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COVID-19

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Message from the Office of Developmental Programs:

Pennsylvania Department of Human Services (DHS) Acting Secretary Val Arkoosh today advised Pennsylvanians of upcoming changes to Supplemental Nutrition Assistance Program (SNAP) benefits. Due to the passage of the recent federal Consolidated Appropriations Act of 2023, starting in March, SNAP recipient households will no longer receive the Emergency Allotment (EA) additional payment created during the COVID-19 public health emergency and will resume receiving one SNAP payment per month.

This change will happen for all SNAP recipients, with households receiving letters via mail about the change in SNAP payments.

“We know this additional SNAP payment has been a lifeline for people over the past three years and that ongoing economic uncertainty and high food prices are contributing to food insecurity for many Pennsylvanians. There is help available for you and your family through Pennsylvania’s heroic charitable food partners,” said Acting Secretary Val Arkoosh. “I urge anyone who can donate food or resources, now is the time to help your local food assistance programs as they prepare to meet this potential additional need.”

With funds made available due to the federal COVID-19 emergency, DHS began providing EAs as a second monthly payment to SNAP recipient households that were receiving benefits since March 2020. The EAs increased the SNAP budget amount to the maximum available amount for their household size or, since early 2021, were a minimum of $95. These payments were distributed separate from the initial payment as an extra payment each month.

Due to federal legislation, this February will be the last month EAs are sent; and starting in March, SNAP recipients will only receive one regular SNAP payment.

Additionally, the 2023 cost of living adjustment for Social Security Income (SSI), which is also set by the federal government, prompted an 8.7 percent increase to SSI income. SNAP eligibility thresholds — also set at the federal level — did not rise proportionally. Because of this, approximately 249,000 households will experience a decrease in their base SNAP benefits by an average of $40 per household, which will take effect in March when EAs end. The Office of Developmental Programs (ODP) anticipates approximately 5,000 to 20,000 households will be disenrolled from SNAP due to the SSI increase. These federal changes will primarily affect older Pennsylvanians and seniors.

Pennsylvanians who need to report changes to their household size, income, or expenses are encouraged to report any changes either online via the myCOMPASS PA mobile app or by calling DHS’s Customer Service Center at 877-395-8930 (or 215-560-7226 for Philadelphia residents). This will help ensure households are receiving the maximum SNAP benefit based off their individual circumstances.

DHS recognizes the impact these changes may have on households and wants to make sure families that need food assistance know where to go for help:

  • SNAP recipients who are pregnant or have kids under 5 may be able to get help buying food from PA WIC. You can call 800-WIC-WINS or apply online.
  • You can call 211 or visit PA 211 to connect with various local food resources.
  • Visit Feeding PA to find local food banks and other food assistance programs.
  • Go to the DHS website or PA Department of Agriculture website for information on assistance programs and other resources.
  • If you are a SNAP eligible senior citizen, apply to receive additional vouchers redeemable at more than 800 farm stands and more than 200 farmers’ markets in Pennsylvania. The Senior Food Box Program can also provide you with additional shelf-stable groceries. Learn more about these programs from the Pennsylvania Department of Agriculture.

“Our charitable food network works tirelessly every day to be a resource and safety net for their communities. With a reduction in SNAP benefits coming, they will likely be left to absorb much of the impact,” said Acting Secretary Arkoosh. “If you are able to help, I strongly encourage you to support your local food banks and pantries as they prepare to meet this need. Small donations can grow into a big difference, so please do what you can so they can continue their life-saving work.”

For more information about SNAP Emergency Allotments, visit the DHS website.

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A message from the Department of Health:

We are writing to inform you that the Pennsylvania Department of Health will no longer be able to provide short-term crisis staffing support or staffing support for test swabbing missions as of January 14, 2023. This decision has been made due to the exhaustion of funds designated for this purpose. We want to assure you that we will do our best to assist with a smooth transition.

The Department remains committed to providing opportunities to build long-term resilience into long-term care facilities that includes bolstering Pennsylvania’s long‑term care workforce development and retention.

We strongly encourage you to engage with your local LTC RISE partner. LTC RISE will continue to provide COVID-19 outbreak response consultative support. LTC RISE will also continue to support quality improvement project opportunities, including projects focused on workforce development and retention.

