On July 30, 2021, Jennifer Wiegand, DHS Program Coordinator School-Based ACCESS Program, and Carole L. Clancy, BSE Director, issued a PennLink communiqué titled 2021-22 School-Based ACCESS Program Statewide Training Sessions to LEAs announcing the schedule for annual statewide training sessions offered to all participating School-Based Access Program (SBAP) teams. Fall training sessions will be provided on a single date via Schoology again this year. You will be able to access a pre-recorded session for each of the four training areas and then participate in a live Q&A with the speakers via Zoom. Registration is required; see instructions below.

Participation is strongly encouraged. Local educational agencies (LEAs) are encouraged to assign at least one representative to attend the training in order to receive important SBAP information. Trainings include:

SBAP General Session

The General Session will be led and presented by DHS. DHS team members will review policy highlights of SBAP, including Medical Assistance-reimbursable use of telemedicine within SBAP, updates to the Provider Handbook, SBAP annual performance and claiming levels, and other important information and reminders including the enrollment revalidation process. The DHS team will also address the impact of the public health emergency on the SBAP and what to expect going forward.

Compliance Session

The Compliance Session will be led and presented by DHS. DHS team members will review common errors found during SBAP record reviews, proper documentation for services provided face-to-face or via telemedicine, appropriate provider credentials and licensing, and other compliance best practices. 

Optimizing Your SBAP Potential While Functioning in a Virtual Setting

During this session, Public Consulting Group will focus on assisting participating LEAs in achieving compliance within the SBAP and managing operational changes associated with virtual requirements. LEAs will gain a better understanding as to why reimbursement is different since the COVID-19 pandemic, and where to focus their billing to help get their SBAP reimbursement back on track.

LEA responsibilities affecting compliance  

Related Service Documentation:  Monitoring of service log entry, compliance information, and reimbursement levels: Random Moment Time Study:  Ensure quality of staff pool positions, moment responses, and shifts; Medicaid Administrative Claiming (MAC):  Participant activity and the impact of the annual Unrestricted Indirect Cost Rate (UICR) on MAC.

Navigating the SBAP Cost Reconciliation/Cost Settlement Process

During this session, Sivic Solutions Group will provide an overview of the cost reconciliation/cost settlement process. Cost-based reimbursement ensures that LEAs are appropriately reimbursed for the actual costs for the delivery of direct medical services to Medicaid eligible children. This training will emphasize 1) Interim Rates; 2) Accurate reporting of costs; 3) Understanding transportation and tuition reimbursement methodology; 4) Cost allocation factors, including Individualized Education Program Ratio and UICR; and 5) Answers to the top 10 most frequently asked questions.

These sessions are intended for ACCESS coordinators, special education directors and supervisors, business managers, and anyone else involved in SBAP.

REGISTRATION DETAILS:

Date                                               Time                                 Location

September 28, 2021 (Tuesday)   9:00 a.m. – 4:00 p.m.            Schoology

Register online via the Pennsylvania Training and Technical Assistance Network (PaTTAN) at http://www.pattan.net. Registration is required.

Ccontact Sharon Kennedy at [email protected] with any registration questions.

For content questions, contact DHS’ vendors at [email protected] or [email protected]

On July 23, 2021, the PA Departments of Drug and Alcohol Programs (DDAP) and Human Services (DHS) joined officials from the Governor’s Office of Advocacy and Reform, the Governor’s Advisory Commissions on Latino Affairs, Asian Pacific American Affairs, and LGBTQ Affairs, the Pennsylvania Legislative Black Caucus and community organizations to reinforce the Wolf Administration’s commitment to promoting trauma-informed and culturally competent mental health and substance use disorder services that meet the distinct needs of historically marginalized populations and highlight available resources.

“The COVID-19 pandemic has made abundantly clear the systemic impact of racism and bigotry, and how resulting inequities can adversely affect the mental and physical health of individuals within historically marginalized groups – including racial and ethnic minorities and the LGTBQ community,” said DHS Acting Secretary Meg Snead. “I encourage anyone struggling with mental-health challenges to contact the Persevere PA Support and Referral Helpline at 1-855-284-2494. The helpline is staffed with professional caseworkers trained in trauma-informed and culturally competent care who can assess needs and provide appropriate referral to community resources to children, teens, adults and special populations, including historically marginalized groups.”

