- 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
- Public Inspection: CMS: Medicare Program: Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2026
- Public Inspection: CMS: Medicare Program: Fiscal Year 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements
- CMS: Request for Information; Health Technology Ecosystem
- VA: Staff Sergeant Fox Suicide Prevention Grant Program Funding Opportunity
- State: 60-Day Notice of Proposed Information Collection: J-1 Visa Waiver Recommendation Application
- Public Inspection: CMS: Request for Information: Health Technology Ecosystem
- HHS: Request for Information (RFI): Ensuring Lawful Regulation and Unleashing Innovation To Make American Healthy Again
- VA: Solicitation of Nominations for the Appointment to the Advisory Committee on Tribal and Indian Affairs
- GAO Seeks New Members for Tribal and Indigenous Advisory Council
- VA: Staff Sergeant Fox Suicide Prevention Grant Program Funding Opportunity
- Telehealth Study Recruiting Veterans Now
- USDA Delivers Immediate Relief to Farmers, Ranchers and Rural Communities Impacted by Recent Disasters
- Submit Nominations for Partnership for Quality Measurement (PQM) Committees
Federal Retail Pharmacy Vaccination Program Set to Launch
President Biden announced his comprehensive National Strategy to combat the COVID-19 pandemic. The President announced that starting next week, the first phase of the federal pharmacy program will launch and select pharmacies nationwide will start offering vaccinations for their communities. These new steps will help meet the President’s goal of administering 100 million shots in 100 days and expand access to vaccines to more Americans in the coming weeks.
- Expanding Vaccine Supply: The Biden Administration will increase overall weekly vaccine supply to states, Tribes, and territories to 10.5 million doses nationwide beginning this week, a 22% increase since taking office on January 20.
- Launching First Phase of the Federal Retail Pharmacy Program for COVID-19 Vaccination: Starting on February 11, those eligible for the vaccine will have the opportunity to be vaccinated at select pharmacies across the country through this program, a public-private partnership with 21 national pharmacy partners and networks of independent pharmacies representing more than 40,000 pharmacy locations nationwide. As the first phase of this program launches, select retail pharmacies nationwide will receive limited vaccine supply to vaccinate priority groups at no cost. The Centers for Disease Control and Prevention (CDC) worked with states to select initial pharmacy partners based on several factors including their ability to reach some of the populations most at risk for severe illness from COVID-19. More information is available at cdc.gov/covid19.
- Increasing Reimbursements to States: President Biden already directed the Federal Emergency Management Agency (FEMA) to fully reimburse states for the cost of National Guard Personnel and emergency costs, will also retroactively reimburse states fully for FEMA-eligible services and is requesting $350 billion from Congress in American Rescue Plan.
Pennsylvania Revises Map of COVID-19 Vaccine Locations
Pennsylvania’s initial map of places that may have COVID-19 vaccine was fraught with challenges. The state Department of Health’s map used green dots to indicate which health care providers had it in stock and red dots to indicate that vaccine was on its way to that location. As of Tuesday afternoon, the map contains only blue dots, which indicate providers that are part of the program to distribute COVID-19 vaccine. Click here to access the Vaccine Provider Map. Note – Philadelphia County is a separate vaccine jurisdiction and has their own information about vaccine distribution.
‘It’s on us’: Health care’s unique position in the response to human trafficking
Health care providers have a valuable role to play in the identification of human trafficking victims and the provision of their physical and psychological care. Read the article here.
Pennsylvania Governor and Aging Secretary Share Community-Based Solutions Helping Pennsylvanians 65-plus Access the COVID-19 Vaccine
As the state continues to get vaccine to Phase 1A-eligible Pennsylvanians, Pennsylvania Governor Tom Wolf and Pennsylvania Secretary of Aging Robert Torres highlighted some of the community-based solutions that are working to help Pennsylvanians 65-plus access the COVID-19 vaccine.
“We need to foster these community-based solutions,” Gov. Wolf said. “Every community in Pennsylvania has unique needs and challenges, but we can learn a lot from listening to one another and lifting up creative solutions that are making a difference in the state’s vaccination efforts.”
Acknowledging that vaccine distribution has been slower than anyone would prefer and can be frustrating for Pennsylvanians, the governor noted that making a direct comparison between states is not an accurate reporting.
“Every state is different and has different needs, just like every community in Pennsylvania has different needs,” Wolf said. “Pennsylvania has one of the largest populations of older adults in the nation, but we’ve received an allotment of just over 150,000 vaccine doses a week so far from the federal government, which provides all the vaccine the state receives. Still, we are making progress with more than 1.4 million Pennsylvanians receiving one or both of their vaccine doses to date.”
With restricted supplies, the state and communities are working to meet unique challenges and present solutions to help more people get vaccinated.
