CHC Digest
February 24, 2016                                                                              Digest Issue 76
Wednesday, February 24, 2016 - In This Issue:

Trainings & Meetings 
March 3, 2016
Health Center Management
9:00 am
Renaissance Indianapolis North
11925 N Meridian St
Carmel, IN  46032
Contact Jason Bundy at  or 317-630-0845 for more information
March 8, 2016
340B Training
9:00 am
Renaissance Indianapolis North
11925 N Meridian St
Carmel, IN  46032
Contact Jason Bundy at  or 317-630-0845 for more information
March 29, 2016
ICD-10 Gap Analysis
9:30 am
Indiana CPA Society
8250 Woodfield Crossing Blvd
Indianapolis, IN  46240
Contact Jason Bundy at  or 317-630-0845 for more information
April 19, 2016
9:30 am
Indiana CPA Society
8250 Woodfield Crossing Blvd
Indianapolis, IN  46240
Contact Jason Bundy at  or 317-630-0845 for more information
May 2 & 3, 2016
Annual Conference
8:00 am
Indianapolis Marriott North
3645 River Crossing Pkwy Indianapolis, IN  46240
Contact Jason Bundy at  or 317-630-0845 for more information

June 27, 2016

Motivational Interviewing for Primary Health Care

Indiana CPA Society
8250 Woodfield Crossing Blvd
Indianapolis, IN  46240
Contact Jason Bundy at  or 317-630-0845 for more information

News and Notices
340B Covered Entities May Be Eligible for Credits
The following notification was distributed by the Health and Resources Service Administration to all 340B covered entities:
Dear 340B Stakeholders:
Please see the following link to the notification from a manufacturer regarding credits for covered entities that may be affected. Covered entities may directly receive a letter from the manufacturer regarding this matter; however, covered entities that have questions or  believe this matter may affect them are advised to contact the manufacturer at
Also, the following link has useful information on 340B policies and procedures that covered entities should develop, follow and maintain.
Reminder :   340B Recertification Deadline

The Health Resources and Services Administration (HRSA) published the following in the weekly BPHC Primary Health Care Digest: "HRSA  requires all 340B covered entities to annually recertify their program information in order to continue participation in the 340B Program.  To remain in the 340B Drug Pricing Program and continue purchasing covered outpatient drugs at discounted 340B prices, HRSA grantees must complete the annual 340B recertification by Wednesday, March 9, 2016."

For more information about the 340B program and to see a 340B Recertification webinar, visit HRSA's Office of Pharmacy Affairs website. For questions or concerns related to recertification or any other 340B matters, contact, 1-888-340-2787 or online at 
Proposed Uniform Data System Changes for Calendar Year 2016

The Bureau of Primary Health Care (BPHC) released Program Assistance Letter (PAL) 2016-01.  The PAL describes the proposed changes for the 2016 UDS reports. Changes include:
  • Sexual orientation and gender identity (reported on Table 3A, 3B).
Rationale for adding this measure is two-fold: it promotes culturally competent care delivery which contributes to reducing health disparities and it aligns with the 2015 Edition Health Information Technology Certification Criteria.
  • Staffing and Utilization Tables (Tables 5, 8A) This will include Quality Improvement staff; Community Health Workers, and Dental Therapists.           

Rationale for adding this measure is to measure the evolving staffing patterns that are in place to better meet the needs of patients and communities.  The addition of these specific staff "will more accurately describe the Health Center Program and better measure ongoing investments that support expansion of services, continuous quality improvement efforts by health centers and team-based care and the use of CHWs, and dental therapists in health centers."

  • Selected Diagnoses and Services Rendered (Table 6A) - Diagnosis codes are revised from ICD-9 to ICD-10 for table 6A.  Quality of Care Measures (Tables 6B and 7) - have been revised to align with the Centers for Medicare & Medicaid Services' electronic-specified Clinical Quality Measures (e-CQMs) to reduce the burden of reporting across national programs and increase consistent data. There are 12 measures affected: Childhood Immunizations; Cervical Cancer Screening; Tobacco Use Screening and Cessation Intervention; Asthma Pharmacologic Therapy; Depression Screening; Hypertension; Diabetes; Weight assessment and counseling for children and adolescents; adult weight screening and follow-up; Ischemic vascular disease: Use of Aspirin or Another Antithrombotic; Colorectal Cancer Screening; and Dental Sealants for children.
  • Telehealth (Appendix D)
  • Medication- Assisted Treatment (MAT) (Appendix D)  
Outreach and Enrollment
Congratulations on finishing the third Open Enrollment Period! Approximately 196,242 Hoosiers selected a plan on the Marketplace. View the final enrollment snapshot here .
Upcoming IPHCA O/E trainings and events
  • Wednesday, March 30: IPHCA and Health Outreach Partners present: Beyond Enrollment - more details to come.
Regional Luncheons

