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

In light of the Baltimore Riots, MACHC has coordinated a meeting on May 29th with Baltimore City Health Department, please look on the EP section for details. All Baltimore Health Centers rep is invited to attend.
Have news to share with us? Want to be featured on our next E-Digest? Want to read about something in particular? Please email us at aneeqa@machc.com. 

June 8 2015
MACHC SPOTLIGHT

National Health Center Week 2015 is .........

Around the Corner!

National Health Center Week 2015 (#NHCW15), August 9-15, is closer thank you think! This year's theme is "America's Health Centers: Celebrating Our Legacy, Shaping Our Future." #NHCW15 will be action packed as it coincides with the 50th anniversary celebration of America's Health Centers. To ensure your Health Center has a great celebration, prepare now:


DHMH Office of Preparedness & Response News:
Please join us in welcome the new Region V Coordinator:
Casey Owens    email:  casey.owens@maryland.gov
REGION V FQHC EMERGENCY PREPAREDNESS POINT OF CONTACTS:
If your FQHC is in Region V, please be sure to send her a warm welcome and email introducing yourself.

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Reminder:

MACHC Announces its Newly Launched Provider Credentialing Services (look under Shared Services Corner)

For a subscription cost, MACHC will provide initial and re-credentialing services to our members.

For more information please contact Bernadette Johnson at bernadette@machc.com

MACHC HAPPENINGS

MACHC EVENTS
    
(1) June 18-19, 2015
Clinical/Informatics
Maritime Conference Center- Lithicum, MD

(2) Outreach & Enrollment Call 
Friday, June 10th, 2014
1-866-740-1260 Access 4319483
Who: Outreach Staff
Discuss state updates, best practices, barriers/issues that need attention and provide any support and advocacy where needed.

(3) September 17-18, 2015 
Operations Leadership
Turf Valley Conf. Ctr., MD

----------------------------------

Board of Directors Meetings:
(Third Friday @ 11:00 a.m.)

June 18, 2015
Face to face
11 am - 1pm
Maritime Conference Center

September 17, 2015
Board Retreat
Turf Valley
  • OTHER EVENTS
  •  

    (1) Medicare FQHC PPS: Lessons Learned Through Implementation Register Here
    June 09 | 2 - 3:30 pm ET

    Since the implementation of Medicare FQHC PPS health centers and NACHC's PPS experts have been developing best practices and lessons learned to navigate the new system. 

    Whether your health center has yet to implement PPS or is looking to fine tune procedures, attendees will take away vaulable information and new best practices.
    Attend this webinar to:  

    * Get a brief overview of the critical elements of the Medicare FQHC PPS;
    * Hear from PPS experts and health centers on best practices for a successful implementation; and
    *Ask questions of both the experts and your peers who have already completed the implementation process.

     

    (2) Multi-Level Interventions to Improve Hypertension Control for African-Americans Webcast - Tuesday, June 9, 2015, 12:00pm - 1:30pm, ET Directors Network is hosting this webcast to discuss lessons learned and tools from National Heart, Lung, and Blood Institute interventions.

     

    (3) Patients in Context: EHR Capture of Social and Behavioral Determinants of Health - Thursday, June 11, 2015, 12:00pm - 1:00pm, ET.

    The Clinical Directors Network is hosting this webcast to discuss how Electronic Health Records help capture social and behavioral determinants of health. Apply here.

    (4) Breast, Cervical, and Colorectal Cancer Screening Guidelines and Best Practices Webcast - Monday, June 15, 2015, 12:00pm - 1:00pm, ET.

    The Clinical Directors Network is hosting this webcast to discuss screening guidelines and best practices for breast, cervical, and colorectal cancer.      Apply here.

     

    (5) Managing Ambulatory Health Care I (MAHC I): Introductory Course for Clinicians in Community Health Centers     

    June 15-18, 2015 - Portland, Oregon --EARLY BIRD DEADLINE: June 1      Apply here.

    The Managing Ambulatory Health Care I (MAHC I) course is an exciting collaboration between the National Association of Community Health Centers (NACHC) and Northwest Regional Primary Care Association (NWRPCA). 

    This four-day course goes beyond the basics of being a new clinical director in a FQHC. This course focuses on skills that are essential in the community health center environment. You will learn specific management skills that are essential in the community health center environment:

    • Financial management
    • The enhanced role of the medical director (dental, behavioral health, etc.)
    • Clinical operations
    • Productivity management
    • Performance compensation
    (6) Patient-Centered Medical Home Training "Completing the Journey to 2014 NCQA PCMH Recognition"  June 15-16, 2015

    The Sheraton Harrisburg/Hershey 
    Harrisburg, PA    Register Here.

