New York State Passes FY2019-20 Budget
The Governor and the Legislature came to an agreement on the FY2020 budget this weekend, just before the start of the fiscal year on April 1. Overall, status quo reigned in many ways, as most health programs received level funding and no major reductions to Medicaid that would impact CHCANYS members were enacted. Below are the outcomes of the priority items that CHCANYS was tracking this year:

  • Funding for the D&TC Safety Net Pool remained level at $54.4M. Despite strong advocacy efforts and strong public support from Senator Rivera, the final budget did not include the $20M increase to the pool that CHCANYS had requested. We will continue to work with the Governor and the Legislature to underscore the negative fiscal impact of the proposed federal Public Charge rule on health centers and the chilling effect it, and other increases in immigration enforcement actions, has on individual and families, who have already begun to forego needed coverage and care.

  • $300M of the Statewide Healthcare Facility Transformation Grant III funding will be awarded to unfunded Statewide II applications. The awards will be announced by May 1, 2019. The remaining $225M from the Statewide III will be distributed pursuant to an RFP to be released later this year.

  • Funding for the PCMH program remained level at $220M. CHCANYS will continue to work with the Administration and the Department of Health to ensure incentive payments for PCMH certified providers are protected.

  • The Department of Health, Office of Mental Health, Office of Substance Abuse Services, and Office of People with Developmental Disabilities, will be permitted to waive certain regulations for providers participating in DSRIP projects, as long as the regulations do not impact patient safety, scope of practice, reimbursement or other limitations. 

  • Funding for the Population Health Improvement Program, slated for elimination, was fully restored at $7.5M.

  • Funding for Doctors Across New York remained level at $9M.

  • Although across the board reductions to Medicaid rates were not enacted, the Governor reserved the ability to impose $190M in Medicaid rate reductions should State revenues fall due to federal actions or global cap management issues. This rate reduction would not directly impact health center rates. 

Thank you for all your advocacy this budget session and your ongoing commitment to ensuring that health centers are able to continue to provide high quality primary care to all New Yorkers. 
NACHC’s Annual 2019 Hill Day Wrap-up
On March 28, Community Health Centers from around the country gathered at Capitol Hill in Washington, DC to meet with their Legislators. New York health centers had an especially strong showing, with more than 100 advocates visiting nearly all of our Congressional offices and both of our Senators. CHCANYS would like to thank all of you who made the trip down to DC or participated in call-in day from home – your efforts will help to ensure that New York’s Legislators understand the importance of continued federal investment in the health center program. To see CHCANYS’ photos of “Hill Day 2019” and more – follow us on Twitter .  
Congratulations, Trip!
Hill Day is organized each year by the National Association of Community Health Centers (NACHC) as part of their annual Policy & Issues Forum. On Wednesday evening of the P&I conference, NACHC made its annual inductions into the Grass Roots Hall of Fame – and this year, inductees included Hudson Headwaters’ own Trip Shannon. Congratulations, Trip, and thank you for all that you have done to support the Community Health Center movement!
Don’t Miss this Opportunity- Last Chance to Register! CHCANYS Telehealth Symposium
On April 8 & 9 in Tarrytown, CHCANYS will host a two-day training event in partnership with Finger Lakes Community Health, Feldesman Tucker Leifer Fidell, and the National Association (NACHC), will provide attendees with an array of information and resources for developing telehealth capacity in the community-based setting. The agenda includes in-depth discussions with various industry experts and live simulations with telehealth equipment and providers. Special pricing for CHCANYS Members and a group rate for the hotel has been extended. CHCANYS is also offering a group discount to health centers sending three (3) or more staff. Contact questions@chcanys.org for details on the discount. More information, including the updated agenda, can be found on the registration page.
Join us for a FREE webinar! Staying Afloat: 340B Program Fundamentals on 4/17 at 1pm EST
Join CHCANYS and ATRIA 340B by Hudson Headwaters as we navigate the complex waters of the 340B Federal Drug Discount Program. In this webinar we will take a shallow dive into diversion and duplicate discounts, internal auditing best practices, maintaining policy and procedures, and working with 340B vendors. Learn 340B program basics from our perspective as a participating entity, third party administrator, and consultant in the space. There is no coast to participate but registration is required. Register and submit your questions here.

