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Pennsylvania Department of Public Welfare News from Dept. of Aging and Office of Long term Living

 

September 30, 2011
 
 
Greetings from the Secretary

 
Greetings Everyone,

This week I had an opportunity to visit with the Berks County Office of Aging. The day began
with an opportunity to address the Community Partnership. Members of the Berks County Office
of Aging team and representatives of community organizations form the private and public sectors
attended. The presentation and discussion which followed focused on the role of Area Agencies on
Aging and the potential of community collaboration.

Following the Community Partnership meeting the Berks County (ADRC Aging and Disabilities
Resource Center) Link was launched. The ADRC are practical demonstrations of community
collaboration which results in a ‘no wrong door’ access to information and assistance. Berks Link
will partner with community providers and businesses to assist individuals over 60 or anyone with
a disability in obtaining needed services. It is predicted in the future the common ground and
strengths found in these collaborations will become a resource to enable the design and delivery of
care systems in our communities.

Here at the Pennsylvania Department of Aging and the Department of Public Welfare’s Office of
Long Term Living, Joyce O’Brien, Director of the Bureau of Community Development
(joyobrien@pa.gov , 717-772-0205) and Marybeth Famulare (c-mfamular@pa.gov, 717-783-4502),
Project Manager ADRCs are available to answer any questions and serve as a resource.

The visit also included lunch with the citizens of Reading who attend the Family First Resource
Center. Here, dedicated staff, volunteers and attendees gather for activity and nutrition. The
Center serves participants from the African American community and is open to all. It extends its
mission through a monthly food pantry and home cooked meals. I also visited La Casa de la
Amistad Hispanic Senior Center which serves a vibrant active gathering place for citizens of
Reading from the Hispanic and Latino communities. Volunteers were honored for their service,
some for longer than 20 years.

I am sure the day could be replicated in communities across the Commonwealth. The Area
Agencies on Aging, providers and others come together in our communities to provide information,
reduce isolation, provide nutrition, and enliven communities inclusive of diversity. If you would
like to share something that is working in your community, you are welcome to contact me at
bduke@pa.gov.

A thank you is extended to all with the Berks County Office of Aging, Commissioners of Berks
County and the representatives of the community organizations of Berks for a great day and more
importantly for the collaboration which meets the needs of the citizens of Berks County.

 

As a member of the Governor’s Recovery Task Force, I am continuing to participate in a daily
conference call with Lt. Governor Cawley, representatives from PEMA, FEMA and other state
agencies to still respond to those in need of disaster recovery relief. At this time, the disaster
recovery centers (DRC) have been set up in counties most hard hit by flooding and staffing is being
provided to address needs. The Department is continuing to partner with the AAAs, our
Ombudsman and APPRISE volunteers and annuitants to provide staffing coverage for the centers,
which are open seven days a week between 10:00 AM and 7:00 PM. Volunteers are welcome to
help staff the DRCs throughout the state. If you wish to volunteer ore are award of volunteers,
please call 717-783-6873.

For those of you who are not in affected areas, please consider reaching out to neighboring areas
which may have been impacted and offer your assistance.

Thank you to those who have worked and are working at the DRCs to provide support and
information to our fellow citizens. Jack Vogelsong is leading the disaster recovery efforts here at
the PDA/OLTL. He can be reached by calling 717-772-0371 or email at jvogelsong@pa.gov.

Additionally, if you are experiencing an issue that is related to disaster recovery, please call me.
My cell phone number is 717-307-0619.

Have a good weekend.

Brian Duke
Secretary

Disaster Recovery Resources

Please note there are many resources available to those who need assistance during this time of
recovery from flooding. Resources available:

Federal Emergency Management Agency (FEMA) www.fema.gov 1-800- 621-FEMA
Pennsylvania Emergency Management Agency (PEMA) www.pema.state.pa.us
Pennsylvania Department of Aging www.aging.state.pa.us
Pennsylvania Department of Health www.state.health.pa.us
Pennsylvania Department of Public Welfare www.dpw.state.pa.us
People may visit any DRC regardless of where they live or work. To register for assistance
online visit: DisasterAssistance.gov; the screens will prompt people registering through the
process.

PLEASE NOTE:
Housing is the major existing problem resulting from flooding. The Department of
Community and Economic Development is asking homeowners, who might have
available housing or landlords who might have vacant units to please consider listing
these property(s) on the PA Housing Search site: http://pahousingsearch.com or call
877-428-8844.

 

Our Team Here at PDA and OLTL

There are a few announcements relating to our team here at the Pennsylvania Department of
Aging and Office of Long Term Living.

I join with Secretary Gary Alexander in announcing that Bonnie Rose, who many of you know as
the former Director of the Bureau of Provider Supports, will join us as the Acting Deputy
Secretary, Long Term Living effective Monday October 3, 2011. Bonnie will be Acting until the
completion of senior level position processing then will be named Deputy Secretary. Our thanks
are extended to Kevin Hancock and Mike Hale who served as Acting Deputy Secretary, Long Term
Living during this period of transition.

Kevin Hancock will join the Pennsylvania Department of Aging as Director, Office of Community
Services and Advocacy and serve in a Chief of Staff capacity. Kevin brings his dedication and
professional expertise in project management and systems design to the position and it is good to
have him join our team.

