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
November 17, 2014



(1) Transformational Call (*bi-weekly) 

November 18th; 10 am - 11 am
1-866-740-1260 Access Code: 4319483

To get on call listserv, email

Audience: MD and DE  Member FQHC Leadership

Topic:Discuss State and FQHC updates, trends, best practices, obstacles and issues. These are disc ussed and issues are brought to the respective official's attention. These topics are included in MACHC's advocacy efforts on behalf of FQHCs.


(2) SAVE THE DATE: Kick off of Quality Workgroup 

December 2, 2014 1 pm

MACHC will be facilitating an EBOLA webinar.

 The purpose of this webinar is to share protocols on EBOLA and understanding resources that are available.  Time will be spent on highlighting health centers protocols, looking at the CDC's protocol and sharing helpful resources.  Additional discussion on future topics and frequency of meetings be covered.


(3) 2014 Uniform Data System (UDS) Training

December 17th, 2014 8:00 AM -  4:30 PM

The Uniform Data System (UDS) in-person training is a full day program covering the preparation of the 2014 UDS Report.  The training addresses each of the report's tables, including a discussion of the changes that have been made and the definitions necessary to complete the Report. The UDS training is aimed at those who are responsible for gathering and reporting the data elements included in the UDS Report, as well as management and clinical staff who need to understand the definitions and concepts used.

Monday, January 5, 2015
Federal Tort Claims Act Training
brought to you by MACHC. This TA will be facilitated by Feldesman Tucker. 
Cost: There will be a nominal fee for non-members
At the Owings Mills, BECO Conference Center
Look out in this section for more info in the coming weeks!

  • (1) Health Centers Serving Individuals and Families Experiencing Homelessness Enrichment Webinar, Tuesday, November 18, 2014, 2:00pm - 3:00pm, ET.
    This webinar will provide health centers with an overview of current health trends, and will address the needs of individuals and families experiencing homelessness.
    View the webinar the day of the session. Connect to the audio line using 1-888-946-9422; Participate Code: 2654950.

    (2) Social Determinants of Education Series
    November 19, 2015
    The Social Determinants of Education Seminar Series focuses on answering the question of what it would really take to improve education for all urban students. Come and join us on Wednesday, November 19th for the third seminar of the Social Determinants of Health Series. The seminar will be held at the Johns Hopkins University, School of Education, located at 2800 N. Charles Street Baltimore, MD 21218, Room 219 from 12:00- 1:30 pm. The guest speaker will be Leticia Smith-Evans, Interim Director, Education Practice NAACP Legal Defense & Educational Fund, Inc.RSVP:


    (3) HRSA's Electronic Handbook (EHB) Login Change 

    November 20, 2014 at 8:00pm, ET 

    External EHBs login credentials will change from an User ID to an email address. This update will make it easier for users to remember their usernames. All external EHB users should have received email correspondence with instructions to update User IDs to email addresses. Questions should be directed to the HRSA Contact Center at 1-877-464-4772.


    (4)  Free CDC Cervical Cancer Webinar

    Register Here

    Cervical cancer is preventable, but there are still women who develop and die from it every year.  Human papillomavirus (HPV) types associated with cervical cancer can be prevented through screening tests and HPV vaccination.  These measures are effective to prevent HPV infection and highlight the importance of clinicians taking action to establish evidence-based practices in screening and vaccination.  This November 20, 2014, 2:00 - 3:00 pm webinar will help clinicians learn about the Centers for Disease Control & Prevention (CDC) HPV vaccination recommendations and the U.S. Preventive Services Task Force (USPSTF) cervical cancer screening recommendations.


    (5) Outreach Luncheon Radisson Hotel at Cross Keys on Monday, December 8 , 2014, from 10:00a - 2:00p.

    The Affordable Care Act (ACA) has increased requirements not only for community health centers (CHC) but for health departments.  These requirements have resulted in a need for a greater level of partnership as needs have converged.  As a result, many health departments are reaching out to CHCs to find ways to lessen the burden for all and to investigate the best way to meet the goals in partnership.

    For example, the Baltimore City Health Department (BCHD) will host decisions makers from the CHCs that serve the citizens of Baltimore City at its first planning meeting on Monday, December 8, at the Radisson Hotel at Cross Keys.  Representatives from the CHCs will meet with counterparts from the BCHD to discuss how to partner with the BCHD to address considerations that affect:

    • Clinical services;
    • Clinical protocols;
    • Budget issues; and,
    • Reporting to agencies that fund and/or certify the clinic, as well as, required reports to the Health Department.

    As part of the team, the BCHD invited the Federal Training Center Consortium, Atlantic Region (FTCCAR) to describe programs that support medical management, prevention services and quality assurance; the Maryland Department of Health and Mental Hygiene; and, a representative from the Mid/Atlantic Association of Community Health Centers (MACHC). 

    This is a first step to developing a stronger partnership that will assist both the CHCs and the health departments as the ACA is more fully implemented.  If you are interested in learning more about this outreach, contact M. Terry Hogan



    Registration is now open!

    How to register:

    2. Fill out a  paper Registration Form

    Questions regarding registration?

    Please contact Monica Gordon at 301-347-0400


    (7) 2015 NACHC Policy & Issues Forum

    Marriott Wardman Park Hotel, Washington, DC

    March 18-22, 2015


    Emergency Preparedness Events: 


    ***Maryland Member Health Centers - Aneeqa Chowdhury from MACHC has sent your Emergency Preparedness Point of Contacts an email relative to PPE MACHC can order for you. Please respond no later than Tuesday, November 18, 2014.


    Question: On the Public Health and Healthcare Systems Emergency Planners Ebola Update conference call, there was a discussion regarding reimbursement for expenses incurred for Ebola.  Reimbursement is for devoted time to Ebola.  Discussion was directed to hospitals and Departments of Health.  Is there is any reimbursement for FQHC's/health centers because a few of our health centers have devoted much time, money and effort towards ebola training? Should this reimbursement come from the State or does it have to come out of the HPP Funds provided to the PCA?


    Answer: The reimbursement is not a sure thing at this time. This will only happen if there is a federally declared emergency which will activate the Stafford Act. We are just encouraging our partners to track expenses in the event that there is a  federally declared emergency due to Ebola response.  Please refer to the link below to learn more about the Stafford Act. 




    Updated Health Care Resources for Suspected Cases of Ebola Virus Disease -HHS' Centers for Disease Control and Prevention (CDC), HRSA, and the Office of the Assistant Secretary for Preparedness and Response (ASPR) continue to work with other U.S. government agencies, the World Health Organization (WHO), and other domestic and international partners in an international response to the current Ebola outbreak in West Africa. These will be updated as new information becomes available and distributed regularly. Please share with others as appropriate. 

    The following Ebola resources, among others, are also available for use:   Ambulatory Care Evaluation of Patients with Possible Ebola Virus Disease (pdf)
    Interim Guidance for Monitoring and Movement of Persons who have had contact with Ebola Patients.

