letter to Governor Josh Shapiro and key administration officials advocating for a 6.9% increase to the Intellectual Disability and Autism (ID/A) fee schedule rates in the Fiscal Year (FY) 2026/27 Executive Budget.

A full copy of the budget request letter can be viewed here .

This request aligns with the Administration’s Multi-Year Program Growth Strategy to eliminate the emergency waiting list and strengthen Pennsylvania’s community service system. The proposed rate increase reflects actual and projected inflation.

RCPA continues to strongly advocate for regular and predictable reimbursement increases to ensure providers can maintain a stable, qualified workforce and continually improve service quality for individuals with intellectual disabilities and autism across the Commonwealth.

Please send any questions or additional feedback to Tim Sohosky .

RCPA Shares White Paper on IBHS: The Case for Center-Based Services

Mon, 20 Oct 2025 16:33:57 GMT

In 2019, the Department of Human Services (DHS) and the Office of Mental Health and Substance Abuse Services (OMHSAS) promulgated regulations as a result of the Sonny O. v. Dallas lawsuit, which yielded a settlement that sought to guarantee access to quality behavioral health care.

This settlement led to the creation of the Intensive Behavioral Health Services (IBHS) regulations.

Since the implement ation of the IBHS regulations, access to these life-changing services has diminished, with children and families on months-long waitlists. RCPA recently wrote on the need for ABA center-based services to remain a viable treatment option for children and families in accordance with the settlement stipulations of Sonny O. v. Dallas, and in conjunction with the 55 PA Code Chapters 1155 and 5240. You can read the white paper here .

Research has proven that early, intensive intervention is critical in supporting a child’s development, but these services are too often difficult to obtain. With shifting funding and uncertainty over the last two budget seasons resulting in level rates and no program expansion, there are concerns regarding the future of IBHS services. Recent regional program adaptations also potentially threaten the viability of the overall IBHS service continuum by proposing integration between childcare and center-based IBHS services. There are key distinctions that separate center-based ABA programs and typical childcare, and the integration of these two vastly different systems could be detrimental to the children and families seeking ABA services.

Read the full white paper here .

Please contact Emma Sharp with any questions.

RCPA Member Gaudenzia Strengthens Operational, Clinical, and Research Capacity Amid Nonprofit Challenges

Fri, 17 Oct 2025 17:47:46 GMT

Press release from Gaudenzia : Posted September 25, 2025

Excerpt below:

Philadelphia, PA — September 25, 2025 — Gaudenzia, Inc., one of the nation’s largest nonprofit providers of treatment for substance use disorder, mental illness, and co-occurring conditions, today announced key leadership appointments designed to strengthen its operational backbone, expand medical expertise, and accelerate research-driven innovation.

At a time when many behavioral health nonprofits are consolidating or scaling back, Gaudenzia is deliberately investing in leadership and infrastructure to confront today’s most pressing challenges: a rapidly evolving drug supply; increasing demand for trauma-informed and integrated care; and the need to demonstrate measurable outcomes. These appointments reflect Gaudenzia’s commitment to stability, adaptability, and long-term impact for the communities we serve.

DDAP Postpones 2025 Emerging Drug Trends Symposium

Fri, 17 Oct 2025 16:35:53 GMT

The Pennsylvania Department of Drug and Alcohol Programs (DDAP) Emerging Drug Trends Symposium, originally scheduled for Tuesday, November 18, has been postponed.

The event will now take place on Tuesday, March 31, 2026.

All individuals who previously registered have been automatically re-enrolled for the new date. Those unable to attend on the new date are asked to cancel their registration in DDAP’s Training Management System to allow others to register.

FamilyLinks CEO and RCPA Board Member Stacey Vaccaro Receives C-Suite Award

Thu, 16 Oct 2025 18:43:55 GMT

Article by Pittsburgh Business Times : Posted October 14, 2025

Excerpt below:

2025 C-Suite Awards Winner Stacey Vaccaro, CEO of Familylinks, opens up about her collaborative leadership style and how it's shaping the nonprofit's future in an evolving human services landscape.

RCPA Member CSG Names Denise Sechrist as New VP of IDD Services – Local Leadership in Disability Care

Thu, 16 Oct 2025 16:39:40 GMT

As Pennsylvania faces increasing challenges in funding and resources for individuals with intellectual and developmental disabilities (IDD), RCPA member Community Services Group (CSG) is proud to announce the appointment of Denise Sechrist as its new Vice President of IDD Services, effective July 1, 2025.

With over three decades of experience at CSG, she has been a steady advocate for strengthening community-based supports and expanding programs that help individuals live more independently. Her appointment reinforces CSG’s commitment to meeting the growing need for compassionate, high-quality care — despite the financial and systemic challenges providers face across Pennsylvania.
https://csgonline.org/2025/10/community-services-group-announces-new-leadership-vice-president-of-idd-services/

Updated QA&I Process Cycle 3, Year 1 Tools Now Available

Wed, 15 Oct 2025 16:49:20 GMT

The Office of Developmental Programs (ODP) has shared communication ODPANN 25-095 and its accompanying attachments.

This communication advises stakeholders of a change to the Cycle 3, Year 1 (C3Y1) Quality Assessment & Improvement (QA&I) Tools. The following questions from the QA&I C3Y1 Tools have been removed due to a high volume of stakeholder inquiries related to evaluation expectations:

AE Question #1 – The AE engages in activities, or has a written policy, to improve racial equity performance.
SCO Question #4 – The SCO engages in activities, or has a written policy, to improve racial equity performance.
Provider Question #4 – The Provider engages in activities, or has a written policy, to improve racial equity performance.

View the attachments below:

Please review the announcement and attachments for additional information on the changes.

SCO PBC Frequently Asked Questions Now Available

Wed, 15 Oct 2025 16:44:37 GMT

The Office of Developmental Programs (ODP) has published announcement ODPANN 25-096 to notify stakeholders that ODP has published the Frequently Asked Questions (FAQ) received about Supports Coordination Organization Performance-Based Contracting (SCO-PBC).

The FAQ resource has been developed from questions submitted during webinar summits, virtual office hours, and to the PBC Resource Account. Questions have been categorized by topic and performance measures.

The FAQ can be accessed on MyODP at the SCO Frequently Asked Questions web page .

SCOs should continue to send questio ns via email so ODP can ensure they are answered consistently.

RCPA Sends Follow-up Letter to the Governor and General Assembly Regarding the Budget Impasse

Wed, 15 Oct 2025 16:35:26 GMT

RCPA, on behalf of our members and the organizations we represent, has sent a Second Appeal letter to Governor Shapiro and members of the Pennsylvania General Assembly.

This communication reinforces the urgent need to end the 2025/2026 state budget impasse and protect Pennsylvania’s health and human services system.

Since our initial appeal, the situation has grown increasingly dire, with providers struggling to sustain essential programs and staffing amid halted payments and prolonged uncertainty.

Our letter highlights the human and operational impacts of this crisis and calls on state leaders to act with urgency and unity to pass a full and responsible budget that restores funding stability and safeguards the services on which so many Pennsylvanians rely.

We encourage you to share this message within your communities and with your local legislators to help amplify the call for action. Together, our collective voice remains our strongest tool for change.

Thank you for your continued commitment and advocacy for the individuals you serve.

The Gray Area Between MOUD Research And Reality: Two Viewpoints On Why It Matters – Part I

Wed, 15 Oct 2025 12:49:37 GMT

Editor’s note: I asked my good friend Chris McKenzie, Community Relations Coordinator at Pinnacle Treatment Centers, to collaborate with me on a blog about what we both see as a gap between what research tells us about medications to treat opioid use disorder and the prevailing attitudes toward it in the treatment and recovery communities. We have shared our firsthand experiences here as Part I of a two-part blog. In Part II, we will discuss our suggestions for greater genuine acceptance of multiple pathways to recovery as well as address feedback we may get on Part I.

(Jason)

Several years ago, I met an individual in recovery from addiction who eventually went on to become a therapist. As our friendship and my own 12 step-based recovery from substance use disorder evolved, so did my position on medication to treat opioid use disorder (MOUD). His did not. Where once I was staunchly opposed, I was now beginning to embrace the idea, if for no other reason than the rising overdose death toll and the devastating stories of loss I continued to hear. I bought into the messaging that said we can’t treat someone who is dead.

My friend still failed to see the light.

“But the research shows it to be highly effective,” I ineffectively implored.

“Well, you need to show me this research, because I just don’t see it,” he replied.

In the end, it really didn’t matter what research I showed him, because that research did not match his reality. It could not overcome his perception, personal experience with individuals using MOUD, and definition of recovery, which was based on a belief that use of medication was nothing more than substituting one drug for another. And unfortunately, he is not an anomaly, at least within what I’ll call the traditional treatment system and recovery communities. For most of them, the gold standard is not MOUD. It is abstinence combined with a new way of life, despite what many within these very systems will publicly say.

What my friend saw — and what I sometimes see today – were individuals using MOUD who were living chaotic lives of polysubstance use, with no real ability to manage their own lives. This is what many in the lay public, health care and treatment systems, law enforcement, and legislature, to name a few, also see. And some of these groups have great power in influencing broader access to and acceptance of (or, conversely, opposition to) MOUD, including the ability to make laws that can limit it.

I believe it is fair to ask, “How is that recovery?” Actually, it may not be – yet. Often times, it can be a first necessary step on a path toward change. Consider SAMHSA’s definition : a process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential. For many, the start of the process can be chaotic. But if we believe in meeting people where they are and helping them along through a process of change, then we shouldn’t be condemning MOUD. In fact, for many, we should be genuinely encouraging it for whatever length of time necessary for the individual. Yet even under that scenario, not every case will be a success, just as it is not in every other medical and clinical discipline.

But many people lack the foresight or open-mindedness to see beyond their own experience and what’s in front of them right now. So, when these very people — families, friends, peer specialists, counselors, nurses, police, and lawmakers — who have had some negative experience with MOUD make blanket, disparaging statements about it, it has a ripple effect, eventually reaching the very people intended to be helped. In turn, it negatively influences their perceptions and willingness to try this way. And I’ve seen this very scenario end in death, when friends who could not stop using illicit opioids refused to use MOUD because of the stigma put upon them by others.

The danger in riding the high horse of judgment, condescension, and condemnation because others don’t recover like you or because others aren’t experiencing a transformation as you believe it should be is that you put their life in grave danger.

Does MOUD save more lives than abstinence? The research says yes.

