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Highlighting Health Disparities During American Heart Month and Black History Month

Join the Centers for Medicare & Medicaid Services Office of Minority Health (CMS OMH) this February as it recognizes American Heart Month and Black History Month by helping those affected by heart disease take steps toward better health.

Heart disease is the leading cause of death for people of most racial and ethnic groups in the U.S., including Black Americans (23.5%). This group is also more likely to be susceptible to chronic conditions such as high blood pressure, high cholesterol, and diabetes that increase their risk for heart disease. In addition, among Medicare fee-for-service beneficiaries, Black Americans have a higher prevalence of heart failure when compared to other minority populations.

Highlighting these conditions is of increased priority during the COVID-19 pandemic as heart conditions, including heart failure and coronary artery disease, put adults that are affected by them at increased risk of severe illness from COVID-19.

These observances offer CMS OMH an opportunity to bring awareness about heart disease, its risk factors, and how heart disease disproportionately affects Black communities. CMS offers a variety of resources that can be used to improve access to health care services and health equity within these vulnerable communities as well as eliminate existing health disparities:

Resources

  • Visit cms.gov/omhcovid19 to find Federal resources to assist those who work with the populations most vulnerable to COVID-19. Partners and organizations are also encouraged to download and share From Coverage to Care (C2C) COVID-19 resources to help everyone remain healthy during this public health emergency. Access these resources and shareable graphics at go.cms.gov/c2ccovid19.
  • Review the C2C Roadmap to Better Care and a Healthier You to help patients better understand their health coverage and how to use it to access primary care and preventive services.
  • Download and share C2C Prevention Resources to provide information about the preventive services that are available to adults, teens, children, and infants, with many available at no cost under most health coverage.
  • Visit the C2C 5 Ways to Make the Most of Your Coverage webpage to learn how to help patients prioritize their health and live a long and healthy life.
  • Read CMS OMH’s heart-related data snapshots to learn more about health disparities that exist within the Medicare population: Heart FailureIschemic Heart Disease, and Hypertension.
  • Visit the webpage for the Connected Care campaign, which helps raise awareness of the benefits of chronic care management (CCM) for patients with multiple chronic conditions and provides health care professionals with resources to implement CCM. This program for Medicare beneficiaries helps connect patients to the services they need to manage chronic conditions.
  • Download the CCM Connected Care Toolkit to learn more about how CCM can benefit your patients and practice.
  • Watch and share the “Connecting the Dots” animated video for patients about CCM services for Medicare beneficiaries living with multiple chronic conditions; the video is also available in Spanish.
  • Read CMS OMH’s Building an Organizational Response to Disparities (Executive Summary) to find evidence-based interventions that can contribute to reducing health disparities.

Review A Practical Guide to Implementing the National CLAS Standards: For Racial, Ethnic, and Linguistic Minorities, People with Disabilities and Sexual and Gender Minorities to help enable your organization to implement the national culturally and linguistically appropriate services (CLAS) Standards and improve health equity.

MACPAC Makes Recommendations to Congress on Maternal Health Policies 

The Medicaid and CHIP Payment and Access Commission (MACPAC) made important recommendations to Congress on policies that will have a positive impact on maternal health for all states, and policies that are supported by many advocates in Pennsylvania. The first major recommendation is to guarantee 12-month postpartum health care coverage for pregnant women in Medicaid. Research has shown how critical it is for maternal health to ensure moms have access to health care for at least 12 months after birth. Additionally, MACPAC recommends aligning the extended coverage policy for pregnant women with expanded coverage for pregnant women in the Children’s Health Insurance Program (CHIP) in states. Finally, the Commission recommends that Congress provide a 100% federal matching rate (FMAP) for the extended postpartum coverage in Medicaid.

MACPAC’s recommendations to Congress on these maternal health policies are supported by many advocates across the country, and many states submitted comments to the Commission for its consideration, including Pennsylvania’s prenatal-to-age-three collaborative. Additionally, the Georgetown University Center for Children and Families wrote a blog about the recommendations.