     Timeline of What's New

     Latest CDC Outbreak Information

    Guidance for Emergency Department Evaluation and Management for Patients who present with Possible Ebola Virus Disease and an accompanying algorithm

    Fillable Infographic for Healthcare Workers to use in Determining if a Patient may have been exposed to the Ebola virus.

    Preparing Your Healthcare System for Ebola Recording and Transcript.

    Audio Replays and Transcripts of Ebola past Calls and Webinars.

    Digital Briefing on Ebola: Dr. Anthony Fauci 

    View all CDC Ebola updates and resources.

    View all ASPR Ebola updates and resources.







    1. MACHC's Table Top Exercise (see slides attached) After Action Report Improvement Plan (AARIP). Please find AARIP attached here. Additionally, the Situational Manual discussed during the discussion is attached here


    2. DHMH Satellite Phone Recall FQHCs that still have the satellite phones distributed by DHMH 4 years ago, please send them back to: 
    L. Kay Webster, MPH

    Office of Preparedness & Response

    Maryland Department of Health and Mental Hygiene

    300 W. Preston Street, Ste. 202

    Baltimore, MD  21201 

    3. Please get in touch with your Regional Coordinators if you have not already done so and be more active in your Regional Coalition. You should already have their contacts in emails I have sent within this year numerous times. Please find them below: 


    Regions I and II Health Care Coalition 

    [Allegany, Frederick, Garrett and Washington Counties]

    Alison Robinson

    Allegany County Health Department

    12501 Willowbrook Road
    Cumberland, MD  21502
    301-759-5238 (Office)

    443-934-2232 (Mobile)

    301-777-2069 (Fax) 


    Region III  Health and Medical Task Force


    [Baltimore City; Anne Arundel, Baltimore, Carroll, Harford and Howard Counties]

    Edward Johnson

    Harford County Health Department

    120 S. Hays Street, Suite 230
    Bel Air, MD  21014 
    410-877-1031 (Office)

    443-388-6290 (Mobile)

    410-420-3448 (Fax)


    Region IV -

    [Caroline, Cecil, Dorchester, Kent, Queen Anne's, Somerset, Talbot, Wicomico and Worcester Counties]

    Aniket Telang

    Kent County Health Department

    A.F. Whitsitt Center

    300 Scheeler Road

    P.O. Box 229
    Chestertown, MD  21620

    410-778-4861 (Office)

    443-690-3091 (Mobile)


    Region V  Emergency Preparedness Coalition

    [Calvert, Charles, Montgomery, Prince George's and St. Mary's Counties]

    Kamelah Jefferson

    Prince George's County Health Department

    9201 Basil Court, Suite 318

    Largo, MD  20774


    443-462-0230 (Mobile) 



    4. Find ATTACHED (Please click here) the guide was developed to provide hospitals in California with a useful tool for developing and implementing effective respiratory protection programs, with an emphasis on protecting health care workers from aerosol transmissible diseases. It was prepared by the Occupational Health Branch (OHB) of the California Department of Public Health (CDPH) with funding from the National Institute for Occupational Safety and Health (NIOS H) National Personal Protective Technology Laboratory (NPPTL).  It sure looks like something that we can perhaps modify for Maryland.  
    Also attached, you will find the template for setting up a respiratory protection program in hospitals.  

    5. Upcoming: Assisting two FQHCs with Planning for Onsite Drill/Exercise in October 2014. The FQHC sites will be announced in the coming weeks. MACHC INVITES ALL FQHCS to participate during both or at least one of the drills as observers to take notes back to your own shop.
    N95 Masks POD (training) are in the horizon after the drill and release of After Action Report.

    6. Quality Improvement and Infectious Disease series of webinars TBA
    Please look for the latest EP related updates RIGHT HERE!

    Exclusive Offer For NACHC VIP Members

    Purchase a qualifying Green Series 777

    Integrated Wall System, and get the SureTemp

    Plus 690 Electronic Thermometer for FREE!

    Help increase your efficiency by standardizing on a system that was

    designed to help improve workflow

    To take advantage of this offer, contact CHV today!



    MACHC strongly recommends your participation at this meeting (SEE BELOW). Please send a representative if you are unable to attend. We need to have a presence!

    *Baltimore region has no FQHCs attending so please send a representative from your shop to this important meeting.


    Health care delivery transformation is happening in Maryland, and your organization has a vital role to play. In January, the State of Maryland and the Centers for Medicare and Medicaid Services (CMS) signed a historic agreement that, for the first time on a statewide level, provides the framework of a system that can deliver on the elusive Triple Aim of health care - reducing costs, enhancing quality and patient experience, and improving health. Collaboration at the local level is essential to meet the new requirements under the agreement with the federal government.
    In addition to the launch of Maryland's new approach to hospital financing, other transformative initiatives are underway which are impacting community health and health systems in the State. These developments include advances in our collective health IT infrastructure; the State Health Improvement Process (SHIP); patient centered medical homes and other enhancements to primary care; and behavioral health integration.
    To facilitate this collaboration, we would like to invite a representative from your organization to participate in a regional forum on Wednesday, November 19 at 10:00 am at the Maryland Hospital Association, 6820 Deerpath Road, Elkridge, MD 21075. This forum is the final of four such meetings held around the State this fall, sponsored by the Maryland Community Health Resources Commission (CHRC) with support from the Maryland Hospital Association.
    The purpose of the forum is to highlight a number of promising hospital-community partnerships and innovative intervention strategies, to discuss the lessons learned and challenges confronted during implementation, and to develop strategies through which these programs could be sustained and spread. We need your feedback on what types of information, data, and tools are necessary to create or renew hospital and community-based partnerships to support the changing health care landscape.

    There is no charge or registration fee, but you must RSVP to or 410.260.6290 to attend. Since we are expecting a large event at our final forum, we ask no more than two representative from each organization attend so we can include a wider variety of stakeholders and be able to hear from everyone. A copy of the agenda will be posted on the CHRC's website and forwarded upon registration.



    Access is the Answer Phase Two Continues

    Health Center Advocates should begin reaching out to newly elected Members of Congress and continue strengthening relationships with current Members in the months to come. Take these three simple action steps as part of phase two of Access is the Answer to demonstrate to your Members the outpouring of support for Health Centers and to help secure a fix to the Health Center Funding Cliff: 

    1) Collect Local Support Letters from state and local elected officials and community partners.

    2) Place an editorial in a local media outlet regarding the cliff and its impact in your community.

    3) Meet with Members of Congress and educate new Members about Health Centers and the cliff.

