Tags Posts tagged with "DDAP"

DDAP

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The XYZ package was sent to the single county authorities (SCAs) this morning to begin the rate setting process for the 2019–20 fiscal year. Below are numerous documents relative to the 2019–20 XYZ Rate Setting Process. The release of these documents was delayed due to discussion surrounding implementation of the ASAM Criteria. The package remains mostly unchanged, with the exception of “Section C – Program Specific Description Information,” which has been revised to be reflective of the ASAM Criteria. Please note that the 3.7 level of care has not been incorporated into the rate setting package given DDAP and DHS are still working to appropriately designate providers with this level of care. Due to the delayed release of these documents, the timeframes for completion of the process have been adjusted. The new timeframes are as follows:

  • November 1 – Provider audits due to SCAs, unless otherwise specified in the DDAP/SCA Grant Agreement
  • By or before March 1 – Providers submit the completed XYZ package to the SCA
  • By or before April 15 – SCAs respond to providers with the approved rates
  • April 15 to April 30 – Provider appeals are submitted to the SCA
  • April 30 to May 15 – Appeals that are unable to be resolved at the SCA level are submitted to DDAP
  • By or before May 31 – SCA posts rates to PACDAA’s web page

Please find these materials relative to the 2019–20 XYZ Rate Setting Process:

Please contact Lynn Cooper, RCPA Drug & Alcohol Division Director, with questions.

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On behalf of the Pennsylvania Department of Corrections (DOC), the Department of Drug and Alcohol Programs (DDAP) is pleased to announce the solicitation for contractors to submit qualifications for the statewide Residential Housing and Treatment Services Invitation to Quality (ITQ). Contractors which meet the ITQ qualifications will be awarded a contract and will be eligible to respond to Requests for Quotes (RFQ) for various types of consulting services to commonwealth agencies and Local Public Procurement Units.

We encourage providers to review the Residential Housing and Treatment ITQ to determine eligibility and provide submissions by August 31, 2018. Use this link to access the Commonwealth’s Emarketplace. From here, you can search using the solicitation number 4400019622.

Lastly, if your organization is not an eligible contractor, please feel free to forward the information to appropriate organizations.

Thank you in advance for your submissions,
The Pennsylvania Department of Drug and Alcohol Programs

Rachel Kostelac | Communications Director
Department of Drug and Alcohol Programs
One Penn Center, 5th Floor
2601 N. 3rd St., Harrisburg, PA 17110
Phone: 717.547.3314 | Fax: 717.214.1939
www.ddap.pa.gov

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As you know, the Department of Drug and Alcohol Programs (DDAP) is working hard to implement the new American Society of Addiction Medicine (ASAM) criteria. Below is a brief summary of some of the plans for implementation and DDAP’s efforts to assist providers.

  1. The new deadline for having staff trained has been extended to December 31, 2018.
  2. The department is allowing ASAM trained supervisors to sign off on assessments done by staff that have not yet been trained.
  3. DDAP is encouraging SCAs and BHMCOs to help with training costs and the cost of downtime. End of the year adjustments have been mentioned most often as the method of covering these costs. DDAP is also working to ensure that if any SCAs have leftover funds, they will be directed to other counties that do not have any funds available to help providers.
  4. Providers are being permitted to use the Pennsylvania Client Placement Criteria (PCPC) until staff have received the ASAM training.
  5. The crosswalk document for ASAM/PCPC has been released, along with a new guidance document for the application of ASAM.
  6. Online training will be increasingly available after the initial transition period.
  7. DDAP is holding tight to the in-person training requirement; however, they have agreed to consider a waiver for online on a case-by-case basis. For example, if staff are part time and not able to take the in-person training due to other work commitments, online training will be considered.

From the recent RCPA D&A member survey, it was clear that extending the deadline and getting reimbursed for the costs/downtime were most important to members. RCPA will inform members if things are working as planned or not working. Please keep us posted on what is happening locally. Contact RCPA Drug & Alcohol Division Director Lynn Cooper with any questions.

