Person-Centered Planning Develop EPD waiver requirements, person-centered planning (PCP) template, and PCP policy in order to meet compliance with CMS rules on PCP. Chore Aide Services - Chore aide services are heavy-duty housecleaning activities that are time-limited and allow for the participant’s environment to be made clean and safe in a manner that can be maintained by regular … Basic Conditions of Employment Act: Ministerial Determination 4: Expanded Public Works Programmes ¾ªž&:eeÒIíÖɋ“NÁ2cr9õ0GÛ'ÍїC˜ªC+’~;’a=>u>…¼bB`À U1øӚå‰w5ΝaYßGݑ—ÅÌG#ϤõÖxŽÖêk|ƒ"o‚9¸ª‘BɘroÖú¬Kœ+2‰% «ÏE2‡…IsV%3éÂý­‚5u]Q 8oÅÝñ–Füò¬GeÅ4è~À³›Ãü|^§0ӎ>¼.qÝ+. This amendment removes the annual TB testing requirement and replaces it with a requirement that TB testing be done in accordance with the guidelines published by the U.S. Centers for Disease Control (CDC). The proposed average PMPM rates for EPD Waiver case management services will be as follows: $238.80 in FY 2016, and $245.96 in FY 2017. 3. 1) Waiver Beneficiary Freedom of Choice Form Step 2: Review Case Management Options and Complete Attestation Form If you are approved for the EPD Waiver Program, you will be assigned a case manager who will work closely with you to develop your plan for the services and supports in your home. This is a mark-up on the waiver amendment application that DHCF plans to submit to CMS on or after June 17th, 2015. ;á›è½÷ßõrDUã8â;°Ó^¦ÐÒQwÐEÛÆCãT¦s—à>‹¨`£Âë K֍Hß0?=:Ë£³œˆ}G¨ÂÓ aÑ]w¾1ÖzX†o'Ô÷_æÇя\¶ÜþÄj¶>’qô²ƒ1ý0'a„ÿ³~¯±Ï*^͘‚lWՙ(?7q-c¢’{J°ÑÇ}ØFfp¾f‚“†}wrw1ž!AžÁ/~˜2ü/À ±ÜT An electronic copy of the approved waiver amendment is attached below. DC Entered Phase Two of Reopening on June 22. You have paid the overdue tax in full, by the due date as stated in the late payment penalty letter; and 2. Environmental Protection Department,content page,highlights,events and activities,press releases,Application Forms To reduce redundancy in the service array, the District eliminated these services as part of the EPD waiver benefit, but they will remain as part of the State Plan home health benefit.. Removes duplicative quality improvement measures. Specifically, EPD will check whether NRMMs have the prescribed labels and if the particulars on the labels tally with the information in EPD’s records. Maintaining EPD up to $7.3M In FY 2011 DHCF capped the state plan PCA Waiver cap at 3,940 benefit at 520 hours per year. The EPD Waiver is a home and community-based program designed to provide the elderly and persons with physical disabilities with quality health care services in the comfort of their homes and community. Restricts enrollment in the waiver to those beneficiaries not currently enrolled in another 1915(c) waiver. A Isolation. The Waiver Amendment introduces three new services- adult day services, and occupational and physical therapy services. PCA services under the waiver are currently delivered to waiver participants as an extension of the state plan PCA services benefit. Changes a health and welfare performance measure by increasing the period of time within which providers must inform beneficiaries of critical incident investigation outcomes. The proposed amendment would change the designation of PCA under the waiver to clarify that it is a distinct benefit and no longer require exhaustion of State Plan PCA. Dr. Kenneth 03:17 PM, May 29, 2018 . For example, a beneficiary may not be concurrently enrolled--and receiving benefits as a participant--in both the District's EPD waiver and IDD waiver. the Department of Health Care Finance’s (DHCF) administration of the Home and Community-Based Waiver Program for the Elderly and Physically Disabled (EPD Waiver), and in particular, the provision of Personal Care Aide (PCA) services to EPD Waiver beneficiaries. Updates the waiver's quality improvement measures as follows: 8. The Department of Home Affairs is committed to the following turnaround times for specific categories of visas and permits: Permanent residence finalized within 8 months (Only for extra-ordinary skills, general work and business applications) Removes the daily cap of sixteen (16) combined hours of PCA services and Adult Day Health Program (ADHP) services for beneficiaries determined eligible for and/or receiving both types of services. To protect beneficiaries and providers of adverse consequences during the public health emergency, DHCF will be delaying implementation of the following changes approved under the District’s EPD Waiver Amendment: To promote public understanding of the policy changes under the EPD Waiver Amendment and the timeframe for implementation, DHCF is updating the summary provided below on all the changes included under the waiver. With approvals occurring in a short timeframe, the 15% decrease poses a negligible difference (less than 1 day for a 5 day approval). This current practice means that waiver participants can receive up to twenty-four (24) hours of PCA services per day total. ELDERLY & PERSONS WITH PHYSICAL DISABILITIES (EPD) WAIVER *As of June 30, 2016 this agency will no longer provide Case Management Services Last Updated 9/21/2015 Prestige Healthcare John Smith Ethan Ware 5501 1 st Street NW Washington, DC 20011 202-558-2448 202-204-5758 Updates the Community Transition Services (CTS) description to: 6. In accordance with CMS recommendations, this amendment deletes any duplicate performance measures used to assess compliance with waiver assurances concerning health and welfare, administrative authority, qualified providers, and financial accountability. This amendment removes from the PCA service description the provision allowing residents of ALFs to receive additional assistance with activities of daily living through the receipt of the waiver’s PCA service. These changes were necessary to ensure the continued financial viability of the waiver and part of a broader effort the District is undertaking to restructure how long term services and supports are delivered for Medicaid beneficiaries. 1.4 No amendment of this contract, including this clause, shall be of any force or effect, unless such amendment is made in writing and signed by both parties. 7. Your case manager will be your primary contact when it Prediction is that many people will move to EPD waiver to continue PCA services. Isolation after the move is a fear for both older and younger people transitioning from nursing homes, and it is a reality for some in the community who DHCF is connected to through existing deinstitutionalization efforts. Davao City Water District is the water utility in Davao City serving more than 210,000 connections and still growing. EPD Waiver policy and procedures for Case Management will address the HCBS Settings provisions within the context of person-centered planning. (a) This is your first appeal; or (b) You have filed and paid on time for the past two years. H‰|UɎã6½û+êH@›#j¥ŽAç˜Ë´oÝ9°%Êæ@–’²áüP~3U$åöt0ñÁÜÄZ^½W?Þ²º¬ÈàðÛnϲ,kàÐùY!àpݽ&v]–QÕä Ý׉;)°Ê\t§lܐ¤Q /Rò}Ta{†ôÏû}‘3^ ì9ËʦÝåä‡ÜTÁÍ"K÷«Ýég‰œœw2é¾dE2¯Gڍ This amendment clarifies that a beneficiary is not permitted to concurrently participate in multiple 1915(c) HCBS waiver programs. Immigration Amendment Act, 2011 (Act No 13 of 2011), as well as the Immigration Regulations, 2014 ("the Regulations") came into force. The Department is revising its service descriptions for assisted living, homemaker, chore aide, personal care aide, participant directed services, case management, and As a result of this change, this amendment limits PCA services for waiver participants to sixteen (16) hours per day. Physical therapy and occupational therapy were added to EPD waiver services in 2015 to ensure that waiver participants could receive these services on a more frequent and continuous basis than offered under the state plan benefit. Diverse funding sources need to … However, to date, waiver participants have not requested these services in their person-centered service plans. EPD HCBS Waiver Eligible. Updates the tuberculosis (TB) testing requirements for direct care staff to align with the national standards. Cybersecurity Directives. $7.3M figure is based on 140 people per month moving in FY 2011, and 100 per month moving in FY 2012. To support the proposed delay, DHCF will submit a COVID-19 1915(c) Appendix K for review and approval by CMS in early October. Read Mayor Bowser’s Presentation on DC’s COVID-19 Situational Update: March 11 Removes the following services from the waiver: 2. Nine of the rules for the 27 services were published in FY13, and the remaining ones are pending. DHCF is working to increase access to home and community-based services. A notice of emergency and proposed rulemaking was published in the DC Register on November 23, 2012 (59 DCR 013446). Under current practice, State Plan PCA services are capped at eight (8) hours per day and must be exhausted before EPD waiver participants can access additional PCA services under the waiver up to sixteen (16) hours per day. operationalizing participant directed services during Waiver Year 2 and DHCF will submit an amendment to the EPD Waiver application by June 30, 2012, to include the selection process for a Vendor F/EA Financial Management Services / Supports Brokerage entity. CMS has approved the District’s proposed EPD Waiver Amendment, effective October 1, 2020. EPD will check the compliance of NRMMs used in specified activities and locations as well as those sold or leased for local use with the Regulation as part of the routine enforcement. Connect With Us One Judiciary Square 441 4th Street, NW, Suite 250 North, Washington, DC 20001 Phone: (202) 724-7491 Fax: (202) 442-6724 TTY: 711 People are enrolled in the EPD Waiver on a first-come, first-served basis, and the EPD Waiver program currently has a waiting list. 5. EPD Waiver Amendment