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Home My WebLink AboutIDD Provider Meeting Minutes 08-16-24 Intellectual & Developmental Disabilities Provider Meeting Friday, August 16, 2024 3³ ¥¥ 0±¤²¤³Ȁ Marion Rowe, Zachary Gantz, Rebecca Weaver, Stacey Brookens, Erin Nye 0±®µ¨£¤±² 0±¤²¤³Ȁ Ariane Warren & Beth Freeman Ȩ/¢¢´¯ ³¨® « 3¤±µ¨¢¤²Ǿ )¢ȁȩ, Tony Fisher & Jessica Coons Ȩ& ¬¨«¸ # ±¤ 3¤±µ¨¢¤²ȩ, Laura Dadswell ((¤ «³§# ±¤ 1´ «¨³¸ 5¨³ȩ, Lorrie Miller & Wendy Buckwalter Ȩ4§¤ !2#ȩǾ Shanna Golden Ȩ3¤±µ¨¢¤ !¢¢¤²² ǉ - ¦¤¬¤³ȩǾ Brianne Leigh Ȩ5#0 ®¥ #¤³± « 0!ȩǾ Tara Harmening Ȩ3 ¥¤ ¨ (®¬¤ȩǾ Natalie Campbell (AHE$$ȩǾ Leslie Casale Ȩ/¤7¤«« (¤ «³§# ±¤ȩǾ Lili High Ȩ-¤³ « (¤ «³§ Association), Adrienne High Ȩ+¤¸²³®¤ (´¬ 3¤±µ¨¢¤²ȩǾ Erin Guimento (Aveanna) MEETING MINUTES Welcome & Introductions This meeting was held via Google Meet. Those present introduced themselves and their agency affiliations during the Provider Updates. Administrative Entity (AE) Updates 3³ ¢¤¸ "±®®ª¤² .¤¶ 0±®¦± ¬ 3¯¤¢¨ «¨²³ - Stacey introduced the new IDD Program Specialist in Franklin/Fulton MH/IDD/EI. intakes and streamlining processes. She previously comes from Service Access & Management (SAM) and seamless transition. One of her objectives and/or passion is the intake process and getting individuals registered so we are aware of upcoming supports and supports that are needed as well as connecting with families. Becky will also be working on things pertaining to the LifeCourse. $±¤²² $®¶ $ ¸² &´£± ¨²¤± - Stacey talked to Keri Kenney who works in the Franklin County Human Resources Department. Every month the county does dress down days. The employees at the county are able to purchase stickers so they can dress down/wear jeans a day during the week. The money that is raised from that fundraiser goes to providers, community members, etc. Each month there is a different function. Providers have the opportunity to call in and talk to Keri about this if it is something you are interested in doing. If it meets the criteria, HR can have a dress down day fundraiser for you. The funds raised would be presented to the provider during a Commissioner-3150. If you have any questions you can also reach out to Stacey. - ±¨® 2®¶¤ %³¤±¯±¨²¤ )¢¨£¤³ - ¦¤¬¤³ Ȩ%)-ȩ 5¯£ ³¤² There are no new updates from the Office of Developmental Programs (ODP) in terms of where they are at with the EIM transformation. They are looking to change IDD Provider Meeting Friday, August 16, 2024 how we process incident reports and how the EIM system works. We are moving forward next month with training on the new fair hearing process under Enterprise Case Management (ECM). ODP is rolling this process out first before they move along with the EIM changes. Marion is still tracking and keeping information on things that are bogging us down with the current EIM process. Marion will keep everyone updated. She encouraged providers to keep writing things down. As soon as we get more direction from ODP the information can be shared with them. Marion is not sure if they will reach out to providers directly or just county offices. If it is just the county, Marion will let everyone know how to proceed with submitting information. She noted the more feedback on the struggles and processing of incident management the better. Marion thanked providers for processing through reports within the required time frames. There has been a lot more incidents over the past few years than ever which is a tedious process. Marion does not have any major feedback from the incident reviewer of general reminders or things they are seeing in terms of trends. Marion reminded providers to look back at the initial comments from county management review or regional management review prior to finalizing reports to make sure you have answered all the questions in the comments. Make sure you are uploading all hospitalization discharge information to the report prior to finalizing. This is what Marion sees as some of the kick back lately in terms of disapproval. There has been some mixed information from ODP. Teresa Toombs/Bugard is no longer there. They are relooking at incidents. There is feedback from one incident reviewer at the regional level Marion is hoping with the new EIM updates that things are consistent and we can get clearer clarification. The emergency room visit is an ongoing issue that we continue to bring up to ODP in terms of their expectations especially when it relates to incident fidelity. There is a new 2024 certified investigation manual. It is available on myODP. Marion encouraged providers to download the document. They