Last Updated: 10/16/17 - Amazon S3



Provider Qualification Documentation Record ChangesTab Change MadeQuestions and Answers TabClarified that OHCDS/AWC providers need to review qualification documentation for vendors prior to the provision of service and then at least every 3 years thereafter.Staff Qualification TabUpdated column AK so the drop down list is in numerical order. Also removed the duplicates and added two specialties that were missing. Documentation Requirements TabUnder Life Sharing, Residential Habilitation, and Supported Living, clarified the following for the EXECUTIVE DIRECTOR, ? CHIEF EXECUTIVE OFFICER, ? CHIEF OPERATIONS OFFICER, OR ? DIRECTOR, ASSISTANT OR ASSOCIATE DIRECTOR:New residential providers and existing providers enrolling for residential services for the first time: one of the following positions must have a minimum of five years’ experience as a senior manager in an organization providing residential services for individuals with an intellectual disability and/or autism: Executive Director, Chief Executive Officer, Chief Operations Officer, or Director, Assistant or Associate Director AND a bachelor’s degree.Senior manager experience is defined as having held one of the following titles in an organization that provides residential services for individuals with an intellectual disability and/or autism: Executive Director, Chief Executive Officer, Chief Operations Officer, or Director, Assistant or Associate Director.Documentation Requirements TabUnder Community Participation Support, information was updated to indicate that Program Specialists and Supervisors must have one of the following by January 1, 2019, or within 6 months of hire if hired after July 1, 2018:1. Hold a Certified Employment Support Professional (CESP) credential from the Association of People Supporting Employment First (APSE).2. Have been awarded the Basic Employment Services Certificate of Achievement or a Professional Certificate in Employment Services from an Association of Community Rehabilitation Educators (ACRE) organizational member that has ACRE-approved training.Questions and Answers TabUnder Community Participation Supports, questions and answers were updated/added related to the following: Is a Program Specialist required as a component of 100% Community Participation Support – Non-facility?Who is required to have the ACRE or CESP training when providing Community Participation Supports?For programs providing prevocational training to participants, program specialists and supervisors what does “prevocational activities” mean?Where is the training for CPS that is required for all staff?Instructions TabSupporting Documentation to Be Submitted for Staff Who Provide Unlicensed Services Only (The term "Unlicensed" encompasses all services EXCEPT 2380, 3800, 5310, 6400, and 6500) was updated to also include 6 PA Code Chapter 11.OHCDS AWC VendorsCreated this new tab for OHCDS and AWC Vendors which includes the following columns: Vendor Name, Address, Vendor Service Provided, PUC License #, General Liability Insurance Cert #, Expiration Date, Workmen's Comp Cert #, Expiration Date, Specialized Qualification Standard Documentation, and Miscellaneous, Additional Information, Corrective Actions, etc.Instructions TabAdded the following instructions as it relates to the new OHCDS Vendors Tab: Organized Health Care Delivery System (OHCDS) – An arrangement in which a provider that renders at least one direct MA waiver service also chooses to offer a different vendor HCBS by subcontracting with a vendor to facilitate the delivery of vendor goods or services to a participant. Please list the subcontracting vendor. Documentation Requirements TabUnder Life Sharing, Residential Habilitation UNLICENSED and LICENSED [Child Residential (3800), Community Home (6400), Community Residential Rehabilitation (5310)], and Supported Living under Chief Financial Officer, changed to or “evidence of a contract with a financial management service.”Documentation Requirements TabUnder Residential Habilitation UNLICENSED and LICENSED [Child Residential (3800), Community Home (6400), Community Residential Rehabilitation (5310)], removed reference to “enhanced” from LPN and RN. Documentation Requirements TabUnder Life Sharing, removed reference to Program Specialist and moved that information under Life Sharing Specialist.Documentation Requirements TabUnder Transportation, changed validation documentation information to indicate “license issued by the PUC.”Electronic Fingerprinting TabModified the entire tab to reflect a change in the electronic fingerprinting process required under the Older Adults Protective Services Act.Effective November 28, 2017, MorphoTrust