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ATTACHMENT 2

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RESOURCES - ACRONYMS

To assist in understanding the abbreviations used

in the PA Intellectual Disability system, a list of

common acronyms is available at

http://www.odpconsulting.net/resources/state-

center-topic-info-for-families/acronyms-and-other-

terms-you-need-to-know/#.VfnMBpduOQc

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• Act 70 of 2010

http://www.legis.state.pa.us/cfdocs/legis/li/uconsCheck.cfm?yr=2010&sessInd=0&act=70

• ODP Communication Number: Memo 034-14 http://documents.odpconsulting.net/alfresco/d/d/workspace/SpacesStore/63a26ca5-372a-46f7-aa5b-957156b10db5/APS_Contacts_and_Conference_Calls_Informational_Memo_034-14.pdf

• The reporting form, along with instructions for its completion, and additional guidance regarding APS may also be found on the Department's website at http://www.dhs.state.pa.us under the "Report Abuse" link on the left.

RESOURCES – ADULT PROTECTIVE SERVICES

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RESOURCES - COMMUNICATIONS

• Provider Listserv – http://listserv.dpw.state.pa.us/ – To be added to the listserv: Call (717) 787-3700

• ODP Alerts, Newsletters, and Public Notices http://www.dhs.state.pa.us/publications/alertsnewslettersandpublicnotices/index.htm

• The PA Bulletin – http://www.pabulletin.com/index.asp

• ODP Bulletins – http://www.DHS.state.pa.us/publications/bulletinsearch/index.htm

• DHS Website – http://www.DHS.state.pa.us

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RESOURCES - CONTACT INFORMATION

• Administrative Entities/Counties

This link will connect you to the list of counties/administrative entities,

including the director and contact information.

http://www.mhdspa.org/Pages/Local-Contacts.aspx

• Supports Coordination Organizations [SCO’s]

This link will connect you to a list of SCO’s, including directors and contact

information

https://www.hcsis.state.pa.us/hcsis-

ssd/pgm/asp/PRSSR.ASP?pagenam=prssd.asp&servcde=&servcatId=100

0&ctyid=0&Region=3&letter=

• Providers

This link will connect you to a list of Providers enrolled by ODP and their

contact information

https://www.hcsis.state.pa.us/hcsis-ssd/pgm/asp/prhom.asp

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DHS CONTACTS

ODP Customer Service Hotline

1-888-565-9435

RA-customerservice@pa.gov

ODP’s Supports Coordination

Qualification Mailbox

RA-scqualifications@pa.gov

ODP’s Provider Enrollment Mailbox RA-odpproviderenroll@pa.gov

ODP’s Provider Qualifications Mailbox RA-odpproviderqualif@pa.gov

ODP’s Provider Agreement Mailbox RA-odpprovideragreem@pa.gov

ODP’s Provider Monitoring Mailbox RA-odpprovidermonito@pa.gov

Department of Human Services

Licensing Mailbox

RA-pwarlheadquarters@pa.gov

Incident Management Policy RA-impolicy@pa.gov

RESOURCES – CUSTOMER SERVICES

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Due Process and Fair Hearing Procedures for Individuals

with Intellectual Disability Bulletin #00-08-05

http://www.pacode.com/secure/data/055/chapter41/chap41toc.html -

CHAPTER 41. MEDICAL ASSISTANCE PROVIDER

APPEAL PROCEDURES

http://www.pacode.com/secure/data/055/chapter41/chap41

toc.html

RESOURCES – DUE PROCESS

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• Service Delivery Documentation for Unlicensed Residential Habilitation http://documents.odpconsulting.net/alfresco/d/d/workspace/SpacesStore/dfea4be2-a5ed-4c28-baf8-dc43bd409e0d/Service_Delivery_Documentation_for_Unlicensed_Residential_Habilitation_Informational_Packet_077-14.pdf

• Waiver Service Claim Documentation and Remediation Process http://documents.odpconsulting.net/alfresco/d/d/workspace/SpacesStore/95164f0d-2b12-4251-a01d-40875f1e4091/Waiver_Service_Claim_Documentation_Remediation_Ann_035-14.pdf