    If you missed the national TeleForum launching Phase Two of Access is the Answer, check out the transcript and recording of the call. You can find more information on the Campaign for America's Health Centers website


    HRSA awards $51.3 million in Affordable Care Act funding to health centers

    Health Resources and Services Administration (HRSA) Administrator Mary K. Wakefield, Ph.D., R.N., today announced $51.3 million in Affordable Care Act funding to support 210 health centers in 47 states, the District of Columbia, and Puerto Rico to establish or expand behavioral health services for nearly 440,000 people nationwide. Earlier this year, HHS awarded $54.5 million in Affordable Care Act funding for 223 other health centers to expand behavioral health services. Health centers will use these new funds to hire new mental health professionals, add mental health and substance use disorder health services, and employ integrated models of primary care.

    La Red Health Center (DE), Henrietta Johnson Medical Center (DE)and Family Health Centers of Baltimore (MD) on being award recipients!!!

    Have you checked out the NEW MACHC website?

    ***If there are any job openings at any of MD or DE health centers, please email them to us at to be posted on our website.
    Policy, Advocacy and Legislation
    National News

    In recognition of the link between health and legal needs for vulnerable

    and low-income populations, the Health Resources & Services Administration (HRSA)  recently clarified that civil legal aid may be included in the range of "enabling services" that FQHCs provide to meet the primary care needs of the communities they serve. This is a huge opportunity for the medical-legal partnership movement and a chance to bring legal assistance to more of the 22 million people who receive primary care at Community Health Centers . Click here for more information.


    Midterm Elections Sweep GOP into Senate Control

    Last week's midterm elections saw a sweeping victory for the Republican Party in Congressional races across the country and will return the GOP to the majority in the United States Senate. Check out the Health Centers on the Hill blog for a post-election roundup at the federal level, early analysis of what it may mean for Health Centers, and a look at challenges and opportunities in the year ahead. For a look at what last week's elections mean for Medicaid expansion, read the latest Policy Shop blog post here .

    "Do Something in the Lame Duck Session - Protect Our Public Health"

    A November 10 Forbes article urges Congressional action on the health center funding cliff. Author Carolyn McClanahan discusses the importance of Community Health Centers
     and urges everyone to deluge legislators with a call to action.

    In recognition of the link between health and legal needs for vulnerable and low-income populations, HRSA recently clarified that civil legal aid may be included in the range of "enabling services" that FQHCs provide to meet the primary care needs of the communities they serve. This is a huge opportunity for the medical-legal partnership movement and a chance to bring legal assistance to more of the 22 million people who receive primary care at Health Centers. 

    Medicare Proposes Coverage Of Low-Dose CT Scans To Detect Lung Cancer 

    "Andrea Borondy Kitt's husband Dan lived for a year and a half after his October 2011 lung cancer diagnosis. She's convinced, however, that he might have lived longer had Medicare paid for a low-dose CT scan of his lungs that could have caught his cancer in the early stages. Nine months before his diagnosis, Andrea read about this test, which had demonstrated encouraging rates of detecting early stage lung-cancers in long-time smokers. She wanted Dan to be screened. But her husband, a 40-year smoker who had quit eleven years earlier, wouldn't do it because Medicare didn't cover it. But in a Monday announcement, Medicare officials signaled this policy is about to change." 

    States Race To Improve Health Insurance Exchanges
    Massachusetts and Minnesota have sharply increased the number of call center workers who will help people enroll in health plans through the states' insurance exchanges. Colorado has created an online avatar named Kyla to guide consumers through the sign-up process. And Maryland has replaced its exchange, which floundered last year, with Connecticut's successful model.

    Hospital CEO Contends With Medicaid Conundrum 

    The future of Truman Medical Centers, a two-hospital safety-net system here, depends on the state legislature-and no one understands that better than its new chief executive, Charlie Shields. Mr. Shields, a genial 55-year-old, spent 20 years as a Republican lawmaker, ending up as the leader of the Missouri Senate before term limits forced him to step down. In 2010, he became chief operating officer of one of Truman's hospitals, and in July he succeeded longtime Truman CEO John W. Bluford III. 

    Enroll America Launches Data on the Falling Uninsured Rate

    An October 29 New York Times article discusses new data released by Enroll America on changes in the  uninsured rate in the past year as well as how the organization is using its database and data methodology to identify the uninsured and help persuade them to sign up for health insurance coverage. The Enroll America database helps identify where outreach should be concentrated to make the most difference for consumers.

    One quarter of Hispanics in the U.S. lack health insurance, the highest rate for any racial or ethnic group, according to census data. Reducing that number will be one of the Obama administration's biggest challenges when it reopens health-insurance exchanges for a second year on Saturday. During the first year's sign-up period, just 2.6 million of an estimated 10.2 million uninsured Hispanics eligible for coverage enrolled in health plans, according to an October report by the Department of Health and Human Services. 

    Next year, House Republicans will try again to transform Medicare and Medicaid, repeal the Affordable Care Act, shrink domestic spending and substantially cut taxes for high earners through the budget process. Then they will leave it to the new Senate Republican majority to decide how far to press the party's small-government vision, senior House aides said this week

     Welcome to open enrollment season. That time of year when you get e-mail after e-mail from your employer reminding you of all the changes you need to make to your benefits. Of all the decisions that need to be made around now, one that often gets looked over is the chance to open a health savings account. 
    Mind the gap. When the 2015 open enrollment period begins on Nov. 15 for plans sold on the individual market, consumers should act promptly to avoid a gap in coverage. Failing to do so could not only leave you exposed to unexpected medical bills-hello, appendicitis!-but you could also be hit with the penalty for not having health insurance that kicks in if you're without coverage for three months or more during the year. The coverage requirement applies to most people in group and individual plans unless they qualify for a hardship or other type of exemption.
    The Obama administration has substantially scaled back estimates of how many people will sign up for insurance in 2015 through the federal healthcare law, projecting that millions fewer Americans will use marketplaces created by the Affordable Care Act. Instead of 13 million customers in the second year of the marketplaces, as had been predicted, the Department of Health and Human Services now says 9 million to 9.9 million people probably will get coverage by the end of next year. 

    State News

    Ex-director says resignation won't stop mental health reform

    Kevin Ann Huckshorn, who has steered reform of Delaware's mental-health reforms for almost six years, had a quick weekend meeting with some front-line workers to reassure them about the future of the state's services.

    Huckshorn resigned Oct. 31 from her job as head of the Division of Substance Abuse and Mental Health, citing an increased need to help her parents in Florida. A nationally recognized expert in mental health issues, she was recruited by Delaware officials in 2009 to help the state address problems at the Delaware Psychiatric Center and to expand and develop its community mental health system to comply with terms of a 2011 settlement with the U.S. Department of Justice.


    For a list of Choose Health DE Collateral Materials, please follow THIS LINK.


    Lost applications, frozen computer screens and hours spent waiting on hold for help - those consumer problems made up last year's narrative about Maryland's health insurance exchange, the online marketplace launched under the federal Affordable Care Act. Now, as state officials prepare to unveil a revamped exchange Sunday, they face a new set of challenges: They must eliminate technological problems that led the website to crash on its launch last year, restore consumer confidence in the system and - with Republicans poised to control Congress and the Maryland governor's seat - confront more questions about the future of Obamacare. 