Mike Hale will return to his position as Director of the Bureau QMMA.

Evelyn Chianelli has joined the Pennsylvania Department of Aging as a Special Assistant to fill
the role previously held by David Gingerich. Prior to joining the Pennsylvania Department of
Aging, Evelyn served in progressively responsible research assistant positions with the Legislative
Office for Research Liaison.

Medicare Open Enrollment

PLEASE SPREAD THE WORD!

This year, Medicare annual enrollment dates have changed.
Annual enrollment is October 15th – December 7th 2011.

Information on open enrollment is available at www.state.pa.us or contact Darlene Sampson at
717-772-0201 or email at bsampson@pa.gov to obtain resources, inform us of any needs related to
open enrollment or ideas on how to get the word out and help Pennsylvania navigate the open
enrollment process. Our APPRISE program is a great resource for older adults to receive free
health insurance/Medicare counseling. APPRISE counselors are specifically trained to answer
each person’s questions relating to Medicare. Please refer to the Department’s website listed
above for locations where APPRISE informational events are being presently offered.

Bureau of Advocacy, Protection and Education
PEER Recognition Day
PEER Recognition Day activities will be held at the Holiday Inn, Grantville on October 5, 2011
from 10:00 am -1:30 pm. The event will honor approximately 300 PEER volunteers for their
efforts in speaking for those older adults who cannot speak for themselves. The PEER
(Pennsylvania’s Empowered Expert Resident) program encourages residents and nursing facility
staff to work together to address concerns of individuals and groups. The PEER program trains
resident advocates to work with facility, staff and residents to enhance the quality of care and
quality of life for their peers. The project is part of the department’s Ombudsman Program.

 

For more information on the program contact Bob McNamara at rmcnamara@pa.gov or visit
http://www.aging.state.pa.us/portal/server.pt/community/advocacy_%28ombudsman%29/19389

Guardianship – House Bill 1720
On September 28, 2011, the House Aging & Older Adult Services Committee held an informational
meeting to discuss House Bill 1720, sponsored by Chairman, Tim Hennessey. This legislation, also
known as the Uniform Adult Guardianship and Protective Proceedings Jurisdiction Act
(UAGPPJA), is intends to ensure only one state will have jurisdiction over a guardianship
proceeding at any one time.

Participants at the meeting included representatives from the Pennsylvania Department of Aging,
AARP, Alzheimer’s Association, Public Policy Coalition, PA Bar Association and PA Association of
Elder Law Attorneys, Temple Institute on Protective Services and PA Board of Commissioners on
Uniform State Laws. Participants presented information regarding their experiences with cases
when petition for guardianship is filed in more than one state. They spoke about the practical
application of the proposed legislation and how the adoption of a uniform guardian law will benefit
the public. Currently, 29 states and the District of Columbia have adopted similar legislation.

Testimony from the participants favorably supported the proposed legislation, including the
comments by the Department. In addition, the Department’s s Bureau of Advocacy, Protection
and Education stressed the importance of the ensuring that proposed legislation is consistent with
current law and will be working with the committee to address their concerns.

The House Aging & Older Adult Services Committee is expected to vote on House Bill 1720 at its
next meeting on October 4, 2011. If you have any questions on this legislative matter, please
contact Kelly O’Donnell, Legislative Director, kelodonnel@pa.gov

Solicitor Training
The Institute on Protective Services held their first Solicitor training on September 27, 2011. The
training was designed to focus on the role of the AAAs and their attorneys in assisting clients to
recover lost assets.

Also, an administrative overview was provided by Secretary Duke. There were over 18, 103
allegations of abuse in FY 09-10, but a decrease in the number of reports that went on for
investigation. The Pennsylvania Department of Aging looks forward to working with the solicitors
as we develop initiatives across state agencies, revise the Older Adult Protective Services Act and
build on the strong foundation established by the Protective Service and Guardianship Committee,
as well as streamlining reporting and referral processes.

The Hon. Tim Hennessey, Chair of the House Aging and Older Adult Services provided an
overview of the House committee and a legislative update. Over 40 solicitors from across the state
participated in the training. Feedback from the attendees was very favorable and plans are
underway to develop similar programs. For more information, visit:
http://www.instituteonps.org/training/

 

Bureau of Individual Support

On September 27, 2011, The Office of Long Term Living (OLTL) received approval from the
Centers for Medicare and Medicaid of the COMMCARE waiver amendment to unbundle
Residential Habilitation Services and Structured Day Habilitation Services (which is also placed in
the OBBRA waiver). Additionally, OLTL received approval of new rate methodology for new
service definitions.

Other Announcements:
Pennsylvania Department of Aging received AoA Grant
The Pennsylvania Department of Aging was notified this week of approved for a grant from the
Department of Health and Human Services, Administration on Aging, for $100,000 to assist with
disaster relief in areas of the state declared by President Obama. This money will be used in the
21 counties of the Commonwealth that were declared disaster areas resulting from Hurricane
Irene and Tropical Storm Lee. The Department intends to use these funds in assisting AAAs in
their recovery operations and for caregiver respite.
 
