- Rural Children Struggle to Access Hospital Services, Say Researchers
- Outlining the Intersection between Health Care and Missing and Murdered Indigenous People
- Biden-Harris Administration Announces Critical More Than $1.5 Billion State and Tribal Opioid Response Funding Opportunities
- RPHARM Program Fulfills Need for Rural Pharmacists
- Farmers Don't Do Mental Health
- A Pilot Program in Rural Vermont Hopes to Build a Blueprint for Substance Abuse Recovery
- Rural Telehealth Extension Reintroduced in Congress
- Students From Across the State Emphasized the Need for Mental Health Resources in Rural Alaska During a Conference
- The South Was the Center of Rural Population Growth Last Year
- How HHS SUD Confidentiality Regulations Will Impact Rural Providers
- VA Announces Expansion of "Close to Me" Cancer Program as Part of the Cancer Moonshot, Bringing Cancer Diagnosis and Treatment Closer to Thousands of Veterans
- Navajo Psychiatrist Bridges Gaps Between Native American Culture and Behavioral Health Care
- Biden-Harris Administration Releases National Strategy for Suicide Prevention and First-Ever Federal Action Plan
- Biden Administration Sets Higher Staffing Mandates. Most Nursing Homes Don't Meet Them.
- Rural Communities Face Primary Care Physician Shortage
State Delays Overhaul of MATP Program
Based on findings of a new report, state officials will not award a statewide brokerage contract and will continue to study how to best administer the Medical Assistance Transportation Program (MATP) that aids low-income Pennsylvanians who need nonemergency medical transportation, at least in the short term. The Department of Human Services (DHS) has released its report on the potential impact of MATP being administered by regional brokers for all regions of the commonwealth. DHS oversees the entire MATP and the commonwealth offers and provides funding for MATP in all 67 counties. To read the full report, click here.
Pennsylvania Preferred Drug List Requirement Effective Jan. 1
| Pennsylvania Preferred Drug List Requirement Effective Jan. 1
The Department of Human Services (DHS) implemented a statewide Preferred Drug List (PDL) effective on Jan. 1, 2020. The PDL will be utilized by the fee-for-service program and all Medical Assistance (MA) managed care organizations (MCOs) in Pennsylvania, including those in the HealthChoices and the Community HealthChoices programs. The state believes the PDL will result in administrative simplification for providers and decrease healthcare costs in the long term. DHS estimates the new approach will save the state $85 million a year. DHS estimates that approximately 150,000 Medicaid recipients will have to change their prescription medications as a result of the implementation of the statewide PDL. Read more.
New Federal Overtime Rule Effective Jan. 1 The U.S. Department of Labor (DOL)’s changes to the overtime provisions of the Fair Labor Standards Act (FLSA) went into effect on Jan. 1. This rule updates the minimum salary thresholds (previously set in 2004) necessary to exempt executive, administrative, or professional employees from the FLSA’s minimum wage and overtime pay requirements. The rule does not, however, make any changes to the “duties” tests. This new rule, estimated to impact 1.3 million workers:
For more information, details and how this could affect you and your health center, click here. It should also be noted that the Pennsylvania Department of Labor & Industry (L&I) has final rules impacting overtime in the regulatory approval process. Those final rules provide for annual increases to the minimum salary threshold level for “white collar” workers to $875 per week ($45,550 per year) in 2022. Following three years of annual increases, beginning in 2023, the salary level would be automatically adjusted every three years “at a rate equal to the 10th percentile of Pennsylvania workers who work in exempt executive, administrative or professional classifications.” L&I estimates that following implementation of its final rule, an additional 82,000 Pennsylvania employees will be eligible for overtime by 2022. Although PACHC and health centers as well as the PA Chamber of Commerce and many other business stakeholders are on record opposing the rule, it is anticipated that the rule is likely to be approved by the Independent Regulatory Review Commission (IRRC) during it January meeting and that there is unlikely to be a veto-proof majority in the legislature to stop its implementation.
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Proposed Senate Bill Targets SDOH
The Social Determinants Accelerator Act of 2019 (S. 2986) was introduced in the U.S. Senate in December to create a coordinated approach among federal agencies to address social determinants of health (SDOH) for Medicaid recipients. The act, if it becomes law, would establish a federal interagency council that would make recommendations on how best to coordinate funding and the administration of federal programs incorporating the use of data to better meet the needs and improve the care for Medicaid recipients. The council would work to award “Social Determinants Accelerator Grants” to state or local governments or tribal health or human services agencies to fund “programs that would seek to benefit targeted populations, seeking to access and link relevant data to enable coordinated benefits and services that would achieve at least one measurable health outcome and one important social benefit.” Read more.
