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PA Bulletin, Doc. No. 17-390



Availability of Amendment to the Adult Autism Waiver

[47 Pa.B. 1442]
[Saturday, March 4, 2017]

 The Department of Human Services (Department) is making available for public review and comments the Department's proposed amendment to the Adult Autism Waiver.


 The Department has proposed the following changes to the Adult Autism Waiver effective July 1, 2017:

 • Revised the definition of Day Habilitation and Residential Habilitation services to comply with the Centers for Medicare & Medicaid Services final rule for home and community-based services settings.

 • Increased the limitation on the Extended Employment Supports component of the Supported Employment service.

 • Moved the requirements per Appendix C-2 to the Temporary Supplemental Service definition.

 • Revised the definition of Career Planning, Vocational Assessment service to include facilitating access to benefits counseling.

 • Revised the definition of Supports Coordination service to prohibit a Supports Coordinator from acting as his own supervisor; added a requirement that Supports Coordinators must discuss opportunities for participants to seek employment at annual Individual Support Plan meetings; and added additional training requirements for Supports Coordinators.

 • Added a requirement that participants be paid minimum wage to the definition of Transitional Work service and limited the service to three uninterrupted years.

 • Revised Appendix C-5 to include HCB Settings requirements.

Fiscal Impact

 There is no anticipated fiscal impact in Fiscal Year 2017-2018 as a result of this amendment.

Public Comment

 The Department has made the proposed amendment to the Adult Autism Waiver available at

 Copies of this notice and the proposed amendment to the Adult Autism Waiver are also available by contacting the Bureau of Autism Services as follows.

 Interested persons are invited to submit written comments regarding the proposed amendment to the Adult Autism Waiver. Comments should be addressed to Lea Sheffield, Department of Human Services, Bureau of Autism Services, Office of Developmental Programs, P.O. Box 2675, Harrisburg, PA 17120. Comments may also be submitted to the Department at Comments received within 30 days will be reviewed and considered.

 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 (TTD users) or (800) 654-5988 (voice users).


Fiscal Note: 14-NOT-1117. No fiscal impact; (8) recommends adoption.

[Pa.B. Doc. No. 17-390. Filed for public inspection March 3, 2017, 9:00 a.m.]

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