- CMS: Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2026
- CMS: Medicare Program; FY 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements
- Public Inspection: CMS: Medicare Program: Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2026
- Public Inspection: CMS: Medicare Program: Fiscal Year 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements
- CMS: Request for Information; Health Technology Ecosystem
- VA: Staff Sergeant Fox Suicide Prevention Grant Program Funding Opportunity
- State: 60-Day Notice of Proposed Information Collection: J-1 Visa Waiver Recommendation Application
- Public Inspection: CMS: Request for Information: Health Technology Ecosystem
- HHS: Request for Information (RFI): Ensuring Lawful Regulation and Unleashing Innovation To Make American Healthy Again
- VA: Solicitation of Nominations for the Appointment to the Advisory Committee on Tribal and Indian Affairs
- GAO Seeks New Members for Tribal and Indigenous Advisory Council
- VA: Staff Sergeant Fox Suicide Prevention Grant Program Funding Opportunity
- Telehealth Study Recruiting Veterans Now
- USDA Delivers Immediate Relief to Farmers, Ranchers and Rural Communities Impacted by Recent Disasters
- Submit Nominations for Partnership for Quality Measurement (PQM) Committees
USDA Shares Notice of Solicitation for Applications for the Reaching Rural Initiative
On behalf of U.S. Department of Justice, Bureau of Justice Assistance (BJA); the Centers for Disease Control and Prevention (CDC); and the State Justice Institute (SJI), the Institute for Intergovernmental Research (IIR) is excited to share this solicitation for Reaching Rural: Advancing Collaborative Solutions.
This initiative is grounded in the value of “for rural, by rural.” The hallmark of the Reaching Rural initiative is learning from rural practitioners and facilitating engagement across rural communities.
What is the Reaching Rural Initiative?
The Reaching Rural Initiative is a one-year initiative. Over the course of the year, the selected individuals and teams will receive coaching and participate in skill-building workshops as well as virtual and in-person learning experiences.
Participation in the Reaching Rural Initiative includes:
- Travel and per diem costs to participate in an orientation, a field visit to observe the implementation of evidence-informed practices in a rural setting, and a closing session at the end of the 12 months. This is not a grant opportunity.
- Monthly mentorship and guidance aimed toward your local needs.
- Monthly assignments that help you apply core concepts to your local community or region.
- Access to a diverse network of rural peers, innovative rural communities, and technical assistance providers.
- Formal recognition for completing the planning initiative.
- At the conclusion of the planning period, the opportunity to apply for an implementation grant of up to $100,000 for up to 15 months to launch a project planned during the Reaching Rural fellowship.
Is the Rural EMS Training Grant opportunity for You?
We are seeking individual practitioners or cross-sector teams from the same community or region interested in adopting bold solutions and reimagining how diverse organizations and agencies with different missions can engage with one another to address the persistent challenge of substance use and misuse among justice-involved individuals in rural communities.
The Reaching Rural Initiative is designed for rural agency leaders or mid-level professionals working in counties, cities, or tribes as justice, public safety, public health, or behavioral health practitioners. Applicants may apply to participate in the Reaching Rural initiative as an individual practitioner or as a member of a cross-sector team from the same community or region.
The deadline for applying is December 16, 2024, at 5:00 p.m., ET.Click to edit this heading.
Pennsylvania Medicaid Portal Announces Provider URL Change
The Pennsylvania Department of Human Services (DHS) has changed the URL domain name for the PROMISe portal, which is the claims processing, provider enrollment, and user management information system for DHS. All providers must enroll in this portal in order to participate with the Department of Human Services.
Please update this URL in any resources and share this news with current and future participating providers.
Open Enrollment in Pennsylvania’s Marketplace Almost Here
Pennsylvanians can shop for the lowest costs on high-quality health insurance during Open Enrollment which begins November 1 with December 15 being the deadline for coverage beginning New Year’s Day.
How You Can Help:
- Like, follow, & share Pennie’s information on your social media accounts
- Request Pennie materials and review the Open Enrollment Toolkit
- Requesta virtual or in-person Pennie education session or invite Pennie to attend an event in your community
- Request an executive briefing for your colleagues
- Remind Pennsylvanians who need coverage that Pennie offers:
- Financial savings through tax credits to lower your costs
- Plans that cover a full range of medical care including coverage for pre-existing conditions and free preventive services
- Peace of mind and financial security
- Protection from low-quality plans and scams
- Free, expert help is available from Pennie Certified Assisters and Brokers. Find in-person support at com/connect
Help us spread the word!
