{"id":"SEC-04-078","kind":"order","level":"federal","jurisdiction":"Pennsylvania Medicaid (Community HealthChoices waiver PA.0386 and OBRA waiver PA.0235), as the exemplar of every State\u0027s Appendix K","state":"","metro":"","industry":"04","agency":"","eco":"","issuer":"Centers for Medicare \u0026 Medicaid Services (approval) on the application of the Pennsylvania Department of Human Services, Office of Long-Term Living","authority":"Social Security Act 1915(c); 42 C.F.R. 441.301; Appendix K emergency amendment authority","instrument":"Appendix K: Emergency Preparedness and Response and COVID-19 Addendum to the Community HealthChoices and OBRA 1915(c) waivers (combined; final amendment fixing the end date)","title":"Appendix K: Emergency Preparedness and Response","dateIssued":"2020-03-06","effective":"2020-03-06 (\u0027Start Date: March 6, 2020\u0027)","end":"2023-05-11 (\u0027Anticipated End Date: May 11, 2023\u0027)","startDate":"2020-03-06","endDate":"2023-05-11","quarters":["2020Q2","2020Q3","2020Q4","2021Q1","2021Q2","2021Q3"],"types":["HC","OTHER","EMP"],"addressees":["Pennsylvania OLTL","CHC managed-care organizations","waiver providers including home care agencies"],"clause":"F. Proposed Effective Date: Start Date: March 6, 2020 Anticipated End Date: May 11, 2023... This amendment will apply waiver-wide for each waiver included in this Appendix, to all individuals impacted by the virus or the response to the virus (e.g. closure of day programs, etc.)... Face-to-face initial level of care assessments may be conducted remotely using phone or video conferencing... Allow remote/telephone individual monitoring by Service Coordinators where face-to-face contacts are currently required... Temporarily include retainer payments... Add an electronic method of service delivery (e.g. telephonic) allowing services to continue to be provided remotely in the home setting for... Personal care services that only require verbal cueing... Spouses, legal guardians, and persons with power of attorney may [serve] as paid direct care workers... Suspend requirements for allowing visitors in provider owned and operated settings.","enforcement":"Federal waiver terms; conditions of Medicaid payment; MCO provider agreements","functions":["HC telephonic delivery of verbal-cueing personal care","SN remote assessments and reassessments","IN remote intake and service planning","CB payer rules and family caregivers paid in place of agency aides","WF","OF","HR modified provider qualifications and training","VS visitor suspension in provider-owned settings"],"notes":"Every State and the District of Columbia obtained Appendix K approvals in 2020 (KFF Aug. 26, 2020: 50 States adopted virtual evaluations, 38 retainer payments, 38 family caregiver payment). The CMS index page could not be retrieved (medicaid.gov refused automated fetches);","sourceUrl":"https://www.medicaid.gov/state-resource-center/downloads/pa-0386-0235-combined-appendix-k-appvl-17.pdf","snapshot":"","fileExists":true,"fileBytes":377679,"grade":"primary","character":"","description":"","collection":"SEC-04","url":"/library/SEC-04-078","exhibitUrl":"/exhibit/SEC-04-078","citation":"Centers for Medicare \u0026 Medicaid Services (approval) on the application of the Pennsylvania Department of Human Services, Office of Long-Term Living, Appendix K: Emergency Preparedness and Response and COVID-19 Addendum to the Community HealthChoices and OBRA 1915(c) waivers (combined; final amendment fixing the end date) (Mar. 6, 2020) (Ex. SEC-04-078)","stateName":"","related":["SEC-24-008"]}