Significant Improvement in PA Medicaid, CHIP Payment Error Rates, State is Well Below National Average (November 29, 2023)

According to PA Department of Human Services (DHS) Secretary Dr. Val Arkoosh, PA’s payment error rate for Medicaid has significantly improved since 2019 and now stands at 2.49 percent compared to 8.85 percent nationally. This makes PA’s rate among the lowest in the country.

Payment Error Rate Measurement (PERM) reviews are conducted every three years and measure improper payments for Medicaid and CHIP. For Pennsylvania’s most recently completed review cycle in 2022, the Medicaid improper payment rate was 2.49 percent and the CHIP improper payment rate was 5.58 percent. Those numbers are significantly lower than the newly reported federal figures for 2023 which show the national Medicaid improper payment rate is 8.85 percent, and the national CHIP improper payment rate is 12.81 percent.

These numbers also showed significant improvement over the 2019 review cycle, when Pennsylvania Medicaid error rate was 14.24 percent and the CHIP error rate was 20.67 percent. The national rates for Medicaid and CHIP were 14.90 percent and 15.83 percent, respectively.

Federal agencies are required to review programs they administer and identify those that may be susceptible to significant improper payments, estimate any improper payments, submit those estimates to Congress, and submit a report on actions the agency is taking to reduce the improper payments. Medicaid and CHIP are programs at risk for significant improper payments because of the large volume of services and expenditures involved.

The Centers for Medicare and Medicaid Services (CMS) developed the PERM program to comply with oversight and reporting requirements. PERM does not measure fraud; it is a measurement of payments made that did not meet legal, regulatory, or administrative requirements and may be overpayments or underpayments. To learn more about Medicaid, CHIP and how to apply for health coverage, visit dhs.pa.gov.  

PDE: 2022-23 Assessment Results Show Continued Improvement (November 13, 2023)

On November 8, 2023, the Pennsylvania Department of Education (PDE) released results from the 2022-2023 school year administration of state-level assessments: the Pennsylvania System of School Assessment (PSSA), Pennsylvania Alternate System of Assessment (PASA), and Keystone Exams. This year’s results show that overall statewide achievement continues to improve across all subject areas. 

“This year’s assessment results underscore what we have said before—that with each passing year, participation and achievement will continue to improve,” said Secretary of Education Dr. Khalid N. Mumin. “Pennsylvania’s results are well on their way to returning to pre-pandemic rates and we look forward to helping our students exceed those levels in the years ahead. Schools across the Commonwealth are using innovative new approaches, like online assessments, that are increasing flexibility for educators and learners—and we will continue to see an improvement in results over the coming years.” 

Overall improvement is consistent with gains seen in other states, with English Language Arts proficiency increasing from 54.1% in 21-22 to 54.5% in 22-23, Math increasing from 35.7% in 21-22 to 38.3% in 22-23, and Science increasing from 54.4% in 21-22 to 58.9% in 22-23. Another notable area of improvement was seen in English Learner Growth and Attainment, increasing from 22.2% in 21-22 to 29% in 22-23.

Participation and achievement data have been added to the Future Ready PA Index, a comprehensive reporting system for presenting school-level data across a broad range of indicators, such as English language acquisition, career readiness, access to advanced coursework, and regular attendance. The Future Ready PA Index shows continued improvement as well, as four-year cohort graduation rates increased to 87% and career readiness indicators increased to 89.5%.

Pennsylvania’s statewide assessments include the Pennsylvania System of School Assessment for grades 3 through 8; end-of-course Keystone Exams administered in middle and high school depending on when students take the corresponding subject; and the Pennsylvania Alternate System of Assessment that ensures equitable participation by students who are unable to participate in the general assessments. Assessments must be administered in-person, which has affected assessment participation rates across the state over the past three years. Additionally, Act 136 of 2020 waived “banked scores” for middle and high school students who would have taken a Keystone Exam in school year 2019-20, decreasing the count of eligible testers in the cohort of test takers. These test waivers will impact Keystone results reporting through at least 2023-24.

DHS Opens Western Secure Treatment Unit, Expanding Options For Care For Youth in the Juvenile Justice System (November 13, 2023)

On November 9, 2023, PA Department of Human Services (DHS) Secretary Dr. Val Arkoosh announced that DHS has begun serving youth at the Western Secure Treatment Unit (WESTU), a new secure residential facility in Butler County that will treat delinquent youth committed to state care by county juvenile courts. WESTU will be the seventh program of DHS’ Bureau of Juvenile Justice Services (BJJS) and increases the state’s capacity to care for and treat adjudicated youth.

“Due to limited availability of privately-operated care and thus, limited options for care at all levels of the juvenile justice system, we are currently seeing an increased reliance on facilities operated by DHS. While DHS does not control admissions or discharges for our facilities, we are committed to being a partner in finding solutions to this challenge so adjudicated youth get the care and treatment they need,” said Secretary Arkoosh. “Opening WESTU is an investment in more options for high quality care and support for adjudicated youth.”

Western Secure Treatment Unit opened for care on Monday, November 6, and will be operated and overseen by BJJS but staffed through a contract with Rite of Passage, a national provider of services for justice-involved youth. All staff are trained by BJJS, held to the same standards and expectations of Commonwealth staff at other BJJS facilities, and programming and treatment offered at Western Secure Treatment Unit mirrors offerings throughout the BJJS system. Twelve youth will be placed during the first two weeks. The census will increase one youth per week (4-5 youth per month) until a maximum capacity of 60 is reached.

