Weekly E-Blast:  
Voicing the latest news on Communities in Need
In This Issue

Next Enrollment Period starts
 November 15, 2014!!!
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 

Let's Stay Connected
July 7, 2014 
MACHC Website Under Construction..... 

New Updates coming this SUMMER 

Technical Assistance Request Form 
---to be submitted prior to receiving any TA from MACHC---

                          National Health Center Week 2014   

Celebrating America's Health Centers: Local Engines for Healthier Communities is August 10-16. Now is the time to  start planning and POSTING your events for this year's celebration. Access tools and resources on the NHCW website include best practices to recruit local event sponsors, event ideas, fact sheets, and  media tools and templates. 
Check out the  NHCW Store to order event items and giveaways for your celebrations - NHCW t-shirts will be 15% off from June 23-30! Get started today to make sure your NHCW celebration is a success. 


Join the Access is the Answer Campaign and advocate for CHC Funding! (template attached)

Health Centers are facing an unprecedented threat and a unique opportunity in 2014. Like every year, Health Centers will have to fight to secure annual funding from Washington. But unlike any year in Health Center history, this year we face a looming Health Center funding cliff - a potential 70% reduction in Health Center program funding scheduled to take effect in 2016. As Health Center Advocates we will also have to make sure that programs, like Medicaid, that are essential to our survival remain intact and strong in the face of efforts to save money.

These are threats to Health Centers AND to the more than 22 million patients Health Centers currently serve and the millions more that Health Centers will need to grow to serve in our communities. Your advocacy through the Access is the Answer campaign is essential if we are to ensure that Health Centers will be there for everyone who needs access to health care.

What can YOU do?

To make the Access is the Answer campaign a success, commit to taking 3 easy action steps:

Number 1: Sign the Access is the Answer petition. 

Number 2: Work with your Health Center leadership to collect Access is the Answer support letters from local elected officials

Number 3:  Work with your Health Center leadership to collect community support letters. 

The value of advocacy:

All politics is local. Congress and the President do really pay attention to the voices of those back home in the community. That means the most effective advocacy has to come from YOU back home.

The Access is the Answer Campaign will be asking Advocates to weigh in on many issues as the campaign goes forward, but if YOU and tens of thousands of Advocates take the 3 steps, we will be laying the foundation for success in a fight neither Health Centers nor our patients can afford to lose. Thanks for joining the Access is the Answer campaign and building the power of Health Center Advocacy.  

MACHC Happenings



(1) MA
CHC Board Retreat

 When: July 10 - 11th, 2014

Where: TBA
Look out for more details here in the coming weeks.
(2) MACHC Emergency Preparedness Call
When: Wednesday, July 23, 2014
Discuss MACHC's EP activities with members thus far, future efforts. Additionally, discuss ways to be more active and show FQHC value to others through DHMH HPP calls.


(3) The Use of Public Narrative for Community Health


Wednesday, July 23rd from 6-7 PM EST

Learn about the foundational skill of narrative for building and sustaining coalitions in your community. The webinar will also illustrate uses for the narrative in developing connections between care providers and the community as well as several examples of practical applications of where narrative can be used.


(4) Building Relationships to Bring Your Effort to Scale

Wednesday, July 30th from 6-7pm EST

Learn how to use your public narrative skills to develop intentional relationships, grounded in shared values, interests and commitments. This webinar will also introduce "Actor Mapping" and one-on-ones, and community meetings as a way to grow your effort. Lastly, this will review practical applications for these tools as well as examples of how to do a one-on-one.




(5) Creating Strong Team Structure to Sustain your Community Health Initiatives

Wednesday, August 6th from 6-7pmEST

 Learn about the usual pitfalls in working within a new team and evidence-based methods for improving the effectiveness of your team. This webinar will also include practical tools, agendas and frameworks for enabling you and your team to work more strategically. Lastly, there will be a case study on how this might be applied in a community health worker setting.


