Commonwealth of Pennsylvania Department of Human Services at Northeast Secure Treatment Unit School District

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This contract outlines the agreement between the Pennsylvania Department of Human Services and a Dual-Eligible Special Needs Plan (D-SNP) to coordinate Medicare and Medicaid benefits for dually eligible individuals in Pennsylvania. It details the D-SNP's responsibilities, including financial obligations for Medicaid benefits, beneficiary categories, cost-sharing protections, information sharing, eligibility verification, reporting requirements, and integration mandates, especially for companion D-SNPs aligned with Community Health Choices Managed Care Organizations. The contract is effective from January 1, 2026, through December 31, 2026, with provisions for automatic renewal and termination.

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This document is a formal notice from the Commonwealth of Pennsylvania Department of Human Services, Office of Developmental Programs (ODP), to Service Coordination Unlimited, Inc. It informs the provider of the final determination regarding their Performance-Based Contracting (PBC) evaluation. Despite not meeting all performance measures, Service Coordination Unlimited, Inc. remains eligible to provide supports coordination services for the contract cycle from January 1, 2026, to June 30, 2027. The notice mandates the creation and implementation of Quality Management Plan(s) to address unmet measures and clarifies that the QDI.01.6 Restrictive Procedures measure will not be part of the PBC evaluation for the upcoming contract period.

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This document is a final determination notice from the Department of Human Services, Office of Developmental Programs (ODP), to The Arc Alliance Advocacy Services, dated December 29, 2025. It communicates ODP's decision to uphold its initial performance-based contracting (PBC) evaluation determination, citing insufficient evidence from the provider's resolution submission to overturn the finding of unmet measures (SC-ADM.02, SC-PCP.01.2, SC-QI.02.1). Despite these unmet measures, The Arc Alliance Advocacy Services remains eligible to provide supports coordination services for the contract cycle from January 1, 2026, to June 30, 2027, through specified waivers. ODP advises the agency to implement Quality Management Plans and notes that the QDI.01.6 measure will not be part of the PBC evaluation for this period.

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This document is a final determination letter from the Department of Human Services, Office of Developmental Programs (ODP) to Quality Progressions regarding their Performance-Based Contracting (PBC) evaluation. ODP reviewed Quality Progressions' submission for the PBC Resolution Process and determined that measure SC-QI.02.1 was met, but SC-WF.03.2 was not. Despite unmet measures, Quality Progressions remains eligible to provide supports coordination services for the contract cycle from January 1, 2026, through June 30, 2027. ODP recommends implementing Quality Management Plans for unmet standards and notes that measure QDI.01.6 will not be part of the PBC evaluation for this cycle.