IPHCA, with generous support from The Health Foundation of Greater Indianapolis, is pleased to offer FREE working lunches across the state for enrollment professionals. Attendees will enjoy learning program updates, collaborating, and sharing issues and best practices. Lunch and other items (*spoiler alert: t-shirts!*) will be provided at no cost.  
HIP Redeterminations 

New resources for understanding the process and helping Hoosiers maintain coverage:
J1/ NHSC Updates
National Health Service Corps Offers Free Online Jobs Center

The National Health Service Corps (NHSC) Jobs Center is a free, online resource that Health Center Program award recipients and Look-Alikes that are NHSC approved sites can use to create a marketable profile and post job vacancies. The profile allows you to include imagery, brochures, and videos that highlight your site and surrounding community. The Jobs Center is the only place job seekers can go online to look up vacancies by HPSA, site type, and geography. It averages more than 23,000 visitors each month and can be a key recruitment tool. Don't miss this opportunity to find health care providers who are looking for you!

Complete your site profile today and start posting and marketing your job vacancies .

NHSC Loan Repayment Application Now Open
Accepting applications through April 5, 7:30 p.m. ET
2016 Application and Program Guidance  has the detailed information you need to apply. Please read carefully before you start your Loan Repayment Program application.
Loan Repayment for Clinicians
Primary care medical, dental and mental/behavioral health clinicians can get up to $50,000 to repay their health profession student loans  in exchange for a two-year commitment to work at an approved NHSC site in a high-need, underserved area. The payment is free from Federal income tax and is made at the beginning of service so you can more quickly pay down your loans. Approved sites are located across the U.S., in both urban and rural areas.
After completing your initial service commitment, you can apply to extend your service and receive additional loan repayment assistance.
The amount you receive and length of your commitment depends on where you serve (service at sites in higher need areas yields greater loan repayments). It also depends on whether you select the full-time or half-time option. See the 2016 Application and Program Guidance (PDF - 401 KB) for details. See if your site is already approved at the NHSC Jobs Center.
The NHSC gives priority consideration to eligible applicants whose NHSC-approved site(s) has a HPSA score of 26 to 14, in descending order, until funding is exhausted.
NHSC Loan Repayment Program Technical Assistance Conference Calls

February 25, 2016 from 7:00 - 9:00 p.m. ET
March 10, 2016 from 7:00 - 9:00 p.m. ET
Dial in: 1-888-566-6151
Participant passcode: 4221465
Finance and Operations Updates

Implementation of the Covered Outpatient Drug Final Regulation Provisions Regarding Reimbursement for Covered Outpatient Drugs in the Medicaid Program


Today the Centers for Medicare & Medicaid Services (CMS) issued a letter to states providing guidance to the states concerning implementation of the Covered Outpatient Drug final rule with comment (CMS-2345-FC) (81 FR 5170) published on February 1, 2016, concerning final regulations pertaining to reimbursement for covered outpatient drugs in the Medicaid program. It outlines the key changes that states need to address when determining their reimbursement methodologies, including the revised requirement in 42 CFR §447.512(b) for states to reimburse at an aggregate upper limit based on actual acquisition cost (AAC) plus a professional dispensing fee established by the agency; the implementation of the Affordable Care Act federal upper limit (FUL); and requirements for the 340B entities, 340B contract pharmacies, Indian Health Service (IHS), Tribal, and Urban Indian Organization (I/T/U) pharmacies.


The letter is available online on at



Save the date for the IHCP first-quarter provider workshops


The Indiana Health Coverage Programs (IHCP) will offer provider workshops around the state in March and April.