House Appropriations Committee Releases Draft Labor-HHS Funding Bill (from
NASUAD)
The draft bill includes $153.4 billion in discretionary funding, which is $4 billion below the FY11
enacted level and $27.5 billion below the President’s budget request. Of this total, AoA receives
$1.5 billion, which is $26 million, or 2 percent, below the FY12 level, and includes $819
million for OAA nutrition programs. These funding levels reflect the overall change in FY12
discretionary spending to $1.043 trillion, which is the amount to which the House, Senate, and
White House agreed in the most recent debt ceiling legislation, the Budget Control Act of 2011 (PL
112-25). Since there has not been a markup process, there is no committee report to accompany
this draft language, which would provide more detail about the recommendations of House
appropriators for funding specific aging services programs.

The House and Senate are currently on recess, a stopgap measure has been approved by both
chambers in order to fund the federal government until they return next week, at which point the
House is expected to consider a Senate-passed continuing resolution (CR) to authorize federal
spending through November 18. For draft text of the legislation, please visit:
http://appropriations.house.gov/UploadedFiles/FY_2012_Final_LHHSE.pdf.
 
State-by-State Census Data Released
The U.S. Census Bureau has released findings from the 2010 American Community Survey (ACS),
which covers more than 40 socioeconomic topics, including education, employment status, age, and
household type. See the Census Bureau's American FactFinder database to find statistics for your
area. Selected high-level highlights can be found here. In addition, the Census Bureau released a
set of four comprehensive briefs based on the 2010 ACS. These short reports supplement detailed
tables in American FactFinder with additional analysis on four key topics: Health Insurance
Coverage, Employment Ratios, Household Income, and Foreign-born from Latin America and the
Caribbean. Additional reports will be released through the end of 2011. For information visit:
http://www.census.gov/acs/www/data_documentation/2010_acs_briefs/

Poverty Data Released
Also the U.S. Census Bureau published Income, Poverty, and Health Insurance Coverage in the
United Sates: 2010. This annual report contains the official national findings from the Current

 

Population Survey. According to the report, real median household income declined between 2009
and 2010, while the poverty rate increased over this same time period. The report noted the
inflation adjusted income of households headed by persons aged 65 and older decreased by 1.5
percent from $31,872 in 2009 to $31,408 in 2010 and the poverty rate among persons aged 65 and
older increased from 8.9 percent 2009 to 9.0 percent in 2010, For more information on the 2010
Census Data, visit link listed in the article above.

Dates to Note for September, October and November:

National Senior Center Month – September
National Preparedness Month – September
National Hunger Action Month – September
National Active Aging Week – September 25 – October 1
Resident Rights Month – October
PEER Recognition Day – October 5, 2011
National Alzheimer’s Awareness Month - November
**Please note: Our apologies to the Pennsylvania Adult Day Services Association. While
focusing on disaster recovery in the past editions we omitted an announcement of
National Adult Day Services Week – September 18 – 23. Our Adult Day Services
providers are a valued part of our long term care continuum.

In the News
Berks County Launches Initiative
http://readingeagle.com/article.aspx?id=335632
 
Secretary of Aging speaks with Berks County AAA and County officials
http://www.bctv.org/special_reports/basic_needs/don‐t‐expect‐more‐state‐money‐for‐older‐people‐
department/article_3f7607e6‐ea30‐11e0‐86e2‐001cc4c002e0.html

Two York County organizations seek to change attitudes about aging
http://www.ydr.com/local/ci_18997487

Seniors get a helping hand into the computer age
http://www.phillyburbs.com/news/local/courier_times_news/seniors-get-a-helping-hand-into-the-
computer-age/article_27962d34-e7cf-5244-b23a-1b2f30612204.html

Free Medicare advice coming; Seniors will be assisted with enrollment options at the annual event
at the Area Agency on Aging
http://www.ldnews.com/lebanonnews/ci_18962600

Training and Events
 

 

Proper Documentation and Investigation Training – Institute on Protective Services,
October 6, 2011, in Meadville; October 25, 2011 in Allentown; and November 9, 2011 in Mars.
http://www.instituteonps.org/training/

Long-Term Care Delivery System Subcommittee (LTC Sub) of the Medical Assistance
Advisory Committee (MAAC) on October 11, 2011, at the Department of Aging’s Offices, 555
Walnut St. Harrisburg, PA, Forum Place Building, 5th Floor Conference Rooms.

Pennsylvania Senior Center Association Annual Conference
October 26-27, 2011, Penn Stater, State College
http://www.paseniorcenters.org/staff/calendar.htm

Adult/Older Adult Suicide Prevention Coalition is offering two Suicide Prevention
Forums, October 25, 2011 – Wilkes Barre, and Nov 2, 2011 – Clarion. For information and
registration visit:
http://www.ltltrainingpa.org/events/index.cfm?ekeyid=856

PCOA Annual Meeting – November 1-3, 2011 at the Hershey Lodge and Convention Center.
For more information, contact Donna Reinaker at 717-783-
 
Pennsylvania Adult Day Services Association Annual Conference
November 17-18, 2011, Inn at Leola, Lancaster. Contact: krenitv@mennohaven.org or call (717)
709-4510.

2011 Nursing Home Transition Conference – December 7-9, 2011, Hershey Lodge and
Convention Center – Contact the Long Term Living Training Institute at 717-541-4214 or email
Nancy Orlowski nancy@ltltrainingpa.org.