Does medication transform the lives of those with SUD? In many instances, it absolutely does.

Does the transformed life that doesn’t align with a particular set of values have less worth than the one traditionally held up as an example of “recovery”?

If we truly believe the answer to the last question is “no,” then why do we still discourage or even demonize medication?

(Chris)

Jason raises two important questions: What is recovery and what is a valid way to get there? I would add one more: Why do we continue to place our own values on other people’s recovery? If we take a moment to reflect on how it might feel when someone does that to us, we might see things a little bit differently.

From my own experiences with substance use, I have learned the importance of examining my biases. The gap between research and reality is a clear case of bias. Recovery is not defined by another person, but is a deeply personal journey. That is why SAMSHA’s definition of recovery is purposely broad. Recovery is a process of change and that process can begin with something as small as a shift in mindset or the very first positive step, as defined by the individual. The individuality of recovery is what makes the definition so powerful, and so necessary.

Yet, this understanding is not always reflected in practice. I once interviewed for a job and was asked if I “worked a program.” I shared that I attended SMART Recovery meetings. The interviewer quickly told me that they only practiced one program at that organization, and it wasn’t SMART Recovery. In that moment, it felt as if every other pathway, including my own, was dismissed as invalid. If I, as someone with professional experience, felt those words like a sharp wound to my own recovery, I can only imagine how discouraging it must be for someone who is just beginning their recovery journey.

This narrow view extends to many places like recovery housing, treatment settings, and peer support programs, where certain approaches are upheld while others, like MOUD, are diminished or outright rejected. Research , once again, clearly shows that MOUD saves lives and this pathway, just as any other, is valid. When institutions or individuals impose these narrow definitions, they not only reinforce bias but also close doors for people who might otherwise succeed.

So how do we move closer to true acceptance of multiple pathways to recovery, including the use of medications? In Part II of our blog, we’ll offer our suggestions. In the meantime, if you have any ideas about this or thoughts on the subject or the blog in general, let us know.

Email Jason or Chris with your thoughts, or start a conversation on LinkedIn .

40th Annual KidsPeace Golf Classic Raises Nearly $95,000 for Program Enhancements

Tue, 14 Oct 2025 16:54:07 GMT

Press release by KidsPeace : Released October 14, 2025

Excerpt below:

SCHNECKSVILLE, PA (October 14, 2025) – KidsPeace announced that its 40th Annual Golf Classic event raised nearly $95,000 for program enhancements at its Orchard Hills Campus in Lehigh County (PA).

Organizers say the amount of monetary and in-kind donations is a new record for the Golf Classic, which supports programming at KidsPeace Children’s Hospital and its Pennsylvania residential treatment facility - in line with KidsPeace’s mission to give hope, help and healing to children, adults and those who love them.

Founding President & CEO of RCPA Member Inperium Ryan Dewey Smith Discusses Purpose-Led Leadership on Making Our World Better Podcast

Tue, 14 Oct 2025 16:09:44 GMT

Visit the Making Our World Better Podcast page to listen.

From the Making Our World Better Podcast page:

Being sincere in your desire to help others, being open to always learning and holding a mindset of no limits can bring results like huge scale and tremendous impact, as you will discover in this leadership masterclass discussion with Ryan Dewey Smith.

ODP Shares SCO Performance-Based Contracting Measures Report

Fri, 10 Oct 2025 17:34:15 GMT

The Office of Developmental Program (ODP) has begun posting the Supports Coordination Organization (SCO) Performance-Based Contracting (PBC) Measures on Docushare.

Please note that all reports are compiled by MPI, not by Service Location.

The SCO PBC Measures report is specific to entities providing ID Waivers and TSM. If your SCO does not have a report available, feel free to reach out for clarification.

Some SCOs may currently experience access issues due to recent employee role changes that were not accompanied by updated DocuShare access requests to ODP. If this applies to your organization, please contact us so we can assist.

If yo u have any questions about the report, please reach out to the ODP Data Analysis team via email .

Thank you for your continued collaboration.

PA DHS Voluntary Resolution Agreement Update

Thu, 09 Oct 2025 17:37:10 GMT

On Monday, August 25, the Office of Children, Youth, and Families (OCYF) successfully completed obligations outlined in a Voluntary Resolution Agreement (VRA) with the Office for Civil Rights (OCR) of the U.S. Department of Health and Human Services.

The VRA began in 2023 after a complaint of discrimination based on disability was filed against one of the county children and youth agencies that OCYF supervises. In confirming that all provisions of the agreement were satisfied, OCR noted:

“… the positive changes that have taken place to better ensure that individuals with disabilities will have meaningful access to DHS’ programs and services in accordance with Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. 794, and its implementing regulation, 45 C.F.R. Part 84 (Section 504), and Title II of the Americans with Disabilities Act, 42 U.S.C. 12101 et seq., and its implementing regulation, 28 C.F.R. Part 35 (Title II).”

During the monitoring period, over 31,000 state, county, and private provider child welfare staff received training on civil rights compliance related to the Americans With Disabilities Act. Following July 30, 2025, the training is not required by OCR. However, the training is still available via the PA Child Welfare Resource Center. OCYF encourages agencies to continue offering it to new and seasoned staff.

Please contact RCPA Policy Associate Emma Sharp with any questions.

Pennsylvania Lifesharing Coalition Conference Resource Materials

Wed, 08 Oct 2025 17:41:33 GMT

The Pennsylvania Lifesharing Coalition held their annual conference this week.

The ODP Policy Division provided new materials for supports coordination, individuals, and families. Please share these resources throughout your agencies.

ODP Shares Incident Management Rebalancing Initiative Phase 1 – IM Guidance

Wed, 08 Oct 2025 14:37:16 GMT

The Office of Developmental Programs (ODP) has shared communication ODPANN 25-093: Incident Management (IM) Rebalancing Initiative Phase 1: IM Guidance .

The purpose of this announcement is to provide updated guidance related to the ODP IM Rebalancing Initiative.

The guidelines are organized into seven separate topics covering the following:

Finalizing Incident Reports;
Reducing Duplicative and Multiple Incident Reports;
Clarifying the Definition of Serious Injury;
Clarifying the Definition for Discovery Date;
Managing Events Occurring Prior to Enrollment;
Discontinuing the Use of Optionally Reportable Events (OREs); and
Discontinuing the Use of Illness/Other and Illness/COVID Incident Categories.

Please direct any questions or feedback to Tim Sohosky , RCPA IDD Division Director.

Medication Administration Training Program Agency/Entity/Role Designation/Verification Form Update

Wed, 08 Oct 2025 14:32:37 GMT

The Office of Developmental Programs (ODP) has shared the communication, ODPANN 25-092: Medication Administration (MedAdmin) Training Program – Agency/Entity/Role Designation/Verification Form Update and its accompanying attachment .

The purpose of this communication is to announce that an updated Agency/Entity/Role Designation/Verification Form is now available. Please review the announcement for additional information and detail.

RCPA Partner The Ramsay Group Announces Candace Osunsade as Managing Director of HR Practice Group

Tue, 07 Oct 2025 13:48:04 GMT

RCPA Partner The Ramsay Group has announced that Candace Osunsade has joined the organization as the Managing Director of their HR Practice Group.

Candace partners with clients through Strategic Fractional HR and Outsourced HR services. She brings 30+ years of executive HR experience in centralized and decentralized environments, most recently as Global Chief People and Inclusion Officer at a $1.7B NGO. Visit The Ramsay Group’s website for more information.

SAMHSA Awards RCPA Member Merakey $2M for Pilot Program to Expand Certified Community BH Clinic Services

Mon, 06 Oct 2025 13:55:59 GMT

Statement from SAMHSA : Released September 25, 2025

Excerpt below:

Thursday, September 25, 2025

Today, the Substance Abuse and Mental Health Services Administration (SAMHSA) awarded $2 million in supplemental funding to Merakey Philadelphia to launch a pilot program expanding Certified Community Behavioral Health Clinic services to the Kensington neighborhood of Philadelphia. This targeted investment will provide vital resources to assist homeless individuals with mental illness and substance use disorders. The initiative is designed to expand treatment and recovery supports, so that individuals can transition off the streets and into care that addresses their behavioral health needs.

In June, I had the opportunity to visit Merakey and witness firsthand the dedicated work they are undertaking. We also visited Kensington, where, on a random weekday afternoon, we saw a man nearly lose his life to an overdose on the sidewalk. That experience was a stark reminder of the devastating realities this community faces each day and reinforced the urgent need for expanded services and resources. As a clinician, I have treated a number of people who had spent time in Kensington in active addiction and know it has been a place where people with the illness of addiction get sicker.

RCPA Member Achieva Family Trust Delivers Life-Changing Support to Hundreds of Pennsylvanians With Nearly $2 Million in Grants

Mon, 06 Oct 2025 13:52:07 GMT

Press release from Achieva Family Trust : Published October 3, 2025

Excerpt below:

FOR IMMEDIATE RELEASE

Pittsburgh, PA – More than 900 Pennsylvanians with disabilities received essential assistance this year thanks to the Achieva Family Trust’s Charitable Residual Program, which distributed nearly $2 million in grants during the last fiscal year. These funds provided critical support to people with disabilities and their families across the state—covering needs not funded by other sources, from specialized therapies and adaptive equipment to recreational activities that improve quality of life.

One of the program’s many success stories is Daniel Shaffer , a 31-year-old man from Shippensburg, PA , who faces significant developmental, physical, and sensory challenges. Deaf, legally blind, and requiring full-time support, Daniel has long found joy and therapeutic benefit in horseback riding . However, funding his sessions became increasingly difficult over the years—until the Achieva Family Trust’s Charitable Residual Program stepped in.

DDAP Releases Annual Gambling Report

Fri, 03 Oct 2025 13:58:39 GMT

The Pennsylvania Department of Drug and Alcohol Programs (DDAP) has released its Compulsive and Problem Gambling Annual Report , highlighting prevention and treatment efforts for state fiscal year (SFY) 2024/25.

This year’s report reflects continued progress in connecting Pennsylvanians to help and expanding prevention outreach across the Commonwealth.

Highlights include:

Continued growth in texts and online chats to the 1-800-GAMBLER helpline;
Increased admissions to problem gambling outpatient treatment programs — up 24 percent from the previous year;
Forty-one county drug and alcohol offices engaged in prevention programming — a 21 percent increase from the prior year; and
Nearly 820,000 Pennsylvanians reached through prevention programming — a 28 percent increase from the prior year.