DHCF is in the process of drafting amendments to its EPD Waiver, with plans to submit to CMS by June 15, 2015. This amendment adds the following two provisions: 10. This amendment changes the frequency at which satisfaction surveys are administered to Services My Way participants/ representative employers, from every sixty days (60) days to annually. Emergency Directives (EPD Waiver & State Plan) Personal Care Aide Services Last Update 10/20/2015 VMT Home Case Health Agency 901 First Street, NW Washington, DC 20001 Telephone: (202)282-3004 Fax: (202)282-2057 DHCF Home Health Agency 441 4th Street NW Washington, D.C. 20001 Telephone/Fax: (202)803-6886 The changes also support the District’s ongoing initiative to better tailor long term care services to beneficiaries’ needs and to reduce inappropriate or overutilization of services. 2 (s. 2016) on Freedom of Information in the Executive Branch. What is the EPD Waiver Program? As detailed below, DHCF is also working on amendments to the EPD waiver to strengthen waiver offerings and is modernizing business Currently, providers must inform beneficiaries of such outcomes within twenty-four (24) hours of closure of the investigation; this amendment extends the period of time to five (5) business days from the closure of the investigation. 1.5 No concessions by any party shall be considered to be a waiver or novation of such party’s rights … 8 Legal Aid has represented multiple individuals who require 24 hours per day of PCA services in order to safely complete their activities of daily The Cybersecurity and Infrastructure Security Agency (CISA) at the Department of Homeland Security (DHS) develops and oversees the implementation of “binding operational directives” and “emergency directives,” which require action on the part of certain federal agencies in the civilian Executive Branch.. Case management services are the core of the EPD Waiver program and therefore, regular communication and visits are required to make sure services are coordinated in full. Clarifies that EPD PCA service benefits are separate and distinct from State Plan PCA benefits and establishes a limit on EPD waiver PCA services to sixteen (16) hours per day. DHCF has proposed an amendment to the EPD Waiver that includes limiting PCA services for waiver participants to 16 hours per day. DHCF is delaying the effective date of changes under the waiver that would result in service reductions or terminations due to the COVID-19 public health emergency, from October 1, 2020 until at least the end of the public health emergency. The participant or authorized representative can choose a service provider from an available list of approved EPD Waiver Providers. Details: Department of Health Care Finance Office of Long Term Care Elderly and Persons with Physical Disabilities (EPD) One Judiciary Square – 441 4th Street, NW Suite 900S Washington, DC 20001 (202) 442-5988 District of Columbia Office on Aging/Aging and Disability Resource Center (ADRC) 500 K Street, N.E. Washington DC 20002 Funding for housing. Informational Bulletins for LTC Providers, Important Notice for Primary Care Providers, DC HIE Onboarding Requirements for the Behavioral Health Transformation Rule, Medicaid Electronic Health Record Incentive Program, Americans with Disabilities Act Information, DHCF Notice of Non-Discrimination and Accessibility Requirements Statement. Thank you for your request dated May 10, 2018 09:12:56 AM under Executive Order No. Regulation 30(2) of the Regulations deals with eh authorisation for an illegal foreigner to remain in the Republic pending an application for status. Changes the frequency of the Services My Way staff-administered survey to once per year. Physical therapy and occupational therapy. May 29, 2018 Dear Lovely Fate Jala, Greetings! 9. DC Entered Phase Two of Reopening on June 22. Adult day health services will enable persons enrolled under the EPD Waiver to live in the community by offering non-residential medical … endstream endobj 1225 0 obj <>stream Removes reimbursement of PCA hours for beneficiaries residing in Assisted Living Facilities (ALFs). the EPD Waiver before submission. The Director of the Department of Health Care Finance (DHCF), pursuant to the authority set forth in the Department of Health Care Finance Establishment Act of 2007, hereby gives notice of the approval of an amendment to the District Medicaid Program’s 1915(c) Home and Community-Based Services (HCBS) Waiver for the Elderly and Persons with Physical Disabilities (EPD Waiver) by the Centers for Medicare and Medicaid Services (CMS). 