    Contact Cheryl Bumgardner for more information


     

    (7) THREE-PART WEBINAR SERIES: IT'S REALLY HAPPENING...ICD-10    REGISTER HERE
    June 25, July 2, and July 16, 2015 | No Charge

    NACHC is pleased to present the three-part webinar series "Is Really Happening...ICD-10".  Each session will be presented twice, early AM and late AM, and provide diagnosis examples to determine what documentation is required for ICD-10. Please register only once for each session. Participants are encouraged to attend all three separate sessions.

    June 25 | Webinar 1: Let's Review: ICD-10 Facts & Code Comparison
    Early AM Session: 8:00 AM - 10:00 AM EDT
    Register NOW

                                  OR
    Late AM Session: 11:00AM - 1:00PM EDT
    Register NOW

    In the first installment of the series, participants will: 
            Be provided with a brief introduction, including history and facts of ICD-10;
            Learn more about the anatomy of an ICD-10 code; and
            Gain knowledge about code comparisons and documentation. 


    Registration fee:
    There is no charge for any of the webinars in this series. Registration will close 2 days prior to each session start date.


    Speaker:
    Shellie Sulzberger, LPN, CPC, ICDCT-CM
    CEO/President
    Coding & Compliance Initiatives, Inc


    Recommended Attendees: 
    CMOs, Administrators, Clinical Administrators, Physicians, Physicians Assistants, and Nurse Practicioners


    For additional information, contact Sherri Goemmer at sgoemmer@nachc.com

     

    (8) Public Meeting About the Use of Naloxone to Reduce Opioid Drug Overdose Fatalities - Wednesday, July 1, 2015 and Thursday, July 2, 2015 - The Food and Drug Administration (FDA), Center for Drug Evaluation and Research, in collaboration with the National Institute on Drug Abuse (NIDA), Substance Abuse and Mental Health Services Administration (SAMHSA) and HRSA is holding a public meeting to discuss increasing the use of naloxone to reduce the incidence of opioid drug overdose fatalities.
    For more information, visit the Exploring Naloxone Uptake and Use Public Meeting Request for Comments Federal Register Notice.  The registration deadline is Monday, June 22, 2015.

     

    (9) Save the Date for the Maryland Chronic Disease Conference

    On September 8-9, 2015 in Baltimore, Maryland, DHMH will be hosting the Inaugural Chronic Disease Conference.  The Maryland Chronic Disease Conference aims to explore challenges and opportunities in public health as well as approaches to prevent and control chronic diseases and associated risk factors. The conference will identify best practices, examine existing barriers, and develop a roadmap for future programs in Maryland. The core focus of the Conference will be the four CDC Chronic Disease Domains-Epidemiology/Surveillance; Environmental Approaches; Health Care System Interventions and Community Programs Linked to Clinical Services.

    For more information please visit: Maryland Chronic Disease Conference 
    Emergency Preparedness Events: 

     

     

    Last Wednesday, the Emergency Response Symposium 2015 was held in Shady Grove, MD where three main critical incidents' response in the 21st century were discussed in great detail. The three main emergency incidences included Joplin Tornados, Boston Marathon Bombings, and Aurora Theatre Shootings.
     

    Lessons learned from these incidents were shared during the event. Here is a quick update on some of the lessons learned from the events.
     

    Lessons Learned:

    1.       When in an emergency situation make sure your own family knows what to do (have a plan and talk about it, ie. Table-top exercise) so you can be involved and fully focused at work.

    2.       Put Emergency Response teams together and have an area for forestaging.

    3.       Utilize all existing communication tools especially your social media. You would be surprised how far the reach is...especially for your patients.

    4.       Active relationship/partnership planning

    5.       Can you utilize GIS Mapping or can your partner? That is an excellent resource. This goes to point out the importance of MOUs and partnerships!!

    6.       Establish a hierarchy of response (they suggested local, State then Federal at the Symposium but please check with your Regional Coordinator during your Regional Meetings)

    7.       Communication causes issues so make sure to have chain of communication and command.


     

    Please find the After Action Report to the Boston Marathon Bombing here: http://www.mass.gov/eopss/agencies/mema/after-action-report-for-to-the-2013-boston-marathon.html

    A YouTube video from the day of the incident is here (please note the video is graphic from the day of the event): https://www.youtube.com/watch?v=7j7LkuPzT1c


     

    MACHC has conducted Active Shooter Exercises at two of our health centers and disseminated the information to everyone. I urge you to implement the table top  simulation at your shops to better keep your health center sites prepared. 


