CHC Digest
May 25, 2016                                                                              Digest Issue 79
Wednesday, May 25, 2016 - In This Issue:
Mark your calendar for
National Health Center Week

Trainings & Meetings 
June  14, 2016

10:30 am
Indiana CPA Society
8250 Woodfield Crossing Blvd
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

July 21-22, 2016

Federal Torts Claim Act University
8:00 am
Holiday Inn Indianapolis Airport
8555 Stansted Drive
Indianapolis, IN  46241
Contact Jason Bundy at  or 317-630-0845 for more information

August 16, 2016

10:30 am
Indiana CPA Society
8250 Woodfield Crossing Blvd
Indianapolis, IN  46240
Contact Jason Bundy at  or 317-630-0845 for more information

October 16, 2016

10:30 am
Indiana CPA Society
8250 Woodfield Crossing Blvd
Indianapolis, IN  46240
Contact Jason Bundy at  or 317-630-0845 for more information

Resource Spotlight
IHI Open School
IPHCA has subscribed to the IHI Open School and is offering you to register for free! The Institute for Healthcare Improvement (IHI) Open School  in an online tool that provides trainings on various quality improvement topics. Participants are able to learn through a combination of case studies, videos, and articles and earn a certificate upon completion of specific courses. Course topics include:
  • Improvement Capability
  • Patient Safety
  • Leadership
  • Person-and Family-Centered Care
  • Quality Cost and Value
  • Triple Aim for Populations
  • Graduate Medical Educations
The courses can be completed on your own time, allowing you to pause and resume lessons without losing your work. This resource is great for you and your colleagues to learn more about quality improvement fundamentals with curriculum written by world-renown faculty. To learn more about IHI Open School please visit their website here . If you are interested in enrolling in IHI Open School please contact Carla Chance at or 317-630-0845 for more information. Spots are limited and will be given on a first come, first serve basis.  Sign up today as IPHCA's subscription ends September 30, 2016!
News and Notices
HRSA Awards over $7 Million to Health Centers in Indiana
IPHCA would like to recognize the health centers that received awards from the HHS Health Infrastructure Investment Program. The Health Resources and Services Administration (HRSA) announced that eight health centers in Indiana have been awarded a total of $7,017,978. These awards will contribute to facility renovation, expansion, or construction efforts by the receiving health centers. Below is a table of the awardees and amount each received. Congratulations to all the awardees!
Award Amount
Changes to the VCP (Veteran's Choice Program)
In March IPHCA reached out to Patricia Mathis who is the Associate Medical Director for Patient Care Services.  In a March email to Patricia the question was asked, "Our health centers see an array of insurance types including the uninsured. FQHCs are strategically located in areas were the need is greatest (poverty is high, etc.). We would like to know how we can help Indiana veterans. Do you have any suggestions as to how we may assist?"
Patricia put IPHCA in touch with Jay Shake who is the Administrative Officer with the VA (Indiana). A call was scheduled on May 11 where Jay discussed the recent changes to VCP including the enrollment process and general billing protocol. He also noted that 500 veterans are currently waiting to be scheduled throughout the state of Indiana. All visits will require an authorization directly from the VA which are usually granted within 24-48 hours. Claims are reimbursed at Medicare rates; 80% are paid within 30 days. Jay will be the primary contact for VCP for the entire state of Indiana and his contact information is below. To learn more about the VCP Provider Outreach please click here.  To view the VCP Provider agreement quick reference guide click here. To access the VCP Provider Agreement form click here.
Jay Shake
Administrative Officer, Fiscal
Richard L. Roudebush VA Medical Center
Phone: (317) 988-1928
FAX: (317) 988-5332

Indiana Summer of SBIRT: Free Training Series
The Indiana Screening, Brief Intervention and Referral to Treatment (SBIRT) is providing a series of FREE trainings from May - July focused on SBIRT.  There are three levels of trainings being offered from 1 hour to 2.5 days in-length.  Times, locations, who should attend, and registration information can be found at:
New Training Opportunity From the National Association of Community Health Centers
The National Association of Community Health Centers is currently recruiting a limited number of health centers to participate in Project ECHO┬« LGBT.  Health center clinicians who have no or little experience with this patient population are encouraged to enroll.
Starting April 7th, videoconference sessions will be held on the FIRST and THIRD Thursday of each month from 2 p.m. to 4 p.m. EST for a year.  Registrants are expected to attend a majority of the sessions over the year.
Designed for primary care providers by primary care providers, participants will receive specific recommendations on challenging cases from expert, multidisciplinary faculty and build knowledge on topics such as HIV prevention and care, taking a comprehensive sexual health history, conceiving and raising families, and behavioral health.
Enrollment is limited. Please see additional details in the attached flyer and contact Ashley Barrington at for additional information.

