CHCANYS NEWS
NEW MEMBERS IN STATE, FEDERAL LEGISLATURES
Members have taken their seats in the State and Federal Legislature. While Chuck Schumer and Kirsten Gillibrand continue to represent New York in the Federal Senate, many new members have just started their first term. If you are unsure of who your representatives are, click here to find your State Assemblyperson , State Senator , or Federal Congressperson . CHCANYS has developed legislative talking points for use when introducing your health center to a new member. Those talking points can be found by clicking here .
 
PARTIAL FEDERAL GOVERNMENT SHUTDOWN CONTINUES
The partial federal government shutdown, which began on December 22, 2018, will not affect health centers’ major sources of funding since the Department of Health and Human Services’ budget has already been approved. Although the US Department of Agriculture (USDA) has not been funding, they have committed to providing Supplemental Nutrition Assistance Program (SNAP) benefits through the end of January. The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) is in a similar position, although funding may be sustained at the State level.
 
CHCANYS SUBMITS PUBLIC COMMENTS TO FEDERAL REGISTER
CHCANYS has recently submitted comments to the federal government related to two proposed regulations:

  1. Proposed Rule on Policy and Technical Changes to the Medicare Advantage, Medicare Prescription Drug Benefit, Program of the All-Inclusive Care for the Elderly (PACE), Medicaid Fee-for-Service and Medicaid managed Care Programs for years 2020 and 2021. CHCANYS expressed support for CMS’ proposal to expand the use of telehealth services under Medicare Advantage plans. We also requested CMS to reevaluate their position and allow FQHCs to serve as “distant site” telehealth providers in the Medicare program, and cautioned CMS on allowing telehealth providers to fully count towards network adequacy standards – a proposed change that could leave rural communities with limited access to primary care and emergency services.
  2. Proposed Rule on Exchange Program Integrity. This proposed rule revises standards relating to the oversight of State-established health insurance exchanges. CHCANYS expressed support for the reduction in administrative burden for State-established exchanges, however we expressed concerns over the new requirement that plans must bill beneficiaries separately for the plan and non-Hyde abortion services. CHCANYS fears that this new separate billing policy could result in confusion where beneficiaries would not submit two separate payments and would subsequently lose coverage.
 
To view our archive of CHCANYS public comments and public hearing testimony,  click here .
ADVOCACY DAY 2019 REGISTRATION IS NOW OPEN!
Calling all Community Health Care CHAMPIONS! Registration is now open for our annual Grassroots Advocacy Day in Albany on March 4, 2019. We need your help  to ensure that Community Health Centers have the resources they need to continue to provide high-quality comprehensive primary and preventive care to all who need it, regardless of insurance status or ability to pay. There is power in numbers -- please join us and recruit your co-workers, friends and family to come along! Click here  to register.
 
CHCANYS DOROTHY KARTASHEVICE CONSUMER BOARD MEMBER AWARD – NOMINATE TODAY!
Each year during our Community Health Center Grassroots Advocacy Day event, CHCANYS honors Community Health Care Champions who are working to ensure access to high quality health care for all. We will honor an outs tandi ng consumer board member on March 4, 2019 at the Empire State Plaza in Albany. The honoree will be recognized in front of hundreds of patient advocates. CHCANYS invites you to submit your nominations by January 31. To learn more click here .
 
CHCANYS Awarded NYCT Grant
CHCANYS has been awarded a two-year grant from The New York Community Trust to help community health centers add social determinants of health (SDH) to newly created value-based payment systems.
 
This new funding provides CHCANYS the opportunity to provide community health centers additional training and technical assistance with capturing and addressing SDH in efforts to achieve better population health outcomes. The training will build upon prior NYCT-funded efforts to increase screening and use of data analytics to identify and address population needs.
 
CHCANYS looks forward to working with health centers in the next two years. Interested health centers can contact Ava Rose at arose@chcanys.org .  
 
UDS TRAINING MATERIALS NOW ONLINE
To prepare grantees for the February 15, 2019 UDS submission deadline, CHCANYS held two well-attended trainings in New York State. Please review the important notice for NYS grantees and all other materials with your Team as you prepare for submission.
 
Plan early to allow time to take advantage of important resources including past webinars, a review of PAL notices and materials posted on the CHCANYS website and HRSA website .
 
