Member Spotlight:
Community Health Centers continue efforts to uproot stigma for patients in need of access to behavioral health services, including counseling for additive behaviors. The Southeast MS Rural Health Services (SEMRHI) CHC has recently expanded its behavioral health services to include treatment for adults including substance use.
Fortunate for those without traditional access in the MS Pine Belt, the health center now has a full team of LCSWs and a board certified Psychiatric Mental Health Nurse Practitioner to provide services through its new Support Services Center.


2019 Release of Opioid Services & Treatment Among FHQCs in MS
 
Executive Summary Link
Standing left to right from SEMRHI: Aspen Hardges, LCSW; Karen Lee, PMHNP-BC; Ruthie Zinn, LCSW; Sitting left to right: Donna Black, LCSW; Martia Moffett, LCSW
SAVE THE DATE
BPHC All-Programs Webcast
 
The next HRSA Bureau of Primary Health Care (BPHC) All-Programs Webcast is scheduled for January 29, 1:00-2:00 PM CST. To submit questions in advance, send an email to bphcta@hrsa.gov by Friday, January 25th, with the subject line "BPHC All-Programs Question." Webcast details coming soon.
Uniform Data System (UDS) Training Holds Record Attendance, December 4-5, 2018:

H osted December 4-5th in Jackson, The (UDS) in-person training provided
a full day program covering the preparation of the 2018 UDS Report. A total of 86 attendees were present. The training addressed each of the report’s tables, including a discussion of the changes that have been made and the definitions necessary to complete the Report.
Key Take-Aways included:
Attendees engaged by speaker,
Jillian Messina
  • Vitally important to assure that you utilize the defined universe—look at the appropriate patient population—for each measure. By utilizing the Preliminary Reporting Environment (PRE), health centers will be able to where their discrepancies lie and thereby cut down on edits required by their reviewer once reporting is live;
  • Most UDS clinical quality measures align with eCQMs. Understand the 2018 eCQM reporting specifications by crosswalks against the UDS manual or at the eCQI Resource Center link highlighted above.
  • Repeatedly stressed was to run edit checks early and often, as you complete tables and to enter explanations if certain numbers are flagged, but are correct. This will help cut down on reviewer questions.
  • Clinical tables have some detailed updates that are not listed in UDS Manual and need to be made forefront before Health Centers submit data to EHB. Example: 
  1. Table 6B, Line14a
  2. Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 
2019 Reporting Deadline Approaching
Beginning January 1,2019, Health Resources and Services Administration (HRSA)-designated health center programs such as FQHCs are required to submit complete and accurate UDS reports by Feb. 15, 2019. Direct UDS content questions to the UDS Support Center at 866-UDS-HELP (866-837-4357) or udshelp330@bphcdata.net .


SUD Reports Deadline – January 15, 2019
Health centers are required to provide their first SUD-MH progress report to HRSA by January 15, covering the period from September through December 2018
Last Year proved to be a successful event in spite of our challenge weather with the ice storm in Jackson. This year we look forward to meeting with our elected officials once again to demonstrate achievements brought about by their support of the MQHC program.
Members of the CHC delegation meeting with legislators during 2018 meetings at the Capitol in Jackson
Schedule of 2019 Events
Quarterly 340B Registration – Open January 1 – 15, 20 19
Quarterly 340B Program site registration is open from January 1 to 15. Health centers are still able to register a site that has been verified as implemented and with a site status reflected as “active” in HRSA’s Electronic Handbooks (EHBs) Form 5B through Friday, February 22, after which the system will close to prepare for the April 1 start. Email the 340B call center or call 888-340-2787 (Monday-Friday, 9:00 a.m.-6:00 p.m. ET) to register a new site or ask questions.
News & Updates:
On December 21, 2018 the Centers for Medicare & Medicaid Services (CMS) released the final rule, link: Accountable Care Organizations — Pathways to Success , containing significant changes to the Medicare Shared Savings Program (MSSP). The rule can be accessed via the highlighted link. There are a number of complex changes to overhaul the MSSP to create new Basic and Enhanced Tracks. For ACOs such as FHQCs in Mississippi who are currently in a Track 2 ACO; providers will remain in the model through the end of 2019 and would determine by mid-year a new option for January 2020. 
 
New BASIC and ENHANCED Tracks and 5 Year Agreement Periods :
July 1, 2019 and in subsequent years (such as 2020 for Mississippi FQHCs), CMS offers two tracks that eligible ACOs would enter into for an agreement period of not less than 5 years: (1) BASIC track, w ould allow eligible ACOs to begin under a one-sided model and incrementally phase-in higher levels of risk that, at the highest level, would qualify as an Advanced Alternative Payment Model (APM), and (2) ENHANCED track, based on the program’s existing Track 3, providing additional tools and flexibility for ACOs that take on the highest level of risk and potential reward.
 
Pathways to Success includes proposed changes which would leverage new CMS authorities, such as allowing physicians in ACOs that take on risk to receive payment for telehealth services provided to patients regardless of the patient’s location – including at their place of residence. This new flexibility will expand access to high-quality services in a manner that is convenient for patients. More to come at the January 18 th   All Things Data Meeting hosted by CHCAMS . Exciting news also , in that Nurse Practitioners are counted for purposed of attribution effective Ja nuary, 2019.
Dr. Carlos Latorre
Medical Director
Medicaid hires first full-time Medical Director, Dr. Carlos Latorre

Dr. Latorre worked as a family physician in Vicksburg for six years before serving as deputy chief medical officer for the Veterans Health Administration in Texas for one year. Those experiences gave him a unique outlook that he hopes will be valuable in his new role at DOM. Read more here .