     

    (1) UNDERSTANDING SURGE AND BUILDING CAPACITY

    Date:                    Friday, June 12, 2015      0730 to 1530 hours

    Description: Although Maryland's pediatric population accounts for approximately 25-30% of the state's overall population, the majority of Emergency Support Function: Public Health and Medical Services (ESF #8) activities have only addressed issues related to adult victims and patients.  Limited training opportunities coupled with inadequate pediatric critical care and surge capacity and capability within Maryland creates gaps and challenges in emergency preparedness and response efforts for those who are most vulnerable and require specialized care.  This one-day event seeks to bridge those gaps and begin the process of overcoming those challenges.

    Goal:  To enhance the capacity and capability of healthcare providers and members of healthcare coalitions to attend to the special needs of pediatric populations during mass casualty events.

    Objectives: After attending this session, participants will be able to:

    •          Recognize the special needs of pediatric populations during mass casualty events;
    •          Foster collaborative working relationships between non-pediatric and pediatric healthcare providers;
    •          Initiate and provide effective healthcare interventions to pediatric victims and patients as mass casualty surge grows.

    Audience:            Healthcare providers at all levels, nurses and physicians from all specialty areas, and EMS.

    Location:             The Maritime Institute of Technology and Graduate Studies,

                    692 Maritime Boulevard, Linthicum Heights, MD 21090, United States

    Event cost     Free

    Registration Required: https://trams.jhsph.edu/trams/index.cfm?event=training.catalogDisplay&trainingID=736

    CE Credits:          Educational Credit will be Available



    (2) MGT 433: Isolation and Quarantine for Rural Communities & PER 308: Rural Isolation and Quarantine for Public Health and Healthcare Professionals.

    Register hereMGT 433 (8am-12pm) is designed to provide small, rural and remote communities with the knowledge, skills and abilities to effectively plan for and respond to events that require isolation and/or quarantine of their populations. PER 308 (1-5pm) expands on the concepts presented in MGT 433. It consists of two customized training modules that are specifically tailored toward course participants from the public health and medical fields.

     

    Date: June 26, 2015

    Time: 8:00am - 12:00pm  AND  1:00 - 5:00pm

    Location: Eastern Shore Hospital Center, Cambridge, MD

    Registration deadline: June 12, 2015

     

    How Prepared Is Your Community for an Emergency? 

     

    Download the kit checklist: 

     

    Family communication and evacuation plan: 

     

     

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    ATTENTION MD FQHCS 

     

    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)
    alison.robinson@maryland.gov 


     

    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)
    edward.johnson@maryland.gov

     

    Region IV -

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

    Kristin McMenamin

    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)

    410-778-4862 (Fax)

    kristin.mcmenamin@maryland.gov 


     

    NEW REGION V COORDINATOR

    Region V  Emergency Preparedness Coalition

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

    Casey Owens

    Office of Preparedness & Response

    Maryland Department of Health and Mental Hygiene

    300 W. Preston Street, Ste. 202

    Baltimore, MD  21201 

    casey.owens@maryland.gov


     

    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.   
    , you will find the template for setting up a respiratory protection program in hospitals.  

    5. MACHC conducted two FQHCs with Planning for Onsite Drill/Exercise in February 5th & 6th, 2015. The follow up call with ALL MACHC member health centers and partners was held Thursday, March 12th. Due to the large file size of Active Shooter documents, an email to all attendees and FQHC POIs was sent out. Please alert Aneeqa Chowdhury (aneeqa@machc.com) if you have not received the link.

    6. MACHC provided support to all Baltimore Health Centers during the Baltimore Riots end of April-May 2015. We thank all of our member FQHCs and partners for the support and seamless communication which created transparency and effective communication of needs during the pressing time. Please email us at MACHC if you have any comments regarding the events that occurred. 

     
    *** Look for the latest EP related updates RIGHT HERE!
    Policy, Advocacy and Legislation
    National News

    Community Health Centers serve more than 260,000 of America's Veterans. Yet, did you know that they are also engaged as part of a joint initiative launched by the White House and the U.S. Department of Health and Human Services to hire more Veterans, and to help returning servicemen and women transition into civilian life?

    Health centers provide a wide range of employment opportunities for Veterans. Veterans have skills and experience that are a good match for health centers. They also bring a sense of mission and commitment to the community. In fact health centers report a 50 percent higher retention rate for Veteran employees.

    To help health centers establish a Veteran hiring strategy NACHC has created a toolkit entitled Making the Connection and Continuing to Serve: A Veteran Hiring Toolkit for Community Health Centers and Veterans.  In the toolkit health centers will find information on creating a Veteran friendly workplace, the benefits of hiring Veterans, finding Veteran candidates and creating a strategy for hiring Veterans. The toolkit is also helpful to Veterans. It contains information for them on how their military experience translates to jobs in the health centers and where to find available jobs.

