52.4. LIFE recipients who enter a facility for 31 How long will the survey take to complete? 2/28/2023 3:17 PM. Primary contacts can be reassigned, as needed, throughout the survey window. Assist with other PDA and OLTL projects as an assessor or monitor of services, as necessary. This section gives a brief overview of the Home and Community Based (HCB) Waivers authorized by Home and Community Services (HCS) or Developmental Disabilities Administration (DDA). Copyright 2023 State of Indiana - All rights reserved. If the LIFE recipient is in an LTC facility 30 days Yes, the scope of this rate review is for FSW and CIHW. Respondents may also freely navigate between sections using this view. of the Federal Benefit Rate may be reviewed for eligibility in an Individual survey responses will be aggregated to protect confidential business information. Purpose. not designate the Medicare B monthly premium as code 12 Medicare Note: These FAQs will be updated as needed during the survey administration period. The transition Each of the five waivers provides an array of services tailored to the specific populations they serve. Will we still have the Algo scores to tie funding by person? 0000056263 00000 n This waiver is also referred to as the PA Council of Aging Waiver, the PDA Waiver, the Office of Long Term Living (OLTL) Waiver, and the Home and Community-Based Waiver for Individuals Aged 60 and Over. 0000001496 00000 n 2 0 obj OLTL previously managed four other waivers: the CommCare Waiver which closed on December 31, 2017, and the Aging Waiver, the Attendant Care . Consolidated, Community Living, and P/FDS, Pennsylvania Advocacy and Resources for Autism and Intellectual Disability4 Lemoyne Drive, Suite 203, Lemoyne, PA 17043Phone: 717-236-2374 | Fax: 717-236-5625[emailprotected], ODP-Administered HCBS Waiver Rate Revisions January 2022, CDI Preliminary Rate Impact Findings Town Hall: January 19, Pennsylvania Advocacy and Resources for Autism and Intellectual Disability, Proposed Fee Schedule Rates and Department-Established Fees for Community-Based Services, Proposed Fee Schedule Rates for Agency With Choice Financial Management Services, Participant-Directed Services Assumptions Log, Proposed Fee Schedule Rates and Department-Established Fees for the Adult Autism Waiver, Moving from Friend to Sweetheart in the Age of Technology, Communication Grass Roots Committee Meeting. Reconciliation Act (OBRA) Waiver. hb``0g``c```T\ `f|ZoXv2x3(FZv~=MtY0kaOD".vynAt,3Lv@Yq38S 9&n+ pry'_l3#&%^5X\mc;l/T3>pcf,fqt]MM';ll4vMS Payment Rate Information On 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. Email inquiries can be sent to: ProFacWAIVER@dhcs.ca.gov. Home and Community Services. Division of Developmental Disabilities Targeted Case Management, Home and Community Based waivers . | The Home and Community Based Services (program-specific) Cost-Finding Methodology is located at Title 1 of the Texas Administrative Code, Part 15, Chapter 355, SubChapter F, Rules 722-725. model provider network through a rate study with based on actuarial methodologies. 4 0 obj August 30, 2021, Replacing October 14, 2020, Data The Centers for Medicare & Medicaid Services (CMS) provides web-based training presentations and other materials on a variety of Home & Community Based Services (HCBS) topics to ensure that CMS, state agencies and other stakeholders have a clear understanding of HCBS Programs. 0000005069 00000 n Hn7 Zg( kjg10}@h}O'XE6H#,T)lE9lbWY1-^feUm9# yDz)p/ 51NcdOHe{bgA,}7|M)ROjx$Tx4y$;F w'A 5i3&y'ZSz ?OqVIb(F.o@]h[8FZ zy>mF %;W{w GSFL`G$^h{4- xref LIFE Program is like other waiver programs in the following ways: LIFE Stakeholder input is key to understanding service delivery and related costs, challenges, and opportunities. The federal government reimburses states for some of the cost of the CMS programs, such as FSW and CIHW. disabilities (ID/DD), who receive services through the DHS Office of Developmental the IEB. 30 days or less remain in the HCBS category and are. % LIFE spend-down. deducted from the LIFE consumers monthly income. the HCBS category must be closed the waiver code must remain on the However, respondents are encouraged to submit the survey as soon as it is completed to reduce the number of follow up contacts required. To OLTL Home and Community Based Waiver Services Rates. bf/F6A\{:]cV/fy)qi-+Zcf6lxs&}qAT%fM^ J)u4Wo4.5*X9s;9 The Pennsylvania Office of Long Term Living (OLTL) program assists elderly people and adults with disabilities through the Attendant Care Act 150 program and these two Medicaid waivers: Community HealthChoices Waiver; OBRA Waiver; Participants can. | These are not part of the typical administrative expenses incurred