Hide messageView More

Coronavirus (COVID-19) Health and Safety Guide

ASERT has compiled resources for those with autism and those who care for people with autism relating to the current COVID-19 outbreak.

Read More

Open for Public Comment: Appendices I and J, Proposed Fee Schedule Rates, and Proposed Department-Established Fees for the Renewal of the Adult Autism Waiver (AAW)

AUDIENCE:

All Stakeholders

PURPOSE:

The purpose of this communication is to announce that Appendices I and J of the proposed renewal of the Adult Autism Waiver (AAW), as well as the rate setting methodology used to develop the proposed Fee Schedule Rates for services funded through the Adult Autism Waiver and the proposed Department-established Fees for residential ineligible services, are available for public review and comment. There is a 30-day public comment period that begins on May 22, 2021 and ends on June 21, 2021.

DISCUSSION:

The Office of Developmental Programs (ODP) is seeking your valuable feedback and comments on Appendices I and J of the renewal of the AAW, as well as the proposed Fee Schedule Rates, the proposed Department-established Fees for residential ineligible services and the rate setting methodology.

The Centers for Medicare and Medicaid Services (CMS) approves waivers for a five-year period. The current AAW expires on June 30, 2021, however, CMS has granted ODP a 90-day extension on the currently approved AAW through September 28, 2021. The renewal of the AAW, as well as the final rates will be effective September 29, 2021.

The following substantive changes are proposed to Appendices I and J:

  • Homemaker/Chore, will be added as an AAW service, has been added to the services for which there will be a Medical Assistance Fee Schedule rate effective September 29, 2021.
  • The factors related to estimated annual average per capita Medicaid costs in Appendix J have been updated to reflect the most recent data available. These factors are Factor D’ Derivation, Factor G Derivation and Factor G’ Derivation.
  • The 5-year average cost per unit of service estimates in Appendix J have been updated to reflect the proposed Fee Schedule Rates contained in the public notice.

A public notice regarding these proposed changes can be found in the Pennsylvania Bulletin, Volume 51, Number 21, published on Saturday, May 22, 2021 at: https://www.pacodeandbulletin.gov/Display/pabull?file=/secure/pabulletin/data/vol51/51-21/812.html.

Appendices I and J, the proposed Fee Schedule Rates, the proposed Department-Established Fees, and the assumption logs used to develop the rates and fees are available at: https://www.dhs.pa.gov/Services/Disabilities-Aging/Pages/Adult-Autism-Waiver-Renewal.aspx.

Interested persons are invited to submit written comments regarding Appendices I and J of the AAW as well as the proposed rates. Comments should be addressed to Laura Cipriani, Department of Human Services, Office of Developmental Programs, 625 Forster Street, Room 510, Harrisburg, PA 17120. Comments may also be submitted to ODP at ra-odpcomment@pa.gov. Use the subject header “AAW Rates.” Comments received by 11:59 PM on June 21, 2021 will be reviewed and considered for revisions.

Persons who require an auxiliary aid or service may submit comments using the Pennsylvania Relay Service by dialing 7-1-1 or by using one of the toll-free numbers:

  • (800) 654-5984 (TDD users)
  • (800) 654-5988 (voice users)
  • (844) 308-9292 (Speech-to-Speech) or
  • (844) 308-9291 (Spanish)

Copies of the documents referenced in this communication may be obtained by contacting the Office of Developmental Programs, Bureau of Supports for Autism and Special Populations, at the following address or email:

  • P.O. Box 2675, Harrisburg, PA 17105
  • RA-odpautismwaiver@pa.gov

CONTACT:

Questions about this communication should be directed to RA-odpautismwaiver@pa.gov.

VIEW THE FULL ANNOUNCEMENT:

ODPANN 21-040 Open for Public Comment Appendices I and J Proposed Fee Schedule Rates and Proposed Department-Established Fees for the Renewal of the Adult Autsim Waiver (AAW)

Use the Resource Center

The ASERT Resource Center can provide you with information on several different topics, which can help inform your participation in public comment periods

Phone: 877-231-4244
Email: info@paautism.org

Learn More

To learn more about what Public Comment Periods are, and how to get involved check out this video: https://paautism.org/resource/public-comment-period/