have a quick reference page that tells you what the changes are and where it is located. There is training for any providers that need to have a certified investigator on myODP as well. There are two (2) in person sessions available. They are not in the central region but are in the southeast and another location. The rest of the trainings are virtual. "´£¦¤³ 5¯£ ³¤² Contracts are based on the proposed rate changes but what is loaded in HCSIS is the FY23-24 rates. ODP is looking to distribute the new proposed rates by the end of the stst month that go into effect on October 1. However, they are retroactive to July 1. For waiver funded providers, ODP will make the adjustments after the rate load. For base funded providers, the county will have to do amendments to make the rate adjustments. IDD Provider Meeting Friday, August 16, 2024 Non-residential rates are looking at an 8% increase and residential rates are looking at a 6% increase. Once Marion gets the notification at the end of the month, she will make sure it gets sent out to the providers. Base funded providers should expect contract amendments. The total contract amount will not change, just the unit rates. 2¤¡¤¢¢ 7¤ µ¤± .¤¶ 3´¯¯®±³² #®®±£¨ ³¨® /±¦ ¨¹ ³¨® Ȩ3#/ȩ - The IDD Program Specialists have met with Erie County Care Management (ECCM) who is a supports coordination provider agency. They are supporting individuals in Erie, Cumberland and Lancaster counties. They have reached out regarding a contract with Franklin/Fulton to support base/waiver funded individuals. This is still in the preliminary stages. The hope is for this to be finalized the end of September/early October. The plan would then be to send out letters to individuals/families with both ECCM and SAM information to allow current families to know if they would like to change supports coordination organizations (SCOs) how to do so. If the individual/families do not want to change SCOs they do not have to and they do not have to respond to the letter. The provider of choice will also be provided during the intake process. The plan is for ECCM to attend the next provider meeting to present on their services. $ ¸ 0±®¦± ¬ 5¯£ ³¤²ȝ#®¬¬´¨³¸ (¤ «³§ .´±²¤ - In the attachments was the open house flyer for Jessica and Friends. They are opening a new community participation supports (CPS) program. The open house is th August 20 from 3:00 & Friends is doing the hub situation where individuals can go out and be engaging in community activities but also have the ability to stay at the program as well. Currently, Jessica and Friends is an agency supporting companion and in=home and community support (IHCS) services in Franklin/Fulton. Jessica and Friends provides the community health nurse program. If you have an individual you are supporting in the community that lives at home with their family and you think would benefit from the support of a community health nurse, you can reach out to the Supports Coordinator or Jane Cline. All referrals go through Jane. * ¤ #«¨¤ ǉ *®§ '¤± ª Jane and John were unable to attend the meeting. If anyone has any questions, please email them at JCline@franklincountypa.gov or jmgerak@franklincountypa.gov. OneWell Health Care Leslie Casale, OTR/L, CAPS, OT and Home Modification Program Manager at OneWell Health Care provided information on their services. OneWell is in the beginning stages. They have been meeting with consultants who are providing occupational and physical therapy to make sure they are getting off on the right foot. IDD Provider Meeting Friday, August 16, 2024 There are two (2) things required for occupational therapy denial from the primary insurance so that OneWell can provide OT under the waiver. OneWell is developing a referral sheet. If you know of an individual who would benefit from services, Leslie will send the referral sheet for you to fill out to include why you think slie will then take it from there. She will send the referral to the physician and pursue the order and the denial. OneWell has already hired an Occupational Therapy Assistant in Franklin County. She is ready to go! There are several referrals that they currently have that are waiting to get through the denial process. OT is a holistic practice. OneWell looks at basically everything an individual needs to do from the time they wake up until the time they go to bed at night. This consists of the ability to feed themselves, positioning, bathing, dressing, ability to get to/from the restroom, communication, ability to process and follow step-by-step instructions, home management (if they are leaving alone, we