Rural Health Information Hub Latest News

Pennsylvania BLS Ambulance Staffing Exceptions Bulletin Published

Act 17 of 2020 amended the EMS System Act to permit the Department of Health to grant exceptions to the ambulance staffing standard for Basic Life Support (BLS) ambulances for agencies not licensed to provide service higher than the BLS level. The Bureau of EMS has established a process and criteria for accepting and reviewing these exception requests from EMS agencies.

The BLS Ambulance Staffing Exceptions Bulletin from the Pennsylvania Department of Health can be accessed below.

EMSIB 2020-27 Act 17 of 2020 BLS Ambulance StaffingExceptions

Pennsylvania Hospital Transitions HRSA-Funded Program to Online Services and Addresses COVID-19 Stress


by Allee Mead

Butler Memorial Hospital in Pennsylvania received a HRSA Rural Health Care Services Outreach grant to develop a program for chronic disease patients. Partway through the grant cycle, the COVID-19 pandemic hit. The hospital shares how it was able to transition its program services to an online format and develop new initiatives to address stress in the healthcare workforce and the larger community.

Access the full article here.

CMS COVID-19 Stakeholder Engagement Calls – July

CMS hosts varied recurring stakeholder engagement sessions to share information related to the agency’s response to COVID-19. These sessions are open to members of the healthcare community and are intended to provide updates, share best practices among peers, and offer attendees an opportunity to ask questions of CMS and other subject matter experts.

Call details are below. Conference lines are limited so we highly encourage you to join via audio webcast, either on your computer or smartphone web browser. You are welcome to share this invitation with your colleagues and professional networks. These calls are not intended for the press.

Calls recordings and transcripts are posted on the CMS podcast page at: https://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/PodcastAndTranscripts

 

CMS COVID-19 Office Hours Calls (Tuesdays at 5:00 – 6:00 PM Eastern)

Office Hour Calls provide an opportunity for hospitals, health systems, and providers to ask questions of agency officials regarding CMS’s temporary actions that empower local hospitals and healthcare systems to:

  • Increase Hospital Capacity – CMS Hospitals Without Walls;
  • Rapidly Expand the Healthcare Workforce;
  • Put Patients Over Paperwork; and
  • Further Promote Telehealth in Medicare

This week’s Office Hours:

Tuesday, July 7th at 5:00 – 6:00 PM Eastern

Toll Free Attendee Dial In: 833-614-0820; Access Passcode: 3048844

Audio Webcast link: https://protect2.fireeye.com/url?k=02dc2a5e-5e89238e-02dc1b61-0cc47a6a52de-66dc7b164335f371&u=https://protect2.fireeye.com/url?k=7eb7cdfa-22e2c4e9-7eb7fcc5-0cc47adb5650-2643cbef8b8e7617&u=https://protect2.fireeye.com/url?k=80796fa5-dc2c66b6-80795e9a-0cc47adb5650-a4afd45c4f2c47d5&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2279

 

Additional Office Hours:

Tuesday, July 14th at 5:00 – 6:00 PM Eastern

Toll Free Attendee Dial In: 833-614-0820; Access Passcode: 2550919

Audio Webcast link: https://protect2.fireeye.com/url?k=189cb594-44c9bc44-189c84ab-0cc47a6a52de-313121b03f1f8264&u=https://protect2.fireeye.com/url?k=25b392d7-79e69bc4-25b3a3e8-0cc47adb5650-267b6e5791896bfe&u=https://protect2.fireeye.com/url?k=93dafa05-cf8ee379-93dacb3a-0cc47adc5fa2-f063f3b0b409199d&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2284

 

Tuesday, July 21st at 5:00 – 6:00 PM Eastern

Toll Free Attendee Dial In: 833-614-0820; Access Passcode: 7477995

Audio Webcast link: https://protect2.fireeye.com/url?k=40dc1749-1c891e99-40dc2676-0cc47a6a52de-7e8c8b6a6371f414&u=https://protect2.fireeye.com/url?k=34f2e0f1-68a7e9e2-34f2d1ce-0cc47adb5650-82610d09bbee45c5&u=https://protect2.fireeye.com/url?k=dadd7914-86896068-dadd482b-0cc47adc5fa2-cc1fccd04b4fd82b&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2289

