Update: Due to delays in Individual Support Plan revisions and other factors impacting provider billing, ODP has extended the time period for providers to submit claims for services.

As indicated in ODP Announcement 24-084: Publication of Final Rates Effective Starting Fiscal Year 2024- 2025 and Operational Guidance, page 8 noted, “In November, ODP will process a gross adjustment for any fee schedule services billed during the 1st quarter of the fiscal year. This gross adjustment will compensate providers for the rate differential effective July 1, 2024.”

As indicated in ODP Announcement 24-084: Publication of Final Rates Effective Starting Fiscal Year 2024- 2025 and Operational Guidance, page 8 noted, “In November, ODP will process a gross adjustment for any fee schedule services billed during the 1st quarter of the fiscal year. This gross adjustment will compensate providers for the rate differential effective July 1, 2024.”

This is a reminder to all providers to bill for any services rendered from July 1, 2024 through September 30, 2024. ODP will be compensating providers, via gross adjustments, for the difference between the rate billed and the updated fee schedule rate for dates of service rendered during the period July 1, 2024 through September 30, 2024. ODP anticipates processing gross adjustments at the end of November 2024 to ensure all billing for dates of service July 1, 2024 through September 30, 2024 has been completed. Paid claims data in Remittance Advices between July 1, 2024 and November 4, 2024 will be used as the basis for the gross adjustment.

The Office of Developmental Programs (ODP) requests your assistance sharing the attached communication, ODPANN 24-105: Now Available: Revised Room and Board Residency Agreement § 6100.687 (DP 1077) and the accompanying attachment. The purpose of this communication is to announce the release of an updated Room and Board Residency Agreement.

Please review the announcement for additional information and detail.

The Office of Developmental Programs (ODP) requests your assistance sharing the attached communication, ODPANN 24-103: Performance-Based Contracting: Residential Pay-for- Performance Details Now Available and its attachment: Residential Performance-Based Contracting – Pay-for-Performance (P4P) FY24-26. The purpose of this announcement is to provide details about the Residential Performance-Based Contracting (PBC) Pay-for-Performance (P4P) initiatives. 

Please review the announcement and its attachment for additional information and details.

Linked is the latest edition of the Office of Developmental Programs (ODP) Technology Taskforce Newsletter: Technology Today. Technology promotes inclusion, diversity, and participation and offers better support for individuals with disabilities, family members, and providers. We understand accessibility is key and strive to support individuals with disabilities, family members, and providers with resources, events, and other important updates in the assistive technology world. The hope is that you will learn something new and pass it along to others.

This tenth edition of ODP Tech Taskforce's newsletter includes some useful mobile application resources, exciting upcoming events in the supportive technology world, and even a personal story of an individual who serves as an example of how assistive technology can make a difference in the lives of people with disabilities

The Office of Developmental Programs (ODP) requests your assistance sharing the attached communication, ODPANN 24-102: Adult Autism Waiver (AAW) Specialized Skill Development (SSD) Behavioral Specialist Service (BSS) Updates. This communication announces the resolution of a previous SSD: BSS billing issue and the release of new SSD: BSS Procedure Codes effective 11/01/2024.

Please review the announcement for further information and detail.

The Office of Developmental Programs (ODP) requests your assistance sharing this communication update on ODPANN 24-098: Guidance on Requesting Death Certificates from Families. The purpose of this communication is to provide guidance when requesting death certificates from family members in relation to death incident reports and investigations. Updates are in red.

The Office of Developmental Programs (ODP) requests your assistance sharing the attached communication, ODPANN 24-100: Registration Now Open for December Certified Investigator (CI) Forum & How to Access CI Forum Question & Answer (Q&A) Documents. The purpose of this communication is to inform stakeholders of open registration for the December Certified Investigator Forum and to provide information on how to access Q&A documents from past forum sessions.

Please review the announcement for instructions on how to register and other relevant information.

The Office of Developmental Programs (ODP) requests your assistance sharing the attached communication, ODPANN 24-064 Update: Medication Administration Notification of System Upgrade and Lock-out Period starting October 10, 2024 Completed. The purpose of this communication is to notify Trainers and Learners that the system upgrade for the Medication Administration system is now live and can be accessed by Trainers and Learners.

A webinar reviewing the system changes will be available for Trainers on 10/25/2024 from 10:00am-11:00am.

Please find linked below, the most recent version of the Adult Autism Waiver’s (AAW) Supports & Services Directory (SSD) for October 2024:

Adult Autism Waiver (AAW) Supports and Services Directory (SSD) October 2024.

The Office of Developmental Programs (ODP) requests your assistance sharing the attached communication; ODPANN 24-099: Agency With Choice (AWC) Financial Management Services (FMS) Organization Listing. The purpose of this announcement is to provide a list of current AWC FMS organizations available to support participants and surrogates who have chosen to self-direct some or all of their Participant Directed Services (PDS) using the AWC FMS model under the Consolidated, Community Living, and Person/Family Directed Support (P/FDS) waivers.

Please review the announcement for additional details.

Dear Providers and Stakeholders,

The Division of Licensing Administration has created tutorials to assist with the electronic payment of application, certificate, fines, and appeals fees. A different tutorial has been designed for each Program Office and payment type. The tutorials give step by step instructions for completing the payment of fees for each office.

Happy Autumn! Attached are the PA Family Network workshop and support groups for November. Thank you for sharing these important workshops and Good Life Groups with your network!

Register for upcoming events at www.pafamilynetwork.org/events.

The Office of Developmental Programs is sharing this important announcement from the Pennsylvania Department of Health (PA DOH) related to possible exposure to an individual positive for measles.

On October 11th, the Pennsylvania DOH was notified by the New Jersey DOH that Pennsylvania residents could have been exposed to measles.

The Office of Developmental Programs’ (ODP) requests your assistance sharing the November 2024 training and events calendar.

The Office of Developmental Programs requests your assistance sharing the attached communication, ODPANN 24-097 Now Available-Amendments to the Adult Autism Waiver (AAW) Approved by the Centers for Medicare and Medicaid Services (CMS). The purpose of this announcement is to inform all interested parties that the Centers for Medicare and Medicaid Services (CMS) approved amendments to the AAW, effective January 1, 2025. The updated waiver is available on the Department of Human Services’ (DHS) website.  

Please review the announcement for additional information and details.

The Office of Developmental Programs requests your assistance sharing the attached communication, ODPANN 24-096 PBC and January Waiver Amendment Approval. The purpose of this announcement is to inform all interested parties that the Centers for Medicare and Medicaid Services (CMS) approved the 1915(b)(4) Performance-Based Contracting waiver and the Consolidated, Community Living, and P/FDS Waiver amendments effective January 1, 2025. All waivers are available on the Department of Human Services’ (DHS) website.

Please review the announcement for additional information and details.