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Important Dates | |
6/27-National HIV Testing Day
7/1-Fiscal Year End
7/6- ICD-10 Webinar
7/15- Health Education Progress Reports Due
7/20- ICD-10 Webinar
7/28- Health Education Conference Call |
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Quote of the Week
"What matters most is whether we are able to help a child develop a very different set of qualities, a list that includes persistence, self-control, curiosity, conscientiousness, grit, and self confidence."
~Paul Tough |
| UPDATED! Title X: ICD-10 Training July/August | | |
 Registration Now Open! ICD-10 Training
Register Now
Flyer
WMHS, in collaboration with the Title X grantees from North Dakota, South Dakota, and Wyoming will be hosting 4 webinars in July and August on ICD-10 and family planning. These webinars will be available to all Title X staff in Montana free of charge. Here are the details:
Webinar Dates and Content
Webinar 1 - July 6 from 12 - 1 pm - "The Revenue Cycle"
Webinar 2 - July 20 from 12 - 1 pm - "CPT coding and compliance"
Webinar 3 - August 3 from 12 - 1 pm - "Diagnosis coding and ICD-9"
Webinar 4 - August 24 from 12 - 1 pm - "Diagnosis coding and ICD-10"
Webinars will include case studies. For webinar #2, a coding and compliance handout will be provided. In Webinar #4, an ICD-10 Forward Map (Cross-walk from ICD-9 - ICD-10) will be provided.
Webinar Recording
Trainings will be recorded for staff who are unable to attend.
Capacity
The capacity for the web-based system will be approximately 100-125. The webinars will be recorded for those who cannot attend on the days offered. It is absolutely ok for staff to share logins so that multiple staff can view the webinars on one computer. Login information will be sent out as the dates approach.
If you have questions please contact A.C. Rothenbuecher at 444.3775 or arothenbuecher@mt.gov. |
| Great Beginnings, Great Families Conference | |  Connecting Families and Communities for a Child's Best Beginnings
Great Beginnings, Great Families Conference
July 7 - 9, 2015
Best Western Premier Great Northern Hotel
Helena, MT 59601
Registration is now open for the 2015 Great Beginnings, Great Families conference at the Great Northern in Helena! Click here for conference information and registration. Online registration will close on Monday June 29th. On-site registration will be available the days of the conference. Please feel free to forward this to your state and local partners and others you feel may be interested!
We have three high profile keynote presentations planned for the conference. Dr. Donna Beegle will offer our Tuesday morning opening keynote; Dr. Clayton Small will provide the Wednesday morning keynote; and First Lady Lisa Bullock will provide the closing keynote late Thursday morning. Some conference highlights include:
Dr. Donna Beegle will present the Tuesday opening keynote and two breakout sessions:
- Keynote: Tools to Prevent the Trauma Inflicted by Poverty - An informative, inspirational and motivational keynote presentation with tools to prevent the trauma inflicted by poverty conditions. Dr. Beegle will illuminate practical strategies based on what it took for her to move out and to stay out of crisis, along with 25 years of research and study on breaking barriers. Dr. Beegle's education, work, and passions are to ensure children and families have authentic opportunities and supports to reach their fullest potentials.
- Improving Communication and Relationships with Families Facing the Trauma of Poverty -- Donna Beegle grew up communicating differently, but it was not until she studied communication and social class and learned about the differences in communication across social class, that she realized she needed a second language. Donna provides a highly interactive workshop offering concrete tools for building stronger relationships and communicating more effectively with families who live in the crisis of poverty.
- Building a Connected Approach for Supporting Families Experiencing the Trauma of Poverty-- In this workshop, participants will learn about proven models for building the capacity of children and families to move out of poverty. Dr. Beegle will walk participants through a research based Opportunity Community model that has proven success in breaking poverty barriers.
Dr. Clayton Small will present a keynote on Wednesday morning and two breakout sessions:
- Keynote: Healing from Childhood Trauma and Moving Forward as Healthy Parents and Families -- Most people, upon reflecting of their childhood years have said about their family of origin, "I'll never marry someone like that!" or "I'll never treat my kids like that!" The scary reality is many of us do in fact, become just like that! So, how do we break these multigenerational cycles of behavior? The good news is that it can be done! We will have fun exploring this challenge.
- Good Road of Life - provides an overview of the strengths and culture based curriculum that uses the sources of strength such as spirituality, humor, and healing to assist Native families in addressing unresolved conflicts in relationships, improve communication skills and keeping Native families together.
- Native H.O.P.E. - provides an overview of intentionally creating a safe and sacred place through culture, spirituality and humor for participants to address suicide, depression, trauma, violence and substance abuse as an approach for Native youth to break the "code of silence".
Click here to register today! |
| Assessing Young Men's Risk for Pregnancy Involvement | |  Assessing Young Men's Risk for Pregnancy Involvement
Researchers recently identified certain combinations of risk factors that significantly increase the likelihood of a young man being involved in a teen pregnancy, according to a study recently published in the Maternal and Child Health Journal. Researchers used 2002 and 2006-2010 National Survey of Family Growth data, to analyze young men's response to a question asking how many times he has made someone pregnant, as well as a series of other questions to determine which combination of factors was associated most strongly with a young man's likelihood of being involved in a pregnancy. The study revealed two clusters of factors related to high pregnancy involvement:\
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Group 1 Cluster factors |
Group 2 Cluster factors | |
Ever tested for HIV |
Ever tested for HIV | |
More than 4 lifetime sex partners |
More than 4 lifetime sex partners | |
Less pleasure with condom use |
Less pleasure with condom use | |
Less than 11th grade education |
Greater than 11th grade education | |
Two or fewer sex partners in last 12 mos. |
No contraceptive education before grade 10 |
Nearly 9 of 10 young men (87%) in Group 1 and 84% in Group 2 reported involvement in a teen pregnancy.
