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

PA Office of Long-Term Living

The Centers for Medicare and Medicaid Services (CMS) has approved the Office of Long-Term Living’s (OLTL) Community HealthChoices (CHC) Waiver renewal. The renewal became effective on January 1, 2020.

Key changes in the approved waiver include:

  • Revised the Residential Habilitation service definition by modifying the number of hours that are defined as a day unit from a minimum of 12 hours to a minimum of 8 hours.
  • To the service definitions of Job Finding, Job Coaching, Employment Skills Development, Career Assessment and Benefits Counseling, added language that Office of Vocational Rehabilitation (OVR) services are considered to not be available if OVR has not made an eligibility determination within 120 days; and added language to address when employment services through the CHC waiver can be provided should OVR close the order of selection, thereby creating a waiting list for OVR services.
  • Modified the qualifications for Service Coordinators and Service Coordinator supervisors.
  • Clarified that if a CHC Managed Care Organization (MCO) identifies that a participant has not been receiving services for 5 or more days, and if the suspension of services was not pre-planned, then the CHC-MCO must communicate with the participant to determine the reason for the service suspension within 24 hours. If the participant’s health status or needs have changed, the CHC-MCO must conduct a comprehensive needs reassessment of the participant’s needs within fourteen (14) days of identifying the issue.
  • Added that an emergency back-up plan must be included in the Person-Centered Service Plan.
  • Modified language to reflect that the CHC waiver will be fully operational statewide as of January 1, 2020.
  • Updated language to reflect that the Department utilizes IDEMIA as the data system to process fingerprint-based Federal Bureau of Investigation (FBI) criminal record checks.
  • Updated the OLTL bureau names and responsibilities.

Questions surrounding the CHC Waiver Renewal should be directed to the OLTL Bureau of Policy Development and Communications Management at 717-857-3280.

The Office of Long-Term Living (OLTL) announced three InterRAI train-the-trainer sessions for service coordination entities (SCEs). The trainings, which are limited to two individuals per SCE, will be jointly presented by the three Community HealthChoices Managed Care Organizations (CHC MCOs): AmeriHealth Caritas, PA Health & Wellness, and UPMC CHC.

The training sessions are two full-day sessions that begin promptly at 9:00 am. Attendees are encouraged to arrive by 8:30 am to register. The training is free and lunch will be provided. Dates and locations of the trainings are:

  • December 4–5: Wilkes Barre, PA
  • December 9–10: Camp Hill, PA
  • December 12–13: Franklin, PA

Registration is required to attend. Each session has limited spots available, so register as soon as possible. At the conclusion of this InterRAI training, participants will be able to recognize and complete each section of the InterRAI HC Assessment Tool, in accordance with the standards set forth in the CHC Agreement. Contact Melissa Dehoff with questions.

The Office of Long-Term Living (OLTL) will conduct the next Community HealthChoices (CHC) Third Thursday webinar on September 19, 2019 at 1:30 pm. During this webinar, OLTL’s Deputy Secretary, Kevin Hancock, will provide updates on the CHC program. Registration is required to participate in the webinar. Once registered, you will receive a confirmation email containing information about joining the webinar.

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

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On July 20, 2019, the Office of Long-Term Living (OLTL) will begin implementing changes to the Enterprise Incident Management (EIM) system. The changes include adding additional screens and information surrounding deaths and greater detail in the review of incidents. An overview of all of the changes and additions, which includes screenshots and explanations of each change, is available here.

Questions regarding these changes should be directed to the OLTL EIM resource account.

The Department of Human Services (DHS) has released a Request for Information (RFI) to gather input from vendors and other stakeholders on the specific measures it may undertake to improve the quality, consistency and effectiveness of the Office of Long-Term Living’s (OLTL’s) Independent Enrollment Broker’s (IEB’s) services.

This RFI will gather input and information concerning the application and enrollment services and support services for the beneficiaries of two Medical Assistance (MA) managed care programs, one 1915(c) MA home and community-based services (HCBS) waiver program and a state-funded program, all administered by the DHS OLTL. Through these programs, eligible beneficiaries receive long-term services and supports (LTSS) and other benefits, depending on the particular program.