Training for protective services is available through the Department of Aging /Temple
University’s Institute on Protective Services. For information visit the Institute’s site
http://www.instituteonps.org/training/

Training programs offered by the Long-Term Living Training Institute – check this out! There
is a wealth of training opportunities.
http://www.ltltrainingpa.org/index.cfm

** If you have something you wish to include, feel free to contact us. Kindly direct your comments
and suggestions to Christina Reese in the Press Office chreese@pa.gov.

CMS Reports on PennsylvaniaODP Consolidated and PFDS Waiver Services Available

 
On August 30 the PA Department of Public Welfare (DPW) Office of Developmental Programs (ODP) released ODP Announcement Number 113-11 on  Quality Strategy and the ODP Home and Community Based Services (HCBS) Waivers. The purpose of ODP Announcement 113-11is to provide an update on Center for Medicare and Medicaid Services (CMS) Reports and the Quality Strategy for ODP Home and Community Based (HCBS) Waivers. ODP says that on June 30, 2011, DPW received final reports from the Centers for Medicare & Medicaid Services (CMS) on the CMS review of the Consolidated and Person/Family Directed Support (P/FDS) Home and Community Based Services (HCBS) Waivers. The reports are in accord with the CMS protocol to conduct a review and issue a report to the state prior to the expiration of each HCBS Waiver. ODP says that CMS continues to strengthen oversight of the waivers and has recently clarified and emphasized some important expectations for states. ODP encourages
stakeholders to read the reports in their entirety.
The report on the ODP Consolidated Waiver is at: http://www.dpw.state.pa.us/ucmprd/groups/webcontent/documents/report/p_011594.pdf
 
The report on the Person and Family Directed Services Waiver is available at
 http://www.dpw.state.pa.us/ucmprd/groups/webcontent/documents/report/p_011593.pdf

Pennsylvania Department of Aging has added retail theft for adult protective services

 

The purpose of this email is to inform you that “Organized Retail Theft” has been added to the prohibited offense listing contained within the Older Adults Protective Services Act (OAPSA).  Attached you will find details regarding the addition of this offense and a revised prohibited offense listing.

 

Please forward the attached information to any individual you deem appropriate.  These individuals may include, surveyors, licensing representatives, facilities, agencies, registries, staff, etc. who either implement the Older Adults Protective Service Act or are required to ensure compliance with this law.

 

For your reference, we have provided a link to the Department of Aging website where you will find valuable information on the Older Adults Protective Services Act including the processing of criminal history background checks and mandatory abuse reporting by covered facilities.

 

http://www.aging.state.pa.us/psonlinetraining

 

Thank you for your assistance in, and commitment to, protecting older Pennsylvanians.  If you have any questions or need additional information, please contact Denise Getgen at (717)772-0184 (dgetgen@state.pa.us) or a member of the Department of Aging Criminal History Background Check Unit at (717) 265-7887.  Attachments are available in alternate format upon request.

 

 

 

Note: Please share this email with other members of your organization, as appropriate.  Also, it is imperative that you notify our Office of changes that would affect your provider file, especially your E-mail addresses.  Other changes would include your physical addresses and telephone numbers.  Please notify the BPS Provider Call Center at 1-800-932-0939 and you will be directed to the appropriate staff.

 

 

Please do not respond to this email.  It is being sent from an unmonitored account.

 

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Celebrating artists with disabilities

This message is being sent to you on behalf of Mr. Edward M. Butler, Executive Director, Governor’s Cabinet and Advisory Committee for People with Disabilities.

 

As you are aware, the Governor’s Advisory Committee(GAC) has coordinate numerous exhibits celebrating artists with disabilities with many partners.  It brings to the forefront art as employment.  Also employment is our top priority.  Below please find information relative to the promotion of art, employment and the purpose of the MIG, namely benefits planning, employment and programs in support of that.  Please share as you deem appropriate.  The ongoing goal, the employment of people with disabilities.  Thank you.  EMB     

 

EMPLOYMENT SOLUTIONS FOR PEOPLE WITH DISABILITIES

WORKS FOR ME                                                       

 

Please help us to distribute this announcement. 

 

The Works for Me Program is developing a Work Incentives calendar for 2012.  Each month, the calendar will feature a work incentive, as well as artwork submitted by an individual with a disability living in Pennsylvania.  Calendar artists will receive public recognition for their accomplishments.  Please see the attached announcement for more details.

ARTIST SEARCH - Works for Me 2012 Calendar

If you are an artist who lives in PA and you have a disability, this is a great chance for you to showcase your talent! Through this calendar, you can help raise awareness about employment supports for those who have a disability. This calendar will feature information about work incentives and will also include selected artwork, and this is where you come in!  Here are some guidelines if you would like to partner with us:

What You Can Send: (Must be original art you have done yourself; include title of the artwork, full name of artist, phone number, email address)

        Photographs

Paintings (picture of)

        Sculptures (picture of)

        Wall hangings, textile designs (picture of)

 

How You Can Send It:

Better to use a digital camera rather than a cell phone camera.

        A picture taken by camera and sent by file through the computer

A picture as an email attachment has .jpg or .gif at end of file name

Please send only the best picture for each artwork

Limit of one picture for each email

Please limit artwork to 3 items per artist

 

PLEASE SUBMIT ALL ARTWORK BY EMAIL to: worksforme@tiu11.org

 

PLEASE SUBMIT ALL ARTWORK BY  JULY 15, 2011. 