assess their safety with cooking), and getting individuals more involved in the community. All of these services are provided in the home. There are no issues with transportation. OneWell does a lot of caregiver education to make sure that the services they are providing are carried over. Services are authorized for a fiscal year. For this particular service, it is not a three (3) times a week for six (6) weeks process. We are looking at taking our time and providing all the services that we can in every aspect of their life. To get in contact with Leslie or to make a referral, please email or call her at (717) 344- 8457 or leslie.casale@onewell.org. A question was asked about whether sensory assessments would be a service provided. Leslie stated absolutely! They would look at the individual in their environment. They are able to provide sensory assessments and interventions. They do testing to make sure they are heading in the right direction and follow through with that. Healthcare Quality Unit (HCQU) Updates Laura Dadswell provided information on the skin integrity initiative. The initiative involves the individuals that have been identified by ODP of having had pressure injuries. They categorized individuals with these injuries by tiers. Tier 1 would be the highest risk individuals, tier 2 would be medium and tier 3 would be low risk. The HCQU has been tasked with reaching out to individuals (or to their providers or SCs) who have been identified. For tier 1, they would do an in person visit. For tier 2 and tier 3 there are different criteria to outreach by email or phone call. They have so many times they would be outreaching until they obtain the information they need. The HCQU nurse would also send out resources for all tiers. The resources include a body assessment worksheet, a Braden Scale to determine how much at risk an individual is for pressure injuries, and several informational resources on pressure injuries themselves including a skin check worksheet. All of the information that is gathered by the HCQU nurse will be entered into IDD Provider Meeting Friday, August 16, 2024 an ODP database. Some of the questions that will be asked will be status of the reported pressure injury, any new pressure injuries since the reported one they are reaching out about, information about the pressure injury, risk factors, who was involved in the care of the injury, what actions were taken during or because of the outreach. All of these questions will be asked, the information will be obtained, and it will be entered into the database then if you have more questions you can reach back out to the HCQU nurse. If you have any specific questions, Laura can take them back to the nurses working with the skin integrity initiative. Marion noted that ODP is not only looking at the medical assistance billing that comes through, they can also see if on incident reports. The HCQU will be following up on the skin integrity incidents to see if the team needs more support, resources and offer education. Supports Coordination Organization (SCO) Updates Ser position. Heather has previously worked for UCP. There is also one other upcoming hire McKenna Alexander. Shanna is holding off on updating the contact sheet until she has updated contact information. Heather has already started her position but McKenna does not start until th September 9. Shanna will provide updated information once all SCs have started. If anyone has any questions regarding coverage, please send Matt or Shanna an email and they can help/let you know who you need to talk to. Provider Updates AHEDD Natalie Campbell is the new Area Manager for the South Central region. & ¬¨«¸ # ±¤ 3¤±µ¨¢¤² Ȩ&#3ȩ Residential providers are busy with performance based contracting, the submission tool as well as all the attachments to answer the questions and assign them to a tier. The credentialing is not required for LifeSharing. The NADSP e-badge system is not needed. The delay in rates and service change of LifeSharing with and without day is stth to be effective October 1. From July September 30, FCS is going to bill the rates st that are available right now then October 1 they can start billing for without day. 4§¤ !2# ®¥ &± ª«¨ £ &´«³® #®´³¨¤² Lorrie has a flyer that will be shared with the minutes that is for individuals with autism who may have to be involved in the court system for whatever reason that may need special adaptations. It was brought together by a group that includes the IDD Provider Meeting Friday, August 16, 2024 go to the Franklin County website, under Courts then Forms, there is