(6) SAVE 
MACHC's Annual Conference
When: Thursday, September 18th - Friday, September 19th, 2014 
Where: Dover Downs Conference Center, Dover, DE

    (1Leveraging Multiple State Data Sources to Drive Improvement in Population Health Outcomes

    States have a variety of metrics and data sources that potentially can be used to assess and improve population health outcomes. In order to maximize this potential, states need effective strategies to collect, analyze, integrate, and use data from various sources, and to share it across multiple agencies and health care organizations for activities that drive improvement for all populations. This webinar will feature an overview of state opportunities to identify and use data from a variety of sources to examine subpopulations, identify needs, and target interventions to address the needs of distinct populations. The webinar will also feature a discussion among three states that have taken innovative approaches to using data to drive meaningful changes in health outcomes for various subpopulations with critical needs. Maryland will discuss applications of its health information exchange (the Chesapeake Regional Information System for our Patients - CRISP) to identify issues and areas of focus, Ohio will describe partnership between Medicaid, managed care plans, and public health agencies to use data to address infant mortality and improve perinatal care quality, and Louisiana will highlight how it uses various data sources to create new quality and pay for performance metrics with the goal of improving birth outcomes. Following the panel discussion webinar participants will have an opportunity to ask questions of the presenters.



    When: July 14 - 16

    Now is the time to register for the 18th Annual 340B Coalition Conference, which takes place in Washington, D.C.The federal government will be publishing new regulations that will significantly impact all program stakeholders. 340B's rapidly evolving nature makes it important for all stakeholders to stay on top of program changes. Whether you work for a health care provider, contract pharmacy, pharmaceutical manufacturer, 340B-oriented business, or government agency, there is no better way to stay informed and have a voice in shaping the program's future than to attend.


    Register now at to take advantage of the early bird rates which expire June 1st. If you have questions, please contact Sam Wilhelm-Ross at (202) 536-2280 or Special discounts are available for members of the 340B Coalition Organizations and Drug Discount Monitorsubscribers. Click here to watch our video about the conference. 

    (3) New Webinar: Enrollment 1.0: State Reflections on ACA's First Year and What's Next
    Tuesday, July 22 2:00-3:30PM EDT
    Beginning in October, 2013, states initiated their first open enrollment period for health coverage under the ACA.  While state approaches varied, all states implemented new rules, system interfaces, and data reporting methods required under the ACA. What are states learning so far about what works to enroll eligible individuals and what are their top-line priorities getting ready for the next open enrollment period in November 2014? This webinar will provide an opportunity to learn about promising strategies and innovations states are piloting related to enrollment and retention into insurance affordability programs, including through state-based exchanges and coordination with the federally facilitated marketplace (FFM). State panelists from Kentucky, Montana and Washington will share experiences and enrollment successes. NASHP will also share new findings from research with 10 states documenting promising strategies, common challenges and trends in state enrollment experience as part of the Enrollment 2014 project.
    (4) STD/HIV Prevention Training Center at Johns Hopkins
    Increase your knowledge regarding Sexually Transmitted Infections
    Take our STD Intensive Course!
    Course dates: (Baltimore); July 21-25, 2014 (Baltimore);
    Cost of the class is $250.00 for the entire week. CE is provided
     One week course
     Emphasis on reportable and selected prevalent STIs and associated syndromes
     3 days of Lecture, one day in the lab, one day in the clinic and some case studies
     50% of class time clinical and laboratory experience
     Registration is limited to 10 full-time participants
    For more information and registration details, CLICK HERE


    (5) SAVE - THE - DATE 


    AUGUST 23-27, 2014


    Community Health Institute (CHI) & EXPO is THE largest and most important annual gathering of 2000 community health center  managers, clinicians, employees, board members and leaders. Every aspect of the community health center movement is represented and  fully-vested at CHI, making it an excellent networking opportunity. CHI provides essential up-to-date information, training and technical  assistance on the latest community health center challenges, providing professionals in the industry with cutting-edge strategies for community health center success                                       

    Emergency Preparedness Events:


    ATTENTION MD FQHCS - Please check inbox for MACHC Emergency Preparedness & Management Call on Wednesday, July 23rd at 10 AM. Mark it on your calendars! Representation from each FQHC is required.