 

Tuesday, July 28th at 5:00 – 6:00 PM Eastern

Toll Free Attendee Dial In: 833-614-0820; Access Passcode: 1492795

Audio Webcast link: https://protect2.fireeye.com/url?k=c940325c-95153b8c-c9400363-0cc47a6a52de-870d77ddd8db396a&u=https://protect2.fireeye.com/url?k=f7787e6e-ab2d777d-f7784f51-0cc47adb5650-007a99cdac1a0742&u=https://protect2.fireeye.com/url?k=c408e7b1-985cce9a-c408d68e-0cc47a6d17cc-d6428ab37156e652&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2297

 

Weekly COVID-19 Care Site-Specific Calls

CMS hosts weekly calls for certain types of organizations to provide targeted updates on the agency’s latest COVID-19 guidance. One to two leaders in the field also share best practices with their peers. There is an opportunity to ask questions of presenters if time allows.

 

Home Health and Hospice (twice a month on Tuesday at 3:00 PM Eastern)

Tuesday, July 7th at 3:00 – 3:30 PM Eastern

Toll Free Attendee Dial-In: 833-614-0820; Access Passcode: 9480618

Audio Webcast Link: https://protect2.fireeye.com/url?k=7bf14b9c-27a4424c-7bf17aa3-0cc47a6a52de-d658f28d70aaee92&u=https://protect2.fireeye.com/url?k=e240abd5-be15a2c6-e2409aea-0cc47adb5650-c101770dfc1d2861&u=https://protect2.fireeye.com/url?k=9e9be372-c2ceeaa2-9e9bd24d-0cc47a6a52de-f0c8f791d3db00d2&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2302

 

Tuesday, July 21st at 3:00 – 3:30 PM Eastern

Toll Free Attendee Dial-In: 833-614-0820; Access Passcode: 6080197

Audio Webcast Link: https://protect2.fireeye.com/url?k=98f6ef2e-c4a3e6fe-98f6de11-0cc47a6a52de-214e5173783ab30c&u=https://protect2.fireeye.com/url?k=20756d9c-7c20648f-20755ca3-0cc47adb5650-f46f2cf8c7f6b9a0&u=https://protect2.fireeye.com/url?k=df50ec0d-8305e51e-df50dd32-0cc47adb5650-2de630be928fb779&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2312

 

Nursing Homes (twice a month on Wednesday at 4:30 PM Eastern)

 

Wednesday, July 8th at 4:30 – 5:00 PM Eastern

Toll Free Attendee Dial-In: 833-614-0820; Access Passcode: 2997138

Audio Webcast Link: https://protect2.fireeye.com/url?k=73c3b924-2f96b0f4-73c3881b-0cc47a6a52de-a292ba3dfd8d4818&u=https://protect2.fireeye.com/url?k=09ace034-55f9e927-09acd10b-0cc47adb5650-2f4c1866374639f9&u=https://protect2.fireeye.com/url?k=24763b39-78221212-24760a06-0cc47a6d17cc-c50990cab1b82984&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2327

 

Wednesday, July 22nd at 4:30 – 5:00 PM Eastern

Toll Free Attendee Dial-In: 833-614-0820; Access Passcode: 1143564

Audio Webcast Link: https://protect2.fireeye.com/url?k=ad8c1065-f1d919b5-ad8c215a-0cc47a6a52de-4ad36099597e4f63&u=https://protect2.fireeye.com/url?k=e58c80a9-b9d989ba-e58cb196-0cc47adb5650-f8e408a11a83469c&u=https://protect2.fireeye.com/url?k=24c25ae7-789673cc-24c26bd8-0cc47a6d17cc-8b19f356735ac629&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2332

 

Dialysis Organizations (twice a month on Wednesday at 5:30 PM Eastern)

 

