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PA Bulletin, Doc. No. 17-1270

NOTICES

Availability of Amendments to the Office of Long-Term Living's Home and Community-Based OBRA Waiver

[47 Pa.B. 4222]
[Saturday, July 29, 2017]

 The Department of Human Services (Department) is making available for public review and comment the Office of Long-Term Living's proposed OBRA waiver amendments.

Background

 The Department proposes the following substantive changes to the OBRA waiver effective January 1, 2018:

 • Reduce the length of time for individuals to reside in a nursing facility from 90 days to 30 days to allow payment of transition activities through the waiver.

 • Add tenancy and pre-tenancy activities to the Service Coordination service definition.

 • Add Support Broker services.

 • Revise the unduplicated recipient numbers and cost neutrality estimates for Fiscal Years 2017-2018, 2018-2019 and 2019-2020 to reflect the transition of waiver participants to managed care.

 The proposed OBRA waiver amendments and a summary of all revisions are available for review at http://www.dhs.pa.gov/learnaboutdhs/dhsorganization/officeoflongtermliving/oltlwaiverinfo/index.htm or by contacting the Department of Human Services, Office of Long-Term Living at (717) 783-8412.

Fiscal Impact

 The fiscal impact of this change is estimated at $0.188 million ($0.091 million in State funds) for Fiscal Year 2017-2018.

Public Comment

 Interested persons are invited to submit written comments regarding the proposed waiver amendments to the Department of Human Services, Office of Long-Term Living, Bureau of Policy and Regulatory Management, Attention: OBRA Amendments, P.O. Box 8025, Harrisburg, PA 17105-8025. Comments may also be submitted to the Department at RA-waiverstandard@pa.gov. Use ''OBRA Waiver Amendments'' as the subject line. Comments received within 30 days of publication of this notice will be reviewed and considered for revisions to the proposed waiver amendments.

 In addition, the Department will hold two webinars to receive comments on the proposed OBRA waiver amendments. Dates and times of the webinars, including dial-in information, are available at http://www.dhs.pa.gov/learnaboutdhs/dhsorganization/officeoflongtermliving/oltlwaiverinfo/index.htm or by contacting the Department of Human Services, Office of Long-Term Living at (717) 783-8412.

 Persons with a disability who require an auxiliary aid or service may submit comments using the Pennsylvania AT&T Relay Service at (800) 654-5984 (TDD users) or (800) 654-5988 (voice users).

THEODORE DALLAS, 
Secretary

 Fiscal Note: 14-NOT-1168. (1) General Fund; (2) Implementing Year 2017-18 is $91,000; (3) 1st Succeeding Year 2018-19 is $32,000; 2nd Succeeding Year 2019-20 through 5th Succeeding Year 2022-23 are $0; (4) 2016-17 Program—$434,607,000; 2015-16 Program—$339,077,000; 2014-15 Program—$273,538,000; (7) Services to Persons with Disabilities; (8) recommends adoption. Funds have been included in the budget to cover this increase.

[Pa.B. Doc. No. 17-1270. Filed for public inspection July 28, 2017, 9:00 a.m.]


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