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

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. 

May 16, 2016
In last week's Edition of the E-Blast, there was an error in which one of the awardees was inadvertently omitted. 
Please make note that in Maryland 
4 awards totaling $3,363,557 to serve a projected 12,876 additional patients were presented!
The Health Center left out on last Edition was 
Western Maryland Health Care Corp.,
also known as
Mountain Laurel Medical Center.
Hearty Congratulations to your entire team and the rest of the winners on this incredible award!

Below is the list of all MD FQHCs that received the award:
OrganizationCityAward Amount

HHS Awards over $260 Million to Health Centers Nationwide to Build and Renovate Facilities to Serve More Patients
Today, HHS Secretary Sylvia M. Burwell announced over $260 million in funding to 290 health centers in 45 states, the District of Columbia, and Puerto Rico for facility renovation, expansion, or construction. Health centers will use this funding to increase their patient capacity and to provide additional comprehensive primary and preventive health services to medically underserved populations.
"Health centers are cornerstones of the communities they serve," said Secretary Burwell.  "Today's awards will empower health centers to build more capacity and provide needed health care to hundreds of thousands of additional individuals and their families."
These awards will allow health centers to renovate or acquire new health center clinical space to help provide care to over 800,000 new patients nationwide. This investment builds on the nearly $150 million awarded to 160 health centers for construction and/or renovation in September 2015. This funding comes from the Affordable Care Act's Community Health Center (CHC) Fund, which was extended with bipartisan support in the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015!

National Health Center Week
August 7-13, 2016
Visit the Health Center Week website to access the NHCW Kick-off webinar recording and slides. The webinar featured Health Center leaders from Georgia and Virginia who shared best practices on how to plan and host successful Health Center Week celebrations. Also, be sure to take advantage of support and resources designed to help with event planning and implementation - visit the NHCW website. Plan ahead and inform us, your PCA, about any NHCW Happenings and whether we can assist in coordination of having your Congressman at your event. Remember, this week is the best week to showcase your health center successes.
(1) REGISTRATION CLOSES TODAY! Don't forget to sign up!
MACHC's Cultural Competency Conference (Pick one day) -
SPACE is limited!!!!!!!!
Dover Downs, DE
Thursday, May 19th AND Friday, May 20th, 2016

Outreach & Enrollment Call 
Friday, May 20, 2016
11am- noon
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) MACHC Clinical Informatics/Quality/Finance Conference 
Thursday, June 16th, 2016
Anne Arundel Medical Center, Annapolis, MD
Transformation inHealthcare Delivery: Shifting from Volume to Value
The Mid-Atlantic Association of Community Health Centers provides an opportunity for community health centers providers / clinicians and other safety net providers to receive professional development and ongoing education while networking with colleagues in the primary care settings across Delaware, Maryland and other states in the region. Transforming health care payment and delivery systems is essential in order to achieve improvements in health care quality and reductions in costs that are needed to achieve the Triple Aim.  This conference seeks to share information and educate attendees on concepts of volume to value in all four breakout tracks - Finance, IT, Clinical and Quality. This is a conference you will not want to miss!   Register Here

  • (1) 
    Healthy Minds, Healthy Bodies: Promoting Mental Wellness in School Based Health Centers (SBHCs)-Tuesday, May 17, 2-3 p.m. EST
    Learn from the School-Based Health Alliance's Youth Advisory Council as they share their perspectives on mental health, how SBHCs can promote awareness, and ways adolescents and adults can work together to overcome stigmas and improve student health. Focus areas will include mental health trends and misconceptions, understanding the impact of depression and anxiety, and practical strategies for youth, school, and family engagement.


    (2) Finding Common Ground: Collaborating with Payers to Support Integration-Thursday, May 19, 3-4:30 p.m. EST-Register here

    Integrated care is more than a partnership between primary and behavioral health care agencies - it is also a partnership with payers. How do you find common ground with potential partners to achieve your integrated care goals? Join this webinar to learn the key strategies to connecting with payers and establishing meaningful partnerships.



