2/18/22

Pennsylvania ODP Rate Changes Coming February 26: What Providers Need to Know

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Upcoming changes to the rates paid to providers by Pennsylvania’s Office of Development Programs (ODP) may have a major impact on intellectual disability and autism services providers across Pennsylvania.  Providers should familiarize themselves with the rate determination process.  Pennsylvania law provides all providers the right to appeal the rates paid to them, individually, but few providers take advantage of that appeal right. 

Background

Yesterday, ODP announced that it will release the final updated fee schedule rates for services funded through the Consolidated, Community Living, and Person / Family Directed Support (P/FDS) Waivers and the Adult Autism Waiver via publication in the Pennsylvania Register on February 26, 2022.[1] Providers who wish to appeal their rates must file within thirty (30) days, which will mean appeals must be received by March 28.

ODP published proposed rates and the cost assumptions behind those rates in late 2021.  The various proposed rates and the underlying assumptions logs are available on the Department of Human Services (DHS) website (click here). 

Questions for Providers to Consider: 

Preparing For a Rate Appeal: 

Vorys has significant experience in representing intellectual disability and autism services providers and handling administrative appeals.  To discuss a potential appeal of the upcoming ODP rates, please contact any of the listed attorneys for a complimentary consultation.

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[1] While the official publication is listed for Saturday, February 26, 2022, ODP typically posts the rates and comments online some time on the preceding Friday.  Providers who wish to review the rates at their earliest opportunity should check the ODP website on Friday, February 25.