    The Maryland health exchange debuts its new online marketplace this weekend, and officials say they expect it to run more smoothly this time. The revamped website comes at a cost, but tabulating the price tag to build and run both the old and new website isn't so easy.

    Finance & Business

    Join NACHC for FREE 340B Webinars

    Health centers participating in the 340B Program must ensure program integrity and maintain accurate records documenting compliance with all 340B Program requirements. NACHC is offering a two-part 340B Drug Pricing webinar series to help health centers meet these requirements: 
    Latest News on ACA

    New BPHC Grantee Spotlight 

    Cherry  Health Services in Grand Rapids, Michigan partnered with AmeriCorps volunteers from the National Association for Community Health Center's Community HealthCorps Program to strengthen their efforts to educate and enroll people into health insurance coverage, made possible by the Affordable Care Act (ACA). Read BPHC's Grantee Spotlight to learn how they have achieved success

    Free Health Literacy Materials Offered to Support Open Enrollment

    One of the biggest takeaways Consumer Reports heard from the first year of open enrollment is that people struggle with basic health insurance concepts, and that the confusion slows down the enrollment process and gets in the way of people finding the right plan and understanding what their insurance covers.  In response, Consumer Reports has developed new enrollment assistance materials and is offering them free for download and in limited hardcopy quantities. Each one page prop covers a different topic and you can order sets of all of them or pick the ones you need. Follow the link to place your order for free copies now.



     I. Assister Fall Webinar Schedule

    Below is a list of dates for November assister webinars. Please note that next week, we will offer two webinars during the first week of Open Enrollment. Next week, webinars will take place on Wednesday, November 19 and on Friday, November 21.

    Upcoming Webinar Schedule:

    • Wednesday, November 19 at 2:00 pm EST
    • Friday, November 21 at 2:00 pm EST

    NOTE: The webinar schedule is subect to change in order to deliver late-breaking information.

    II. NEW: Marketplace Tool to Help Consumers Review Their Plan Options for 2015 Ahead of Open Enrollment

    Beginning this week, as discussed on today's supplemental webinar, consumers can visit the window shopping tool to review information on health insurance plans offered in their area, including information on covered benefits and physician and hospital networks.  There are  more plans on the market this year than there were last year.  After answering a few questions, such as place of residence and family size, consumers can compare plans and get an estimate on how much financial assistance they may qualify for before submitting an application. 

    • This year consumers are able to email, share a link to a plan, and print information so they can review options when and where it's convenient for them.
    • Window shopping has been optimized for smart phone and tablet use.
    • Premium estimates are more accurate thanks to more robust data. For example, tobacco rates are included in the tool.
    • It's important that current Marketplace enrollees also review new plan options. Every year insurance companies make changes to premiums, cost-sharing and benefits; also, new plans are being offered in 2015.

    To preview plans in your area, visit:

    To view the press release on the window shopping tool, visit:


    III. NEW: Outreach Materials of the Week: Widgets, 5 Steps to Staying Covered Promotional Materials, Korean Language Videos

    The countdown to the Marketplace Open Enrollment continues. Here are new resources that we hope are helpful to you in your outreach efforts.

    Marketplace Widgets: 

    Including two newly created widgets for the Window Shopping Tool


    Spanish: (Spanish widgets expected to post this week. Please check back later in the week)


    5 Steps to Staying Covered Promotional Materials:

    To stay covered through the Marketplace for 2015, consumers need to follow 5 Steps during Open Enrollment.

    Images and Promotional Materials:

    Image: 5 Steps to Stay Covered (Small)

    Image: 5 Steps to Stay Covered (Medium)

    Image: 5 Steps to Stay Covered (Full)

    Brochures: English | Spanish

    Fact sheets: English | Spanish

    Infographics: English | Spanish

    Postcards: English | Spanish

    Posters: English | Spanish

    Drop in article: Take Action to Stay Covered through the Marketplace in 2015 



    We've launched two videos on YouTube in the Korean language targeting uninsured Koreans living in the US. We hope these videos will help Korean Americans learn more about the Marketplace.

    English Title: Health Insurance Marketplace Literacy

    Korean Title: 마켓플레이스의료보험이해력



    English Title: Health Insurance Marketplace 101

    Korean Title: 마켓플레이스의료보험이란?



    HHS News:

    The Secretary in the News:  Secretary Burwell traveled to Philadelphia to speak with consumers and local health care stakeholders about the Open Enrollment period beginning on November 15. The Secretary was joined by individuals who purchased health care coverage in Pennsylvania last year during Open Enrollment and who emphasized the importance of getting covered. Use the following link to read about Anne, a young woman grateful to have purchased health insurance through the Marketplace shortly before receiving an unexpected cancer diagnosis: Anne's I'm Covered Story: Insuring Against the What-Ifs 

    IV. CLARIFICATION regarding Immigrants Under 100% FPL

    We would like to clarify information provided during the November 5, 2014 webinar about the Marketplace and immigrant families. If a person is a lawfully present immigrant with income under 100% of the federal poverty level (FPL), and their immigration status makes them ineligible for Medicaid, they are eligible for advance premium tax credits and cost-sharing reductions. It doesn't matter if they would have been ineligible based on other factors, such as income. This is true regardless of whether the person is in a state that expanded Medicaid or not. We apologize for any confusion. 

    V. NEW: Latest on the Renewal and Re-enrollment Process: 2015 Coverage Paper Application Processing

    Consumers must update their application information for 2015 and select a 2015 plan by December 15, 2014 for January 1, 2015 coverage.   Consumers currently enrolled for plan year 2014 who take no action will most likely be automatically re-enrolled for January 1, 2015 coverage.   Please note that existing Marketplace consumers who are returning to the Marketplace to update their accounts for 2015 should NOT do so by submitting a paper application for 2015. Instead, like all other consumers, they should contact the Call Center or visit 

    New 2015 Applicants to the Marketplace

    Applicants who are new to the Marketplace and want to submit a 2015 paper application may do so when Open Enrollment begins on November 15, 2014. However, we encourage all consumers to apply online or through the Call Center. For consumers that do choose to submit a 2015 paper application, the Marketplace will process the paper application and the consumer will receive an eligibility determination notice in the mail.  The consumer will need to take action after receiving their eligibility determination notice by calling the Marketplace Call Center or creating an account at in order to select a plan by December 15, 2014, for January 1, 2015 coverage.  Consumers may receive phone calls from the Marketplace informing them that their application has been processed and instructing the consumer to call the Marketplace Call Center to select and enroll in a plan.  Remember that paper applicants will need to act swiftly in order to enroll in a 2015 plan for coverage to be effective  January 1, 2015.    