    *For those of you who missed MACHC's Table Top Exercise (TTX) this past Thursday, June 12th and are interested in the materials, please email Aneeqa Chowdhury at 


    During the month of June, OP&R and MEMA are co-sponsoring two ICS position-specific awareness trainings, to be held at DHMH Headquarters in Baltimore. Please see below for detailed information and registration links. 

    Policy, Advocacy and Legislation
    National News

    Verizon bets on telemedicine with new video-chat app for patients

    Thanks to Verizon's new Virtual Visit app, tech savvy patients and health care providers will be able to video chat and streamline care delivery.  "We are seeing a shift in how care is delivered in the U.S.," Rich Black, vice president of Verizon's healthcare practice, said in a statement. "We believe our latest mobile health offering can go a long way to enable a more efficient and effective U.S. healthcare system.

    Scope Alignment Resources Available

    Scope Alignment Validation (SAV) is a one-time opportunity for health centers to review their scope of project in the updated Form 5A: Services and Form 5B: Service Sites and make limited allowable updates in the Electronic Handbook (EHB). SAV opens in EHB on Monday, June 30, 2014 at 12:00 am, ET and closes on Wednesday, July 23, 2014 at 5:00 pm, ET. The Bureau of Primary Health Care (BPHC) has posted several SAV technical assistance resources to assist health centers in completing SAV:  

    MAGI-Based Medicaid/CHIP Renewal Process 

    Georgetown University Health Policy Institute Center for Children and Families (CCF) has published an issue brief on renewing Medicaid and CHIP under the Affordable Care Act that links to a number of additional resources. In response to CMS guidance provided on May 17, 2013 (click here to view), many states have adopted one or more of the targeted enrollment strategies designed to facilitate enrollment and enrollment renewal of eligible individuals in Medicaid/CHIP. States can choose among five strategies identified: 1) implementing MAGI-based rules on October 1; 2) extending the renewal period for certain individuals; 3) facilitating enrollment through administrative transfers of eligibility data from other programs; 4) enrolling parents based on children's eligibility; and 5) adopting 12 months of continuous eligibility (without regard to changes in circumstances) for parents and other adults through the Medicaid section 1115 waiver authority. (States already have this option for children without need for a waiver.) The issue brief is an excellent resource to better understand how MAGI-based renewals should work 

    Strong Correlation between Medicaid Expansion and Drop in Uninsurance Rate

    A new report released by the Urban Institute shows that states that expanded Medicaid saw a 4 percentage point drop in the rate of uninsurance compared to a 1.4 percentage point drop experienced by states that did not expand Medicaid. The strong correlation between Medicaid expansion and decreased rates of uninsurance points to the fact that Medicaid expansion was a major driver of decreased uninsurance, meaning individuals were generally gaining coverage through Medicaid as opposed to switching to Medicaid from other forms of insurance. 

    Affordable Care Act helps 76 million Americans with private coverage access free preventive services

    Since the implementation of the Affordable Care Act, 18.6 million children, 29.7 million women and 28.1 million men have gained access to much needed free preventive care services.  "Today's findings are just one more indicator that the Affordable Care Act is delivering impact for millions of people nationwide," said Secretary Burwell. "Seventy-six million is more than just a number.  For millions of Americans, it means no longer having to put off a mammogram for an extra year. Or it means catching a problem early enough that it's treatable." 
    CMS fraud prevention system identified or prevented $210 million in improper Medicare payments in 2nd year of operations

     Now in its second year of operation, CMS' Fraud Prevention System is working to recoup over-payments and saving millions of dollars.  According to CMS Administrator, Marilyn Tavenner, "CMS is using the best of private sector technology to move beyond the 'pay-and-chase' approach to protect the Medicare Trust Funds.  While CMS is continuing to enhance the Fraud Prevention System we have demonstrated that investing in cutting-edge technology pays off for taxpayers and Medicare beneficiaries."