will be the commonwealth’s new electronic fingerprinting vendor, for the Federal Bureau of Investigation (FBI) criminal history background check process.All information related to Applicant Registration & Fingerprinting, Processing FBI Reports, Inquiries or Questions, and Types of Facilities/Agencies mandated under the OAPSA has been updated.Documentation Requirements TabUnder Assistive Technology, validation documentation was updated to reflect the addition of the following word in red:Copy of policy outlining the process for providing emergency replacement devices or parts within one business day if the devices installed at the participant’s residence fail and cannot be repaired if identified in the assessment. If device failure occurs on a weekend or holiday, the replacement devices or parts may require one or two additional business days; AND Documentation to prove that company has a secure and encrypted website (this information can be on the website itself, in a brochure, or in company literature); AND Brochure, contract, website, policy and/or written references (from clients) that describe how personnel such as police, fire, emergency medical services and psychiatric crisis response entities are notified; AND Documentation to substantiate that the technology system provider has been in this line of business a minimum of 3 years (incorporation documents, tax returns, etc.)Documentation Requirements TabChanged the language regarding staff required to have a CESP credential or ACRE certificate from 11/1/18 to 7/1/18 for the following services: Community Participation Support, Small Group Employment and Supported EmploymentCOMMUNITY PARTICIPATION SUPPORT: PROGRAM SPECIALISTS & SUPERVISORS: Certified Employment Support Professional OR Association of Community Rehabilitation Educators Employment Services Certificate, effective 1/1/19 OR within 180 days of hire if hired after 7/1/18.SMALL GROUP EMPLOYMENT & SUPPORTED EMPLOYMENT:Staff must have one of the following by 1/1/19 or within 180 days of hire if hired after 7/1/18: Certified Employment Support Professional (CESP) credential from the Association of People Supporting Employment First (APSE); or ? Basic Employment Services Certificate of Achievement or a Professional Certificate of Achievement in Employment Services from an Association of Community Rehabilitation Educators (ACRE) organizational member that has ACRE-approved training. Effective 7/1/18, newly hired staff who do not have the required certification when hired must work under the supervision of someone who is certified. This can occur no longer than 180 days from the date of hire to allow the new staff time to obtain the certification.Documentation Requirements TabUnder “Respite, Licensed; Unlicensed” added specialty “030. Respite, NH/ICF.”Documentation Requirements TabUnder “Respite, Licensed; Unlicensed” removed specialty “036. Respite Care.”Documentation Requirements TabUnder “Residential Habilitation, Licensed; Unlicensed,” modified procedure codes to be in line with HCSIS Procedure Code Master List.Documentation Requirements TabUnder “Family/Caregiver Training & Support” added specialty “533. Educational Services.”Documentation Requirements TabAdded Procedure code W9057, Needs Exception Allowance (NEA)-under Supported Living.Questions and Answers TabNew questions and answers were provided regarding Advanced Supported Employment.Questions and Answers TabRemoved Residential Habilitation as a service that has an enhanced service option.Documentation Requirements TabUnder Advanced Supported Employment: validation documentation was updated to reflect the following language: Copy of Bachelor’s Degree (official or unofficial transcripts are sufficient if graduation date is indicated) OR Copy of Diploma AND copy of resume of professional experience, OR Diploma and written reference to validate personal experience as a parent, sibling or primary caretaker of an individual with an intellectual disability, autism, or other disability that involved significant medical, physical, cognitive or developmental challenges. Certificates that are currently acceptable for validation purposes include the Griffin Hammis Associates ODP Advanced Supported Employment Certification or the Marc Gold & Associates performance-based certification in the area of Discovery, Job Development, or Systematic Instruction. If there are additional questions regarding acceptable certification, ask ODP for guidance.Documentation Requirements TabUnder Advanced Supported Employment the procedure code was changed from H0223 to the correct code which is H2023Instructions TabThe following clarification was added :The term “hire or hired” refers to all “staff” (employee, contractor, consultant or volunteer) of the agency seeking qualification. The hire date of a staff member refers to the date the staff is either hired as an employee or retained directly or indirectly as a contractor, consultant or volunteer. The agency is responsible to ensure that all staff meet qualification requirements prior to working directly with individuals. Documentation Requirements TabUnder Behavioral Support; ● Level 1-Initial/Ongoing; ● Level 2-Initial/Ongoing, for W8996, removed Provider Type “51. Home & Community Habilitation” and Specialty “508. Behavioral Support – ODP.”Documentation Requirements TabRemoved Chapter 2380 under specialty from Licensed Day Habilitation, Older Adult Daily Living CentersDocumentation Requirements TabUnder Advanced Supported Employment: for validation documentation, updated the certificates that are currently acceptable for validation purposes to include Griffin Hammis. Documentation Requirements TabUnder Behavioral Supports: qualification language was updated under all staff to include the following: “Copies of training curriculum and documentation of completion of training in conducting and using a Functional Behavioral Assessment and in positive behavioral support; AND Copy of resume to indicate 2 years’ experience working with individuals with ID/autism.”Documentation Requirements TabUpdated Lifesharing validation documentation requirements to coincide with the approved July 1, 2017 Consolidated and P/FDS Waiver Renewals.Staff Qualification TabAdded a column with the Specialty and then included a drop down box with all the specialties listed on the documentation requirements tab. A column has been added between Service Provided (AJ) and SQS Documentation (AK) which lists the Specialty Codes. The reason for the change was to easily tell what specific code the AE is qualifying and to be able to tell if it is recorded correctly on the DP 1059.Questions and Answers TabUnder the questions for the DP 1059, changed the time period the AE must approve the DP 1059 from 120 days to 30 days to be line with Communication #51-17.Documentation Requirements TabUnder Respite: the validation documentation for licensed respite was updated to include a copy of the license and the rows were split to avoid confusion.Documentation Requirements TabChanged heading of Residential Habilitation to include the following: UNLICENSED and LICENSED [Child Residential (3800), Community Home (6400), Community Residential Rehabilitation (5310)]Documentation Requirements TabUnder Residential Habilitation: added Program Specialist (unlicensed).Questions and Answers TabAll references to provider qualification application were changed to DP 1059.Questions and Answers TabAll acronyms such as BCBA, EPSDT, BHRS, CESP, etc. were spelled out.Throughout All references to biennial were changed to triennial.Questions and Answers TabChanged all reference to “waivers” to “the approved July 1, 2017 Consolidated and P/FDS Waiver RenewalsQuestions and Answers TabChanged all language to reflect that DP 1059 should be completed when “enrolling a new site, enrolling a new specialty, or revalidating their service location.”Questions and Answers TabIncluded all ODP Communication numbers, titles, and path within my ODP to locate the documentInstructions TabUnder “Clearances Required for Provision of Services to Adults”: change date of “application” to date of “hire” as it relates to clearances.Documentation Requirements TabUnder Respite: For licensed and unlicensed enhanced added effective date of January 1, 2018, as it pertains to the following: at least one Support Service Professional providing enhanced levels of Respite must have one of the following professional certifications or degrees: NADD Competency-Based Clinical Certification; OR ? NADD Competency-Based Dual Diagnosis Certification; OR ? NADD Competency-Based Direct-Support Professional Certification; OR ? Registered Behavior Technician; OR ? Certified Nursing Assistant; ? Board Certified Assistant Behavior Analyst; OR ? Bachelor’s Degree in Psychology, Special Education, Education, Counseling, Social Work or Gerontology.Questions and Answers TabUpdated the list of services that have an enhanced service option to the following: ● Community Participation Support ● In-Home and Community Support ● Licensed Day Habilitation ● Prevocational Services ● Respite Staff Qualification TabUnder Staff Driver's Information, added a column to include the expiration date of the inspection and corresponding instructions.Automobile Qualification TabAdded column for the inspection expiration date and corresponding instructions.Questions and Answers TabClarified the requirement to validate