The Division of Medicaid’s State Plan Amendment (SPA) 18-0014 Early and Periodic Screening, Diagnosis and Treatment (EPSDT) has been approved by the Centers for Medicare and Medicaid Services (CMS). You can view the SPA and State Plan via this link .
 
 This SPA revises language to reflect the February 2017 changes in the Bright Futures/American Academy of Pediatrics (AAP) Periodicity Schedule, effective October 1, 2018. It removes the specific screenings as required of the Bright Futures / AAP Periodicity schedule; but includes the statement that EPSDT providers must screen according to the AAP.
 
State Plan Amendment (SPA) 18-0020 Physician Visit Limit Increase has been submitted to allow the Division of Medicaid to increase the physician office and outpatient hospital visit limit from twelve (12) to sixteen (16) per state fiscal year for both psychiatric and non-psychiatric services. These are two (2) separate service limits and both will be increased, effective January 1, 2019, pending approval by the Centers for Medicare and Medicaid Services (CMS).
News to Use
Training Opportunities
NEED CME's?
CHCAMS officially accredited to provide
Direct Continuing Medical Education to Physicians
Contact Desiree Stinson at 601.981.1817
CHCAMS Presenting on behalf of CHCs at:
Mississippi Opioid Response Exposition
WHEN: Friday, January 11, 2019 AT 9:00 AM - 4:30 PM
Where: UMMC JACKSON MEDICAL MALL CONFERENCE CTR
REGISTER: Here
HITEQ Webinar:
Using Health IT to Facilitate SBIRT Service Delivery in Health Centers
When: Thursday, January 17, 2019, 3:00-4:00 p.m. ET
The discussion will focus on:
  • coding and billing for SBIRT services;
  • using health IT to enhance SBIRT screening, communication, data capture and documentation;
  • clinical decision support; and
  • information-sharing and reporting.
It will also feature the experiences and practices of health centers that are currently using health IT to facilitate SBIRT service delivery. For questions, please contact QualityDivision@hrsa.gov .

ALL THINGS DATA TRAINING
Friday, January 18, 2019, 8:30 am - 2:30 pm
Are you overwhelmed by data requirements and changes? Do you want to maximize the value of information flowing into and out of your organization to help patients and staff?  In this interactive day, we will also create the roadmap for Mississippi Health Centers’ optimized, integrated data use to improve the health of our patients and our communities.
 
Please complete this brief pre-training  survey  
 
Fee: $30/attendee (to offset food and beverage expenses)
Invitees: CEO/ED plus no more than 4 additional staff (suggested staff: practice managers, quality directors, medical directors, or anyone else who is engaged in the collection and/or utilization of data)

Register Here
Provider Documentation & Coding Training
February 15-16, 2019 , Big Cypress Lodge – Memphis, TN

Training Description:
The Association for Rural Health Professional Coding (ARHPC) is part of Universal Medical & Compliance, a Georgia company, will provide coding and documentation educational and training services to the clinical and professional staff of Community Health Centers in Mississippi related to clinical documentation, coding, and billing. ARHPC will conduct 1 training session lasting 4 hours in Memphis, TN on Saturday February 16, 2019 on items including Evaluation & Management documentation guidelines, ICD-10-CM Official Guidelines for Coding & Reporting, surgical package differences, preventive visits, and modifiers. All efforts will be given to include any 2019 updates that are available in addition to more information related to risk adjusted coding via HCCs and HEDIS.
 
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through Community Health Center Association of Mississippi.  
The Community Health Center Association of Mississippi (CHCAMS) is accredited by the ACCME to provide continuing medical education for physicians.  
CHCAMS designates this live activity for a maximum of 4 AMA PRA Category 1 Credit(s)™ . Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Register Here
NACHC Advocacy Platform & Website transition COMPLETE
The Health Center Advocacy Network is now operating on the SparkInfluence platform. The web address (along with the overall look/feel/organization of the website) remains the same: www.hcadvocacy.org.
2019 NHSC Loan Repayment Programs
Apply Now!
Accepting applications through
Thursday, February 21, 7:30 p.m. ET
Click Here for More Information
FUNDING OPPORTUNITIES  
Application Deadline: None
The Foundation provides targeted grants for health and wellness projects that typically span a one-year period of time. The initiatives funded by the Foundation have a focus on healthy eating and exercise, with measurable outcomes demonstrating improvement in the health of Mississippians.
Application Deadline: Jan. 31, 2019
American Academy of Pediatrics funding to support pediatricians and fellowship trainees in the initial planning and/or pilot stage of implementing innovative, community-based projects to increase children's access to optimal health and well-being and address unmet child health needs.
Application Deadline: Feb. 14, 2019
Financial assistance to support projects that improve access to healthy foods in underserved areas, create and preserve quality jobs, and revitalize low-income communities.
Application Deadline: Rolling application deadline on an ongoing basis

Contact Steve Hardin   601.359.3179   shardin@mississippi.org
Offers funding to counties and municipalities to assist with the location, expansion, and retention of job-creating businesses, including healthcare and other public facilities. Projects must result in the creation or retention of jobs for low-to-moderate income individuals. Eligible projects include: Buildings (rehabilitation/expansion) . Eligibility: Counties or municipalities apply on behalf of industry