In an interview with the Family and Youth Services Bureau, lead author May Lau advises sexual health educators and other family and youth workers to:
1. Ask young men if they've gotten tested for HIV. If you know a young man has been tested for HIV (or if you're helping him to get tested), be sure to talk to him about safe sex.
2. Make sure youth receive sex education by 9th grade. Boys who received their first sex education course at 10th grade or later were among those at highest risk for pregnancy involvement, representing 84% of the teen fathers or pregnancy-involved young men.
3. Work to change young men's attitudes toward using condoms. "No one really asks adolescent males why they don't use condoms," Lau says. "Sometimes they'll tell you, 'they don't work, they rip, I can't feel anything,'" she says. Health educators should not only inform youth about condoms, but also assess boys' condom attitudes, she says, because boys and young men "may have preconceived notions from peers, and even from other adults in their lives."
4. Remember that any young man can be at risk of getting someone pregnant. "Talk to them earlier about safe sex," Lau recommends.
In celebration of Men's Health Month, and in recognition that it's not always easy to bring up the topic of sexual health with both adolescent and adult male clients, we've developed a new resource that provides examples of ways to introduce the topic. The "Introducing Reproductive Health Services to Male Clients" podcast will be posted to the Implementing Male Services Community of Practice at the end of June. Join the Male CoP today to be sure you're notified when this resource is posted.
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| Preventing Teen Pregnancy: A Key Role for Health Care Providers | |  Preventing Teen Pregnancy: A Key Role for Health Care Providers
(PDF)
CDC: Doctors and other health care professionals can help prevent teen pregnancy by encouraging teens not to have sex and talking to them about birth control. A new information brief in the Centers for Disease Control and Prevention's Vital Signs series promotes long-acting reversible contraception, or LARC, as the most effective type of birth control for teens. |
| 61% and Falling | |  61% and Falling
Teen births in the U.S. declined 9% in 2014 and have reached another record low, according to new data by the Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS). The teen birth rate has declined more than 7% annually since 2007 and an impressive 61% since peaking in 1991.
"The scope of this national success story is truly breathtaking; teen pregnancy and birth rates are at historic lows, declines are geographically widespread, and rates have plummeted among all racial/ethnic groups and in persistently disadvantaged communities," said National Campaign CEO Sarah Brown. |
| Importance of Title X | | |
Local-level Information
State-level Information
National Information
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Gardasil 9 and Liletta Medicaid and Plan First Coverage | | |
Gardasil 9 and Liletta Medicaid and Plan First Coverage
Title X Clinic Staff,
Here are some follow-ups from last week's regional trainings:
Gardasil 9 Coverage on Medicaid and Plan First
Gardasil 9 (the new HPV vaccine) is covered by Montana Medicaid. It is also a VFC drug. Gardasil 9 will be added to the Plan First list of allowed codes.
Liletta Coverage on Medicaid and Plan First
Liletta is covered under Medicaid as it uses the same procedure code as Mirena to bill, so that means it is also covered under Plan First. Clinics use the procedure code J7302 to bill for the device and 58300 to bill for the insertion of the device. The reimbursement depends on the type of provider and the place of service, but currently they will get reimbursed the same amount they do for Mirena.
If you have any questions please contact A.C. Rothenbuecher at 406.444.3775 or arothenbuecher@mt.gov |
| ICD-10 Train Your Staff | | |
ICD-10 Deadline October 1, 2015: Train Your Staff
While ICD-10 is almost here, you still have time to get ready. But you must get ready now.
Each day this week we are highlighting 1 of the 5 steps from the new Quick Start Guide: 1) Make a Plan, 2) Train Your Staff, 3) Update Your Processes, 4) Talk with Your Vendors and Health Plans, and 5) Test Your Systems and Processes. Today our focus is: Train Your Staff
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- Medical societies, health care professional associations
- Hospitals, health systems, health plans, vendors
- Identify top codes. What ICD-9 diagnosis codes does your practice see most often? Target the top 25 to start. You might want to look at common diagnosis codes available from:
- Road to 10 (see Specialty References)
- Medical specialty societies
- Using the documentation available, code current cases in ICD-10. Flag any cases where more documentation is needed.
Tips
- Training for clinical staff-e.g., physicians, nurse practitioners, physician assistants, registered nurses-should focus on documentation, new coding concepts captured in ICD-10
- Training for coding and administrative staff-e.g., coders, billers, practice managers-should focus on ICD-10 fundamentals
- You can review your superbills, encounter forms, and practice management system reports to identify your most commonly used ICD-10 codes
- If time permits, expand your ICD-10 coding of current cases to include 50 or more of your top codes, until 80% of your claims are covered
- You don't have to use 68,000 codes-as you do now, your practice will likely use a very small subset of ICD-10 codes
- You will use a similar process to look up ICD-10 codes that you use with ICD-9
- While crosswalks from ICD-9 to ICD-10 can be useful references, ICD-10 codes should be based on the clinical documentation rather than selected from a crosswalk
- Practices that do not prepare for ICD-10 will not be able to submit claims for services performed on or after October 1, 2015
To learn more about getting ready, visit cms.gov/ICD10 for free resources including the Road to 10 tool designed especially for small and rural practices, but useful for all health care professionals. |
| National HIV Testing Day June 27 | | |
 5 Tips for National HIV Testing Day 2015
TIP #2
Use the hashtag #NHTD to join the join the conversation and share your HIV testing story.
TIP #3
TIP #4
Watch and share Positive Spin videos about getting testing and living a healthy life with HIV. #mypositivespin
TIP #5 Take control. Take the test.
Knowing your status is the first step in taking care of yourself. |
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Life is Short - Smile! | | |
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