- CMS: Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model
- Public Inspection: CMS: Medicare Program: Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction Model
- CMS: Secretarial Comments on the CBE's (Battelle Memorial Institute) 2024 Activities: Report to Congress and the Secretary of the Department of Health and Human Services
- HHS: Patient Protection and Affordable Care Act: Marketplace Integrity and Affordability
- HRSA Announces Action to Lower Out-of-Pocket Costs for Life-Saving Medications at Health Centers Nationwide
- Public Inspection: HHS: Patient Protection and Affordable Care Act: Marketplace Integrity and Affordability
- Increased Risk of Cyber Threats Against Healthcare and Public Health Sector
- Eight Hospitals Selected for First Cohort of Rural Hospital Stabilization Program
- Announcing the 2030 Census Disclosure Avoidance Research Program
- CMS: Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2026 Rates; Requirements for Quality Programs; and Other Policy Changes; Correction
- CMS: Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2026 Rates; Requirements for Quality Programs; and Other Policy Changes; Correction
- CMS: Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly; Correction
- CMS: Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly; Correction
- 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
Free Mental Health Resources Available in Spanish
The National Institute of Mental Health (NIMH) offers basic information on mental health disorders and related topics for patients, their families, healthcare professionals and the public. Higher quantities of materials are available for free now and can be ordered here. Be sure to do this as soon as possible if you are interested as we do not know the number of supplies that are being offered.
Addressing Mental Health and Psychosocial Support with the COVID-19
A new resource developed by the Inter-Agency Standing Group for Mental Health and Psychosocial Supports in Emergency Situations helps in providing guidance to individuals struggling with their mental health during the COVID-19 outbreak. Addressing Mental Health and Psychosocial Support with the COVID-19 focuses on topics such as: older adults coping with stress, supporting people working with the COVID-19 directly, activities for adults and children who are being quarantined and much more.
Assessing the Effectiveness of CHWs
Over the years, there have been many studies on the effectiveness of the community health worker (CHW) in improving health outcomes. The Association of State and Territorial Health Officials and the National Association of Community Health Workers recently published a summary of the research from the past 50 years. It focused on assessing effectiveness in improving health outcomes, reducing healthcare costs and bridging the gap in health disparities.
New Federal Data Rules Aim to Give Patients Control of Their Health Records
The Department of Health and Human Services (HHS) released groundbreaking rules that will let patients download their electronic health records and other health care data onto their smartphones. “Patients should have control of their records, period. Now that’s becoming a reality,” said Health and Human Services Secretary Alex Azar. “These rules are the start of a new chapter in how patients experience American health care.” Officials said the rules likely will give patients a greater say in health care decisions and put an end to a long-standing practice in which some doctors and hospitals resist handing complete medical files over to patients upon demand.
The ONC final rule:
- Establishes new rules to prevent “information blocking” practices (e.g., anti-competitive behaviors) by healthcare providers, developers of certified health IT, health information exchanges and health information networks.
- Requires electronic health records to provide standardized, core data elements through the U.S. Core Data for Interoperability (USCDI) such as clinical notes, allergies and medications, to help improve the flow of electronic health information and ensure that the information can be effectively understood when it is received.
- Establishes secure, standards-based application programming interface (API) requirements to support a patient’s access and control of their electronic health information.
The CMS Interoperability and Patient Access final rule:
- Requires health plans in Medicare Advantage, Medicaid, CHIP and through the federal Exchanges to share claims data electronically with patients effective Jan. 1, 2021.
- Requires that patients must be able to access their medical records on a smartphone at no cost and share those records as they choose.
- Requires insurers to advise patients of their network of health providers through an app effective Jan. 1, 2021.
- Establishes a new Condition of Participation (CoP) for all Medicare and Medicaid participating hospitals, requiring them to send electronic notifications to another healthcare facility or community provider or practitioner when a patient is admitted, discharged or transferred.
- Requires states to send enrollee data daily beginning April 1, 2022 for beneficiaries enrolled in both Medicare and Medicaid, improving the coordination of care for this population.
Many of the provisions are set to take effect in 2022. While some are applauding the new rules, others have raised concerns about privacy as technology companies, such as Google, Microsoft, Apple and Amazon, open up new markets for providing medical records through mobile apps.
IRRC to Consider New Regulation for Child Abuse Reporting for Dentists
On Thursday, March 19 the Independent Regulatory Review Committee (IRRC) will consider a final regulation, as required by the Child Protective Services Law, to implement the mandatory reporting requirements for practitioners regulated by the State Board of Dentistry. As “mandated reporters,” board regulated practitioners will be required to complete mandatory training in child abuse recognition and reporting.
Public Charge Rule FAQs Updated
The National Health Center Immigration Workgroup has updated its FAQs on the Public Charge rule effective March 1. The updated FAQs now include information about the rule’s Feb. 24, 2020 effective date and the factors beyond the use of public benefits that immigration officers will consider when deciding whether or not to approve an application for a Green Card. These resources and more are available on NACHC’s Caring for Immigrant Patients webpage.
New Toolkit: Social Determinants of Health In Rural Communities.
This toolkit from the Rural Health Information Hub was produced in collaboration with the NORC Walsh Center for Rural Health Analysis. It compiles evidence-based and promising models to help rural communities implement programs that address social determinants of health.
Rural Response to Coronavirus Disease 2019
The Rural Health Information Hub has created a guide to help you learn about activities underway to address COVID-19. Check it out here.
DEA Telehealth Guidance Released
The Drug Enforcement Administration (DEA) issued new guidance to allow DEA-registered telehealth practitioners to issue prescriptions for controlled substances to patients for whom they have not conducted an in-person medical evaluation, for the duration of the public health emergency. All of the following conditions must be met: (1) The prescription is issued for a legitimate medical purpose by a practitioner acting in the usual course of his/her professional practice (2) The telemedicine communication is conducted using an audio-visual, real-time, two-way interactive communication system and (3) The practitioner is acting in accordance with applicable Federal and State law.
Pennsylvania Releases Resources for Those in Substance Use Recovery
The Pennsylvania Department of Human Services (DHS) has provided the following information for supporting vulnerable friends and families in substance use recovery:
- PA Department of Drug & Alcohol Facebook page with support links for Get Help Now Hotline, Family, online/virtual recovery supports, and more: https://www.facebook.com/PennsylvaniaDDAP/
- SAMHSA links to information on telemedicine; tips for social distancing/quarantine/isolation; guidance for opioid treatment programs; disaster planning & crisis care…https://www.samhsa.gov/
- Pro-A developed a list of online recovery supports, including AA, NA, Refuge Recovery, SMART Recovery, and many more. http://pro-a.org/wp-content/uploads/2020/03/PROA-Online-Support-Resource-list-31720.pdf
- Recovery support organizations who may offer online/virtual recovery support information:
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- Faces & Voices of Recovery (national resource): https://facesandvoicesofrecovery.org/about/who-we-are/
- PRO.A: http://pro-a.org/
- for SE Pennsylvania, PRO-ACT
- for Western PA, Message Carriers
- In central PA, RASE Project