January 2018
  WVPCA Weekly Outlook Newsletter
     A Newsletter on Community Centered Healthcare

We offer this publication as a member service of the West Virginia Primary Care Association (WVPCA).

If you have questions regarding our organization, WVPCA membership, or if you have content to suggest for this newsletter, please contact Kelsey Clough, Education and Communications Coordinator, by email or by phone at (304) 346-0032.


West Virginia Primary Care Association
1700 MacCorkle Avenue
Charleston, WV 25314-1518
Quick Links: In This Issue.....


W.Va. health care providers urge Congress to reauthorize CHIP funding 
Read the entire article, originally from MetroNews  here

Free community college bill would require staying in WV 2 years
Read the entire article, originally from the Charleston Gazette-Mail  here

The Trump administration just opened the door to an enormous change to Medicaid  
Read the entire article, originally from Business Insider  here

West Virginia drug plan calls for limiting prescriptions  
Read the entire article, originally from Tri-City Herald  here
WVPCA Welcomes Emma White as Clinical Quality Improvement Coordinator 
The WVPCA is pleased to announce that Emma White, RN has been hired as the Clinical Quality  Improvement Coordinator.  Prior to her arrival at the WVPCA, Emma was employed by Roane Family Health Care as the Director of Quality Improvement.  She has considerable experience in developing and leading quality improvement activities  and led the health center to be the only CHC in WV to achieve the Million Hearts award several years ago.  Emma enjoys working with data and identifying ways to use data to improve health outcomes.  Emma also worked at WVU/Office of Health Services Research to support efforts that improve outcomes for diabetic patients.  Her health center experience will make her a valuable member of our team.   Please join us in welcoming Emma to her new role at the WVPCA. 
Second Patient Experience Update and Planning Webinars Scheduled for Thursday
The 2018 Spring Patient Experience survey sampling period is about to begin. In preparation, the WVPCA will host a second 30 minute webinar to review the survey layout, the sampling process and answer questions related to sample size, random sampling and survey submission.  The webinar will be focusing on the importance of meaningful calculation of sample size and adhering to that number.  In order to accommodate any potential scheduling conflicts, the same webinar will be held twice (today, Tuesday January 16th at 11:00 and Thursday January 18th at 11:00).  We encourage you to ask staff from each of your surveying sites to participate in the webinar, and ask that you please forward this information to them.   
The following modifications have been made this year to the survey:
  • Added Sliding fee questions (also added sliding fee option to payor information)
  • Re-framed Recommend Health Center question
  • Other value changes (Provider name location on survey moved, order of questions, larger comments section)
  • Added Income Level table (page 2 of survey)
If you are interested in additional information or in attending one of these webinars, please contact the WVPCA at 304-346-0032 or at events@wvpca.org for the WebEx information.
WVPCA Held Successful 2018 HIPAA Webinar
Every day while catching up our emails, tweeting checking our Facebook page, with the news or radio on in the background, we hear that another HIPPA breech has taken place.   Sometimes we stop and listen to the details and other times we go about our day.  In order to arm ourselves with the necessary tools in order to avoid such a thing from happening within our health centers, the West Virginia Primary Care Association (WVPCA) offered a two-hour webinar discussing HIPAA Privacy and Security.  Participants learned the basics of HIPAA, including the importance of safeguarding patient information, and when to report privacy and security incidents.  Additionally, the participants were educated on securing electronic devices and how to detect phishing scams.  A wonderful Q&A session took place after the training with many excellent questionsThis educational program met the annual training requirement for HIPAA for the Privacy, Security, and Breach Notification rules. 

The webinar was presented by members of OCHIN's HIPPA Compliance Team.  OCHIN is one of the largest and most successful health information and innovation networks, serving hundreds of organizations comprised of more than 10,000 clinicians nationwide.
Register Today! February 8 ACEs Training for Charleston
Childhood experiences, both positive and negative, have a tremendous impact on future violence, victimization and perpetrations, and lifelong health and opportunity.  These early experiences are an important public health issue; in fact, ACEs (Adverse Childhood Experiences) have been linked to risky health behaviors, chronic health conditions, low life potential and early death. 

This workshop, Identifying Tomorrow's Issues In Students Today: Making Use of ACEs in SBHCs will be held in Charleston on February 8 from 1:00 - 4:00 PM at the Columbia Gas Building.  The workshop will focus on how School-Based Health Centers (SBHCs) can improve the health of students through increasing the awareness of ACEs and the far-reaching impact they have on West Virginia's children. 

