The Pennsylvania Broadband Development Authority (PBDA) opened its BEAD Challenge Submission Window this morning. The Challenge Portal is available online. If you are an eligible participant for the challenge process and have not registered, you will need to complete a registration before you can submit challenges.

The PBDA strongly encourages that all Internet Service Providers (ISPs) register for the challenge portal so they may be notified of challenges they may receive through the portal.

Please visit the BEAD Challenge webpage for additional details to include registering for the BEAD Challenge portal, review the public map that identifies those areas deemed unserved, underserved, served, funded and statewide Community Anchor Institutions (CAIs). You can also watch the recording of the BEAD Challenge webinar that was held on March 29, 2024 and download the PowerPoint presentation used during the webinar.

The PBDA would like to remind eligible entities interested in submitting bulk challenges to consider requesting a license from CostQuest Associates. Tier D licenses are available here. Tier E licenses are available here. While a license is not required to participate and access the BEAD Challenge portal, it will help to simplify the submission of bulk challenges.

The timeline for the BEAD Challenge process is broken down into 3, 30-day windows which are as follows:

1. Challenge Submission Period: Eligible entities will be able to submit challenge for 30 days. (April 24 – May 23)
2. Rebuttal of Challenges: Entities that have been challenged will have 30 days to respond (May 24 – June 22)
3. Final Determinations: The PBDA will decided if challenges and rebuttals are valid or not within 30 days (June 23 – July 22)

Lastly, as a reminder, the PBDA will be holding the last of three Office Hour Sessions tomorrow, please click on the link below to obtain additional details and to register.

• Thursday April 25, 2024

Garrett Clark estimates he has spent about six years in the Sanpete County Jail, a plain concrete building perched on a dusty hill just outside this small, rural town where he grew up.

He blames his addiction. He started using in middle school, and by the time he was an adult he was addicted to meth and heroin. At various points, he’s done time alongside his mom, his dad, his sister, and his younger brother.

“That’s all I’ve known my whole life,” said Clark, 31, in December.

Clark was at the jail to pick up his sister, who had just been released. The siblings think this time will be different. They are both sober. Shantel Clark, 33, finished earning her high school diploma during her four-month stay at the jail. They have a place to live where no one is using drugs.

And they have Cheryl Swapp, the county sheriff’s new community health worker, on their side.

“She saved my life probably, for sure,” Garrett Clark said.

Swapp meets with every person booked into the county jail soon after they arrive and helps them create a plan for the day they get out.

She makes sure everyone has a state ID card, a birth certificate, and a Social Security card so they can qualify for government benefits, apply to jobs, and get to treatment and probation appointments. She helps nearly everyone enroll in Medicaid and apply for housing benefits and food stamps. If they need medication to stay off drugs, she lines that up. If they need a place to stay, she finds them a bed.

Then Swapp coordinates with the jail captain to have people released directly to the treatment facility. Nobody leaves the jail without a ride and a drawstring backpack filled with items like toothpaste, a blanket, and a personalized list of job openings.

“A missing puzzle piece,” Sgt. Gretchen Nunley, who runs educational and addiction recovery programming for the jail, called Swapp.

Swapp also assesses the addiction history of everyone held by the county. More than half arrive at the jail addicted to something.

Nationally, 63% of people booked into local jails struggle with a substance use disorder — at least six times the rate of the general population, according to the federal Substance Abuse and Mental Health Services Administration. The incidence of mental illness in jails is more than twice the rate in the general population, federal data shows. At least 4.9 million people are arrested and jailed every year, according to an analysis of 2017 data by the Prison Policy Initiative, a nonprofit organization that documents the harm of mass incarceration. Of those incarcerated, 25% are booked two or more times, the analysis found. And among those arrested twice, more than half had a substance use disorder and a quarter had a mental illness.

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The Pennsylvania Broadband Development Authority (PBDA) has released the details of the BEAD Challenge process. Please visit the BEAD Challenge webpage for additional details to include registering for the BEAD Challenge portal, review the public map that identifies those areas deemed unserved, underserved, and statewide Community Anchor Institutions (CAIs). You can also watch the recording of the BEAD Challenge webinar that was held on March 29, 2024 and download the PowerPoint presentation used during the webinar.

The PBDA would like to remind eligible entities interested in submitting bulk challenges to consider requesting a license from CostQuest Associates. Tier D licenses are available here. Tier E licenses are available here. While a license is not required to participate and access the BEAD Challenge portal, it will help to simplify the submission of bulk challenges.