Webinar:  Addressing the Behavioral Health Needs of Transgender & Gender Non-Conforming Patients
Monday, June 13, 2016
1 pm CDT / 2 pm EDT 
The Health Resources and Services Administration (HRSA) is hosting a free webinar for HRSA grantees, healthcare providers, public health officials, and advocates wanting to improve competency in regards to serving the needs of transgender and gender non-conforming patients in their practices. This 90 minute webinar aims to build competency to address the behavioral health needs of transgender and gender non-conforming patients in a culturally appropriate manner and will feature promising practices of HRSA grantees. Additionally, the U.S. Department of Health and Human Services, Office for Civil Rights will discuss the proposed nondiscrimination rule under Section 1557 of the Affordable Care Act.
How HRSA Is Improving the Lives of the LGBT Community
Valerie Gallo, MPH - Public Health Analyst
Christina Mead, PharmD - Regional Pharmacy Consultant
Kim Patton, PsyD  - Public Health Analyst
HRSA Office of Regional Operations
Making Your Clinic Space Trans* Friendly / Behavioral Health Issues Affecting the Trans* Community
Tricia Smith, ACSW - Medical Social Worker for Primary, Trans* and Women's Health Programs Los Angeles LGBT Center
Integrating Trans* Friendly Behavioral Health into Primary Care
Sandra Hall, LCSW - Mental Health Director
Lyon-Martin Health Services (a program of HealthRight 360)
Patient Protection and Affordable Care Act Prohibits Discrimination
Ian Shipps, J.D. - Supervisory Investigator Office for Civil Rights, U.S. Department of Health and Human Services