    Consumers with Existing 2014 Applications:

    As directed in the Marketplace Open Enrollment Notice, the preferred path for consumers seeking to update their 2014 application for 2015 coverage is for consumers to call the Marketplace Call Center or to visit to update their account.  Again, existing Marketplace consumers should not update their account by submitting a 2015 paper application.   Existing Marketplace consumers who do submit a 2015 paper application to renew coverage or update their account will receive a phone call and a notice from the Marketplace informing them to call the Marketplace Call Center or visit as directed in the Marketplace Open Enrollment Notice.   The vast majority of currently enrolled 2014 Marketplace Consumers will be automatically re-enrolled for January 1, 2015, pending plan availability, if the consumer does not reach out the Marketplace to update his or her account or request a change.  

    Key Points to Remember:

    • 2015 paper applications will be processed for all new Marketplace applicants who choose to submit a paper application.  Once consumers receive their eligibility determination notice in the mail, they should call the Marketplace Call Center to proceed with the plan selection process.  A consumer may also create an account and proceed to plan selection through  The consumer will need to select a plan by December 15, 2014 for January 1, 2015 coverage.
    • Creating an account and applying through or contacting the Marketplace Call Center are the best options for consumers to apply and enroll in one step. 
    • All existing consumers who submitted a 2014 Marketplace application, regardless of whether it was a paper-based application or online application, should call the Marketplace Call Center or visit to update their 2014 application for the 2015 coverage year if needed.   These consumers should have received a Marketplace Open Enrollment Notice with these instructions.  
    • Consumers who began, but never submitted, a 2014 application are considered new applicants and may submit a 2015 paper application. Once they receive their eligibility determination notice in the mail, they will need to call the Call Center or go online to to proceed with the plan selection process (if applicable).

    Please check out our November 4, 2014 assister newsletter for more information about the 2015 paper applications.

    VI. NEW: Experian ID Proofing Helpdesk--Expanded Language Support

    The identity proofing process is one of the key components of applying for coverage through the Marketplace.  To enhance this process for consumers, CMS has expanded Experian's call center support to provide assistance in over 200 languages for this upcoming Open Enrollment period.

    This expansion of language services allows limited English proficient consumers who are unsuccessful in completing the on-line, remote identity proofing process and are referred to the Experian call center for phone-based ID proofing the ability to request a language interpreter who will be able to assist them in their native language.  The Experian call center will continue to support both State-based Marketplaces and the Federal Marketplace, including State Partnership Marketplaces, with the phone-based ID proofing process. This enhancement is part of our ongoing effort to improve the consumer experience when enrolling in quality, affordable coverage.

    VII. NEW: How to Remove a Deceased Consumer from a Marketplace Account

    CMS has provided guidance for how to terminate coverage for a deceased consumer. Consumers who are enrolled through the Federal Marketplace must report the death of an enrollee through their online Marketplace account or by calling the Marketplace Call Center. Assisters should be aware of the following:

    • The application filer, or anyone in the household of the deceased enrollee who was included in the initial application for Marketplace coverage and is at least 18 years old, may report the termination of an enrollee's coverage. If the person taking the action to terminate the deceased person's coverage is the application filer, he or she can do so online through and then contact the Marketplace Call Center to report the date of death to make sure the termination is effective retroactive to the date of death, or he or she can take both actions through the Call Center.  If the person taking the action to terminate the deceased person's coverage is not the application filer, but was on the original application and is at least 18 years old, they must contact the Marketplace Call Center.  
    • Consumers reporting a death should also contact the issuer regarding any applicable premium refunds or adjustments.
    • If the consumer reporting the death is not the application filer, or not anyone in the household of the deceased who was included in the initial application for Marketplace coverage and is at least 18 years old, he or she must submit documentation of death to the Federal Marketplace. Consumers in this circumstance may submit documentation to the Marketplace prior to calling the Marketplace Call Center. Documentation may include a death certificate, obituary, power of attorney, proof of executor, or proof of estate. The documentation, or an attached cover note, should provide the following information: Full name of the deceased, date of birth of the deceased, FFM application ID (if known) of the deceased, Social Security Number (if known) of the deceased, and contact information for the person submitting the documentation.  All documentation should be mailed to:

      Health Insurance Marketplace ATTN: Coverage Removal
      Dept. of Health and Human Services
      465 Industrial Blvd.
      London, KY 40750-0001

    The Marketplace Call Center will contact the individual who submits documentation of death regarding the termination of the deceased and re-enrollment of any remaining enrollment group members. The remaining qualified individuals or enrollees may need to update tax filing status, financial information, or other information on their FFM application. These additional changes may qualify the remaining enrollees for a special enrollment period (SEP).

    Assisters may read the guidance provided to issuers at this link:

    VIII. NEW: Content for American Indian and Alaska Native Consumers

    Last week, was updated with new content pertaining to American Indian and Alaska Native (AI/AN) consumers.

    First, a Q&A was added on what income AI/AN consumers should include in their Marketplace applications. In general, these consumes will not report AI/AN income that the IRS exempts from taxes. Most AI/AN trust income and resources aren't taxable and therefore aren't counted, but per capita income derived from gaming is taxable and therefore is counted.

    Second, a Q&A was added on how AI/AN consumers can change Marketplace plans, including instructions for doing so during Open Enrollment and outside Open Enrollment.

    IX. NEW: Coverage to Care Spanish Language Materials Available to Order, New PSA

    Assisters may now order "From Coverage to Care" (C2C) materials online in English and Spanish. C2C is the initiative from the Centers for Medicare & Medicaid Services (CMS) designed to help people with new health coverage understand their benefits and connect to primary care and the preventive services that are right for them. Print resources now available to order in English and Spanish include the full Roadmap booklet, booklets by individual step, Discussion Guide, poster size Roadmaps,  a CD on  "Road Map Steps Video Loop," and one-page consumer tools.

    In addition to new Spanish language materials, C2C video resources are now available.  Assisters may order DVDs of the 11-part video series "Road Map Steps Video Loop: Coverage to Care" (11848-CD) in English and Spanish, which walks consumers through the Roadmap and explains what health coverage is and how to use it to get needed care.

    Assisters can also view and share a new From Coverage to Care PSA featuring MLS player Eric Ávila, "From Coverage to Care to a Healthier You." This 30-second spot can be used during Open Enrollment to encourage consumers to 'Get in the Game' and enroll in coverage. The video is in Spanish with closed captions (in English). It is available on CMS' YouTube channel here:


    To order resources, you will need to create an account on the CMS product ordering website. To do so, please go to and select "create an account." There will be a text box at the bottom of the account creation form titled, "Why I need access? (Explain in 250 words)." In this section, please include a brief description of the organization for which you work that indicates why you plan to order CMS materials (for example, "ABC Partnership Group," an advocacy group of seniors with diabetes). This information will allow us to properly process the request. CMS will grant approval of the account within three business days, after which you can log in to order products. Please note that your account won't be accessible until your access is approved. You will receive an email notice of approval and then you may log in.