Although these are only recommendations, it is a huge win for maternal health advocates and pregnant women across the country! We are hopeful Congress will take these recommendations seriously and act on improving policies to ensure greater maternal health.

Pennsylvania’s prenatal-to-age-three collaborative is advocating for important policies that increase access to coverage and services for pregnant women and women.

Medicaid & CHIP Connect Kids to Health Care in Every PA Community 

Across Pennsylvania, from our rural communities to our urban centers, kids rely on Medicaid and the Children’s Health Insurance Program (CHIP) for their comprehensive health insurance, including the nearly 1.2 million children enrolled in Medicaid and more than 179,000 children enrolled in CHIP.

See below for updated fact sheets showing enrollment in Medicaid and CHIP by Congressional District, State House District and State Senate District:

Enrollment by State Senate District

Community Water Fluoridation Equipment Grant Applications Being Accepted

PCOH is requesting proposals for community water fluoridation equipment grants. This grant seeks to issue funds to those public water systems wishing to initiate, update, or expand the practice of community water fluoridation. Priority will be given to initiation projects. A total of $20,000 will be awarded in the first half of 2021. Additional grants may be awarded in 2021 as funding becomes available. All grant applicants must complete the State Fluoridation Equipment Survey prior to submitting applications. Applications are due March 1, 2021.

Click here to take the survey.
Click here for the guidelines.

Medicare and Coronavirus (COVID-19)

Medicare wants to help protect you from COVID-19. According to the Centers for Disease Control and Prevention (CDC), older adults and people who have severe chronic medical conditions like heart, lung, or kidney disease seem to be at higher risk for more serious COVID-19 illness. This means that people with Medicare may be at higher risk. Medicare covers:

For the latest information about:

What the U.S. Government is doing in response to COVID-19, go to USA.gov.

New / Updated Training Materials

2021 Medicare Amounts job aid (in multiple languages)

2021 Medicare Appeals Processes job aid

The CMS National Training Program has training materials for many Medicare topics, including PowerPoint modules that can be customized for your audience. Check them out at CMSnationaltrainingprogram.cms.gov.

NTP Webinar Recordings

January NTP Medicare Update & Education Webinar (Recorded January 14, 2021): We shared Medicare updates, tips for training preparation, and demonstrated how to use our NTP website to maximize your Medicare training experience.

January 2021 Understanding Medicare Webinar Day 1

January 2021 Understanding Medicare Webinar Day 2

To view all of our webinar recordings, please visit the NTP website.

Did You Know?

Pennsylvania Department of Human Services 2021-2022 Budget Update

The Pennsylvania Department of Human Services (DHS) serves more than 3 million people across Pennsylvania through both direct services and the programs and providers DHS licenses and oversees. DHS is an agency that is a resource and lifeline for all Pennsylvanians. The services provided are here for those who need them currently and for those who may fall on hard times or experience a significant life change and unexpected event – the times we cannot fully plan for. The last year has brought new meaning to that. A global pandemic, historic levels of unemployment, and a complete change to our daily way of life has upended normalcy for all of us. It has also reinforced how critical a robust social support network is in weathering a crisis like we now experience every day.

The investments in the 2021-2022 budget will help as DHS navigate this crisis and look towards a collective recovery. They will support the work to help the Pennsylvanians served live healthier lives, reach self-sufficiency, and achieve a better life.

Governor Wolf’s 2021-22 Budget seeks to answer the urgent need of the crises we face and set a foundation for an effective, lasting recovery. Budget initiatives center on the following themes, and we’ve detailed more information about DHS initiatives that fall into these themes:

  • Advancing Pennsylvania’s Economic Recovery
  • Prioritizing Education
  • Investing in Our Kids
  • Advancing Fairness, Equity, and Quality in Our Public Education System
  • Making College More Affordable
  • Back to Work PA
  • Keeping Pennsylvanians Safe Through Criminal Justice Reforms
  • Protecting the Most Vulnerable
  • Increasing Local Capacity to Fight COVID-19
  • Protecting our Environment by Investing in Workers, Communities, and a Clean Future
  • Repairing and Improving Our Infrastructure

Read the full DHS 2021-22 Budget Overview and the Governor’s Budget Proposal.