Throughout the commonwealth, adults age 65 and older are eligible for the COVID-19 vaccine now in Phase 1A. Older adults in long-term care are getting the vaccine through the facility where they live through the Federal Pharmacy Partnership, but there are thousands of other Pennsylvanians 65 and older who live on their own or in senior housing or other settings that don’t qualify them for the long-term care vaccine program.
Not every older adult has access to the Internet or, if they do, may find it challenging to go online to find providers in their area who have received vaccine, and even more challenging to navigate online appointment portals. Some need someone to help them navigate the process.
The Department of Health launched the Your Turn vaccine eligibility tool that gives anyone who signs up a reminder when it is their turn to receive the vaccine and guides them how seek an appointment from a local provider.
Older adults who have questions about vaccine availability in their community and how to make an appointment may also call the Department of Health hotline at 1-877-724-3258 to get help.
Efforts to get more eligible people vaccinated are taking place on the local level, too. Sec. of Aging Robert Torres joined the governor to outline what local Area Agencies on Aging (AAA) and his department are doing to provide unique, working solutions to Pennsylvanians 65-plus.
“Since the first case of COVID-19 was announced, Area Agencies on Aging (AAAs) have helped to ensure that the needs of older adults are being met,” Sec. Torres said. “Now, AAAs and their community partners are responding to the call to help older adults navigate the COVID-19 vaccination process.”
Depending on capacity and resources, AAAs are:
- Coordinating with their local health care providers, county government and EMS
- Providing guidance and support
- Assisting with scheduling
- Arranging transportation
- Offering senior centers to serve as vaccine clinics, and
- Participating in county COVID-19 planning commissions
Torres detailed the successful work of the Butler County Area Agency of Aging, which has been part of the county’s COVID-19 Planning Commission since the beginning of the pandemic, and that is working now with local vaccine providers to help those 65-plus obtain vaccine appointments. The AAA also is providing information, coordinating transportation and even helping at vaccination sites to ensure those receiving the vaccine aren’t having any immediate side effects.
“Butler County AAA has helped more than 1,200 older adults obtain vaccine appointments and is ensuring that forms are completed in the system for the older adult,” Torres said. “The vaccine appointment no-show rate for these older adults is zero percent.”
AAAs also enlisted community senior center workers to help with appointment reminders and coordinating transportation, or just to check how someone is feeling post-vaccination.
Torres also outlined how PACE, Pennsylvania’s low-cost prescription program for older adults, has launched a comprehensive assistance and outreach effort to help its 275,000 PACE/PACENET enrollees obtain vaccines.
PACE designated a team of phone operators in its Harrisburg Call Center to serve as the COVID-19 Special Scheduling Unit — a dedicated unit for arranging vaccinations for PACE cardholders.
These operators will also be working with cardholders to arrange for transportation to the vaccination site or working with PACE’s pharmacy network members to vaccinate at a cardholder’s residence, if necessary.
For older adults who don’t have access to a computer, PA Link to Aging and Disability Resources, which connects older adults and adults with disabilities to services and technical supports, is also stepping up to take calls and offer assistance.
When people call the PA Link for help with getting a vaccine, PA Link counselors will assess the caller’s situation, offer guidance and transfer to a scheduling team. For those callers with transportation needs, the Link counselors will also be able to contact PA Link partners and AAAs at the local level to assist with coordinating local transportation. The PA Link number is 1-800-753-8827.
“Community-based solutions like these are being developed every day, and my administration is working to support them,” Gov. Wolf said. “We’ll continue to lift up successes so that communities across the commonwealth can learn from one another, but we can’t expect a cookie cutter approach. Every community is different, and the solutions that work in Butler County may not be the ones that are most needed in Luzerne County or any other county in the state.
“We can overcome the challenges before us by improving collaboration and coordination, and we should leverage the knowledge and experience of the people who know their communities best. Thank you to all of these dedicated, hardworking people at the Area Agencies on Aging and the Department of Aging. Your work is saving lives.”
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 Failure, Ischemic 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:
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:
- Lab tests for COVID-19
- FDA-authorized COVID-19 antibody (or “serology”) tests
- Monoclonal antibody treatments for COVID-19
- COVID-19 vaccines
For the latest information about:
- How Medicare is helping during this public health emergency, go to Medicare.gov/medicare-coronavirus.
- COVID-19 prevention, symptoms, and answers to common questions, go to Coronavirus.gov.
- Public health and safety information from CDC, go to CDC.gov/coronavirus.
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?
- As the country is distributing COVID-19 vaccines, scammers are taking advantage of the coronavirus pandemic. Learn tips to help prevent Medicare fraud and report suspected Medicare fraud by calling us at 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
- February is American Heart Month. Medicare Part B (Medical Insurance) covers cardiovascular screening blood tests once every 5 years.
- The 2021 Federal Poverty Levels are published.
- You can find the latest information by visiting the CMS Newsroom.
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.