    As we have noted in past newsletters, we also encourage assisters to:

    To download and print your own booklets, go to When printing your own booklets, select a file and change your printer to "booklet" setting before printing. Files will print on standard 8.5 X 11" paper.


    X. NEW RESOURCES: Know Your Rights Fact Sheet, Spanish Language Assister Training Instructions, App Spotlight Presentation Slides, HRSA Outreach to Rural Communities Presentation Slides, HRSA Outreach to People Living with HIV/AIDS Presentation Slides, Application Spotlight on the Assister ID Number Presentation Slides

    Know Your Rights - A Guide For Consumers Navigating Health Care

    The HHS Office for Civil Rights (OCR) helps consumers understand their civil rights and right to the privacy of their health information. OCR has recently posted a resource to help you communicate this important information to consumers.

    Spanish Language Instructions Available for Federal Assister Training

    As we announced on the October 31, 2014 assister webinar and in the November 4, 2014 assister newsletter, the 2015 Assister Training is now available in Spanish; you can access both the Spanish and English assister training curriculum on the MLN website using the following link:

    This past week, the assister training instructions are also available in Spanish on The instructions include the process for selecting a User Type/User Role, Primary Language, and enrolling in a curriculum.

    HRSA Outreach in Rural Communities: Presentation Slides

    The Friday, October 17 assister webinar featured a presentation by the Health Resources and Services Administration (HRSA) on best practices for reaching out to individuals in rural communities and helping them apply for coverage through the Marketplace. A summary of this presentation, along with a list of additional resources, was included in the October 21, 2014 assister newsletter. Please note that the presentation slides for this webinar are now available at the following link.

    HRSA Outreach to Individuals Living with HIV/AIDS: Presentation Slides

    The Friday, October 31 assister webinar featured a presentation from the Health Resources and Services Administration (HRSA) HIV/AIDS Bureau on how to help consumers living with HIV/AIDS during Open Enrollment. A summary of this presentation, along with a list of additional resources, was included in the November 4, 2014 assister newsletter. Please note that the presentation slides for this webinar are now available at the following link.

    Application Spotlight on the Assister ID Number: Power Point Slides

    On the Friday, October 31 assister webinar, CMS provided an application spotlight on how the Federally-facilitated Marketplace and State Partnership Marketplace applications capture an assister's ID number. 

    XI. NEW PARTNER RESOURCES: NHeLP MAGI Presentation Slides; Kaiser Family Foundation (KFF) Resources on Open Enrollment and Healthcare Access and Policies Affecting the LGBT Community

    Many of our external partners have developed tools, tips, materials, or training sessions that assisters can use.  We are sharing those resources through this weekly newsletter and by posting on  If you would like to recommend helpful resources, please email We will be limited to sharing resources that are (1) applicable to assisters facilitating enrollment in the Federally-facilitated Marketplaces (including State Partnership Marketplaces); (2) open and accessible to the public; and (3) reviewed by CMS.


    On this past Friday's assister webinar, the National Health Law Program (NHeLP) joined us to provide an overview of when to use MAGI and how to calculate total household income. The Affordable Care Act established Modified Adjusted Gross Income (MAGI) as a new method for calculating income and household composition. MAGI applies to eligibility determinations for advance payments of the premium tax credit (APTC) and cost-sharing reductions (CSRs) for health coverage purchased through the Marketplaces, as well as eligibility for the Children's Health Insurance Program (CHIP) and many Medicaid categories.

    Kaiser Family Foundation Resources on Open Enrollment and LGBT Access to Coverage

    1.       Report: Gearing Up For Round 2 of Open Enrollment - Some Lessons from Round 1

    Last week, the Kaiser Family Foundation released a report on lessons learned from last year's Open Enrollment period. The report, entitled, Data Note: Gearing Up For Round 2 of Open Enrollment: Some Lessons From Round 1, looks at how people navigated the new options and choices available under the ACA, with the goal of contributing to a better understanding of individuals' potential needs during the second Open Enrollment period beginning this November 15, 2014.

    2.       Issue Brief: Explaining the 2015 Open Enrollment Period

    Last week, the Kaiser Family Foundation released an issue brief on what to expect during the upcoming Open Enrollment period and the tax season that will follow it. The brief reviews important changes, such as an increase in plans available through the Marketplace and factors influencing consumers' financial assistance, and describes aspects of Open Enrollment that will be new, such as renewal and reenrollment for consumers who have already purchased health insurance plans through the Marketplace.

    3.       Tool: Health Reform FAQs

    To help assisters and consumers prepare for Open Enrollment, KFF has released a list of "Frequently Asked Questions" about health reform. The FAQs are organized by topic areas that include, "Employer-Sponsored Health Coverage," "Young Adults and Students," "Non-Traditional Households," and "Uneven Income."

    4.      Issue Brief: Health and Access to Care and Coverage for Lesbian, Gay, Bisexual, and Transgender Individuals in the U.S.

    The Kaiser Family Foundation recently published an issue brief that provides an overview of what is known about lesbian, gay, bisexual, and transgender (LGBT) consumers' health status, coverage, and access in the United States The report includes a look at the causes of health disparities and barriers to care that LGBT people experience. It also reviews the implications of the Affordable Care Act, the overturning of the Defense of Marriage Act (DOMA), and other recent policy developments for LGBT individuals and their families going forward.

    NOTE: includes links to other federal agencies and in some instances, non-government Web sites. We provide these links because they contain additional information that may be useful or interesting and is consistent with the intended purpose of We cannot attest to the accuracy of information provided by these third-party sites or any other linked site. We are providing these links for your reference. Linking to a Web site does not constitute an endorsement by CMS or any of its employees of the sponsors or the information and products presented on the Web site. Also, please be aware that the privacy protection provided on does not apply to these third-party sites.


    XII. NEW Grab Bag FAQs: Spanish Language Assister Training and Forgotten Log-in Information Spanish Language Assister Training on MLN

    Q1: If I started the training in English, can I stop half-way through and take the Spanish language training now that the training is available in Spanish?

    A1:  Assisters can change to the Spanish curriculum by accessing their MLN profile and selecting the corresponding Spanish role. Once that is saved, the new Spanish curriculum will be auto-assigned to the user within a few minutes.  The process for selecting a User Type/User Role, Primary Language and enrolling in a curriculum is outlined in both the  English and Spanish training instructions.

    Important: If assisters wish to take the Spanish curriculum after starting the English curriculum, they can follow the process outlined above. However, the modules completed in English will not count towards your progress in the Spanish language training. In other words, assisters can change to the Spanish language training, but they will have to re-start the Spanish training from the beginning.


    REMINDER: Forgotten Log-in Information, Email Accounts, and Passwords

    The following Q&A offers advice for assisting consumers who have forgotten their log-in information, including their email address.

    Q2: What options are available for consumers who don't remember login information for their accounts, or who forget the email address that they created in order to create an account?

