- Call for Experts: Forum on Aging, Disability, and Independence
- Bill to Expand Definition of 'Village' Qualifying for Water Funds Passes Alaska House
- Child Care Workers Caught in Middle of Michigan's Broken Child Care System
- Few Options Available for Substance Abuse Treatment in the Big Bend
- Ways and Means Members Put Forth Solutions to Strengthen Telehealth Access and Improve Health Care for Rural Communities
- In Rural Texas, ERs Are Facing a Growing Mental Health Crisis
- Sage Memorial Hospital in Navajo Nation Constructs New Facility to Improve Health Care
- How the State, Tribes and Federal Government Are Working to Curb SD's Syphilis Epidemic
- Rural Children Struggle to Access Hospital Services, Say Researchers
- Outlining the Intersection between Health Care and Missing and Murdered Indigenous People
- A Pilot Program in Rural Vermont Hopes to Build a Blueprint for Substance Abuse Recovery
- Farmers Don't Do Mental Health
- RPHARM Program Fulfills Need for Rural Pharmacists
- Biden-Harris Administration Announces Critical More Than $1.5 Billion State and Tribal Opioid Response Funding Opportunities
- USDA Rural Development Seeks Input to Improve Access to Grants and Help More Communities Thrive
CMS and CDC Announce Provider Reimbursement Available for Counseling Patients to Self-Isolate at Time of COVID-19 Testing
On July 30, CMS and the Centers for Disease Control and Prevention (CDC) are announcing that payment is available to physicians and health care providers to counsel patients, at the time of Coronavirus Disease 2019 (COVID-19) testing, about the importance of self-isolation after they are tested and prior to the onset of symptoms.
The transmission of COVID-19 occurs from both symptomatic, pre-symptomatic, and asymptomatic individuals emphasizing the importance of education on self-isolation as the spread of the virus can be reduced significantly by having patients isolated earlier, while waiting for test results or symptom onset. The CDC models show that when individuals who are tested for the virus are separated from others and placed in quarantine, there can be up to an 86 percent reduction in the transmission of the virus compared to a 40 percent decrease in viral transmission if the person isolates after symptoms arise.
Provider counseling to patients, at the time of their COVID-19 testing, will include the discussion of immediate need for isolation, even before results are available, the importance to inform their immediate household that they too should be tested for COVID-19, and the review of signs and symptoms and services available to them to aid in isolating at home. In addition, they will be counseled that if they test positive, to wear a mask at all times, and they will be contacted by public health authorities and asked to provide information for contact tracing and to tell their immediate household and recent contacts in case it is appropriate for these individuals to be tested for the virus and to self-isolate as well.
CMS will use existing evaluation and management payment codes to reimburse providers who are eligible to bill CMS for counseling services no matter where a test is administered, including doctor’s offices, urgent care clinics, hospitals, and community drive-thru or pharmacy testing sites.
For More Information:
- Medicare Fee-For-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19) MLN Matters Special Edition Article SE20011
- Counseling Check List, including resource links
COVID-19 Funding Sources Impacting Rural Providers
This reference resource is intended to support rural health care providers, along with their state and local partners, navigate the availability of federal funds to support the novel coronavirus (COVID-19) pandemic response and recovery efforts. Seven (7) tables, or matrices, are provided for quick reference at the beginning of this resource. The tables can be used to check eligibility of participation in funding sources by provider types: rural prospective payment system (PPS) and critical access hospitals (CAH), rural health clinics (RHC), federally qualified health centers (FQHC), long-term care (LTC) or skilled nursing facilities (SNF), tribal facilities, and emergency medical services (EMS).
The tables also provide an at-a-glance view for each provider type sharing the different types of funds that may be accessed from various funding sources dependent on their participation eligibility. Each funding source is described in its own section of this resource with an executive summary followed by further detail on the use of funds and reporting requirements. Hyperlinks to the legislation and detailed information is provided for each funding source.
Access the document here: COVID-19 Funding Sources Impacting Rural Providers (PDF Document – 51 pages)
This document was developed by the National Rural Health Resource Center.
“It’s on Us”: Health Care’s Unique Position in the Response to Human Trafficking
by Jenn Lukens
Human trafficking, as defined by the U.S. Department of Homeland Security, “involves force, fraud, or coercion to obtain some type of labor or commercial sex act.” Referred to as a form of “modern-day slavery,” human trafficking occurs in every state and is not limited by the size of a community. While there is debate about the exact dollar amount, the industry generates profits into the billions, making it one of the most profitable crimes in the world. It has been identified as a public health concern by researchers, federal agents, and healthcare professionals alike.
Click here to read part one of a two-part series on human trafficking in rural America.