Pennsylvania Announces Submissions Now Being Accepted for Statewide Virtual Photo Exhibit Documenting COVID-19 in Pennsylvania

Pennsylvania First Lady Frances Wolf announced that the submission period for One Lens: Sharing Our Common Views is open and Pennsylvanians can begin sharing their photos documenting their COVID-19 experience. The first lady announced the statewide virtual photo exhibit in January and its mission to celebrate the hard work and commitment of all Pennsylvanians as we continue our fight against COVID-19, as well as create a visual record of this historical moment.

More information about the exhibit and how to participate can be found here.

“It is very exciting to begin collecting photos,” said First Lady Wolf. “Since we launched the One Lens initiative, the feedback has been overwhelmingly positive from individuals across the state who want to share these pieces of their lives. And not every story is going to be about picking up new hobbies and finding bright spots during this time, but that’s what we want to convey. Every story, no matter how sad and no matter how frustrating, matters. These are our stories as Pennsylvanians, and they need to be remembered and honored.”

One Lens highlights the importance of preserving history by encouraging Pennsylvanians to share their experiences during COVID-19 through photography. The submitted images will be displayed for public viewing and archived as visual documentation of the pandemic. By using photography as the medium to tell these stories, One Lens also emphasizes using art as a tool for Pennsylvanians to cope, heal and inspire one another. The exhibit covers three themes:

  •   Our Heroes, paying homage to the pandemic heroes who cannot stay home;
  •   Our Lives, looking at how we spend our time when no one is watching; and
  •   Our Communities, showcasing Pennsylvanians uniting in the face of a global
    health crisis.

The photo submission period will remain open until Monday, March 8, 2021. The full exhibit will be released on Friday, March 19, 2021.

In preparation of the exhibit, five ambassadors were selected to represent the central, northeast, northwest, southeast, and southwest regions of the state. These regional ambassadors will use their strong connection to their regions to ensure that the One Lens exhibit will truly reflect the experiences of Pennsylvania’s diverse, vibrant, and resilient communities.

One Lens is presented in partnership with the Pennsylvania Tourism Office, Pennsylvania Council on the Arts, and the Pennsylvania Historical and Museum Commission. Photography experience is not required to contribute to the statewide exhibit. For more information on the regional ambassadors, the overall project, and rules for participation, visit  https://www.pa.gov/one-lens/. For exhibit updates, highlights, and inspiration, follow One Lens on Facebook and Instagram.

Pennsylvania Announces Expansion to SNAP for Qualifying College Students, Provides Update on Latest Medicaid, SNAP Enrollment Data

Pennsylvania Department of Human Services (DHS) Secretary Teresa Miller and Pennsylvania Department of Education (PDE) Deputy Secretary for Postsecondary and Higher Education Dr. Tanya I. Garcia today announced a temporary change in eligibility for the Supplemental Nutrition Assistance Program (SNAP), expanding eligibility to certain college students who qualify based off their families’ income but normally would be ineligible for the program due to being a student.

“Our ways of life and routines have changed to keep ourselves and our communities safe from this virus. Jobs that students would normally work on campuses or around their schools may have reduced hours or are not an option anymore, meaning that students and families with more limited resources may be struggling even more to meet their most essential needs,” said Secretary Miller. “In a time when so many are struggling, we are hopeful that this will be another resource that we can extend to families who are feeling this economic strain most acutely. We urge congress to make this change permanent, so that no student has to go hungry again.”

“Food insecurity is yet another issue that learners are facing during the pandemic, and should not create further barriers to academic success,” Pennsylvania Department of Education Deputy Secretary for the Office of Postsecondary and Higher Education Tanya I. Garcia said. “I am grateful to Secretary Miller and the Department of Human Services for helping raise awareness about the expansion of SNAP benefits for college students and their families across the commonwealth.”