Please note - this training is identical to the ACES workshop held in Beckley in August 2017.
For more information, or to register, click here
State NewsStateNews
Public Comment Period Open for State's Proposed Opioid Response Plan 
Last week, the West Virginia Department of Health and Human Resources released a proposed opioid response plan. The plan was developed utilizing both experts and public engagement and is now open for additional public input. Beginning January 11 and ending January 19, members of the public can email bphcommunications@wv.gov with comments on the proposed plan. Comments will also be accepted by mail, with a postmark on or before January 19 to DHHR's Bureau for Public Health, c/o Opioid Response Plan Comment,350 Capitol Street, Room 702, Charleston, WV 25301. 

The proposed opioid response plan includes high-priority, short-term recommendations in six areas:Prevention; Early Intervention; Treatment; Overdose Reversal; Supporting Families with Substance Use Disorder; and Recovery. 

The proposed plan and e-mail address for submitting comments are available on the DHHR's Bureau for Public Health website at  www.dhhr.wv.gov/bph. 

The entire release from DHHR is available here
Registration Open for WVPBRN Retreat 
Registration for the 5th Annual West Virginia Practice-Based Research Network (WVPBRN) Retreat is now open. This year's retreat activities will include poster and oral presentations highlighting current WVPBRN projects, a PBRN successes and challenges panel, and networking opportunities to discuss future projects and initatives. Deadline to register for the retreat is February 13, 2018. Please feel free to contact Andrew Denny, Network Coordinator (304-581-1922) or Stacey Whanger, Network Manager (304-581-1821) if you have any questions.

Click here for more information. 
Hepatitis C Overview Webinar Scheduled Feb. 27 
The WVU Health Sciences Office of Continuing Education recently announced a new webinar, Hepatitis C Overview. The webinar is scheduled for February 27 from 12:00 - 1"30 PM. 

An estimated 3 million to 4 million persons in the United States are chronically infected with Hepatitis C, which if left untreated, may cause advanced liver disease and/or hepato cellular cancer. Given the sheer number of persons infected, familiarity and comfort with caring for patients infected with HCV is vital. With the recent introduction of new medications, HCV treatment paradigms are rapidly evolving, offering a potential cure for many more patients than had been previously possible.

This program is designed for local/regional health care providers, specifically physicians, residents, physician assistants, nurse practitioners, and nurses.

Click here to view the flyer and here to register. 
340B Updates
NACHC Launches Office Hours on Pharmacy and 340B Issues - focus on operational issues, not policy
We're excited to be launching monthly "Office Hours" on 340B, on the third Thursday of each month at 2:00 ET, starting tomorrow (Thursday Jan. 18.)  Please note that Office Hours will focus on operational and technical issues, rather than policy developments.  (For example, this month Sue Veer will discuss the treatment of clinic-administered drugs under 340B, and then we'll have lots of time for Q&A.)  These Office Hours will be a good place to direct people who have specific operational questions   During tomorrow's Office Hours, we will also briefly discuss the operational issues outlined belowTo register; please click here here; also feel free to submit questions in advance  

Mandatory Re-certification Period Will be Feb7 - March 7, 2018
Health   centers are required to recertify the accuracy and completeness of yourinformation on the HRSA 340B database (OPAIS) annually; failure to recertify by the deadline will result in loss of 340B eligibility for at least 3 months.  

Health Centers that receive an inquiry from Kalderos should respond promptly
Health centers across the country are being contracted by an organization called Kalderos, asking about potential duplicate discounts. NACHC encourages health centers to respond promptly to these requests, as Kalderos is acting on behalf of multiple drug manufacturers, and failure to respond promptly can significantly increase the chances of being subject to a full-scale manufacturer audi t.

Proposal to End "Penny Pricing" Expected Soon
In the near future, the Trump Administration is expected to release a proposed regulation that would end the long-standing "penny pricing" policy (under which drugs for which the statutory formula would result in a price less than zero are made available to 340B providers for a penny each.)  NACHC strongly opposes any changes to penny policy as being inconsistent with a plain reading of the 340B statute, and will submit comments.  

Rite Aid converting to Walgreens?
If you contract with Rite Aid,  stay in close communication with each store to determine if - and when - it might convert to a Walgreen's, as a conversion will interrupt its 340B eligibility.  If a conversion is schedule d, contact Apexus right away in order to minimize how long the site will be ineligible.   Failure to do this will impact eligibility for 340B - leading to claims of "diversion" if the "new" Walgreens continues to dispense 340B drugs. 