Read the full report .

Last Call for the 2025 RCPA Fall Golf Outing on September 8!

Thu, 21 Aug 2025 16:23:38 GMT

Don’t miss your chance to golf with your colleagues for a good cause!

RCPA will be hosting our Fall Golf Outing to support the RCPA PAC on Monday, September 8, 2025 , in conjunction with the Annual Conference . Conference attendees, exhibitors, sponsors, and presenters can now register to participate in the RCPA PAC’s Golf Outing at the Colonial Golf & Tennis Club at 4901 Linglestown Road, Harrisburg, PA 17112. Registration and lunch will be held from 11:00 am – 12:00 pm, with the shotgun start beginning at 12:00 pm.

Sponsorships are available for this worthwhile cause. We hope you will consider becoming a golf outing sponsor; it is a great way for your organization to receive name recognition as well as an opportunity to support the RCPA fundraiser!

Not a golfer but would still like to support the RCPA PAC? For your convenience, you can now make a personal online contribution , which will provide financial support to state legislators or representatives who have demonstrated a strong, consistent, and positive interest in our legislative priorities. If you are interested in learning more about the RCPA PAC or donating, please visit our website , download the PAC FAQ Card and Donation Card , or email Jack Phillips , Director of Government Affairs.

See you on the golf course! If you have any questions regarding registration, please contact Christine Tartaglione .

HR Committee: August 13 Meeting Follow-Up

Wed, 13 Aug 2025 16:01:37 GMT

Follow-up information from the HR Committee meeting held on August 13, 2025, is available below:

Any questions or comments regarding the 2025 RCPA Conference Strive to Thrive should be forwarded to Carol Ferenz, Conference Coordinator .

Any questions/comments concerning DEI or Telehealth should be forwarded to Jim Sharp, RCPA COO and Mental Health Division Director .

A Review of the BH-HealthChoices Program as We Emerge from COVID

Mon, 02 Jun 2025 18:52:40 GMT

A Review of the BH-HealthChoices Program as We Emerge From COVID
By Richard S. Edley, PhD, RCPA President/CEO

A lot has happened within the behavioral health Medicaid system over the last several years. The BH HealthChoices program, which started in the mid-90s, has certainly evolved over time – the implementation of supplemental services and reinvestment strategies, program expansion, and value-based payment structures, to name a few advances. It is a mature program that certainly has achieved the three original goals when the program was developed, which should be applauded:

Increase access;
Increase choice; and
Stem the escalating health care cost curve.

As a carve-out model, Pennsylvania BH HealthChoices has and continues to be a model that reflects the unique government and local structure of counties, compared to states that operate on a state run behavioral health system. As noted in our most recent position paper , a program such as BH HealthChoices should continuously look to improve. While the role of RCPA is, at times, to challenge primary contractors and BH-MCOs when indicated to best represent providers and those they serve, we have also been consistent in our support of the program.

COVID certainly was the largest challenge to date for the whole human services system and to the BH HealthChoices program. RCPA worked with DHS/OMHSAS, the primary contractors (counties), and the BH managed care programs to implement a range of alternative payment mechanisms to keep community programs alive at that time as we collectively went into uncharted waters. The recognition by the primary contractors and BH-MCOs of the need to rethink funding to maintain the solvency of providers was a feat that was unprecedented. In comparison, this approach was not routinely implemented on the PH-MCO (physical health) side of HealthChoices. Further, RCPA supported the simultaneous rapid movement into telehealth at this time. If there is any silver lining during this period, we learned quite a bit about the utility of both these initiatives.

Then there was 2024, the year of MA “unwinding.” During COVID, many individuals joined Medicaid coverage while very few were ever removed. Under a federal directive, PA began to require re-enrollment of all persons on Medicaid during this year – leading to a disenrollment of individuals who perhaps could now receive coverage elsewhere (e.g., PENNIE) or did not qualify to remain on MA. No one argues that this should happen; but as with all other COVID and post-COVID initiatives, no one also quite knew how to predict what would actually be the result.

What did, in fact, occur is now well documented. OMHSAS and their contracted actuarial consultant simply missed their projections. They underestimated the number of people who would be removed from the rolls, and further underestimated the acuity of those that remained covered under BH HealthChoices. This double hit produced record losses for the programs and those primary contractors/BH-MCOs that are at financial risk for the programs. These losses were the result of the capitation payment being inadequate for the primary contractors while they were still required to support and pay providers for (the increased) medically indicated services.

It should be noted that there were similar losses of even larger numbers and proportion to the physical health system and those MCOs. The standard line from DHS and the governor’s office has been that those companies took the risk, and while it was a “bad” year, there have been good years (i.e., profit) and that is the nature of a risk agreement. This is perhaps true for the PH-MCOs that held funds during COVID, because the medical spend was greatly reduced due to members not seeking services. This same logic, however, has been attempted to be applied to the BH HealthChoices program.

Indeed, the BH managed care programs have built risk and contingency dollars over the years and that is what those dollars are there for when programs have losing years. The problem with applying the PH logic to the BH system goes back to the reimbursement strategy employed by the BH-MCOs and supported/encouraged by RCPA: alternative payments. Therefore, during COVID the BH-MCOs got as much of the dollars out as possible in advance to providers, to keep programs alive. These were not years of excess profit. Also, all primary contractors and BH-MCOs are capped at the amount of risk reserves that they can maintain, and have been capped at 3% max earnings in “good years.” These same organizations are on the hook for unlimited losses in the “bad” years. So the double-hit noted earlier really became a triple hit: high disenrollment, high remaining acuity, and the available dollars during COVID were spent.

What has also been well documented is the inadequacy of the mid-year capitation adjustment that was provided by OMHSAS to the primary contractors to “backfill” these losses. First, it was widely assumed that the adjustment would be for the full 12 months of 2024. Instead, it was only retroactive to July 2024, or six months. Second, the programs have estimated that across PA the capitation adjustment equated to about 17 cents on the deficit dollar. Based on the presentation of DHS that this was an unprecedented infusion of dollars into the BH system, many providers assumed this would equate to rate and program increases.

Moving into 2025, there is also some debate as to the adequacy of the increased capitation rates. Is the increase going to cover the utilization? Will utilization begin to come back to pre-COVID levels? These are clearly unknowns and RCPA has heard mixed reactions from the primary contractors and BH-MCOs. It is simply too soon to answer these questions. Based on this uncertainty, it is not surprising that many of the BH HealthChoices programs sent letters out to providers noting that they should not expect any program increases in 2025. While RCPA does not support that position, we clearly can understand it. What we would hope is that if 2025 begins to appear more positive financially, that these decisions can be revisited for the second half of the year. Several of the primary contractors have verified that this is their intent and have communicated this to providers.

At the same time, RCPA provider members have been increasingly vocal that in 2024 and into 2025, there appears to be increased scrutiny of the BH system by BH-MCOs, leading to an increase in denials of treatment requests. This feedback has been particularly apparent among SUD providers. RCPA took this very seriously, but also understood that such an assertion needed data, rather than relying solely on anecdotes. We did embark on our own data study and, due to the complexity, the results are still pending.

On April 24, 2025, however, OMHSAS preempted this effort and released a report to the Medical Assistance Advisory Committee (MAAC) on Denials, Grievances, and Complaints . The data does clearly reflect an increase in denials for some BH-MCOs in 2024, but not all. RCPA has to ask the question: what are the factors that led to this increased scrutiny and denials in some of the programs?

As with many issues, the answer to this question is again not so simple. While it is easy to make the correlation between financial losses and increased denials, BH-MCOs and primary contractors have noted several additional factors to consider, which RCPA also recognizes need to be discussed and understood:

The increase in denials is not across every BH-MCO and every program. Therefore, large generalizations should be avoided and there needs to be a better understanding of what might be happening within the provider network and region(s) of those BH-MCOs that did show increases. The data was also published in raw numbers, not as a percentage of all service requests, or as denials/1000, to account for membership sizes.
Could there be something related to the implementation of the ASAM criteria, which is mandated by law to be used for treatment decisions, on both the provider and BH-MCO that is driving this increase? BH-MCOs have asserted that there is a direct correlation between the increase in denials and the implementation of ASAM criteria. BH-MCOs have also noted that a small group of providers are driving the denial trends. 2024 was a learning period for all; therefore, could we project that denials will decrease when providers and BH-MCOs come to a better alignment?
Is there an increase because we are comparing COVID years (before the MA unwinding) to 2024? What were denial levels before COVID? During the public health emergency, OMHSAS issued mandates requiring the approval of all admission and continued stay requests for specific SUD levels of care, regardless of whether MNC was met. This mandate ended in 2024, which accounts for some of the increase in denials. Were 2024 denial rates actually below historical norms?

Then again, could this report also be under-reflecting true denial rates? Several providers note that all of their grievances and appeals of denials are upheld. Therefore, it is not worth the significant administrative time to pursue this action, so alternatives are sought. This assertion, of course, is anecdotal and BH-MCOs do not agree that they have seen this trend. Since some of this may not be tracked in the data available, it highlights the importance of an ongoing discussion between all parties.

So what does this all mean? The evolution of the program, the COVID experience, and now the post-COVID data is important to understand. We don’t have all the answers, but this does set up an important set of discussions in the coming weeks/months:

What does the denial data mean and how do we best understand it?
Are there improvements we should be looking to for the BH program as it continues to evolve?
What is the financial experience in 2025? Have utilization and expenditures leveled out?
How do we ensure that what happened in 2024 is not repeated? Certainly it was a unique and difficult year, and while it might be a one-time event, is there anything learned from the experience? How do we ensure that the actuarial analysis moving forward takes into account any unique and recent utilization trends and data?

RCPA will continue to engage this dialogue with the primary contractors and BH-MCOs. But we also understand that the best way to approach these issues is ultimately in partnership with those organizations and OMHSAS.

In the coming weeks and months, we will continue to update the RCPA membership as we learn more. The BH-HC model has been and continues to be a success for the state, the counties, the providers, and most importantly, the members. As with past challenges, we are confident we can work with all stakeholders to navigate this current challenge and come out even better than we went into this period. We encourage providers to continue to bring to RCPA your experience in the coming months, so as to best inform the discussion and to continue to approve the program.

PA Legislature Takes Another Run at Forced SUD Treatment; Providers Remain Opposed

Mon, 02 Jun 2025 13:05:38 GMT

In the latest legislative run at involuntary substance use disorder (SUD) treatment, two Pennsylvania senators co-sponsoring SB 716 are looking to amend Pennsylvania’s Mental Health Procedures Act to include SUD and alcohol use disorder (AUD) by themselves as mental illnesses.