While studies have shown that the pandemic exacerbated inequities, those inequities existed before COVID-19. DHS identified health equity as a major priority of its ongoing racial equity work in a report released earlier this year, and this includes a focus on mental-health services.

According to the Centers for Disease Control and Prevention, preliminary overdose data show a 16 percent increase in overdose deaths across Pennsylvania from 2019 to 2020. More than half of these deaths occurred in Philadelphia, where overdoses among Black individuals spiked by more than 50 percent during the COVID-19 pandemic, according to University of Pennsylvania researchers.

“The collision of the overdose epidemic and COVID-19 pandemic further brought to light health inequities for particular racial and ethnic populations across Pennsylvania,” said DDAP Secretary Jen Smith. “In our latest round of grant funding to Recovery Community Organizations, we included language specifically related to ensuring minority populations have access to prevention, treatment, and recovery services. As you have heard today, the Wolf Administration is committed to ensuring that no matter your race, ethnicity, or background— all Pennsylvanians should have equal access to life-saving resources.”

The PA Care Partnership builds and promotes equality and trust by including youth, caregivers, providers, and systems that serve children and young adults based on the individual community’s strengths and culture to modify how youth, families, government, and communities interact with each other. This is achieved through a system of care model that incorporates mental health promotion, prevention, early identification, and early intervention in addition to treatment to address the needs of all children, youth, and young adults.

PA Care Partnership hosts a series of webinars focused on youth and young adults from birth to age 21 and their families, systems, and providers aligned with the System of Care values of being youth and family driven, strength-based and individualized, trauma-informed, and culturally and linguistically competent. This month, the series includes several webinars on Minority Mental Health Month available online.

“I welcomed the opportunity to speak about mental health issues in communities of color and within marginalized groups in order to help shed light on the serious place we are in, in terms of the need for help and the current lack of resources and awareness,” said Andrea Fields, executive director of the PA Legislative Black Caucus. “We are at crisis proportions and we need to do everything we can in the legislature to get people the help they need, both through resources and legislation but also through educating people about the inequities within the healthcare and mental healthcare structure.”

“We have seen an increase of mental health concerns during the pandemic in the Hispanic/Latinx communities and, as a result, the Latinx communities run a higher risk because of the stress of facing discrimination while also trying to navigate through services with language barriers. Our goal is to continue to educate and bring awareness of social services to these minority communities and to aggressively address social determinants of health for our most vulnerable populations,” said Luz Colon, executive director of the Governor’s Advisory Commission on Latino Affairs. “I applaud DHS and DDAP for coming together to address mental health issues in minority communities. We are committed to taking every action necessary to provide services for those that need it most.”

“Minority Mental Health Month is helping to focus attention on the problem, and we hope more people in our minority communities will not only become aware of the resources and services that are available to them, but also that members of our communities will understand that they are not alone, there are others facing the same challenges, and it is ok to look for help,” said Stephanie Sun, Executive Director of the Governor’s Commission on Asian Pacific Affairs. “I invite all of you to join us in helping your family, your friends and your neighbors. The mental health of one affects the many. We cannot do it alone, but together we can make a difference.”

Persevere PA Support and Referral Helpline

Pennsylvanians struggling with anxiety and other challenging emotions due to COVID-19 and the accompanying economic insecurity can contact the Persevere PA Support & Referral Helpline toll-free, 24/7 at 1-855-284-2494. For TTY, dial 724-631-5600. Center for Community Resources (CCR) staff are trained to be accessible, culturally competent, and skilled at assisting people with mental illness, intellectual disabilities, co-occurring disorders, other special needs, or someone just looking for a supportive, empathetic person to listen. Staff are trained in trauma-informed care to listen, assess needs, triage calls, and provide appropriate referral to community resources to children, teens, adults and special populations. Since its launch in April 2020, the helpline has received nearly 25,000 calls.

Get Help Now Hotline

Individuals seeking substance use treatment or recovery resources for themselves or a loved one can call the toll-free PA Get Help Now helpline at 1-800-662-HELP (4357). This helpline is confidential, available 24 hours a day, 365 days a year and staffed by trained professionals with interpretation services available in more than 200 languages. Callers can also be connected with funding if they need help paying for treatment. A live chat option is also available online or via text message at 717-216-0905 for those seeking help who may not be comfortable speaking to a helpline operator.