4. The waiver was approved by CMS for implementation effective 11/20/12. Compared to quarter 1, there has been a decline in the time taken to approve waiver applications. The EPD waiver program is a choice program for the elderly and individuals with physical disabilities who are able to safely receive supportive services in a home and communitybased setting. The EPD waiver program is a Medicaid Waiver choice program for the elderly and individuals with physical disabilities who are able to safely receive supportive services in a home and community-based setting. The case load for each case manager is limited to no more than forty-five (45) cases total, across all case management agencies, at any given point in time; and. If you have any questions or concerns about these proposed changes please contact Katherine Rogers, Program Manager, Long Term Care Administration at [email protected] or (202) -834-1927. DHCF submitted a waiver application to serve individuals with intellectual and developmental disabilities to the federal government in 2012. During this time, DHCF piloted the PCP process with a number of providers and conducted at least 5 trainings over 250 case managers, ADRC staff, and DHCF staff. CMS has approved the District’s proposed EPD Waiver Amendment, effective October 1, 2020. Aside from water service provision, DCWD also protects and rehabilitates the major water source in Davao City and implements various Corporate Social Responsibility programs benefitting various sectors in marginalized communities Copies of the proposed amendments may be obtained on the DHCF website at under the EPD waiver are living in settings that comply with the provisions of the HCBS federal regulation. Aging (DCOA) are partnering with DHCF in this endeavor. View the Guidance. The changes that are being delayed under the proposed Appendix K are flagged below in bold. The case load for each case manager must be commensurate with his/her number of hours worked per week. Updates requirements concerning the case loads of case managers. This amendment sets forth the documents that are required for recertification of eligibility for the EPD Waiver. Where applicable, DBH Community Residence Facility policy and procedure, and DOH Assisted Living Residence policy and procedure will address the HCBS provisions. About this agency. Specifically, the approval finalizes the following changes to the EPD waiver: 1. DHCF will use the nurses that conduct face-to-face, conflict-free, standardized assessments of applicants seeking long term care services and supports described under Appendix Specifically, DHCF has been working to obtain approval of a new 1915(i) State Plan Amendment to establish an adult day health program. The waiver is in effect until 11/19/17. **This request will be rejected if the information provided is incorrect or incomplete. Medicaid Director’s Office/LTCA 12/31/17 In progress Waiver & SPA Category Action Items Responsible Unit Due Date Current Status EPD Waiver Amendment Incorporate HCBS Settings requirements Policy/LTCA 2015 Completed A13. Implementation of the 16 hour/day cap on PCA services will delayed until the conclusion of the PHE. However, efforts will continue to ensure this downward trend remains consistent. We will only consider your appeal if the following conditions are met: 1. Removes the 50-bed limit for Assisted Living Facilities (ALFs). Previously it was 1040 without a PA. 11. Effective October 1, 2020, the EPD Waiver amendment is removing underutilized services, extending coverage of certain services by reclassifying as state plan benefits, modifying the service delivery provisions for personal care aide (PCA) services and community transition services (CTS), changing the frequency of staff-administered participant/representative employer satisfaction surveys in the participant-directed services program, removing duplicate reimbursement of PCA hours for individuals living in assisted living facilities, updating case load restrictions for case managers, and editing performance measures used to assess compliance with the waiver’s assurances. View the Guidance. Physical therapy and occupational therapy services are already covered under the State Plan home health benefit and may be accessed by EPD waiver participants. Read Mayor Bowser’s Presentation on DC’s COVID-19 Situational Update: March 11. DHCF is delaying the effective date of changes under the waiver that would result in service reductions or terminations due to the COVID-19 public health emergency, from October 1, 2020 until at least the end of the public health emergency. Due to the lengthy nature of the changes, there are separate attachments pertaining to various sections of the EPD Waiver Amendment, available at, as follows: Beneficiaries currently receiving more than sixteen (16) hours per day of PCA services will have no change to the hours of services allotted until otherwise determined by their annual face-to-face reassessment for long term care services and supports that services between 17 and 24 hours are not needed. The - beneficiary or authorized representative can choose a provider of
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