*Artists will be contacted in August 2011 if their work has been chosen, and winning entries will be featured in the 2012 calendar. Calendar artists will receive public recognition regarding their accomplishments.  If questions, contact: 1-800–360-7282, ext.3719.  

 

ODP CMS Waiver Amendments and Service Definitions - Approved

Pennsylvania Department of Public Welfare
Office of Developmental Programs
6/8/2011
ODP Communication Number: Announcement 072-11 pages 2 of 2
Supports Coordinators and SC Supervisors: Supports Coordination Curriculum website
(sctraining.odpconsulting.net); log in utilizing your user name and password > SC Resources > SC
Resources > ODP CMS Approved Waivers/Service Definitions.
Information on the Consolidated and P/FDS Waivers can be found on the DPW Website
(www.dpw.state.pa.us); Learn about DPW > Waiver Information > Consolidated Waiver for
Individuals with Mental Retardation or Person/Family Directed Support Waiver. Direct links to
the Consolidated and P/FDS waiver amendment ODP bulletins are provided below.
ODP bulletin #00-11-04, Consolidated Waiver Amendment Effective July 1, 2009
Consolidated Waiver Amendment Bulletin
ODP bulletin #00-11-05, Person Family Directed Support (P/FDS) Waiver Amendment Effective
July 1, 2009
P/FDS Waiver Amendment Bulletin

 

Understanding Pennsylvania's Health Insurance

Pennsylvania Health Care Services and Programs

 

There are many health care services and programs available to you and your family, whether you have health insurance or not.  Many of them are free or low-cost, depending on your income.

 

Health Insurance Options -- Health insurance can be confusing, complicated and difficult to understand. The Pennsylvania Insurance Department has put together a list of resources to help answer questions and help citizens to understand coverage. A list of consumer publications, resources and hyperlinks can be found at http://www.portal.state.pa.us/portal/server.pt/community/health_insurance/9189 .

 

Pennsylvania Fair Care -- PA Fair Care is Pennsylvania’s health plan for adults with pre-existing conditions who have been uninsured for six months. This temporary plan offers transitional insurance coverage until the broader coverage provisions of federal health insurance reform come to fruition in January 2014. Individuals who are eligible will have a monthly premium of $283, plus copays and coinsurance. Go to www.pafaircare.com for more information.

 

Licensed Private Insurance Companies -- The Insurance Department’s Web site, www.insurance.pa.gov, offers information and updates on licensed private insurance companies in Pennsylvania. For a list of these companies, go to http://www.insurance.state.pa.us/dsf/gfsearch.html . This information may also be requested by calling the Department’s automated Consumer Hotline at 1-877-881-6388.

 

Health Care Reform -- On March 23, 2010, President Barack Obama signed The Patient Protection and Affordable Care Act (PPACA; P.L. 111-148) into law. One week later, he signed the Health Care and Education Reconciliation Act of 2010 (P.L. 111-152), which made numerous changes to PPACA. The health care reforms in these laws aim to expand coverage to millions of Americans and will require a large number of changes to health insurance products and the regulations that govern them.  For more information, visit the Insurance Department’s Web site at http://www.portal.state.pa.us/portal/server.pt/community/health_insurance/9189/federal_health_insurance_reform/713453 or www.insurance.pa.gov and click on the red “Health Care Reform &You” button.

 

Community Health Centers -- There are approximately 170 community health centers across the state that provide free or low-cost comprehensive, high quality medical health care for all ages on an ability-to-pay basis. In some locations, a full range of services such as dental care and prescription drugs may be available. Services may be free or low-cost, based on your household income. To find the health centers nearest you, call the PA Association of Community Health Centers, Monday to Friday, 8:30 am to 5:00 pm, at 1-866-944-CARE (2273), or go to http://www.pachc.com/health_find.html for a list of Pennsylvania health centers.

Medical Assistance (MA) -- If your circumstances change (for example, if you become disabled, turn 65, or become pregnant) or your income decreases, you may qualify for MA. To learn more, go to www.compass.state.pa.us and click on “Do I Qualify?” to find out if you may be eligible for MA.  Remember, you may always re-apply for MA.

 

Financial Assistance with Hospital Bills – Most hospitals offer financial assistance for uninsured patients who need treatment but cannot afford to pay their bills.  Patients who qualify will have their bills reduced or eliminated. If you have hospital bills that you cannot afford to pay, call the hospital’s billing department and ask how you may apply for financial assistance.

 

Medical Assistance for Workers with Disabilities (MAWD) -- MAWD is a health insurance program for working individuals with a disability. There is no set requirement for how many hours you must work or how much you must earn, but you must work and receive wages to qualify. For more information, call 1-800-692-7462 or go to www.dpw.state.pa.us , type in “MAWD” in the Site Search box in the top right corner, then click on the first link to “Medical Assistance Benefits for Workers with Disabilities”.

 

Pharmacy Assistance  - Pennsylvania residents who do not participate in any other state or federally funded prescription program may be able to receive free or low-cost prescriptions.  If you have a prescription discount card, you may still qualify. Call 1-800-955-0989 for The Pennsylvania Patient Assistance Program Clearinghouse or go to www.aging.state.pa.us , “Prescription Assistance” and “Other Pharmaceutical Programs”.  The Clearinghouse will help you apply for free or low-cost prescription medicines available from drug manufacturing companies and other sources.

