Forwarded by the Disability Rights Network of Pennsylvania -
This week, Monday and Tuesday are critical for the people of Pennsylvania! Act Now!! Take a stand against HB 461 and in support of HB 806, an alternative that better serves PA!
Oppose HB 461
On Monday, June 3, the House Health Committee meets about HB 461, which seeks to increase the Human Services Block grant from 20 to 30 counties. An amendment will be offered that expands the bill to make the block grant available to “any willing county.” MHAPA and many others oppose HB 461. There is no research or data to show whether the block grant has benefited (or harmed) individuals who need behavioral health services in the counties in which it’s been implemented this year. Without knowing its impact, good or bad, we do not support expansion and neither should legislators.
Speak out NOW! Please contact members of the House Health Committee and House leadership to oppose HB 461 and the amendment. Find the Committee here and House leadershiphere.
Support HB 806
On Tuesday, June 4, the House Human Services committee meets to vote on HB 806, which is Representative Gene DiGirolamo’s alternative to the block grant proposal (HB 461). The bill repeals the block grant but provides flexibility so counties can move unexpended funds at the end of the fiscal year. The legislation defines “surplus human services funds” and provides guidelines for how and when the surplus can be used. We support HB 806 but oppose any proposal that seeks to add the "any willing county" language to this bill as well.
The Human Services Committee needs to know that you support HB 806, which repeals the block grant and protects the funding for critical community-based behavioral heatlh services. Contact the House Human Services Committee TODAY! Find members here. Tell them you support HB 806 but oppose the proposal to add “any willing county” to the bill.
House Bill 1114 was just introduced to Committee. It is a Bill of Rights that will protect individuals with intellectual disabilities and our families. It looks at the development of a five year plan to address the waiting list.
On December 1, 2011, the Disability Rights Network (DRN) Íiled a lawsuit in federal court on behalf of individuals who have disabilities and who receive services including Community Integration (CI). DRN claims that the changes in the service definition of CI will cause individuals to lose services and to be institutionalized. The presiding Judge has placed the matter in “civil suspense” for six months commencing on April l, 2012. This means that no action will be taken in the matter during that period. The purpose of this amendment is to revise the “Community Integration” service defìnition to reflect the proposed settlement with the Judge.
Service Title: | Community Integration effective 04/0_1/2012
Complete this part for a renewal application or a new waiver that replaces an existing waiver. Select one.'
Service is included in approved Waiver. There is no change in service specifications.
Service is included in approved Waiver. The service specifications have been modified.
Service is not included inthe approved Waiver.
Service Definition (Scope): Integration is a _short-term, goal*-_based support service designed to assist participants in acquiring, retaining, and improving self-help, communication, and ,adaptive skills necessary to reside in the community. integration can inc1ude'cuein'g and modeling of behavior to assist the participant in developing or maintaining maximum independent functioning in-community living activities including domestic and leisure activities. Community Integration is goalbased and situational to assist individuals in achieving maximum functionduring events such as a transition from a nursing facility; moving to a new community or from a parent's' or a change incondition that requires new skill sets, Services must focus on specific skills and be related to the expected outcomes outlined in the partieipant’s service plan. ;Community Integration goals must be reviewed and/or updated at least quarterly by the Service Coordinator in conjunction with the participant to assure that expected outcomes are met andthe service 'plan is modified laccordingly. Specify applicable (if any) limits on the amount, frequency, or duration of this service: iCommunity Integration cannot be bi11ed`simtaneously with Residential Habilitation Personal asistance Services» commurńty Integration is reviewed quarterly to determine" the progress of how the strategies utilized are affecting the participar1t’s ability to independently complete tasks identified in the ISP. If the individual can complete the task independently, then the goa land _CI service should be removed from the-ISP. The length of service should not exceed thirteen .(13)Weeks on new plans. lf the participant has not reached the goal at the end of 13 Weeks, then documentation of the instrucation for continued training on the desired outcome must be incoorporated into the lSP at the review. participant has not reached his/her CI goals by the end of twenty¿siX,(26) Weeks','the goals need to change or it is concluded that the individual will not independently complete the goal andthe SC must assess for a more appropriate service to meet the individua1’s need. distinct goal may' nót remain on the ISP for longer than twenty-six (26) Weeks.retains the discretion to 1) aúthorize CI. for individuals who have not experienced a “1ife- event; 2) authorize more than 48 units (12 hours) ofCI in one week for up to 21 hours per goals
Pennsylvania Department of Public Welfare Office of Developmental Programs
Availability of ODP Consolidated and Person/Family Directed Support Waiver Renewal Applications Submitted to CMS
ODP Communication Number: Announcement 022-12
Individuals and Families, Administrative Entities (AEs), Supports Coordinators (SCs), SC Supervisors, Supports Coordination Organizations (SCOs), Providers, and other interested parties.
The purpose of this announcement is to inform all interested parties that the Consolidated and Person/Family Directed Support (P/FDS) Waiver renewal applications are available on the Department of Public Welfare (DPW) website. These Waivers were submitted to the Centers for Medicare and Medicaid Services (CMS) on March 1, 2012.
Home and Community-Based Waivers permitted under Section 1915(c) of the Social Security Act are approved by CMS for five-year renewal periods, with the exception of new Waivers. The current Consolidated and P/FDS Waivers expire on June 30, 2012. ODP submitted renewal applications for the Consolidated and P/FDS Waivers to CMS on March 1, 2012. Please note that the dates documented at the bottom of each page in the Waiver renewal applications differ from the date that the applications were submitted to CMS. The date listed in the Waiver renewal applications merely reflects the date that ODP was able to download the complete Waiver renewal application from the CMS web-based application system. ODP is pleased to announce that copies of the submitted Waiver renewal applications are being made publicly available on the DPW website for the first time prior to CMS approval.
It is also important to note because these Waivers have not been approved by CMS changes may be made to the content based upon discussions with CMS during the approval process. ODP will inform all stakeholders when CMS has officially approved the Consolidated and P/FDS Waivers and will make the approved Waivers available at that time.
Team PA Foundation and the Governor’s Advisory Council on Privatization and Innovation seek your ideas on opportunities for improving how Pennsylvania’s government provides services while reducing the burden on taxpayers.
As you may be aware, on February 18, 2012, the Department of Public Welfare posted public notices in the Pa. Bulletin of its intention to use Act 22 expedited rule making authority. The Office of Long-Term Living’snotice of expedited rule making can be found at: (http://www.pabulletin.com/secure/data/vol42/42-7/302.html)
To follow-up on this formal notification, the Department will provide additional transparency in this process. In addition to the public comment process on the public notices of intent, the department has publisheda DRAFT of each of the Act 22 expedited rules, including OLTL’s expedited rules, on the DPW website at the following address:
The regulations can also be found by visiting DPW’s homepage and clicking on the “DPW Initiatives” tab at the bottom of the page.
The regulations will be open for a two week comment period ending March 9, 2012. Instructions on how to submit comments may be found on the website and interested parties are encouraged to submit comments electronically.
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 (firstname.lastname@example.org , 717-772-0205) and Marybeth Famulare (email@example.com, 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 firstname.lastname@example.org.
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 email@example.com.
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 firstname.lastname@example.org 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.
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, email@example.com
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.
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.
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: firstname.lastname@example.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 email@example.com.
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/
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 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.
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 (firstname.lastname@example.org) 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.