The Health Center Program Support Line is 877-464-4772 7 a.m. to 8 p.m. Monday – Friday except Federal Holidays. 

CHCANYS IS HIRING!
We currently have positions open in our New York City office. Click here to see what opportunities we have available.
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UPCOMING WEBINARS AND EVENTS
Sessions Start Next Week! Telehealth Webinar Series with FTLF, NACHC, and FLCH hosted by CHCANYS  
Telehealth is emerging as a critical component for increasing access to care, promoting cost effective service delivery, and establishing connections with specialty or limited providers. As leaders in providing high-quality, accessible primary care, health centers are exploring the use of telehealth to meet the challenges of serving diverse patient populations with complex needs.

This five-part webinar series will provide the latest information and insights from Feldesman Tucker Leifer Fidell (FTLF) , the National Association of Community Health Centers (NACHC) Policy Team and Finger Lakes Community Health , an innovator in implementing telehealth in the health center setting. Register today for individual webinars or the full series. Webinar recordings are available for purchase in addition to the live events. Discounted rates are available for CHCANYS members. For more information and registration click here .
 
BPHC All-Programs Webcast Recording
On Tuesday November 27, the Bureau of Primary Health Care (BPHC) hosted an all-programs webcast, p rovidin g important updates on health center compliance, workforce, and quality initiatives, as well as the latest health center resources. Watch the recorded webcast by registering at this link .

Now Open: Quarterly 340B Program Registration
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 apexusanswers@340bpvp.com or call 888-340-2787 to register a new site or ask questions.
 
Advancing Excellence in Sexual and Gender Minority Health Conference - March 22-24 in Boston MA
Presented by Fenway Institute , this conference is designed to train the whole health care team in providing competent, confident and affirmative health care, grounded in research evidence and best clinical practices. Expert faculty specialized in sexual and gender minority research and patient care will present didactic presentations as well as interactive panels and case discussions. The conference is appropriate for all members of health care teams, including physicians, behavioral health care providers, physician assistance, nurses, and other staff. For more information please visit  the registration page  or send an email to lgbthealtheducation@fenwayhealth.org .
 
CHCANYS Emergency Management Virtual Meet-Up
CHCANYS Emergency Management (EM) team have set aside some dedicated time to answer questions, talk through relevant announcements, have an open conversation and provide a forum for exchanging ideas on the topic of Emergency Management. Join CHCANYS EM team in the ongoing conversation!
 
The upcoming 2019 meetings are as follows:

  • January 22, 2019
  • April 23, 2019
  • July 23, 2019
  • October 22, 2019
 
All meetings will be hosted virtually via Zoom and will run from 1:00 to 2:00 pm (EST). To register – please click here .
 
For additional information or with any questions, please contact us at emteam@chcanys.org .

REGISTRATION OPEN! 2019 ICS Webinar Series: Feb 6, 13, 27 & Mar 5
It is recommended that all healthcare systems train staff in the National Incident Management System (NIMS) and the Incident Command System (ICS). NIMS courses include ICS-100, ICS-200 and ICS-700 or their equivalents. New York’s Regional Training Centers (RTCs) will be hosting a series of webinars on this very topic! This webinar series is designed to provide an overview of each course and to prepare staff for the FEMA exam/certification. Most updated FEMA materials will be used.
 
To learn more and to register, click here .
Registration is open for the 2019 Azara Healthcare Annual Conference
The 2019 Azara Healthcare Annual Conference will bring together over 350 Community Health Centers, Primary Care Associations, and Health Care Controlled Networks from across the country for learning, networking, and best practice sharing. There are three pre-conference workshops   to choose from a variety of breakout sessions to attend during the two-day conference.
 
Don’t miss the opportunity to gain further education and insight on DRVS capabilities and hear how others are transforming their practices and improving health outcomes.
 
Visit the conference website
Download brochure
Attendee pricing
 
Workshop seating is limited. Register early.