Wednesday, July 8th at 5:30 – 6:00 PM Eastern

Toll Free Attendee Dial-In: 833-614-0820; Access Passcode: 8481378

Audio Webcast Link: https://protect2.fireeye.com/url?k=8df2bcde-d1a7b50e-8df28de1-0cc47a6a52de-435608be8b6565a2&u=https://protect2.fireeye.com/url?k=54944146-08c14855-54947079-0cc47adb5650-004421ff53d11f60&u=https://protect2.fireeye.com/url?k=bbcd4d81-e79964aa-bbcd7cbe-0cc47a6d17cc-2ef526ca9b6e6aa3&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2307

 

Wednesday, July 22nd at 5:30 – 6:00 PM Eastern

Toll Free Attendee Dial-In: 833-614-0820; Access Passcode: 7692208

Audio Webcast Link: https://protect2.fireeye.com/url?k=7a2ea8bb-267ba16b-7a2e9984-0cc47a6a52de-e74bfba80ac404e4&u=https://protect2.fireeye.com/url?k=5b7fc661-072acf72-5b7ff75e-0cc47adb5650-e50aa91cee0e5775&u=https://protect2.fireeye.com/url?k=8dd709e8-d1831094-8dd738d7-0cc47adc5fa2-a95a30cf29c61d98&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2316

 

Nurses (twice a month on Thursdays at 3:00 PM Eastern)

 

Thursday, July 9th at 3:00 – 3:30 PM Eastern

Toll Free Attendee Dial-In: 833-614-0820; Access Passcode: 9386539

Audio Webcast Link: https://protect2.fireeye.com/url?k=86c2b969-da97b0b9-86c28856-0cc47a6a52de-7626018ce8eac988&u=https://protect2.fireeye.com/url?k=4f0e17dd-135b1ece-4f0e26e2-0cc47adb5650-c1e4bef8e5600396&u=https://protect2.fireeye.com/url?k=71ee84db-2dba9da7-71eeb5e4-0cc47adc5fa2-f9b0e675e63411da&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2336

 

Thursday, July 23rd at 3:00 – 3:30 PM Eastern

Toll Free Attendee Dial-In: 833-614-0820; Access Passcode: 7971869

Audio Webcast Link: https://protect2.fireeye.com/url?k=56ee11b2-0abb1862-56ee208d-0cc47a6a52de-de728a2b0ea6c810&u=https://protect2.fireeye.com/url?k=269c80e0-7ac989f3-269cb1df-0cc47adb5650-2100b67620ee34ea&u=https://protect2.fireeye.com/url?k=69050b19-35512232-69053a26-0cc47a6d17cc-d054f6ea80376c59&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2341

 

Lessons from the Front Lines: COVID-19 (twice a month on Fridays at 12:30 – 2:00 PM Eastern)

Lessons from the Front Lines calls are a joint effort between CMS Administrator Seema Verma, FDA Commissioner Stephen Hahn, MD, and the White House Coronavirus Task Force. Physicians and other clinicians are invited to share their experience, ideas, strategies, and insights with one another related to their COVID-19 response. There is an opportunity to ask questions of presenters.

 

Next Lessons from the Front Lines:

Friday, July 17th at 12:30 – 2:00 PM Eastern

Toll Free Attendee Dial-In: 833-614-0820; Access Code: 3096434

Web Link: https://protect2.fireeye.com/url?k=8b130998-d7460048-8b1338a7-0cc47a6a52de-6c6f75d47b9c3b3f&u=https://protect2.fireeye.com/url?k=0eb6f089-52e3f99a-0eb6c1b6-0cc47adb5650-a98cd57927ac71ee&u=https://protect2.fireeye.com/url?k=e90f977f-b55a9eaf-e90fa640-0cc47a6a52de-94729173f725755c&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=2322

 

To keep up with the important work the White House Task Force is doing in response to COVID-19 click here: https://protect2.fireeye.com/url?k=50c582c2-0c908b12-50c5b3fd-0cc47a6a52de-d2b3787f2fc1a6db&u=https://protect2.fireeye.com/url?k=1c9266c7-40c76fd4-1c9257f8-0cc47adb5650-f1f55d7f990cafab&u=https://protect2.fireeye.com/url?k=36fa2226-6aae0b0d-36fa1319-0cc47a6d17cc-2d06c219f858d641&u=http://www.coronavirus.gov/.