    To learn more about the Hiring our Veterans Initiative click here . You can download the toolkit here.

    340B Program Comes Under Increased Scrutiny in House Comittee Deliberations

    Following a hearing on the 340B Drug Discount Program in March in the House Energy and Commerce Committee, the Committee proposed including a number of changes to the program in a recent package of legislation called 21st Century Cures. While the changes were ultimately taken off the table, it is clear that Congress has taken a renewed interest in 340B, and NACHC is monitoring and engaged in that process.
     

      

    340B Legislation Stalls

    The House Energy and Commerce Subcommittee on Health recently considered the inclusion of 340B provisions to H.R. 6, the 21st Century Cures Act. NACHC quickly engaged on this legislation and provided feedback on the program as well as how Community Health Centers apply it to their patients nationwide.  After receiving feedback from multiple stakeholders, the committee has since moved the legislation without any 340B language as they could not reach a clear consensus on the issue.  It is important to recognize these events as learning opportunities for a critical program to health centers as we know that 340B has been under a microscope through previously proposed federal "super regulations" on the program.  When opportunities present themselves to talk with members of Congress or staff, please explain how important this program is and how it works so we continue to proactively educate while 340B remains a focus of federal regulators.
    HRSA Faculty Loan Repayment Program - HRSA is accepting applications for health professions educators from disadvantaged backgrounds to serve as faculty members in an eligible health professions school. Applications are due no later than Thursday, June 25, 2015.
    View more information on this funding opportunity and accompanying technical assistance (TA) conference calls in the Training/TA section of this Digest.


    A new study using data from AHRQ's Medical Expenditure Panel Survey (MEPS) found that the percentage of children 6 to 17 years old receiving outpatient mental health service increased from 9.2 percent in 1996-1998 to 13.3 percent in 2010-2012. Youths with less severe or no impairment accounted for a significant amount of the increase. Researchers calculated that 4.19 million youths with less severe or no mental health impairment used mental health services in 2010-2012, up from 2.74 million in 1996-1998. The number of youths with severe impairment who received services, meanwhile, increased from about 1.6 million to 2.34 million in the same time period. Fewer than half of youths with severe impairment, however, accessed mental care services in 2010-2012, researchers found. The study, led by Mark Olfson, M.D., M.P.H., of the Department of Psychiatry, College of Physicians and Surgeons, Columbia University, and the New York State Psychiatric Institute, used data from the 1996-1998, 2003-2005 and 2010-2012 MEPS to examine trends in outpatient use of mental health services among 53,622 children 6 to 17 years old. 
    For Your Review-NACHC Comments on Medicaid Mental Health Parity Proposed Rule
    Linked here are NACHC's draft comments on CMS' proposed rule on mental health parity in Medicaid Managed Care and CHIP. You will find a brief summary of NACHC's comments below. Please take a minute to review this draft and send NACHC any thoughts/comments/edits by COB Monday June 8, 2015. Comments are due to www.regulations.gov by June 9, 2015.
    As always, we encourage you to submit your own comments and please feel free to use NACHC's draft as a template. We also encourage you to incorporate any local examples that you might have to further enhance your comments.
    Summary of NACHC's Comments
    1. CMS should clarify that quantitative visits limits do not apply to required services, such as behavioral health services provided by clinical psychologists and Licensed Clinical Social Workers (LCSWs) at FQHCs.
    2. To ensure adequate access to behavioral health services for individuals served under managed care or alternative benefit plans, CMS should encourage states to :
    * cover the services of a broad range of behavioral health providers (e.g., licensed professional counselors);
    * allow FQHCs to bill for two visits when a patient receives both a medical and a BH service on the same day; and
    * implement a robust system for updating FQHCs' PPS rates to reflect changes in how they provide care, such as efforts to integrate physical and behavioral health services.
    Thank you for your attention to these comments. Should you have any questions, please do not hesitate to contact Susan Sumrell at ssumrell@nachc.org or Colleen Meiman at cmeiman@nachc.org.
    The states that set up their own insurance marketplaces have nothing to lose in King v. Burwell, the big Supreme Court case that will be decided by the end of June. But that doesn't mean those states are breathing easy. With varying degrees of difficulty, all of the state-based exchanges are struggling to figure out how to become financially self-sufficient as the spigot of federal start-up money shuts off. 
    The U.S. Department of Health and Human Services is excited that more than 4,000 individual patients, insurers, states, employers and other partners have registered to participate in the Health Care Payment Learning and Action Network. On June 10, 2015, there will be a webinar open to all participants who wish to review the recently appointed Network's Guiding Committee's early discussions, to learn more about Network engagement, and to view presentations on alternative payment models.