Medicaid Telehealth Guidance
As a companion piece to the earlier released Medicare Telehealth Guidance, the Centers for Medicare and Medicaid services today released Medicaid Telehealth Guidance to states. You can find a copy of the guidance here: https://www.medicaid.gov/medicaid/benefits/downloads/medicaid-telehealth-services.pdf
Additionally, you can find the homepage for general Medicaid Telehealth Guidance here: https://www.medicaid.gov/medicaid/benefits/telemedicine/index.html
President Trump Expands Telehealth Benefits for Medicare Beneficiaries During COVID-19 Outbreak
On March 17, the Trump Administration announced expanded Medicare telehealth coverage that will enable beneficiaries to receive a wider range of health care services from their doctors without having to travel to a health care facility. Beginning on March 6, 2020, Medicare—administered by CMS—will temporarily pay clinicians to provide telehealth services for beneficiaries residing across the entire country.
For More Information:
This guidance, and earlier CMS actions in response to the COVID-19 virus, are part of the ongoing White House Task Force efforts. To keep up with the important work the Task Force is doing in response to COVID-19, visit the coronavirus.gov webpage.
For information specific to CMS, visit the Current Emergencies website.
Report on CAH Hospital Compare Measures Released
The national Flex Monitoring Team (FMT) has released reports of Critical Access Hospital (CAH) performance and reporting rates on selected Hospital Compare measures, using data from 2018.
The Hospital Compare data in this report include several measures that are also measures for the Medicare Beneficiary Quality Improvement Project (MBQIP). Although the majority of CAHs report data on these measures to both Hospital Compare and MBQIP, the data in this report may differ from MBQIP reports because some CAHs only report data to one of these programs.
The national report may accessed here and state reports may be accessed via the links below. All FMT publications can also be found on the Flex website.
HRSA Retains Dental Sealant Measure for 2020
The draft dental sealant measure, CMS277, captures the percentage of children age 6-9 years, at moderate to high risk for caries who received a sealant on a first permanent molar during the measurement period. The dental sealant measure will be retained for 2020. Based on feedback received during the public comment period, HRSA will not move forward with adding the fluoride varnish measure (CMS74) for 2020.
Expanded Telehealth Benefits for Medicare Beneficiaries During COVID-19 Outbreak
On March 17, 2020, the Trump Administration today announced expanded Medicare telehealth coverage that will enable beneficiaries to receive a wider range of healthcare services from their doctors without having to travel to a healthcare facility. Beginning on March 6, 2020, Medicare—administered by the Centers for Medicare & Medicaid Services (CMS)—will temporarily pay clinicians to provide telehealth services for beneficiaries residing across the entire country.
To read the Fact Sheet on this announcement visit: https://www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-sheet
To read the Frequently Asked Questions on this announcement visit: https://www.cms.gov/files/document/medicare-telehealth-frequently-asked-questions-faqs-31720.pdf
This guidance, and earlier CMS actions in response to the COVID-19 virus, are part of the ongoing White House Task Force efforts. To keep up with the important work the Task Force is doing in response to COVID-19 click here www.coronavirus.gov. For information specific to CMS, please visit the Current Emergencies Website.
Message from PA Oral Health Coalition about COVID-19
The PA Coalition for Oral Health (PCOH) has releaesd a statement on oral health services during the COVID-19 pandemic:
“As Pennsylvania has been justifiably proactive in addressing the COVID-19 pandemic and its impacts, the PA Coalition for Oral Health supports the state issuing directives to the dental community immediately to initiate ’emergency treatment only’ policies. Stopping the spread of this virus and protecting the health and safety of patients, their family members, and dental professionals is our first priority.”
CDC Update for Rural Communities on the COVID-19 Disease Response
The Centers for Disease Control and Prevention (CDC) has put together a special program for RURAL providers and stakeholders for an update on the COVID-19 response. Registration is required by linking here.
Date: Monday, March 23, 2020
Time: 1:00 p.m. ET
Presenter: Dr. Jay Butler (Deputy Director for Infectious Diseases)
Dr. Butler will share guidance with partners, public health practitioners, healthcare providers, and others working to protect the health of rural communities. He will describe what CDC knows at this point and what CDC is doing in response to this outbreak. We will also have time for questions and answers.
Please email eocevent337@cdc.gov to submit questions in advance and indicate that questions are for the 3/23 call.
This event will be recorded. Questions not answered during it may be sent to ruralhealth@cdc.gov
REGISTER HERE:
zoom.us/webinar/register/WN_etqFB-z0Tjyp-_WGI8jfzw