    Children should get vaccinated against preventable and potentially deadly diseases. 

    That's what a project that screened more than 20,000 scientific titles and 67 papers on vaccine safety concludes this week. The review appears in the latest edition of the medical journal Pediatrics. 


    Report Provides Important Reassurances About Vaccines

    A new report funded by AHRQ has found that serious adverse events resulting from vaccines routinely used in the United States are rare. The report, highlighted in the July issue of Pediatrics, provides the most comprehensive review to date of published studies on the safety of routine vaccines recommended for children in the United States. The report, Safety of Vaccines Used for Routine Immunization in the United States found scientific evidence that addresses several common concerns about a variety of vaccines. For example, the report found strong scientific evidence that there is no link between:

    • Measles, mumps and rubella (MMR) vaccines and autism
    • Pneumonia and influenza vaccines and cardiovascular or cerebrovascular events in the elderly
    • MMR, diphtheria, tetanus and pertussis; tetanus and diphtheria; Haemophilus influenza type b; and hepatitis B vaccines and childhood leukemia

    In addition, the report found moderately strong scientific evidence that there is not a link between human papillomavirus (HPV) vaccines and appendicitis, stroke, seizures, venous thromboembolism, onset of juvenile arthritis or onset of type 1 diabetes. It also found that there is not a link between inactivated influenza vaccines and adverse pregnancy outcomes (such as miscarriage, low birth weight and premature birth) for women who receive the vaccine while pregnant. The AHRQ evidence review, announced July 1, was conducted by the Southern California Evidence-based Practice Center based at the RAND Corporation.

    AHRQ's Health Care Innovations Exchange Focuses on Medicaid Initiatives To Support Medical Homes

    The latest issue of AHRQ's Health Care Innovations Exchange features three state programs that reimbursed medical homes for delivering high-quality, coordinated care to Medicaid beneficiaries, improving outcomes and lowering costs. One of the featured policy profiles describes the Colorado Accountable Care Collaborative, a primary care-based model in which the state Medicaid agency contracts with regional organizations that, in turn, contract with primary care-led medical homes. The medical homes coordinate specialist, hospital, behavioral health and social services on behalf of Medicaid enrollees, leading to fewer admissions and readmissions, less use of high-cost imaging services and a slowdown in the growth of emergency department visits. The payment model for the program uses a blend of fee-for-service for medical services, capitation for care management and coordination, and financial incentives to promote quality and efficiency. Collectively, these improvements have yielded an estimated $6 million in cost savings for the state.

    This week, USA Today published an investigation into the issue of how Medicaid and Medicare may be to blame for patients going without mental health care. "Stigma against the mentally ill is so powerful that it's been codified for 50 years into federal law, and few outside the mental health system even realize it," Liz Szabo wrote.

    For example, the Medicare law limits the number of days patients can receive inpatient psychiatric care but imposes no such limits for physical health. Officials said the writers of the Medicare and Medicaid rules had good intentions, such as moving psychiatric patients out of asylums and back into communities for outpatient treatment.

    Skimpier Health Plans Could Impose Big Out-Of-Pocket Costs

    People are worried about being able to pay for health insurance. So the insurance industry and a group of Democratic senators have proposed offering cheaper, skimpier "copper plans" on the health law's marketplaces that could draw in people who were unhappy with the cost of available plans.

    But consumer advocates and others who study the insurance market suggest that there may not be a big demand for these plans and that they could expose people to unacceptably high out-of-pocket costs if they got sick.

    "It's a false promise of affordability," says Sabrina Corlette, project director at Georgetown University's Center on Health Insurance Reforms. "If you ever have to use the plan, you won't be able to afford it."

    State News
    HP Awarded 5-Year Delaware Medicaid Services Extension; Susan Arthur 

    Hewlett-Packard business unit has signed a $147 million deal to help the Delaware Health and Social Services Department implement a new system for managing the state's Medicaid enrollment applications and claims.