Biden Administration Proposes Expanded OTC Birth Control Coverage
From Law 360
The U.S. Department of Labor (DOL) and two other agencies unveiled proposed regulations that for the first time would require private health insurers to cover the full cost of over-the-counter contraception, including male condoms and the morning-after pill, without a prescription.
The DOL, the U.S. Department of Health and Human Services, and the Treasury Department jointly unveiled the proposed rules, which would also require insurers to eliminate cost sharing on more FDA-approved prescription birth control and force new disclosures to people enrolled in private health plans to let them know they can get no cost-sharing coverage.
The White House said in a facesheet describing the proposal that if finalized, the policy would expand free birth control coverage for 52 million American women of reproductive age who are covered by private health insurance.
Your Voice Matters! Complete the Pennsylvania Maternal Health Survey
The Commonwealth of Pennsylvania is taking action against the state’s high maternal mortality rate through the development of a statewide Maternal Health Strategic Plan.
In partnership with the office of Pennsylvania Governor Shapiro, the health agencies involved in plan development include the departments of Health, Human Services, Drug and Alcohol Programs, and Insurance.
The vision for Pennsylvania’s Maternal Health Strategic Plan is a Pennsylvania where every pregnant and birthing person has easy access to high-quality perinatal, birth and postpartum care that is person-centered, comprehensive, equitable, and affordable and that results in healthy outcomes and long-term good health and well being.
Your voice matters in decisions that affect maternal health. You are invited to share your voice on the Commonwealth of Pennsylvania’s Maternal Health Strategic Plan survey.
The survey is available through November 4, 2024.
Pennsylvania Health Department Urges Physicians to Accurately Renew Licenses
Important Notice for Physicians Renewing Licenses in Pennsylvania
Help Us Maintain Accurate Provider Data
Your Role in Addressing Workforce Shortages
Why Accurate Data Matter:
Maintaining accurate and current information on providers is essential for effectively analyzing, designing, and designating areas with health care workforce shortages across Pennsylvania. The Pennsylvania Department of Health’s Primary Care Office (PCO) relies on these data to ensure that health care resources are allocated where they are needed most.
How Your Participation Makes a Difference:
- Support Workforce Analysis: Accurate provider data help identify regions with health care provider shortages, ensuring targeted interventions and support.
- Improve Health Care Access: By updating your information, you contribute to a more efficient allocation of health care resources, improving access to care for underserved populations.
- Enhance Statewide Planning: Your data help the PCO and other stakeholders design effective strategies for addressing health care needs in various regions.
How We Collect and Update Provider Information:
The PCO uses several methods to ensure that provider data remains accurate and up to date:
- Self-Reported Survey Responses: When you renew your license, please provide detailed and accurate information about your practice, including address, office hours, specialty, and patient care details. The information from licensure surveys is the most critical of all data sources.
- Annual Medicaid Claims File: We obtain practitioner information from Medicaid claims, which helps verify and update provider data.
- Statewide Organization Input: We receive periodic updates from various organizations, which contribute to our data accuracy.
- Direct Outreach: Occasionally, PCO staff may contact you directly to collect and verify practice-related information.
While the PCO can update existing provider information, we cannot add new providers to the computer system used for shortage designation. Your updates are crucial for maintaining the quality of data used in health care planning.
How You Can Help:
- Respond to Surveys: Provide thorough and accurate responses to surveys at the time of your license renewal.
- Keep Information Current: Go to the Center for Medicare and Medicaid Services website to update your practice details in the National Provider Identifier system regularly to reflect any changes in address and specialty.
- Participate in Outreach Efforts: Engage with PCO staff during direct contact initiatives to verify and update your practice information.
Pennsylvania Department of Health
Primary Care Office
RA-DHSHRTDESIGNATION@pa.gov
Pennsylvania Primary Care Loan Repayment Program – New Request for Applications (RFA) 67-192
Applications are currently being accepted by the Pennsylvania Department of Health in accordance with the the Request for Applications (RFA) # 67-192.
All questions regarding this RFA must be directed by e-mail to RA-DHLOANREPAYMENT@pa.gov, no
later than 12:00 p.m. ET on October 18, 2024. All questions must include the specific section of the RFA about which the potential applicant is requesting clarification. Answers to all questions will be posted here.
Submit one application via the on-line Pennsylvania Primary Care Loan Repayment Program Practitioner
Application found here. Applications must be received no later than 11:59 p.m. ET on November 15, 2024. Applications can be submitted as soon as they are ready for submission; to prevent late submissions, applicants are encouraged to not wait until this closing date and time.
LATE APPLICATIONS WILL NOT BE ACCEPTED REGARDLESS OF THE REASON.
We expect that the evaluation of applications and the selection of Grantees will be completed within eight
weeks of the submission due date.
