MACHC
Weekly E-Blast:  
Voicing the latest news on Communities in Need
In This Issue
COUNTDOWN TO ENROLLMENT 
95 Days
Have news to share with us? Want to be featured on our next E-Digest? Want to read about something in particular? Please email us at aneeqa@machc.com. 

Let's Stay Connected
    
June 28, 2013 
Community Health Center Spotlight
Community Clinic, Inc. Opening New Site in 
P.G. County

After months of planning and construction, Community Clinic, Inc. (CCI) is in the home stretch and getting closer to opening a brand new health center in Prince George's County, Maryland. Nestled in the middle of the Franklin Park community and minutes from the Greenbelt metro station, this center will provide access to primary health care, dental services, and behavioral health to 6,000 new patients. This is a much needed expansion of CCI's services as this area of the County shows a very low penetration of services (according to UDS Mapper/HRSA.)

Guided by the principles of the Patient Centered Medical Home (PCMH) model, the interior design boasts a central pod, surrounded by exam rooms, for the medical team (doctors, nurse practitioners, medical assistants, patient representatives, and clinical health workers.) The goal is to enhance collaboration, promote communication, and create an efficient workflow in the team. All of which is critical to ensure continuous, comprehensive, quality health care access to our communities; a cornerstone of CCI's reputation across the region.
The Community Clinic at Franklin Park is destined to become a valuable addition to the community resources fabric for Prince George's County. The health center is slated to be open for patients by August 2013.
  

Walnut Community giving FREE dental sealants!

Walnut Street Community Health Center will provide free dental sealants to Washington County children as part of a collaborative effort between the center and the Washington County Health Department, with funding support of nearly $10,000 from the Office of Oral Health of the Maryland Department of Health and Mental Hygiene.

Dental sealants, which can cost up to $60 per tooth, are thin coatings that are applied to the pits and grooves on the chewing surfaces of the permanent back teeth. Sealants keep germs and food particles that cause tooth decay out of the grooves in the teeth. Applying sealants is short and easy, and no anesthesia is needed. Sealants can last as long as five years or more with proper maintenance.

For more information, call 301-393-3450.  

Has your Health Center made an accomplishment that you would like featured on our E-Blast? This is an excellent way to spread ideas and support each other. 
You could be next! Please contact Aneeqa Chowdhury at aneeqa@machc.com to be placed in the SPOTLIGHT!
MACHC Happenings
Has your Health Center signed up for your Access to Care Regional Forum?
Sign up NOW!
Forum discusses your state's latest on Health Reform and the Marketplace.
 
Delaware:
Host Agency
Sheraton Hotel and Conference Center
1570 North DuPont Highway, Dover, DE, 19901 
Contact: Robin Lawrence at 302-739-2730
Margaret O'Neill Bldg. 410 Federal St., Suite 7, Dover, DE 19901
 
Maryland: 
If you missed the MD Access to Care forums or would like a copy of the slides from the forum, please click here.

The Centers for Medicare & Medicaid Services (CMS) has scheduled several webinar trainings on the health insurance Marketplace for partners and stakeholders. The Level 1 webinar offers a one-hour high-level overview of the accomplishments of the Affordable Care Act and a basic introduction to the Marketplace, highlighting who is eligible and how the Marketplace will work. The Level 2 webinar offers a two-hour detailed review of the Marketplace, including eligibility, enrollment, plan structure, Medicaid expansion, and the streamlined application. Registration is required.

 

Building Capacity for Research and Quality Improvement Training

Save the Date for August 22, 2013

 This day-long training immediately before NACHC's Community Health Institute & Expo at the Hyatt Regency Chicago will help you build the skills and infrastructure necessary to collect and use data in Electronic Health Records to improve care, test interventions, and engage in research.  Registration link to come soon!

 

SAVE THE DATE for the MACHC Annual Conference 

When: September 19-20, 2013

Where: Turf Valley Conference Center in Ellicott City, MD

*Registration details to come in the coming weeks!*  

Policy, Advocacy and Legislation
National News

On June 27th, Medicare added new features to its Physician Compare website as it prepares to start including quality data on thousands of doctors. The site has been up since 2010, but contained only basic information about doctors and group practices, such as their addresses, specialties and clinical training.

