- HRSA: Agency Information Collection Activities: Proposed Collection: Public Comment Request; Information Collection Request Title: COVID-19 Provider Relief Fund Reporting Activities, OMB No. 0906-XXXX New
- HRSA Announces Major Effort to Strengthen and Expand Community-Based Residency Programs in Rural and Underserved Communities
- The Pace of New Rural Vaccinations Slows by 30%
- SAMHSA Releases Tribal Behavioral Health Grants Totaling $7 Million to Provide Support to Native American Communities
- Biden-Harris Administration Provides $100 Million to Rural Health Clinics for COVID-19 Vaccine Outreach in Their Communities to Increase Vaccinations
- Biden Administration to Invest More Than $1.6 Billion to Support COVID-19 Testing and Mitigation in Vulnerable Communities
- Utah Leads Nation in Increase in Rural Vaccinations; Mississippi Moves up Slightly in Rankings
- CMS Proposes Rule to Increase Price Transparency, Access to Care, Safety & Health Equity
- Health Advocacy Summit 2021
- HHS Announces $103 Million from American Rescue Plan to Strengthen Resiliency and Address Burnout in the Health Workforce
- OMB: 2020 Standards for Delineating Core Based Statistical Areas
- Biden-Harris Administration Provides Nearly $144 Million in American Rescue Plan Funds to Support COVID-19 Response Efforts in Underserved Communities
- Rural Vaccination Rate Inches up to 34.8% of Population
- Rate of Rural Infections Climbs by 25% for the Week
- Child Drowning Deaths Decline, but Disparities Remain
The Agency for Healthcare Research and Quality (AHRQ) is the lead Federal agency charged with improving the safety, quality, and value of patient care delivered by America’s health care system. AHRQ is providing guidance and resources in response to COVID-19, including a surge capacity planning tool for hospitals. Read more here.
The Centers for Disease Control and Prevention (CDC) provide comprehensive guidelines for local health departments determining who has been diagnosed with an infectious disease and providing support to people (contacts) who may have been infected through exposure to the patient. Read more here.
This Issue Brief summarizes the second annual meeting of the CMS Innovation Center AHC Model participants, where they had an opportunity to network and discuss challenges and strategies to address HRSNs. Highlighted in the brief are challenges and strategies in serving rural communities to address health-related social needs (HRSNs). Read more here.
This brief from the North Carolina Rural Health Research and Policy Analysis Center estimates the impact of potential loss of cost-based reimbursement for swing beds on profitability for Critical Access Hospitals (CAHs) and examines the characteristics of CAHs that would be most affected by such a change in reimbursement. Read more here.
The Association for the Advancement of Retired Persons (AARP) reports that more than one in five Americans (21.3 percent) are caregivers, having provided care to an adult or child with special needs at some time in the past 12 months. Read more about it here. The report also includes information specific to rural caregivers.
CMS Announces Final Payment Notice for 2021 Coverage Year
The final Notice of Benefit and Payment Parameters for the 2021 benefit year, also referred to as the 2021 Payment Notice, minimizes the number of significant regulatory changes to provide states and issuers with a more stable and predictable regulatory framework that facilitates a more efficient and competitive market. These changes further the Administration’s goals of lowering premiums, promoting program integrity, stabilizing markets, enhancing the consumer experience, and reducing regulatory burden.
To view the full press release, go to: 2021 Payment Notice Press Release.
To view the final rule, go to: 2021 Payment Notice Final Rule
To view the fact sheet on the final rule, go to: 2021 Payment Notice Fact Sheet
COVID-19 Federal Response
The federal government is taking action to protect the health and safety of our nation’s patients and providers in response to the coronavirus disease 2019 (COVID-19). There are a number of sources of information about actions being taken across the federal government.
- To keep up with the important work the White House Task Force is doing in response to COVID-19, visit White House Task Force.
- For the latest information about COVID-19 prevention, symptoms, and answers to common questions, visit up-to-date COVID-19 information.
- For information on the actions CMS is taking in response to COVID-19, please visit the CMS News Room and Current Emergencies Website.
- For COVID-19 Guidance for private health insurance issuers and group health plans, visit Coronavirus Disease 2019 (COVID-19) FAQs
- Please see the HealthCare.gov webpage for Marketplace-specific information, visit Marketplace-specific relating to COVID-19
The Center for Consumer Information and Insurance Oversight (CCIIO) COVID-19-Related Guidance
The Departments of Labor, Health and Human Services, and the Treasury issued guidance to implement requirements under the Families First Coronavirus Response Act (FFCRA), and the Coronavirus Aid, Relief, and Economic Security Act (CARES Act) that generally require private health issuers and employer group health plans to cover COVID-19 testing, the administration of that testing, and certain related items and services. This coverage must be provided for items and services that are furnished on or after March 18, 2020, with no out-of-pocket expenses, prior authorization or medical management requirements for the duration of the applicable emergency period. Visit FFCRA and CARES Act FAQs for more information.