    Obamacare was designed to cover the poorest people through Medicaid expansion, but the Supreme Court made that optional. The result in some states is a gap, where some people make too much money to qualify for Medicaid but not enough to qualify for insurance subsidies.

    Combined with raised awareness caused by Obamacare advertising, some community health clinics are seeing twice as many patients as before.

    State News
    DELAWARE

    Insurance Commissioner Karen Weldin Stewart announced today that Aetna Health, Inc. and Highmark BlueCross BlueShield Delaware will offer businesses employing 51 to 100 workers the opportunity to renew their group health insurance policies at "large group" rates for policy plan years beginning on or before October 1, 2016.  Commissioner Stewart issued a departmental bulletin earlier this year notifying issuers in the large group market about the opportunity provided by the Affordable Care Act.

    "The large group renewal offer is welcome news for Delaware businesses of this size who currently purchase insurance in the large group market," said Stewart. "Beginning January 1, 2016, the ACA will redefine these companies as small businesses, who would then have to shop for a plan in the small group market.  Because of the accommodation I am announcing today, these companies can continue to purchase health coverage from Aetna and Highmark at large group rates until October 1, 2016. The large group market generally offers lower rates."

     

    Delaware's Health Insurance Marketplace: Update on Activity

    Please click here for the slides from the meeting

     

    Delaware's State Innovation Model (SIM) Update

    Here are the slides

    MARYLAND

    Baltimore children attending public schools won't have to go another day in class hungry thanks to a new state program.

    On Tuesday, Maryland State Delegate Keith Haynes (D) spoke at Beechfield Elementary/Middle School in Baltimore to give the good news, the Baltimore Sun reported. Haynes is the chief sponsor of The Hunger Free Schools Act of 2015, a state law that allows any school and school district with at least 40 percent of its population considered low-income to offer free meals to all its students.

    That number means every single school in Baltimore is eligible, Haynes told The Huffington Post.

    Finance & Business
    Amid changes introduced by the Affordable Care Act, community health centers, also known as Federally Qualified Health Centers or FQHCs, are assuming a more prominent role in the delivery of healthcare. Long the leaders in indigent care, community health centers are becoming pivotal players in population health management strategies and accountable care organizations.

    A recent report, Can Electronic Health Records Systems Support New Payment Methods for Health Centers, from the Geiger Gibson/RCHN Community Health Foundation Research Collaborative assesses the feasibility and usefulness of combining electronic health record (EHR) data with federal cost report data as the basis for quantifying enabling services and developing or evaluating reimbursement rates for Community Health Centers . The report, based on a pilot study, indicates that such data fall short of providing the information needed to reasonably develop new value-based rate setting approaches or evaluate existing cost-based rates. The report suggest that EHRs need to be tailored to better capture the unique range of health center services, and that workflow changes may also be needed to ensure that essential information is recorded.

    Why Hospital-FQHC Partnerships Make Sense

    A new infographic from Avanza Healthcare Strategies offers a by-the-numbers look at Community Health Centers   as a starting point for hospitals and health systems to better understand why partnerships with health centers make sense.  For more about hospital-FQHC partnerships, read Community collaborations: 6 areas of focus for hospital and federally qualified health center partnerships

    NACHC is Offering a Free 3-Part ICD-10 Webinar Series

    NACHC is hosting a three-part webinar series, "It's Really Happening...ICD-10."  Each session - June 25, July 2, July 16 - will be presented twice, early morning and late morning, and provide diagnosis examples to determine what documentation is required for ICD-10. 

    Participants are encouraged to attend all three separate sessions and to only register once for each session. There is no charge for any of the webinars in this series. Registration will close two days prior to each session start date.
    Click here to register.  

    The
    Latest News on ACA

    OUR WORK IS NOT OVER

     

    Help Article on Losing Health Coverage and SEPs

    The Centers for Medicare & Medicaid Services (CMS) has released additional examples of situations when losing health coverage may qualify consumers for a special enrollment period (SEP) in Help Steps article on Losing Health Coverage.  Some examples:

    • Consumers don't qualify for an SEP if they voluntarily drop a job-based or individual plan in the middle of a plan year, or lose coverage because they don't pay their premiums.
    • Consumers do qualify for an SEP if, when the plan year ends, they don't renew coverage.
    • If employer-sponsored coverage is deemed affordable and meets the minimum value test, consumers with an offer of employer-sponsored coverage who decide to enroll in a Qualified Health Plan through the Marketplace will not be eligible for financial assistance such as premium tax credits or cost sharing reductions.
    • If the consumer's employer-sponsored coverage does not meet the affordability test or minimum value test, the consumer may be eligible for financial assistance through the Marketplace.