The federal health care law mandates the Centers for Medicare & Medicaid Services to publish performance data on doctors, including how patients rate them, how well the physicians' medical interventions succeed and how well they follow clinical guidelines for basic care. 

The updated site expands the way people can search for doctors. Along with searching by specialty, patients can now look by body part and medication condition. The site displays a silhouette of a body and users can click on the part for which they are seeking medication attention.

The site also taps into Medicare billing data to more reliably identify the active practice locations of doctors.

Navigators will Play a Key Role in the Launch of the Marketplace Launch

Open Enrollment through the insurance exchanges will start on October 1. People with or without insurance can buy coverage or get some of their questions answered through websites and call centers. The actual plans will start Jan. 1. Most people will need to be insured next year or pay a penalty. Tax credits may help individuals who are up to 400 percent of the poverty line. For some, it will be the first time they have health insurance.

The new exchanges are expected to attract individuals and small business workers.

This new venue is expected to raise a tsunami of questions from consumers. Where will potential enrollees turn if they can't use the Internet or don't speak English?

Consumers can call on "navigators," trained people who will provide face-to-face assistance.

Or, it is hoped, the navigators will call on them.

These helpers will hang out at church picnics and beauty salons, and even go door to door. Ideally, they will be people well-known in the neighborhood, working through established groups.

After the navigators undergo training and pass a test, their job will be to point out differences in plans so enrollees can decide which would best suit their needs and income.

Navigators will help people enroll in Medicaid, or, if they make too much for that, tally up what they can get in tax subsidies to buy a plan on the exchanges.


HRSA released Policy Information Notice (PIN) 2013-01:  Health Center Budgeting and Accounting Requirements.
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.  
Sections of this PIN contain clarifications of existing requirements and are not available for comment. However, Section V.B. (Accounting for Health Center Scope of Project Funding, Health Center Non-Grant Funds) is new policy and is open for comment until 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.

Administrators say the focus on food has taken on extra importance since Medicare last year began paying them based partly on their patient satisfaction scores, a change that is part of the federal health care law known as Obamacare.

"Food service helps the overall experience," said Jim McGrody, director of food and nutrition at Rex part of the University of North Carolina Health System. While Medicare's surveys do not ask about food, Rex administrators believe their culinary efforts help explain their better-than-average overall satisfaction rates. About 84 percent of Rex patients surveyed said they would recommend the hospital, compared to 71 percent nationally.

The divided court stopped short of a more sweeping ruling that the fundamental right to marry must be extended to gay couples no matter where they live. But in striking down a key part of the 1996 Defense of Marriage Act (DOMA), the court declared that gay couples married in states where it is legal must receive the same federal health, tax, Social Security and other benefits that heterosexual couples receive. 

Did you miss the following Webinars?

Enroll America hosted a webinar with the Centers for Medicare and Medicaid Services (CMS) and the Center on Budget and Policy Priorities to take a deeper dive on five new enrollment strategies available to make enrollment easier for states. 
Check out this great webinar explaining these strategies by clicking on the title!
The National Association of Community Health Centers has recently released three new briefs on key topics for state policy makers:
  1. Health Insurance Exchanges: Key Issues for Community Health Centers provides analyses of the major policy issues impacting FQHCs for the different types of exchanges.
  2. Medicaid Premium Assistance and Health Insurance Exchanges addresses some of the most common questions that have been raised in two parts: an overview of the different Medicaid eligibility groups and coverage and benefits they are entitled to, and a discussion on how Exchanges will likely interact with Medicaid under the Arkansas proposal, which is being used as the model.
  3. State Fiscal Year 2013 Funding for Community Health Centers: Funding Levels Remain Inadequate Amidst Signs of Leveling Off Cuts shows that 29 states appropriated $287 million for the state fiscal year 2013, a 14% decline from last year
State News

 Though many say HIV is not the life sentence it once was, it still carries a stigma. It's something those living with the HIV virus or AIDS, the disease it causes, face every day. It's something advocates, health care professionals, public health officials and others fight in spreading the message about getting tested and preventing HIV.