BJJS operates other secure facilities in Franklin, Luzerne, Montour, and Perry counties. Each of these facilities serve youth adjudicated delinquent by a juvenile court judge who then orders where the youth is to receive treatment and rehabilitation. Length of stay required of youth is set by the judge, and DHS works to provide trauma-informed care and treatment to youth during their commitment as well as education and training opportunities to help prepare youth for their return home.

Western Secure Treatment Unit is the second facility DHS opened in the last year to help meet systemic challenges currently facing the juvenile justice system. DHS continues to work with private providers and other state and county partners to explore options to establish additional treatment and care options to help youth involved in the juvenile justice system. 

“As we meet the immediate need of helping youth get care and treatment, we also must work together at all levels of government on prevention, intervention, and diversion strategies that support and engage youth prior to involvement with the justice system,” said Arkoosh. For more information on DHS and BJJS, visit www.dhs.pa.gov.

Milk Carton Shortage Affects Nation’s Schools (November 9, 2023)

A widespread paper milk carton shortage is affecting school cafeterias across the country the country, as school districts have begun to send messages to their families and communities about how they are either currently managing or preparing to navigate serving milk without half-pint cartons. Schools are required by the U.S. Department of Agriculture (USDA) to offer milk at all school breakfasts, lunches, or suppers served to students.

According to K-12 Dive, in an October 25, 2023 memo to child nutrition directors, the USDA acknowledged that schools in multiple states are dealing with milk supply chain challenges specifically due to packaging issues. As a result, the USDA said state agencies may allow schools impacted by milk supply shortages to serve meals without milk or with an alternative form of milk during this emergency period. 

In Pennsylvania, Galliker’s Dairy Company is working with schools to find solutions and packaging alternatives, The company serves more than 1.3 million school meal containers per week and has established a School Milk Helpline to assist schools working with the milk producer.

For more from K-12 Dive, click here.

PA Board of Ed Holds 377th Meeting (November 8, 2023)

On November 8, 2023, the PA Board of Education held its bi-monthly meeting. Board Chair Karen Farmer White opened the meeting and, after the meeting minutes for September 13, 2023 were approved, she turned it over to PDE Ed. Sec. Khalid Mumin for a report from him and Deputy Secs. Dr. Kate Shaw and Dr. Carrie Rowe.

Dr. Mumin announced that results for the 2023-24 PSSA and PASA testing are now available online. He stated that, with each passing year, performance and scores will continue to improve. Dr. Mumin also stated that, although Act1A  has been approved for the 2023-24 state budget, negotiations to pass the rest of the budget are ongoing, Those yet-to-be-approved items include a number of important education line items. In addition, Basic Education Funding Committee hearings are underway across the state.

Dep. Sec. Shaw reported that postsecondary sector work groups are now gathering data and information for recommended improvements. She also reported the PA Maslow program is now receiving national recognition.

Dr. Rowe followed up with her report, featuring assessment results that show PA students having a slight increase in performance data. She also pointed out that, due to the Future Ready Index, data are more in-depth and allow for more than just a single summative number score. Results are being released today (11/8/23).

Dr. Rowe then turned over her report to PDE Bureau of Curriculum Director Brian Campbell, who explained the affect of waivers on Keystone Exams scores, which were “banked’ along with the waivers, and many students were not required to take the test, ultimately affecting test results for at least two more years. In fact, Algebra scores will be adversely affected. However, with regard to PSSA test results, data released today show a 3% to 7.5% increase in math scores, but we are still not up to pre-pandemic levels. ELA scores show some gains, but the pre-pandemic gap in these scores is a much smaller one to close.

Campbell also reported that online participation is increasing, but has not yet reached pre-pandemic levels. He also highlighted the advantages of online test participation (e.g., more secure, discreet, user friendly, and free of onsite administration issues). With regard to accountability, Campbell said we are still suffering from attendance issues, but the graduation rate is up, the career standards benchmark has increased, and there is an increase in English Language Learners Growth and Attainment from 22% in 2021-22 to 29% in 2022-23.

A report on the Teacher and School Leader Effectiveness Committee was given by Sandra Dungee Glenn. She stated that PDE’s annual report on certifications shows the number of certifications and permits issued by PDE between 2011-12 to the present. There is currently an alarming rise in emergency certifications. Presently, IU 13 researchers are looking into the certification process. She also reported that there is a significant increase in the number of intern programs in the state. There is also a need to reduce the length of time the hiring process takes. Lastly, Glenn reported that there may be recommended revisions to Chapter 13 Section 354 coming in the future.

Dr. Lee Williams reported on behalf of the Academic Standards/Chapter 4 Committee, saying that 2026-27 school year is the targeted time to put revisions into practice.

Chairperson White reported that final omitted amendments with regard to the use of the term Intellectually Disabled to replace the term mentally retarded will now be submitted as a matter of law.

A highlight of the meeting were reports by student Board members, which had those present praising the decision to include students in the makeup of the Board.

The meeting ended with the unanimous approval of a petition by the Delaware County Community College (DCCC) to hold a public hearing on the Springfield School District’s petition to withdraw as a local sponsor of the DCCC.

Immediately following the Board of Ed. Meeting, the Career and Technical Education Committee met. During that meeting, Mr. Judd Pittman discussed the Perkins Act and the Perkins V Four-year State Plan. He stated that PDE has released a revised competitive equipment grant process today (11/8/23). He also reported that 23 schools are up for Perkins monitoring this year and 56 schools have participated in acclaimed professional development activities for vulnerable students. Lastly, he reviewed the goals of the Perkins V plan.

The meeting concluded with the unanimous approval of the application for a five-year re-accreditation of the Schuylkill Technology Center.