WalkWorks Funding Opportunity Announcement for the Development of Plans and Policies to Establish Activity-Friendly Routes that Connect to Everyday Destinations

COVID-19 has confirmed what many of us already knew: walking and bicycling are critical modes of transportation that warrant attention and funding. Walking, biking and any form of wheeling are independent, reliable and resilient transportation modes that are healthy for our minds, bodies and the environment.

WalkWorks is pleased to announce its fourth round of assistance to advance policy development related to active transportation. Once again, grants will be offered to a limited number of municipalities and other governmental bodies to assist with the development of Active Transportation Plans, Complete Streets policies and/or Vision Zero policies. These plans and policies are essential to the efforts to establish activity-friendly routes that connect people to everyday destinations, thereby expanding opportunities for physical activity.

In the context of this Funding Opportunity, active transportation includes walking, wheeling and public transit. Eligible applicants include municipalities, Metropolitan and Rural Planning Organizations (MPOs/RPOs) and other governmental agencies with the capacity to accomplish the proposed project.

Because WalkWorks is sensitive to the environment in which we are presently living and working, the timeframe to develop and submit applications is longer than it has been in previous years. WalkWorks hopes that this affords all interested parties adequate time to address the possibility of applying with their governing bodies, colleagues, and others as well as to complete the application. Though detailed throughout the Funding Opportunity Announcement, which includes the application (Appendix E), the following are some pertinent dates:

May 14, 2020: A non-mandatory webinar will highlight aspects of the Funding Opportunity Announcement and provide an opportunity for potential applicants to ask questions. Log-in information is detailed on page 6 of the Announcement.

July 2, 2020: Applications must be received by this date/time or they will not be considered.

September 3, 2020: Grant recipients will be notified on or close to this date; those not being awarded funding in this cycle will receive notice shortly thereafter.

If interested, please consider whether your organization meets the eligibility requirements and share with the decision-making body of your municipality or agency. Let the elected officials know of your interest in and the rationale for wanting to apply. By doing so, you can ensure and expedite obtaining the support of your decision-makers — documentation of which must be included with your application.

WalkWorks is seeking broad distribution of this announcement and would very much appreciate your sharing it with others, such as municipal and county planners and MPOs/RPOs. Further, we hope that the MPOs/RPOs will inform the municipalities within their respective regions of this opportunity.

In addition to the link, above, the full announcement, including the application and appendices, will be available on the PA WalkWorks website.

All questions/comments should be sent to pawalkworks@pitt.edu.

HHS Launches COVID-19 Uninsured Program Portal

The U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA) has launched a new COVID-19 Uninsured Program Portal, allowing health care providers who have conducted COVID-19 testing or provided treatment for uninsured COVID-19 individuals on or after February 4, 2020 to submit claims for reimbursement. Providers can access the portal at COVIDUninsuredClaim.HRSA.gov.

The Trump Administration is committed to ensuring that individuals are protected against financial obstacles that might prevent them from getting the testing and treatment they need for COVID-19. As part of the Families First Coronavirus Response Act and the Coronavirus Aid, Relief, and Economic Security (CARES) Act, health care providers can request claims reimbursement electronically through the COVID-19 Uninsured Program Portal and receive reimbursement, generally at Medicare rates for testing uninsured individuals for COVID-19 and treating uninsured individuals with a COVID-19 diagnosis.

Read more.

Health Care Professional Workforce Composition Before and After Rural Hospital Closure

A new rural policy brief is available from the RUPRI Center for Rural Health Policy Analysis authored by Erin Mobley, PhD; Fred Ullrich, BA; Redwan Bin Abdul Baten, MPH; Mina Shrestha, MPH and Keith Mueller, PhD.  This policy brief examines the composition of the local health care workforce before and after rural hospital closure to reveal any associations with discontinuation of inpatient services in rural communities.

Please click here to read the brief.

 

States Offering the Most Coronavirus Support – WalletHub Study

With 89 percent of adults hospitalized with COVID-19 having some sort of pre-existing condition, the personal-finance website WalletHub today released its report on the States Offering the Most Coronavirus Support, as well as accompanying videos. The report seeks to examine how states care for people who are at risk both health-wise and financially.

To identify which states offer the most support during the COVID-19 pandemic, WalletHub compared the 50 states and the District of Columbia across 17 key metrics. Our data set ranges from whether the state will offer free vaccinations once a vaccine exists to the share of households in poverty that receive social assistance. Below, you can see highlights from the report, along with a WalletHub Q&A.

