2017 OBRA Waiver Amendment

OBRA Waiver Amendment – effective January 1, 2018

The Department of Human Service (DHS) Office of Long-Term Living (OLTL) will be submitting an amendment to the OBRA Waiver with an effective date of January 1, 2018. The Department proposes the following changes to the OBRA Waiver: 

  • Reduce the length of time for individuals to reside in a nursing facility from 90 days to 30 days to allow payment of transition activities through the waiver (Appendix C-1/C-3, Service Definitions);
  • Add tenancy and pre-tenancy activities to the Service Coordination service definition (Appendix C-1/C-3, Service Definitions); 
  • Revise the Vehicle Modification service definition (Appendix C-1/C-3, Service Definitions); 
  • Add Support Broker services (Appendix A and E); and 
  • Revise the unduplicated recipient numbers and cost neutrality estimates for the 2017-2018 fiscal year to reflect the transition of waiver participants to managed care (Appendix B and J).

Interested persons are invited to submit written comments regarding the proposed waiver amendments to the Department of Human Services, Office of Long-Term Living, Bureau of Policy and Regulatory Management, Attention: OBRA Amendments, P.O. Box 8025, Harrisburg, PA 17105-8025. Comments may also be submitted to the Department at RA-waiverstandard@pa.gov. Please use OBRA Waiver Amendments as the subject line. Comments received by close of business on August 31, 2017 will be reviewed and considered for revisions to the proposed waiver amendments.

The OBRA Waiver amendment public notice is published at the following link in the PA Bulletin. http://www.pabulletin.com/secure/data/vol47/47-30/1270.html

In addition, the Department will hold two webinars to receive comments on the proposed waiver amendments. Dates and time of the webinars, including registration and dial-in information, are noted below:

Monday, Aug 7, 2017, 10:00 a.m. – 11:00 a.m.

Wednesday, August 16, 2017, 1:30 p.m. – 2:30 p.m.

 (*) This Appendix contains proposed changes

Side by Side Comparison of Proposed Changes

Purpose of OBRA Waiver Amendment*

Main Module

Appendix A: Waiver Administration and Operation*

Appendix B: Participant Access and Eligibility*

Appendix C: Participant Services

Appendix D: Participant-Centered Planning and Service Delivery

Appendix E: Participant Direction of Services*

Appendix F: Participant Rights

Appendix G: Participant Safeguards

Appendix H: Quality Improvement Strategy

Appendix I: Financial Accountability

Appendix J: Cost Neutrality*

OBRA Waiver Comment Form