Doing so would, under the law, subject those with the disorders to involuntary commitment in the same way mental health is today; that is, individuals with an SUD can then be forced into treatment against their will, mainly through a court-petitioning process, just as an individual in a mental health crisis can be involuntarily committed to psychiatric care today.

As to whether SUD and AUD are in fact mental illnesses, Sens. Laughlin and Williams appear to be on solid ground. The most recognized and credible medical association in the country, the American Medical Association, includes SUD as a mental illness, and the American Psychiatric Association’s (APA’s) Diagnostic and Statistical Manual of Mental Disorders (DSM-5) classifies it as such. In fact, 34 states allow involuntary commitment for SUD , whereas all 50 allow involuntary commitment for a mental health issue.

But beyond that, the senators’ rationale is debatable.

Although we absolutely are still dealing with a continually evolving SUD epidemic, as of today, I would not call the epidemic unprecedented. In 2017, Pennsylvania was in unprecedented times with the highest number of annual overdose deaths ever seen at 5,456. Earlier in May of this year, the Centers for Disease Control released preliminary data that showed overdose deaths down 31 percent to 3,358 in Pennsylvania in 2024 over 2023. Had it not been for the Covid years, we may well have seen a continual annual decline from 2020 through today.

Even as fentanyl has replaced heroin and adulterants like xylazine and medetomidine have exacerbated the crisis, naloxone and warm hand-off protocols – both instituted broadly around 2016 – along with improved access to evidence-based treatment including buprenorphine; increased integration of peers; and other harm-reduction strategies, including fentanyl test strips, have all over time contributed to decreasing deaths. Most experts on the ground would say we need to do more of this, as it has proven over time to save lives.

Many of those same experts also oppose any effort to force people into SUD treatment. Research evaluating its effectiveness is mixed. In one review of studies assessing the outcomes of involuntary treatment, evidence did not overall suggest improved outcomes , with some of those reviewed studies suggesting potential harms. However, other studies do suggest some benefit to involuntary treatment. For example, one study found significantly reduced emergency department visits and unplanned hospital admissions for people who received involuntary treatment. Another study found that, when interviewed six months later, the majority of involuntarily admitted patients acknowledged that they needed treatment and felt positively about having been mandated to attend.

Even so, practical considerations within Pennsylvania’s addiction treatment system remain a big hurdle, and most treatment providers agree that involuntary commitment to SUD treatment is not only ineffective; in actuality, it is a burden on the system, staff, and other patients. And at this point, there are more questions than answers. To my knowledge, the senators have not consulted the broad provider community about the bill, the immense challenges it brings, or their ideas for alternatives.

In Pennsylvania’s last legislative session, Sen. Laughlin introduced SB 962 , which would have established a new involuntary commitment process for those with SUD, especially those who overdose. In opposing that bill on behalf of our SUD treatment providers, we wrote a brief position paper in 2023, highlighting our concerns: the enormous burden placed on providers to manage an unfunded, complex involuntary treatment process; the perpetuation of stigma toward the disease of addiction by introducing the complexity and trauma of the judicial system to the treatment of a disease – not the commission of a crime; and little evidence that this approach reduces overdoses and death, not to mention the lack of locked SUD treatment facilities in the commonwealth and the potential disruption to the milieu of patients who do want to be in treatment.

As a provider representative, RCPA and its members still have those concerns today and continue to oppose the senators’ current efforts.

Yet I understand the anguish of families who live the active addiction of a loved one, and the exasperation, helplessness, and hopelessness of watching a downward spiral often end in death. My family, hoping that we were going to somehow wake up from the nightmare we were living, watched it with both of my brothers, who eventually died of drug overdoses.

So with involuntary commitment a non-starter for providers because of the complexity, ambiguity, and debatable outcomes, what more can we do for those in most danger of death who seem least likely to proactively seek treatment?

First, we must sustain and improve upon what is already demonstrating effectiveness at reducing deaths; namely, widespread distribution and availability of naloxone, improved access to evidence-based treatment (including buprenorphine and methadone), increased use of peers at multiple intercepts, and other harm-reduction strategies.

In opposing SB 962 during the last legislative session, RCPA proposed that finding the will to develop programs and policies that are proven to reduce overdose deaths and better engage those with SUD with the treatment system was preferable to a well-intended but misguided involuntary commitment law. Such policies and programs would include: enabling safe access to evidence-based medications to treat opioid use disorder including, for example, immediate buprenorphine induction by emergency medical personnel at the site or instance of overdose or access to low-barrier bridge clinics; providing meaningful, sustainable funding to specially train and embed certified recovery specialists at every potential touchpoint with overdose survivors; and reforming regulations and eliminating administrative burdens that act as barriers to treatment access.

As an example of what others are proposing as alternatives to forced treatment, APA, in its journal Psychiatric Services, recently suggested focusing on the highest-risk subpopulations for brief (72 hours or less) involuntary holds , as opposed to commitments, in hospitals to allow health care providers to engage them and begin to provide ongoing care management and peer support, as opposed to simply watching the individual walk away. Could something like this work?

Most in the treatment system and arguably all harm reductionists oppose involuntary commitment for SUD. With overdose deaths continuing to trend significantly downward, now seems like an even less opportune time for reintroduction of such a bill than in the past. But clearly, some in the legislature want to do more.

What alternatives to involuntary commitment would you suggest?

Unwilling Or Unable? The Surprising Prevalence of Brain Injury Among Those With SUD

Tue, 29 Apr 2025 19:39:53 GMT

For as long as I’ve been active in the recovery community and addiction treatment system, the prevailing mentality around people who couldn’t “get it” – with “it” mostly meaning compliance with a program and an outcome of sustained abstinence – was that they just weren’t ready, or they just didn’t have enough willingness to do the things that are necessary to stop using drugs and begin to recover. That attitude is much more pronounced in certain recovery communities, much more nuanced in the treatment environment, but it’s an accepted way of thinking in both. It’s a kind of thinking that blames the individual for failing, as opposed to the system failing the individual.

But what if a large subset of individuals with substance use disorder (SUD) really can’t get it, with “it” not only being abstinence or reduced use, but, more consequentially, the cognitive demands of treatment – alertness, attention, cognitive processing, memory, and executive functioning? What if these individuals are neurologically incapable – even if only temporarily – of engaging in treatment for their SUD the way the treatment system expects them to, because they have either an acquired or traumatic brain injury from or driving their SUD?

Such a recognition by the broad treatment system, the subsequent implications for improved individualized treatment and, most importantly, actual modifications to SUD treatment could be huge.

Earlier this month, I had the opportunity to participate in what for me was an eye-opening summit convened by the Pennsylvania Department of Health and the Brain Injury Association of Pennsylvania. It focused in part on recognizing the significance and prevalence of brain injury among those with SUD, especially opioid use disorder (OUD), and identifying ways to better treat this population. Much of what was shared and stimulated my thinking on this came courtesy of the Addiction Technology Transfer Center’s “Traumatic Brain Injury and Substance Use Disorders: Making the Connections” toolkit.

Most of the discussion focused on acquired brain injury (ABI). Internal factors, including lack of oxygen to the brain due to an opioid overdose, result in ABI. Traumatic brain injury (TBI), on the other hand, results from an external force, such as a blow to the head, including those that result from physical abuse. Both ABI and TBI have significant implications for those in SUD treatment. Often subtle yet significant changes in memory, attention, and social behavior, for example, make it difficult to participate in treatment, and many leave without completing. With historic numbers of overdoses over the past 10 years, the connection between SUD and brain injury, especially ABI, has not gotten the commensurate discussion it needs.

Since 2015, Pennsylvania advocates have rightly made the widespread distribution of naloxone a top priority. In fact, that is the year I began working for the Pennsylvania Department of Drug and Alcohol Programs, and getting naloxone into the hands of first responders, especially police, was our top priority. The mantra then, as it is now, was we can’t treat someone who is dead. From there, the natural progression from administration of naloxone was to warmly handing off that person to treatment or recovery support. One of the biggest challenges, and therefore areas of focus, with the warm hand-off process has been finding more effective ways to intervene at that critical moment to prevent the individual from simply walking away from a near-death experience and continuing on as if it hadn’t happened.

What has received little attention over those 10 years is the fact that for many, regardless of whether they agreed to treatment or walked away, life would never continue as if the overdose hadn’t happened, because many who overdose experience permanent brain damage.

It takes only four to six minutes of a lack of oxygen to the brain to cause permanent brain damage, which can forever affect a person’s ability to understand, retain and recall information, express themselves, think critically, or solve problems. Those who sustain a brain injury are at risk for future overdoses.

In North America, approximately 23 percent of all intravenous drug users will experience a non-fatal opioid overdose per year . Further, there are estimated to be as many as 40 non-fatal overdose events for every fatal overdose among people who inject drugs.

Sadly, I can’t tell you how many people I’ve met who have been reversed multiple times. In fact, research shows that people who have had at least one opioid overdose are more likely to have another , which can compound any impairment or injury.

But it’s not only those who have overdosed who may have a cognitive impairment. Amount and duration of substance use can also result in neurologic and cognitive effects, meaning many people – perhaps the majority – who enter the treatment system have some level of difficulty with cognitive and behavioral function. Research suggests 80 percent of those seeking services for co-occurring mental health and SUD are living with the effects of brain injury .

Yet we as a treatment system often expect these same patients to sit quiet and still in hours-long group therapy sessions, pay attention, and not be disruptive. We expect them to be on time for group. We expect them not to miss their individual sessions. We expect them to follow through and comprehend. Those who don’t are often labeled as not ready for treatment. They haven’t reached their bottom yet.

Of course, there must be some measure of accountability on the patient’s part. But to set expectations for those with a brain injury in the same way we would for someone who does not have one is setting them up for failure.

To be fair, without assessing a person for a brain injury, clinicians may not even realize there is an issue. Without understanding the serious implications of brain injury on a person’s ability to engage in therapy, there may be no perceived need to change the way treatment is being provided. Instead, the lack of knowledge and understanding leads to incorrect assumptions about the patient as the reason the treatment isn’t working, not the reverse.

By beginning to effectively and comprehensively screen for brain injury; training clinicians, peers, regulators, and payers on the prevalence and implications of brain injury; and modifying the way treatment and recovery supports are provided for these individuals, the SUD treatment system can significantly improve treatment outcomes.

