Cindi Hobbes • April 9, 2026

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

Author

Cindi Hobbes

Date

April 9, 2026

Share

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:

< Previous Post

Next Post >
PA ODP logo with dark blue border

ODP Updates the MAAC on Paid Relative Caregiving & Travel Limitations

By Tim Sohosky • May 29, 2026
On Thursday, May 28, the Office of Developmental Programs (ODP) provided an update to the Medical Assistance Advisory Committee (MAAC) regarding current policies and upcoming regulatory changes following a recent Commonwealth Court decision. On February 17, 2026, the PA Commonwealth Court issued a decision in Dunkelberger v. Department of Human Services that determined that ODP’s limitations on provider model services (specifically the 40/60-hour caps and 90-day travel maximums) were null and void. The decision was based on process rather than policy validity; the Court found that these limitations were not properly promulgated as regulations in accordance with the Commonwealth Documents Law and Regulatory Review Act. To maintain a balanced approach between flexibility and oversight, ODP is moving forward with the following actions: Regulatory Amendments: ODP will amend regulations to establish formal authority for setting service delivery limits that support individual welfare and program integrity. Self-Directed Model Agreements: ODP has already modified agreements for self-directed models to clarify limits on overtime, combined relative service provision, and travel restrictions. Travel Restrictions: Due to the inability to monitor services effectively over long distances, service provision will now be limited to Pennsylvania and contiguous states. Waiver Changes: ODP will seek modifications through the amendment process to the Consolidated, P/FDS, Community Living, and Adult Autism Waivers to include: New requirements for agencies providing IHCS and Companion services to disclose a DSP's relationship to participants; and Strengthened programmatic oversight and integrity measures. Life Sharing Alternative: For participants requiring more than 60 hours of paid care from a relative, the Life Sharing (24/7) service model remains the recommended alternative. ODP anticipates a public comment period for these proposed waiver changes beginning in January 2027.
Two men with intellectual disabilities working happily on a tablet.

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

By Tim Sohosky • May 28, 2026
Press Release from DHS : Published May 27, 2026
Yellow screen with the words

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

By Cathy Barrick • May 28, 2026
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 .