January 26th, 2024


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Dear KHF Providers and Practice Administrators,


We have several updates to share regarding payor updates, programs and upcoming events. There is a lot of information, and we want to make sure we are keeping our membership informed. We recommend reading through this communication in its entirety and please reach out to us with any questions you may have!


RSV, Flu & COVID Updates

DCH Update on RSV Administration Code


The Department of Community Health (DCH) advised that the new administration codes for Beyfortus (CPT codes 96380 and 96381) are expected to be loaded in GAMMIS in March 2024 with a January 1, 2024 effective date.


Until all systems updates are completed, health check providers should code the Beyfortus product (CPT codes 90380 or 90381 w/EP modifier) and report the administration of Beyfortus with code 96372.

Missed it? Check out recent updates here:



Important Updates

Children's MedBytes Alert- Measles Update


January

The Georgia Department of Public Health (DPH) has confirmed a measles infection in an individual residing in the Atlanta metro area. The unvaccinated patient was likely infected during international travel.

 

DPH is reminding clinicians to consider measles in unvaccinated or incompletely vaccinated persons with fever, cough, coryza, conjunctivitis and a morbilliform rash. Immediately mask and isolate people with suspected measles in an airborne infection isolation room if available and use an N-95 mask when caring for the patient. Report suspected cases of measles immediately by calling your local District Health Office or the DPH Acute Epidemiology Section who will provide guidance on testing. For more information, read the health alert and press release.

 

Measles is an extremely contagious disease with rare but serious complications, and it is understandable that your patients and their families may be concerned. The MMR vaccination provides a safe and effective foundation of protection—it prevents measles infections. According to the Centers for Disease Control and Prevention (CDC), vaccine refusal is at an all-time high post pandemic. Please leverage every healthcare encounter to discuss the safety and efficacy of immunization for measles and other vaccine preventable diseases. Children’s has developed choa.org/measles and an infographic with information about measles that you can use in your practice or share with patients and their families.

 

Times like these provide a reminder of just how much the work you do means in our communities. Thank you for your commitment and dedication, and for all the ways you do everything possible to make anything possible for kids.

 

Please contact Georgia DPH if you have questions or concerns, or if you need to make a report.

KHF January Practice Administrator Meeting- Recording***


Thank you to all who joined us last week for the first practice administrator meeting of the year. If you missed the meeting or would like a replay please see the following links:


Georgia Composite Medical Board Decisions Regarding Prescribing Via Telemedicine


The Georgia Composite Medical Board (GCMB) recently issued updated guidelines regarding prescribing scheduled drugs via a telemedicine visit. The instructions were unclear and the Board will be issuing new guidance from their May meeting.


FOR NOW, there are no changes to the pandemic rules which allowed a provider to prescribe via telemedicine even if they had not seen the patient for an in person visit.


Please see attached pdf for additional details from the Executive Director of GCMB.

Update on Mental Health Parity Act


The 2008 Mental Health Parity and Addiction Equity Act (federal) and the 2022 Mental Health Parity Act (state) require that health insurance plans not impose more restrictive benefit limitations on mental health and substance use disorder benefits than on medical and surgical benefits. 


Practices are encouraged to report instances in which you see a private insurance company not observing mental health parity in their coverages by visiting

https://oci.georgia.gov/insurance-resources/complaints-fraud or sending the information to Rick Ward at the Georgia AAP Chapter who can be reached at rward@gaaap.org


DCH’s mental health parity portal is at https://dch.georgia.gov/how-do-i/mental-health-parity-information

Quality Programs

December Issue of Quality Steps


Check out the December issue of Quality Steps here!

Community Education

Adams Keegan Live Webinar- January 31, 2024


Please join our panel of experts for a broad range of conversation on important topics and trends we expect in 2024. We'll also address your submitted questions and revisit common issues such as wage & hour changes, hiring practices, compliance pitfalls and more.


Click here to register for the online event.

CME Opportunity for Kids Health First Providers


Click here to learn more and register for a free, online, Pediatric-specific course that satisfies the DEA requirement mandated by the MATE Act. 

KHF Payor Updates

Check out the January issue for the latest updates!


*If you did not receive the latest newsletter, please be sure to also check your spam folder.

In Case You Missed It

OSHA to publish details of workplace injuries under new reporting rules

Click here for the press release and here for required recordkeeping and recording requirements


ACIP updates Immunizations Schedule for Children and Adolescents Aged 18 Years or Younger


2024 Immunization Schedule Approved by the AAP


DEA Regulation on Pharmacy to Pharmacy Rx Transfer

Click here for the DEA site as well as an article by Holland & Knight on this new rule.


Risk Management Q & A: Patient Dismissal

Click here to view a sample patient termination letter and guidance on patient termination


TCCN Webinar: New AAP Clinical Practice Guidelines for Obesity

Click here for the recording


TCCN OSHA Webinar Replay

Click here for the video presentation, slides and bloodborne pathogens test


TCCN Pediatric Coding Seminar Recording

Click for the recording and slides


TCCN Antibiotic Stewardship Webinar Series

Click to view recordings:



Updated Resources on Screen Time and Social Media for Children


The "AAP's Bold Stance on the Value of Pediatrics" 


From Chip Hart: 2023 Telemedicine Requirement Grid


Developed by Jan Blanchard. Click on the link to download the pdf.

Communications


TCCN Roundup:


The TCCN Roundup is designed to be a weekly information hub for all things TCCN. 

  • Please to check out the latest issue
  • Please note that the link above only accounts for some TCCN updates. In order to view the full TCCN Newsletter with your contracted payor updates please check your TCCN inbox!

 

Resources

Practice Administrator Contact List


Kids Health First Who to Call List


Kids Health First Intranet Page