HRSA Primary Health Care/Health Centers Open Opportunities

HRSA-14-021 Service Area Competition

HRSA-14-022 Service Area Competition

HRSA-14-023 Service Area Competition

HRSA-14-024 Service Area Competition

HRSA-14-025 Service Area Competition

HRSA-14-026 Service Area Competition

HRSA-14-027 Service Area Competition

HRSA-14-028 Service Area Competition

 

DHHS Releases Preferred Drug List (PDL) – Provider Bulletin 13-42

In May of 2013 the NE Medicaid Pharmaceutical and Therapeutics Committee reviewed fortyfive therapeutic classes of drugs on the Preferred Drug List (PDL). Listed below are the CHANGES per each class. It is not a listing of all the drugs within a therapeutic class, and it is not the complete PDL.

Changes to the reviewed therapeutic classes are listed in italics on the posted PDL to be implemented July 18, 2013. For the complete listing of the Preferred Drug List with upcoming changes, please see the Pharmacy Magellan Medicaid Administration website at https://nebraska.fhsc.com under the Preferred Drug List tab: (PDL Document, effective 07/18/2013). For further information contact Jenny Minchow R.P., Pharm.D. at (402) 471-9109, or email at dhhs.MedicaidPharmacyunit@nebraska.gov.

To read the list, go to: http://dhhs.ne.gov/medicaid/Documents/pb1342.pdf

DHHS Releases Nebraska Medicaid Practitioner Fee Schedule for HEALTH CHECK Services

The Nebraska Department of Health and Human Services has released its revised Medicaid Practitioner Fee Schedule for Health Check Services #29-2013.  Included in this listing are HEALTH CHECK (EPSDT) REFERRAL INDICATOR CODES Preventive care for persons under 21, HEALTH CHECK (EPSDT) Vaccines for Children, and HEALTH CHECK (EPSDT) Special Services for Persons Under 21.

To read the document, go here: http://dhhs.ne.gov/Documents/471-000-533.pdf

Webinar Replay: “Making Enrollment Easier: New Guidance from CMS”

On June 12th, a webinar with the Centers for Medicare and Medicaid Services (CMS) and the Center on Budget and Policy Priorities was given to take a deeper dive on five new enrollment strategies available to make enrollment easier for states. States can significantly reduce the number of uninsured residents they will need to reach through outreach and in-person application assistance efforts in 2014 by taking full advantage of these strategies to simplify and streamline enrollment.  In case you missed it, a replay of the webinar is now available.

CMS Offers Enrollment Stategies for Medicaid and CHIP

As states prepare for the changes to Medicaid eligibility that will go into effect on January 1, 2014, identifying ways to efficiently enroll eligible individuals is a high priority. Based on discussions with states and stakeholders, the Centers for Medicare & Medicaid Services (CMS) is offering optional strategies that can help make significant progress toward reducing the number of uninsured individuals and optional tools to help states manage the transition to their new eligibility and enrollment systems and coverage of new Medicaid enrollees. We intend to ensure a streamlined review and approval process for states interested in implementing these approaches.

Under the Affordable Care Act, a new simplified system for enrolling eligible people into coverage will be in effect for Medicaid and the Children’s Health Insurance Program (CHIP) in every state on January 1, 2014.  Enrollment strategies that target individuals likely to be eligible for Medicaid, and for whom eligibility information is already in the state’s files, provide important advantages both for uninsured individuals and for states. Such “targeted enrollment strategies” can efficiently identify and enroll eligible individuals and facilitate their renewal in Medicaid without requiring them to complete an entire new application. These strategies can also help alleviate the administrative demands on the new eligibility and enrollment system. Five specific targeted enrollment strategies are listed below:

1. Implementing the early adoption of Modified Adjusted Gross Income (MAGI)-based rules;

2. Extending the Medicaid renewal period so that renewals that would otherwise occur during the first quarter of calendar year (CY) 2014 (January 1, 2014 – March 31, 2014) occur later;