2016 Indiana Public Health Conference
The Future of Public Health: The Integration of Policy, Practice and Research
Indiana University-Purdue University at Indianapolis
September 15, 2016
Click here to view website.
Depression Screening Guidelines
The U.S. Preventive Services Task Force (USPSTF) released an updated adult depression screening guideline in March, 2016.  The guideline can be accessed here:  There are two major changes.  First, the new guideline recommend screening for depression in pregnant and postpartum women.  And second, they have removed the recommendation language of "screening all adults when staff-assisted depression care supports are in place and selective screening based on professional judgment and patient preferences when such support is not available" as it no longer represents current clinical practice.
J1/ NHSC Updates
NHSC - Updated Mental and Behavioral Health Requirements
The National Health Service Corps (NHSC) is committed to integrating primary and behavioral healthcare. The FY16 NHSC Loan Repayment Application and Program Guidance  outlined new requirements for mental and behavioral health providers and sites. These requirements impact all FY16 applicants and could impact you and your providers if they choose to transfer sites or apply for a FY17 Continuation Contract to extend their NHSC service contract for an additional year.
The key changes to the clinical practice requirements  (pages 15-16) and site requirements  (page 22) are summarized below:
  • Full time providers must work a minimum of 40 hours/week with 32 of those hours spent providing patient care at the approved site(s). The remaining 8 hours are spent providing  one or a combination of the following: (1) patient care at the approved site(s), (2) providing patient care in alternative settings and as an extension of care at the approved site; and/or (3) performing clinical-related administrative activities. These new requirements reflect a reduction in the amount of time that can be spent providing patient care in alternative settings. (NHSC participants awarded in FY15 or earlier will continue to adhere to the language in their original contracts.)
  • NHSC sites providing behavioral health services must provide comprehensive primary behavioral and mental health care services, which must include, but is not limited to: screening and assessment, diagnosis, treatment plans, therapeutic services including access to medication prescribing and management, crisis care including 24-hour call access, consultative services, care coordination, and case management. If all services are not provided, the site must be formally affiliated with a community based site that does provide the service.
  • Participants who are providing services in a private practice (either solo or group practice) will only be allowed to fulfill their NHSC service obligation if the approved site can demonstrate that the practice is formally affiliated with a comprehensive, community-based facility. (NHSC participants awarded in FY15 or earlier will continue to adhere to the language in their original contracts.)
  • All non-Auto Approved NHSC sites using a Mental Health HPSA score will be required to recertify in Fall 2016. This  may be outside of the scheduled recertification cycle for some sites.
The NHSC will review your site to determine if it meets these new requirements. Your site will have until Fall of 2017 to meet them. If your site is an FQHC, Indian Health Service, Tribal or Urban Indian Health Center, State or Federal Prison, or ICE site it may not be reviewed this year.
These policy changes ensure that patients who seek mental and behavioral health services at NHSC-approved sites have also have access to comprehensive, integrated systems of care as a means for delivering quality care and improving overall health outcomes. The NHSC will continue to work with both sites and providers impacted by these changes.
If you have any questions, please submit them via the Customer Service Portal .
2016 NHSC New Site Application Cycle
The 2016 NHSC New Site Application Cycle is now open! Clinical practice sites can recruit and retain providers who care about underserved communities by becoming an NHSC-approved site. The application cycle will close on June 7, 2016, at 11:59 p.m. ET. Apply Now . Review the 2016 Site Reference Guide  carefully to ensure your site meets all the requirements and to gather the required documentation.
Your facility may be eligible to become an NHSC-approved site if it:
  • Is located in an appropriate Health Professional Shortage Area (HPSA)
  • Provides primary care medical, dental, or mental and behavioral health services
  • Provides services regardless of a patient's ability to pay
  • Offers discounted fees to patients who qualify
  • Accepts patients covered by Medicare, Medicaid, and Children's Health Insurance Program (CHIP)
Please note, Federally Qualified Health Centers are automatically approved sites and do not need to submit NHSC Site Applications. If you have any questions on the NHSC New Site Application Cycle or if you are an FQHC with a site that has not been approved please contact Natalie Morrison at  or (765) 918-4431.
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.
Finance and Operations Updates
IHCP Releases Billing Reminders in Preparation for MMIS
The IHCP notified providers that the existing claims processing system is being replaced with a new, more automated Medicaid management information system (MMIS) called CoreMMIS. The new system is designed to more accurately and efficiently adjudicate claims according to IHCP coverage policies and national billing guidelines. Following the correct billing practices outlined in bulletin BT201624 will help providers prepare for transition to the new CoreMMIS system. Bulletin BT201624 highlights several IHCP topics ranging from dental claims, using the correct claim form/transaction type, and billing cross over claims.
MCEs to Assist in Reminding Providers to Revalidate
Pursuant to federal regulation, all providers enrolled with the IHCP before January 1, 2012, must revalidate their provider enrollments by a deadline established by CMS. CMS has directed states to disenroll any provider that fails to revalidate. Although the revalidation process is through HP, MCEs are assisting by outreaching to providers who may need to revalidate. Failure of timely revalidation can lead to claims denial without reconciliation.
Mass Claims Adjustment by MDwise
Many providers were not correctly loaded resulting in a denial for "No Authorization." MDwise also acknowledges that G09463 was inaccurately denying as well. Mass adjustments will occur throughout the month of June to correct these issues. For further details, please reach out to your MDwise provider representative.
File Issues Concerning Hoosier Care Connect (HCC)
There were problems with the file exchange issues with the implementation of Hoosier Care Connect (file exchanges were incomplete) from the State to the MCEs and from MCEs to other MCEs. MHS will work with HP to resolve these issues. Anthem directs providers to call  Anthem Provider Services for HCC issues at 1-844-284-1798. MDwise is asking providers to email eligibility issues to
Webinar: Learn How to Bill Effectively for Integrated Behavioral Health Services
Provided by the SAMHSA-HRSA Center for Integrated Health Solutions
Monday, June 6, 2016
2:00 pm ET
Cost: Free
Adding behavioral health services into your primary care practice? You'll need to be sure you're getting reimbursed for these new services, which means knowing what services you can bill for, learning a web of new codes and numbers, identifying which staff can be reimbursed, training staff to code services appropriately, and, taking advantage of new global payments. Join financing and integration experts from primary care agencies on this webinar to learn the practical ins and outs of billing for behavioral health services to a variety of third-party payers, including Medicare and Medicaid. Be ready to discuss the menu of billing options available that can match your agency's needs. 
After this webinar, participants will:
Identify billing options for integrated behavioral health services.
Ask questions to identify if Medicaid and Medicare numbers are appropriately linked to the mental health services provided.
Employ tips for working with clinical and billing staff at the same time.
Virna Little, PsyD, LCSW-R, SAP, Vice President for Psychosocial Services and Community Affairs, The Institute for Family Health
Alicia Smith, MHA, Managing Principal, Health Management Associates
2016 Michigan LGBT Health Summit
The Michigan Primary Care Association will host the 2016 Michigan LGBT Health Summit: "Meeting the Primary Care Needs of the Lesbian, Gay, Bi-sexual, and Transgender Population". All current and future direct care providers: clinicians, nurses, nurse care managers, dentists, pharmacists, etc. are encouraged to attend this one day learning experience to better normalize and integrate LGBT health in primary care settings .
Double Tree by Hilton Bay City
One Wenonoah Park Place
Bay City, MI 48708
June 13, 2016
7:30am to 4:30pm
Register and learn more about the summit here .
Forum: 340B: the State's Perspective
Presenter: TBA
The State representative for Medicaid will be discussing their perspective on 340B including "carve in" and "carve out," plus answering any other questions regarding 340B our members may have.
Free to IPHCA members
June 14, 2016
10:30 AM - 12:30 PM Lunch will be served
Indiana CPA Society
8250 Woodfield Crossing Blvd
Indianapolis, IN  46240
Contact Jason Bundy at  or 317-630-0845 for more information