    HP Enterprise Services will deploy an interChange Medicaid management information system and continue serving as the fiscal agent for the Delaware's health agency under the contract, HP said Tuesday.

    The company and the state work together to process benefits for more than 230,000 Medicaid recipients each year, according to HP.


    Health exchange board approves tech purchases for new website 

    The Maryland health exchange board signed off Monday on most of its technology purchases for a new online marketplace set to launch in November.

    The board made the approvals after a closed evening session, bringing the total to be spent over the next five years to more than $96 million.

    The new software contracts were made on an emergency basis with Sir Speedy, a printing and marketing firm, and ScanOptics, a content management services company, for $1.3 million.

    The board also made contract modifications with Xerox totaling just over $650,000. And it approved contracts with six companies for training and testing over the next year for $3.16 million.

    Officials previously approved $41 million for development and $50 million for website hosting, software licenses, planning, rent and other expenses for the next five years of operations. Most of the funding is federal, and the exchange budget and operations require federal approvals.

    The new website is being built from technology adopted from Connecticut's exchange and will replace the troubled original one the board ditched earlier this year. 


    'Vaportinis outlawed in Maryland, while Virginia's new mental health law went into effect

    Curious about those vaportinis? Essentially, drinks meant to be inhaled like a hookah?

    Vaportinis may have some street cred when it comes to cuisine. But if you live in Virginia, they are no longer allowed as of July 1, reports NBC4 Washington. They are among multiple health and safety laws in the region that took effect with the start of the month.


    Where 72,200 Maryland health exchange enrollees live, in one chart

    Baltimore City residents accounted for 8 percent of the 72,200 people who bought health insurance through Maryland's exchange.

    The largest portion of exchange enrollees - about 45 percent - hail from Montgomery and Prince George's counties, according to data released June 27 by the exchange. The data does not specify how many people were eligible to sign up in each county.

    Overall, Maryland enrolled a small portion of the total number of residents considered potential enrollees, according to analysis by the Kaiser Family Foundation. The 72,200 enrollees represent about 17 percent of the 419,000 residents who could have signed up. Potent ial enrollees are legal residents who are uninsured or previously bought insurance in the individual marketplace, who are not eligible for Medicaid and do not have access to employer-sponsored health plans.

    Take a look at the exchange's map to see where enrollment was highest and lowest.


    Finance & Business
    Financial Operations Management (FOM), Level II Training Seminar 
    July 9-10, 2014 - Las Vegas, NV

    Early Bird Deadline: Next Wednesday, June 25!
    Register online here
    Download FOM II training brochure.  

    Financial Operations Management (FOM), Level III Training Seminar
    July 16-17, 2014 - San Diego, CA
    Early Bird Deadline: July 2!

    Register here online.
    Download the FOM III training brochure.


    New Technical Assistance Opportunity for States Implementing Multi-Payer Payment Reform 
    With support from Kaiser Permanente Community Benefit, NASHP is pleased to announce an opportunity for state teams with responsibility for payment and delivery system reform to join a small learning community of peers. State teams selected to participate will gain access to targeted phone-based technical assistance from leading experts, interactive learning experiences through a dedicated listserv, and virtual structured peer learning with other state officials. This dynamic learning opportunity complements and extends transformation initiatives underway in many states such as the State Innovation Models Initiative. Additional information is available in the short application, due July 8.
    New Medicare PPS Billing Guidance

    The Centers for Medicare & Medicaid Services (CMS) MLN Connects National Provider Call, New Medicare Prospective Payment System (PPS) for FQHCs: Operational Requirements, was held this week. Slides are available. An audio recording and written transcript will be posted on the call detail web page, once it is available. Questions may be emailed to Per CMS, some billing requirements are unchanged:

    • Continue to submit on a 77X type of bill
    • HCPCS coding continues to be required for all services
    • Revenue codes continue
    • Timely filing guidelines continue 

    The revised billing PPS methodology and new billing requirements begin with the first cost reporting period beginning on or after October 1, 2014 and include: 

