February 11, 2020 LTSS Sub-MAAC Meeting Updates

OLTL Updates LTSS Sub-MAAC Meeting February 11, 2020 6/3/2025 1

Agenda Program Enrollment Updates OLTL Waiver Updates Adult Protective Services (APS) Regulations Department of Military and Veteran s Affairs (DMVA) Report 2

Program Enrollment Updates 6/3/2025 3

Participants Eligible for OLTL Services Monthly OLTL Participants by Program FFS Waiver/Act 150/LIFE Program Act 150 Aging Attendant Care Independence LIFE OBRA LTC Total FFS Waiver/ACT 150/LIFE Consumers 18-Dec 1,429 36,745 16,718 14,844 6,775 1,222 40,591 118,324 19-Jan 1,408 10,740 2,574 6,229 6,821 19-Feb 1,402 10,805 2,564 6,265 6,825 19-Mar 1,394 10,856 2,563 6,287 6,838 19-Apr 1,389 11,067 2,580 6,355 6,871 19-May 1,379 11,181 2,493 6,366 6,890 19-Jun 1,377 11,193 2,486 6,384 6,636 19-Jul 1,366 11,445 2,506 6,494 7,023 19-Aug 1,362 11,541 2,508 6,549 7,067 19-Sep 1,349 11,619 2,504 6,614 7,282 19-Oct 1,346 11,733 2,511 6,671 7,337 19-Nov 1,336 11,900 2,538 6,705 7,411 19-Dec 1,328 12,029 2,576 6,778 7,443 819 821 822 844 843 849 880 912 924 912 907 913 27,010 55,601 26,828 55,510 26,596 55,356 27,044 56,150 26,721 55,873 27,069 55,994 26,953 56,667 26,545 56,484 26,435 56,727 26,263 56,773 26,208 57,005 26,114 57,181 Managed Care (Community Health Choices) CHC-HCBS Duals CHC-HCBS Non Duals CHC-LTC Duals CHC-LTC Non Duals CHC-NFI Total Managed Care Consumers 18-Dec 9,286 3,201 10,479 19-Jan 43,619 18,849 22,087 2,326 19-Feb 43,774 19,093 21,958 2,342 19-Mar 44,247 19,401 21,977 2,349 19-Apr 44,431 19,602 21,801 2,354 19-May 44,717 19,847 21,869 2,331 19-Jun 45,238 20,131 21,862 2,335 19-Jul 45,638 20,399 21,870 2,324 19-Aug 45,874 20,637 21,850 2,349 19-Sep 46,206 20,798 21,865 2,359 19-Oct 46,574 21,026 21,937 2,372 19-Nov 46,805 21,105 21,801 2,408 19-Dec 47,018 21,167 21,743 2,476 917 57,600 126,759 126,159 126,045 125,764 125,623 125,342 125,290 124,873 124,424 124,212 123,895 123,767 81,483 213,640 213,326 214,019 213,952 214,387 214,908 215,521 215,583 215,652 216,121 216,014 216,171 NOTES: The data source for both Fee For Service and Managed Care data is CIS. Consumers eligible for services count if active at any time during the period. The most recent activity date determines what record to choose if more than one activity occurs within the month. Consumers counted only in CHC if they appear in both FFS and Managed Care during the month. Approximately 5% of the LIFE count includes those participants in both LIFE and a long-term care facility. 6/3/2025 4

Waiver Participants Eligible for Services Monthly Statewide HCBS Total Enrollment by Month 100,000 82,016 82,830 83,322 84,176 84,879 85,092 86,215 87,362 88,021 88,665 89,427 89,960 90,481 10.3% Increase over the Previous Year 90,000 80,000 5,156 24,020 24,177 24,470 24,597 24,775 25,047 25,209 25,379 25,573 25,727 25,834 25,852 7,331 70,000 60,000 32,784 50,000 38,448 38,690 39,178 39,436 39,789 40,322 40,828 41,132 41,431 41,873 42,076 42,333 40,000 30,000 20,000 36,745 9,969 10,042 10,094 10,150 10,267 9,880 9,779 9,779 9,672 9,672 9,650 9,622 10,000 10,740 10,805 10,856 11,067 10,856 11,067 11,445 11,541 11,619 11,733 11,900 12,029 - FFS Aging FFS Non-Aging CHC 60 and over CHC Under 60 Grand Total FFS Non-Aging includes: Attendant Care, Independence, and OBRA waivers Data Source: eDW Monthly Standard Reports 8/15/2019 5

OLTL Waiver Updates 6/3/2025 6

OBRA Waiver Amendment Substantive changes include: Revised the Residential Habilitation service definition by modifying the number of hours that are defined as a day unit from a minimum of 12 hours to a minimum of 8 hours. Revised the service definitions of Job Finding, Job Coaching, Employment Skills Development, Career Assessment and Benefits Counseling. Added language that Office of Vocational Rehabilitation (OVR) services are considered to not be available if OVR has not made an eligibility determination within 120 days Also added language to address when employment services through the CHC waiver can be provided should OVR close the order of selection, thereby creating a waiting list for OVR services. 7 6/3/2025

CHC 1915c Waiver Renewal The CHC 1915c waiver renewal also includes the same changes to the Residential Habilitation and Employment service definitions. Other substantive changes include: Modified the qualifications for Service Coordinators and Service Coordinator supervisors. 8 6/3/2025

PAS Rate Increase A 2% increase to Personal Assistance Service rates was authorized as part of the FY 2019-2020 budget. This increase is reflected for the OBRA waiver and Act 150 program in the OLTL fee schedule and took effect on January 1, 2020. 9 6/3/2025

APS Regulations 6/3/2025 10

APS Regulations The Department has drafted Adult Protective Services regulations. The draft regulations are currently under review. Upon completion of the review process, a notice will be published in the PA Bulletin to announce the 30 day public comment period. 11 6/3/2025

DMVA Report 6/3/2025 12

DMVA Report The DMVA Workgroup created a report with recommendations to improve multiple aspects of long-term care services for Veterans. Behavioral health recommendations include: Find additional funding streams. Increase the accessibility and availability of support services for veterans and families including family peer support, Veteran peer to peer support, and employment assistance. Develop training for families to increase awareness of mental health and treatment programs. Market veteran-specific behavioral health programs to families and veterans. Better identify veterans seeking or enrolled in Medical Assistance. 13 6/3/2025

Questions? Questions? 14 6/3/2025