And it's this stigma that has helped ensure Delaware consistently has some of the highest HIV and AIDS incidence rates in the country, experts say. The latest national data, from 2010, places Delaware eighth overall for HIV and seventh overall for AIDS.

 

Thursday, June 27th was National HIV Testing Day, how many patients did your center see that day?

Seven Maryland health care centers that received tainted steroids linked to a nationwide meningitis outbreak will be required to turn over documents and give testimony under subpoenas filed last week in a federal lawsuit.

A steering committee of lawyers representing patients who were given doses of the medication filed 76 of the subpoenas across the country. Patients in 22 states received injections of the steroids last year before they were recalled; 745 of them developed fungal meningitis or other health issues as a result, and 58 died.

   

  

NHCW is just 65 days away - August 11-17! Click hereto access media templates in both English and Spanish. 
  
All health centers are encouraged to post Health Center Week celebration and event details on the website here - the password to post events is: healthy.  While NHCW 2013 is August 11-17, events occurring anytime during the entire month of August are welcome to be posted on the website.
 
 

Invite Your Legislators during NHCW!

NACHC strongly encourages Community Health Centers nationwide to celebrate National Health Center Week (NHCW) in August by holding events, inviting Members of Congress to visit health centers in the districts, and hosting events, such as health fairs, community celebrations, or media events to educate the public about the mission and value of health centers. The theme for this year's NHCW is: Celebrating America's Health Centers: Transforming Health Care in Our Local Communities. 
Visit the National Health Center Week website for information and resources. 
Has your FQHC joined the 
National Branding Campaign?

 

With more than 43 billion people  eligible to enroll in private insurance starting this October 1, FQHCs strive to create an identifiable unifying identity for themselves. This is where the National Branding Campaign for Our Health Centers comes into place. 

The campaign is a national branding effort to strengthen recognition of our Health Centers as a unified and nationwide network of quality community-based primary care providers.  Initially created at the state level by the Pennsylvania Association of Community Health Centers (PACHC) and its membership, the National Association of Community Health Centers has expanded the campaign nationwide.

 

The FQHC Brand Components  

MACHC recently hosted a Branding Webinar for MD and DE Health Centers with CEO of PACHC, Cheri Reinhart and Event and Communications Coordinator, Kirsten Keyes, as guest speakers. If you missed the webinar and would like access, please click here.

Finance & Business

CMS Provides Direction to FQHCs/RHCs Seeking Payment for Transitional Care

If Community Health Center and rural health clinic (RHC) physicians follow the protocol outlined by Centers for Medicard & Medicaid, then FQHCs/RHCs who see Medicare patients can get paid in a timely manner for providing transitional care management services to their patients. The special billing process is necessary because of an error in CMS's claims processing system that interferes with FQHCs/RHCs receiving payment on claims filed when physicians apply two new CPT codes (99495 and 99496) that were activated by CMS on January 1. As outlined in the 2013 Medicare physician fee schedule, the codes refer specifically to payment for transitional care services provided to patients following discharge from a hospital, skilled nursing facility, community mental health center, outpatient observation or partial hospitalization. According to CMS, a remedy for the underlying problem is on the way, but until a fix is implemented:

1.   FQHCs/RHCs should bill for the services using the line item date-of-service that reflects the date of the required face-to-face component for transitional care management

2.   RHCs should submit claims to their Medicare administrative contractor with a service line that contains the revenue code 052X and no CPT code

3.   FQHCs should submit claims with a service line with the revenue code 052X and a valid evaluation and management code. In addition, include a service line with revenue code 052X and CPT code 99495 or 99496.

 Incyte reports promising study results

Growing drugmaker Incyte Corp. announced that a study has found that its drug Jakafi for a life-threatening blood cancer may alsoimprove overall survival in patients with the disease.

The Alapocas-based pharmaceutical company said Jakafi, a drug to treat myelofibrosis, which ails 18,000 people at any given time, was found in a three-year study to stabilize or improve bone marrow fibrosis, a key marker of worsening disease, said Paul A. Friedman, Incyte's chief executive officer.

