Rural Health Information Hub Latest News

Medicaid Telehealth Guidance

As a companion piece to the earlier released Medicare Telehealth Guidance, the Centers for Medicare and Medicaid services today released Medicaid Telehealth Guidance to states. You can find a copy of the guidance here:  https://www.medicaid.gov/medicaid/benefits/downloads/medicaid-telehealth-services.pdf

Additionally, you can find the homepage for general Medicaid Telehealth Guidance here:   https://www.medicaid.gov/medicaid/benefits/telemedicine/index.html

President Trump Expands Telehealth Benefits for Medicare Beneficiaries During COVID-19 Outbreak

On March 17, the Trump Administration announced expanded Medicare telehealth coverage that will enable beneficiaries to receive a wider range of health care services from their doctors without having to travel to a health care facility. Beginning on March 6, 2020, Medicare—administered by CMS—will temporarily pay clinicians to provide telehealth services for beneficiaries residing across the entire country.

For More Information:

This guidance, and earlier CMS actions in response to the COVID-19 virus, are part of the ongoing White House Task Force efforts. To keep up with the important work the Task Force is doing in response to COVID-19, visit the coronavirus.gov webpage.

For information specific to CMS, visit the Current Emergencies website.

Report on CAH Hospital Compare Measures Released

The national Flex Monitoring Team (FMT) has released reports of Critical Access Hospital (CAH) performance and reporting rates on selected Hospital Compare measures, using data from 2018.

The Hospital Compare data in this report include several measures that are also measures for the Medicare Beneficiary Quality Improvement Project (MBQIP). Although the majority of CAHs report data on these measures to both Hospital Compare and MBQIP, the data in this report may differ from MBQIP reports because some CAHs only report data to one of these programs.

The national report may accessed here and state reports may be accessed via the links below. All FMT publications can also be found on the Flex website.

Concerns Expressed with NTP’s 2019 Monograph

In September 2019, the National Toxicology Program (NTP) released a draft monograph concluding that “fluoride is presumed to be a cognitive neurodevelopmental hazard to humans.” Before finalizing its monograph, NTP asked a committee of the National Academies of Sciences, Engineering and Medicine to review its conclusion and decide whether it is supported by the scientific evidence. In a new report, the Committee finds that NTP’s monograph failed to provide adequate support for its conclusion. The American Fluoridation Society (AFS) released a document reviewing the main points of the Committee’s report.

Click here to read the AFS summary.

HRSA Retains Dental Sealant Measure for 2020

The draft dental sealant measure, CMS277, captures the percentage of children age 6-9 years, at moderate to high risk for caries who received a sealant on a first permanent molar during the measurement period. The dental sealant measure will be retained for 2020. Based on feedback received during the public comment period, HRSA will not move forward with adding the fluoride varnish measure (CMS74) for 2020.

Expanded Telehealth Benefits for Medicare Beneficiaries During COVID-19 Outbreak

On March 17, 2020, the Trump Administration today announced expanded Medicare telehealth coverage that will enable beneficiaries to receive a wider range of healthcare services from their doctors without having to travel to a healthcare facility. Beginning on March 6, 2020, Medicare—administered by the Centers for Medicare & Medicaid Services (CMS)—will temporarily pay clinicians to provide telehealth services for beneficiaries residing across the entire country.

To read the Fact Sheet on this announcement visithttps://www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-sheet

To read the Frequently Asked Questions on this announcement visit: https://www.cms.gov/files/document/medicare-telehealth-frequently-asked-questions-faqs-31720.pdf

This guidance, and earlier CMS actions in response to the COVID-19 virus, are part of the ongoing White House Task Force efforts. To keep up with the important work the Task Force is doing in response to COVID-19 click here www.coronavirus.gov. For information specific to CMS, please visit the Current Emergencies Website.

Message from PA Oral Health Coalition about COVID-19

The PA Coalition for Oral Health (PCOH) has releaesd a statement on oral health services during the COVID-19 pandemic:

“As Pennsylvania has been justifiably proactive in addressing the COVID-19 pandemic and its impacts, the PA Coalition for Oral Health supports the state issuing directives to the dental community immediately to initiate ’emergency treatment only’ policies. Stopping the spread of this virus and protecting the health and safety of patients, their family members, and dental professionals is our first priority.”

Click here to read the full message.

CDC Update for Rural Communities on the COVID-19 Disease Response

The Centers for Disease Control and Prevention (CDC) has put together a special program for RURAL providers and stakeholders for an update on the COVID-19 response. Registration is required by linking here.

Date: Monday, March 23, 2020
Time: 1:00 p.m. ET
Presenter: Dr. Jay Butler (Deputy Director for Infectious Diseases)

Dr. Butler will share guidance with partners, public health practitioners, healthcare providers, and others working to protect the health of rural communities. He will describe what CDC knows at this point and what CDC is doing in response to this outbreak. We will also have time for questions and answers.

Please email eocevent337@cdc.gov to submit questions in advance and indicate that questions are for the 3/23 call.

This event will be recorded. Questions not answered during it may be sent to ruralhealth@cdc.gov

REGISTER HERE:
zoom.us/webinar/register/WN_etqFB-z0Tjyp-_WGI8jfzw

Need Help with Health Insurance or Benefits in the Midst of the Crisis? PHAN Can Help!

Need help with health insurance or benefits in the midst of the crisis?

Call PHAN’s Helpline at 877-570-3642

The response to COVID-19 is changing rapidly. Many counties in our state are requiring tele-working, closing childcare centers, and more. All K-12 schools are closed, and Governor Wolf recently ordered the closing of all non-essential businesses for the next two weeks.

This means that many Pennsylvania residents will start to worry about things like health insurance, paychecks, utilities, housing, bills, and other things that could affect our families’ health and financial well-being.  That’s why PHAN is offering their helpline to make sure folks get connected with appropriate programs:

Call PHAN’S Helpline at 877-570-3642 with questions!

National Rural Health Association Announces Resources

The National Rural Health Association (NRHA) is here to be responsive to the needs of their members during the COVID-19 pandemic. Their commitment is to provide their members with the latest information and resources available to help them provide care for the patients of rural America. Additionally, NRHA’s advocacy team continues to fight to make sure that members have the resources and abilities needed to control and manage this pandemic. NRHA will continue to:

  1. Provide access to the latest COVID-19 federal information fact sheets, and resources. They have launched a COVID 19 Resource page linked here;
  2. Continue their advocacy fight with the Administration and Congress to ensure rural providers have the resources needed to both provide patient care and protect their workforce. Here is what NRHA is fighting for (also attached via Connect);
  3. Provide an open-forum on NRHA Connect to allow real-time discussions of best practices, open concerns and shared information; and
  4. Be the rural voice. NRHA continues to work with federal leadership, as well as national, state and local media to outline the needs of their members, in this unprecedented time.

NRHA’s online Grassroots Forum has generated quite a bit of feedback on issues relevant theiro you, our members. In summary, the thread included these topics:

  • Section 1135 waiver process
  • Waiver of the 72-hour rule (does it apply to Swing Beds?)
  • Rural Health Clinics (RHC) as an originating site for virtual E&M visits and billing for same?
  • Emergency licensure of physicians and other health care professionals to meet workforce needs for a growing demand for services
  • Personal Protective Equipment (PPE) availability, stock outs of essential supplies