     

    NEW! Table on Determining Household Size

    The Centers for Medicare & Medicaid Services (CMS) has issued a new table to help in determination of consumers' household size. When reporting income and household size, it is important for consumers to know whom to include in their household. For the Marketplace, a household usually includes the tax filer, their spouse if they have one, and their tax dependents. Encourage consumers to follow these basic rules when reporting members of their households:

    • Tax filers + tax dependents = household
    • If the consumer plans to claim someone as a tax dependent for the year they want coverage, include them in the application. Include all of these people even if they don't need health coverage.
    • If the consumer won't claim someone as a tax dependent, don't include them in the application. 


     

    March Effectuated Enrollment Consistent with Department's 2015 Goal

    The Centers for Medicare & Medicaid Services released a data snapshot providing a detailed look at how many consumers paid their premiums in 2015 and had "effectuated" coverage in March 2015. Nearly 8.7 million people nationwide received an average tax credit of $272 per month to make their health coverage more affordable.


     

    CMS Assister Webinars & Supplemental Webinars

    A list of supplemental webinars:

    • Special Enrollment Periods and Resources for the Uninsured; Wednesday, May 6, 2015, 2:00 pm EDT: Click to register.  To join by phone only: 1 (415) 655-0059, Access Code: 419-734-181, Pin code is the # key. Wednesday, June 17, 2015, 2:00 pm EDT: Click to register.  To join by phone only: (415) 655-0051, Access Code: 564-443-351, Pin code is the # key.
    • Got Coverage? Next Steps in Using Your Health Insurance; Tuesday, May 19, 2015, 3:00 pm EDT: Click to registerClick to register.  To join by phone only: 1 (646) 307-1706, Access Code: 763-833-558, Pin code is the # key.  Tuesday, June 23, 2015, 4:00 pm EDT: Click to register.  To join by phone only: (415) 655-0051, Access Code: 379-833-859, Pin code is the # key.
    • Affordable Care Act 101 Webinars for Small Employers**
    • Spanish-language ACA 101 Webinars for Small Employers
     

    Marketplace Call Center and SHOP Call Center Hours

    Health Insurance Marketplace Call Center: For customer service support, to start or finish an application, compare plans, enroll or ask a question. 1-800-318-2596 (TTY: 1-855-889-4325).  Available 24/7. Closed Memorial Day, July 4th, Labor Day, Thanksgiving, and Christmas.

    SHOP Call Center: For customer service support, including assisting employers and employees apply for and enroll in SHOP. 1-800-706-7893 (TTY: 711).  Available M-F 9:00 am-7:00 pm EST. 

    MACHC Conference Call Updates

    Outreach & Enrollment 6/5/2015 Call Update:

     

    Thank you to those who called into the O/E Conference Call today. There are a few questions that we have that need addressing. Please find the information about the NEW CAC Training:

    The new CAC training will likely take place in the September time frame.  However, MHBE is aware that we may have folks that need training prior to then.  On the last ACSE monthly call, MHBE's Director of Operations, Leslie Lyles Smith, asked for the ASCEs to provide MHBE with a count or list of folks that need training now. ASCEs were to send the list to mhbe.training@maryland.gov

    Post collecting all responses, MHBE is going to see if they could work out a training in between to cover them.  If MHBE are able to put together a training in between that group will however have to take the system training again as the system training will contain all of the new system enhancements for open enrollment.  
    ***Please note that this means that the June Training is for existing and already certified CACs for new system updates, not a new training!

    Please note that all Connectors are still operational; those of you who had been partnering with another entity for Navigators and lost their partnership, please remember that the partnership from their end was linked to Connector. So please contact your Connector if you wish to partner with them for Navigators!

    Utilize the following number for help with Identity Proofing Issues. Make sure to have all identifying and required consumer documents scanned online prior to contacting the number for help.
    1-800-625-7138.

     

    All Maryland CACs: 

    Due to unforeseen circumstances, Maryland Health Benefit Exchange's ACSE monthly meeting has been cancelled for Monday, April 27th. The call/meeting will meet next month on the fourth Monday of June.
    June 22, at 10am. 