It will take collaboration with regulators, especially to remove regulatory barriers, as well as collaboration with payers to consider potential alternative payment models, to accommodate the therapeutic needs of those with a brain injury.

Quality individualized treatment should be more than rote alignment with ASAM criteria. It should effectively recognize neurologic limitations – both those acquired as a result of overdose and those caused by trauma – and appropriately modify treatment for those with such limitations. Otherwise, the behavioral health system will continue to misread and mislabel what arguably is a majority of its patients.

Medicaid Advocacy Tools and Information

Tue, 15 Apr 2025 17:32:39 GMT

As RCPA continues to advocate for protecting Medicaid from devastating cuts at the federal level, we wanted to provide you with some resources, including a Pennsylvania-specific letter that you can easily tailor as you see fit to your Congressional House member. The letter details how important Medicaid is to your community, not only in terms of those you treat, but also for the economic health of those you employ and the broader community in which they live. The letter also requests a one-on-one meeting between the legislator’s office and you, to allow you to further discuss the importance of protecting Medicaid. If you do choose to ask for a meeting through this letter or otherwise, RCPA is happy to assist you in preparing for the meeting based on our experience and the experience of other providers that have already met with their Congressional representatives on this issue.

Although it is important for all legislators to hear from our health and human services providers, it is especially important that we reach Pennsylvania’s US House Republicans, given that the budget resolution adopted by the House directs the House Energy and Commerce Committee to find at least $880 billion in spending cuts over the next 10 years. Many worry this will require deep cuts to Medicaid. In particular, given their committee assignments or stated positions on Medicaid, there are six key US representatives who need to hear from us. They are:

US Rep. John Joyce (PA-13) (Vice Chairman, Energy and Commerce Committee)
US Rep. Lloyd Smucker (PA-11) (Appropriations Committee)
US Rep. Guy Reschenthaler (PA-14) (Ways and Means Committee)
US Rep. Mike Kelly (PA-16) (Ways and Means Committee)
US Rep. Brian Fitzpatrick (PA-1) (Ways and Means Committee)
US Rep. Rob Bresnahan (PA-8)

To assist with your outreach and to help tailor the letter provided above, we have provided additional resources below:

A website through which you can find your US representative ;
The Pennsylvania Department of Human Services Data Dashboards and Reports web page, where you can easily find Congressional district-specific Medicaid data, including Medicaid enrollment for each district;
Email addresses for the chiefs of staff and other key staffers for each of the 17 US House representatives in Pennsylvania; and
A report from the Paragon Health Institute that argues that expanding public health insurance has minimal impact on health outcomes and recommends focusing on healthy behaviors and medical innovation for more effective improvements. While we disagree with that assertion, some legislators have used the points made in the report to support their argument for cutting Medicaid. Knowing what the report says can help you prepare for conversations in which these arguments might be made.

We encourage you to use these resources in reaching out to your Congressional representatives. RCPA is happy to help in any way we can.

On Addiction Treatment, RFK Jr. Can Walk the Tightrope

Tue, 25 Mar 2025 20:07:09 GMT

There are many stakeholders in the broad substance use disorder (SUD) landscape who are nervous about how US Department of Health and Human Services Secretary Robert F. Kennedy Jr. will steer policy. But from a treatment perspective, given his beliefs and experiences, he could drive significant improvement in the way those Americans who suffer most severely from SUD are treated.

In January, after President Trump took office and nominated Kennedy to be secretary, many SUD treatment providers and advocates, along with several media outlets, immediately raised concerns . Pointing predominantly to the 45-minute documentary Kennedy made as part of his early campaign for the presidency, some advocates feared that if he was confirmed as secretary of HHS, he would use his personal experience and preferences to unduly influence the country’s SUD treatment policy away from evidence-based treatment, including the use of medications like methadone and buprenorphine.

In “ Recovering America – A Film About Healing Our Addiction Crisis ,” Kennedy, who is in long-term recovery from heroin addiction, featured “healing farms” – a form of therapeutic communities – as successful models for treating SUD. Therapeutic community is a treatment approach built on the premise that for recovery to occur, a change in lifestyle and social and personal identity is vital. He said that if he was elected president, he would open hundreds of healing farms across the country.

Of course, he did not become president, but he was confirmed as secretary of HHS in February.

Kennedy’s support of healing farms is not the only concern of some advocates. The pathway to his own recovery – a 12-step program – and his staunch support and continued participation in that program, which many criticize for its abstinence-only philosophy, including its rejection of medications to treat SUD, is also a red flag.

An Opportunity to Improve What Already Exists

But Kennedy actually has an opportunity to leverage his experience and philosophies in a way that improves the predominant residential treatment model in place today for those with the most severe and advanced disease. This does not mean a wholesale shift toward healing farms or even therapeutic communities (though in a world of individualized care and personal choice, there can be a place for these types of treatment models). It should, however, include policy that forces increased funding of residential treatment settings, in order to provide adequate lengths of stay and meaningful integrated mental and physical health and recovery support services throughout the continuum – including, when necessary, skilled nursing facilities that accept patients whose treatment includes narcotic medication, and appropriate, safe, and accessible recovery housing. A stronger continuum of care for those suffering the most severe SUD can enable social connectedness, sense of community, belongingness, and meaning and purpose. Not only are these foundational goals of therapeutic communities and values Kennedy holds in high regard; they are also key tenets of the Substance Abuse and Mental Health Services Administration’s (SAMHSA) working definition of recovery . As HHS secretary, Kennedy oversees SAMHSA.

In Kennedy’s documentary, he walked the streets of San Francisco and showed footage of Philadelphia’s Kensington neighborhood. Living in the age of fentanyl and xylazine, the individuals from these streets who make it to treatment are typically homeless, have extreme physical comorbidities, and have suffered unimaginable trauma and mental illness. In other words, they are the most ill. Yet, in Pennsylvania, we often see an aggressive push by payers to quickly move them from the highest levels of care, where patients whose acute biomedical, emotional, behavioral, and cognitive problems are so severe that they require primary medical and nursing care, to lower levels of care well before their clinicians believe they are ready.

Many policymakers, pundits, and payers will point to the high cost and lack of evidence to support such lengths of stay in residential settings. But any argument that the research does not support long-term residential treatment should be carefully scrutinized, in particular because little research exists that examines outcomes for those with the most severe SUD . If Pennsylvania policymakers and payers have such data, they should bring it forward.

Ensuring and Improving Access to Medication

What is indisputable is the fact that medications to treat opioid use disorder not only reduce overdose deaths, but they also increase engagement and retention in treatment, increase abstinence from opioid use, and improve other quality-of-life metrics.

But Kennedy’s position on several other issues has advocates concerned about his position on medications like buprenorphine and methadone.

From within the mental health and SUD advocacy world, one of the strongest endorsements Kennedy received ahead of his confirmation was from his cousin Patrick Kennedy, a former US Congressman from Rhode Island and staunch SUD and mental health advocate who has been in recovery 14 years. Patrick Kennedy’s treatment and recovery path included the use of buprenorphine and naltrexone, as well as medications to address mental health.

In a 2016 story in the Seattle Times , Patrick Kennedy said, “We’re hogtied because many of those influencing addiction policy in this country come from the 12-step culture, which says abstinence is the only true form of recovery. We’re losing a lot of people on the altar of that type of rigid ideology.”

Even closer to home, Robert Kennedy experienced the death of his younger brother David, whom he described as his best friend. David Kennedy was 28 years old when he died in 1984. My younger brother Todd was 28 years old when he died in 2005 from a heroin overdose. Less than two years later in September 2007, my 25-year-old brother Josh, the youngest of my parents’ three children, died of a drug overdose. I have often said that my parents, both of whom I am grateful to still have today, would much rather have their two dead sons alive and using buprenorphine or methadone, with a chance to define their own lives and recovery, than lying side by side in a graveyard in Cambria County, PA. I can’t imagine that Robert Kennedy feels any different about David – that if there was something that could have been done to give him another day and a shot at recovery, he would have staunchly supported it. In preserving and enhancing access to medications, Kennedy has the opportunity to give to parents, siblings, and other family members and loved ones what he and I no longer have.

Walking the Tightrope

In my work, a key component of advocacy on behalf of SUD treatment and those who need it is an ability to put aside my own recovery path, and acknowledge and support other pathways that I might not choose but can nonetheless be effective. In fact, this is in large part what a professional peer does. And for Kennedy, as evidenced by his documentary, the peer is an indispensable, integral part of the recovery process; not just in the healing farm setting, but in justice-system diversion programs as well, for example.

Related to my recovery from SUD, if you want the type of life I am striving to live and want to know what I do, I am willing to show you. My professional role, however, does not include forced imposition of my personal philosophies on you. To find such a balance requires open-mindedness, which is also a bedrock principle of the Alcoholics Anonymous (AA) program Kennedy lives. The challenge with open-mindedness is applying it in all of life, not just within the parameters we choose to live. In doing so, we potentially attract others to that lifestyle.

Kennedy obviously is not simply an advocate or a well-known “old-timer” in a local area of AA meetings. He is the top policymaker for HHS and SAMHSA. From the highest, most influential platform he has ever had relative to his recovery, he can strike the right balance.

With a better funding approach, Kennedy can infuse aspects of a treatment modality and recovery support program that has worked for many, including himself, into the system we have in place today. In doing so, he can improve treatment broadly for those with the most severe SUD, and support and advance the integral, life-saving role medications play, all while serving as a role model for what recovery may look like for some.

For the sake of all of those who are still suffering from this disease, including families, I hope he can do it.

Upcoming Fiscal Year Portends a Bleak Future for Addiction Treatment Providers, Those in Need of Care

Tue, 11 Feb 2025 20:52:24 GMT

As I watched Pennsylvania Governor Josh Shapiro give his budget address last Tuesday, it occurred to me that the light Pennsylvania government had brightly shined on the addiction epidemic for nearly the past 10 years has greatly dimmed.

In a speech of nearly 11,000 words , not one of them was “addiction.” Not one mention of treatment. No mention at all of an overdose death epidemic. Over the course of a 90-minute budget address, Gov. Shapiro, a man who likes to “get stuff done,” did not even attempt to take credit for overdose death numbers that are trending downward. He didn’t acknowledge them at all.

