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Tags Posts tagged with "Office of Long-Term Living"

Office of Long-Term Living

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(From OLTL)

TO: Office of Long-Term Living (OLTL) Cognitive Rehabilitation Therapy Providers
RE: Procedure Code for Cognitive Rehabilitation Therapy Services – Processing Issue

This notice is to advise Cognitive Rehabilitation Therapy Providers that after removing service procedure 97532 SE and replacing it with the new procedure code 97127 for Cognitive Rehabilitation, a processing issue occurred causing many claims to deny.

OLTL is aware of this issue and is working on a system fix.  OLTL will send a follow up communication in the very near future advising providers of the fix and when it is appropriate to rebill.  In the meantime, OLTL asks that providers refrain from billing for Cognitive Rehabilitation in the Independence and OBRA waivers.

If you have any questions regarding the procedure code change, please contact the OLTL Provider Inquiry Unit at RA-ProviderOperation@pa.gov or 1-800-932-0939.

A listserv has been established for ongoing updates on the CHC program. It is titled OLTL-COMMUNITY-HEALTHCHOICES, please visit the ListServ Archives page at http://listserv.dpw.state.pa.us to update or register your email address.

Please share this email with other members of your organization as appropriate. Also, it is imperative that you notify the Office of Long-Term Living for changes that would affect your provider file, such as addresses and telephone numbers. Mail to/pay to addresses, email addresses, and phone numbers may be updated electronically through ePEAP, which can be accessed through the PROMISe™ provider portal. For any other provider file changes please notify the Bureau of Quality and Provider Management Enrollment and Certification Section at 1-800-932-0939 Option #1.

To ensure you receive email communications distributed from the Office of Long-Term Living, please visit the ListServ Archives page at http://listserv.dpw.state.pa.us to update or register your email address.

NOTICE: This confidential message/attachment contains information intended for a specific individual(s) and purpose. Any inappropriate use, distribution or copying is strictly prohibited. If received in error, notify the sender and immediately delete the message.

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The Office of Long-Term Living (OLTL) is pleased to announce that Public Partnerships, LLC, has been selected as the new statewide Vendor Fiscal/Employer Agent (VF/EA) for Financial Management Services (FMS) for OLTL-administered programs. The VF/EA performs fiscal-related functions for the successful operation of participant direction for multiple home and community-based waivers managed by OLTL. FMS reduce the employer-related burden for participants while making sure Medicaid and Commonwealth funds used to pay for services and supports are managed and disbursed appropriately as authorized. The new contract will begin on October 1, 2018.

If you have any questions regarding this email, please contact the OLTL provider helpline at 1-800-932-0939.

A listserv has been established for ongoing updates on the CHC program. It is titled OLTL-COMMUNITY-HEALTHCHOICES, please visit the ListServ Archives page at http://listserv.dpw.state.pa.us to update or register your email address.

Please share this email with other members of your organization as appropriate. Also, it is imperative that you notify the Office of Long-Term Living for changes that would affect your provider file, such as addresses and telephone numbers. Mail to/pay to addresses, email addresses, and phone numbers may be updated electronically through ePEAP, which can be accessed through the PROMISe™ provider portal. For any other provider file changes please notify the Bureau of Quality and Provider Management Enrollment and Certification Section at 1-800-932-0939 Option #1.

To ensure you receive email communications distributed from the Office of Long-Term Living, please visit the ListServ Archives page at http://listserv.dpw.state.pa.us to update or register your email address.

NOTICE: This confidential message/attachment contains information intended for a specific individual(s) and purpose. Any inappropriate use, distribution or copying is strictly prohibited. If received in error, notify the sender and immediately delete the message.

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The Office of Long-Term Living (OLTL) recently issued a notice to share that Community HealthChoices (CHC) pre-transition notices were being sent this week to individuals eligible for CHC in Bucks, Chester, Delaware, Montgomery, and Philadelphia counties. If members receive questions from eligible enrollees, they should encourage them to visit the HealthChoices website for more details or to enroll in information sessions. Please note that information sessions are intended for potential enrollees, and providers may attend only if they are not taking a spot from a potential enrollee. A copy of the notices and all CHC participant communications are available online.

OLTL also issued a CHC Complaints and Grievances Fact Sheet. CHC offers protections for participants who disagree with a CHC managed care organization (CHC-MCO) decision to deny or decrease a service or approve a service or item that differs from what was requested. Participants also have protections if they are dissatisfied with their CHC-MCO.

Contact Melissa Dehoff, RCPA Director of Rehabilitation Services, with questions.

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The Office of Long-Term Living (OLTL) released the following notice to Service Coordination Entities (SCEs) regarding a procedure code change for Cognitive Rehabilitation Therapy (CRT) Services.

This notice is to advise all SCEs that due to 2018 Healthcare Common Procedure Coding System (HCPCS) updates, the procedure code for Cognitive Rehabilitation in the Independence and OBRA Waivers will change effective 7/1/18. The service procedure code 97532 SE will be end-dated as of 6/30/2018. The new service procedure code for Cognitive Rehabilitation is 97127 and will be effective 7/1/18. The service definition and units of service remain the same. OLTL requires the attention and assistance of SCEs in order to update the service procedure code for HCSIS Fiscal Year (FY) 2018-2019 service plans.