an Autism Accessibility form. An Autism Card document was also shared with the agenda. Lorrie asked if the PA state police are involved, will they have a list, will parents fill it out and how will it be distributed. Marion stated that the card was shared with us. She will reach out to see if she can get more details about it and get back to Lorrie. th - Harvest Party will be October 17 at Grand Point Church at 6:30 pm. There will be dancing and a craft. Civitan will also be joining. Lorrie asked a question related to the budget caps. Are they going to be increased? Person/Family Directed Supports (PFDS) and Community Living Waiver (CLW) were supposed to be but there has not been much information about it. The hope is more information will come out with the update at the end of the month. Becky provided information from an ODP announcement that was sent out in May. It proposed that CLW go from $85,000 per fiscal year to $97,000 (SC excluded) and PFDS go from $41,000 per fiscal year to $47,000. The limit can continue to be exceeded by $15,000 for advanced supported employment and benefits counseling. When the SCs did their fiscal year renewals, they were completed off of the proposed new budget. For waiver individuals, ODP can do a mass rate change. However, they cannot do it for individuals whose plans are in draft form. If there are any revisions, those rate changes must be completed by hand not during the mass rate change. For the base individuals, all plans must be updated individually. A new announcement should be coming out at the end of August. They do not anticipate loading the rates into HCSIS until October. /¢¢´¯ ³¨® « 3¤±µ¨¢¤²Ǿ )¢ȁ Ȩ/3)ȩ th OSI at Norlo Park. Additional information will be sent out to residential and transportation providers closer to the date to let them know specific drop off location and pick up. OSI is still actively taking referrals. There are numerous openings at the program. 3 ¥¤ ¨ (®¬¤ st As of April 1 of this year, Safe in Home is going to be solely a remote support provider. Before the waiver amendment changes, Safe in Home was offering just standard alone assisted technology. ODP has determined there is no long term leasing of assistive technology and that after six (6) months the technology has to be purchased. As a company, Safe in Home decided to focus solely on remote supports. If you have any questions or if you are interested in talking about devices, it is worth a conversation to see if it can be paired with remote supports to support an IDD Provider Meeting Friday, August 16, 2024 As a reminder, even though there were changes and providers can now be a provider of remote support as well, Safe in Home still can do remote supports in a provider setting. Safe in Home is using the language remote supports which is the service and is changing to remote support technology. Safe in Home still has devices but it needs to be paired with remote supports. Remote supports will be billed through the waiver and all the devices to provide the remote support will still be billed to the waiver. In the proposal, Safe in Home will go down through each device and explain how tied back to remote supports. Ex: a two (2)-way tablet is used for making reminder calls; sensors are used for alerts. There will be a protocol and plan such as someone who is an elopement where sensors are used for monitoring overnight. The protocol will be written out and individualized. Remote supports through Safe in Home will require an individual to get the devices through them as they use a specific program for their devices. If someone was interested in another device, such as an Alexa and did not have the funds to purchase it, that could be a piece of the assistive technology. They would have to go through an assistive technology vendor, which Safe in Home is not one anymore. The assistive technology could then be billed under the T code for the purchase of a stand-alone assistive technology device. Reports Friendly reminders of due dates for our Base funded providers - Ȩ3¤¤ 0±®¢¤£´±¤ 3³ ³¤¬¤³ -()$$%)-416) th o !´¦´²³ ΐΔ Property Purchased/Property Leased Report and Fixed Assets th Purchased with MH/IDD/EI Funds (for FY ending June 30) th o .®µ¤¬¡¤± ΐΔ Quarterly Report of Expenditures (July September) th o 15 ®¥ ¤ ¢§ ¬®³§ Monthly Invoices If anyone has any fiscal related questions, please contact iddfiscal@franklincountypa.gov. Upcoming Trainings See HCQU Syllabus Dual Diagnosis Conference: September 11, 2024 LifeSharing Conference: October 28-29, 2024 .¤·³ 0±®µ¨£¤± -¤¤³¨¦ &±¨£ ¸Ǿ .®µ¤¬¡¤± ΐΔǾ ΑΏΑΓ at 10:00 a.m. in virtual format.