Granted, the Pennsylvania Department of Drug and Alcohol Programs (DDAP) continues to release pots of opioid settlement and federal money, including State Opioid Response (SOR) funding, into the behavioral health ecosystem, though not all of it is available to DDAP-licensed treatment providers. Counties also continue to spend opioid settlement dollars from multiple sources, including a national settlement with the three largest pharmaceutical distributors that netted more than $1 billion for Pennsylvania.

In arguing that everyone else is legalizing adult-use recreational marijuana, so Pennsylvania should, too, the governor ignores the evidence of the harms of marijuana, including a link between legalized adult recreational marijuana and an increase in adolescent suicides , as well as the broader implications for addiction treatment such that not one dime of the $536,000,000 in estimated Fiscal Year 2025/26 revenue is proposed to be directly allocated to DDAP. Although it appears recreational legalization is inevitable at some point, failing to acknowledge its potential to harm some Pennsylvanians is disingenuous.

Dig a little deeper into the budget, and it looks no brighter for addiction treatment providers.

Behavioral HealthChoices — the name for Pennsylvania’s Medicaid managed care program for behavioral health — currently is in a financial crisis. Pennsylvania counties and behavioral health managed care organizations (BH-MCO) are reporting to be significantly underfunded due to a Department of Human Services’ (DHS) actuarial error made in calculating the effects of the unwind of the Medicaid rolls post-Covid . The underfunding is affecting the counties’ abilities to meet contractual obligations to provide behavioral health services. In other words, the $6.3 billion comprised of state and federal dollars in the current fiscal year (2024/25) budget (see p. 104 of 372 of DHS’s budget book ) for Behavioral HealthChoices capitation — capitation being a form of payment based on a complex formula that determines an amount of money needed per Medicaid recipient per month — is not enough money to pay for addiction and mental health treatment for everyone who wants and needs it.

Although we see an 18 percent increase in the HealthChoices capitation line item that amounts to $660 million in state dollars in the governor’s proposed executive budget , significant questions are still unanswered and even bigger concerns remain.

For example, we do not know how much of the 18 percent increase is earmarked for Behavioral HealthChoices, which is concerning because the Physical HealthChoices program also is underfunded, and the Physical HealthChoices program is a significantly higher expenditure. Estimates suggest that the Behavioral and Physical HealthChoices systems combined need an additional $2.5 billion (state and federal combined) in the current calendar year, which is partly funded by two separate fiscal year budgets, to meet their obligations to Pennsylvania’s most vulnerable. There is a $230,000,000 supplemental payment in the proposed budget, which would help to address the immediate need for additional funds in the current fiscal year, but we are hearing only a small percentage of this is for the HealthChoices issue.

As a result of the underfunding and uncertainty, BH-MCOs and primary contractors have announced to addiction and mental health treatment providers that they will not receive any increases in reimbursement rates in 2025, despite escalating provider costs. At the same time, in certain regions of the Commonwealth, addiction and mental health treatment providers are beginning to report increasing challenges in getting appropriate treatment authorized (e.g., decreased lengths of stay, increased denials). Although anecdotal, RCPA will continue to have these discussions and look to substantiating data.

The current HealthChoices crisis has been building since early 2024 and has caused much anxiety. So far, the proposed 2025/26 budget only exacerbates the worry. Add in the federal Medicaid and grant funding uncertainty coming out of Washington, DC following recent executive orders that potentially put funding streams like the Substance Use Prevention, Treatment, and Recovery Services Block Grant and SOR dollars at risk, and the calamity grows exponentially. Right now, we are looking at a real possibility of ongoing behavioral health service cuts that would be akin to rationing of care.

At this point, I am left with a few fundamental questions. How is $6.3 billion not enough to provide behavioral health services — addiction and mental health treatment — to Pennsylvania’s Medicaid population? How could the state have been so wrong on its calculations? How sustainable is a behavioral health system that needs at least upwards of $7 billion per year? Does the legislature have an appetite for such a system?

And, perhaps most importantly, what are the implications for the future of addiction treatment and the sustainability of the system as we currently know it? Beyond the funding crisis, the field continues to beg for relief from administrative burden and crushing oversight, pleas that have amounted to shouting into the void.

With DHS’s budget hearings coming up in early March in front of the Senate and House Appropriations Committees, I would expect the legislature to also be asking these same questions. Stay tuned.

SUD Treatment Month: Depiction of Addiction Treatment Doesn’t Reflect the Evolution of the System

Thu, 09 Jan 2025 16:44:10 GMT

If they haven’t already, very few people seeking addiction treatment will ever experience it as Tom Coderre did.

Coderre is principal deputy assistant secretary for the Substance Abuse and Mental Health Services Administration (SAMHSA). Last week, in kicking off its inaugural Substance Use Disorder Treatment Month, SAMHSA published a blog in which Coderre’s treatment story was retold.

"I started treatment at the end of May 2003, after an arrest for possession of a controlled substance, when a compassionate judge strongly suggested it,” the former Rhode Island state senator said. “The treatment program offered flexible lengths of stay, determined on an individual basis … For me, that treatment episode lasted five and a half months and I then transitioned into a recovery house."

You read that correctly. Five-and-a-half months. Not five-and-a-half-months in the continuum of residential to halfway house to partial hospitalization to intensive outpatient to outpatient, but five-and-a-half months in an intensive residential treatment center before transitioning to a recovery house. And keep in mind, Coderre’s treatment was funded by a federal block grant, not out of pocket or through commercial insurance.

Coderre’s story truly is remarkable. He gave a great interview to William White in 2016 that details his story and demonstrates the power of treatment and recovery. But to hold up this treatment experience in a blog that kicks off national SUD Treatment Month is to suggest, in my read, that this is what addiction treatment could look like today. And, barring some very specific and unique cases, that is simply not true, and certainly not in Pennsylvania.

Imagine a person with the disease of addiction desperately in need of treatment who is assessed as: being unable to control impulses; having marked difficulty with or opposition to treatment, with dangerous consequences; having no recognition of the skills needed to prevent continued use, with imminently dangerous consequences; and lacking skills to cope outside of a highly structured 24-hour setting.

That is essentially the definition of someone needing ASAM Level 3.5, which is defined as clinically managed, high-intensity residential treatment.

Anecdotal information tells us the average length of stay in Pennsylvania at Level 3.5, including withdrawal management (which we used to call detox), is about 28 days. Lower intensity treatment, such as that provided at Level 3.1 (i.e., halfway houses), can garner as much as a five-month stay, at about $100 less per day in Medicaid reimbursement than Level 3.5.

Much has changed about the way we treat addiction since Coderre’s treatment experience nearly 22 years ago. And we would expect the field to change and evolve, just as we would hope cancer is not being treated today the same way it was 25 years ago.

Many will argue that there is not enough evidence to support such a time- and cost-intensive treatment approach as longer-term, high-intensity residential treatment. Many will argue, too, that outcomes are just as effective with medication or intensive outpatient. Just as many will argue the other side of the coin, that 14- and 21- and 28-day lengths of stay are not enough time to stabilize and begin the hard work necessary to rehabilitate (and often times habilitate) someone whose “addiction is currently so out of control that they need a 24-hour supportive treatment environment … ” (ASAM Third Edition, 2003).

What isn’t up for debate is the sea change taking place in addiction treatment today.

It’s difficult to find a current definition or purpose of addiction treatment today, even from SAMHSA or the National Institute on Drug Abuse (NIDA). But Nora Volkow, director of NIDA, wrote in 2022 that, “The magnitude of this [drug overdose death] crisis demands out-of-the-box thinking and willingness to jettison old, unhelpful, and unsupported assumptions about what treatment and recovery need to look like. Among them is the traditional view that abstinence is the sole aim and only valid outcome of addiction treatment.”

Only 10 years prior, NIDA wrote in its Principles of Drug Addiction Treatment that, "In addition to stopping drug abuse, the goal of treatment is to return people to productive functioning in the family, workplace, and community.”

And SAMHSA’s Center for Substance Abuse Treatment, 20 years ago, was even clearer on the purpose of treatment: "Treatment for substance use disorders is designed to help people stop alcohol or drug use and remain sober and drug free. Recovery is a lifelong process."

From stopping alcohol or drug use and remaining sober and drug free, to stopping drug abuse, to jettisoning old, unhelpful assumptions that the sole aim and only valid outcome of addiction treatment is abstinence – that is a sea change.

Today, treatment for addiction is not about abstinence, at least to federal and state government regulators and payers. Consider SAMHSA’s definition of recovery : “a process of change through which individuals improve their health and wellness; live a self-directed life; and strive to reach their full potential.” Millions of people subscribe to that definition , which does not include abstinence.

Additionally, to me, it also seems clear that what has historically been the cornerstone of the addiction treatment system – in Pennsylvania, all of the Department of Drug and Alcohol Program (DDAP)-licensed providers comprising all of the ASAM levels of care – is no longer viewed in the same way.

Physical health providers that treat with medicine and do not have a DDAP license are becoming central to treating addiction. To wit, DDAP recently issued a funding opportunity for “Integrated Health Solutions between Behavioral Health Care and Primary Physical Health Care.” DDAP-licensed providers cannot apply for the funding. Other recent funding opportunities, for harm reduction and recovery support, for example, also are not open to licensed treatment providers.

Harm reduction, recovery support, and crisis and drop-in centers are all being recognized as viable components of an evolving system. And certainly they are less costly than long-term treatment. The question is, “How effective are they compared to traditional forms of treatment?” Depends who you ask.

Call it a no-wrong-door approach, meeting people where they’re at, removing siloes, integration or coordination, but addiction treatment “proper” is no longer the center of addiction treatment.

I am not arguing that this expansion and evolution is wrong or misdirected. I would ask a few questions, though. How will “traditional” treatment providers react and evolve in response? And how adequately are regulators and payers supporting them in any transitions they expect to see? Do providers even feel they need to evolve away from their core mission? It would be interesting to get Coderre’s thoughts about this, as well as how he thinks he or someone with addiction as severe as his would fare in today’s treatment environment.

Tom, if you’re reading, we would be grateful for an opportunity to talk.

Recovery Community Divided Over Pending Legislation That Would Radically Change SUD, Mental Health Peer Services in PA

Mon, 17 Jun 2024 16:57:32 GMT

Nothing about us without us.

That is the mantra that emanates from the recovery community any time policy decisions are being considered that would affect those seeking or already in recovery from substance use disorder (SUD) or mental health issues.