Payment Reform and Clinical Summit: Lessons from DSRIP and the Future of Payment and Care Delivery Reform at New York Health Centers
Please join CHCANYS and State and National healthcare leaders on May 1 and 2 in Tarrytown, NY to explore the critical role of FQHCs in payment and delivery reform initiatives. Invited speakers will discuss the FQHC experience in DSRIP in New York and Massachusetts, New York’s plans for a DSRIP 2.0, and key payment and care model considerations relevant to NYS FQHC’s success in future State reform initiatives.
Register here and use the passcode: CHCANYS!
Additional details will be shared in the upcoming weeks.
CHCANYS Finance University- Register Now!
CHCANYS is excited to bring together New York State health center finance staff at this two-day, in-person Finance University to be held on June 11th- 12th 2019 at Baruch College in New York City. CHCANYS, in collaboration with CohnReznick, Atria, NYS health center finance leaders, and other external partners will provide training and technical assistance on a variety of financial operations topics.

The two days will offer sessions geared toward providing tools and support relative to the complicated world of health center finance offices. The agenda has a wealth of workshops planned for both new and seasoned health center finance staff. Specifically, the agenda will include sessions on: FQHC Finance 101; Critical Financial and Grants Management Activities and Regulatory Reporting; NYS-Specific Rate-Setting and Regulatory Reporting Requirements; NYS-Specific Billing Concerns; Maximizing 340b; HRSA OSV considerations; Revenue Cycle Management; and more. All levels of financial operations staff are encouraged to attend. Click here to learn more.
Physician Recruitment Webinar Hosted by CHCANYS-Partner CPG
Commonwealth Purchasing Group (CPG) is hosting a webinar on April 17 from 11:00am – noon about ways to expand the physician recruitment talent pool through the inclusion of Visa Candidates. To learn more about this and past cost-savings webinars, click here .

More than forty FQHCs Statewide actively participate in CHCANYS’ partnership with the Commonwealth Purchasing Group (CPG) to save on operational expenses. Collectively these centers realized $2.7 million in savings last year. Vendors include telehealth, language services, recruitment services, medical and dental suppliers,and day-to-day business solutions to name a few. CPG’s strategic contracts are designed to benefit FQHCs. 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. 
ADDITIONAL RESOURCES, WEBINARS, AND EVENTS
HRSA Updates Site Visit Protocol for 2019 - Preview Now Available
The new Site Visit Protocol (SVP) will go into effect for site visits that start after Thursday, April 18. Changes were made in response to feedback from stakeholders, including health centers, strategic partners, site visit team reviewers, and HRSA staff. No changes were made to the Compliance Manual or to Health Center Program requirements. A summary of changes was released along with the full 2019 SVP (preview) .
 
Reminder: Quarterly 340B Program Registration
Quarterly 340B Program site registration is open from April 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 EHBs Form 5B through Friday, May 24, after which the system will close to prepare for the July 1 start. Email apexusanswers@340bpvp.com or call 888-340-2787 to register a new site or ask questions.

Check your Health Center’s EHB for 2019 Patient Target Notification
HRSA recently began sending tailored emails from EHBs to each Health Center Program award recipient with a direct link to the patient target in EHBs. Review the patient target and take appropriate action in EHBs by Friday, April 19. Email BPHCPatientTargets@hrsa.gov with questions.

NCQA Trainings Available
The National Committee for Quality Assurance (NCQA) is offering an abundance of trainings for clinicians and practices that are seeking to become PCMH recognized, preparing for annual reporting, and looking to sustain their efforts as a medical home.

For more information related to these live PCMH seminars occurring in locations such as New York, Denver, and Washington, DC, go to the Seminars, Webinars, and On-Demand Training link on the NCQA webpage .

Save the Date:Special PCMH Office Hours Call
Join us on Thursday, April 25 th from 12:00-1:00 p.m., to explore the tips, strategies, and recommendations of ensuring a seamless transition to becoming recognized under the NYS PCMH Recognition Program from seasoned PCMH Certified Content Expert and NCQA Representative William Tulloch. This session will also include annual reporting and Q-Pass navigation considerations, and time for Q & A.
 
Please e-mail your questions in advance of the webinar to malmog@chcanys.org
 
To register for this exciting session, click here

Rural Communities Opioid Response Program (RCORP) funding opportunity
The Health Resources and Services Administration (HRSA) recently released a new Rural Communities Opioid Response Program (RCORP) funding opportunity. Under RCORP-Implementation, HRSA will make approximately 75 awards of up to $1 million each to networks and/or consortia to enhance substance use disorder (SUD), including opioid use disorder (OUD) and service delivery in high-risk rural communities. Grant recipients are strongly encouraged to leverage workforce recruitment and retention programs like the National Health Service Corps (NHSC) . You can view the funding opportunity here .

