Rural Health Information Hub Latest News

Federal Stimulus Package 4

Congress is not expected back until May but is already discussing a fourth stimulus package to assist healthcare providers and others with the effects of the COVID-19 pandemic. NACHC is asking $73.2 billion for health centers, including $7.6 billion in emergency funding to assist with the impact of COVID-19 and $41.9 billion over five years for Health Center Program Fund reauthorization.

Pennsylvania Health Department Issues Return to Work for Healthcare Personnel Guidance

The Pennsylvania Department of Health (DOH) released PA-HAN-499 with guidance for making decisions about return to work for healthcare personnel with confirmed or suspected COVID-19. This guidance replaces PA-HAN-489. Decisions about return to work should also be made in the context of local circumstances. Options include a test-based strategy or a non-test-based strategy. If healthcare personnel must return to work before meeting criteria, they should ideally perform non-direct care or direct care for persons confirmed to have COVID-19. Click here for all the 2020 health alerts, advisories and updates.

CDC COVID-19 Updates

The Centers for Disease Control and Prevention (CDC) provides daily updates and guidance. New this week is a breakdown of factors that influence racial and ethnic minority group health.  Another page updated daily has demographic characteristics of known cases in the U.S.  A CDC site for rural-specific information will have a recording of yesterday’s Coronavirus update for rural stakeholders and communities, along with an archive of previous calls.  CDC also does regular clinical calls for public health emergencies, called Clinician Outreach and Communication Activity (COCA).

SAMHSA to Release $110 in Emergency Grant Funding

The Substance Abuse and Mental Health Services Administration (SAMHSA) has expedited its process to release emergency grants to strengthen access to treatments for substance use disorders and serious mental illness during the COVID-19 pandemic. SAMHSA has also updated its list of Frequently Asked Questions about provision of methadone and buprenorphine for treatment of opioid use disorder during the emergency.

 

HHS Awards Nearly $165 Million to Combat COVID-19 in Rural Communities

The U.S. Department of Health and Human Services (HHS) through the Health Resources and Services Administration (HRSA) awarded nearly $165 million to combat the COVID-19 pandemic in rural communities. These investments will support 1,779 small rural hospitals and provide additional funding to 14 HRSA-funded Telehealth Resource Centers (TRCs) to provide technical assistance on telehealth to help rural and underserved areas combat COVID-19.

 

 

CMS Issues Recommendations to Re-Open Health Care Systems in Areas with Low Incidence of COVID-19

 On April 19, the Centers for Medicare & Medicaid Services (CMS) issued new recommendations specifically targeted to communities that are in Phase 1 of the Guidelines for Opening Up America Again with low incidence or relatively low and stable incidence of COVID-19 cases. The recommendations update earlier guidance provided by CMS on limiting non-essential surgeries and medical procedures. The new CMS guidelines recommend a gradual transition and encourage health care providers to coordinate with local and state public health officials, and to review the availability of personal protective equipment (PPE) and other supplies, workforce availability, facility readiness, and testing capacity when making the decision to re-start or increase in-person care.

 

Comments Requested: CMS Proposed Rule for Inpatient Rehabilitation Facilities

On April 21, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule for the FY 2021 Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS). The proposed rule includes a 2.9 percent payment increase ($270 million total) which rural areas will experience as an average increase of 3.2 percent. CMS is also proposing to amend the regulations to remove the post-admission physician evaluation requirement and to allow non-physician practitioners to perform certain requirements that currently a rehabilitation physician must perform. The rule also includes a five percent cap on wage index decreases and adopts the most recent Office of Management and Budget statistical area delineations with 34 urban counties becoming rural and 47 rural counties becoming urban.  Comments are due on Juen 15, 2020.