     

    Title: MHC-Application Counselor ILT System Training

    Locator Number: 795

    Date: June 25th, 2015

    Time 10:30 am - 1: 30 pm

    Registration close date/time: 6/22/2015 @ 12:00 am

     

    Requirements for Webinar Completion:

     

    1.    You must attend the webinar session in their entirety. Participants who miss more
    than 15 minutes of the webinar, as captured by entry and exit times throughout
    the session, will not receive completion status for the training.  For example, if a participant enters the online meeting space after 9:15 am for a webinar start time of 9:00 am, he or she will not receive credit for the training. 

    Participants must participate in the webinar through the Webex Meeting space and by phone for audio. If you are on the phone the entire time, but not signed into the
    WebEx, you will not receive credit for the training.  For this reason, we encourage you to remain logged into the online event during scheduled breaks and Q&A sessions. 

     2.    You must log into the session on an individual computer with a complete and
    accurate last name, first name, and email address. When joining the session, 
    please enter the same name and email address you used when registering for the
    webinar on The Hub.

    Participants who share a computer to attend the webinar will not receive completion status for the training, because their names and email addresses will not be captured
    in the webinar attendance report. 

    3.    Only participants who completed the required prerequisites and registered for the webinar through The Hub, before the registration deadline date and time, and satisfied the attendance requirements listed above will receive credit for completing the webinar.
     
    4. Only registered participants will receive an email on how to access the webinar, to the email address that was used to register in The Hub, at least 24 hours before the
    start of the webinar. 

     

    Thank you,

    MHBE

     

    Maryland--Call Center Note:

    Direct Line for Navigators and CAC to MHBE Call Center--Regarding the Call Center # 844-224-6762 It should be noted that: If you need customer assistance from the call center, CAC's should call this number.

    Grants & Funding Opportunities

    National Training and Technical Assistance Cooperative Agreements (NCA) Funding Opportunity Announcement (FOA) (HRSA-15-140) - HRSA released the Fiscal Year (FY) 2015 NCA FOA (HRSA-15-140). Approximately $3 million will be available to support 3-4 awards to national organizations that will provide training and technical assistance to potential and existing Health Center Program grantees and look-alikes in the areas of oral health services, health information technology and data, and clinical workforce development.

    Applications are due to Grants.gov by Monday, June 1, 2015. This NCA funding opportunity is a Grants.gov only application.

     

    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.


     

    National Training and Technical Assistance Cooperative Agreement (NCA) Funding Opportunity Announcement (FOA) (HRSA-15-140) - HRSA released Fiscal Year (FY) 2015 NCA FOA (HRSA-15-140)  which will provide approximately $3 million  to support 3-4 awards to national organizations that will provide training and technical assistance to potential and existing Health Center Program grantees and look-alikes. The organizations will provide training in the areas of oral health services, health information technology and data, and clinical workforce development.
    Applications are due to Grants.gov by Monday, June 1, 2015. This NCA funding opportunity is a Grants.gov only application.
     

     

    CY 2016 Requirements for FTCA Medical Malpractice Coverage for Health Centers- HRSA has issued Program Assistance Letter (PAL) 2015-03 to describe the process for Health Center Program grantees to submit initial and redeeming Federal Tort Claims Act (FTCA) deeming applications for Calendar Year (CY) 2016.
    Applications are due by Tuesday, May 26, 2015, 11:59pm, ET.

    Shared Services Corner 
    Check out the comprehensive Credentialing Checklist. This can help your health center adhere to all the regulations,receive the payments at the appropriate time and forecast any financial constraints due to credentialing early.

    MACHC now offers  a myriad of Shared Services for member convenience. 
    Please check out the attached flier for additional details on the services  offered.
    Clinical Quality 

    The highest total health care expense in 2012 for children age 17 and under was for mental health, with $13.9 billion spent on treatment of mental disorders. (Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey Statistical Brief #472: Top Five Most Costly Conditions among Children, Ages 0-17, 2012 Estimates for the U.S. Civilian Noninstitutionalized Population)

     

    An analysis of case studies of health care organizations that participated in AHRQ's Comprehensive Unit-based Safety Program (CUSP) national implementation project has identified management practices and "success factors" in reducing and eliminating central line-associated bloodstream infections (CLABSIs) in health care facilities. AHRQ has funded numerous projects to prevent and reduce healthcare-associated infections as part of its patient safety mission, including CUSP, which intensive care units across the country used to reduce CLABSIs by 41 percent. In this analysis, "High-Performance Work Practices in CLABSI Prevention Interventions," AHRQ-funded researchers conducted in-depth case studies of health care organizations and intensive care units that participated in a CUSP implementation project to study whether and how high-performance work practices facilitate successful reduction of healthcare-associated infections, focusing particularly on CLABSIs. Researchers concluded that the following management practices lead to the reduction of CLABSIs in health care settings: engaging staff, acquiring and developing talented employees, empowering frontline providers and aligning leaders. Researchers also identified six factors widely evident in health care facilities that reduce CLABSIs and missing or inconsistently applied in lower-performing facilities. Included were frontline accountability, strong leadership and use of data.