Eligibility rules set by the federal government dictate that students ages 18 through 49 who are enrolled in college at least half time are not eligible for SNAP unless they meet certain exemptions, including working an average of 20 hours or more per week, participating in a state or federal work study program, having a disability, or being a parent of a child under age six. Even if students reside at home with parents who qualify for and receive SNAP, they are not counted in the household unless they meet one of the exemptions.

Under the Consolidated Appropriations Act of 2021, college students who are eligible for a state or federal work study program, regardless of whether they are actually participating, or students who have an estimated family contribution of $0 on their federal student aid determination are now eligible for SNAP. For those under the age of 22 for students who live at home with their parents. For now, these families will receive a benefit more commensurate to their household size that they would otherwise not get because their household contains a student.

This eligibility will remain in place until 30 days after the public health emergency ends. Since the Biden Administration has advised that the declaration will most likely remain in place at least until the end of 2021 and states will have 60 days-notice before it ends, this policy change will more than likely be something that can help families for the remainder of the crisis.

A Government Accountability Office report released in January 2019 found that at least one in three college students do not always have enough to eat. Additionally, 71 percent of college students today do not fit the model of a “typical” college student and may be financially independent, work at least part time, enroll in and stay in college at a later age, or have dependent children. These factors, when paired with other challenges students face like cost of tuition, lodging and/or transportation, books, and supplies, can create significant barriers to making ends meet. The report includes a literature review of 31 studies of college hunger and indicated there was a range of 9-50 percent of students who experienced food insecurity on campuses but that in 22 of these studies, food insecurity was estimated to be above 30 percent of the students surveyed.

December 2020 Public Assistance Enrollment Numbers
Secretary Miller also provided an update on enrollment in certain public assistance programs and how Pennsylvanians can apply.

Enrollment for SNAP statewide has increased by 84,389 people since February 2020, for a total enrollment of about 1,821,848 in December — a 4.9 percent increase. SNAP enrollment has trended slightly down since September. However, under the Consolidated Appropriations Act of 2021, Federal Pandemic Unemployment Compensation (FPUC) will no longer be counted as income for people applying for SNAP eligibility, opening SNAP as an option for more people who have lost income or employment due to the pandemic.

SNAP is the nation’s most important and effective anti-hunger program. For every meal provided through a Feeding America Food Bank, SNAP provides nine. SNAP provides individuals and families with funds that can only be used to purchase fresh food and groceries, helping Pennsylvanians with limited resources have a set, stable food budget and expanding their purchasing power to meet other essential household needs.

Enrollment statewide for Medicaid has increased by 337,772 people since February 2020, for a total enrollment of 3,169,335 people in November — a 12 percent increase.

Pennsylvanians who have lost health coverage or are currently uninsured and need coverage for themselves or their children may qualify for coverage through Medicaid or the Children’s Health Insurance Program (CHIP). Medicaid and CHIP provide coverage for routine and emergency health services, tests and screenings, prescriptions, and COVID-19 testing and treatment are covered by both Medicaid and CHIP. Medicaid and CHIP enroll individuals throughout the year and do not have a limited or special enrollment time, so people needing health coverage can apply for these programs at any time. There are income limits for Medicaid, but all children qualify for comprehensive health, vision, and dental coverage through CHIP regardless of their parents’ income.

Applications for SNAP, Medicaid, and other public assistance programs that provide help with utilities, home energy, and cash assistance can be submitted online at www.compass.state.pa.us. Those who prefer to submit a paper application can print from the website, pick one up at a County Assistance Office (CAO), or request an application by phone at 1-800-692-7462 and mail it to their local CAO or place it in a CAO’s secure drop box, if available. You do not need to know your own eligibility in order to apply. While CAOs remain closed, work processing applications, determining eligibility, and issuing benefits continues. Clients should use COMPASS or the MyCOMPASS PA mobile app to submit necessary updates to their case files while CAOs are closed to the public.