Prior to the FFCRA and the CARES Act, CMS released guidance that explains that essential health benefits (EHB) generally includes coverage for the diagnosis and treatment of COVID-19. However, the exact coverage details and cost-sharing amounts for individual services may vary by plan, and some plans may require prior authorization before these services are covered. This guidance remains relevant for any treatment related to COVID-19, as well as diagnostic testing received before March 18, 2020. Please visit EHB Coverage for COVID-19 for more information. As noted above, under FFCRA and the CARES Act private health issuers and group health plans must now cover diagnostic services at no cost and with no prior authorization or medical management requirements
In addition, the Departments provided plans and issuers flexibility to reduce or eliminate cost-sharing for telehealth services, even in cases when a consumer may not have met their deductible. For more information, visit telehealth FAQs.
Lastly, CMS released guidance on payment and grace period flexibilities associated with the COVID-19 outbreak. CMS will exercise enforcement discretion to permit issuers of QHPs and stand-alone dental plans (SADPs) to extend payment deadlines for initial binder payments as well as ongoing premium payments during the period of the COVID-19 national emergency. Visit payment and grace period for more information.
New Guidance on Extension of Timeframes for COBRA and Coverage Appeals
On April 28, 2020, a Department of Labor notice, jointly issued with the Department of the Treasury and Internal Revenue Service, extends certain timeframes affecting participants’ rights to healthcare coverage, portability, and continuation of group health plan coverage under COBRA, and extends the time for plan participants to file or perfect benefit claims or appeals of denied claims. These extensions provide participants and beneficiaries of employee benefit plans sponsored by private sector employers additional time to make important health coverage and other decisions affecting their benefits during the coronavirus outbreak.
CMS released a guidance document concurring with the disaster relief specified by the Department of Labor, the Department of the Treasury and Internal Revenue Service and encouraging states, non-federal governmental plans (such as state and local employee health plans) and issuers offering coverage in connection with a group health plan to enforce and operate, respectively, in a manner consistent with this relief.
For a link to the Department of Labor, Treasury and Internal Revenue Service notice, visit COBRA Timeframes. Visit EBSA guidance for other guidance related to group health plans. For CMS guidance, visit the CMS website.
Economic Impact Payments and Unemployment Benefits
The CARES Act calls for the IRS to make economic impact payments of up to $1,200 per taxpayer and $500 for each qualifying child. If consumers get one of these payments, they don’t need to include it in the income they report on their HealthCare.gov application. These payments don’t impact their eligibility for financial assistance for health care coverage through the Marketplace, or their eligibility for Medicaid or the Children’s Health Insurance Program (CHIP). For more information, visit IRS Coronavirus Tax Relief information.
Unemployment benefits, including the additional $600 per week payments in the CARES Act, are taxable income included in modified adjusted gross income (MAGI). The CARES Act exempted the $600 payment increase from income calculations for purposes of eligibility for Medicaid and CHIP, but did not exempt the $600 per week payment increase for purposes of eligibility for subsidies to purchase health insurance coverage through the Marketplace. Please instruct consumers to report all unemployment payments, including the $600 per week payment increase, on their Marketplace application.
Guidance on Marketplace Coverage and Coronavirus
For more information on topics relating to Marketplace coverage and COVID-19, please visit Marketplace coverage for COVID-19. This page provides information on the following situations:
- If I lost my job or experienced a reduction in hours due to COVID-19
- Coverage start dates with a Special Enrollment Period due to loss in coverage
- If I can’t pay my premiums because of a hardship due to COVID-19
- If I’m enrolled in a Marketplace plan and my income has changed
- If I previously qualified for a Special Enrollment Period, but missed the deadline because I was impacted by the COVID-19 national emergency
- If I want to change my current Marketplace plan or enroll for the first time
- If my child is now living with me after their college sent them home early
- If I get a direct deposit or check from the IRS that is called an economic impact payment
COVID-19 Partner Toolkit
CMS has developed a toolkit to help you stay informed on CMS and HHS materials available on the COVID-19. Please share these materials, bookmark the page, and check back often for the most up-to-date information. To listen to the audio files and read the transcripts for the COVID-19 Stakeholder calls, visit the Podcast and Transcripts page. The link to the toolkit and more resources is available at Coronavirus Partner Tool Kit page.
Guidance on Medicaid and CHIP Coverage and Benefits Related to COVID-19
Medicaid and CHIP programs cover a broad range of benefits, which may vary by state. Some benefits are mandatory which means states are required to provide them while other benefits are optional for states to provide. Visit benefits related to COVID-19 for more information. Specific questions regarding covered benefits should be directed to the respective state Medicaid and CHIP agency. More information is available by contacting your state.
CMS revised MLN Matters Special Edition Article SE20011 on Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19) to clarify when you must use modifier CR (catastrophe/disaster related) and/or condition code DR (disaster related) when submitting claims to Medicare. The update includes a chart of blanket waivers and flexibilities that require the modifier or condition code.
The LGBTQIA-network response team with the Oral Health Progress and Equity Network (OPEN) is asking oral health care providers to complete a short survey related to the LGBTQIA community. They want to gain a better understanding of current attitudes, knowledge, and beliefs within the oral health care network. Responses are confidential and participation is voluntary.
The Oral Health Nursing Education and Practice (OHNEP) out of the NYU Rory Meyers College of Nursing released a document reminding individuals how to take care of their oral health during the COVID-19 pandemic. The document focuses on at-home oral hygiene regimens to prevent oral health problems.