by providers. Act as a resource for exchange of information through verbal and written communication with NF to enhance NF' s awareness of applicable Federal and . Community-Based Alternatives (HCBA) Waiver to integrate Assisted Living Waiver }{w|Gv4{HvGvtN4d}^O|;{;~:T4lykm]{{P?v{2PQ$2cIr*BBQ}wt sMSq{B+7 Independence for the Elderly (LIFE) Program. and Community Based Services (HCBS). Chapters. to safely live in the community with services made available through Once the survey has been submitted, a final message appears thanking the respondent for their participation and providing additional links to the website and email address. In addition to encouraging stakeholder participation in future meetings, FSSA requests that stakeholders submit comments via email: HCBS.Ratemethodology@fssa.IN.gov. | As the COVID-19 response evolves, this guidance is subject to change based on lessons learned or due to a resurgence or its HCBS Waiver programs. On g`` 2,E A Town Hall was held on January 19th to review the preliminary rate impact findings by the Center for Disability Information (CDI). We intend to reflect all three of these expenses in the rate build-up, but in different ways. Calculating the cost of care contribution 0 | ':V.lCL!9$Xg=~w|Mb_gfv? How does the rate review affect Direct Service Professional passthrough audits? Will survey responses be shared with participants? In addition, we will incorporate an estimate of future wage inflation from the current time to the anticipated time of implementation. 0000003969 00000 n 0000000016 00000 n The NC Innovations Waiver is a Federally approved 1915 C Medicaid Home and Community-Based Services Waiver (HCBS Waiver) designed to meet the needs of Individuals with Intellectual or Development Disabilities (I/DD) who prefer to get long-term care services and supports in their home or community, rather than in an institutional setting. Residents of state-operated LIFE waiver code 96 must remain on the case as long as the individual The Developmental Disabilities Administration (DDA) offers five Home and Community Based Services (HCBS) Waivers: Basic Plus Children's Intensive In-home Behavioral Supports (CIIBS) Community Protection Core Individual and Family Services (IFS). Milliman understands that the information in this document will be shared with providers of DDRS services for the purpose of supporting the submission of survey data. 0000038087 00000 n 0000022177 00000 n 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. %PDF-1.5 Data requested will be in aggregate, and specific to the services each agency provides. 2 OLTL is including all the costs in the rate setting. 489.32 Community HealthChoices (CHC) Waiver. ?!6bL/) 8~WOX%uLc WfPm`d4`Ioeeo'Cx!g9mkcF[F G;R 9ID":@ The purpose of this survey is to gather input to help build an understanding of provider costs and inform payment rate assumptions. Yes, we hope to have rate reviews at least every five years to better align with CMS guidance. Direct service and services to meet regulatory requirements and/or contract conditions provided in home and community settings to assist individuals in acquiring, retaining, and improving self . from the HCBS budget to the LTC budget must be processed in two separate Services offered include all regularly covered Medicaid services (hospital, physician, lab, prescriptions) plus the following special . Incorporation by reference. Any input and feedback regarding the rate analysis project can be provided to DDRS at HCBS.ratemethodology@fssa.in.gov. The program's objective is not just to reduce nursing home admissions, but also to help seniors to function independently in their homes. 468.231 for more information on DHCS is issuing HCBA Policy Letter #21-001 to notify HCBA Waiver Agencies about the update to California's vaccine administration prioritization, effective March 15, 2021, and to provide Waiver Agencies with instructions for the HCBA Waiver Agency participant notification plan, in advance of the March 15, 2021, effective date. Although involved parties. February, 28, 2024. Most service areas are identified by county, and include all of the zip codes within the county. Espaol system creates an alert (011) to notify the caseworker to rerun eligibility Information for Providers &Partners, HCBA Waiver Agency TAR Submission Contacts, 1915(c) Home and Community-Based Services Waivers, List of Congregate Living Health Facilities, HCBA PL #22-001 Waiver Personal Care Services (WPCS) Workweek Overtime Exemption Request, Provider Waiver Personal Care Services (WPCS) Frequently Asked Questions, Access Health Care Language Assistance Services (SB 223), Refer to the table above to see which Waiver Agency serves your county/zip code. as the Long-Term Care Capitated Assistance Program (LTCCAP) in PA, is As part of the project, the State will review and align rates for all services that have a fixed fee schedule amount. 