current inspections for staff vehicles. The answer now indicates that following: “Yes, this is a requirement in the approved July 1, 2017 Consolidated and P/FDS Waiver Renewals and therefore listed on the Provider Qualification Documentation Record. An annually inspected vehicle will receive an inspection for 1 year from the expiration of the safety inspection sticker which is about to expire. Please enter the expiration date of the inspection on the spreadsheet. Cells for expired inspection dates will show up as red fill with bold white text. Providers are not required to submit hard copies of staff vehicle documentation to the Assigned AE for qualification however, the provider is required to validate the vehicle has a current inspection by either viewing the inspection sticker on the automobile or by reviewing a copy of the inspection invoice from an official Inspection Station.”Instructions TabUnder “Staff Driver's Information" updated to include the following: Enter current driver's license for all staff who transport waiver participants. If staff use their own vehicle to transport participants, include the automobile insurance information and registration and inspection expiration dates. Cells for expired license, registration, inspection and auto insurance dates will show up as red fill with bold white text. Providers are not required to submit hard copies of staff vehicle documentation to the Assigned AE for qualification.Documentation Requirements TabUnder Community Participation Support, LEVEL 3 OR 4 ENHANCED SERVICES added the following: If the individual does not have a need for nursing, effective January 1, 2018, at least one staff person must have one of the following certifications or degrees NADD Competency Based Clinical Certification, NADD Competency Based Dual Diagnosis, NADD Competency Based Direct Support Professional Certification, Registered Behavior Technician, Certified Nursing Assistant, Board Certified Assistant Behavior Analyst, Bachelor's Degree in Psychology, Education, Special Education, Counseling, Social Work or Gerontology.Questions and Answers TabClarified how often OHCDS/AWC providers need to review qualification documentation for vendors.Agency Demographics TabUpdated the language for worker’s compensation as it pertains to contractors.Documentation Requirements TabUnder Community Participation Support, Small Group Employment, and Supported Employment updated the ACRE/CESP information to be consistent with ODP Announcement 041-18.Documentation Requirements TabUnder Advanced Supported Employment updated the validation documentation information related to Griffin Hammis to read as follows: Certificates that are currently acceptable for validation purposes include the Griffin Hammis Associates Discovery Mentorship Certificate or the Marc Gold & Associates performance-based certification in the area of Discovery, Job Development, or Systematic Instruction. If there are additional questions regarding acceptable certification, ask ODP for guidance.Agency Demographics TabRemoved purple highlights and updated the ODP Waiver Provider Agreement Date so it will turn “red” for any date entered prior to 4/13/2018.Instructions TabAdded the following language for AGENCY WITH CHOICE:All PQDR instructions apply to Agency With Choice (AWC) entities. AWC will list all Support Service Professionals and fill in all of their qualification information on the Staff Qualification Tab. AWCs will also list all required vendor information on the OHCDS/AWC Tab.Documentation Requirements TabUnder Residential Habilitation Unlicensed and Licensed added the following language: New residential habilitation providers and existing providers enrolling for residential habilitation for the first time: Effective September 1, 2018, and thereafter, the CEO must complete the ODP-approved Dual Diagnosis Training curriculum found on My ODP and must present the final certificate of completion for the approved coursework to the appropriate Administrative Entity (AE). Agency Demographics TabAdded a row titled “NEW RESIDENTIAL HABILITATION PROVIDERS AND EXISTING PROVIDERS ENROLLING FOR RESIDENTIAL HABILITATION FOR THE FIRST TIME” and included an area to include the date for the ODP Approved Dual Diagnosis Training Curriculum Certificate.Education Support TabAdded a new tab to include an Attestation Form for providers of Education Support.Instructions TabAdded language to indicate that providers of Education Support must complete the PQDR, including the Staff Qualification Tab, and submit the Attestation Form found in the Education Support Tab in lieu of criminal checks to their assigned AE. ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download