States with the Most Support

States with the Least Support

1. Massachusetts 42. Texas
2. District of Columbia 43. Tennessee
3. Rhode Island 44. Florida
4. Maine 45. Indiana
5. North Dakota 46. Virginia
6. New Mexico 47. South Carolina
7. Vermont 48. Georgia
8. Colorado 49. Arizona
9. Kentucky 50. Mississippi
10. Minnesota 51. North Carolina

To view the full report and your state’s rank, please visit:
https://wallethub.com/edu/states-offering-the-most-coronavirus-support/73333/

Pennsylvania Governor Announces May 1 Statewide Reopening of Limited Outdoor Recreational Activities to Help Maintain Positive Physical, Mental Health

To ensure that Pennsylvanians have opportunities to safely enjoy outdoor recreation as a way to maintain positive physical and mental health, and in keeping with the commonwealth’s stay-at-home orders to mitigate the spread of COVID-19, Governor Tom Wolf today announced that the Wolf Administration is lifting some restrictions on businesses related to certain outdoor activities.

Starting Friday, May 1, golf courses, marinas, guided fishing trips and privately owned campgrounds may reopen statewide and are required to follow updated life-sustaining business guidance and FAQ issued by the Wolf Administration to include specifics for how these outdoor recreational industries can resume activities while prioritizing public health and safety. Campgrounds in state parks will remain closed through Thursday, May 14.

The Centers for Disease Control and Prevention (CDC) issued guidance on visiting parks and recreational facilities. These guidelines must be followed statewide by businesses and when engaging in outdoor activity while the state disaster declaration remains in effect. The guidelines will ensure the safety of individuals and families engaging in outdoor activities and adherence will help slow the spread of COVID-19.

  • Stay close to home: Pennsylvanians are encouraged to enjoy permitted outdoor recreational activities within their community and avoid crowding popular destinations.
  • Practice social distancing: Maintain the recommended minimum 6 feet apart from fellow recreationists. Pennsylvanians are also encouraged to wear a mask or protective garment that covers the nose and mouth any time they go outside. If a parking lot at a park is full or there are too many people on the same trail, find an alternate place to recreate. Cross the street to avoid running directly past another runner or wait longer at a golf hole for a fellow golfer to move forward.
  • Minimize risk to others: Individuals should only go out if they feel healthy and have not been exposed to someone who has tested positive for COVID-19.
  • Practice good hygiene: Wash hands often with soap and warm water for 20 seconds. If soap and water are not available, use a hand sanitizer containing at least 60 percent alcohol. Avoid surfaces that are touched often, such as doorknobs and handrails.
  • Have a plan: Create a safety plan before heading outdoors. Explain to children the need to keep their distance from others, even if they happen to see a friend while outside. Discuss with partners, social distancing while on the golf course. Think through how to avoid other runners when waiting to safely cross a street at the same time.

Policy Brief: Measure and Data Element Identification for the HRSA Evidence-Based Tele-Behavioral Health Network Program and the HRSA Substance Abuse Treatment Telehealth Network Grant Program

A Research & Policy Brief is available from the Rural Telehealth Research Center.

To address the many challenges in treating behavioral health in rural areas, the Federal Office of Rural Health Policy (FORHP) in the Health Resources and Services Administration (HRSA) established the Evidence-Based Tele-Behavioral Health Network Program (EB THNP) in 2018, funding 14 grantees, and the Substance Abuse Treatment Telehealth Network Grant Program (SAT TNGP) in 2017, funding 3 grantees. Concurrently, the Rural Telehealth Research Center (RTRC) worked cooperatively with FORHP to establish data collection protocols and tools on a set of measures that could be used for a cross-grantee evaluation of behavioral health services over their funding periods. This brief details multi-project work to identify the standardized set of measures appropriate to behavioral health, create an Excel-based tool – termed the Behavioral-Telehealth Evidence Collection (B-TEC) Tool- and begin to systematically collect data from the grantees.

Please click here to read the brief.

Closed Hospitals Leave Rural Patients ‘Stranded’ as Coronavirus Spreads

New York Times

Michael Nuzum had spent weeks fighting coronavirus-like symptoms — a wracking cough, terrible chills, an exhausting fever — before collapsing at his home in rural West Virginia.

Mr. Nuzum, a 54-year-old animal control worker, was already in cardiac arrest when the emergency workers arrived on April 3. That left them with a difficult decision: Should they transport their patient to the nearest hospital, 30 minutes away?

“There’s only so much one paramedic can do in the back of an ambulance,” said Michael Angelucci, who leads the Marion County rescue squad that cared for Mr. Nuzum. The two-person team that responded decided it couldn’t risk the long ride and instead tried to revive the patient at the scene. But the workers couldn’t save him.