We also remind you that the Long-Term Care Quality Investment Pilot (QIP) is another opportunity which can benefit skilled nursing facilities, personal care homes, assisted living facilities, and intermediate care facilities. We urge facilities to apply for funds to invest in key areas that include staff development and retention. Applications for QIP are due Saturday, December 31, 2022, by 1:30 pm.

Thank you for your continued efforts protecting Pennsylvania’s most vulnerable residents and for your understanding and cooperation during this time.

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Photo by CDC on Unsplash

As the holiday season approaches, remember to protect yourself and others by staying up-to-date with your COVID-19 and flu vaccines. You may be eligible to receive your flu vaccine at the same time as a recommended COVID-19 vaccine. Your healthcare practitioner or pharmacist can help you decide if you should receive both vaccines at the same time.

Flu Vaccine

CDC recommends that everyone 6 months and older should get a flu vaccine every flu season, with rare exceptions. Vaccination is particularly important for people who are at higher risk of serious complications from influenza. A full listing of people at Higher Risk of Developing Flu-Related Complications is available.

COVID-19 Vaccine

CDC recommends that people ages 5 years and older receive one updated (bivalent) booster if it has been at least 2 months since their last COVID-19 vaccine dose, whether that was:

  • Their final primary series dose; or
  • An original (monovalent) booster.

People who have gotten more than one original (monovalent) booster are also recommended to get an updated (bivalent) booster.

Staying up-to-date with COVID-19 vaccination is important for maximum protection. You are up-to-date with your COVID-19 vaccines if you have completed a COVID-19 vaccine primary series and received the most recent booster dose recommended for you by CDC.

You are still up-to-date if you receive all COVID-19 vaccine doses recommended for you and then become ill with COVID-19. You do not need to be immediately revaccinated or receive an additional booster.

Updated (bivalent) boosters became available on:

  • September 2, 2022, for people 12 years of age and older; and
  • October 12, 2022, for people aged 5–11.

Your healthcare practitioner, including your pharmacist, can help you determine if you are up to date with your vaccines.

Additional Resources

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On behalf of the RCPA IBHS Providers and the children and families of Pennsylvania, RCPA has requested the Independent Regulatory Review Commission (IRRC) to reopen for review Regulation #14-546: Intensive Behavioral Health Services, based on section 8.1 of the Regulatory Review Act (71 P.S. § 745.8a).

The premise of our recommendations addresses the challenges and barriers IBHS providers have faced in creating the staffing infrastructures and meeting the burdensome operational protocols for regulatory compliance. The overreaching nature of the regulations, coupled with the impact of the pandemic, has caused great strain on an already depleted behavioral health workforce. These system stressors limit the ability to provide vital, quality services to children and families. Due to the prohibition for the use of waiting lists, it is difficult to capture the true number of children and families going without these essential services. We contend there are thousands of children across the Commonwealth with unmet treatment needs and written orders for IBHS services who await care.

The current lack of access to care is a result of the workforce crisis and operational requirements of implementing the regulations. We feel these access issues and children waiting for services are compelling reasons, in the interest of the public, to merit a review of the regulations.

The COVID-19 DHS regulatory flexibilities provided initial relief for providers, and OMHSAS continues to offer waivers to agencies experiencing critical staffing shortages. Providers are grateful for these temporary solutions; however, these waivers do not address the long-term impacts of the current regulatory requirements. Providers continue to struggle to hire qualified staff and contend with burdensome operational requirements, many of which negatively contribute to the efficiency of care delivery.

The expressed purpose of the IBHS regulations was to ensure access to quality care in a consistent and efficient manner. Conversely, the result has been a labyrinth of regulatory and operational interpretations, differentiated reimbursement for the same services, and a human services workforce crisis with no upcoming relief.

RCPA would like to thank the members of the RCPA IBHS Steering Committee for their commitment to conduct the review and the Commission for their willingness to consider this request. We believe these recommendations, if implemented, can address the barriers identified without compromising the original vision for high-quality services and broad access to care.

At last correspondence, the IRRC is in receipt of the recommendations. We will be providing a copy to the Office of Mental Health and Substance Abuse Services (OMHSAS), as requested by the Commission. We will continue to keep members apprised of the review process. If you have further questions, please contact RCPA Policy Director Jim Sharp.

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