National Suicide Prevention Lifeline

The National Suicide Prevention Lifeline is a national network of local crisis centers that provide free and confidential emotional support, in English and Spanish, to people in suicidal crisis or emotional distress 24 hours a day, 7 days a week. A localized text option is also available via the Crisis Text Line, offering free 24/7 support by texting “PA” to 741741. For assistance in Spanish, contact the Línea Nacional de Prevención del Suicidio at 1-888-628-9454.

Pennsylvania Mental Health Guide

This online guide contains information related to mental health screenings, finding a mental health professional, resources for housing insecurity, help with trauma due to racism, and assistance with contacting your county assistance offices and applying for benefits.

Public Assistance Programs

DHS encourages Pennsylvanians struggling to meet basic needs to apply for programs including the Supplemental Nutrition Assistance Program (SNAP), cash assistance, Medical Assistance, the Children’s Health Insurance Program (CHIP), the Emergency Rental Assistance Program (ERAP) and other programs, any time at www.compass.state.pa.us. For more information assistance programs available to help Pennsylvanians, visit www.dhs.pa.gov.

To access the press release, go to the PA Media website by clicking here.

On July 21, 2021, Department of Human Services (DHS) Acting Secretary Meg Snead and Acting Physician General Dr. Denise Johnson visited the Whitaker Center in Harrisburg to discuss recommendations to keep children and their families safe while children under the age of 12 are not yet eligible for a COVID-19 vaccine.

“While the statewide mask guidance has been lifted, it’s important that we continue to take steps to keep ourselves, our children, our friends and family safe. I urge everybody to get vaccinated and to follow CDC guidance so we can gather together safely,” said Acting Secretary Snead. “We must remain vigilant and continue working together to prevent further spread of COVID-19 between children and families.”

“COVID-19 vaccines are the best tools we have to protect against COVID-19 and any variants of the virus,” Acting Physician General Dr. Denise Johnson said. “Vaccines are also a way to protect those who cannot get the vaccine yet, such as children under the age of 12. We’re encouraging everyone, especially parents of young children, to consider getting vaccinated. We have the power to stop the spread of this virus and keep ourselves, our children, friends and family safe by getting vaccinated.”

DHS and its Office of Child Development and Early Learning (OCDEL), along with the PA Department of Health, follow guidance from the Center for Disease Control and Prevention (CDC). The CDC recommends that children under the age of 2 should not wear face coverings. Children between the ages of 2 and 12 and older children who are not yet vaccinated, however, are strongly encouraged to continue wearing face coverings in public settings, at events and gatherings, and anywhere indoors when they will be around other people outside of their household.

If a child is unable to wear a face covering, the CDC recommends more low-risk activities, such as enjoying activities outdoors with members of their household or attending a small, outdoor gathering with fully vaccinated family and friends. Risk of COVID-19 infection increases if unvaccinated children gather from multiple households; therefore, the safest place to visit is outdoors. Children with underlying medical conditions, regardless of age, may also be at increased risk of severe illness from COVID-19 compared to other children, so continued use of face coverings are encouraged to help protect unvaccinated children.

Indoor activities can occur so long as all people involved take safety precautions, including wearing a face covering that fits snuggly, staying distanced from others, and visiting in a well-ventilated space. This includes visiting with fully vaccinated grandparents without wearing face coverings or physical distancing, provided none of the unvaccinated family members are at risk of severe COVID-19. 

These precautions, regardless of a child’s age or vaccination status, should be applied along with:

• Washing your hands with soap and water for 20 seconds;
• Making sure your child covers their mouth and nose with a tissue when coughing or sneezing;
• Staying home if you are unvaccinated and sick with, tested positive for, or were recently (within 14 days) exposed to COVID-19; and,
• Continuing routine doctor appointments and vaccine visits.

Any person, regardless of vaccination status, experiencing new or unexplained symptoms of COVID-19 still needs to isolate and be evaluated for COVID-19. Children 12 or older and adults who have not yet received their COVID-19 vaccine are strongly encouraged to get vaccinated as soon as possible to protect themselves and their loved ones.

More current COVID-19 guidelines information can be found at www.health.pa.gov.

To access the press release, click here.