    (3) Advancing Team-Based Care: Dissolving the Walls: Clinic Community Connections-June 2, 3-4 p.m. EST-

    (4) Take A Stand June 11, 2016
    The Westin Baltimore Washington Airport-BWI
    9:00 am - 1:30 pm  Register Here
    Lunch included
    One-time, FREE workshop on raising your clinic's adult immunization rates while streamlining your practice
     This workshop is a one-stop shop to help you easily implement standing orders in your practice.
     Using standing orders for adult immunizations can help your practice be a leader in quality adult care.
    Geographical Information Systems (GIS) to Plan Health Services in Health Center 

    (5) Program Grantees, With a Focus on Public Housing Primary Care Grantees - Wednesday, May 18, 2:30-3:30 p.m. EST -The use of GIS technology allows Health Center Program award recipients to identify neighborhood needs and assets, explore disparities in health, compare trends within a geographic region, and prioritize the use of limited resources.  This webinar will address Public House Primary Care grantees and the use of mapping software as a tool to analyze and utilize data to better serve residents in and accessible to public housing. Register here

    ParkWest's Janie B Geer Scholarship Fund Golf Classic Monday, August 8, 2016
    The Woodlands Golf Course
    2309 Ridge Road, Windsor Mill MD 21244 

    Emergency Preparedness Events: 

    Puerto Rico Reports First Zika-Related Case Of Microcephaly
    Puerto Rico is reporting its first Zika-related microcephaly case amid an outbreak of the mosquito-borne virus that has hit the commonwealth harder than anywhere else in the United States. In San Juan, Health Secretary Ana Rius told reporters Friday that a fetus turned over to U.S. health officials had severe microcephaly and tested positive for Zika. Rius declined to say whether the woman involved had an abortion or miscarried. A health department statement referred to a male fetus that showed "severe microcephaly and calcifications in the brain accompanied by Zika-wide presence of the virus." 

    The recent issue of CDC's Vital Signs on Zika and pregnancy provides guidance for action to protect ourselves, our families, and our communities. In addition, CDC's Morbidity and Mortality Weekly Report is publishing reports one or more times a week updating guidance on the outbreak.

    MACHC's ICD-400 Training 
    Facilitated by Duane Taylor, CEO MACHC    
    May 26th 2016  10:00 -12:00 p.m. EDT
    A webinar Outlook invite will be sent to Emergency Management staff
    If you would like to be included on the list of invites, please email Aneeqa Chowdhury (aneeqa@machc.com)
    This course provides training and resources for personnel who require advanced application of the ICS. This course expands upon information covered in ICS-100 through ICS-300 courses. These earlier courses are prerequisites for ICS-400.
    While FEMA provides standard course materials, this course is typically coordinated and taught in the field by State or other agencies. It is intended for senior personnel who are expected to perform in a management capacity in an area command or multi agency coordination entity.

    Get to Know Your Regional Coordinators!
    Please get in touch with your Regional Coordinators if you have not already done so and be more active in your Regional Coalition. MACHC has reached out to you in order to make sure you know who your coordinators are and has planned MINI GRANTS as incentives to help with travel for the Coalition meetings.
    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]
    Allegany County Health Department
    12501 Willowbrook Road
    Cumberland, MD  21502
    301-759-5238 (Office)
    443-934-2232 (Mobile)
    301-777-2069 (Fax)

    [Baltimore City; Anne Arundel, Baltimore, Carroll, Harford and Howard Counties]
    Harford County Health Department
    120 S. Hays Street, Suite 230 
    Bel Air, MD  21014 
    410-877-1031 (Office)
    443-388-6290 (Mobile)

    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)

    Region V  Emergency Preparedness Coalition
    [Calvert, Charles, Montgomery, Prince George's and St. Mary's Counties]
    Office of Preparedness & Response
    Maryland Department of Health and Mental Hygiene
    300 W. Preston Street, Ste. 202
    Baltimore, MD  21201 

    Preparedness Resources 
    September is National Preparedness Month, a time for everyone to plan how to stay safe and communicate during the disasters that can affect your community. The Federal Emergency Management Agency (FEMA) developed resources that can help you spread the word about preparedness in your community.
    , and public service announcements. 