• Prudent Pay Informational Packet # 075-11

Prudent Payment of Claims Policy Enforced.

http://www.paproviders.org/archives/Pages/MR_Archive/075-11_ODP_Memo.pdf

RESOURCES - FINANCIAL MANAGEMENT

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To access HCSIS…

www.hcsis.state.pa.us

RESOURCES - HCSIS

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• To find guidance to assist you in determining whether

you are a health care provider, consult the following

website from the Centers for Medicare and Medicaid

Services for help:

http://www.cms.gov/Regulations-and-Guidance/HIPAA-Administrative-

Simplification/HIPAAGenInfo/AreYouaCoveredEntity.html

RESOURCES - HIPAA

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• ODP Bulletin 6000-04-01

• http://www.dhs.state.pa.us/publications/bulletinsearch/bulletinselect

ed/index.htm?bn=6000-04-01&o=N&po=ODP&id=02/18/2004

• Pa. Code 2380.17 [relating to reporting of unusual incidents]

• 55 Pa. Code 2390.18 [relating to unusual incident report]

• 55 Pa. Code §6400.18 [relating to reporting of unusual incidents]

• 55 Pa. Code §6500.20 [relating to reporting of unusual incidents]

• ODP Bulletin 00-04-11 “Certified Investigations”

• http://www.dhs.state.pa.us/publications/bulletinsearch/bulletinselect

ed/index.htm?bn=00-04-11&o=N&po=ODP&id=09/16/2004

RESOURCES – INCIDENT MANAGEMENT

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• The ISP Manual http://www.dhs.state.pa.us/cs/groups/webcontent/documents/bulletin_admin/c_1792

46.pdf

• ODP Bulletin #00-12-05 Individual Support Plans [ISPs] http://www.dhs.state.pa.us/cs/groups/webcontent/documents/bulletin_admin/c_1792

44.pdf

• ISP Meeting Attendance Informational Memo #037-13

http://www.temple.edu/thetrainingpartnership/resources/isp/docs/IS

P_Meeting_Attendance_Informational_Memo_037-13.pdf

RESOURCES - ISP

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• Contact the Pennsylvania Department of State for establishing a

corporation

http://www.dos.state.pa.us/portal/server.pt/community/department_of_state/12405.

• BHSL Licensing Reference Manual

http://www.dhs.state.pa.us/cs/groups/webcontent/documents/document/p_035724.p

df

• The Licensing Application Form

http://www.dhs.state.pa.us/cs/groups/webcontent/documents/form/s_001795.pdf

• All Licensing regulations can be accessed at www.pacode.com.

• Civil Rights Compliance Instructions

http://alfresco.odpconsulting.net/alfresco/d/d/workspace/SpacesStore/165dd0e6-9a85-4855-

aa7f-503ef3b1954d/Civil_Rights_Compliance_Instructions.pdf

• Clarifying the Applicability of Chapter 6400 to private homes

http://www.dhs.state.pa.us/cs/groups/webcontent/documents/bulletin_admin/c_0836

45.pdf

RESOURCES - LICENSING

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• ODP Bulletin 00-03-05 “Principles for the Intellectual Disability System”

http://www.dpw.state.pa.us/cs/groups/webcontent/documents/bulletin_admin/d_004513.pdf

• Everyday Lives ~ Making it Happen

http://www.dhs.state.pa.us/cs/groups/webcontent/documents/document/p_022632.pdf

RESOURCES – ODP MISSION & VALUES

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• Consolidated Waiver http://www.dhs.state.pa.us/cs/groups/webcontent/documents/document/c_202649.pdf

• Person/Family Directed Support Waiver http://www.dhs.state.pa.us/cs/groups/webcontent/documents/document/c_202648.pdf

• Service Definitions in HCSIS https://www.hcsis.state.pa.us/hcsis-ssd/custom/ODP_Service_Descriptions.pdf

• Waiver Capacity http://documents.odpconsulting.net/alfresco/d/d/workspace/SpacesStore/505c7cf0-8553-4b0b-90ae-6450ead1a923/Approved_Program_Capacity_Process_Info_Packet_028-15_Reissue.pdf