3. Enrolling individuals into Medicaid based on Supplemental Nutrition Assistance Program (SNAP) eligibility;

4. Enrolling parents into Medicaid based on children’s income eligibility; and

5. Adopting 12-month continuous eligibility for parents and other adults.

To read the entire document that discusses why these strategies are effective, go here: http://www.medicaid.gov/Federal-Policy-Guidance/downloads/SHO-13-003.pdf

HRSA Grantees: Key Players in HIV Testing Webcast

Monday, June 24, 2013 at 1pm CDT (12noon MDT)

Join the webcast: http://services.choruscall.com/links/hrsa130624.html

 “Take the Test, Take Control” – that’s the message we want to deliver to the half a million people who don’t know they are living with HIV. National HIV Testing Day is June 27 and of the approximately 1.2 million people living with HIV (PLWH) in the United States, nearly one in five of these people do not know their status and many others are not receiving medical care.  We can change that.  And with the advent of effective antiretroviral treatment, an AIDS-free generation may be possible. HRSA-funded programs and providers can play a critical role in finding and providing care to these PLWH.

To help you help others become more familiar with HIV testing, HRSA is hosting a webcast for HRSA-funded programs and providers on Monday, June 24, 2013 from 1-2 p.m. CDT.  HRSA Administrator Dr. Mary Wakefield will share her vision for increasing HIV testing in HRSA programs.  Dr. Bernard Branson from the Centers for Disease Control and Prevention will share the federal guidelines for HIV testing and Dr. John Nelson from the AIDS Education and Training Center National Resource Center will share HIV testing resources.

Join the webcast: http://services.choruscall.com/links/hrsa130624.html

Breaking the Glass: Navigating Sexual Health & HIV Stigma with African Immigrants and Refugees

The HHS Office of Minority Health Resource Center’s National African Immigrant Project is providing a webinar targeting clinicians that work with African immigrants with HIV and its co-morbidities. The webinar, “Breaking the Glass: Navigating Sexual Health & HIV Stigma with African Immigrants and Refugees”, will address HIV stigma as it pertains to African clients, MSM in the African community, FGM, gender issues and medical adherence.

The webinar will address some of the cultural barriers that prevent African clients from accessing treatment and care and adhering to prescribed medications.

The course is taught by: a Dr. Ijeoma Otigbuo, a Nigerian/American professor of microbiology and immunology at Montgomery College in Maryland; Mrs. Adeline Assani-Uva, a Ghanaian/American registered dietitian; and Dr. Emmanuel Koku, a Ghanaian-American, is an Associate Professor of Sociology, at Drexel University, and a Co-Director of its African Studies Program.

The presenters have several decades of expertise in their respective fields, have done several presentations on these topics and have authored papers on Africans, nutrition and HIV.

Title: Breaking the Glass: Navigating Sexual Health & HIV Stigma with African Immigrants and Refugees

Date: Friday, June 28, 2013

Time: 1:00 PM – 2:30 PM CDT (12noon – 1:30pm MDT)

After registering you will receive a confirmation email containing information about joining the Webinar.

Space is limited.

Reserve your Webinar seat now at: https://www2.gotomeeting.com/register/548259906

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Doctors and Hospitals’ Use of Health IT More than Doubles since 2012

More than half of America’s doctors have adopted electronic health records

HHS Secretary Kathleen Sebelius today announced that more than half of all doctors and other eligible providers have received Medicare or Medicaid incentive payments for adopting or meaningfully using electronic health records (EHRs).

HHS has met and exceeded its goal for 50 percent of doctor offices and 80 percent of eligible hospitals to have EHRs by the end of 2013.

Since the Obama administration started encouraging providers to adopt EHRs, usage has increased dramatically. According to the Centers for Disease Control and Prevention survey in 2012, the percent of physicians using an advanced EHR system was just 17 percent in 2008. Today, more than 50 percent of eligible professionals (mostly physicians) have demonstrated meaningful use and received an incentive payment. For hospitals, just nine percent had adopted EHRs in 2008, but today, more than 80 percent have demonstrated meaningful use of EHRs.