    How Prepared Is Your Community for an Emergency? 

    Download the kit checklist: 

    Family communication and evacuation plan: 

    *** Look for the latest EP related updates RIGHT HERE!
    Policy, Advocacy and Legislation
    National News
    HHS awards $5 million to Puerto Rico health centers to fight the spread of Zika virus
    HHS Secretary Sylvia M. Burwell announced $5 million in funding to 20 health centers in Puerto Rico to further combat the Zika virus disease. Health centers will use this funding to expand voluntary family planning services, including contraceptive services, outreach and education, and to hire more staff.
    "In Puerto Rico, and around the world, the Zika virus is a serious and challenging health threat," said Burwell, who begins a two-day trip to the island today. "We are committed to doing everything we can to combat this threat and to help strengthen health care in Puerto Rico."
    There are around 474 cases of Zika in Puerto Rico that have been reported to the Centers for Disease Control and Prevention (CDC), and that number is expected to rise, resulting in greater risk for transmission. Scientists at CDC have concluded, after careful review of existing evidence, that Zika virus is a cause of microcephaly and other severe fetal brain defects. Zika virus infection during pregnancy has also been linked to pregnancy loss and other adverse pregnancy and birth outcomes.
    "These awards will allow health centers to bolster their ongoing efforts to detect and prevent the spread of the Zika virus in Puerto Rico," said HRSA Acting Administrator Jim Macrae.
    The 20 health centers and their 84 service delivery sites in Puerto Rico serve over 330,000 people, including nearly 80,000 women age 15 to 45. Services provided include: prenatal care to over 3,300 pregnant women; delivery of more than 2,000 babies; and contraceptive services to more than 16,600 people annually.
    Today, nearly 1,400 health centers operate about 9,800 service delivery sites in every U.S. state, D.C., Puerto Rico, the Virgin Islands and the Pacific Basin; these health centers employ more than 170,000 staff who provide care for nearly 23 million patients.

    On April 25, the Centers for Medicaid & Medicare Services (CMS) released its much anticipated final rule that updates the regulations for managed care organizations in the Medicaid and Children's Health Insurance Programs (CHIP). The rule represents the first major updates to Medicaid and CHIP managed care since 2002. 

    Welcoming Comments Opposing Alternatives to "penny pricing" Under 340B
    In late April, the HRSA office that runs the 340B program announced a third opportunity for public comment on a regulation that it is developing.  Note that this will not be the "mega-reg" or "mega-guidance"; rather, it will be a rather narrow document focusing only on how ceiling prices are set and how monetary penalties for manufacturers will be administered.  In this third opportunity, HRSA is seeking comment on only three issues.
    One of these issues is very important to FQHCs - whether manufacturers will be able to charge more for drugs that currently qualify for "penny pricing."  NACHC feels strongly that such a policy would be inconsistent with both the statute and the intent of the 340B program, as well as being detrimental to FQHCs and their patients.  Therefore, we have prepared the attached comments to share our concerns.
    We welcome your input on this document.  This comment period is very short - only 30 days - and ends Thursday May 19.  Therefore, we ask for your input on our draft by COB Tuesday.

    CDC has released a new webpage highlighting that hepatitis B virus (HBV) and hepatitis C virus (HCV) are among the numerous health threats facing people who misuse opioids, particularly those who inject these drugs.  These blood-borne viral infections have reached epidemic proportions in most states.

    Women were more likely than men to delay or go without needed medical care, dental care or prescription medicines from 2005 to 2012. Women were also more likely to cite financial or insurance reasons for not having a source of care from 2002 to 2012. 