    • All services rendered on the same day must be submitted on one claim or it will be rejected
    • FQHC payment codes G0466, G0467, and G0468 must be reported with revenue code 052X or 0519 
    • FQHC payment codes G0469 and G0470 must be reported with revenue code 0900 or 0519 
    • Each FQHC payment code (G0466 -G0470) must have a corresponding service line with HCPCS codes (list of qualifying visit codes can be found on the CMS FQHC PPS website

    In addition: 

    • Diabetes self-management training (DSMT) and medical nutrition therapy (MNT) may qualify as an FQHC visit when furnished by qualified practitioners and relevant program requirements are met. If these services are furnished on the same day as an otherwise billable visit, only one visit is payable.
    • HCPCS codes for influenza and pneumococcal vaccines and their administration must be reported on the FQHC claim
    • Durable Medical Equipment (DME), laboratory services (excluding 36415), ambulance services, hospital-based services, group services, and non-face-to-face services will be rejected when submitted on an FQHC claim

    NACHC's Free Webinar on Medicare FQHC PPS

    Medicare FQHC PPS webinar from last week available here
    Latest News on ACA


    Reminder: Outreach and Enrollment Quarterly Reporting

    Outreach and Enrollment Quarterly Reporting (O/E QPR) opens on Thursday, July 1, 2014. Submissions will be due in HRSA's Electronic Handbooks (EHB) on Friday, July 18, 2014 by 11:59pm, ET.  


    A reader asks: Can new employees be forced to wait 90 days for coverage?

    While the Affordable Care Act has done a lot to improve coverage options for Americans, it does not prevent employers from making new hires wait 90 days for benefits to take effect.


    FFM and Partnership States

    Navigator and Certified Application Counselor Recertification Required

    The Department of Health & Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) are jointly in the process of updating last year's course, training curriculum and exam. All Navigators and certified application counselors (CACs) will be required to complete the recertification training prior to the next open enrollment period. The updated curriculum training for recertification will be made available late July to early August. Look for additional information on the process for training completion and recertification in July 


    Enroll America Conference Draws Over 900 Attendees

    The 2014 State of Enrollment: Getting America Covered conference held June 16-18, in Washington D.C., was an enormous success!  Attendees from 48 states, the District of Columbia, and Guam participated in two days of workshops and plenary sessions to improve outreach and enrollment in health coverage around the country.  Several workshops of note focused on: Effective O/E Strategies in an Open Enrollment Period; Telling Your Stories with Data; and Health Insurance Literacy: Helping Consumers Understand their Coverage Options. For those enrollment assisters not able to attend the conference, the  workshop presentations and plenaries have been posted on the Enroll America website. The  full conference brochure is online as well. The site also includes a compilation of lessons learned during the initial open enrollment period and best practices to replicate as organizations continue to connect Medicaid and CHIP eligible populations to coverage and plan for future marketplace open enrollment periods, as well as a full set of issue briefs and fact sheets from the Best Practices Institute.



    For other helpful outreach and enrollment resources, please click here

    For General FAQs on HRSA Health Center Outreach and Enrollment Assistance Supplemental Funding, click here

    Transformational Team Talk & Outreach Upates

    ACSE Monthly Status Meeting

    Monday, June 28th 10am to 11:30am 

    Conference Call 877-431-1883 code 370 252 4147  

    Canceled Event: Change Agent Newtwork System Demo @ Tue Jul 1, 2014 10am - 12pm

    *No date has been set yet

    Please email questions related to this event to:



    The MHBE Call Center Hours of Operation & Holiday Closings for the period of May 1, 2014 through September 30, 2014 will be as follows:


    Hours of Operation

    Mon - Fri - 8am-6pm

    Sat - 8am - 2pm

    Sun - CLOSED


    Holiday Closings

    Memorial Day - May 26

    Independence Day - July 4

    Labor Day - September 1


    Grants & Funding Opportunities

    New HRSA Funding Opportunities Announced 

    Last week the Health Resources and Services Administration (HRSA) announced two new funding opportunities - the new FY2015 Service Area Competition (SAC) and an announcement on supplemental Ryan White Funding. With regards to the SAC announcement, there have been numerous changes in the review process and criteria. Therefore, it is critical that every Health Center whose project period is up for competition in FY2015 closely review the new SAC as soon as possible and take necessary compliance-related actions to ensure a smooth and effective project renewal process. For more information on both announcements, check out the Policy Shop blog 



    Promoting Preventive Health Services for Women (HRSA-14-084) Funding Opportunity 

    HRSA is accepting applications for the Promoting Preventive Health Services for Women initiative. The purpose of this initiative is to improve women's health across the life course by increasing the use of clinical preventive services. Applications are due in  no later than Monday, July 21, 2014 by 11:59pm, ET. 


    Healthy Smiles, Healthy Children Access to Care Grants 

    Application Deadline: August 18, 2014

    Matching grants to support community-based initiatives in the U.S. providing dental care to underserved/limited access children. Special consideration will be given to programs that have demonstrated success and/or have potential for replication in other communities.

    Funds may be used to cover:

    • Child oral health care
    • Costs of clinic supplies and instruments
    • Patient/parent education materials
    • Take-home supplies (toothbrushes, toothpaste, etc.)
    • Education and/or outreach to recruit dentist participation in program activities
    • Other activity with clear, direct impact on pediatric oral health care  
    Application Deadline: Applications accepted on an ongoing basis
    Funding for hunger prevention, self-sufficiency, healthcare, and education to those who are underserved. 
    Application Deadline: Applications accepted on an ongoing basis
    Provides seed funding to emerging nonprofits, or to new projects of established organizations in the areas of education; environment; health and human services; and hunger and nutrition. Pennsylvania is one of 13 eligible states.
    Application Deadline:  Applications Accepted on an Ongoing Basis
    The Community Response Fund supports organizations, activities, and events that address access to needed oral health care and community resources that improve oral health. Programs that address an immediate response to an urgent issue that impacts access to clinical care, provide short-term access to needed care for the underserved, or sustain organizations experiencing short-term challenges are the focus. A limited number of program concepts that provide longer term solutions or essential services for particularly underserved populations will also be considered. The program will also support Missions of Mercy clinics.
    Patient Centered Medical Home (PCMH) Corner 
    HRSA has announced the availability of funds for health centers that have been recognized as PCMH by Thursday, July 1, 2014. HRSA will award the supplemental base awards to health centers based on information on the PCMH Webpage. Please check the PCMH Webpage to verify that your health center's information is correct no later than Friday, July 11, 2014


    States, Insurers Increase Reliance on PCMH/ACO Models

    In Arkansas, Medicaid officials have worked to design a payment structure that rewards efficiency and supports primary care doctors in the implementation of team-based strategies, coordinated chronic care delivery and achievement of better patient outcomes, according to a  Health Affairs blog post. The state didn't want to penalize efficient practices, so it rewards providers that hit a targeted, risk-adjusted per-member per-year spending level that doesn't rely on actually spending less and offers smaller rewards for less efficient practices that reduce their spending. Elsewhere, insurers like Horizon Blue Cross Blue Shield of New Jersey and Aetna have announced their intention to boost member enrollment over the new few years in a PCMH or accountable care organization
    Clinical Quality 
    New Products Bolster AHRQ Hepatitis C Resources for Clinicians and Patients

    Continuing education credits for a streaming video and monograph that summarize evidence about screening for hepatitis C infection are now available at no cost from AHRQ's Effective Health Care Program. The video features Roger Chou, M.D., associate professor of medicine, Division of General Internal Medicine and Geriatrics, Oregon Health & Science University, and both resources explore how screening can impact patient outcomes and give health care providers and patients information to help make the best possible decisions. Additional AHRQ resources on hepatitis C testing include the following:


    New AHRQ Resources Encourage Relationships Between Health Care Providers and Their Communities To Address Obesity
    New toolkits on AHRQ's website offer insights for clinicians interested in developing sustainable links with community resources to help increase patient engagement in obesity management. Developing relationships between organizations that share a common goal of improving the health of people and their communities can improve patient access to preventive and chronic care services. One toolkit, Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity provides broad strategies based on actual experiences that practices can customize according to their own needs. Another resource, Integrating Primary Care Practices and Community-Based Resources to Manage Obesity: A Bridge Building Toolkit for Rural Primary Care Practices, provides tools and concepts informed by the real world of six primary care practices in three rural Oregon communities.


