Pennsylvania

Main Contact: 
Charles Tyrrell: ctyrrell[at]pa[dot]gov
NWD/SEP System
Name of Operating Agency: 
PA Department of Human Services
Participating types of NWD/SEPs: 
ADRCs; AAAs; Centers for Independent Living (CILs); County Mental Health/Intellectual Disability Offices; County Assistance Offices
1-800 number: 
(800) 753-8827
Level I screen: 
The Information and Referral Tool is as an online resource that connects individuals to care based on need.
Level II assessment: 
Different Level II assessments are used for the various populations served.
Agency responsible for completing the financial assessment: 
County Assistance Offices (CAOs)
Coordination/automation of referrals between levels (i.e., Level I and Level II) : 
Interested individuals begin the referral and assessment process online by answering a set of screening questions designed to identify their potential support needs. Based on findings, they follow up with referral agencies for enrollment.
Core Standardized Assessment
Elderly individuals (age 65 or older): 
Care Management Instrument (CMI) and Level of Care Determination (LCD)
People with developmental disabilities: 
Supports Intensity Scale (SIS) and Pennsylvania PA Plus; Eligibility Worksheet; Scale of Independent Behavior - Revised (SIB-R) and MA-51
People with a serious mental illness or severe emotional disturbance: 
Community Support Plan
People with physical disabilities: 
CMI and LCD
Conflict-Free Case Management
Mitigation strategies in place/planned: 
All waivers are conflict free; mitigation strategies are used to meet requirements for individuals seeking behavioral health services.
Service data: 

CMS-64; Office of Developmental Programs Dahsboard for Intellectual Disability and Autism; HealthChoices Behavioral Health Performance Based Contracting Report 

Quality measures: 

Elderly Individuals: Service Coordination Monitoring Tool (Office of Long-Term Living); CMS 1915(c) waiver assurances

People with physical disabilities: Service Coordination Monitoring Tool (Office of Long-Term Living); CMS 1915(c) waiver assurances

People with developmental disabilities: Independent Monitoring for Quality (IM4Q) Report; Office of Developmental Programs (ODP) Dashboard for Intellectual Disabilities and Autism; CMS 1915(c) waiver assurances; Adult Autism Waiver (AAW)/Adult Community Autism Program (ACAP) Participant Interview Guide for Quality Management; AAW Provider Agency Monitoring Staff Qualifications Form; AAW & ACAP Monitoring Tools

People with a serious mental illness or severe emotional disturbance: Program Evaluation Performance Summary (PEPS) Tool; HealthChoices Behavioral Health Performance Tool

Other (Autism): Autism: Adult Autism Waiver (AAW)/Adult Community Autism Program (ACAP) Participant Interview Guide for Quality Management; AAW Provider Agency Monitoring Staff Qualifications Form; Office of Developmental Programs (ODP) Dashboard for Intellectual Disabilities and Autism; CMS 1915(c) waiver assurances

Outcomes data: 

Service Coordination Monitoring Tool; Adult Autism Waiver Participant Interview Guide for Quality Management; IM4Q Report/Essential Data Elements (EDE) Survey Instrument; PEPS Tool; Health Choices Behavioral Health Performance Tool

Use of Enhanced FMAP: 

PA used Program funds to expand the Aging Waiver, Intellectual Disabilities Wavier, Autism Waiver, and services for adults with physical disabilities, uncluding individuals with traumatic brain injury.