Applications Due TODAY for Doctors Across New York Physician Loan Repayment and Physician Practice Support Program
The Cycle VI grant Opportunity is open in the Grants Gateway. The following document is the most recent version (Cycle VI) of the Request for Applications (RFA) . While the RFA is being posted, the opportunity to apply in the Grants Gateway A Questions and Answers document including all questions that the Department receives for Cycle VI with corresponding answers will be posted. For more assistance please contact questions@chcanys.org.

Cervical Cancer Screening Promising Practices Webinar Recording
Earlier this year, HRSA hosted a webinar highlighting promising practices, challenges, and recommendations to increase cervical cancer screenings from a health center and a HCCN. Speakers shared TA activities targeting health centers' cervical cancer screening quality improvement strategies including patient navigation, care coordination, and data transparency. Access the webinar recording and presentation .
 
Diabetes Resources for Clinicians and Patients
HRSA encourages clinicians to become familiar with the American Diabetes Association’s standards of care regarding prevention of type 2 diabetes. The CDC offers fact sheets to help patients learn more about diabetes, its prevention, and management. HRSA’s Diabetes Quality Improvement webpage offers additional resources, promising practices, and information about how to improve patient diabetes control.
 
Diabetes in Special & Vulnerable Populations: A National Learning Series
Fourteen HRSA-funded NCAs partnered to create a four-part national learning webinar series for health centers, Primary Care Associations (PCAs), and Health Center Controlled Networks (HCCNs). The series’ goal is to increase foundational knowledge of effective strategies to prevent, treat, and manage diabetes among special and vulnerable Health Center Program populations. It focuses on co-morbidities associated with diabetes (e.g., oral health, behavioral health, SUD, obesity, and social risk factors). The series kicked off last week and this is the next session: Diabetes Continuum of Care: Using Behavioral Health and Substance Use Disorder Integration to Address Older Adults with Cognitive Impairments and Diabetes. It is scheduled for Tuesday, April 9 from 2:00-3:30 pm . Learn more and register for individual webinars .

Diabetes & Cardiovascular Disease Prevention and Management Technical Assistance
Calling Upstate and Downstate Health Centers!
CHCANYS has partnered with the New York State Department of Health to provide health centers with technical assistance on the prevention and management of diabetes and cardiovascular disease. Beginning July 2019, eligible sites will receive 12 months of support from a CHCANYS practice facilitator employing strategies including: Promotion and adoption of EHR/HIT to improve provider performance and patient health outcomes, improving patient access to and participation in Diabetes Self-Management Education & Support and Diabetes Prevention Programs, increasing engagement of pharmacists in the provision of medication management for people with diabetes, and Self Measurement Blood Pressure monitoring for patients with hypertension. Interested health centers can view the flyer and contact Mercy Mbogori at mmbogori@chcanys.org .

Standing Orders and STI Screening Discussion
CHCANYS’ Nursing Sub-committee and Sexual and Reproductive Health Sub-Committee will be hosting a joint meeting Wednesday, April 17 th at 9:00 am to discuss Standing Orders and STI Screening. The meeting will include a presentation of routine STI screening recommendations for which standing orders may be established, as well as a facilitated discussion around how to operationalize workflows around these standing orders in the health center. Those interested in joining this meeting or for more information on the CHCANYS Nursing group can email cunger@chcanys.org , and for Sexual and Reproductive health email kathrynw@chcanys.org or mmbogori@chcanys.org .
 
Point of Care A1c Testing Informational Webinar
Join CHCANYS, Alere, and New York FQHC peers for a 90-minute informational webinar on point-of-care testing (POCT) for hemoglobin A1c April 24 th at 1:00pm. With content crafted for health centers looking to learn more or preparing to implement POCT, topics addressed on this webinar will include the clinical background and recommendations behind A1c point-of-care instruments and a survey of the CLIA-waived and FDA approved solutions available on the market today. Participants will learn how point-of-care A1c testing can improve patient care and performance on diabetes-related performance measures, as well as lessons learned regarding implementation and reimbursement from other health centers. To register, click here .

CHI Issues RFP for Clinical Practices Interested in Centering Model
Centering Healthcare Institute (CHI) launched an aggressive plan in October 2017 to expand access to the Centering model of group healthcare in the communities where group care can have the greatest impact. CHI is pleased to offer free implementation support and facilitation training to 130 eligible sites - primarily in FQHCs and community health centers - eliminating the financial barrier to those in resource-limited communities. The goal of this initiative is to increase patient access to Centering care, specifically CenteringParenting family-centered well-child care.
 
Details of the application process are outlined on our Implementation Grants page . P roposals are due May 31, 2019.