    A2: Consumers who have forgotten their account passwords can use the "Forgot my Password" or "Forgot my Username" links on, which will send the requested information to the consumer's email address if there is one on file. If that does not work, consumers can call the Marketplace Call Center at 1-800-318-2596 (or TTY: 1-855-889-4325), where a representative can reset a consumer's password and/or unlock a consumer's account.  The Call Center will always ask for the consumer's full name, address, and two additional pieces of identifying information such as a Social Security Number, Application ID number, User ID, date of birth, or phone number prior to releasing any information. 

    More information on resetting account passwords and log-in information is also provided in the Q&A section of the November 4, 2014 newsletter.

    XIII. IMPORTANT REMINDERS: Open Enrollment Begins November 15, 2014, State Requirements for Assisters, Accessing Federal Training Materials

    1.       OPEN ENROLLMENT: NOVEMBER 15, 2014 - FEBRUARY 15, 2015

    The Open Enrollment period for the 2015 plan year will begin on November 15, 2014 and continue through February 15, 2015.  

    As a reminder, while Open Enrollment offers the opportunity for all qualified individuals to apply for coverage, consumers may be able to enroll in health coverage outside of open enrollment if: 1) they qualify for a special enrollment period (SEP); 2) they are enrolling through the Small Business Health Options Program (SHOP); or 3) they are eligible for Medicaid or the Children's Health Insurance Program (CHIP).


    In addition to the federal training and certification requirements, many states with Federally-facilitated Marketplaces have additional state-specific requirements for Navigators, in-person assisters, and/or certified application counselors. Most state assister laws require state licensure or approval before operating in the state, and many have training requirements, require background checks, or require some assisters to secure financial protection against wrong-doing.  Please reach out to your State Department of Insurance to familiarize yourselves with your state's requirements.  Assisters should comply with any state and all federal requirements prior to assisting consumers.  Again, you must meet both state AND federal requirements prior to assisting consumers.

    Please remember, you are not authorized to assist consumers until you have received an official Assister Certificate. Navigators receive their certificates from CMS; CACs receive their certificates from their CAC designated organization.   We encourage assister entities to have all staff and volunteers complete federal and state required training, certification, licensing, and registration prior to the beginning of the Open Enrollment period for the individual Marketplace on November 15, 2014.


    Additional information and resources regarding the 2014 Federal assister training are available through the assister resources webpage at:


    XIV. CMS Resources and Contact Information for Assisters

    1.       Standing Assister Resources

    Below are some resources that assisters use on a regular basis. 

    2.       Stay in Touch

    To sign up for the CMS weekly assister newsletter, please send a request to the Assister Listserv inbox ( and write "Add to listserv" in the subject line.  For requests to be removed from the listserv, please write "Remove" in the subject line.

    If you are a Navigator grantee and have specific questions or issues you'd like to see us highlight in our weekly webinar or here in this newsletter, please get in touch with your Navigator project officer or send a request to If you are a CAC designated organization, please send an email to We welcome suggestions and comments, so please feel free to contact us.
    Transformational Team Talk & Outreach Upates


    Are you ready now

    You can see 2015 plans and prices NOW at the all-new

    Then enroll online starting Nov. 19!

    Here are 3 things you can do right now to get ready:

    Enrollment Events

    More than 20 in-person enrollment events planned throughout Maryland! Find one near you



    REMINDERS for your consumers:

    Dates to Know

    Starting Nov. 9: Compare plans and prices at the all-new

    Starting Nov. 15: Get in-person help enrolling. Look for details soon.

    Starting Nov. 19: Enroll on your own online at

    Dec. 18:  Deadline to apply for financial help with your plan that starts Jan 1. Create a new account and application by Dec. 18 or any financial help you received in 2014 will end, and your coverage will continue at the new, full price. Learn more here.

    (Enrolled in Medicaid? You'll be contacted to renew.)

    Feb. 15: Open enrollment ends for 2015


    5 Steps to Stay Covered

    1) Review: Plans change, people change. Review your coverage and look for a letter from your plan about how your benefits and costs may change next year.

    2) Update: Starting Nov. 19, go to and create a new account and application (even if you had one in 2014). Make sure your household income and other information are up-to-date for next year.

    3) Compare: Compare your current plan with other plans that are available in your area.

    4) Choose: Select the health plan that best fits your budget and health needs.

    5) Enroll: Make sure to apply and choose your plan by Dec. 18 to have any financial help you qualify for start Jan. 1.

    Then be sure to pay your insurance company's bill by the first day of the month you have coverage.




    Maryland Health Connection Update

    for LHD and LDSS Caseworkers, Call Center representatives and Connector Entities

    Effective October 18, 2014, in preparation for the new open enrollment period, the current HIX will not process new Medicaid/ MCHP applications or changes. PLEASE follow the INTERIM procedures listed below:     

    October 18th  - November 18th

    • If a new Medicaid/MCHP application or eligibility change is added to the HIX after October 17th, the system will still show a Medicaid or MCHP determination, but it WILL NOT be sent to MMIS and the enrollment will never be completed.

    o   Call Center and Connector Entities must submit New Medicaid/MCHP applications via SAIL at  LHD and LDSS caseworkers will continue to process all applications in CARES. 

    o   If a navigator or call center representative does not have access to CARES and a customer is requesting a status update on their SAIL application, they should be referred to the DHR Constituent Services hotline: 1-800-332-6347.

    Beginning November 18th

    •          All new MAGI Medicaid/MCHP applications must be submitted via the new Maryland Health Connection (HBX). 
    Grants & Funding Opportunities

    FY 2015 SAC Funding Opportunity Announcements (FOA)  

    HRSA has released the next two rounds of FY 2015 SAC FOAs (HRSA-15-012 and HRSA-15-013), covering service areas with March 2015 and April 2015 project period start dates. 
    Contact for questions.

    Application Deadline:  December 15, 2014

    The U.S. Department of Agriculture (USDA), through its National Institute of Food and Agriculture (NIFA), is making up to $31.5 million in funding available to help participants in the Supplemental Nutrition Assistance Program (SNAP) more easily afford healthy foods like fruits and vegetables. The Food Insecurity Nutrition Incentive (FINI) program, a new Farm Bill program, brings together stakeholders from distinct parts of the food system and fosters understanding of how they might improve the nutrition and health status of SNAP households. Under FINI, applicants may propose relatively small pilot projects, multi-year community-based projects, or larger-scale multi-year projects. Funded projects will test community based strategies that could contribute to our understanding of how best to increase the purchase of fruits and vegetables by SNAP participants through incentives at the point of purchase, supported by effective and efficient benefit redemption technologies, that would inform future efforts. 

    HRSA began issuing FY 2014 base adjustments last week for health center grantees in accordance with program statute and the FY 2014 budget as enacted by Congress. Health Center grantees should see new Notice of Awards in EHB in the near future. To compute base adjustments, HRSA is using a base amount for all grantees, and providing additional amounts based on each cCenter's total patient population, uninsured patient population and Patient Centered Medical Home recognition status.