Technical Expert Panel (TEP) Nominations Sought for CMS & Center for Outcomes Research and Evealuation (CORE) Panel

The Centers for Medicare & Medicaid Services (CMS) has contracted with Yale New Haven Health Services Corporation/Center for Outcomes Research and Evaluation (CORE) to develop administrative claims-based, risk-adjusted measures of all-cause admissions for patients with chronic disease (heart failure, diabetes, and multiple chronic conditions).  Because high-quality outpatient management of patients with these conditions should minimize the need for hospitalization, admission rates for these patients could be expected to reflect the quality of primary care.  The purpose of the project is to develop admission measures that can be used to assess and improve the quality of care provided to Medicare beneficiaries.

CORE is seeking nominations for a technical expert panel (TEP) to provide expert opinion and input on these measures.  Given the expertise and mission of your organization and your constituency’s expertise relevant to healthcare quality, chronic disease management, and/or quality measurement, CORE invites you to identify individuals who might be interested in participating on our TEP.   Individuals and organizations should be aware that the persons selected to the TEP represent themselves and not their organization.

CORE is also looking for patients to join our TEP meetings.  Patients who have one or more of these chronic conditions can provide unique and essential input on quality measures based on their own experience and perspective.  If you know of an interested patient, please forward this information to him or her.   The goal is to have broad representation on the TEP to encompass the perspectives of healthcare providers, quality improvement professionals, performance measurement experts, purchasers, consumers, and patients.

CORE will hold approximately two 1-2 hour teleconference meetings from August 2013 to June 2014.  For more information about this work and TEP member responsibilities, please visit https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/TechnicalExpertPanels.html. 

Any individuals interested in participating on the TEP should complete the TEP Nomination/Disclosure/ Agreement (NDA) Form and submit it along with their curriculum vitae and a statement of interest no later than 5:00 pm ET on July 9, 2013.  The NDA can be downloaded at the bottom of the webpage listed above.  Please note that in order for the nomination package to be complete, a signature (electronic or handwritten) is required on the NDA form.

The documents may be submitted in hard copy (to Julia Montague at the address provided below), faxed (203-764-5653), or emailed (primarycareoutcomes@yale.edu).  Once the nomination process is complete, CORE will select a TEP composed of 10-12 members based on the areas of expertise and the specific requirements of the measures.

Please contact Julia Montague (primarycareoutcomes@yale.edu or 203-764-5700) should you have any questions.

HRSA Releases ‘Health Center Budgeting and Accounting Requirements’ – Comment through August 30th

The Health Resources and Services Administration (HRSA) has released Policy Information Notice (PIN) 2013-01: Health Center Budgeting and Accounting Requirements. The PIN is available at: http://bphc.hrsa.gov/policiesregulations/policies/pin201301.html

This PIN provides information regarding budgeting and accounting requirements for health centers and their applicability to section 330 federal grant funds versus non-grant funds. Certain sections of this PIN contain clarifications of existing requirements and are not available for comment. These include:

I.     Purpose;

II.    Applicability;

III.   Background;

IV.   Scope of Project and Budget Requirements;

V.    Accounting for Health Center Scope of Project Funding, Section 330 Grant Funds;

VI.   Other Lines of Business outside the Scope of the Health Center Project;

VII.  Effective Date; and

VIII. Contacts

A section of this draft PIN is new policy and is available for public comment. Specifically, Section V.B. (Accounting for Health Center Scope of Project Funding, Health Center Non-Grant Funds) is open for comment. When providing comments, please be as specific as possible, and reference the applicable page number(s). Comments will be reviewed and analyzed, and a final policy for this area, along with a summary and general response to comments, will be published as soon as possible after the comment submission deadline. Comments should be submitted to OPPDBudgetPIN@hrsa.gov by close of business August 30, 2013.

Beginning with applications for new and continued Health Center Program funding in Fiscal Year 2014, HRSA will incorporate the federal budget requirements that are not new policy, as outlined in the PIN, into the application requirements.

If you have any questions or require further guidance, please contact the Bureau of Primary Health Care, Office of Policy and Program Development, at OPPDBudgetPIN@hrsa.gov.