    Insurers Must Provide Services Regardless Of Gender Identity
    The Obama administration unveiled two broad initiatives Friday aimed at combating discrimination against transgender Americans in schools and health-care coverage, affirming the president's goal of elevating transgender protections to one of the central civil rights issues of his presidency. The moves, both of which had been in the works for years, prompted an immediate backlash from conservatives who disparaged the measures as government overreach. White House officials countered that they reflected one of the administration's core principles: protecting those targeted for discrimination because of their identity. 

    Mental health advocates are raising concerns about a bill passed by Kansas lawmakers that would require doctors to try cheaper drugs before more expensive ones for Medicaid recipients, but the bill's backers say the concerns are overblown. The process, called step therapy, is common in many private and public health insurance plans. It was key to resolving budget issues because it would reduce the state's cost of providing health care for poor residents by nearly $11 million a year. Gov. Sam Brownback is expected to sign the bill Monday.

    Researchers posing as patients with skin problems sought help from 16 online telemedicine companies-with unsettling results. Some of the online doctors misdiagnosed syphilis, herpes and skin cancer, and some prescribed medications without asking key questions about patients' medical histories or warning of adverse effects, the researchers found. Two sites linked users with doctors located overseas who aren't licensed to practice where the patients were located, as required by state law. 
    A federal drinking water expert late last year raised serious concerns about Detroit's water system, voicing worries that the city might not be doing as much as it coud to prevent lead from leaching out of old service pipes. In an e-mail written to colleagues at the Environmental Protection Agency last December, Michael Schock - a drinking water expert who is part of the EPA's effort to address the lead crisis in Flint - said he found it "interesting" that lead levels in Flint didn't drop more quickly after switching back to the Detroit water system, which had years before begun using phosphates as corrosion control to protect pipes.

    Bolstered by the federal health care law, the number of lower-income kids getting health coverage continues to rise.
    During 2014, the first full year of the law's implementation, 91 percent of children who were eligible for Medicaid or the Children's Health Insurance Program were enrolled, according to a study by researchers at the Urban Institute. In 2013, that figure was 88.7 percent and only 81.7 percent in 2008. Medicaid and CHIP are both federal-state health coverage programs for lower-income residents, but CHIP provides coverage for kids whose families earn too much to qualify for Medicaid.

    The Department of Health & Human Services (HHS) this week issued a 962-page proposed rule to begin the process of linking the cost and quality of patient care for physicians and clinicians.  The proposal is a first step in implementing certain provisions of the Medicare Access and CHHIP Reauthorization Act of 2015 (MACRA), legislation intended to replace previous approaches to regulating the growth of physician payments. The proposed rule would streamline various programs into a unified framework called the Quality Payment Program, which includes two paths--the Merit-based Payment System (MIPS) and Advanced Alternative Payment Models. Four components would affect payment, including a category to advance care information, which would affect 25 percent of a physician's total score in the first year of the program. Other components of the reimbursement formula are quality (50 percent), clinical practice improvement activities (15 percent) and cost (10 percent). 

