KEY - Bold = Recommended additions Strikethrough = Recommended removal No. Appendix Waiver Section Current Language Revised Language 1 Main 6. Additional Requirements Public input needs to be completed “medical assistance advisory committee and long term care subcommittee presentation of amendment” The information contained in this amendment was presented at the Medical Assistance Advisory Committee on December 12, 2013 and the Long Term Care subcommittee on December 10, 2013. The information contained in this amendment was presented at the Medical Assistance Advisory Committee on January 22, 2015 and the Long Term Care subcommittee on February 10, 2015. The information also was published in the Pennsylvania Bulletin on December 20, 2014. 2 Main. Attachment 2 Home and Community-Based Settings Waiver Transition Plan See Attachment 2 3 B-3-a Unduplicated Number of Participants Year 1 – 315 Year 2 – 330 Year 3 – 439 Year 4 – 439 Year 5 – 439 Year 1 – 315 Year 2 – 330 Year 3 – 439 Year 4 – 439 544 Year 5 – 439 544 4 B-3-b Limitation on the Number of participants Served at Any in Time) Year 1 – 300 Year 2 – 315 Year 3 – 418 Year 4 – 418 Year 5 – 418 Year 1 – 300 Year 2 – 315 Year 3 – 418 Year 4 – 418 518 Year 5 – 418 518 5 B-3-c Reserved Waiver Capacity The state selected the option, “Not applicable. The state does not reserve capacity.” The state selects the option, “The State reserves capacity for the following purpose(s).” Purpose (title or short description): People identified in Adult Protective Services investigations
Year 2 – 0 Year 3 – 0 Year 4 – 5 Year 5 – 5 6 C-3 Service Specification – HCBS Taxonomy fields See Appendix C-3 7 G-1-d Response to Critical Events or Incidents The responsible entities identified above will assign certified investigators to conduct investigations. A certified investigator is a person who has been trained and received a certificate in investigation from ODP as communicated via Mental Retardation Bulletin 00-01-06, issued September 6, 2001, titled Announcement of Certified Investigator Training. Certified investigators are to promptly begin an investigation, when assigned, and are to enter a summary of their investigation findings in the Incident Report. The responsible entities identified will assign certified investigators to conduct investigations. A certified investigator is a person who has been trained and received a certificate in investigation from ODP as communicated via Mental Retardation Bulletin 00-01-06, 00-04-11 issued September 6, 2001 September 16, 2004, titled Announcement of Certified Investigations Investigator Training. Certified investigators are to promptly begin an investigation, when assigned, and are to enter a summary of their investigation findings in the Incident Report. 8 G-2-a-i Use of Restraints: Safeguards Concerning the Use of Restraints BAS is clear on its mission to eliminate restraints as a response to challenging behaviors, and restraints have not been used in the Adult Autism Waiver. BAS articulated a policy to prevent restraint use in a provider manual for all providers and in a manual specifically for supports coordinators. In addition, providers licensed by ODP to serve people with intellectual disabilities must follow practices articulated in the licensing regulations related to restraints and seclusion (Title 55 PA Code, Chapters 2380, 6400, and 6500). Physical, chemical, and mechanical BAS is clear on its mission to eliminate restraints as a response to challenging behaviors, and restraints have not been used in the Adult Autism Waiver. BAS articulated a policy to prevent restraint use in a provider manual for all providers and in a manual specifically for supports coordinators. In addition, providers licensed by the Bureau of Human Services Licensing to serve people with intellectual disabilities must follow practices articulated in the licensing regulations related to restraints and seclusion (Title 55 PA Code, Chapters 2380, 6400, and 6500). Physical, chemical, and mechanical restraints are permitted
2. Days of service for people enrolled in the full year: Of the 418 people enrolled at the of the year, 397 people will be served for the entire year (418 people enrolled at the start of the year minus 21 who disenroll). Total is 144,905 days (397 people times 365 days). Total days of service: 5,145 + 144,905 = 150,050 Average length of stay is calculated as total days of service divided by the unduplicated number of participants: 150,050/439 = 342 Average length of stay is calculated as total days of service divided by the unduplicated number of participants: 156,786/544 = 288 135,979/439 = 310 Years 4 and 5: For years 4 and 5, there is no change in waiver capacity. To calculate total days of service, the 518 418 persons served at one time are separated into two groups: people who disenroll and people who are enrolled for the full year. 1. Days of service for people who disenroll: As in Year 43, it is assumed 5% (261 people) will disenroll each year and 120 days will be necessary to enroll new people into the waiver. Because 2016 is a leap year, capacity for 261 people will be used for only 246 245 days (366 365-120). Total is 6,396 5,145 days (261 people times 246 245 days). 2. Days of service for people enrolled in the full year: Of the 518 418 people enrolled at the start of the year, 492 397 people will be served for the entire year (518418 people enrolled at the start of the year minus 261 who disenroll). Total is 180,072 144,905 days (492397 people times 366365 days). days of service: 6,396 + 180,072 = 186,468 5,145 + 144,905 = 150,050 Average length of stay is calculated as total days of service divided by the unduplicated number of