For more information about food assistance resources for people around Pennsylvania impacted by COVID-19 and the accompanying economic insecurity, visit the Department of Agriculture’s food security guide.

For more information on public assistance programs, visit www.dhs.pa.gov.

Pennsylvania Reminds Farmers of Deadline for $13 Million in Tax Credits to Improve Water Quality, Farm Sustainability

Pennsylvania Agriculture Secretary Russell Redding reminded farmers to apply by March 1 for $13 million in tax credits for measures to improve soil and water quality. Tax credits are available through Pennsylvania’s nationally recognized Resource Enhancement and Protection Program (REAP), which was expanded under the PA Farm Bill.

“Taking care of the soil and water is an economic imperative for our farms,” said Redding. “REAP tax credits are just one element of our strategy to support farmers as they feed our future and grow a viable, sustainable Pennsylvania farm economy.”

REAP is a Pennsylvania tax credit program for agricultural producers who implement best management practices (BMP) or purchase equipment that reduces nutrient and sediment runoff, enhancing soil and improving the quality of Pennsylvania’s waterways. Farmers may receive up to $250,000 in any seven-year period, and spouses filing jointly can use REAP Tax Credits.

The most common projects approved are for no-till planting and precision ag equipment, waste storage facilities, conservation plans, Nutrient Management Plans, and protecting animal heavy-use areas, like barnyards. Cover crops that help soil retain water, carbon and nutrients, and planted buffers that keep sediment out of streams are also commonly funded projects. Farmers may receive REAP tax credits of 50 to 75 percent of the project’s eligible out-of-pocket cost. Farmers whose operation is in a watershed with an EPA-mandated Total Maximum Daily Load (TMDL) can receive REAP tax credits of 90 percent of out-of-pocket costs for some projects.

Almost 350 farms in 54 Pennsylvania counties were approved for REAP tax credits in 2019-20. Tax credits can be used in conjunction with other funding sources such as the Environmental Quality Incentive Program (EQIP), the Chesapeake Bay Program or Conservation Excellence Grants to help install BMPs. In 2019-20, applicants used $5.5 million in other funding to pay for projects receiving REAP tax credits.

REAP applications are reviewed on a first-come, first-served basis. Baseline eligibility includes compliance with the PA Clean Streams Law and the Pennsylvania Nutrient and Odor Management Law.

Private investors may act as project sponsors by providing capital in exchange for tax credits. Any individual or business subject to taxation by Pennsylvania through personal income tax, corporate net income tax, the bank shares tax or others is eligible to participate in REAP.

Since the program began in 2007, REAP has awarded tax credits to more than 5,500 projects totaling over $100 million. Private investments in REAP have also contributed to the conservation projects, which in total are worth nearly $250 million.

More information about REAP, including the 2020-21 application packet and program guidelines, is available at agriculture.pa.gov.

Now Open! Applications to the Pennsylvania Primary Care Loan Repayment Program

The Pennsylvania Department of Health is pleased to announce the opening of the Pennsylvania Primary Care Loan Repayment Program (LRP) Practitioner Application.

The LRP provides grant funding for educational loan repayment to primary care practitioners serving medically underserved populations.  Educational loan repayment is an incentive to recruitment and retention of practitioners for service in federally designated Health Professional Shortage Areas and other underserved communities:

  • The Request for Applications (RFA) #67-119 is attached for your reference.  Copies of RFA#67-119 can be downloaded from   https://www.health.pa.gov/topics/Health-Planning/Pages/Loan-Repayment.aspx
  • Applications are being accepted from February 8, 2021 until 11:59 pm March 24,2021.
  • Program information, application procedures and application instructions are found in RFA#67-119.
  • All applications must be submitted via the Loan Repayment Program’s web-based application through the link on the above website.
  • Questions regarding this RFA must be submitted via email to loanrepayment@pa.gov on or before March 5, 2021.  No questions will be answered via phone or e-mail.  Answers to all question submitted by March 5 will be posted on the above website by March 12, 2021 and will be considered an addendum to the RFA.