The Office of Developmental Programs (ODP) is aware of a systemwide Home and Community Services Information System (HCSIS) issue affecting the authorization of fiscal year 2026-2027 Individual Support Plans (ISPs). The issue has been reported to the HCSIS Support Team and is being actively investigated. ODP recognizes the impact this is having on providers, Administrative Entities, Supports Coordination Organizations, and the individuals they support. ODP will provide additional information as it becomes available, and appreciate your patience while this issue is being resolved. 

Any provider that encounters claim denials due to the absence of service authorization should attempt to rebill after ODP sends notification that the issue is resolved. 

The Office of Developmental Programs (ODP) requests your assistance sharing the attached communication, ODPANN 25-087: Billing Guidance for Community Participation Support (CPS) Facility Procedure Codes for Provider Specialty 525 and Planning Coordination. This communication is intended to inform 100% community location-based CPS providers (Specialty 525) of CPS Facility procedure codes available in HCSIS to permit billing for groups of more than 3 individuals, and to provide guidance on the planning and coordination component of the CPS service. Please review the announcement for additional information and details.

The Office of Developmental Programs (ODP) requests your assistance sharing the attached communication, ODPANN 25-054: Changes Made to HCSIS Auto Authorization Functionality. The purpose of this communication is to provide details related to changes to the HCSIS Auto Authorization Functionality.

Pleaser review the announcement for additional information and detail.

The Office of Developmental Programs (ODP) requests your assistance sharing the attached communication, ODPANN 25-004: Notice of a Change to the Federal Reimbursement of Transportation Costs Effective January 1, 2025. The purpose of this communication is to share that the United States General Services Administration announced a change for the rate of Transportation Mile reimbursement rate, procedure code W7271, beginning January 1, 2025, to $0.70 per mile. This communication obsoletes ODP Announcement 24-001.

Please review the announcement for additional information and details.

The Office of Developmental Programs (ODP) requests your assistance sharing the attached communication, ODPANN 24-126: New American Sign Language English Interpreter Service. The purpose of this communication is to announce the availability of the new American Sign Language (ASL) English Interpreter service codes effective January 1, 2025.

Please review the announcement for additional information and details.

The Office of Developmental Programs (ODP) requuests your assistance sharing the attached communication; ODPANN 24-125: New Procedure Code for Communicatio Specialist Services. The purpose of this announcement is to notify stakeholders of an upcoming change to the Communication Specialist procedure code. Effective January 1, 2025, the current procedure code T1013 (Communication Specialist) will be replaced with W1748. The new code will retain the same provider types, specialties, and edits.

Please review the announcement for additional information and details.

The Office of Developmental Programs requests your assistance sharing the attached communication, ODPANN 24-107: Rate Corrections Published in the Pennsylvania Bulletin. The purpose of this announcement is to inform stakeholders that corrected rates for select services rendered through the Office of Developmental Programs (ODP) have been published in the Pennsylvania Bulletin.

Please review the announcement for additional information.

Update: Due to delays in Individual Support Plan revisions and other factors impacting provider billing, ODP has extended the time period for providers to submit claims for services.

As indicated in ODP Announcement 24-084: Publication of Final Rates Effective Starting Fiscal Year 2024- 2025 and Operational Guidance, page 8 noted, “In November, ODP will process a gross adjustment for any fee schedule services billed during the 1st quarter of the fiscal year. This gross adjustment will compensate providers for the rate differential effective July 1, 2024.”

As indicated in ODP Announcement 24-084: Publication of Final Rates Effective Starting Fiscal Year 2024- 2025 and Operational Guidance, page 8 noted, “In November, ODP will process a gross adjustment for any fee schedule services billed during the 1st quarter of the fiscal year. This gross adjustment will compensate providers for the rate differential effective July 1, 2024.”

This is a reminder to all providers to bill for any services rendered from July 1, 2024 through September 30, 2024. ODP will be compensating providers, via gross adjustments, for the difference between the rate billed and the updated fee schedule rate for dates of service rendered during the period July 1, 2024 through September 30, 2024. ODP anticipates processing gross adjustments at the end of November 2024 to ensure all billing for dates of service July 1, 2024 through September 30, 2024 has been completed. Paid claims data in Remittance Advices between July 1, 2024 and November 4, 2024 will be used as the basis for the gross adjustment.