The thinking goes that no one knows the plight and the needs of the person seeking recovery better than those who have sought and found recovery themselves. The peer profession is based largely on this tenet. I can attest to the power of the peer. Without those with lived experience helping me early in my recovery and, in fact, to this day, my life likely would not have followed the path that it has.

“Nothing about us without us” is a spoken tie that binds, and often times it’s a rallying cry in an us-against-them mentality. It’s no different from any other special interest, including the addiction treatment providers who I represent, rallying their own against perceived threats from outside influences. It’s what we as advocates do.

But that tie is being tested with a yet-to-be-introduced bill – called Promoting Recovery, Opportunity, Professionalism, Ethics, and Longevity (PROPEL) – that would radically change the way peer services are provided in Pennsylvania. It is being tested because the bill lacks widespread support within the recovery community. Few in the recovery community had any hand in shaping it. In fact, from the many conversations I’ve had with those in the peer community, most had no idea this bill was even in the works. Many probably still don’t know it’s been written.

Licensing, Regulating, and Funding All Peer Organizations

Although the cosponsorhip memo describes the pending bill as a means to reduce overdose deaths by developing a sustainable funding stream for peer support services providers, it reaches far beyond funding. It does intend to create a sustainable, consistent revenue stream through Medicaid reimbursement for SUD and mental health peer services, though on the mental health side of the behavioral health equation, Medicaid reimbursement for certified peer specialist services (CPS) provided by peer organizations licensed by the state Department of Human Services has been a reality as a Medicaid state plan service for nearly 20 years . On the SUD side, DHS is seeking to add certified recovery specialist (CRS) services to the state plan. When a service is part of the state plan, behavioral health managed care organizations are required to pay for the service (As a point of clarification — in Pennsylvania, CPS’s have lived mental health experience and provide mental health peer services; CRS’s have lived SUD experience and provide SUD peer services. Whether we should continue to silo the two in the recovery and treatment worlds and beyond is an important discussion for another time).

This bill would change the current mental health peer organization licensure process, while creating new and separate licensure processes for mental health peer organizations and SUD peer organizations. Regulations to govern peer services would be promulgated and largely drive the licensure processes. The bill also conflates mental health drop-in centers, crisis centers and recovery community organizations (RCOs), a point of contention among operators of RCOs.

For RCOs – historically defined by SAMHSA as a nonprofit organization founded and led by people with direct lived experience with substance use challenges and recovery – funding has been much tougher to come by when compared with licensed mental health peer services providers. With the biggest source of funding for many RCOs being grants, a consistent, sustainable funding stream would be welcomed. But the challenges of licensure and regulation, which bring significant burden in the form of oversight and regular audits, has some in the recovery community, including those operating RCOs, concerned what it could mean to their survival and ability to be flexible and adapt to their community’s needs.

Prohibiting Treatment Providers From Providing Peer Services

The bill’s supporters also say its intention is to protect the integrity of the individual peer professional. With this bill, all peer services would be co-opted by licensed peer support organizations, meaning no treatment providers – for-profit and nonprofit alike -- could offer any type of peer services unless they contracted with a licensed peer organization. In fact, any for-profit company, whether clinical or otherwise, could not provide peer services. The rationale behind this piece of the bill, at least what has been communicated to me, is that peers are being made to do work well beyond or below their scope (e.g., fulfilling duties of behavioral health technicians as opposed to peer professional responsibilities), which sometimes forces peers into unethical situations. Proponents of the bill haven’t been shy about saying they have video recordings of peers sharing such stories.

Substance use disorder and mental health treatment providers, many of whom have been providing peer services within their organizations for years, would no longer be able to provide the services as they currently do. Instead, they would be required to enter into a contractual arrangement with a peer support services provider, defined as “an independent, nonclinical, nonprofit organization, including an RCO or mental health peer organization that is led and governed by individuals in mental health and substance use recovery that employs peer support specialists and provides peer recovery support services.” Such a requirement would make treatment providers – trained and educated experts in providing comprehensive services, including recovery services, to any client who is receiving services in their program – beholden to licensed peer support programs, add additional layers of administrative burden, and jeopardize access to peer services.

The bill would also remove any requirement of clinical supervision of peers for reimbursement, thereby removing what can be critical clinical judgement in certain cases where peers lack needed expertise to direct clients to immediate services they may need. In other words, a clinician would no longer be required to oversee a peer in order to receive reimbursement for the services. A peer supervisor would be adequate to be reimbursed for those services.

Paying Peers Commensurate to Their Value

There are some pieces of this bill that I wholeheartedly support. A lot of lip service gets paid to the value of peers, but we don’t see that translating into consistent funding or adequate rates. I would love to see an adequate, sustainable funding model for community-based peer organizations that recognizes the real value of the peer – putting our money where our mouth is, so to speak. And I would love to see peers be used with fidelity in all settings in the way they are intended. I think there is a way to bring all stakeholders together to discuss how to make this happen.

Considering the Optics

There are some pieces of the bill that are obviously concerning, too. Prohibiting treatment providers from providing peer services as they currently do is one. There’s also a small but concerning piece of language in the bill that enables peer services to be reimbursed “as a primary service for individuals with a mild, moderate or severe mental health disorder or substance use disorder and require no other diagnosis, condition or preauthorization.” Without clinical expertise to assess severity of the mental health or SUD issue, how the RCO will know whether an individual seeking services has a mild, moderate, or severe mental health disorder is unclear. But if it’s nothing more than self-diagnosis/self-referral, anyone could claim to have an SUD or mental health issue. Financial incentives have led many organizations astray. Any hint of potential fraud hurts any field, but an already stigmatized profession still regularly fighting for a seat at the table is especially vulnerable.

The recovery community has for years been fighting for credibility and respect, and it has made great strides in doing so. Yet I think many of its leading advocates will tell you there is still a long way to go. Although in my experience it’s rare that any group or movement has 100 percent agreement among itself, the treatment system included, the infighting we have already seen play out in public over this proposed legislation is not a good optic. Rather than elevating the profession, this splintered effort risks having the opposite effect.

I have a personal interest in this issue. I have colleagues and friends who are leaders of the recovery community. Any success I have had during my recovery is mostly because of my recovery community. I am also a CRS, although I have never practiced professionally as one. I have a professional interest, too. I represent treatment providers, many of whom have been providing stellar peer services for years, and I am on the board of the Pennsylvania Peer Support Coalition . In this spirit, I have had many conversations with various stakeholders on this issue, with the intention of eventually convening a large group of all stakeholders. If you want to be part of a broader discussion so that all voices are heard, please email me . I would love to hear from you.

Potential Unintended Consequences of Legalization of Recreational Marijuana: Increase in Adolescent Suicides

Thu, 22 Feb 2024 16:23:01 GMT

As Pennsylvania pushes to legalize recreational marijuana, recent research suggests doing so could have harmful effects for adolescents, including a potential increase in suicide.

The study, “ Cannabis use disorder, suicide attempts, and self-harm among adolescents: A national inpatient study across the United States, ” examined the association between cannabis use disorder (CUD) and suicide/self-harm in a large, nationally representative sample of hospitalized adolescents. It found that adolescents with CUD were 40 percent more likely to experience a suicide attempt or self-harm.

Although the inpatient study does not directly tie an increase in adolescent suicide to legalization of recreational marijuana, there is an association between marijuana legalization and the increased risk of cannabis use disorder among adolescents. As more adolescents experience CUD, then, the potential for more suicides also increases.

In his 2024–25 Budget Book , Governor Shapiro, acknowledging that all of Pennsylvania’s neighboring states except West Virginia have legalized recreational marijuana, says now is the time for the commonwealth to do so as well. His budget proposes legalization of adult use marijuana effective July 1, 2024, with sales within Pennsylvania beginning January 1, 2025.

The governor’s plan estimates about $14.8 million in revenue in the industry’s first year of operation, with more than $250 million in annual tax revenue expected once the industry is established.

In its review of the inpatient study , the Recovery Research Institute (RRI) suggests policymakers develop policies and funding structures that appropriately educate the public about the risks of cannabis use, and support those who are currently using, as a way to potentially help reduce the public health burden of cannabis use and suicidal behaviors among adolescents.

For treatment providers, RRI points out that cannabis use was uniquely associated with suicidal behaviors among adolescents being treated in an inpatient setting over and above well-known risks such as depression. Furthermore, those with both CUD and depression were at an even greater risk, concluding, then, that it is likely helpful to conduct thorough screenings for each of these issues if an individual presents with one of them.

The governor has proposed millions of dollars to address Pennsylvania’s growing mental health needs. With legalization of recreational marijuana seemingly inevitable in the commonwealth’s near future, even more resources will be needed to address the inevitable substance use disorder (SUD) and mental health issues Pennsylvanians of all ages will likely face following legalization. With a quarter of a billion dollars expected in eventual annual revenue from legalized marijuana, a significant portion of that sum must be committed to SUD and mental health treatment providers.

SAMHSA Report Elicits Questions About Definition of Recovery, Purpose of Addiction Treatment

Mon, 27 Nov 2023 21:23:35 GMT

In September 2023, the Substance Abuse and Mental Health Services Administration (SAMHSA) released a report , “Recovery from Substance Use and Mental Health Problems Among Adults in the United States.”

Although the definition and concept of recovery from addiction have been morphing for some time, the self-reported data contained in the report, coupled with SAMHSA’s definition of recovery, lays out starkly that what is considered recovery today is far different from what it has been considered historically. In some ways, it begs the question, then, “What is the purpose of addiction treatment?” What are the implications for addiction treatment providers, who for decades have operated with a mission of helping their patients stop their use of drugs and alcohol?

Using data from the 2021 National Survey on Drug Use and Health (NSDUH), SAMHSA’s report shows that 70 million adults aged 18 or older perceived that they ever had a substance use or mental health problem. For substance use specifically, of the 29 million adults who perceived that they ever had a substance use problem, 72 percent (or 20.9 million) considered themselves to be in recovery or to have recovered from their drug or alcohol use problem. (See SAMHSA’s press release .)

Of the 72 percent who considered themselves to be in recovery or to have recovered from their drug or alcohol use problem:

65 percent reported using alcohol in the past year;
68 percent reported using marijuana in the past year;
60 percent reported using cocaine in the past year; and
61 percent reported using hallucinogens in the past year.

Curiously, it doesn’t appear that respondents were asked whether they used illicit opioids in the past year. Encouragingly, substance use recovery was more prevalent among adults who received substance use treatment.