Specifically, DHS issued this RFI to solicit input on its potential strategies and solutions to improve the LTSS application and enrollment services and beneficiary support services provided by the OLTL’s IEB to individuals who apply for and enroll in the Community HealthChoices (CHC) Program, the Pennsylvania Living Independence for the Elderly Program (LIFE), the OBRA Waiver and the state-funded Act 150 Attendant Care Program.

DHS is requesting that all responses to the RFI be submitted by 12:00 p.m. on July 29, 2019. Responses must be submitted electronically to the following email account with “OLTL Application and Enrollment Services RFI” in the email subject line: RA-PWRFICOMMENTS@PA.GOV.

DHS does not intend to respond to questions or clarifications during the RFI response period; however, respondents may submit questions related to the RFI electronically to: RA-PWRFICOMMENTS@PA.GOV using “OLTL Application and Enrollment Services RFI question” in the email subject line. DHS may or may not respond based on the nature of the question.

If you have any questions regarding this email please contact Michael Hale, Bureau Director, Fee for Service Programs at mhale@pa.gov.

RCPA will be scheduling teleconference calls in the coming weeks to review this RFI and obtain feedback from members.

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On June 30, 2019, the continuity of care period for long-term services and supports (LTSS) for Phase II (southeast region) ended. As a result, Community HealthChoices (CHC) is now live in this region of the state. Providers should be aware of questions this may generate from CHC participants, such as a change to their service coordinator or a change they may experience with the services they receive (amount, duration, or frequency).

A CHC Managed Care Organization (MCO) must notify the Office of Long-Term Living (OLTL) in writing of its intent to terminate contracts with a provider, and services that a provider offers, 90 days before the termination’s effective date. Procedures to address the termination’s impact on participants should be in place and participants must be notified in writing 45 days before the effective date.

OLTL will continue to monitor notification requirements, service plan changes, service denial notices, complaints, and grievances despite the continuity of care period ending. CHC-MCOs will be held accountable for meeting notification requirements to ensure participants are properly informed and continue to receive necessary services without unexpected disruption.

Participants with questions or concerns about changes to services or service delivery should contact their CHC-MCO. If questions remain after talking with their CHC-MCO, participants can contact OLTL at 800-757-5042.

There are resources available to answer questions, etc. including a fact sheet, a question and answer document, and online training.

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The Office of Long-Term Living (OLTL) will conduct their next Community HealthChoices (CHC) Third Thursday webinar on Thursday, June 20, 2019 at 1:30 pm. During the webinar, OLTL Chief of Staff, Jill Vovakes, will provide updates on the CHC program.

  • Register here for the webinar. 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

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

The Office of Long-Term Living (OLTL) will be presenting webinars to provide service coordinators (SC) with information about how the implementation of Community HealthChoices (CHC) will impact Attendant Care and Independence Waiver participants who are under 21 years of age. All Phase 3 (Lehigh/Capital, Northwest and Northeast counties) SCs serving participants who are under 21 years of age should plan to attend this webinar.

The implementation of CHC will change the way Attendant Care and Independence Waiver participants who are under 21 years of age receive their Medicaid waiver services.  All Attendant Care and Independence Waiver participants who live in Phase 3 and are not yet eligible for CHC because they are under 21 years of age will transition to the OBRA Waiver until they become eligible for CHC.

Please register for one of the following dates:

Tuesday, May 14, 2019 at 10:00 AM
https://attendee.gotowebinar.com/register/5155787442074717965

Wednesday, May 15, 2019 at 2:00PM
https://attendee.gotowebinar.com/register/2207563560426035725

After registering, you will receive a confirmation email containing information about joining the webinar.

If you have any questions regarding this communication, please contact the OLTL Participant Helpline Monday through Friday at 800-757-5042 from 9 am – 12 pm and 1 pm – 4 pm or email RA-PWCHCWaiverProTra@pa.gov.