Keshia Bradford Wins Emerging Leader Award in Washington, DC

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Keshia Bradford, MPA, Director of Outreach and Enrollment & Strategic Initiatives for the Health Center Association of Nebraska (HCAN) was awarded George Washington University’s Geiger Gibson Emerging Leader Award in Washington, DC.

The award was given during the National Association of Community Health Center’s Policy & Issues Forum held in Washington, DC from March 16-19, 2016.  The Emerging Leader Award is designed to highlight and share the accomplishments of young members of the community health center and Primary Care Association (PCA) family.  The Geiger Gibson Program in Community Health Policy at George Washington University in Washington, DC seeks to honor a leader who has undertaken or guided a specific task that has helped the health center or PCA further the mission of providing high-quality, culturally competent health services to underserved populations.

“All the membership of the Health Center Association of Nebraska is so proud of Keshia’s accomplishment in receiving this prestigious national award,” said Amy Behnke, CEO of HCAN.  “Keshia has been a part of HCAN from its beginning and bringing home this honor to such a young association speaks volumes about her hard work and dedication to Nebraska’s safety net health centers.”

Keshia Bradford Emerging Leader award 3-19-2016 croppedKeshia’s work in Outreach & Enrollment fostered many partnerships throughout the state and the nation.  One such partner is Families USA.

“We would like to take this opportunity to issue a heartfelt congratulations from Families USA to Keshia Bradford for receiving the Geiger Gibson Emerging Leader Award at this year’s National Association of Community Health Centers conference, said Jessica Kendall, Director of the Enrollment Assister Network at Families USA. “Keshia and the talented team at the Health Center Association of Nebraska have done a tremendous job reaching uninsured and under-insured residents in Nebraska and this award is well deserved!”

Keshia is a graduate of University of Nebraska at Omaha Master’s of Public Administration program and a graduate of Creighton University’s Health Administration and Policy program. Keshia is currently enrolled in Creighton’s Interdisciplinary Doctorate of Education in Leadership program. Keshia became passionate about health centers when she interned at OneWorld Community Health Centers, Inc. in Omaha during her undergraduate years.

When the Health Center Association of Nebraska was first established in 2011, Keshia became HCAN’s first intern. After completing her graduate degree, Keshia began her career working at All Care Health Center in Council Bluffs, IA as a Director of Operations. Keshia joined HCAN in July 2013 as Director of Strategic Initiatives, a position she still holds along with Director of Outreach and Enrollment.  Keshia lives in Council Bluffs, Iowa, and commutes to the HCAN offices in West Omaha.

Congratulations, Keshia, for outstanding work!  You are so deserving!

3 FTCA webcasts to prep for CY 2017 FTCA Deeming Requirements PAL on March 31, April 6, and April 7

Technical Assistance  (TA) Webcasts for Calendar Year (CY) 2017 Requirements for the Federal Tort Claims Act (FTCA) Medical Malpractice Coverage Program  for Health Centers – In anticipation of the release of the CY 2017 FTCA Deeming Requirements Program Assistance Letter (PAL),  BPHC has scheduled three webcasts:

General Information and Risk Management,  Thursday, March 31, 2016, 2:00 p.m. –  3:30 p.m. ET

General Information and Credentialing and Privileging, Wednesday, April 6, 2016, 2:00 p.m. –  3:30 p.m. ET

Quality Improvement and Quality Assurance, Professional Liability and EHB Updates, Thursday, April 7, 2016, 2:00 p.m. –   3:30 p.m. ET

Medicare Shared Savings Program (MSSP) webinar, Intro to MSSP ACO Academy on Tues., Apr. 5 at 2pm CDT (1pm MDT)

This summer, NACHC and Starling Advisors are partnering to offer a training designed to inform and assist Health Centers with evaluating and participating in the Medicare Shared Savings Program (MSSP).  This MSSP ACO Academy is intended to build off of NACHC’s previous Accountable Care Academy trainings.   Interested in learning more? NACHC is offering a FREE introductory webinar on April 5. Details are below.

Webinar:  Introduction to MSSP ACO Academy

Registration is Now Open!!

Date:  Tuesday, April 5, 2016 Time:  3:00 – 4:00 pm Eastern Time Cost:  Free Audience:  Health Center, PCA, and HCCN C-Suite leadership, clinicians, practice managers, IT, Quality Improvement, and Care Managers   The purpose of this webinar is to introduce the concept of the Medicare Shared Savings Program ACO to Health Centers, PCAs and HCCNs.  It will also provide a high-level overview of the application process and the preparation needed.  The general flow of the webinar will be to review the learning objectives and format of the upcoming MSSP ACO Academy Program.  During the webinar, presenters will ask attendees for real time feedback about balancing between application criteria and general development of collaboration. Register here online For questions, contact Jennifer Nolty at jnolty@nachc.com.

Refresher on Hardship Exemptions

Assisters can help consumers understand if they qualify for a hardship exemption and help them fill out the application and submit documentation.

Click here for a list of hardship exemptions and more information about how to apply for them. Only one exemption is needed for any given time period. Consumers may select multiple hardship exemptions on one application, but must send in documentation for each type requested.

The duration of the hardship exemption varies depending on the type, but is usually granted for one month prior to, during, and one month after the hardship event. Consumers can apply for hardship exemptions at any time.

From Coverage to Care (C2C) Initiative

The CMS Office of Minority Health is launching the From Coverage to Care (C2C) initiative in April. This effort is designed to help consumers learn how to navigate their health care, understand their benefits, select a primary health provider, and begin to regularly seek preventive and chronic care management services.