    Application cycle is now open!
    Clinical practice sites can recruit and retain providers who care about underserved communities by becoming an NHSC-approved site. The application cycle will close on June 7, 2016, at 11:59 p.m. ET. 
    Review the 2016 Site Reference Guide carefully to ensure your site meets all the requirements and to gather the required documentation.
    State News
    Governor Markell Proclaims National Emergency Medical Services Week (May 15-21, 2016)
    In appreciation of the service and dedication of Delaware's Emergency Medical Services (EMS) personnel, Governor Jack Markell proclaimed May 15 - 21, 2016 as National Emergency Medical Services Week.
    More than 3,300 Emergency Medical Services personnel are registered in the First State, according to the 2015 Delaware Emergency Medical Services Oversight Council (DEMSOC) report. They consist of educators, administrators, dispatchers, first responders, EMTs, paramedics, and hospital Emergency Room staff.
    "EMS personnel play a critical role in our health care system by providing life-sustaining care to the ill and the injured," said Governor Jack Markell. "They respond to calls for help 365 days per year, 24 hours a day, and in threatening weather and dangerous conditions."
    Added Delaware Health and Social Services Cabinet Secretary Rita Landgraf, "Emergency Medical Services personnel are real life heroes. Whether they are out in the field or serving at a dispatch site or providing care in a hospital, they save lives every day."
    Health Insurers Seek Rate Increases In Maryland As United Healthcare Quits Market  
    The unanticipated costs of providing health care to customers on the state's online exchange has prompted large insurers to seek rate increases of up to 30 percent while one insurer decided not to offer individual plans at all. United Healthcare, the nation's largest insurer but a bit player in Maryland, was not included on a list released Friday by state regulators of companies seeking rate increases for 2017. Insurance Commissioner Al Redmer confirmed that the company was leaving the exchange created under the Affordable Care Act, as it has in most states across the country. It will continue to offer plans in the small-business market. 

    Finance & Business
    Consolidation in the health-care industry is accelerating and has helped drive up prices in parts of the country, Edith Ramirez, chair of the Federal Trade Commission, said in a speech Friday. "I remain very concerned about the rapid rate of consolidation among health-care providers," Ramirez said. Last year, the number of hospital mergers increased 18 percent compared with the previous year, she said. In areas where there is a hospital monopoly, prices are 15 percent higher than those in areas with four or more competitors, and the average in-patient stay in those places is almost $2,000 higher, Ramirez said. 

    A recent study published in the Annals of Internal Medicine shows Medicaid expansion seems to be paying off. In states that expanded their Medicaid program, 10 percent more people saw or talked to a doctor, 4.7 percent more people were diagnosed with diabetes and 6.7 percent fewer people reported lack of a usual source of care due to costs. States that did not expand saw marginal improvements in these areas. 

    Department of Health and Human Services Secretary Sylvia M. Burwell on Monday formally challenged the healthcare industry to finally fix issues with confusing medical bills, and the U.S. government is putting a cash prize behind the effort.Dubbed "A Bill You Can Understand" challenge, it calls on healthcare organizations, designers, developers, digital tech companies and other innovators to design a medical bill that's easier for patients to understand and to improve the overall medical billing process.
    Submissions will be accepted until August 10. Winners will be announced in September 2016 and will receive $5,000 each.Medical billing is confusing, since patients often receive bills from multiple hospitals, doctors, labs or specialists for the same episode of care. Because of this, patients complain that it's difficult to determine the bottom line of what they owe, what their insurance plan covers, and whether the bills are correct or complete.
    Latest News on ACA


    Insurers Losses Deepened On ACA Plans In 2015
    Many insurers have lost money on the Affordable Care Act plans they sell to consumers. A new analysis shows how much those losses deepened in 2015, the second year of the law's signature exchanges. Based on insurers' filings with state regulators, McKinsey & Co. estimates the health-insurance industry's cumulative margin on individual plans last year was between -9% and -11%. That is roughly double the -4.8% margin the consulting firm calculated for 2014. For 2015, only about a quarter of insurers reported that they made a profit on their individual plans