 

Dental Care -- Free or low-cost dental care may be provided by a dentist or clinic in your area. Go to www.padental.org and choose “Patients” for a dental clinic directory and other informational resources.

 

Mental Health Treatment/Drug or Alcohol Abuse Treatment -- Individuals and families can receive mental health, drug or alcohol treatment at a location close to home.  Services may be free or low-cost, depending on your household income. For mental health services, call 1‑800-692-7462 or go to

http://www.dpw.state.pa.us/foradults/mentalhealthservices/index.htm

For substance abuse services, call 1-800-692-7462 or go to http://www.dpw.state.pa.us/foradults/substanceabuseservices/index.htm .

 

SelectPlan for Women – Pennsylvania’s SelectPlan for Women is a free, confidential health care program for women between the ages of 18 and 44 that pays for family planning services and related preventive health screens provided by participating health care professionals. Family planning-related prescriptions are free at any participating pharmacy. For more information and to see if you are eligible, call 1-800-842-2020 or go to www.selectplanforwomen.com.

 

HealthyWoman Breast and Cervical Screening Program (HWP) -- HWP offers breast and cervical exams at no cost for eligible women. These exams include mammograms, clinical breast exams, pelvic exams and Pap tests. You qualify if you are 40 to 64 years old; have no or limited insurance; and have low to moderate household income.  For more information and to find the HWP check-up site near you, call 1-800-215-7494 or go to www.pahealthywoman.org.

 

Breast and Cervical Cancer Prevention and Treatment Program (BCCPT) -- If you have been diagnosed with breast or cervical cancer or a pre-cancerous condition of the breast or cervix, you may be eligible for free care through BCCPT.  The care covers your breast or cervical cancer treatment, as well as any other unrelated conditions while receiving your cancer treatment.  You qualify if you are female; under age 65; meet the income requirements; and have no or limited insurance. For more information, call 1‑800-842-2020 or go to http://www.dpw.state.pa.us/publications/forproviders/remittanceadvicealertspromisebannerpages/departmentofpublicwelfaredpwbreastcervicalcancerpreventiontreatmentprogram/S_002781

 

Pregnancy/High-Risk Pregnancy (Healthy Beginnings/Healthy Beginnings Plus) -- If you are pregnant, you may be eligible for Healthy Beginnings or Healthy Beginnings Plus – free programs that provide comprehensive health care coverage to pregnant women and their babies for a full year. Call

1-800-842-2020 for more information on how to apply and for locations near you.  You can also go to http://www.dpw.state.pa.us/foradults/healthcaremedicalassistance/healthybeginnings/index.htm

 

Special Pharmaceutical Benefits (HIV/AIDS and Schizophrenia) -- If you have been diagnosed with HIV/AIDS or schizophrenia, this confidential program helps pay for specific drug therapies used in your treatment. Call 1‑800-922-9384 or go to http://www.dpw.state.pa.us/foradults/healthcaremedicalassistance/aidswaiverprogram/hivaidsinformation/index.htm

 

Children’s Health Insurance Program (CHIP) -- Pennsylvania offers high quality, comprehensive free or low-cost health care coverage for every child up to age 19, who is not eligible for Medical Assistance.  There are three easy ways to apply: online at www.chipcoverspakids.com; over the phone by calling

1-800-986-KIDS (5437); or download a paper application at www.chipcoverspakids.com.

 

Children with Special Health Care Needs -- If your child has a special health care need or a chronic condition, s/he may qualify for Medical Assistance and/or other services, regardless of your household income.  Please call the Special Kids Network at 1-800-986-4550 or go to http://www.portal.state.pa.us/portal/server.pt/community/special_kids_network/14205

 

 

 

 

Office of Developmental Program Service Definitions Proposed Changes

Below are proposed changes to the service definitions issued by the Office of Developmental Programs (ODP).  The public comment period for this draft ends on December 1, 2010.  Comments can be sent to:
 
ra-ODPComment@state.pa.us.
 
Some of these changes are significant.  The first document, which includes a summary of what ODP considers the most important changes, is set forth below.  Once finalized, ODP will be amending the waivers to incorporate these changes.
 
Feel free to contact me with any questions.
 
Ilene Shane
Disability Rights Networkof Pa
800-692-7443, x 302
 
--------------------------------------------------------------------------------------------
 
Dear Colleague:
 
Please find below the draft bulletin entitled “Service Definitions for FY 11/12 for the Pennsylvania Mental Retardation Program” (Word; pdf; cover page – Word; pdf) and related documents.The related documents were contained in the FY 10/11 service definitions.  Due to comments from the field regarding the length and redundancy of the service definitions document, the draft FY 11/12 service definition packet reflects changes to attempt to address those concerns.  These changes resulted in the following four documents.  #1:  Draft Definitions for Services (Word; pdf); #2:  Management Information System Requirements (Word; pdf); #3:  Relative Policy (Word; pdf); and #4:  Travel Policy (Word; pdf).
 