New Releases from the ADA Health Policy Institute
The American Dental Association (ADA) Health Policy Institute (HPI) released an annual update on trends from the Medical Expenditure Panel Survey and the National Health Interview Survey. This includes trends in dental care utilization, dental insurance coverage, and cost barriers. Data is broken down by population age, race/ethnicity, income level, and insurance type. Among the findings, only 40 percent of working-age adults had a dental visit. They also found that dental care continues to pose the highest cost barriers when compared to other health services such as medical, prescription drugs, and mental health.
Click here to review the trend updates.
HPI also released an update on Medicaid reimbursement for child and adult dental care services by state using data from state Medicaid fee schedules. The data table includes Medicaid fee-for-service reimbursement as a percentage of average dentist charge and as a percentage of average private dental insurance payment rates.
Broadband Authority Provides Updates to Pennsylvania Broadband Map Data
The PBDA would like to remind stakeholders of recent updates to the Pennsylvania Broadband Map, to include posting of BEAD Broadband Serviceable Areas (BSAs). A BSA is a Census Block Group or an aggregation of multiple Census Block Groups, which eligible applicants will use to develop proposed project areas for consideration under BEAD. When opening the map, BSAs are identified on the initial layer. Once you zoom in to a specific area on the map and click on an individual BSA you will find additional information about the selection to include the tentative number of eligible BSLs (Broadband Serviceable Locations), estimated reference cost per BSL, and an estimated cost to build out the entire BSA. Note that these costs are estimated and may differ from applicant’s anticipated costs.
While the eligible BSLs are not yet final for each BSA, this level of detail will help interested BEAD applicants begin to evaluate potential project areas. PBDA is collaborating with NTIA to finalize the list of BSLs, and upon approval by NTIA, the map will be updated with this information and a CSV file of all locations will be available on the PBDA website. The final listing of eligible BSLs will be posted for at least 10 days prior to PBDA beginning to accept applications for the BEAD Program.
Important Updates on Medicaid and CHIP Renewals: Recent CMS Releases, Updated School-Based and Early Education and Care Toolkit, and More
This Centers for Medicare & Medicaid Services (CMS) listserv includes the following Medicaid/Children’s Health Insurance Program (CHIP) renewal information:
- Recent CMS Releases
- Updated Toolkit: Reaching Children and Families in School-Based and Early Education and Care Settings
- Free CMS Printed Product Ordering
RECENT CMS RELEASES
In September 2024, CMS released an informational bulletin to provide updated information on the timing and expectations for all states to achieve compliance with all federal renewal requirements, including states that implemented CMS-approved mitigation strategies and those who have since identified areas of non-compliance with renewal requirements. Compliance plans will detail how states will achieve compliance with all applicable requirements no later than December 31, 2026. To accompany the informational bulletin, CMS also released a compliance template, which the state should use to submit the compliance plan and a slide deck to serve as an additional resource on renewal compliance guidance.
- Informational Bulletin: State Compliance with Medicaid and CHIP Renewal Requirements by December 31, 2026
- Compliance Template: Assessment and Plan for Compliance with All Federal Medicaid and CHIP Renewal Requirements
- Slide Deck: Overview of Medicaid and CHIP Eligibility Renewals
UPDATED TOOLKIT: REACHING CHILDREN AND FAMILIES IN SCHOOL-BASED AND EARLY EDUCATION AND CARE SETTINGS
CMS recently updated the Reaching Children and Families in School-Based and Early Education and Care Settings Toolkit on the Medicaid and CHIP Renewals Outreach and Educational Resources page. This update includes evergreen language that education and early education professionals can use to share information about regular Medicaid and CHIP renewals with parents and families. The toolkit includes ready-to-use resources, such as:
- Letter from School/ECE Leadership to Teachers, Nurses, Counselors, etc.
- Letter from Schools/ECE, Teachers, Nurses, Counselors, etc. to Parents/Students
- Social Media Messages
- “Three Things You Can Do” Checklist
- Robocall Script
- No Reply Text/Group Message/Email
FREE CMS PRINTED PRODUCT ORDERING
Select CMS Medicaid and CHIP renewals materials are available to order for free through the CMS Product Ordering website. To order free printed materials, visit the CMS Product Ordering website. If you do not have an account, you will need to request an account on the login page. Once you log into your account, you can enter the term “Unwinding” in the search bar to view the materials that are available for order.
Materials on enrolling in health coverage through the Health Insurance Marketplace are also available to order for free through the CMS Product Ordering website. Once you log into your account, you can select the tab titled “Marketplace” to view materials related to Marketplace enrollment, Coverage to Care, and more that are available to order.