WASHINGTON, April 14, 2020 – U.S. Department of Agriculture (USDA) Deputy Under Secretary for Rural Development Bette Brand today announced that USDA has opened a second application window for funding under the Distance Learning and Telemedicine (DLT) grant program.

This window includes an additional $25 million that Congress recently provided to the program under the Coronavirus Aid, Relief and Economic Security Act (CARES Act). Due to the COVID-19 pandemic, USDA is providing this additional window for those who were not able to complete applications prior to the first application deadline for the DLT program. Any money not awarded under the first application window will be made available in addition to the $25 million.

Electronic applications for the second application window may be submitted through grants.gov beginning today and are due no later than July 13, 2020. Paper applications will not be accepted. Additional information on how to apply is now available on grants.gov.

Applicants eligible for DLT grants include most state and local governmental entities, federally recognized tribes, nonprofits, and for-profit businesses.

USDA Rural Development has taken many immediate actions to help rural residents, businesses and communities affected by the COVID-19 outbreak. To learn more about Rural Development’s COVID-19 response, visit www.rd.usda.gov/coronavirus.

USDA Rural Development provides loans and grants to help expand economic opportunities and create jobs in rural areas. This assistance supports infrastructure improvements; business development; housing; community facilities such as schools, public safety and health care; and high-speed internet access in rural areas. For more information, visit www.rd.usda.gov.

If you’d like to subscribe to USDA Rural Development updates, visit our GovDelivery subscriber page.

The Pennsylvania Public Utility Commission (PUC) today encouraged consumers across the state, especially those most vulnerable to social isolation, to understand the resources available through the Lifeline program to help them stay connected to their voice and internet services during these challenging times.

Lifeline is a federal government benefit that provides eligible low-income consumers a monthly discount on their phone or internet bill. The benefit can be used for voice (telephone), Broadband Internet Access Service (or BIAS, usually called internet service), or a combined telephone/internet service product from a landline or wireless provider.

The program provides a $7.25 per household, per month discount on landline or wireless voice service and a $9.25 per household, per month discount on your wireless or landline internet service. The discount appears in the form of a reduction on the service provider’s bill. A service provider may also offer you the minimum Lifeline Program with no additional charges. The rules and amounts of support can change over time.

Consumers or households that apply for Lifeline will be checked to see if they are eligible.  After that, they must certify every year that they are eligible for such support. Currently, in response to the public health emergency associated with the coronavirus COVID-19 pandemic, the Lifeline program’s recertification and reverification requirements are waived for 60 days. More information on program eligibility, how to apply and recertify is available on the Commission’s website. More information on the federal government’s suspension of their Lifeline requirements is available at the USAC website.

 

 

CMS published the updated payment methodologies for Medicare Advantage and Prescription Drug plans this week.  Plans can expect an average increase in revenue of 1.66% in calendar year (CY) 2021, and CMS will continue to use the methodology described in the 2021 Advance Notice to derive the benchmark county rates, how the qualifying bonus counties are identified, and the applicability of the Star Ratings. However, rural and urban providers participating in these plans should refer to the Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency Interim Final Rule for changes in quality data reporting for 2021 and 2022. 

The Centers for Medicare & Medicaid Services (CMS) published a toolkit that identifies significant telehealth-related changes made by CMS in response to the COVID-19 National Health Emergency. The toolkit provides resources to help long-term care facilities develop a telemedicine program, addressing vendor selection, monitoring patients remotely, and developing documentation tools.

 

HRSA is temporarily waiving query fees for health care entities to search the National Practitioner Data Bank (NPDB). This waiver supports efforts to mobilize and deploy health professionals during the COVID-19 pandemic by reducing costs and expediting credentialing, hiring, privileging, and licensing processes.

The NPDB fee waiver is retroactive from March 1, 2020, through May 31, 2020. The NPDB will issue query credits to reimburse entities that conducted queries (one-time and continuous) between March 1 and today’s announcement.

Learn more. For technical assistance, view the recording from the teleconference or contact the NPDB Customer Service Center.

Here is a summary of recent Centers for Medicare & Medicaid Services (CMS) actions taken in response to the 2019 Novel Coronavirus (COVID-19), as 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 CMS News Room and Current Emergencies Website. CMS updates these resources on an ongoing basis throughout the day; the information below is current as of April 16, 2020 at 10:15 a.m. ET.

 CMS Increases Medicare Payment for High-Production Coronavirus Lab Tests

CMS announced that Medicare will nearly double payment for certain lab tests that use high-throughput technologies to rapidly diagnose large numbers of COVID-19 cases. This is another action the Trump Administration is taking to rapidly expand COVID-19 testing. Along with the March 30 announcement that Medicare will pay new specimen collection fees for COVID-19 testing, CMS’s actions will expand capability to test more vulnerable populations, like nursing home patients, quickly and provide results faster. Medicare will pay laboratories for the tests at $100 effective April 14, 2020, through the duration of the COVID-19 national emergency.

Press Release

 CMS Implements CARES Act Hospital Payment and Inpatient Rehabilitation Facility Waivers

The Coronavirus Aid, Relief, and Economic Security (CARES) Act increases payment for Inpatient Prospective Payment System (IPPS) and long-term care hospital (LTCH) inpatient hospital care attributable to COVID-19. CMS provided guidance for IPPS hospitals and LTCHs on how to code claims to receive the higher payment.

The CARES Act also waives the requirement that Medicare Part A fee-for-service patients treated in inpatient rehabilitation facilities receive at least 15 hours of therapy per week.

 MLN Connects Article

Emergency Declaration Waivers Summary

 CMS Approves Additional State Medicaid Waivers and Amendments to Give States Flexibility to Address Coronavirus Pandemic

CMS has approved 52 COVID- related emergency waivers, 31 state amendments, 11 COVID-related Medicaid Disaster Amendments and one CHIP COVID-related Disaster Amendment in record time. States are using a toolkit CMS developed to expedite the application and approval of Medicaid state waivers and State Plan Amendments.

CMS recently approved two additional COVID-related emergency Medicaid waivers, delivering urgent regulatory relief to ensure the Commonwealth of Puerto Rico and the Commonwealth of the Northern Mariana Islands can quickly and effectively care for their most vulnerable citizens. CMS also approved COVID-related Medicaid Disaster Amendments that bring relief to Arkansas and Rhode Island. These approvals help to ensure that states have the tools they need to combat COVID-19 through a wide variety of state plan flexibilities.  CMS continues to authorize amendments to ensure emergency flexibilities in programs that care for the elderly and people with disabilities, including most recently for Colorado, Louisiana and Nevada. These approved flexibilities support President Trump’s commitment to a COVID-19 response that is locally executed, state managed, and federally supported.

Section 1135 Waivers

1915(c) Waiver Appendix K Amendments

Medicaid State Plan Amendments

CHIP State Plan Amendments