The Pennsylvania Office of Developmental Programs is disseminating the newly published Targeted Support Management (TSM) Bulletin and supporting documents (links below). The purpose of this bulletin is to communicate and clarify the requirements for TSM that were approved by the Centers for Medicare and Medicaid Services (CMS). Changes to TSM discussed in this bulletin include:
- Expansion of TSM services, effective August 20, 2017, to individuals with autism.
- Expansion of TSM services, effective July 1, 2021, to children age 8 or younger with a developmental disability who are eligible for Medical Assistance (MA) and who have been determined to need an Intermediate Care Facility for Other Related Conditions (ICF/ORC) level of care.
- Expansion of TSM services, effective July 1, 2021, to individuals age 0 through 21 with a medically complex condition which is a chronic health condition that affects three or more organ systems, and that the individual requires medically necessary skilled nursing intervention to execute medical regimens to use technology for respiration, nutrition, medication administration or other bodily functions. Individuals must be eligible for MA and have been determined to need an ICF/ORC level of care.
Associated TSM bulletin forms can be found on the Department of Human Services website at the following links:
| ODP Bulletin 00-22-01 | Targeted Support Management for Individuals Served by ODP |
| 00-22-01 Attachment 1 | PA State Plan Amendment TSM |
| 00-22-01 Attachment 2 | DP 250 |
| 00-22-01 Attachment 3 | DP 251 |
| 00-22-01 Attachment 4 | DP 1090 |
| 00-22-01 Attachment 5 | Instructions for Completing Form DP 1090 |