The following list is being provided to highlight what ODP considers to be the most notable proposed changes reflected in this draft.  It is important to note that there are a number of items included in the list below that are actually policy clarifications to the existing fiscal year 10/11 service definitions.  These items are included in the fiscal year 11/12 service definitions and will also be clarified in either a re-issuance of the 10/11 service definitions or in separate policy clarifications.  The items are asterisked below:
 
Supports Coordination:
·         Added TSM – Supports Coordination and Base-Funded Supports Coordination.
 
Home and Community Habilitation Unlicensed:
·         *Added language that everyone receiving and providing this service must be awake.
·         Reduced the number of hours an individual can receive the service to a maximum of 10 hours per day.
·         *Alternative therapies, sessions and lessons (i.e.; massage, horseback, aqua, art, music, dance, karate, etc.) are not permitted to be provided under this service definition.  
 
Unlicensed Residential Habilitation Services:
·         Removed this as an eligible service under the Person/Family Directed Supports Waiver.
 
Licensed Residential Habilitation Services:
·         *Added language that relatives and family members, legal guardians and legally responsible individuals, spouses, (including spouses of the individual, relatives, legal guardian or legally responsible individuals) may not be the host family.
·         Removed bed reservation and permanent and temporary vacancy information due to proposed changes within residential rate setting (Occupancy Factor).
·         Removed respite procedure codes related to residential respite (W9591, W9592, W9593 and W9594).
 
Companion Services:
Removed the word minimal from the definition.  (Possibly add a second level of companion service).

Prevocational Services:
·         *Added language that individuals receiving this service must have an employment outcome.
 
Supports Broker Services:
·         Revisions made to clarify the role of the supports broker and expand the availability of providers.  (Includes recommendations that were made by the Stakeholder Planning Team, Power to the People Workgroup)
 
Nursing Services:
·         Added language to clarify that Individuals can only receive waiver funded nursing services if they are age 21 or older.
·         *Added language that an SC must obtain a written denialto verify that the State Plan and/or private insurance limitations have been exhausted prior to funding through the Consolidated or P/FDS Waiver.
 
Therapy Services:
·         Removed Behavior Therapy as a service covered under the waivers.
·         *Added language that an SC must obtain a written denialto verify that the State Plan and/or private insurance limitations have been exhausted prior to funding through the Consolidated or P/FDS Waiver.
 
Respite Services:
·         *Added language that the regular care giver can be present in the setting in which the respite is provided.
·         Added language related to respite in a residential vacant bed.
·         Deleted respite ineligible procedure codes.
 
Assistive Technology Services:
·         Added a discreet list of eligible items.
·         *Added language that an SC must obtain a written denialto verify that the State Plan and/or private insurance limitations have been exhausted prior to funding through the Consolidated or P/FDS Waiver.
 
Specialized Supplies:
·         *Added language that an SC must obtain a written denialto verify that the State Plan and/or private insurance limitations have been exhausted prior to funding through the Consolidated or P/FDS Waiver.
 
Administrative Services:
·         Revised W0026; deleted W0027.
 
Family living:
·         *Clarified that a spouse may not be the host family.
 
Other Policy changes:
·         *Relative policy:  Added language that relatives/legally responsible individuals, who function as the employer or managing employer through an FMS, may not provide supports broker services to the individual who they are employer or managing employer for.  In addition, relatives, legal guardians and legally responsible individuals may only provide the services listed in this policy regardless of the capacity they provide the service (agency employee, provider agency, support service worker (SSW), individual/practitioner, volunteers, etc.).
·         Travel policy:  Added language that the provision of home and community-based services during travel is limited to no more than 30 calendar days per fiscal year.
 
This document is being forwarded to you for review and comment.  Your input will assist ODP in the completion of a final bulletin.  In order to assure timely review and revision of the draft bulletin and attachments, please provide comments via email to:
 
ra-odpcomment@state.pa.us with a subject line of “FY 11/12 Service Definitions”.
 
You can also provide written comments to:
 
Office of Developmental Programs
Attn:  Policy:  Service Definition Comments
Pennsylvania Department of Public Welfare
Room 502 Health and Welfare Building
P.O. Box2675
Harrisburg, Pa 17120
 
Comments will be accepted no later than close of business, December 1, 2010.  All comments received by that date will be considered in preparation of the final bulletin.
 
Thank you in advance for your input.
 
Kevin T. Casey

Pennsylvania August Budget Update

BUDGET UPDATE

August 12, 2010

 

In the last week, the U.S. House of Representatives and Senate passed legislation to provide $16 billion in additional federal Medicaid matching funds (FMAP) for states for the period January through June 30, 2011.  This is about one-third less than originally proposed.   Governor Rendell has proposed a plan to address the resulting gap and future budget messages will discuss any impacts on DPW funded programs.

 

Pennsylvania Assures Children Receive Necessary Child Support

 

August is Child Support Awareness Month.  Child support is a critical source of income to help maintain financial stability for families headed by single parents.  When combined with income from work, child support reduces reliance on tax-funded benefits and fosters family economic self sufficiency.  DPW oversees the delivery of federal and state child support services through the domestic relations sections of the county courts of common pleas.

 

Pennsylvania Child Support Program Leads the Nation

 

For the past four years, Pennsylvania has led the nation in child support efforts based upon federal measures used to grade all states programs.  Below are some key federal measures with Pennsylvania’s performance for federal fiscal year 2009 compared to the national average.

