Rural Health Information Hub Latest News

CMS Releases Additional FAQs on Provider Relief Funds and PPP Payments

The Centers for Medicare & Medicaid Services (CMS) released an additional list of Frequently Asked Questions (FAQs) to Medicare providers regarding the Department of Health & Human Services’ (HHS) Provider Relief Fund and the Small Business Administration’s Paycheck Protection Program payments, also referred to as the coronavirus disease 2019 (COVID-19) relief payments. The FAQs provide guidance to providers on how to report provider relief fund payments, uninsured charges reimbursed through the Uninsured Program administered by Health Resources and Services Administration, and Small Business Administration (SBA) Loan Forgiveness amounts. The FAQs also address that provider relief funds should not offset expenses on the Medicare Cost Report.

The FAQs discussed above can be found on page 99 of the document.

On August 25, 2020, the Centers for Medicare & Medicaid Services (CMS) announced sweeping regulatory changes that require nursing homes to test staff and offer testing to residents for coronavirus disease 2019 (COVID-19). Laboratories and nursing homes using point-of-care testing devices will be required to report diagnostic test results as required by the Coronavirus Aid, Relief, and Economic Security Act (CARES Act). The new rules also require hospitals, including Critical Access Hospitals, to provide COVID-19 cases and related data to the U.S. Department of Health and Human Services (HHS).

Read the full announcement here.

Prognosis for Rural Hospitals Worsens With Pandemic

Rural hospitals were already struggling before the coronavirus emerged. Now, the loss of revenue from patients who are afraid to come to the emergency room, postponing doctor’s appointments and delaying elective surgeries is adding to the pressure.

Read the full article here.

(Sarah Jane Tribble, 8/26)

Deadline for Phase 2 General Distribution Funding Extended

UPDATE: The deadline to apply for Phase 2 General Distribution Funding has been extended to September 13, 2020.

On July 20, 2020, HHS issued a public notice about forthcoming reporting requirements for certain providers that accepted one or more payments exceeding $10,000 in the aggregate funding from the Provider Relief Fund program. The reporting notice initially advised recipients that additional details regarding data elements would be provided by August 17, 2020. HRSA is continuing to refine its data elements and will provide those additional details at a date later than August 17, 2020. Providers will still be given the detailed PRF reporting instructions and a data collection template with the necessary data elements they will be asked to submit well in advance of the reporting system being made available – which is currently targeted for October 1, 2020. Providers should continue to check this website for the latest updates.

Trump Administration Launches National Training Program to Strengthen Nursing Home Infection Control Practices

New training provides education on critical safety measures to keep residents safe

The Centers for Medicare & Medicaid Services (CMS) is implementing a national nursing home training program for frontline nursing home staff and nursing home management. The training is designed to equip both frontline caregivers and their management with the knowledge they need to stop the spread of coronavirus disease 2019 (COVID-19) in their nursing homes. The training announced today will be available immediately to staff of America’s 15,400 Medicare and Medicaid certified nursing homes and focuses on critical topics like infection control and prevention, appropriate screening of visitors, effective cohorting of residents, safe admission and transfer of residents, and the proper use of personal protective equipment (PPE) – all critical elements of stopping the spread of COVID-19.  President Trump first announced the training in late July as part of the Trump Administration’s commitment to the safety of American seniors living in nursing homes.

Full press release

Health Care Survey for People with Disabilities in Rural Pennsylvania

If you are a person with a disability, or a family member/caregiver of someone with a disability, please take 15 minutes and tell the Pennsylvania Health Access Network (PHAN) about your experience with the healthcare system. Your answers will help shed light on how the healthcare system is working or not working for people with disabilities in rural areas and how healthcare has changed during the COVID-19 pandemic. Individuals with a disability and their family members/caregivers living in rural areas of Pennsylvania who complete this survey and participate in a follow up phone interview may be eligible to receive a stipend in the form of a $50 gift card.

Click here to take the survey.

USPHS Chief Dental Officer Newsletter & Healthy People 2030

The 51st issue of the United States Public Health Service (USPHS) Chief Dental Officer Newsletter features an article about the launch of Healthy People 2030. There is information and links to all of the Healthy People 2030 objectives related to oral health. The newsletter also includes COVID-related news bites, non-COVID news, a list of upcoming events, and information about Immunization Awareness Month.

Click here to read the issue.

Reminder! 2020 Assister Certification Training on the Marketplace Learning Management System (MLMS) “Go-Dark”

As CMS prepares to release the 2021 Assister Certification Training, the 2020 Assister Certification Training that is hosted on the Marketplace Learning Management System (MLMS), will be taken offline at 6:00 p.m. (ET) on Friday, August 28, 2020.  During this “go-dark” period, assisters will not be able to access the certification training.  We anticipate that the 2021 Assister Certification Training will be available later this summer.

Assisters who need to take the current training before the 2021 training is available should complete the 2020 Assister Certification training prior to its removal on Friday, August 28th.

Please note: this is training for assisters in the Federally-facilitated Marketplace, and assisters in State-based Marketplace  or State-based Marketplace using the Federal platform should follow their state’s training and certification requirements.

With No Congressional Solution in Sight, Pennsylvania Applies for Federal Lost Wages Assistance Funds

Pennsylvania Governor Tom Wolf directed the Department of Labor & Industry (L&I) to submit an application today for President Trump’s temporary Lost Wages Assistance grant funds to provide an additional $300 per week in supplemental payments to some Pennsylvanians receiving unemployment benefits.

“By failing to put out of work Americans first and extending the extra $600 per week federal benefit that ended in July, Congressional Republicans are forcing our hand to apply for these funds,” said Governor Wolf. “The president’s convoluted, short-term program, which will likely only provide payments for five or six weeks, will pay those who are eligible only half as much as before and will make 30,000 Pennsylvanians ineligible to continue receiving an additional weekly benefit.

“There is still time for Congressional Republicans to pass a good and practical solution that simply extends the extra weekly benefit, and I urge them to act now. As I have said before and will continue to say, the extra $600 per week was the lifeline Pennsylvania families needed to get by. They deserve better.”

Last week, the Governor sent a letter to Pennsylvania’s congressional delegation reaffirming his support for an extension of the Federal Pandemic Unemployment Compensation (FPUC) program. With Senate Republicans failing to pass a bill continuing FPUC, President Trump on August 8 authorized the Lost Wages Assistance plan.

The president’s plan is not a true unemployment insurance program and is, instead, funded by $44 billion from the Federal Emergency Management Agency (FEMA) that is intended for storm disaster relief. Because of this very important distinction, payments to eligible workers will be delayed while states, including Pennsylvania, create a new computer system.

If approved, L&I will use this grant funding to provide an additional $300 per week in assistance payments to people receiving unemployment compensation benefits due to COVID-19-related impacts.

In order to qualify for the extra $300, eligible individuals must receive at least $100 per week in regular Unemployment Compensation (UC); Pandemic Emergency Unemployment Compensation (PEUC); Pandemic Unemployment Assistance (PUA); Extended Benefits (EB); Short-Time Compensation (STC) or Shared Work; and Trade Readjustment Allowance (TRA) and must self-certify that they are unemployed or partially unemployed due to disruptions caused by COVID-19.

Payments will be made to eligible claimants retroactively from August 1, 2020. The payment could end in a matter of weeks if FEMA funding is exhausted or the federal government enacts a new law or extends FPUC to replace the Lost Wages Assistance payment. It will end no later than December 27, 2020.

The FPUC program, funded entirely by the federal government, ended on July 25. The U.S. House of Representatives voted to continue the benefit, but the Senate has yet to approve its extension.