New Health Center Sites Can Register Through March 5 to Start 340B Eligibility on April 1
HRSA is again extending the deadline for health centers to register their new delivery sites in order for these sites to become eligible to participate in the program on April 1, 2018.  While other types of providers faced a January 15 deadline, health centers have until March 5 to register.  At this time, health centers should contact Apexus directly to register a new site.  Note that the extended deadlines do not apply to new contract pharmacy arrangements, and that sites registered after the March 5 deadline will not be eligible until at least July 1.

Kaiser Health News/NPR Researching Story on State Medicaid Programs and 340B Savings
The question of who receives the discount on drugs that 340B providers dispense to Medicaid patients may soon get national media attention.  A reporter from NPR and Kaiser Health News is currently researching a story comparing the California governor's repeated attempts to keep all the savings (by requiring total carve-out of Medicaid) with the Kansas Medicaid department's decision to allow health centers to keep the savings - and what that means in terms of services for underserved populations.  

Health Advisory #142: Vigilance for Cases of Acute Flaccid Myelitis
The West Virginia Health Alert Network distributed a Health Advisory for Cases of Acute Flaccid Myelitis to WV healthcare providers, hospitals and other healthcare facilities. The entire alert can be found here
The Association for Rural Health Professional Coding Offers an Online Self-Study Course 
ARHC is offering an online program specific to Community Health Centers.  The 6 module program will prepare you to become certified as a CHC Coding & Billing Specialist.  Click  here for additional details and registration form.
National NewsNationalNews
Legislative Update 
NACHC has confirmed reports that Congress plans to include a 6-year funding plan for CHIP in "must pass" legislation next week to avoid a government shutdown.  NACHC also reports that the current "Continuing Resolution" spending plan will ONLY include funding for CHIP - not Community Health Centers, Teaching Health Centers, National Health Service Corps or any other health-related program. 