To the traditional addiction treatment provider and many in the recovery community today, recovery and drug and alcohol use cannot co-exist. One possible but unlikely explanation for the SAMHSA-reported data is that all of the respondents who identified as being in recovery but having used drugs or alcohol in the past year is that their recovery began within the last year.

This would presume that their definition of recovery includes abstinence. But this is not likely. Consider SAMHSA’s definition of recovery:

“Recovery is a process of change through which individuals improve their health and wellness, live a self-directed life; and strive to reach their full potential.”

No mention of abstinence from drugs and alcohol. What this means is that for millions of people, recovery can and does include moderated use of drugs and alcohol.

In 2004, SAMHSA’s Center for Substance Abuse Treatment said, “Treatment for substance use disorders is designed to help people stop alcohol or drug use and remain sober and drug free. Recovery is a lifelong process.” Twenty years later, it’s a far different message coming from SAMHSA.

As recently as 2019, the Pennsylvania Certification Board defined recovery as highly individualized, requiring abstinence from all mood and mind-altering substances, and may be supported by using medication that is appropriately prescribed and taken.

Talk about evolution and conflict.

When I began my recovery from substance use disorder (SUD) nearly 12 years ago, I went to treatment with the intention of stopping my drug use. I came to believe at that time from those who helped put me on this path, including those within the treatment facility as well as peers outside of it, that the foundational element of recovery was abstinence from all drugs. In fact, my first few years of recovery were so philosophically rigid that I even believed medications to treat opioid use disorder (MOUD) disqualified an individual from recovery.

I’ve drastically changed my views and beliefs since those early years, because I’ve seen the power of MOUD and, conversely, the grave danger anti-MOUD stigma poses. Sadly, though, many still believe the way I once did. I’ve held true to my own definition of recovery, which does include the foundational element of life without drugs or alcohol. But I am not so self-righteous as to believe that those who choose another path or definition of recovery should be discounted or forced to “recover” in a particular way.

For many in the treatment system and recovery community, abstinence remains a cornerstone of recovery. But for many other stakeholders in the broader addiction treatment ecosystem — payers, regulators, and policymakers in particular — although abstinence may once have been the goal for them, the purpose of treatment and definition of recovery have moved far afield of those historical tenets.

Nora Volkow, Director of the National Institute on Drug Abuse, said , “Healthcare and society must move beyond this dichotomous, moralistic view of drug use and abstinence and the judgmental attitudes and practices that go with it.”

So what does this mean for addiction treatment providers philosophically and operationally? If the purpose of addiction treatment is not necessarily to stop drug and alcohol use, what is it? One managed care organization in Pennsylvania recently talked about the purpose of addiction treatment in much the same way as SAMHSA defines recovery , addressing health, home, purpose, and community. This would seem to mean that providers are now expected to address not only addiction but mental and physical health, too, at least to some extent, as well as myriad social determinants of health. In fact, it is what payers expect providers to do today.

This is an attempt to integrate various human services and incorporate harm reduction into the addiction treatment system, and it is a sea change. The addiction treatment system was not built in this way. This is not to say that this movement is wrong, or that the treatment system is not evolving or cannot evolve along with the definitions of treatment and recovery. But to do so will require an ongoing cultural shift with which many in the treatment system — from the front line to the CEO office — struggle. It will also require a much broader systemic change than simply within addiction treatment organizations. Regulation, oversight, and payment structure must also change to reflect the changing expectations and demands placed on providers.

Integrity, Sustainability of Pennsylvania OUD Centers of Excellence At Risk

Wed, 09 Aug 2023 21:47:44 GMT

In 2016, I had the great opportunity to watch and participate in the birth of Pennsylvania’s Opioid Use Disorder (OUD) Centers of Excellence (COEs). In fact, my role at the Department of Human Services (DHS) as special assistant to the secretary was exclusively to support the implementation and operation of the COEs. Today, with a changed vantage point but still close to the COEs, I am afraid I am watching the program’s demise as seven years of consistent requirements and expectations give way to a mishmash of wildly varying requirements across five behavioral health managed care organizations (BH-MCOs) that threaten the integrity and jeopardize the sustainability of the program.

Like many new programs, the COE launch was not smooth. No one will say it was. But it was and still is an important initiative. It was, at the time, Pennsylvania’s single largest investment to address an opioid overdose death epidemic that was and still is raging out of control. It was a significant part of Pennsylvania’s answer to the epidemic, and, for Medicaid patients, it aimed to: 1) expand access to evidence-based treatment, especially medication to treat OUD; 2) create community-based care management teams that would help individuals access treatment faster and remain engaged in the continuum longer; and 3) create a hub-and-spoke model that enabled greater integration of physical and behavioral health care in an effort to treat the whole person.

Forty-five behavioral and physical health providers each initially received a $500,000 grant to carry out this work. The funding was to be used mostly to hire a community-based care management team, including certified recovery specialists and care managers, because there was little to no reimbursement available for behavioral or physical health providers to provide the care management support services envisioned for the COEs. The grant funding and, later, the DHS-directed per-member per-month payment, acknowledged that for COEs to provide the services necessary to retain clients in treatment and keep them on a path of sustained recovery, payment would have to be made to cover services that historically were not billable.

In the seven years the COEs have operated, the program has been successful. For the first quarter of 2023, according to data collected by the University of Pittsburgh’s Program Evaluation and Research Unit (PERU), 65 percent of new clients enrolled in COEs statewide returned within one calendar month after the last face‐to‐face care management service they received for ongoing recovery and care management support. Top-performing COEs have a return rate of over 80 percent. Why does retention matter? Because the longer someone stays engaged with the system, the greater the chance of long-term recovery.

Two years after the program launched, Pitt PERU published a paper on the COE program’s results . More than 70 percent of the Medicaid population diagnosed with an opioid disorder was receiving treatment, and of that group, 62 percent remained in treatment for more than 30 days. In the days before COEs, just 48 percent were receiving treatment and, of that group, only 33 percent remained engaged in treatment for more than 30 days. In addition, follow-up within seven days after an OUD-related emergency department visit increased 51 percent from 45 percent to 68 percent, and the number of primary care visits increased 46 percent.

In assessing COE effectiveness, one MCO correlated increased access to medication to treat opioid use disorder (MOUD) to increased retention in treatment, finding that some COEs, including those in rural areas, had retained nearly 50 percent of their patients one year later.

DHS found the program so worthwhile that in 2020 it expanded the program, resulting in an increase to more than 250 COEs across the state. And that number is likely higher today.

Then, in 2021, DHS began transitioning COEs from a directed payment model into the hands of managed care. Based on what we see thus far, many would say that was the beginning of the end of the COEs as they were intended.

Vastly different expectations among and directives from BH-MCOs of what the COEs are to do creates confusion and unnecessary administrative burden, especially for those who contract with multiple MCOs, and risks program integrity and sustainability. Some BH-MCOs are requiring services that weren’t required for seven years. Although we’re still in this transition process, the mood of the behavioral health COE operators is somber.

Some BH-MCOs are signaling a relegation of the hallmarks of care management and recovery support while emphasizing clinical focus. Yet amazingly, only a few weeks ago, DHS re-asserted that care management is, in fact, the foundational element of the COEs.

There’s been much talk about admission and discharge criteria, too, which never existed for someone with an OUD to receive services from a COE. In fact, last year, one of the Commonwealth’s five BH-MCOs had this to say:

“Retention in COEs is directly related to reduction in the cost of behavioral health services over time, due to significant reductions in crisis levels of care, such as psychiatric hospitalizations, residential treatment, and withdrawal management … Conversely, individuals with an OUD who disengage from treatment tend to cycle through crisis services … Because COEs have been effective at retaining individuals longer than non-COE programs, the overall cost of care decreases over time.”

How can one BH-MCO see such value in long-term retention and another move the COEs toward a short-term crisis management focus? How can one BH-MCO use a value-based payment arrangement that incentivizes for long-term retention, while another BH-MCO reverts to a fee-for-service model that undoubtedly will strip away many of the services the COEs have been providing? In that instance, we will have come full circle, and not in a good way.

The road to recovery is often years long. It is fraught with peril. Consider those COEs deemed “exemplary” — indicating the COE has met or exceeded all domain benchmarks (i.e., enrollment, engagement, retention, and assessment). For some of them, nearly 50 percent of their clients have experienced overdose, which indicates the severity of their addiction. Establishing discharge data, as DHS and the BH-MCOs are currently working toward, is akin to telling a patient they’ve been on MOUD long enough. That’s a dangerous message and directive that puts lives at risk.

How can one COE that has operated one way for seven years now suddenly become two very different programs while operating under the COE umbrella? And what about the provider that operates multiple COEs? There are provider organizations in Pennsylvania that operate as many as 15 COEs and contract with at least four BH-MCOs. How can that organization and its individual COEs serve multiple and varying COE overseers? They can’t.

As I listened to RCPA’s recent webinar, “PA Behavioral HealthChoices Integrated Care,” during which Community Behavioral Health, Montgomery County Office of Managed Care Solutions, and Community Care Behavioral Health presented on programs aimed at integrating behavioral and physical health, I couldn’t help but think the COE program is absolutely in the same class as the featured programs that were chosen to exemplify the Commonwealth’s efforts to integrate care.

Why then is DHS, which holds the contracts with the counties/primary contractors, who then subcontract to the MCOs, allowing the COEs to be dismantled?

We can debate the merits and components of the COEs. The same can be done for any program. There absolutely are areas for improvement and continued refinement. DHS has said it would expect the program to evolve over time. We agree — evolve. Not devolve.

Guide rails are one thing. Five varied sets of guidelines for one program is another.

DHS established very specific guide rails in July 2020 when it expanded the program to all Medicaid providers and announced the process for enrolling as a COE. That is and should remain the COE program. Whether through agreements with its primary contractors or another way, DHS must enforce consistency in the COE program from MCO to MCO.

A COE cannot be defined and reimbursed five different ways.

RCPA Launches Behavioral Health Blog

Tue, 08 Aug 2023 21:54:46 GMT

Welcome to the first of what we hope will be many blogs. Our intention is to write commentary about the most important issues facing substance use disorder and mental health treatment providers in Pennsylvania, providing not only the facts of the situation, but our views and opinions on them. Our work with and on behalf of our members as well as our personal experiences will largely drive this blog. We know what is important to you. After all, you set our agenda. But if you have an idea about what we should be covering or an opinion or comment about what we’ve written, we want to know. We look forward to your thoughts as our new effort to provide thought leadership and foster dialog on the day’s most important behavioral health issues unfolds.