1. Department of Human Services Office of Long-Term Living Pennsylvania Coalition of Affiliated Healthcare & Living Communities (PACAH) Fiscal Officers Group Meeting
December 17, 2015
Presented by
Peggy Morningstar, Chief Financial Officer
And
Judith Patrick, Policy Manager
9/17/15

2. Budget
FY 2015/16 Budget Update
Budget Pending

3. FY 2015-2016 NF Rates Status County Nursing Facility (NF) Rates
General Appropriations Act of 2015
Publish final notice
Nonpublic NF Rates
CMS approval of BAF formula
Rates -

4. FY 2015-2016 BAF Status County NF Budget Adjustment Factor (BAF)
General Appropriations Act of 2015
Nonpublic NF BAF
CMS approval of BAF formula
Note: BAF formula used in FYs & was submitted for FY

5. FY 15-16 Supplemental Payments
County Medical Assistance Day One Incentive (MDOI)
State Plan Amendment (SPA) submitted 7/13/15
Notice published 8/01/15
CMS approved 9/29/15
Payments for quarters 1 & 2 – RA 12/14/15
County Supplementation
Pending fiscal code
Nonpublic MDOI
HAI
Payments – 12/31/14 filers – Pending General Appropriations Act of 2015

6. NF Assessment Program Status
Final notice published – 12/05/15
Deadline for submission of resident days for quarters 1 & 2 – 12/7/15
Submit supplemental/county MDOI for processing – 12/11/15
Supplemental payment/county MDOI/RA processing date – 12/14/15
Supplemental payment/county MDOI check released – 12/23/15
Payment due for assessments – 1/04/16

7. Preadmission Screening Resident Review
PASRR
Preadmission Screening Resident Review
PASRR Level I & Level II forms have been amended based on recommendations from CMS.
New forms will be effective January 1, 2016.
Multiple training webinars have been held over the last two months.
Three webinars remain – 1/06/16, 1/11/16, 1/13/16
Most recent global dated 12/15/15

8. Preadmission Screening Resident Review
PASRR
Preadmission Screening Resident Review
Failure to timely complete (prior to admission) the PASRR process will result in forfeiture of Medicaid reimbursement to the NF during the period of non-compliance in accordance with federal PASRR regulations (42 CFR § (b)).
OLTL Bulletins issued 12/15/15
Questions – Contact Ruth Anne Barnard

9. Miscellaneous Items Revalidation reminder
New DHS website –
Cost reports – Submission of supporting documents
County nursing home IGT/CPE status update

10. Community Health Choices (CHC)
What is the status of moving to Managed Long-Term Services and Supports (MLTSS)?
Feb – Announced the plan
June 2015 – Discussion document
September 2015 – Concept paper
November 2015 – Draft requirements
December 2015 – Draft agreement
January 2016 – RFP
January 2017 – Phase 1 – SW Region
January 2018 – Phase 2 – SE Region
January 2019 – Phase 3 – Central, NW, and NE Regions

11. Information can be found at:
Further Information
Information can be found at:
Fact sheets
address:
Also, the Office of Long-Term Living holds webinars on the third Thursday of each month to provide stakeholders with updates on progress we are making. To sign up:

12. Questions?
11/14/2018