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Licensing, Certification, and Incident Management Conducted by the Departments of Human Services, Health, Drug and Alcohol Programs, and Aging

The Departments of Human Services, Health, Drug and Alcohol Programs, and Aging regulate a variety of health and human services providers in order to protect the health and safety of Pennsylvanians. Among the regulatory activities, they license or certify providers and conduct incident management, as required by state and federal law. The departments are currently reexamining processes to identify opportunities for coordinating efforts in order to streamline the licensing, certification, and incident management process and increase efficiencies for providers and the commonwealth, while maintaining and enhancing the quality of licensing and certification activities of the providers they regulate. As part of this process, they are seeking input from stakeholders of the Departments of Human Services, Health, Drug and Alcohol Programs, and/or Aging on the following questions. These questions are focused on providers, but feedback is welcome from advocates and other stakeholders. Please send responses via email by Monday, April 30, 2018.

  1. Which of the following commonwealth agencies do you interact with for licensing and certification: the Departments of Human Services, Health, Drug and Alcohol Programs, and/or Aging? Please identify the specific license or certificate types you have.
  2. Which of the following commonwealth agencies do you interact with when you must report an incident that took place at your facility/agency: the Departments of Human Services, Health, Drug and Alcohol Programs, and/or Aging? This could include incidents required to be reported per licensing regulations, or home and community based (waiver) programs.
  3. What works well in interacting with multiple commonwealth agencies on licensing, certification, and incident management activities?
  4. What challenges do you experience in interacting with multiple commonwealth agencies on licensing, certification, and incident management activities? If possible, please identify whether the challenges are caused by statutory or regulatory requirements, policy or operational guidance, or agency processes or technology.
  5. What opportunities do you see for the commonwealth to streamline your experience interacting with multiple commonwealth agencies on licensing, certification, and incident management activities?

This is a major opportunity that can’t be missed. The work being done by the departments is what RCPA and its members have been advocating for over many years. We currently have an administration willing and able to make significant changes. Members are asked to provide as much detail as possible in your responses.

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Earlier this week, the Pennsylvania Senate unanimously confirmed Governor Wolf’s appointments to the Department of Health, Secretary Dr. Rachel Levine; the Department of Human Services, Secretary Teresa Miller; the Department of Drug and Alcohol Programs, Secretary Jennifer Smith; and Insurance Commissioner, Jessica Altman. Governor Wolf said, “It gives me great pride to congratulate these four accomplished, capable women on their confirmations today. They each bring unique experience to their respective positions, but they share the same passion to serve our commonwealth and its residents.”

RCPA has had the pleasure of working with these leaders in their “acting” capacity, and congratulates them on their confirmations. The association looks forward to continuing our positive relationships and working with them to make major improvements in their respective fields.

See the Governor’s official press release.

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RCPA members are working hard to get appropriate staff trained in the American Society of Addiction Medicine (ASAM) screening and assessment tool. The in-person requirement has made it difficult and costly due to scheduling, limited training opportunities, and lost revenue from down time. RCPA has been researching the effectiveness of eLearning and trying to make a case for allowing some staff to do the online training instead of the in-person training; it is important to note that it is not only the Department of Drug and Alcohol Programs (DDAP) that is requiring the in-person training. RCPA’s communications with The Change Company (that owns all rights to the ASAM) made it clear that all staff using ASAM must attend the in-person, two day training. All staff providing assessments and all counselors that will be working with the ASAM criteria must be trained. Some of RCPA’s larger members have over 200 staff that must be trained in person, which makes it a major challenge.

Some Positive Updates Include:

  1. It is clear to all that the July 1, 2018 deadline will be impossible to meet; as a result, DDAP will be reviewing the progress in April and a new deadline will be determined.
  2. DDAP is clearly aware of the barriers to training, such as costs of downtime and the limited training availability at this time. DDAP has emphasized that there will be no negative consequences to providers due to the inability to get staff trained.
  3. There will be a Pennsylvania Client Placement Criteria (PCPC) summary sheet included with the Web Information Technology System (WITS) to help fill the gap until all appropriate staff are trained. However, it is crucial that members continue the difficult process of getting appropriate staff trained as soon as possible.
  4. RCPA has been strongly advocating for financial assistance to members to cover the training costs. After numerous discussions with state officials and behavioral health managed care organizations (BH-MCOs), oversight bodies, and single county authorities (SCAs), it is clear that all are aware of the need for financial assistance. One plan shared by several officials was that some SCAs will be considering providing assistance (including lost revenue from down time) to providers by making year end contract revisions, if funds are available. Several oversight bodies and BH-MCOs have already provided significant support for training and implementation. All members experiencing problems getting staff trained are encouraged to contact their SCAs. If the SCA does not provide assistance, it is recommended that providers contact their BH-MCOs to request assistance.

