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PA Bulletin, Doc. No. 22-1748



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

[52 Pa.B. 7048]
[Saturday, November 12, 2022]

 The Department of Human Services (Department) is making available for public review and comment the Office of Long-Term Living's proposed amendment to the Community HealthChoices (CHC) waiver. The proposed amendment will be effective April 1, 2023.


 Whenever substantive changes are made to an approved waiver, the Department must submit an amendment to the Centers for Medicare & Medicaid Services for approval. The Department proposes to amend the CHC waiver effective April 1, 2023, by adding Agency with Choice as a Financial Management Services model for the participant-directed services of Personal Assistance Services and Respite, modifying Service Coordinator and Service Coordinator Supervisor qualifications to align with the CHC Agreement, and to amend the service definitions for the following CHC waiver services:

 • Benefits Counseling.

 • Nursing Services.

 • Physical Therapy Services.

 • Occupational Therapy Services.

 • Speech and Language Therapy Services.

 The Department also proposes to make a technical change to the waiver by revising performance measures.

 The proposed CHC waiver amendment and a summary of all revisions are available for review at or by contacting the Department of Human Services, Office of Long-Term Living at (717) 857-3280.

Fiscal Impact

 The fiscal impact of this change is estimated at $1.333 million ($0.640 million in State funds) for Fiscal Year 2022-2023. The annualized fiscal impact is $8.000 million ($3.712 million in State funds).

Public Comment

 Interested persons are invited to submit written comments regarding the proposed waiver amendment to the Department of Human Services, Office of Long-Term Living, Bureau of Policy Development and Communications Management, Attention: CHC 2023 Waiver Amendment, P.O. Box 8025, Harrisburg, PA 17105-8025. Comments may also be submitted to the Department at Use ''CHC 2023 Waiver Amendment'' 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 amendment.

 Persons with a disability who require an auxiliary aid or service may submit comments using the Pennsylvania Hamilton Relay Service by dialing 711 or by using one of the toll-free numbers: (800) 654-5984 (TDD users); (800) 654-5988 (voice users); (844) 308-9292 (Speech-to-Speech); or (844) 308-9291 (Spanish).

Acting Secretary

Fiscal Note: 14-NOT-1546. (1) General Fund; (2) Implementing Year 2022-23 is $640,000; (3) 1st Succeeding Year 2023-24 through 5th Succeeding Year 2027-28 are $3,712,000; (4) 2021-22 Program—$4,252,000,000; 2020-21 Program—$3,166,000,000; 2019-20 Program—$2,329,000,000; (7) Community HealthChoices; (8) recommends adoption. Funds have been included in the budget to cover this increase.

[Pa.B. Doc. No. 22-1748. Filed for public inspection November 11, 2022, 9:00 a.m.]

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