New! COVID-19 Funding Sources Impacting Rural Providers, and COVID-19 Collection
The Technical Assistance and Services Center (TASC), in coordination with the Federal Office of Rural Health Policy (FORHP), are pleased to the release of a new resource: The COVID-19 Funding Sources Impacting Rural Providers guide. This funding resource is intended to support rural health care providers, along with their state and local partners, navigate the availability of federal funds to support the novel coronavirus (COVID-19) pandemic response and recovery efforts.
Seven tables, or matrices, are provided for quick reference at the beginning of this resource. The tables can be used to check eligibility of participation in funding sources by provider types: rural prospective payment system (PPS) and critical access hospitals (CAH), rural health clinics (RHC), federally qualified health centers (FQHC), long-term care (LTC) or skilled nursing facilities (SNF), tribal facilities, and emergency medical services (EMS). The tables also provide an at-a-glance view for each provider type sharing the different types of funds that may be accessed from various funding sources dependent on their participation eligibility. Each funding source is described in its own section of this resource with an executive summary followed by further detail on the use of funds, reporting requirements, hyperlinks to the legislation and detailed information.
The National Rural Health Resource Center (The Center) is also pleased to announce a new COVID-19 Collection located on The Center’s website. This collection consists of trusted and reliable resources, such as the COVID-19 Funding Sources Impacting Rural Providers Guide listed above, along with standing links to additional organizations’ COVID-19 resources, FAQs, webinars, tools, and trainings. The Center aims to help direct the most up-to-date and relevant tools and resources to rural hospitals, clinics, and their communities. This Collection will be updated regularly to help assist with the abundance of circulating information relating to COVID-19.
Report Released on Racial Inequities in Dental Care
CBS-affiliate WUSA 9 reported on the racial disparities in dental care. The report cites The Pew Charitable Trusts studies showing higher rates of tooth decay and tooth loss in communities of color. The report examines contributing factors such as the low insurance reimbursement rates for patients on Medicaid.
Call to Action for All Health Advocates
The Families USA Health Action Network released, “Now is the Time for Oral Health Coverage: A Call to Action for All Health Advocates.” The publication covers how achieving a healthier, stronger, more equitable nation requires prioritizing comprehensive health coverage that includes oral health care. They are asking the public to submit personal stories about the importance of oral health care or how a lack of access to oral health care has affecting them.
Click here to read the publication.
Click here to submit a personal story.
Report: Parents Feel Comfortable Discussing HPV with Dentists
The ADA News reported a new study found that “parents feel comfortable having discussions about human papillomavirus (HPV) and its vaccine in the dental setting.” A survey of 208 parents of adolescents aged 9-17 found 66.4% of the parents felt dentists were qualified to counsel about HPV and 72.6% felt they were qualified to counsel about the vaccination. The findings were published in the Journal of the American Dental Association.
HHS Report Released on Telehealth Utilization amid COVID-19
The U.S. Department of Health and Human Services (HHS), through the Assistant Secretary for Planning and Evaluation (ASPE), is releasing a new report showing the dramatic utilization trends of telehealth services for primary care delivery in Fee-for-Service (FFS) Medicare in the early days of the coronavirus disease 2019 (COVID-19) pandemic. The report analyzes claims data from January through early June. The report underscores how telehealth flexibilities, introduced by the Trump Administration to address the care delivery disruptions caused by the pandemic, helped to spur and maintain Medicare beneficiaries’ access to their primary care providers.
At the start of the COVID-19 public health emergency (PHE), with stay-at-home orders in place and warnings on the risk for severe illness from COVID-19 increasing with age, the report found Medicare FFS in-person visits for primary care fell precipitously in mid-March. It then found that in April, nearly half (43.5%) of Medicare primary care visits were provided through telehealth compared with less than one percent (0.1%) in February before the PHE.
The press release can be found here: https://www.hhs.gov/about/news/2020/07/28/hhs-issues-new-report-highlighting-dramatic-trends-in-medicare-beneficiary-telehealth-utilization-amid-covid-19.html
The full report with additional information can be found here: https://www.aspe.hhs.gov/pdf-report/medicare-beneficiary-use-telehealth
Loss of Hospital-based Obstetric Services in Rural Counties in the United States, 2004-2018
Access to maternity care in rural US counties has been on the decline in recent years. The purpose of this infographic is to show the loss of hospital-based obstetric services from 2004-2018, and how this differs by county type (micropolitan vs. noncore). Read more here.
Final Rule: Confidentiality of Substance Use Disorder Patient Records
Effective August 14, 2020, this final rule makes changes to the U.S. Department of Health & Human Services’ regulations governing these records to facilitate information exchange for safe and effective SUD care, while addressing the legitimate privacy concerns of patients seeking treatment for a SUD. Read more here.