Community Health Choices Manual for Administrative Entities

2021 Changes to Targeted Supports Management (TSM) – Supporting Individuals with Medical Complexities

December 2021 Webinars for Supports Coordinators and Administrative Entities

Supports Coordination Organizations – Changes to TSM, Supporting Individuals with Medical Complexities – Webinar

Powerpoint Slides – Changes to TSM, CMC for SCs – PDF

RISE PA (Resource Information and Services Enterprise) Information

RISE-PA is a resource and referral tool that will assist individuals and families to identify needs related to the range of Social Determinants of Health categories (food insecurity, healthcare-medical access and affordability, housing, transportation, childcare, employment, utilities clothing, and financial strain), provide basic information that will assist community-based providers in determining eligibility, provide information to assist in matching services to what users are looking for, and allow providers to see other community-based services that users are registered to receive. This tool is intended to supplement in-person interactions between social service organizations and clients and will assist to ease access to services and supports beyond normal business hours. The platform is designed to support fundamental goals relative to ODP’s Everyday Lives Recommendation #8, Simplify the System as it looks to improve individual and family access to information and community services. Core information collected through RISE-PA will also be used to provide some information that will be used in the LifeCourse process and shared with the ODP Case Management System that will be developed. RISE-PA will support the common objective across all of our work to share information across systems.

RISE-PA will also assist in addressing some of the options identified in the DHS Simplify the System Project final report, i.e., providing individuals and families with support to navigate service systems and find community supports, investing in technologies such as mobile apps, and increase individual/family and provider communications.

More information available at https://www.dhs.pa.gov/RISE-PA

RISE PA – May 3rd, 2021 Webinar

RISE PA – May 3rd, 2021 Recording – Webinar

RISE PA – May 3rd, 2021 PowerPoint

Community Health Choices (CHC) Manual Course

CHC Course Resources

CHC Manual – PDF

Overview of ODP Guidance Manual on Community HealthChoices for Administrative Entities Webinar (Link to Course)

Draft Bulletin: Claim and Service Documentation Requirements for Providers of Consolidated and Person/Family Directed Support Waiver Services and Targeted Services Management (TSM)

Interested persons are invited to submit written comments regarding the bulletin and attachment. Comments should be addressed to Denise Adams-Moore, Department of Human Services, Office of Developmental Programs, 625 Forster Street, Room 501, Harrisburg, PA 17120. Comments may also be submitted to the Department at RA-odpcomment@pa.gov. Comments do not need to be sent through both the U.S. Postal Service and as an email.

Draft Bulletin

Claims Documentation Class 1 Bulletin – Word Document

Attachments

Technical Guidelines – Word Document

4/5/17 Webinar Recording

In this webinar, ODP will review the draft bulletin and technical guide intended to provide guidance about the Department’s regulations and procedures for claim and service documentation requirements for providers of waivers services and Targeted Services Management (TSM). This session is will provide information to stakeholders to assist in providing comment to the Department.

Recording – Review of Draft Claim and Service Documentation Requirements for Providers of Consolidated and P/FDS Waiver Services and TSM – Webinar

Claims and Documentation Webinar Handout – Powerpoint

Residential Habilitation Crosswalk Model Template for Providers

To assist providers of Residential Habilitation services ODP has developed a tool for modeling the budget impact of the transition from cost-based to fee schedule rates on January 1, 2018. While there is no requirement to submit this to ODP at this time, we hope it will be a useful tool to help inform your business processes and practices going forward. Additionally, it is likely that any residential rate exception requests for individuals in Needs Group 4 will include a requirement to submit some of this data. We would recommend that providers begin to populate, analyze and maintain the data in this model during the transition period from July 1, 2017 to December 31, 2017. Any questions or suggestions for the model can be addressed to the rate setting resource account ra-ratesetting@pa.gov.

Residential Habilitation Crosswalk Model Template – Excel Document

ODPANN 062-17 : Residential Habilitation Crosswalk Model Template – PDF