  • Provider Healthcare Portal registration overview (replacing Web interChange later this year)
  • IHCP Provider Reference Modules (replacing current provider manuals)
  • Medical Policy Manual overview
  • Enrollment revalidation
  • Hoosier Care Connect copayments
  • Advanced practice nurses (APNs) as primary medical providers (PMPs)
  • Healthy Indiana Plan (HIP) POWER Account debit card program

Details about the information to be covered in each session are available on the Provider Education page at under First-Quarter IHCP Workshops. To register, visit the Workshop Registration page at If you register online, you will receive immediate confirmation.



IHCP places unit restriction on codes 96150-96155


Effective March 2, 2016, the IHCP will add a unit restriction of eight units per date of service to each of the CPT codes. This change applies to DOS on or after March 2, 2016 for all IHCP programs, subject to limitations established for certain benefit packages.




Expediting HIP coverage: Presumptive eligibility and Fast Track Prepayments


The IHCP does not provide retroactive HIP coverage. However, there are two pathways for HIP-eligible individuals to receive health coverage benefits quickly - a presumptive eligibility (PE) process and Fast Track Prepayments. Fast Track Prepayments allow HIP applicants to pay a $10 prepayment into their Personal Wellness and Responsibility (POWER) Account before the State's eligibility determination to expedite the effective date of their HIP benefits.



Health Center Management, Curt Degenfelder

Provider recruitment, retention, compensation and productivity will discuss the challenges of recruiting providers, and the value of retaining them.  We will discuss compensation and productivity trends. Data Analysis for Health Centers in 2016 will discuss advanced operating metrics to benefit from Medicaid expansion, realize pay-for-performance incentives, and take advantage of all of the data trapped in various health center reporting systems.

Thursday, March 3rd 9 AM
Renaissance Indianapolis North
11925 N. Meridian St
Carmel, IN  46032
340B From A to Z, Sue Veer

Ms. Veer will cover all of the basics and go in depth with the new mega guidance. She will cover compliance, auditing, policies and what is coming regarding legislative and regulatory activity.

Tuesday, March 8th 9 AM
Renaissance Indianapolis North
11925 N. Meridian St
Carmel, IN  46032
ICD-10 Gap Analysis , Shellie Sulzberger

Analysis and presentation of common ICD-10 documentation errors found in Indiana's FQHCs and solutions on how to amend those errors. This presentation is for anyone who deals with coding.

Tuesday, March 29th 9 AM
Indiana CPA Society
8250 Woodfield Crossing Blvd
Indianapolis, IN  46240
Indiana Perinatal Educators Conference
The Indiana Perinatal Network has issued a "Save the Date" announcement for their upcoming Indiana Perinatal Educators Conference scheduled for April 21, 2016 from 8am to 4pm at IU Health Methodist in Indianapolis.  The conference title is Plan of Attack for Successful VBAC.  More information will be coming soon.
National Conference for Immunization Coalitions and Partnerships

Indianapolis will be the site for the next National Conference for Immunization Coalitions and Partnerships.  The conference is scheduled for May 25-27, 2016 at the Hyatt Regency Indianapolis, IN.  The conference is a gathering of coalition leaders, staff and board members; public health workers and experts; and community advocates and only occurs every two years. The goal of the 12th NCICP is to improve community health by enhancing the effectiveness of immunization coalitions and their partners.  For more information visit the Conference Website.  
To receive early bird pricing register now! Click Here to Register
Hotel information:
Hyatt Regency Indianapolis
1 South Capitol Avenue
Indianapolis, IN 46204
To reserve a hotel room:  Click Here
Claims management 101 and 102, Risk management 101 and 102, Credentialing 101 and 102

FTCA 101: How does the program work? FTCA Application Process Unmasked: Details of how the application process works, Healthcare Data and Privacy/Protection, Behavioral Health Treatment and the Associated Legal Concerns

Thursday & Friday July 21 & 22
Federal Torts Claim Act University
Holiday Inn Indianapolis Airport
8555 Stansted Dr,
Indianapolis, IN 46241
Indiana Primary Health Care Association   I 429 N. Pennsylvania St., Ste. 333  I  Indianapolis, Indiana 46204 I
  (317) 630-0845  I    
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