Assisters are encouraged to participate in the initiative, which will last three months. C2C has made the following resources available to assisters to help consumers use their healthcare:

  • Partnership Toolkit:  Includes ways to collaborate, ideas for events, print/online resources, prepared blogs and social media posts.
  • 5 Ways to Make the Most of Your Health Coverage
  • Roadmap to Better Care and a Healthier You

These resources, in addition to several other consumer and assister tools (in multiple languages), are available at http://go.cms.gov/c2c.

Marketplace Form 1095-A Corrections

At this time, the Marketplace estimates that Form 1095-A correction requests may take more than 30 days to complete. Consumers who request a correction now may not get a determination regarding their correction requests in time to meet the April 18th IRS deadline to file 2015 federal income taxes. Consumers waiting on a Form 1095-A correction from the Marketplace should contact a tax preparer or go to www.irs.gov to find out what to do next, which could include requesting an extension to file 2015 federal income taxes. Let consumers know that an extension to file a tax return doesn’t give the consumer more time to pay any taxes that may be due.

Here are some answers to frequently asked questions about Form 1095-A corrections:

Q: What happens after the consumer believes their Form 1095-A to be incorrect and contacts the Marketplace call center? 

A: Marketplace Call Center Representatives enter consumer requests into the Health Insurance Casework System (HICS) for review by the Form 1095-A Issue Resolution Team. The Issue Resolution Team will review the request and contact the consumer via telephone when a determination regarding the Form 1095-A correction has been made. During the telephone call, the Issue Resolution Team Representative will let the consumer know whether the request to correct the Form 1095-A has been approved or denied and next steps to take depending on the determination. The Form 1095-A Issue Resolution Team will not call the consumer regarding an address change or reprint request.

Q: How long does the Marketplace have to review and correct a 1095-A initiated by a consumer?

A: The Form 1095-A Issue Resolution Team may take 30 days or more to review a correction request, make a determination and notify the consumer.

Q: If the consumer doesn’t agree with the Issue Resolution Teams’ determination of their 1095-A correction request, can the consumer request secondary review of the 1095-A correction request?

A: Yes, the consumer can request a secondary review of their initial Form 1095-A correction request. To initiate the secondary review, the consumer should make the request with the Form 1095-A Issue Resolution Team when the representative calls to communicate the initial correction request determination. If after the secondary review, the initial determination is upheld, the consumer can file a “Statement of Disagreement.” Instructions on how to file the statement will be included in the denial letter sent to the consumer.

Nebraska Primary Care Collaborative: Team Care Coordination meeting in Grand Island on May 4, 2016

Registration is NOW OPEN! http://bit.ly/NEcollaborative 

What:Nebraska Primary Care Collaborative: Team Care Coordination 

When:Wednesday, May 4, 2016 from 9 a.m. to 3 p.m.

Where:Heartland Event Center, 700 E. Stolley Park Rd, Grand Island, NE 68801 

For:Nebraska Primary Care Clinical Teams including Physicians, Mid-level Providers, RNs, LPNs, CNAs, MAs, Care Coordinators, Front office staff, office managers, Community Health Workers and other staff who are part of your clinical team. 

Why:To meet other Primary Care Practice and Community Health Center teams in Nebraska and learn how to effectively provide care coordination through team-based care solutions in a Primary Care setting. Participate in collaborative presentations about community linkages, collaborative team roles, public health and hospital partnerships, Nebraska based models, best practices and interactive activities.

 

Registration fee:$25 per person, lunch served

CMS announces Open Enrollment future dates

Open Enrollment Dates:

Open enrollment for 2017 coverage: November 1, 2016 — January 31, 2017

Open enrollment for 2018 coverage: November 1, 2017 — January 31, 2018

Open enrollment for 2019 coverage: November 1, 2018 — December 15, 2018

DHHS announces change in contract recommendations for Heritage Health

The Nebraska Department of Health and Human Services’ Division of Medicaid and Long-Term Care today announced a change in its recommendation for one of the three managed care organizations previously announced to administer the upcoming Heritage Health program.

A limited re-evaluation completed for one component of the Request for Proposal responses has resulted in WellCare of Nebraska joining Nebraska Total Care (Centene) and United HealthCare Community Plan as the three managed care organizations selected to integrate physical and behavioral health care and pharmacy services for Medicaid recipients.  The original intent to contract was announced February 5.

WellCare of Nebraska replaces Aetna Better Health of Nebraska.  The other plans that had originally submitted bids were Arbor Health Plan and Meridian Health.

Calder Lynch, Director of the Division of Medicaid and Long-Term Care, said the corporate overview section was re-evaluated, in consultation with the Nebraska Department of Administrative Services, due to a scoring error isolated to that section.

Lynch said state law provides for a fair and competitive bidding process.  The Department of Administrative Services will execute final contracts with the chosen managed care organizations.  Once contracts are awarded, the health plans will undergo a thorough readiness review before they begin providing services to Medicaid recipients, with an expected start date of January 1, 2017.

Procurement materials are available for public review at http://das.nebraska.gov/materiel/purchasing/5151/5151.html.

For more information about Heritage Health, including procurement materials, a fact sheet, frequently asked questions, and the initial news release visit http://dhhs.ne.gov/heritagehealth.

STAR2 Center News: 2016 Recruitment and Retention Data Profile Launch

STAR² Center staff are excited to announce the release of of the updated health center recruitment and retention Data Profiles on Tuesday, March 22, 2016. The Data Profiles reflect the most up to date health center data and compare an individual health center’s data with national benchmarks in recruitment and retention. Profiles will be sent to health center CEOs and are meant to inform self assessment by health center workforce teams.

Help inform health centers about this free resource by including our brief informational blurbs about the Data Profile launch in your member communications.

Feel free to contact us for more information on the Data Profiles and be sure to check out our Featured Event section below for details on our informational webinar that will accompany the launch.