RSVP Here!!

Training for Dentists!
The American Dental Association is hosting a webinar:
Tobacco Policy, Pharmacotherapy, and Dentistry
Thursday, June 16, 6:00 - 7:00 p.m. Eastern
The course will discuss past, current, and possible future policies that deal with tobacco. The course will also explore current over-the-counter (OTC) nicotine delivery systems and compare OTC and Rx pharmacotherapies used with tobacco cessation including indication, utilization and any precautions. 
You will receive 1 credit(s) of continuing education credit upon attendance of the entire webinar.
The speaker for this presentation is Dr. Larry Williams, a former Navy dentist who dedicated many of his years addressing tobacco issues for the armed services via clinical intervention, training, and policy development.  Dr. Williams is an Assistant Professor at the Midwestern University College of Dental Medicine-Illinois.
The American Dental Association is an ADA CERP Recognized Provider.
For additional information, please contact Sharee Clough at or call 312 440-2775
Introduction to Motivational Interviewing in Healthcare
Presenter: Mallori DeSalle
This one-day live training will prepare medical, behavioral health and allied health care professionals in a variety of roles to understand and initiate the use of Motivational Interviewing within the context of healthcare. It will use lecture, demonstration, and applied practice.
CME applied for
$50 member rate / $100 for non-members
June 27, 2016
8:30 AM- 4:30 PM  Lunch will be served
Indiana CPA Society
8250 Woodfield Crossing Blvd
Indianapolis, IN  46240
Contact Jason Bundy at  or 317-630-0845 for more information

FTCAU Indianapolis, Indiana July 21-22, 2016
The Federal Tort Claims Act University (FTCAU): Indiana Campus is an innovative and new training conference that is being offered to members of the health center community. FTCAU provides a great opportunity for seasoned quality and risk management professionals and new professionals to learn from experts, leaders, and government officials about FTCA, healthcare quality and risk management, and related subjects. Over the course of two days, attendees will participate in interactive presentations and exercises that are specially geared toward health center grantees in the state of Indiana .  
$225 member rate/ $250 for non-members

Thursday & Friday July 21 & 22
Federal Torts Claim Act University
Holiday Inn Indianapolis Airport
8555 Stansted Dr,
Indianapolis, IN 46241
Annual Breastfeeding Conference
The Indiana Perinatal Network sponsoring the Annual Breastfeeding Conference on  August 26th, 2016 at the IU Methodist Hospital in Indianapolis. For more information and to register click HERE
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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