The timeline for the BEAD Challenge process is broken down into 3, 30-day windows which are as follows:

1. Challenge Submission Period: Eligible entities will be able to submit challenge for 30 days. (April 24 – May 23)
2. Rebuttal of Challenges: Entities that have been challenged will have 30 days to respond (May 24 – June 22)
3. Final Determinations: The PBDA will decided if challenges and rebuttals are valid or not within 30 days (June 23 – July 22)

As a reminder, the PBDA will be holding three Office Hour Sessions, please click on each below to obtain additional details and to register.

• Friday April 19, 2024
• Tuesday April 23, 2024
• Thursday April 25, 2024

Please don’t hesitate to reach out with questions to PABroadbandAuthority@pa.gov.

Last week, the Pennsylvania Workforce Development Association reinstituted their annual NextGen Youth Summit after a five-year hiatus to help Pennsylvania youth program providers collaboratively discover new opportunities for youth and young adults entering the workforce. Caitlin Wilkinson, Co-Director of the Pennsylvania Primary Care Career Center, represented PACHC and made some exciting new connections with the attendees that could lead to innovative collaborations that will help address Community Health Center workforce needs. Over the next few weeks, Caitlin will be meeting with these new connections but is happy to discuss individual health center needs or ideas in the meantime.

The Health Resources and Services Administration (HRSA) has announced Chantelle Britton as Director of the Office of Pharmacy Affairs (OPA) within the Office of Special Health Initiatives (OSHI). Britton will provide strategic leadership and oversight for the 340B Program and will guide OPA’s overall policy and implementation work. Britton has served as Acting Director of OPA since December 2023. She brings deep knowledge and experience with the 340B Program, drug pricing issues, health policy, access to care issues, safety-net programs, and HRSA’s federal and external partners to the permanent role. Prior to her appointment as Acting Director, Britton served for eight years as Senior Advisor in the Office of the Director of OPA.

Pennsylvania’s mandatory Managed Long Term Services and Supports (MLTSS) program, Community HealthChoices (CHC), was developed to enhance access and improve coordination of medical care. The Department of Human Services administers the Community HealthChoices program and is committed to increasing opportunities for older Pennsylvanians and individuals with physical disabilities to remain in their homes. Individuals 21 or older with Medicare and Medicaid may qualify for the CHC program. Pennsylvania’s CHC program was highlighted in this 2024 report.

Last week, the U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), finalized policies that continue to strengthen enrollee protections and guardrails to ensure Medicare Advantage (MA) and Medicare Part D prescription drug plans best meet the needs of people with Medicare. This final rule also promotes healthy competition, increases access to care, and protects enrollees from harmful marketing by limiting the distribution of personal beneficiary data by Third-party marketing organizations and ensures that MA organizations analyze their utilization management (UM) policies and procedures from a health equity perspective. The Medicare statute requires that CMS establish guidelines to ensure that the use of compensation creates incentives for agents and brokers to enroll individuals in the MA or Part D plan intended to best meet the prospective enrollee’s health care needs. However, excessive compensation, and other bonus arrangements offered by plans to agents and brokers can result in individuals being steered to some MA and Part D plans over others based on the agent or broker’s financial interests, rather than the prospective enrollee’s healthcare needs. Additionally, the final rule generally prohibits contract terms between MA organizations/Part D sponsors and middleman Third Party Marketing Organizations (TPMOs), such as field marketing organizations, which may directly or indirectly create an incentive to inhibit an agent or broker’s ability to objectively assess and recommend the plan that is best suited to a potential enrollee’s needs. For more, see the final rule.

In mid-March, the Centers for Medicare and Medicaid Services (CMS) announced that they had updated their Medicare Learning Network (MLN) booklets for federally qualified health centers (FQHCs), rural health clinics (RHCs) and mental health services. The Medicare MLN booklets explain national Medicare policies on coverage, billing and payment rules for specific provider types. The telehealth related changes incorporate the extensions to pandemic telehealth flexibilities made by the Consolidated Appropriations Act (CAA), 2023, as well as changes to policy that were made in the 2024 Final Physician Fee Schedule. The major telehealth changes for the FQHC/RHC booklets include:

• An allowance for FQHCs and RHCs, starting Jan. 1, 2024, to bill remote physiologic monitoring (RPM), remote therapeutic monitoring (RTC), community health integration (CHI), principal illness navigation (PIN), and PIN-Peer Support (PIN-PS) by billing the general care management code, 0511. Previously, remote monitoring was considered bundled under the FQHC/RHC’s all-inclusive rate and not reimbursed separately at all.
• The booklet now specifies that FQHCs/RHCs can provide mental health visits using interactive, real-time telecommunication technology. However, the in-person visit mandated by the CAA, while currently waived, will go into effect Jan. 1, 2025.