For information specific to CMS, please visit the Current Emergencies Website.

HHS Releases Millions for RHCs Left Out of Initial Provider Relief Fund Distribution

On June 25, 2020, the Department of Health and Human Services released more than $50 Million dollars in Relief Fund payments to Rural Health Clinics (RHCs) that were left out of the original May 1 RHC distribution. This money is in addition to the more than $500 Million distributed to all other RHCs in early May.

“We are pleased that our advocacy efforts on behalf of these RHCs has paid off,” said Bill Finerfrock, Executive Director of the National Association of Rural Health Clinics.

On April 22nd, the Secretary Alex Azar announced that the Department of Health and Human Services was reserving $10 Billion of the $100 Billion authorized by Congress for Provider Relief Payments, for Rural Health Clinics and Rural Hospitals. True to their word, a few weeks later, thousands of RHCs received money from the COVID-19 Provider Relief Fund.

It quickly became apparent that due to unknown problems with the way CMS maintained the official list of RHCs and the formula used by HHS to determine RHC eligibility for payments, many RHCs that should have been eligible did not receive any money from this fund. Immediately upon learning of this oversight, NARHC reached out to HHS Leadership to make them aware of the problem and express our desire that HHS correct this oversight.

For the past 6 weeks, NARHC has been working with HHS leadership and senior staff at the Federal Office of Rural Health Policy to identify the RHCs that were left out of the original distribution and secure the funds necessary to make Provider Relief Payments to these RHCs.

Each RHC in this 500+ group received, on average, slightly more than $103,000. Payments were distributed to RHCs that have an electronic banking relationship with CMS. RHCs that do not have an electronic banking relationship with HHS should be receiving a check in the mail within 7 – 10 days (depending on mail service). RHCs owned by hospitals in “urban” areas should check with their parent hospital entity to verify that this payment was received.

NARHC would like to thank the leadership at HHS and in particular, the staff at the Federal Office of Rural Health Policy (FORHP), who worked diligently with NARHC to identify those RHCs that were overlooked.

New Brief: Identifying Vulnerable Rural Populations During COVID-19: The CDC’s Social Vulnerability Index

The National Organization of State Offices of Rural Health (NOSORH) has released a new Issue Brief:  Identifying Vulnerable Rural Populations During COVID-19: The CDC’s Social Vulnerability Index

Social vulnerability refers to a community’s capacity to prepare for and respond to the stress of hazardous events — including natural disasters and pandemics. The Centers for Disease Control and Prevention (CDC) has created a multifactor Social Vulnerability Index (SVI) which can be used to identify vulnerable rural populations at greatest risk of impact by hazardous events. The SVI is calculated at two levels — one set of variables for all US counties and a second set for all US census tracts — and updated bi-annually.

The SVI can be useful in planning efforts to prevent and respond to COVID-19 infections in local communities. The NOSORH COVID-19 Data Tool includes the latest SVI data displayed in a visual format. Overlaying the SVI data layers with other available layers aids in the identification of high need areas, assisting in delivery of resources where they are most needed.

National Practitioner Data Bank (NPDB) Extends Query Fee Waiver

The National Practitioner Data Bank (NPDB) is extending the query fee waiver for one-time queries, continuous queries, and continuous query renewals retroactive from June 1 through September 30. The NPDB previously offered the waiver through May 31. The waiver supports efforts to mobilize and deploy health professionals during the COVID-19 pandemic by reducing costs and expediting credentialing, hiring, privileging, and licensing processes.

For updated information about the waiver, visit the Coronavirus (COVID-19) Information page on the NPDB website.

For technical assistance, contact the NPDB Customer Service Center.

Medicaid/CHIP Provider Relief Fund Payment Forms and Guidance Announced

HHS, through the Provider Relief Fund, expects to distribute $15 billion to eligible Medicaid and CHIP providers.

Providers must submit their data by July 20.

Before applying through the Enhanced Provider Relief Fund Payment Portal applicants can watch a webinar about the application process for Medicaid/CHIP providers (registration required).

An additional webinar is scheduled for Wednesday, July 8 at 4:00 pm EDT. Register today.