The news came as the U.S. Food and Drug Administration approved expanded dosing guidance for Jakafi. The approval means physicians can be given new prescribing information intended "tohelp patients with low platelet counts experience the clinical benefits of Jakafi, including meaningful spleen reduction and symptom improvement," Friedman said.

Walgreens to pay $80 million for oxycodone violations

Walgreens, the nation's largest drugstore chain, will pay $80 million in fines to end a DEA probe into allegations it allowed millions of controlled substances, including the highly addictive painkiller oxycodone, to reach the black market.

The settlement is the largest civil penalty paid under the Controlled Substances Act in Drug Enforcement Administration history, U.S. Attorney Wilfredo Ferrer said Tuesday.

The Latest News on ACA

Health Insurance Marketplace education tools are finally here: 

Get Started!

The Obama administration kicked off the Health Insurance Marketplace education effort with a new, consumer focused HealthCare.gov website and the 24-hours-a-day consumer call center to help Americans prepare for open enrollment and ultimately sign up for private health insurance.  For Spanish speaking consumers, CuidadoDeSalud.gov will also be updated to match HealthCare.gov's new consumer focus. 

In addition to English and Spanish, the call center provides assistance in more than 150 languages through an interpretation and translation service.  Customer service representatives are available for assistance via a toll-free number at 1-800-318-2596 and hearing impaired callers using TTY/TDD technology can dial 1-855-889-4325 for assistance. 

The new tools will help Americans understand their choices and select the coverage that best suits their needs when open enrollment in the new Health Insurance Marketplace begins October 1. 

Grants & Funding Opportunities

FY 2014 Service Area Competition (SAC) Technical Assistance

Service Area Competition - New, Competing Continuation, and Supplemental (HRSA-14-021, HRSA-14-022, HRSA14-023, HRSA-14-024, HRSA-14-025, HRSA-14-026, HRSA-14-027, HRSA-14-028)

Through the Service Area Competition (SAC), HRSA will award approximately $468 million in funding to an estimated 310 SAC applicants. A SAC application is a request for Federal financial assistance to support comprehensive primary health care services for a competitively announced underserved area or population. All available service areas (see below) are currently served by Health Center Program grantees whose project periods are ending in FY 2014.

Application Deadlines

Project Period Start DateHRSA Announcement NumberGrants.gov Deadline (11:59 PM ET)HRSA EHB Deadline (5:00 PM ET)
November 1, 2013HRSA-14-021July 24, 2013August 7, 2013
December 1, 2013HRSA-14-022July 31, 2013August 14, 2013
January 1, 2014HRSA-14-023August 14, 2013August 28, 2013
February 1, 2014HRSA-14-024September 11, 2013September 25, 2013
March 1, 2014HRSA-14-025October 9, 2013October 23, 2013
April 1, 2014HRSA-14-026October 30, 2013November 13, 2013
May 1, 2014HRSA-14-027December 4, 2013December 18, 2013
June 1, 2014HRSA-14-028January 8, 2014January 22, 2014

*Please click on the title for more information regarding the various grants. 

 

CMS Round 2 Innovation Awards

Application Deadline:  Letter of Intent by June 28, 2013 at 3:00 pm EDT; applications by August 15, 2013 3:00 pm EDT 

CMS will spend up to $1 billion for awards and evaluation of projects from across the country that test new payment and service delivery models that will deliver better care and lower costs for Medicare, Medicaid, and Children's Health Insurance Program (CHIP) enrollees. The second round of the Health Care Innovation Awards will support public and private organizations in four defined areas that have a high likelihood of driving health care system transformation and delivering better outcomes. Specifically, in this second round, CMS is seeking proposals in the following categories:

  • Models that are designed to rapidly reduce Medicare, Medicaid, and/or CHIP costs in outpatient and/or post-acute settings.
  • Models that improve care for populations with specialized needs.
  • Models that test approaches for specific types of providers to transform their financial and clinical models.
  • Models that improve the health of populations - defined geographically (health of a community), clinically (health of those with specific diseases), or by socioeconomic class - through activities focused on engaging beneficiaries, prevention (for example, a diabetes prevention program or a hypertension prevention program), wellness, and comprehensive care that extend beyond the clinical service delivery setting.