OLTL is systemically removing the service procedure code of 97532 SE from any impacted HCSIS FY 2018-2019 service plans in order to end-date service contracts and offerings as of 6/30/18 for providers enrolled to render the service. A system update must be completed prior to making the new service procedure code of 97127 available for selection onto service plans.  A data fix is scheduled to occur in HCSIS on 6/21/18 to remove the remaining impacted 97532 SE service lines from FY 2018-2019 service plans. Please do not add the service 97532 SE to any additional FY 2018-2019 service plans as this will impact the success of the data fix. The new service procedure code of 97127 will be added to HCSIS and available for selection onto service plans as of 6/25/18. Service Coordinators (SCs) will be required to add the new service code for impacted FY 2018-2019 service plans.

Once the service is available for selection onto FY 2018-2019 service plans, SCs will then submit a Critical Revision to OLTL for review and approval for the addition of the new service procedure code 97127. OLTL’s Service Plan Review Team within the Bureau of Participant Operations will be communicating with SCEs that are directly impacted by this service procedure code change. A separate email communication will be sent to impacted SCEs to provide additional detail and guidance.

If you have any questions regarding the necessary service plan updates, please contact the Bureau of Participant Operations or Stacey Griffiths with the Bureau of Participant Operations at: 717-724-6547.

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The Office of Long-Term Living (OLTL) recently announced that they will be offering an “Opioid 101” webinar on Wednesday, May 30, 2018 at 1:00 pm.

This webinar will discuss the basics of opioid medications; what they are, how they work, and how substance use disorder is identified and treated. Additionally, the discussion will include current safe prescribing guidelines and alternative methods for managing chronic pain, information on how to recognize and respond to an overdose, how naloxone works, and how individuals can obtain it.

The webinar presenters include: Jordan Lewis, PhD, Public Policy Research Analyst, William Penn Fellow, Pennsylvania Department of Drug and Alcohol Programs; Mr. Tim Rader, Chief, Training Section, Pennsylvania Department of Drug and Alcohol Programs; Ms. Sarah Boateng, Executive Deputy Secretary, Pennsylvania Department of Health; Mr. Jeff Geibel, Chief, Treatment Division, Pennsylvania Department of Drug and Alcohol Programs.

To participate in this webinar, individuals are required to register using this link. A confirmation email will be sent that includes additional information about the webinar.

Questions regarding this webinar should be directed to Edward Butler via email or phone at 717-214-3718.

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The Office of Long Term Living (OLTL) is inviting all interested parties to participate in a webinar that provides information on Certified Employment Support Professional (CESP) certification/credentialing. The growth in the number of individuals seeking CESP certification demonstrates the increased demand for training and consultation to educate and certify employment support professionals. These webinars will cover the basics of the CESP, including the upcoming changes to the test delivery to be given in a computer-based format. While information will be presented on the OLTL requirements on certification/credentialing, and the impact the requirements have on the certification of organizations and staff, these webinars should provide helpful information to ODP Stakeholders as well. The webinar will provide information about this certification, the process of becoming certified, the requirements, and the opportunities that exist for organizations to rise to this challenge.

The webinars will be presented by Ms. Kari Tietjen, CESP Director, National Association of People Supporting Employment. The OLTL requirements will be presented by Mr. Edward M. Butler, Employment Specialist, OLTL.

Please register here for the CESP Webinar on Monday, July 9, 2018, 1:00 PM EDT

Please register here for the CESP Webinar on Tuesday, July 10, 2018, 9:00 AM EDT

After registering, you will receive a confirmation email containing information about joining the webinar. If you have questions regarding this email, please contact Edward M. Butler, OLTL, via email or call 717-214-3718. ODP Stakeholders with questions, please contact the Employment Leads in your region.

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Due to the Southeast Community HealthChoices (CHC) provider meetings being held in Philadelphia on June 4 – June 8, 2018, the Managed Long-Term Services and Supports (MLTSS) Subcommittee meeting scheduled for June 6, 2018 has been rescheduled for Wednesday, May 30, 2018. The May 30 MLTSS Subcommittee meeting will be held at the Pennsylvania Department of Education, Honor’s Suite, 1st Floor, 333 Market Street Tower, Harrisburg, PA 17126 from 10:00 am to 1:00 pm.

If you have any questions, please contact the Office of Long-Term Living via email or call 717-857-3280.

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On January 24, the Office of Long-Term Living (OLTL) sent an email to Community HealthChoices (CHC) providers stating “All OLTL Direct Service Providers will now submit critical incidents into EIM for participants enrolled in CHC.” Pennsylvania Health and Wellness is offering two webinars on March 28 to train providers on using the system.

The webinar will cover:

  • Critical Incident Reporting Requirements
  • Definition of Critical Incidents
  • How to obtain access to EIM
  • EIM System Training

10:00 am – 11:30 am session – Click here to register
1:00 pm – 2:30 pm session – Click here to register

If an agency has previously attended this training provided by UPMC or AmeriHealth Caritas, it is not necessary to attend this session.

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The Office of Long-Term Living (OLTL) will conduct the next Community HealthChoices (CHC) Third Thursday webinar on Thursday, February 15, 2018, 1:30 pm – 3:00 pm. Providing updates during the webinar will be OLTL’s Acting Deputy Secretary, Kevin Hancock, and representatives from the three managed care organizations (MCOs): Pennsylvania Health and Wellness, AmeriHealth Caritas, and UPMC For You. Tentative agenda topics include CHC updates and launch indicators and transportation.

To register for the webinar, please use this link. After registering, you will receive a confirmation email containing information about joining the webinar. If you require captioning services, please use this link and use the login information: Username: OLL / Password: OLL.

All CHC related information can be found online here. Comments can be submitted electronically via email. If you have any questions, please contact the OLTL Bureau of Policy and Regulatory Management at 717-857-3280.

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