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WVPCA Weekly Outlook Newsletter
A Newsletter on Community Centered Healthcare
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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.
Sincerely,
West Virginia Primary Care Association
1700 MacCorkle Avenue
Charleston, WV 25314-1518
304-346-0032
1-877-WVA-HLTH
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Quick Links: In This Issue.....
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Federal Judge blocks Medicaid work requirements plan in Kentucky
View the article from Bloomberg here.
Healthcare providers: substance abuse treatment Medicaid waiver could expand options
View the article from the Exponent Telegram here.
CMS denies Massachusetts' request to choose which drugs Medicaid covers
View the article from Modern Healthcare
here.
Eight states partner for Medicaid transformation, data analytics
View the article from
Health IT Analytics
here.
Alternatives: A step in the right direction for W.Va.
View the article from the
Bluefield Daily Telegraph
here.
Kids Count report: W.Va. ranks 40th in child well-being
View the article from the
Herald-Dispatch
here.
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WVPCA News
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Act Now - Space is Filling Up!
Quality Improvement Reboot: New Beginnings and Innovation in WV Health Centers
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Seating is limited for the West Virginia Primary Care Association's one-day Quality Improvement Workshop! This in-person training will be held on July 17 at Stonewall Resort in Roanoke, WV.
During the workshop, participants will have the opportunity to utilize the Model for Improvement to discuss and address process and quality improvement challenges facing West Virginia's Community Health Centers.
The training is $125 and Nursing CEs will be available. Registration and additional information is available
here
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State News
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Parent's Guide Released to Assist Families Seeking Insurance for their Children
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Attention children's advocates! Please download and use this guide to assist families seeking insurance for their children. This guide was supported by WV KIDS Count, WVU School of Public Health and WVU Rockefeller School of Public Policy and Politics, with underwriting by the Benedum Foundation.
The two-page publication is available here. |
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West Virginia Webinar and Training Opportunities
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26th
Annual
WV Rural Health Conference
When: October 17-19
Where
: Pipestem State Resort
What: This conference features national and state best practices speakers, provides continuing education to physicians, attorneys, nurses, social workers, pharmacists, dentists, community health educators and others, and is an unparalleled opportunity to network with others interested in improving rural health care in West Virginia.
Registration is available
here
.
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Save the Date: 12th Annual Southern Obesity Summit
When: October 22-24
Where: Charleston, WV
What: The Southern Obesity Summit (SOS) is the largest regional obesity prevention event in the United States, drawing hundreds of participants from 16 Southern States consisting of Alabama, Arkansas, Florida, Georgia, Kentucky, Louisiana, Mississippi, Missouri, New Mexico, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia and West Virginia. Together, these states join forces to fight obesity.
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National News
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Medicaid/Medicare Reimbursement for Behavioral Health Integration Services Roundtable Discussion for Health Centers
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The SAMHSA-HRSA Center for Integrated Health Solutions (CIHS) is hosting an interactive roundtable discussion on the key components of behavioral health integration, with a special focus on Medicaid/Medicare reimbursement services.
What You Need To Know:
When: Thursday, July 12 | 3:00-4:00 p.m. ET
What
The roundtable format is a virtual place for us to provide each other with support and discussion. Different from a webinar, it is much more interactive and provides direct access to experts in the field for questions and consultations.
How:
Register here
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Service Area Needs Assessment Methodology Prototype Webinar
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HRSA is exploring the feasibility of developing a Service Area Needs Assessment Methodology (SANAM) that would leverage public data sources to calculate an unmet need score that considers access to primary care services and the health status of a given ZIP code and/or service area. The SANAM would support the quantification of need to potentially support HRSA decision-making. A number of SANAM prototypes have been developed and tested by the MITRE Corporation, and HRSA is considering options for implementation.
What You Need To Know:
When:
Monday, July 16 | 3:30-5:00 p.m. ET
What: Join us for a webinar that will describe the SANAM process to date and the prototypes under consideration, followed by an open feedback and Q&A session.
How:
Register here |
Call-in: 877-913-1008 |
Passcode: 322114
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Deadline Approaching! Patient-Centered Medical Home (PCMH) Recognition Quality Awards
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If your health center's PCMH recognition is accurate, you do not need to take action. If it is inaccurate, please submit an update to your PCMH recognition information via HRSA's Electronic Handbooks (EHBs) no later than
this Friday, July 6.
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New Categories of Outpatient Services Eligible for NHSC Funding
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The National Health Service Corps (NHSC) received $105 million for future NHSC Loan Repayment Program awards that expand and improve access to quality opioid and substance use disorder treatment in rural and underserved areas.
New categories of outpatient services may be eligible for funding. NHSC-approved sites are eligible to opt-in if your site provides any of these services:
- General Substance Use Disorder Treatment
- Medication Assisted Treatment (MAT)
- Opioid Treatment Program (OTP)
To opt-in and take advantage of this opportunity, submit an inquiry through your
Customer Service Portal account with the following:
1. From your sites list, select the site you want to opt-in for this program.
2. Submit an inquiry with the following parameters:
- Category: Substance Use Disorder (SUD) Documentation
- Subject: Opt-in SUD Expansion
4. If you have multiple sites, repeat these steps for each you want to opt-in; you must submit a separate inquiry for each site.