RESOURCES – ODP WAIVERS

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• Positive Approaches http://www.dhs.state.pa.us/cs/groups/webcontent/documents/bulletin_admin/d_0058

79.pdf

• Positive Practices Resources http://www.odpconsulting.net/topic-info/positive-practices/

• Positive Approaches: Back to the Basics

• Positive Approaches: Supporting People with MR Who Also Have Problematic Sexual

Behaviors

• Positive Approaches: The Paradigm

• Positive Practices Resource Team Brochure

• Positive Practices Statewide Video Conference, March 26, 2014

• Positive Practices Video Conference, July 17, 2013

• ODP Bulletin 00-06-09 Restraint Elimination through the use of

Positive Practices

http://www.dhs.state.pa.us/publications/bulletinsearch/bulletinselected/index.htm?bn

=00-06-09&o=N&po=ODP&id=05/01/2006

POSITIVE PRACTICES

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• CMS-1500 (02/12) Billing Guide for PROMISe™ Home

and Community Habilitation Providers

http://www.dhs.state.pa.us/cs/groups/webcontent/documents/manu

al/c_077065.pdf

• Prudent Pay

http://old.odpconsulting.net/index.php?option=com_docman&task=

cat_view&gid=316&Itemid=73

RESOURCES - PROMISe™

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• The Provider Agreement is available online via HCSIS

under the ODP Program Links section and is entitled

“ODP Waiver Provider Agreement.”

https://www.hcsis.state.pa.us/hcsis-

ssd/custom/OMR_MAProviderAgreement.pdf

RESOURCES – PROVIDER AGREEMENT

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To Access the Provider Handbook:

RESOURCES – PROVIDER HANDBOOK

http://documents.odpconsulting.net/alfresco/d/d/

workspace/SpacesStore/1ba3bc3b-c4ca-4c3a-

86c4-

ab29fc6caaf7/ODP_Provider_Handbook.pdf/

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Become a registered user of the ODP’s Provider Information Center

http://pic.odpconsulting.net/

RESOURCES – PROVIDER INFORMATION CENTER

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• 55 PA Code Chapter 51 §51.24 http://www.pacode.com/secure/data/055/chapter51/chap51toc.html

• ODP Bulletin 00-10-14 Provider Monitoring http://www.dhs.state.pa.us/cs/groups/webcontent/documents/bulletin_admin/d_006019.pdf

• ODP Provider Monitoring Process document http://www.dpw.state.pa.us/cs/groups/webcontent/documents/document/p_011605.pdf

• Webcasts

• Informational Memo 075-15, Provider Monitoring & Qualification Information and Changes for Fiscal Year 2015-2016 http://content.tiu11.org/alfresco/d/d/workspace/SpacesStore/e3a1abc9-1e02-42bc-82f0-0b93fc2b0dc8/Provider_Monitoring_and_Qualification_Information_and_Changes_for_Fiscal_Year_2015-2016_Info_Memo_075-15.pdf

• ODP Announcement 093-13 Corrective Action Plan Process http://documents.odpconsulting.net/alfresco/d/d/workspace/SpacesStore/b437d90b-8d49-46db-9c5c-2416014a3493/Corrective_Action_Plan_Process_Announcement_093-13.pdf

RESOURCES – PROVIDER MONITORING

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RESOURCES – PROVIDER REGISTRATION

ODP Provider Registration Job Aid: https://www.hcsis.state.pa.us/hcsis-

ssd/custom/HCSIS_ODP_ProviderRegistrationJobAid_v7.5

_20140315.pdf

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• Medication Administration

https://medsadmin.tiu11.org/cms/

RESOURCES - PROVIDER TRAINING

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• Your first contact related to Qualifications is with the Lead AE.