DDAP is posting periodic FAQs to their website. If you have any questions in the meantime, please contact Lynn Cooper.

The Office of Mental Health and Substance Abuse Services (OMHSAS) has prepared and distributed a plan for regulatory revisions to be made over the next several years. While there are many regulations currently under review, this plan identifies the next round of revisions. In addition, OMHSAS will work with the Department of Drug and Alcohol Programs (DDAP) as indicated while revising the regulations. For more information, please contact OMHSAS directly.

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The Department of Health (DOH), in cooperation with the Department of Drug and Alcohol Programs (DDAP), and the Department of Human Services (DHS), will be convening six regional meetings with stakeholders across the state to address the issue of providing a warm hand-off for opioid overdose survivors. The purpose of these meetings will be to develop the framework for localized plans, ensuring seamless transfer of care from first responders to the emergency department and then to the local treatment providers.

RCPA has been invited to meet with representatives of DOH, DDAP, and DHS to discuss the association’s perspective as the departments move forward with their planning efforts. A number of RCPA members have successfully established warm handoffs with first responders and/or their local emergency rooms; others have tried and encountered obstacles. Please take a few minutes of your time and email Lynn Cooper with any successes, challenges, or other experiences you are able to share. Thank you, as always, for your assistance and input.

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RCPA received a letter from Department of Drug and Alcohol Programs (DDAP) Acting Secretary Jennifer Smith on November 22. The purpose of the letter was to provide an update on the Commonwealth’s transition to the American Society of Addiction Medicine (ASAM) Criteria placement guidelines. DDAP is progressing with this transition and remains on track for full implementation as of July 1, 2018. Since the announcement of this training, DDAP was made aware of recently published ASAM copyright restrictions which make the creation of a Pennsylvania-specific ASAM training cost-prohibitive; therefore, DDAP will not be designing and providing this training. All ASAM Criteria training will be conducted by ASAM’s official training partner, the Change Companies™.

Individuals working in the substance use disorder (SUD) treatment and case management field, whose primary, day-to-day work function involves assessment and level of care placement, and who have not previously had ASAM Criteria 3rd Edition training, must have the two-day, in-person training.

Despite potential price reductions based on regional scheduling as described in the ASAM FAQ, DDAP is asking providers to contact their SCAs, BH-MCOs, and HealthChoices contract administrators immediately, to discuss options related to timeline of training delivery, scheduling, and cost. The letter from Acting Secretary Smith and the FAQs provide further detail.

Ms. Smith will be attending the RCPA Drug and Alcohol Committee meeting on December 5 at 12:30 to discuss this issue, among numerous others, with RCPA members. All members providing substance use disorder treatment are encouraged to attend.

RCPA will be doing further research to ascertain ways that the association may be of assistance to members.

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The Pennsylvania Commission on Crime and Delinquency (PCCD), in collaboration with the Pennsylvania Department of Drug and Alcohol Programs, the Pennsylvania Department of Health, and the Physician General, today announced the availability of up to $5 million, in state FY 2017/2018 funds, to support the provision of Naloxone to first responders for a two-year period. The Intranasal Naloxone kits will be provided directly to each approved applicant in accordance with a state procured contract and through a state procured vendor. This solicitation is in response to the opioid epidemic gripping the Commonwealth of Pennsylvania.

PCCD will provide one Centralized Coordinating Entity (CCE) per county or region with Intranasal Naloxone kits to be utilized by a broad category of first responders within that county or region. It will be up to the county or region to determine the appropriate entity to serve as their CCE. PCCD is aware that many counties already have a process in place to ensure that Naloxone is provided to first responders and we encourage you to work within your current framework to utilize this additional supply of Naloxone.

Please note that all applications must be submitted electronically to RA-PCCD_ExecutiveOfc@pa.gov no later than November 6, 2017.  Questions should also be directed to the RA-PCCD_ExecutiveOfc@pa.gov email account.

Please follow this link to view the guidelines and application form.

(Provided by Jennifer Smith, Acting Secretary of DDAP)