The deadline to upload this information is Tuesday, July 10, 2018 at 11:59 p.m. ET. If you have additional questions, submit an inquiry through the
Customer Service Portal.
* Auto-Approved Sites are not required to complete a checklist. Auto-Approved Sites include: Federally Qualified Section 330 Community Health Centers, Indian and Tribal Unit Facilities, Federal Bureau of Prisons Facilities, and Federal ICE Facilities.
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New Funding Opportunity to Expand Access to Quality Substance Use Disorder and Mental Health Services
Applications are due Monday, July 16, at 5:00 p.m. ET. If you are a currently funded health center, please stay tuned for an email with instructions on how to start your application in HRSA's Electronic Handbooks (EHBs).
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SAMHSA Announced $930M Funding Opportunity to Combat the Opioid Crisis
The Substance Abuse and Mental Health Services Administration (SAMHSA), an agency within the Department of Health and Human Services (HHS), is now accepting applications for $930 million in State Opioid Response Grants. SAMHSA will distribute funds to states and territories in support of their ongoing efforts to provide prevention, treatment and recovery support services to individuals with opioid use disorder.
For more information on how to apply, see
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Financial Management Reviews
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HRSA's Office of Federal Assistance Management (OFAM) has recently announced that some health center grantees will be subject to Financial Management Reviews (FMRs), with the goal of determining if their policies adequately incorporate HHS' "
legislative mandates". These mandates are restrictions on the uses of Federal grant funds which are located in the annual Appropriations Acts. The mandates were signed into law March 23, 2018, and became effective immediately.
To assist health centers in ensuring that they are prepared for an FMR, NACHC -- in partnership with FTLF - has prepared a sample Policy and Procedure that addresses these mandates. This sample P&P along with general background information are available
here.
Please contact our office should you have any questions or need any further clarification.
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CMS Updates for Health Centers
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CMS recently released the following updates:
- Care Management Services in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Frequently Asked Questions provide background information on care management and guidance on billing, payment, and claims for care management. Additionally, they explain program requirements for chronic care management, general behavioral health integration, and the psychiatric collaborative care model, as well as defining care team members.
- The Medicare Learning Network Matters article, "Care Coordination Services and Payment for Rural Health Clinics (RHCs) and Federally-Qualified Health Centers (FQHCs)" provides instructions for payment to health centers billing under the prospective payment system. It explains requirements needed to bill for the new general care management G code and the psychiatric collaborative care model.
- The 2018 update to the Medicare Benefit Policy Manual, Chapter 13 - Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Services, provides information on requirements and payment policies. Revisions to the payment policy for care management include transitional care management services, chronic care management services, general behavioral health integration services, and psychiatric collaborative care model services.
For health center Medicare questions, contact [email protected].
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HHS Fact Sheets and FAQs Address Confidentiality Protections for Patients Treated for Substance Abuse Disorder
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The U.S. Department of Health and Human Services (HHS) has issued two fact sheets to help healthcare providers and health information exchange organizations understand how to appropriately access and share the records of patients seeking treatment for a substance use disorder. The fact sheets incorporate the provisions of a 2017 final rule, which updated regulation 42 CFR Part 2 to protect the confidentiality of patients with substance use disorder while supporting information exchange within new healthcare delivery models.
The fact sheets were prepared by HHS's Office of the National Coordinator for Health Information Technology and the Substance Abuse and Mental Health Services Administration (SAMHSA). The rule applies to so-called "Part 2 programs." These programs receive federal funding for the treatment of substance use disorders and are generally prohibited from disclosing information about a patient receiving treatment without the patient's consent. The first fact sheet, Disclosure of Substance Use Disorder Patient Records: Does Part 2 Apply to Me? depicts different scenarios, such as those involving accountable care organizations and integrated care settings, to help providers determine whether the Part 2 confidentiality provisions apply to them. The second fact sheet, Disclosure of Substance Use Disorder Patient Records: How Do I Exchange Part 2 Data? describes how the updated rule applies to the electronic exchange of healthcare records with a Part 2 program. In a press release, SAMHSA advises that the fact sheets are not a substitute for legal advice and encourages providers to seek additional guidance. SAMSHA also posted with the fact sheets frequently asked questions (FAQs) about the Part 2 rule and HHS's responses.
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Community Health Center Resources
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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.
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Tracking and Referral Resources Available at ECRI
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WVPCA Staff
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Chief Executive Officer
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Debra Boyd
Chief Financial/Chief Operations Officer
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Data Services & Integration
Speci
alist
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Education & Communications
Coordinator
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Member Relations Coordinator
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Director of Health Center Operation
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Outreach & Enrollment Coordinator
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Clinical Quality Improvement Coordinator
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To sign up to receive the WVPCA Weekly Newsletter, click
HERE
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West Virginia Primary Care Association
1700 MacCorkle Ave. Charleston, WV 25314| (304) 346-0032 |
WWW.WVPCA.ORG
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