- 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
Just the “FAQs”: Your Risk Management Questions, Answered
Join ECRI on March 1 or 2 for a FREE live webinar from the Clinical Risk Management Program on behalf of HRSA. ECRI staff will address health centers’ most frequently asked questions (FAQs) on how to get started on developing a risk management training plan, how to choose topics for training, how to manage procedural aspects of risk management and other specialty training, and more. Relevant resources will be provided, and strategies for getting started on challenging projects will be shared. Click on the desired date and time below to register.
2022 Recommended Immunization Schedules Now Online
The 2022 ACIP Recommended Immunization Schedules were recently released. In collaboration with their healthcare partners, the Centers for Disease Control and Prevention (CDC) has updated versions of the recommended U.S. immunization schedules for children and teens as well as for adults. Several additional formats of the schedules, including parent-friendly versions, are available on the newly redesigned and improved CDC Immunization Schedules website.
Sickle Cell Disease Community-Based Services and Support
Sickle Cell Disease (SCD) Community-Based Services and Support (CBSS) funds two community-based organizations to provide CBSS to individuals and their families living with SCD: CareStar, Inc. and the Children’s Sickle Cell Foundation. The CBSS Program is designed to increase communication between individuals with SCD, their family and community supports and health care systems to improve collaboration as a unified team to improve health outcomes for the SCD community. View the CareStar, Inc. flyer and the Children’s Sickle Cell Foundation Flyer for more information.
Let’s Talk Webinar
Join the PA Immunization Coalition, the PA Chapter of the American Academy of Pediatrics (PAAAP), and the American Cancer Society the week of HPV Awareness Day for a CME webinar focused on improving HPV vaccine rates. Register for the March 2, 1:00 -2:00 pm webinar to hear Dr. Danielle Casher, MD, MSHQ and cancer survivor Megan Lesar cover:
- Current HPV data in PA and across the country
- Safety of receiving an HPV vaccine and importance of preventing HPV-related cancer
Strategies to improve and encourage uptake as a provider communicating with patients
Cybersecurity Risk Raises
Cybersecurity is always a concern, but that concern is now elevated. The Federal government has issued alerts about the increased potential for cyberattacks as tensions escalate between Russia and Ukraine. Experts agree that healthcare providers are a prime target for such attacks, as the on-going strains caused by the pandemic make them particularly vulnerable. Federal officials pointed specifically to concerns about spear-phishing email. Given these concerns, health centers are advised to “adopt a heightened posture when it comes to cybersecurity and protecting their most critical assets.”
National Health Service Corps Members & Alumni Invited to Join Pipeline Initiative
The Association of Clinicians for the Underserved is recruiting National Health Service Corps (NHSC) members and alumni interested in advising or mentoring in the NHSC Pipeline Readiness Technical Assistance Initiative. This program will help prepare NHSC pipeline participants to serve communities with longstanding health needs, building their resiliency and capacity to address root causes of health inequities. Sign up to join a committee, help with trainings, or mentor participants or contact ACU with questions.
UPMC and Harrisburg University to Open Nursing School
The Harrisburg branch of the UPMC Shadyside School of Nursing is partnering with Harrisburg University of Science and Technology to open a branch this fall in downtown Harrisburg. The branch will offer an accelerated 16-month program to train registered nurses. Students will take non-nursing courses at Harrisburg U, take nursing courses from UPMC faculty, and do clinical rotations at UPMC Harrisburg and other UPMC facilities in the region. The program, which is open to the public, is expected to start with 200 students. Find more information here.
Centers of Excellence Changes and Impact on Federally Qualified Health Centers
Ten Pennsylvania FQHCs are substance use disorder Centers of Excellence (COE). Recent changes to the program have raised some questions, including the question PACHC posed to Department of Human Services (DHS) on whether, under the state plan amendment DHS is submitting to CMS, case managers will be considered as eligible FQHC providers. We want to ensure that, due to the uniqueness of FQHCs and FQHC billing methodology, our health centers are being compensated fairly for the services they are providing to patients.
Per DHS: In short, the answer is that, because the FQHC-COEs bill for the G9012 procedure code under the 13-digit MPI associated with their 232 Opioid Center of Excellence provider specialty enrollment, rather than their MPI associated with the FQHC enrollment, and they are paid the $277.22 PMPM rather than their PPS for G9012 code services, case managers may perform the G9012 service that is billed under the 232 provider number, regardless of whether those case managers are considered eligible FQHC providers for PPS purposes.
You either bill as an FQHC or a COE, which are two different entities. For enrollment purposes, the provider specialty codes are different, and you are not “an FQHC that is also a COE.” If acting and billing as an FQHC, then the eligible practitioner SPA page and Appendix E handbook/PPS rules apply. If acting and billing as a COE, then the case manager policies and G9012 payment methodology apply.
PACHC is hosting a call on March 2 for FQHC-COEs to meet with DHS on the changes to COE payment methodology and have the opportunity to ask any additional questions. Please contact Amy Williams, PACHC’s Program Specialist for Behavioral Health and Substance Use Disorder, with questions.
Registration Open for NACHC Financial Operations Training
NACHC’s training workshop, Financial Operations Management 2 (FOM2), is an intermediate-level workshop that provides insight and understanding of the core qualities needed to approach the business aspects of financial operations, management, and service delivery. This is an intermediate-level seminar approved for up to 11.4 CPE credits. The FOM2 training agenda is packed with the essential financial management tools and techniques to help empower health center CFOs, CEOs, COOs and managers to maximize financial performance, engage in contract negotiations and leverage technology for better decision-making. Learn more and register for this May 25-26 virtual training. Early bird registration ends May 11, 2022.
HRSA Makes Changes to Health Center COVID-19 Survey
Beginning with the Health Center COVID-19 Survey issued on Feb. 24, HRSA will add new options for questions 7b and 8b. These questions ask where health centers distributed N95 masks and test kits received through HRSA’s COVID-19 Response Programs. Here are the new options:
- Provided to migratory/seasonal agricultural workers directly or through partnerships with community organizations serving these individuals
- Provided to individuals with limited English proficiency directly or through partnerships with community organizations serving these individuals
- Provided to older adults and/or individuals with disabilities directly or through partnerships with community organizations serving these individuals
- Provided to school-age children and/or their families directly or through partnerships with schools
Provided to individuals living in HUD-assisted housing and/or individuals experiencing homelessness directly or through partnerships with local housing authorities