Watch for a potential call to action later this week. 
CMS Unveils New Policy on Work Search Requirements for Medicaid 
The Centers for Medicare & Medicaid (CMS) released a new policy on how states can pursue work search requirements as a condition of able-bodied adults qualifying for Medicaid.  Per the policy, interested states will apply for Section 1115 waivers which may be approved if the application follows specific guidelines.  This announcement will be a boon for 10 states (Arizona, Arkansas, Indiana, Kansas, Kentucky, Maine, New Hampshire, North Carolina, Utah and Wisconsin) that are actively seeking these requirements.  The Dear State Medicaid Director letter announcing the new policy and guidance is available online.  Questions are already being raised on the policy and the potential harm it will have as well as its legality.  We will provide more information as it becomes available.  
IRS Witholding Tables to Change
The Society for Human Resource Management reports that  enactment of the 2017 Tax Act , which President Donald Trump signed into law on Dec. 22, will result in the issuance of revised tax withholding tables for employees' paychecks. While the expected IRS guidance should be helpful, at this point there are a lot of questions and some confusion among employers. Read the article on the Society for Human Resource Management (SHRM) website.
Calories, Cavities and Kids: The Role of Dental Professionals in Addressing Childhood Obesity Webinar 
The National Network for Oral Health Access (NNOHA) is helping to promote a webinar on the role of dental professionals in addressing childhood obesity that will take place on Feb. 5, 2018 at 12:00 pm. Childhood obesity has reached epidemic proportions in the United States with about 32 percent of children ages 2-18 being either overweight or obese and facing both short-term health consequences and significant health problems in adulthood. Oral healthcare providers have an excellent opportunity to promote healthy weight in children in view of their frequent contact with pediatric patients and conversations with parents about sugar-containing beverages, the single largest category of caloric intake in children. This session discusses what oral health professionals are doing now, as well as what else they could do. One (1) continuing dental education (CDE) credit will be offered. Registration is required.
National Drug & Alcohol Facts Week January 22-28 
January 22-28 is National Drug & Alcohol Facts Week (NADFW), allowing organizations to participate in helping to shatter the myths about drugs and alcohol in their communities.  The National Institute on Drug Abuse (NIDA) and the National Institute on Alcohol Abuse and Alcoholism are encouraging your participation.  According to recent data from a NIDA survey,  Monitoring the Future, nearly a third of high school seniors report using alcohol in the past month, 28% report vaping, and 37% report past year use of marijuana. NDAFW is a national observance designed to equip communities with materials and tools needed to educate young people about the effects of drugs on their brain, body, and behavior.  You can obtain these resources free from NIDA.  To get more information on ideas on how you can help shatter the myths, take a look at the NADFW website.
Pharmacy change? Action is needed to ensure uninterrupted 340B eligibility
If your health center contracts with a local Rite Aid to dispense 340B drugs, this contract's and the pharmacy's eligibility for 340B may be impacted by Walgreen's recent purchase of over 1900 Rite Aid locations. Over the coming months, Walgreens will gradually announce which Rite Aid locations will be converting to Walgreens. (Other locations will be closed entirely.) If you currently contract with a Rite Aid:
  • Keep in close touch with the Rite Aid so that you will learn ASAP if it will be converted
  • Upon learning of a conversion, immediately contact the Apexus Call Center at 1-888-340-2787 or at apexusanswers@340bpvp.com for information about update your contract pharmacy registration without losing 340B eligibility
HRSA is making special arrangements to ensure that pharmacies converting from Rite Aid to Walgreens do not experience gaps in 340B eligibility. However, to take advantage of these arrangements, you must contact Apexus promptly upon learning about a conversion.
Announcing monthly office hours on 340B and pharmacy issues; first session on January 18 at 2PM ET 
Starting this month, NACHC staff will hold monthly office hours on 340B and general pharmacy issues. These sessions, which are made possible by HRSA funding, will be an opportunity for health center and PCA staff to ask questions and share ideas and information about 340B and pharmacy activities. Each session will begin with a brief overview of a timely issue, and the bulk of the time will be left for Q&A and discussion. Office Hours will be held on the Third Thursday of each month, at 2:00 ET. Participation is free, but you must register here by 2:00 ET on Tuesday Jan. 16. Contact Colleen Meiman at cmeiman@nachc.org for more information.
Resources to Aid Care for Veterans 
According to the 2016 UDS, health centers nationally served more than 330,000 veterans; in West Virginia, more than 10,300 received care at an FQHC.  Here are some resources that can assist health centers in caring for veterans.
  • The Community Provider Toolkit assembled by the National Center for Post-traumatic Stress Disorder (NC-PTSD) and the Department of Veterans Affairs (VA) supports behavioral health providers serving veterans and includes information related to how to screen for military service, information and training on military experiences and culture, and how to access benefits and resources.
  • Military Culture Training Curriculum for health care professionals, a partnership between the VA and the Department of Defense (DoD) trains health professionals in providing culturally competent care to veteran populations. The Veterans Health Administration (VHA) has numerous other courses available for clinicians and public health providers focused on topics such as military culture in primary care and PTSD military culture. Learn more about VHA TRAIN .
  • The PTSD Consultation Program  targets providers, especially those practicing in rural communities, who treat veterans with PTSD. The program offers free access to mental health professionals to discuss PTSD-related assessments, treatments, medications, and referral questions.  An expert clinician can be contacted at PTSDconsult@va.gov or 866-948-7880. The typical response time is less than a day.
  • The VA recently launched the Be There campaign, which includes education and outreach to VA employees and community partners to #BeThere for veterans and to take action to help prevent suicide. Health centers are in a position to help veterans who may be at risk for suicide. 
Community Health Center ResourcesCHCresources 
ECRI Institute 
The  ECRI Institute  offers numerous policy templates that can be used as guidance consistent with the needs of community health centers. To take a look at their library of policy templates, click  HERE .
If you are not an ECRI member, creating a free account before accessing these materials is required. ECRI Institute resources are provided for free on behalf of HRSA.

To Access Policies: 
  • From the main page, click on the clinical risk management link on the left hand side of the page
  • Click sample policies and tools listed under tool-kits on left side of page
Click on the + sign to access individual templates.
Tracking and Referral Resources Available at ECRI
ECRI has released a Test Tracking and Follow-Up Toolkit and the Get Safe! Communication Ensuring Care Coordination of the Medically Complex Patient.  All resources are provided for free by ECRI Institute on behalf of HRSA.  If you do not currently have access and would like to set up an account, just email them or call (610) 825-6000.  For those who have already registered on the site, the links will take you to these tools.  

Chief Executive Officer
Chief Financial/Chief Operations Officer
Clinical Consultant
Director of Health Center Operations
John Kennedy  
School-Based Health Coordinator
Staff Accountant
Education & Communications
Member Relations Coordinator
Outreach & Enrollment Coordinator 
Data Analyst
Data Services & Integration  Speci alist
Clinical Quality Improvement Coordinator
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Pharmacy change? Action is needed to ensure uninterrupted 340B eligibility
West Virginia Primary Care Association
  1700 MacCorkle Ave. Charleston, WV 25314| (304) 346-0032 | WWW.WVPCA.ORG