    CMS Assister Webinar Schedule
    The Centers for Medicare & Medicaid Services (CMS) has released the biweekly assister webinar schedule.  To sign up for the CMS Weekly Assister Newsletter, which includes the webinar schedule, send a request to the Assister Listserv inbox.  Write "Add to listserv" in the subject line and please include the email address that you would like to add in the body of your email.  The next webinars are scheduled:
    • Wednesday, May 25 at 2:00 pm
    Marketplace Announces 2017-2019 Open Enrollment Dates
    • 2017 Benefit Year (OE4): November 1st, 2016-January 31st, 2017 (coming up!)
    • 2018 Benefit Year (OE5): November 1st, 2017-January 31st, 2018
    • 2019 Benefit Year (OE6): November 1st, 2018-December 31st, 2018
    NEW: Ending Special Enrollment Period (SEP) Retroactive Coverage
    On April 1st,  the Centers for Medicare and Medicaid Services (CMS) issued guidance announcing that after March 31, 2016 the Marketplace will no longer be accepting new requests for Special Enrollment Period (SEP) for retroactive coverage back to 2015. All retro SEP requests received after this date will receive a max retro date of January 1, 2016.
    MACHC Conference Call Updates
    Marketplace Announces 2017-2019 Open Enrollment Dates
    • 2017 Benefit Year (OE4): November 1st, 2016-January 31st, 2017
    • 2018 Benefit Year (OE5): November 1st, 2017-January 31st, 2018
    • 2019 Benefit Year (OE6): November 1st, 2018-December 31st, 201

    Join MACHC's next Outreach & Enrollment Call ON FRIDAY, 
    May 20, 2016.
    We took a poll at the past conference call but would like to continue to ask you to submit the following: What would you like to included as part of Maryland & Delaware's Outreach & Enrollment assistance from MACHC? Please send Aneeqa Chowdhury an email at aneeqa@machc.com.

    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

    Ongoing Accepted Applications

    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.

    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.

    Rural Health Funding Opportunities

    Community Response Fund
    The Community Response Fund supports organizations, activities, and events that address access to needed oral healthcare 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.
    DEADLINE: ongoing basis
    ELIGABILITY: The DentaQuest Foundation makes grants to a variety of organizations that are engaged improving oral health. Grants are not made to individuals.
    CONTACT: Matthew Bond, Grants and Programs Manager: Matthew.Bond@DentaQuestFoundation.org 

    340B Peer-to-Peer Program
    The purpose of the 340B Peer-to-Peer Network is to connect 340B entities and stakeholders with high performing sites, called leading practice sites that have exemplary 340B pharmacy service offerings. These sites serve as guides for covered entities that are interested in improving patient care. This approach provides the opportunity for practice sites to reach their peers and strengthen the 340B program from inventory management to quality care initiatives.
    Sites that receive the status of a 340B Peer-to-Peer recognized site will be asked to dedicate two members of their team to share their expertise and leading practices - for a limited amount of time per month - with other safety-net organizations to help these organizations achieve results and establish sound business practices.
    FUNDING AVALIABLE: Peer-to-Peer annual stipends of $10,000/year
    ELIGABILITY: Applications must be submitted by a 340B entity listed on the Office of Pharmacy Affairs (OPA) 340B database as a participating 340B entity.
    Healthcare Connect Fund
    The Healthcare Connect Fund provides funding to healthcare providers for telecommunications and internet access services, as well as network equipment, at a flat discounted rate of 65%. Participants can apply as a member of the consortium or a stand-alone entity.
    FUNDING AVAILABLE: Participants will receive a flat rate discount of 65%. There is an annual spending cap of $400,000,000.
    ELIGIBLITY: Rural public or nonprofit healthcare providers (HCPs) are eligible. Consortia may be comprised of both rural and non-rural HCPs. All consortia must consist of more than 50% rural participation within three years of receipt of the first funding commitment obtained through the HCF Program. Connections to, and equipment located at, eligible off-site data centers and administrative offices are eligible for support.
    CONTACT: rhc-assist@usac.org

    USAC Rural Health Care Telecommunications Program
    Health care providers are permitted to apply to receive reduced rates for a variety of telecommunications services under the Rural Health Care Program. Health care providers may seek support for multiple telecommunications services of any bandwidth and for monthly Internet service charges.
    FUNDING AVALIABLE: The level of support depends on the HCP's location and the type of service chosen. Health Care Providers are permitted to apply to receive reduced rates for a variety of telecommunication services under the RHCD program. HCPs may seek support for multiple telecommunications services of any bandwidth.