Two weeks earlier, the options would have been different. Fairmont Regional Medical Center, just five minutes from Mr. Nuzum’s home, would still have been open. Mr. Angelucci, who is also a state representative, can’t help wondering if the hospital and its emergency room could have given the man a fighting chance.

“It’s incredibly frustrating that this entire community is stranded without a hospital,” he said.

Fairmont was one of three hospitals that have shut down in this corner of rural West Virginia and Ohio since September. They delivered hundreds of babies each year, treated car crash and gunshot victims, repaired hearts and knees and offered addiction treatment and psychiatric care.

Read more.

Pennsylvania Governor’s Administration Announces Second Round of State Funding for Pennsylvania Businesses

The Pennsylvania Department of Community and Economic Development (DCED) Secretary Dennis Davin announced that 160 companies in 43 counties have received $13.5 million in funding during the second round of the COVID-19 Working Capital Access Program (CWCA). Funds awarded under the program to date total more than $23 million awarded to a number of diverse businesses like restaurants, wellness centers, wineries and breweries, consulting firms, and salons and spas.

A list of approved projects can be found here. New disbursements are highlighted in yellow.

Pennsylvania Governor’s Administration Elaborates on Data Driven Reopening Standard

In consultation with public health professionals and in an effort to simplify and to better capture growth, decline, or stability, the Wolf Administration elaborated on the Department of Health metrics and included an example to aid in calculation

The target data goal is not the only metric to be met before reopening a region. Additionally, the commonwealth must ensure there is:

                 Enough testing available for individuals with symptoms and target populations such as those at high risk, health care personnel and first responders.

                 Robust case investigation and contact tracing infrastructure in place to facilitate early identification of cluster outbreaks and to issue proper isolation and quarantine orders.

                 Identification of an area’s high-risk settings including correctional institutions, personal care homes, skilled nursing facilities and other congregate care settings, and assurance that facilities have adequate safeguards in place such as staff training, employee screening, visitor procedures and screening and adequate supplies of PPE to support continued operations.

CMS Reevaluates Accelerated Payment Program and Suspends Advance Payment Program

On April 26, the Centers for Medicare & Medicaid Services (CMS) announced that it is reevaluating the amounts that will be paid under its Accelerated Payment Program and suspending its Advance Payment Program to Part B suppliers effective immediately. The agency made this announcement following the successful payment of over $100 billion to health care providers and suppliers through these programs and in light of the $175 billion recently appropriated for health care provider relief payments.

CMS had expanded these temporary loan programs to ensure providers and suppliers had the resources needed to combat the beginning stages of the 2019 Novel Coronavirus (COVID-19). Funding will continue to be available to hospitals and other health care providers on the front lines of the coronavirus response primarily from the Provider Relief Fund. The Accelerated and Advance Payment (AAP) Programs are typically used to give providers emergency funding and address cash flow issues for providers and suppliers when there is disruption in claims submission or claims processing, including during a public health emergency or Presidentially-declared disaster.

Since expanding the AAP programs on March 28, 2020, CMS approved over 21,000 applications totaling $59.6 billion in payments to Part A providers, which includes hospitals. For Part B suppliers, including doctors, non-physician practitioners and durable medical equipment suppliers, CMS approved almost 24,000 applications advancing $40.4 billion in payments. The AAP programs are not a grant, and providers and suppliers are typically required to pay back the funding within one year, or less, depending on provider or supplier type. Beginning today, CMS will not be accepting any new applications for the Advance Payment Program, and CMS will be reevaluating all pending and new applications for Accelerated Payments in light of historical direct payments made available through the Department of Health & Human Services’ (HHS) Provider Relief Fund.

Significant additional funding will continue to be available to hospitals and other health care providers through other programs. Congress appropriated $100 billion in the Coronavirus Aid, Relief, and Economic Security (CARES) Act (PL 116-136) and $75 billion through the Paycheck Protection Program and Health Care Enhancement Act (PL 116-139) for health care providers. HHS is distributing this money through the Provider Relief Fund, and these payments do not need to be repaid.

The CARES Act Provider Relief Fund is being administered through HHS and has already released $30 billion to providers and is in the process of releasing an additional $20 billion, with more funding anticipated to be released soon. This funding will be used to support health care-related expenses or lost revenue attributable to the COVID-19 pandemic and to ensure uninsured Americans can get treatment for COVID-19.

For more information on the CARES Act Provider Relief Fund and how to apply, visit: hhs.gov/providerrelief.

For an updated fact sheet on the Accelerated and Advance Payment Programs, visit: https://www.cms.gov/files/document/Accelerated-and-Advanced-Payments-Fact-Sheet.pdf.