Oral Health Live Webinar
PRESENTED BY: GWEN COHEN-BROWN, DDS
Collaboration with Albany Medical College, Stony Brook University & CHCANYS
Join us for an Oral Health Live Webinar on Dental Treatment/Management of the Medically Complex Patient including the Management/Identification of Oral Lesions & Conditions! For questions please contact Laura O’Shea 315-477-8124 Laura.oshea@health.ny.gov of NYSDOH – AIDS Institute. Register here .
HEALTH CENTER SUPPORT NEWS
HRSA’s Quick Reference Guide on FY2019 Review Process for Service Area Competition (SAC) or Renewal of Designation (RD) Applications
HRSA has released a new quick reference guide to provide guidance on how to manage correspondence requests from HRSA regarding submitted SAC or RD applications. The guide is aimed to help health centers respond quickly to the 14-day turnaround time in EHBs. For further information see HRSA’s recent graphic which illustrates what to expect after submitting a SAC or RD application to HRSA and the FY2019 FAQs.

CHCANYS Continuous Compliance Webinar Series Recordings on Learning.FTLF.com   
In September, CHCANYS launched the 9-part Continuous Compliance Webinar Series with presenters from Cohn Reznick, Feldesman Tucker Leifer Fidell (FTLF), and HRSA Consultants. Throughout the series, industry experts presented detailed guidance and resources to enhance a health center’s organizational approach while providing insights and recommended strategies for achieving continuous compliance as outlined in the Health Center Program Compliance Manual. The full series of recordings is now made available on https://learning.ftlf.com. For a limited time, CHCANYS members can access the full series at discounted pricing. To inquire about purchasing access to the series recordings please contact us at questions@chcanys.org For webinar descriptions and more information on the series, click here.
EMERGENCY MANAGEMENT NEWS
January Aware Prepare
Aware Prepare is a monthly electronic newsletter. It is your guide to upcoming trainings related to preparedness. These trainings may be provided in one or more of the following formats, including: live webcasts, webinars and in person training; archived webcasts, webinars and on demand eLearning. To view January 2019 issue, click here

FREE TRAINING AVAILABLE - Emergency Management In-Person Training for Community Health Centers
CHCANYS Emergency Management (EM) team, through funding from the New York State Department of Health, is offering complimentary EM in-person on-site training to community health centers across New York State (except New York City). This training and technical assistance visit may be customized based on the current needs of the health center in emergency management.
 
This training is being offered on a first come, first served basis, until available funds are exhausted. If you are interested and would like to submit a request, please click here .
 
Any questions regarding this opportunity or the registration form may be directed to emteam@chcanys.org .
 
Webinar Series on CMS EP Final Rule is now available on CHCANYS Website
 CHCANYS EM Team invites you to access the recordings of the 4-part webinar series on the CMS Emergency Preparedness Final Rule: 1 year later. This series of free webinars, hosted by CHCANYS, provided information and relevant updates about the origins and the structure of the Rule, its specific requirements for FQHCs as part of Conditions of Participation in the Medicare program, practical tips for implementation and operationalizing its elements, and specific considerations for New York facilities.
 
For additional information and to access the recordings and webinar slides, please visit the CHCANYS Resource Page .

Bomb and Cyber Threats - Resources
 In early December, 2018, many businesses, health care systems, schools, and even a handful of health centers, were part of a massive bomb threat via phone calls and emails that demanded payment in the form of bitcoins. Thankfully, this turned out to be a hoax, but we still would like to remind everyone to stay prepared. Here are some resources that you may find useful:
 
QUALITY AND TECHNOLOGY NEWS
New Medicaid Doula Program in Areas of Brooklyn!
There is a new Medicaid pilot program to provide coverage for doula services to pregnant women and their families who reside in Erie County and certain zip codes in Kings County on March 1, 2019. FQHCs with patients in these areas are encouraged to inform and enroll as many patients as possible.
 
Eligibility - If patients are enrolled in the Medicaid program and live in Erie county or certain zip codes in Kings* (Brooklyn) county, they are eligible to receive Doula services.
 
Coverage starts March 1, 2019. Click here to learn more.

JANUARY IS CERVICAL HEALTH AWARENESS MONTH
Each year more than 12,000 women in the United States are diagnosed with cervical cancer. Two screening tests (Pap test and Human papillomavirus (HPV) test) can help prevent cervical cancer or find it early. In 2017, more than 3.8 million HRSA-funded health center patients were screened for cervical cancer . Learn more about best practices for screening and preventing cervical cancer in these resources:

PCMH Office Hours
Friendly Reminder: Register in advance for our next call on Thursday, January 17 th from 12-1 p.m. Let’s discuss:
 
  1. Preparing for the virtual review
  2. The ins and outs of becoming NYS PCMH recognized with Cornerstone Family Healthcare
  3. Planning for a Spring workshop – we need your input and guidance!
 