    As a result of recent Federal Communications Commission (FCC) action, health care participants may be eligible to receive a 25% discount on their monthly Internet service charges. These services are limited to the monthly Internet net access charge, monthly charges for web hosting and web addresses.
    ELIGIBILITY: Community health centers or health centers providing health care to migrants
    CONTACT: rhc-admin@universalservice.org

    Wells Fargo Corporate Giving Programs
    Wells Fargo supports nonprofit organizations that work on a community level in the areas of human services, arts and culture, community development, civic responsibility, education, environmental consciousness, and volunteerism.
    CONTACT: Ashley Williams -- Community Support Rep -- Wells Fargo

    Maryland Small Grants Program
    The Maryland Small Grants Program awards funding to nonprofit organizations that provide direct services to poor and vulnerable populations.
    FUNDING AVALIABLE: Award Ceiling: $50,000
    CONTACT: Amy Kleine, Program Director, Basic Human Needs
    410-654-8500, ext. 268
    Email: akleine@hjweinberg.org

    Accelerating Community-Centered Approaches in Health
    Accelerating Community-Centered Approaches in Health will support innovative population health programs and policies that work to improve health at the community level, including the use of new financial models to achieve cost effective solutions.
    CONTACT: Phone: 248.643.9630

    Commonwealth Fund Health Grants
    The Commonwealth Fund promotes a high performing healthcare system that achieves better access, improved quality, and greater efficiency, particularly for society's most vulnerable, including people with low-incomes, the uninsured, minority Americans, young children, people with disabilities, and the elderly.
    The Fund supports independent research on healthcare issues and makes grants to improve healthcare practice and policy. The Commonwealth Fund actively seeks to support projects on innovative approaches to addressing problems within its areas of focus.
    CONTACT: Email: grants@cmwf.org
    Phone: 212.606.3800