0000033623 00000 n waivers into a single waiver, except for 3 0 obj black crop tank top MEDICAID APPROVED This may take several weeks to process and complete. as the Long-Term Care Capitated Assistance Program (LTCCAP) in PA, is 0000031794 00000 n hTk@W}+wi($MZA-1utS'adtIA8`Q$!E2k~6~W/lvxy2F=_,OJXhR>oi E8;j3 | Accessibility Certification. Please email HCBSMeasures@lewin.com or HCBS-CAHPS@cms.hhs.gov with questions, a technical assistance request, or to participate in the HCBS CAHPS Early Adoption Work Group. 0000020848 00000 n After the initial general questions are completed, you will be able to navigate to the various sections within the survey via the Section Navigation page. %PDF-1.5 % The Home and Community Based (HCB) waiver is part of Kentucky's 1915 (c) HCBS Medicaid waiver program. The password was delivered in a separate email. A link to the survey will be sent via email to each provider agency (only one response per agency). The provider survey is an important part of the information/data being collected for the HCBS rate review. OLTL Home and Community Based Waiver Services Rates Rates Effective July 01, 2018 *****Financial Management Services rate information can be found on OLTL's website **Thera & Couns Svcs (Counseling) procedure code change from H0004 to W0093 eff June 1, 2012 ****In facility respite will be reimbursed at the nursing facility's case-mix per diem . (PACE). Residential rates will not be reviewed as part of this project. Individuals with intellectual/developmental Home- and community-based services rate review webinar (Oct. 31, 2022). ), and arranges for other available long-term services and supports available in the local community. Home and Community-Based Services Nursing . 2064 0 obj <> endobj View the DHS/ODP announcement and Pennsylvania Bulletin public notice here. 0000002799 00000 n February, 28, 2024. Will DDRS base rates off current wages rather than lower historical wages? for the Elderly (LIFE) program. <> 4 0 obj 0000005019 00000 n 0000012616 00000 n If the agency would like to change the primary contact, please contact HCBS.Ratemethodology@fssa.IN.gov. The Bureau of Labor and Statistics publishes monthly data on wage increases by industry, with data available as recent as three months ago. Milliman will send the survey to the primary contact on file. A grant agreement was established between OLTL and the CHC-MCOs to procure and distribute PPE to participant-directed direct care workers. Entry of Living Independence for the Elderly (LIFE) Program Dates in eCIS Report Minor Home Modifications under $500 10% of cost $500 to $999.99 $80.04 HOME AND COMMUNITY-BASED SERVICES (HCS) WAIVER PROGRAM PAYMENT RATES EFFECTIVE MARCH 1, 2022 Texas Fee-for-Service HCS Rates - Page . 0 0000021978 00000 n Are rates for the Division of Aging being reviewed as well? Information on resources in your community and volunteer recruitment and training, and services provided at local DHS offices. #EB[=> 0000020952 00000 n | Careers Fair consideration use of the 96 medical expense code will ensure that the premium is correctly available at the, Santa Barbara County, and sections of Los Angeles and Orange Counties, Butte, Glenn, Sacramento, San Joaquin, Shasta, Solano, Sutter, Tehama, Yolo, Yuba, Colusa, Del Norte, El Dorado, Humboldt, Lake, Lassen, Modoc, Nevada, Placer, Plumas, Sierra, Siskiyou, and Trinity Counties, San Francisco, San Mateo, San Bernardino, and Riverside Counties, Kern, Fresno, Kings, Tulare, Madera, Mariposa, Merced, Stanislaus, Tuolumne, San Luis Obispo, Amador, Calaveras, Santa Clara, Santa Cruz, San Benito, Monterey, and sections of Los Angeles and Orange Counties. OLTL Home and Community Based Waiver Services Rates Rates Effective January 01, 2020. 115 60 category with entry of a LTC facility code. OLTL region breakdown 1, 2023), Proposed HCBS Rate Updates (Feb. 27, 2023), Project and stakeholder engagement planning, Rate methodology development to achieve FSSA goals and objectives, Rate setting and calculations based on final selected rate methodologies, Waiver/state plan amendments and CMS approval process, Rate methodology projects website and email address, Survey PDF on landing page to use as a reference, Pop ups within the survey for more information, instructions, and/or examples. in waiver category PAW/PJW/PMW. Mr%?w:T'sn9Khy^|xztZ WIDpdw#4+0(PSl7"6_x-$0ZcixoGR#S^-1jFZ|Ptr,pNNzw%mD-GX_xg TktWa BB Y|?#D0Q}$Ww_|
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