    Reminder: Outreach and Enrollment (O/E) Ongoing Funding 

    Health centers that received O/E grant funds in July 2013 have already received the ongoing O/E funds in their base award to cover the months between July 1, 2014 through the end of their FY 2014 budget period. Health centers should be preparing for the upcoming open enrollment period that begins on November 15, 2014. Contact with any questions or concerns related to O/E.


    Federal Surplus Personal Property Program 

    Application Deadline: None  

    Eligible state and local government agencies and nonprofit organizations, including health centers, can obtain property that the federal government no longer needs through the Federal Surplus Personal Property Donation Program.


    BJ's Charitable Foundation

    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.

    The next NURSE Corps Loan Repayment Program (LRP) Application Cycle is expected to open in January 2015. To expedite the application review process, potential applicants and facility administrators are encouraged to have the eligibility of their current facility location reviewed for participation in the NURSE Corps LRP Eligible NURSE Corps sites or Critical Shortage Facilities (CSFs) are defined as a health care facility located in, designated as, or serving a mental health or primary medical care Health Professional Shortage Area (HPSA).

    Potential applicants and facility administrators may submit their facility information beginning November 6 through December 2, 2014. Notification of facility eligibility will be confirmed by December 31, 2014 via email.

    When submitting a health care facility to the NURSE Corps LRP for consideration, please provide the following information:

    1. Name of the facility and its specific location (i.e., satellite facility cannot use main facility address)
    2. Full mailing address of the facility  including street address, City, State, and Zip code 
      (Do not use P.O. Box)
    3. Facility profit status; Refer to pages 8-9 of the 2014 NURSE Corps LRP APG for a complete list of eligible facilities.

    If you have any questions about this process, you may contact our Customer Care Center at 1-800-221-9393 Monday through Friday (except Federal holidays), 8:00 a.m. to 8:00 p.m. ET.


    Patient Centered Medical Home (PCMH) Corner 
    Supporting Patient Centered Medical Homes Through Data Feedback Reporting

     Webinar Series | Dec. 8-11 

    in collaboration with the Colorado Community Health Network (CCHN), Oregon Primary Care Association (OPCA), Maine Primary Care Association (MPCA) and the George Washington University Milken Institute School of Public Health proudly presents a webinar series featuring health center organization efforts to plan, design and implement data feedback reports/ dashboards supportive of practice transformation in this current health care environment.


    Modeling the Way: Bridging Planning, Practice & Transformation
    Monday, Dec. 8 | 2-3 PM ET

    This webinar will equip executive leadership with tools and ideas on how to strategically plan, support the design and implementation of data feedback reports/dashboards to further support their organization's strategic areas of focus. The Maine Primary Care Association will discuss their efforts in modeling shared leadership between health centers, Health Center Controlled Networks and Primary Care Associations to implement data feedback reports/dashboards. Learn more here.

    *The content of this webinar is targeted for an executive leadership audience, though it is open to non-executive leadership to attend.

    Oregon's Approach to Care Transformation and Data Utilization

    Tuesday, Dec. 9 | 2-3 PM ET

    Oregon Primary Care Association will highlight two areas of focus in their State (the Data Transparency Project and the Alternative Payment and Care Model) bringing health centers together to achieve a common aim. This webinar will focus on the practice of collecting, sharing and utilizing data as part of an ongoing effort to transform care and improve outcomes. Learn more here.

    Wednesday, Dec. 10 | 2-3 PM ET

    Colorado Community Health Network's (CCHN) will share their efforts to utilize and understand data through a culture of transparency. This webinar will feature how CCHN engage staff, collaborate with other organizations, and drive quality improvement through data.  Learn more here.

    Thursday, Dec.11 | 2-3 PM ET

    Tying this series together, this webinar will engage State Primary Care Associations (Oregon PCA, Maine PCA and Colorado Community Health Network) in a panel discussion to share lessons learned from their efforts to support organizational strategies with data feedback reports; and, outline their priorities for measurement and feedback for the coming year. Learn more here.

    Questions or Comments? Please contact the NACHC Patient Centered Medical Home Institute at 
    Clinical Quality 
    An AHRQ-funded supplement to Academic Pediatrics contributes to the national effort to measure and improve children's health. The September-October 2014 special supplement features seven commentaries and 12 articles that cover three broad themes: the value of pediatric quality measures to stakeholders, the scope of the Pediatric Quality Measures Program (PQMP) and lessons learned in developing and testing pediatric quality measures. AHRQ's Denise Dougherty, Ph.D., and Kamila Mistry, Ph.D., co-edited the supplement; they and AHRQ staff members Mia Desoto, Ph.D., and Francis Chesley, M.D., wrote or co-authored articles. The articles in this supplement examine the opportunities and challenges associated with the PQMP Centers of Excellence work on advancing the science of pediatric quality measurement.


    Health Observances This Week

    Lung Cancer Awareness Month

    Every year, more than 1.65 million people living with a life-limiting illness receive care from hospice palliative care providers in the US - and the priorities of patients and families are always a priority.

    Hospice | Care on Your Own Terms

    Hospice palliative care provides expert pain management, symptom control, emotional support, and spiritual care to patients and family caregivers when a cure is not possible. Care is provided by a highly trained team of professionals and volunteers.

    Most hospice care in the U.S. is provided in the home - allowing people to be with their families and loved ones in comfortable surroundings at the end of life.

    Research by NHPCO has found that 94 percent of families who had a loved one cared for by hospice rated the care as very good to excellent.

    "Hospice makes sure that people receive comfort, love and respect during one of life's most significant experiences - the journey at life's end," said J. Donald Schumacher, PsyD, president and CEO of NHPCO. "The compassionate way that hospice helps maximize the quality of life is at the center of this year's hospice month theme."

    NHPCO offers six important reminders

    "Hospice is not brink-of-death care intended for the last days of life only," stressed Dr. Schumacher. "Hospice care is most effective for patients and families in the final months of life when families can take full advantage of the range of services hospice provides."

    Palliative care brings the same interdisciplinary team approach earlier in the course of a serious illness. Hospices are the largest providers of palliative care services in the country with many organizations working to offer a seamless continuum of care through the course of a serious illness.

    Six important points to know about hospice:

    1. Hospice care is usually provided in the home - wherever the patient calls home.
    2. Hospice cares for people with any kind of life-limiting illness.
    3. Hospice is fully covered by Medicare, Medicaid, and most private health plans and HMOs.
    4. Hospice is not limited to six months of care.
    5. Hospice is not "giving up"; rather the focus is on caring, not curing.
    6. Anyone can contact hospice - so call your local program to learn if hospice is right for you or your loved one.

    NHPCO members will find materials for hospice and palliative care month

    Nonmember organizations will find some outreach materials for hospice month at

    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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