    USDA Community Facilities Loan and Grant Program
    The USDA Community Facilities Loan and Grant Program provides loans, grants, and loan guarantees for essential community facilities in rural areas. Priority is given to healthcare, education, and public safety projects. Funds may be used to construct, enlarge, or improve facilities.
    AVALIABLE FUNDING: Amount varies. Grants are authorized on a graduated scale. Applicants located in small communities with low populations and low incomes will receive a higher percentage of grants.
    CONTACT: Bill McGowan, State Director
    1221 College Park Drive, Suite 200
    Dover, DE  19904
    Voice: (302) 857-3580 www.rd.usda.gov/de
    PCMH Corner 
    Free PCMH Technical Assistance is Available through NCQA's Government Recognition Initiative Program (GRIP) Register here
    The National Committee on Quality Assurance (NCQA) Live Open Forum will address questions related to PCMH 2014 standards, the application, and survey process. NCQA staff will respond to your questions. You may attend the Open Forum as many times as you need.
    Clinical Quality 
    2016 Maryland Patient Navigation Network Annual Meeting & TrainingMaryland Patient Navigation NetworkTuesday, June 14, 2016 from 8:00 AM to 3:30 PM (EDT)                 Towson, MD
    Register Here
    Benefits Include:
    • Hearing from national and local speakers that are experts in topics pertaining to patient navigation and cancer care 
    • Learning about resources available to cancer patients and their families
    • Networking with other navigators across the state
    • Certificates of attendance will be distributed
    Health Observances This Week
    May 1. Lupus is an unpredictable, chronic autoimmune disease that ravages different parts of the body.
    May 2. In lupus, something goes wrong with the immune system, the part of the body that fights off viruses, bacteria, and germs. The result is the production of autoantibodies that cause inflammation.
    May 3. Ninety percent of the people who develop lupus are women, though men can also develop lupus and their disease can affect some organs more severely.
    May 4. Most often, lupus develops between ages 15 and 44.  However, between 10 and 20 percent of cases develop during childhood and these cases can evolve into serious health complications more rapidly.
    May 5. African Americans, Hispanics/Latinos, Asians and Pacific Islanders, and Native Americans are diagnosed with lupus two or three times more frequently than Caucasians; however, lupus affects people of all races and ethnicities.
    May 6. Lupus is not contagious and cannot be "given" to another person. 
    May 7. To make a lupus diagnosis, doctors evaluate a patient's current symptoms, lab test results, personal medical history and family medical history.
    May 8. Lupus can affect any organ system of the body, including the heart, kidneys, lungs, blood, joints and skin.
    May 9. The malar, or "butterfly" rash on the face is present in an estimated one-third of people with lupus. This flat, reddish rash across the bridge of the nose and cheeks often is the only outward symptom of lupus (though other signs and symptoms might be present).
    May 10. Though all pregnancies of women with lupus are considered "high risk", advancing technology and a better understanding of the disease have improved pregnancy outcomes. Today, 80 percent of women with lupus symptoms that are not active can have successful pregnancies.
    May 11. Lupus is not a form of arthritis, but many people with lupus do suffer from joint and/or muscle pain
    May 12. Among people with lupus that affects the skin, poor mental health is common and has been found to be similar or worse than mental health among those with type 2 diabetes, recent heart attack, heart failure and high blood pressure.
    May 13. People with lupus have two times the risk of developing cardiovascular disease than do people without lupus.
    May 14. Nearly 3 in 4 people with lupus surveyed (76 percent) said fatigue limits their ability to participate in social activities.
    May 15. An estimated 1.5 million Americans and 5 million people worldwide are living with lupus.
    May 16. Factors that may trigger a lupus flare include infections, ultraviolet light, stress, some medications, environment with some still unknown.
    May 17. Many symptoms of lupus imitate those of other illnesses, and can come and go over time, making diagnosis difficult.
    Week 4
    May 18. Based on a recent study, it takes an average of six years for people with lupus to be diagnosed from the time they first notice their lupus symptoms.
    May 19. A majority of people with lupus surveyed (63 percent) report being incorrectly diagnosed. Of those reporting an incorrect diagnosis, more than half of them (55 percent) report seeing four or more different health care providers for their lupus symptoms before being accurately diagnosed.
    May 20. First degree relatives of people with lupus (parent, sibling or child) have six times the risk of developing the disease.
    May 21. Sensitivity to ultraviolet light (present in both sunlight and artificial light) affects as many as two thirds of individuals with lupus, and may cause fever, debilitating fatigue, joint pain, rashes and other symptoms.
    May 22. Of the 23 percent of people with lupus who experience severe lupus flares, all or most of the time over the last three months, 40 percent were admitted to the hospital at least once during the past 12 months, with an average stay of 10.5 days.
    May 23. 40 percent of adults with lupus and as many as 66% of all children with lupus will develop kidney complications.
    May 24. Almost three-quarters (74 percent) of caregivers report that caring for someone with lupus has an impact on their work productivity.
    May 25. More than half (55 percent) of people with lupus surveyed whose work is affected are working part-time, intermittently or are unemployed because of lupus.
    May 26. People with lupus usually are encouraged to engage in appropriate daily exercise to maintain muscle and bone strength, but they also need to balance exercise with rest.
    May 27. On average, the annual cost of lupus, including expenses related to treatment and loss of productivity, exceed $20,000, and can increase to $63,000 if the kidneys are involved.
    May 28. People with lupus take on average nearly eight prescription medications to manage all of their medical conditions including lupus.
    May 29.  About half of all people with lupus will experience a serious infection during the course of their disease.
    May 30. As many as 60 percent of people with lupus will experience some type of memory problem, such as recalling names, dates and appointments or balancing a checkbook.
    May 31. With current methods of therapy, 80 to 90 percent of people with non-organ threatening lupus can look forward to having the same lifespan as people without lupus.

    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 |