Bottom of Form

All applicants must submit, as part of their application, the design of a payment model that is consistent with the new service delivery model that they propose.

 

Smiles Across America Grant & Webinar  

Application Deadline: July 1, 2013 
A unique funding opportunity from Smiles Across America is designed to help support local, community based oral health preventive services programs in expanding their programmatic capacity and the number of children served. Grant award amounts for this grant cycle will range from $3,000 - $20,000. 

 

 

 Application Deadline: June 30, 2013  
The purpose of the 340B Peer-to-Peer Network is to connect 340B entities and stakeholders with high performing sites, called leading practice sites that have exemplary 340B pharmacy service offerings. These sites serve as guides to help covered entities strengthen their 340B programs from inventory management to quality care initiatives. Sites that receive the status of a 340B Peer-to-Peer recognized site will be asked to dedicate two members of their team to share their expertise and leading practices - for a limited amount of time per month - with other safety-net organizations to help these organizations achieve results and establish sound business practices. Selected entities will receive:
  • A participation plaque
  • Acknowledgement in publications
  • Membership in APhA for three leadership team members
  • Peer-to-Peer annual stipends of $10,000/year
  • Financial support for select conference attendance to represent 340B stakeholders

 

 Community Access to Child Health (CATCH) Implementation Funds Program 

Application Deadline: July 31, 2013

Awards for $5,000 - $12,000 to support pediatricians in the initial and/or pilot stage of implementing community-based child health projects related to medical home access, health services to uninsured/underinsured, secondhand smoke exposure, immunization programs, and Native American child health.  
 
Application Deadline: July 31, 2013  
Planning grants for pediatricians to develop innovative, community-based initiatives that increase children's access to medical homes or to specific health services not otherwise available.

 

Scholarships
As part of our commitment to build a stronger, more empowered workforce, the National Council has partnered with USC to offer a $2,500 scholarship ($1,250 for advanced standing) for your employees when they enroll in the MSW@USC program in 2013.

Program Start Date                                                       Application Deadline
August 7, 2013                                                                June 25, 2013
September 3, 2013                                                         July 22, 2013
September 3, 2013 - Advanced Standing                    July 1, 2013

Your employees can request more information by clicking here. They should mention their National Council membership to admissions counselors to qualify for the scholarship. 

You can also sign up here to request a special onsite or virtual information session just for your staff.

 

Health Observances This Week
June 23-29: 
Helen Keller Deaf-Blind Awareness Week
Helen Keller Deaf-Blind Awareness Week celebrates the diversity and accomplishments of the
Deaf-Blind community and reminds the public that people who are deaf-blind can overcome and
conquer challenges with the right information, resources, and services. The Helen Keller
National Center for Deaf-Blind Youths and Adults in Sands Point, New York, can assist people
who are deaf-blind, their families, and service providers. For more information, contact:
Information Services | Helen Keller National Center for Deaf-Blind Youths and Adults |
516.944.8900 | hkncinfo@hknc.org | www.hknc.org
 
TODAY, June 28: 
Dental Awareness Day
Consumers are invited to visit www.knowyourteeth.com, the Academy of General Dentistry's  
(AGD ) consumer Web portal, to learn more about proper oral healthcare for themselves and their  
families. On the site, they can find an AGD dentist, ask a dental question 24/7 on the "Patient  
Advisor" forum and receive a response from an AGD member volunteer, or read helpful articles  
on many oral health topics. For more information, contact: Public Relations Department |  
AGD | 888.243.7392, ext. 4346 | media@agd.org | www.agd.org
Mid-Atlantic Association of Community Health Centers | | aneeqa@machc.com |
4319 Forbes Blvd. Lanham, MD 20706    |    www.machc.com    |    301.577.0097
 

Copyright 2013. All Rights Reserved.