• Appendix C of the Consolidated and P/FDS Waivers: http://www.DHS.state.pa.us/provider/doingbusinesswithDHS/developmentalprograms/index.htm

• Office of Developmental Programs Provider Handbook For Intellectual Disability Services: http://www.dhs.state.pa.us/provider/doingbusinesswithdhs/developmentalprograms/

• 55 Pa Code, Chapter 51:

http://www.pacode.com/secure/data/055/chapter51/chap51toc.html

• Provider Qualification mailbox:

ra-odpproviderqualif@pa.gov

• ODP Informational Packet - Provider Qualification & Non-Compliance Process http://documents.odpconsulting.net/alfresco/d/d/workspace/SpacesStore/e51d2e31-90e0-42cc-9cfe-230f37015732/Provider_Qualification_and_Noncompliance_Process_Info_Packet_025-13.pdf

• ODP Information Memo – Enforcement Actions Against Noncompliant ODP ID Waiver Providers http://documents.odpconsulting.net/alfresco/d/d/workspace/SpacesStore/e51d2e31-90e0-42cc-9cfe-230f37015732/Provider_Qualification_and_Noncompliance_Process_Info_Packet_025-13.pdf

• ODP Informational Packet - Clarification and Changes to Provider Qualification Requirements http://documents.odpconsulting.net/alfresco/d/d/workspace/SpacesStore/353ac30e-c8cb-4cf3-892f-cd202d14cff5/Clarification_and_Changes_to_Provider_Qualification_Requirements_IP_104-12.pdf

RESOURCES – QUALIFICATIONS

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• ODP’s Quality Management Strategy Bulletin 00-10-02

http://www.dhs.state.pa.us/publications/bulletinsearch/bulletinselected/index.htm?bn=00-10-02&o=N&po=ODP&id=03/22/2010

• ODP’s Regulation Update Announcement #049-12

http://www.pacode.com/secure/data/055/chapter51/chap51toc.html

• QM Planning and Implementation Documents:

http://www.odpconsulting.net/topic-info/quality-management/

– Entity Action Plan Template

– Entity Example Action Plan

– Entity Quality Management Plan Evaluation Tool

– Entity Quality Management Plan Template

– Entity Quality Management Plan Template and Example

– Entity Quality Management Plan End of Cycle Evaluation Tool

– Entity Quality Management Quarterly Report Example

– Entity Quality Management Quarterly Report Evaluation Tool

– Entity Quality Management Quarterly Report Template

• 55 PA Code Chapter 51.25

• ODP Bulletin 00-10-02

• Public Notice published on December 1, 2012. Office of Developmental Programs Priorities for Provider QM Plan Development [42 Pa.B. 7350] [Saturday, December 1, 2012

RESOURCES – QUALITY MANAGEMENT

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Go to the DHS website for more detailed information regarding the rate setting methodology used by ODP:

http://www.DHS.state.pa.us/provider/doingbusinesswithDHS/developmentalprograms/ratesettingmethodology/index.htm

Rate-Setting Methodology for Consolidated and Person/Family Directed Support Waiver and Base- Funded Services for Individuals Participating in the Office of Developmental

Programs Service System http://www.dhs.state.pa.us/cs/groups/webcontent/documents/bulletin_admin/c_192656.pdf

RESOURCES – RATE SETTING

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55 PA Code Chapter 51 • http://www.pacode.com/secure/data/055/chapter51/cha

p51toc.html

• http://documents.odpconsulting.net/alfresco/d/d/workspa

ce/SpacesStore/9f56eb75-5605-4e3f-a20c-

f06eae5a639c/Chapter_51_Questions_and_Answers_In

formational_Memo_069-13.pdf

RESOURCES - REGULATIONS

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• 55 Pa. Code Chapter 2380 (relating to adult training facilities)

http://www.pacode.com/secure/data/055/055toc.html

• 55 Pa. Code Chapter 2390 (relating to vocational facilities)

http://www.pacode.com/secure/data/055/chapter2390/chap2390toc.html

• 55 Pa. Code Chapter 6400 (relating to community homes for

individuals with mental retardation)

http://www.pacode.com/secure/data/055/chapter6400/chap6400toc.html

• 55 Pa. Code Chapter 6500 (relating to family living homes)

http://www.pacode.com/secure/data/055/chapter6500/chap6500toc.html

RESOURCES - REGULATIONS

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The Residential Habilitation Criteria and prior approval

requirements are found in 55 PA Code Chapter 51 at

http://www.pacode.com/secure/data/055/chapter51/chap51

toc.html#51.14

RESOURCES – RESIDENTIAL HABILITATION