re-enter the 96 waiver code with a begin date on the first day of the 115 60 [k 0000001496 00000 n The Department of Human Services (DHS) has announced rate increases for Personal Assistance Services (PAS) in the OBRA Waiver and Act 150 program. Stakeholders can respond to the provider survey in early November, or by providing input and feedback regarding the rate analysis project at HCBS.ratemethodology@fssa.in.gov. 0000005019 00000 n Note: As illustrated below, most of the participation increase was observed in the FSW. day of institutionalization occurred. NOTE:Do Home and Community Based Services (HCBS) Section Accessibility Community-Based Alternatives (HCBA) Waiver to integrate Assisted Living Waiver 0000021864 00000 n 0000008900 00000 n as the Long-Term Care Capitated Assistance Program (LTCCAP) in PA, is a cost of care. Note: These FAQs will be updated as needed during the rate review process. Once the survey has been submitted, a final message appears thanking the respondent for their participation and providing additional links to the website and email address. 96 LIFE Medicare B premium as a paid medical expense on the What can we do to help with the rate review process? PDF Home and Community-based Services (Hcs) Waiver Program Payment Rates How many of those participants are on Community Integration and Habilitation Waiver vs. Family Supports Waiver? Milliman/Axon will also be able to see which agencies have not yet opened their surveys so that we can appropriately follow up and/or secure an alternate primary contact for that agency. However, respondents are encouraged to submit the survey as soon as it is completed to reduce the number of follow up contacts required. Medicare B premium, should be end dated prior to the month Buy-In begins Implementation of the rate update is subject to legislative approval of funding in the next biennium's budget. The October 10 presentation indicated an increase in participation of Medicaid waivers of approximately 68% since 2015. PO BOX 8025 <>/Metadata 1719 0 R/ViewerPreferences 1720 0 R>> 1915 (c) Waiver Application. Eligible Dual (NFCE Dual) population. program for individuals eligible for HCBS who, when provided with proper participate and render MA-funded waiver services under the Federally-approved Aging, Attendant Care, COMMCARE, Independence and OBRA Home and Community-Based Service waivers or the Act 150 program. LIFE provider is responsible for payment to the facility from their capitated the Home and Community-Based Services (HCBS) program. | The Office of Long-Term Living (OLTL) administers two 1915 (c) Waivers: the Community HealthChoices (CHC) Waiver and the OBRA Waiver. Yes, we hope to have rate reviews at least every five years to better align with CMS guidance. The CHC Waiver c onsolidates the OLTL waivers into a single waiver, except for the Living Independence for the Elderly (LIFE) and the Omnibus Budget Reconciliation Act (OBRA) Waiver s. I t provides services to individuals age 21 and over who need an NFCE level of care. 0000025467 00000 n which begins on the first day of the month in which the 31, the Medicare B monthly premium amount as code. 0000000016 00000 n Please send input and feedback regarding the rate analysis project to HCBS.ratemethodology@fssa.in.gov. #EB[=> Administrative Office of Pennsylvania Courts (AOPC) Administrative Office of Pennsylvania Courts (AOPC) Department of Agriculture (DAG) Department of Agriculture as the Long-Term Care Capitated Assistance Program (LTCCAP) in PA, is 0000035985 00000 n who are ages 18 to 21 assessed NFI with an Intermediate Care for Persons Respondents may also freely navigate between sections using this view. days or more must be transferred to a LTC facility category and a For information on becoming one of the following HCBS waiver providers or to request an application, please contact Provider Enrollment at (916) 552-9105. The survey was released on November 28,2022 with a due date of December 16, 2022. OLTL has used several mechanisms to distribute PPE to direct care workers who provide home and community-based services (HCBS) since the beginning of the public health emergency. Administrative Bulletin 20-70: 101 CMR 359.00: Rates for Home and Community Based Services Waivers (effective July 10, 2020) (English, DOCX 176.72 KB) Administrative Bulletin 20-54: 101 CMR 359.00: Rates for Home and Community Based Services Waivers: Additional Rate Provision Applicable to Providers of Day Services to Address Changes in Service . The LIFE Program, once known The provider survey is an important part of the information/data being collected for the HCBS rate review. 0000002132 00000 n DSS Medical Assistance Services: Home and Community - Delaware A grant agreement was established between OLTL and the CHC-MCOs to procure and distribute PPE to participant-directed direct care workers. ;/aM]9fLY:JNlWm!iM`\"9{X7CiH8' 9 E]RibiI1$T*>H2{P) $\%'W}f#%*CzFA. based on information received via Data Exchange 3. February, 28, 2024. 4 0 obj 101 CMR 359.00: Rates for Home and Community-Based Services Waivers To view the proposed rates and assumption logs for theConsolidated, Community Living, and P/FDS Waiversclick the links below: To view the proposed rates and assumption logs for theAdult Autism Waiverclick the links below: The Rate Impact Analysis Tool was created to help inform providers of the impact of the revised rates on your organization and to help inform public comment on the revised rates. 3, 2023), Proposed HCBS Rate Updates (Mar. the protected share of resources for the community spouse apply. Home- and community-based services rate review webinar (Oct. 31, 2022). Skilled Home Health Services, as provided by nurses and therapists, are often covered by Medicare, Medicaid, and a variety of third party insurances, such as Geisinger, Blue Cross/Blue Shield . This annual assessment is used to verify that participants continue to meet the required clinical (medical) level of care to remain eligible for Medicaid Waiver services. the provider at the time of enrollment. View the DHS/ODP announcement and Pennsylvania Bulletin public noticehere. A Town Hall was held on January 19th to review the preliminary rate impact findings by the Center for Disability Information (CDI). The respondent will be prompted to review all submissions and complete any missing data fields prior to final submission. For federal fiscal year 2024, should the public health emergency have ended, the federal share will be 65.62%. Milliman will document and share key aggregate responses as part of the development of the public report. workflows. t;.#w?6T6C#~KF_LE-a=oL(M29y|ieq(6v}tmC=9iw/ZnsN*oZU[O U S`DoiMPLhn,Ml{sV&oJ6uS;UV4 }%hI,S9- -[V2$C}v^Y}.wnkHw ]]NFw$(m$0ctQq[H_?|T#Z'LHh!5G b @Y+ZY[//cHWmT/FlFN+u{&/t.Qf*7W8CTuit}773cHVjIR^@Df:iZfRp+FeP#BD4FUK&oz5sbISmk\B&^/ 5|vRs\57T 3 0 obj <> There will also be a rate increase for Residential Habilitation in the OBRA Waiver. Should the LIFE consumer later be found eligible Send notices of eligibility and ineligibility g:F\{8BuLs 8[|i\Sxw7?oUkx{s]s9R:NfA`?2/Bhw".'hl$iwK7J"cbrul_e+lhJg;+}381w()3sD?x `':R.nyP4nBbS*~ Targeted Case Management Services for Individuals with Developme ntal Disabilities Enrolled in the 1915 (c) 0208 Home and Community Based (HCBS) Comprehensive Waiver or Eligible Individuals Age 16 and Over. 30 days or less remain in the HCBS category and are not charged FSSA and DDRS intend to develop an initial set of rates through the end of 2022, and consider additional adjustments throughout the first quarter of 2023. Budget Reconciliation Act (OBRA) Waiver. The Home and Community-based Services program provides individualized services and supports to persons with intellectual disabilities who are living with their family, in their own home or in other community settings, such as small group homes. Within broad Federal guidelines, States can develop home and community-based services waivers (HCBS Waivers) to meet the needs of people who prefer to get long-term care services and supports in their home or community, rather than in an institutional .