    New Fact Sheet and Webinar Materials Available on National Quality Strategy and Using Levers To Improve Health and Health Care 
    A new fact sheet outlines nine levers identified in the National Quality Strategy to help organizations improve health and health care. Organizations can use these core business functions and other tools to provide better, more affordable care to individuals and the community. In addition, slides and a transcript from a May 13 webinar entitled National Quality Strategy: Using Levers to Achieve Improved Health and Health Care Webinar, are now available.


    The National Quality Strategy has released a fact sheet to enable organizations to provide better, more affordable health care to individuals and the community. 
    Also available is the transcript of the National Quality Strategy: Using Levers to Achieve Improved Health and Health Care Webinar 
    Health Observances This Week


    July is National Cord Blood Awareness Month 


    The basics
    Today, stem cells are mainly used in the treatment of disease and in tissue regeneration. They largely come from one of three sources - cord blood, bone marrow and peripheral blood. Cord blood stem cells are found in the blood of the umbilical cord. With their instant availability at birth and demonstrated utility, cord blood is quickly becoming a well known source of stem cells by transplant physicians.

    After a baby is born, and the umbilical cord is clamped and cut, the blood left in the umbilical cord can be collected and the stem cells extracted and stored for potential use in a future medical application. Today, there are nearly 80 conditions that can be treated with cord blood andexperimental treatments using cord blood for cerebral palsy and Type 1 diabetes are underway.  In fact, over 210 ViaCord families have used their saved cord blood in a transplant or infusion.

    Ways to store cord blood stem cells
    Cord blood stem cells can be stored in two ways: with a public bank or a private family bank, like ViaCord. Public banks take cord blood donations from a limited number of hospitals around the country. The cord blood is stored and listed as part of a registry that make it available to anyone with a medical need, provided they are an adequate match.  Families who donate their child's cord blood are not guaranteed access to their blood should they ever need it. They would have to go through the same process as others to access a donated cord blood unit, and pay to retrieve the unit, which at this time can cost up to $35,000.1

    Private cord banks, like ViaCord, store your baby's cord blood stem cells exclusively for your family. If a medical need arises, you would have immediate access to those cord blood stem cells. In addition to exclusivity, there are a few other benefits to privately banking:

    • If a stem cell transplant is needed, there is an increased chance of finding an acceptable match within your own family.
    • Transplants using cord blood from a family member are proven to be more successful than transplants using cord blood from a non-relative. 2
    • Access to emerging treatments, such as those focused on cerebral palsy and type 1 diabetes, require a patient to use his or her own cord blood stem cells.

    And with private banking the cord blood can be collected anywhere you deliver your baby. A kit containing the necessary materials to perform a cord blood collection is mailed directly to you. Simply bring the kit to the hospital on the big day, a medical professional will conduct the cord blood collection and the unit will be shipped to a processing facility where the cord blood is stored.  

    Raising awareness one person at a time
    There are many ways that you can help raise awareness about cord blood. Here are just a few:

    • Take a few minutes to pass along your knowledge about the importance of cord blood stem cells. You never know the impact your words could have on someone's life.
    • Let expecting friends and family members know about their options when it comes to cord blood banking: donating or saving it - doing something means that precious resource of stem cells won't be thrown away!
    • ViaCord is on Facebook and Twitter. Come find us and join the conversation! 
    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.

    Mid-Atlantic Association of Community Health Centers | | |
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