    Health Observances This Week


     

    June is Posttraumatic Stress Disorder (PTSD) awareness month 

    June is National PTSD Awareness Month. Most often people recognize Post-Traumatic Stress Disorder as a condition that only affects veterans, but that is not true. The list of events that can cause PTSD includes child sexual or physical abuse, terrorist attacks, sexual or physical assault, serious accidents such as a car accident, or natural disasters like a fire, tornado, hurricane, flood, or earthquake.

    Not everyone that suffers a traumatic event develops PTSD. Factors that can affect its development are things such as:

    * How intense the trauma was.

    * If injuries were sustained.

    * How close the person was to the event.

    * How strong the reaction was.

    * How much the person felt in control of the events.

    * How much help and support was received after the event.

    According to mayoclinic.org, there are extensive symptoms that go hand in hand with dealing with PTSD. One is having intrusive memories. This can include having recurrent memories of the event, reliving the event as if it happened all over again, upsetting dreams about the event, and experiencing severe emotional distress or physical reactions to something that reminds the person of the event.

    There is avoidance. The person suffering from PTSD will do anything to avoid things that remind them of a traumatic event. They will avoid talking or thinking about the event, avoid places, activities, or people that remind them of the event.

    Another symptom is experiencing negative changes in thinking and moods. Experiencing negative feelings about themselves or other people are common. Inability to experience positive emotions , feeling emotionally numb (a defense mechanism), and finding no interest in activities where enjoyment was once found. Sufferers of the disorder might even feel a hopelessness about the future and have memory problems which can include not remembering important aspects of the traumatic events. There may also be difficulty in maintaining close relationships.

    There are also marked changes in emotional reactions that differ from those without PTSD, such as irritability, anger outburst, or aggressive behavior. PTSD sufferers are always on guard for danger, and oftentimes have an overwhelming sense of guilt or shame. They also are prone to self destructive behavior such as drinking or driving too fast. Trouble concentrating and trouble sleeping are some other symptoms, along with being easily startled or frightened. Stress causes these symptoms to be worse.

    If there are times when the symptoms become too much to deal with, there are treatment methods that can alleviate the symptoms. According to WebMD, there are many types of treatment for PTSD. Counseling called cognitive-behavioral therapy and medicines known as SSRIs appear to be the most effective treatment for PTSD. This type of therapy helps the person to control their emotions and helps result in fewer symptoms although there may still be some bad memories.

    Do not be afraid to seek help for the disorder. Family Counseling Center in Kennett offers services for these types of issues. "Diagnosis for PTSD is achieved by referring to diagnostic manuals," said Susan Helms, a licensed therapist. "What makes PTSD stand out from the numerous other anxiety disorders is the fact that the problems can be traced back to one specific event or series of events that caused the disorder. Once the diagnosis is obtained, behavioral cognitive therapy is usually the best approach. This enables the patient to become knowledgeable about the triggers and then learn to recognize the automatic thoughts that intensify the reaction to the trigger. Once these are recognized, the patient can then learn how to begin making changes in their thought processes, which is called refuting thoughts. Also medication is usually prescribed in conjunction with cognitive behavioral therapy."

    Helms has counseled several patients with PTSD, and it is not just limited to veterans. Children who are victims of various forms of abuse can suffer from the disorder. There is no set time for therapy. Some can be helped after only a few sessions. Others may take longer.

    One thing is for certain, PTSD is a very real mental health issue. Counseling and medication are preferred forms of treatment


     LEARN PTSD Treatment works:

    • Discover the facts.
      Start with PTSD Basics, key information about trauma, PTSD and treatment options. 
    • Explore your options.
       
     CONNECT with someone:
    • Help someone. Help yourself.
      Do you think you might have PTSD or know someone at risk? Take action for yourself or someone you care about. 
    • Give support. Get support.
      Managing PTSD can be easier with the support of others. If you are getting treatment, or have finished treatment. Caregivers can look to organizations that offer support for family and friendsfor tips on self-care too.

     SHARE and Spread the Word:
    • Pass along what you learn. 
      Use Facebook or Twitter to share up-to-date information or ask us questions about PTSD and treatment. 
    • Work together. 
      Join our PTSD Awareness campaign! Research promotional materials to help you organize an event or share information about PTSD and effective treatments.
    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 | | aneeqa@machc.com |