Open for Public Comment: Proposed ODP Waiver Amendments and Rates for Select...

Open for Public Comment: Proposed ODP Waiver Amendments and Rates for Select Services in FY 2023/24

ODP Announcement 23-043 shares that the proposed amendments to the Consolidated, Person/Family Directed Support (P/FDS), Community Living, and Adult Autism Waivers and proposed rates for select services are available for public review and comment. There is a 30-day public comment period that starts on May 27, 2023, and ends on June 27, 2023, at 11:59 pm.

These proposed changes are scheduled to take effect November 1, 2023. ODP is also making available for public review and comment the rate setting methodology and fee schedule rates for select services in the waivers that are scheduled to take effect January 1, 2024.

The waiver amendments in their entirety can be found here.

Additional fee schedule rates are being added for:

  • Group music therapy, art therapy, and equine assisted therapy services provided through the Consolidated, Community Living, and P/FDS Waivers.
  • Needs Group 5 Residential Habilitation services provided through the Consolidated Waiver and Life Sharing Without Day Services provided through the Consolidated and Community Living Waivers.

The new Specialty Health Assessment and Coordination service in the Consolidated, Community Living, and P/FDS Waivers will be reimbursed monthly as a vendor service based on the cost that the provider charges to the general public. The rate changes proposed above are planned to become effective January 1, 2024.

In addition, ODP proposes to adopt the temporary enhanced rates for CPS and Transportation Trip as the fee schedule rates on November 1, 2023.

Information regarding the proposed waiver amendment changes and rates, including how to provide comments, can be found in the Pennsylvania Bulletin, Volume 53, Number 21, published on Saturday, May 27, 2023.

Comments and requests for copies of this notice and documents may be submitted to ODP via email. Comments submitted should use subject header ”Waiver and Rate Comments.” There are also webinars scheduled to provide public comment.

RCPA will be asking members for their input to our comments as well and will schedule a meeting to review this information shortly. If you have any questions or comments that you would like to be sure we include, please contact Carol Ferenz or Cathy Barrick.