 

For the above measures, Pennsylvania was first in the nation in the percent of child support collected,   percent of past due child support collected and overall performance for the child support program.   

 

Since 2005, Pennsylvania has twice won the federal Child Support Program Performance Award.  Since 2003, Pennsylvania’s efforts have resulted in the receipt of $158 million in federal performance bonus money.

 

Pennsylvania is Efficient in its Child Support Program

 

In state fiscal year 2008-09, Pennsylvania collected $1.65 Billion in child support. 

 

Pennsylvania has been efficient in its efforts, collecting $5.98 for every $1 spent on administrative costs, which is $2 above the national average.

 

The mission of the Department of Public Welfare (DPW) is to protect and serve Pennsylvania’s most vulnerable citizens, to promote, improve and sustain the quality of family life, and to break the cycle of dependency, while managing our resources effectively and promoting respect for employees.  The focus of DPW’s  Budget is sustainability—preserving services for those who need them, quality and results—ensuring services improve the lives of those who receive them, and accountability— ensuring efficient use of tax dollars. For more information about the DPW budget visit www.dpw.state.pa.us.

Pennsylvania's Medical Assistance Budget

  BUDGET UPDATE

June 17, 2010

DPW Health Care Spending Drives Local Economies

Medical Assistance (MA) funding has a significant economic impact on Pennsylvania’s economy.  For each $1 dollar of public funds invested, an additional $1.77 in economic activity is generated.  This indirect economic impact or “ripple” effect in the local economy is created through the wages funded and the purchase of goods and services at local businesses.

The federal-state investment of $15.8 billion in MA for fiscal year 2008-09 creates a total economic impact of more than $44 billion in annual economic activity in Pennsylvania.

MA is responsible for more than $1 billion dollars of economic activity in each of the following 11 counties:  Allegheny, Berks, Bucks, Delaware, Erie, Lancaster, Lehigh, Luzerne, Montgomery, Philadelphia, Westmoreland.

The mission of the Department of Public Welfare (DPW) is to protect and serve Pennsylvania’s most vulnerable citizens, to promote, improve and sustain the quality of family life, and to break the cycle of dependency, while managing our resources effectively and promoting respect for employees. 

The focus for the DPW FY10-11 Budget is sustainability—preserving services for those who need them, quality and results—ensuring services improve the lives of those who receive them, and accountability— ensuring efficient use of tax dollars.

For more information about the DPW budget visit www.dpw.state.pa.us.

Want to support the programs described here as PA enacts its FY10-11 Budget?  Visit http://betterchoicesforpa.com/default.aspx to join a coalition of Pennsylvania organizations who care about social services and health care for Pennsylvanian citizens

Pennsylvania Budget Up Date

PIE Info:  Federal funds & state budget June 7, 2010 . The following information is from the PA Department of Public Welfare:       BUDGET UPDATE   June 3, 2010 Federal Funds for PA are at Risk - Congressional Support is Needed   On the Friday before Memorial Day, the U.S. House of Representatives took action on the American Jobs and Closing Tax Loopholes Act.  The bill was to have been the House vehicle to extend the enhanced federal matching dollars for the Medical Assistance Program.   This legislation is worth $850 million in next year's budget for PA-more than 7% of the DPW general fund budget.  The Governor's proposed budget, along with the state budgets of 29 other states, assumed passage of this extension. Forty-seven governors from states across the political spectrum have urged Congress to pass the "FMAP extension."   Layoffs   Without this Act, PA will be forced to implement deep budget cuts and would face potential layoffs of as many as 25,000 state employees.    State, county and municipal jobs as well as jobs at private employers would be impacted, including health care and human service workers, teachers, emergency services personnel, and police.  This level of budget cuts and layoffs would have a ripple effect in communities across the commonwealth.  PA's economy has just begun to climb out of the recession-PA has added 54,000 new jobs in the last two months-drastic cuts could cripple the state's recovery.   Service Cuts Cuts would mean reduced services for all Pennsylvanians including closures of state and local parks and libraries, the termination of health care for thousands, elimination of public health services, reductions in school services and the slashing of environmental protection efforts.     If You Want to Help   The House passed the bill on Friday May 28, 2010 without the FMAP extension included. The Senate is slated to consider the bill next week, the week of June 7.  Senate leadership plans to include the FMAP extension in the bill.     Next week Pennsylvanians can let their U.S. Representatives understand the importance of the FMAP extension to PA communities.   For information on how to find and contact your U.S. Representative click here.   To learn about a coalition to working on this critical federal funding click here.   The mission of the Department of Public Welfare (DPW) is to protect and serve Pennsylvania's most vulnerable citizens, to promote, improve and sustain the quality of family life, and to break the cycle of dependency, while managing our resources effectively and promoting respect for employees.  The focus for the DPW FY10-11 Budget is sustainability-preserving services for those who need them, quality and results-ensuring services improve the lives of those who receive them, and accountability- ensuring efficient use of tax dollars. For more information about the DPW budget visit www.dpw.state.pa.us.  Want to support the programs described here as PA enacts its FY10-11 Budget?  Visit http://betterchoicesforpa.com  to join a coalition of Pennsylvania organizations who care about social services and health care for Pennsylvanian citizens.