To register, click here .

Moderate or severe sleep apnea doubles risk of hard-to-treat hypertension in African-Americans
The National Institute for Health recently released an article stating that Moderate or severe sleep apnea doubles risk of hard-to-treat hypertension in African-Americans Treatment of sleep disorder might help improve blood pressure control in this high-risk group. African-Americans with moderate or severe sleep apnea are twice as likely to have hard-to-control high blood pressure when their sleep apnea goes untreated, according to a new study funded mainly by the National Heart, Lung, and Blood Institute (NHLBI), part of the National Institutes of Health. The findings, which researchers say may partially explain why African-Americans suffer hypertension at rates higher than any other group, point to screening and treatment of sleep apnea as another important strategy for keeping uncontrolled high blood pressure at bay. read more >>

NextGen's Recorded Webinar on "Improving Community Health Center Care in a Value Based Care World
 NextGen’s Community Health Center Specialty Director, Tom Farmer, Chief Medical Officer, Dr. Betty Rabinowitz delve into population health solutions in Community Health/FQHC practices that support your community health center’s aim to be successful in managing risk to achieve quality and financial objectives.
Pre-Recorded webinar covers:
•   Leveraging the fusion of clinical and claims data analytics to align actionable insights with value-based care goals
•   Predictive analytics to drive proactive management of resource utilization to balance cost and quality outcomes
•   A demo of their vendor agnostic solution, showcasing the visibility into patient panels
 
To view the pre-recorded webinar, click here .

2019 Meaningful Use – NY Medicaid EHR Incentive Program
The Centers for Medicare & Medicaid Services recently published rulemaking impacting the NY Medicaid EHR Incentive Program and aligning it with the Merit-based Incentive Payment System (MIPS). 2019 meaningful use requirements for all eligible professionals include:
  • 2015 Edition Certified EHR Technology
  • Stage 3 objectives and measures
  • Minimum 90-day EHR reporting
  • 6 clinical quality measures (CQMs), including one outcome or high priority measure
  • Full calendar year CQM reporting
The thresholds for Stage 3 Objective 6 Coordination of Care measures 1 and 2 will not increase. These measures will remain at more than 5% for 2019 meaningful use and the remainder of the program.
The eCQI Resource Center has posted the 2019 CQMs. These align with MIPS, so eligible professionals may be able to participate in both the NY Medicaid EHR Incentive Program and MIPS.
Questions? Resources about meaningful use, including tip sheets, webinars, and frequently asked questions are available here . For additional assistance, please contact program support at 1-877-646-5410 or hit@health.ny.gov .
 
Weitzman Institute Learning Academy on Addiction
The Weitzman Institute is hosting a series of webinars to help interested parties understand best practices in addressing substance use disorders in your community. The webinars are best suited to health care leaders, medical and behavioral health clinical staff, and other clinical and non-clinical staff members involved in substance use disorder programs. The webinars are scheduled from 2-3:30pm ET on Jan 17, Feb 21, March 21, and April 18. Information about this webinar series and all of the Weitzman Institute Learning Academy sessions and offerings can be found on the website .

WINTER 2019 PHYSICIAN TRAINING LEARNING GROUP
The NYC Department of Health and Mental Hygiene, in partnership with the Center for Innovation in Mental Health at the CUNY Graduate School of Public Health and Health Policy, would like to invite you to our Winter 2019 Physician Training Learning Group event on Thursday, February 14th 2019, from 1 - 4 pm at CUNY’s Graduate School of Public Health and Health Policy.
 
Click here for more information and to register. Click the following for an agenda for the day and a list of key competencies for further discussion. 
Preparing for an Expansion Project? We Can Help You Save Money
More than 40 FQHCs Statewide actively participate in CHCANYS’ unique partnership with the Commonwealth Purchasing Group (CPG) to save on operational expenses. To learn about a no-obligation assessment of current purchases or to discuss new site or specific project needs, please click  here  or contact  rwynn@chcanys.org  or (212) 710-3806. To learn about CPG’s past and upcoming educational webinars, e-mail Phil Dubois at pdubois@cwpurchasing.com