CMS Final Rule
Last week, the Centers for Medicare and Medicaid Services (CMS) published the 2019 Payment Notice Final Rules for payment parameters and provisions related to the Affordable Care Act (ACA). To read the final rule, click here.
Here are some of the highlights:
- New Exemption: Provides an exemption for people living in counties with zero or one insurer or people with objections to plans that cover abortion
- Verification: New income checks to ensure consumers actually qualify for subsidies
- Navigators: Eliminates requirements for 2 navigator entities per state, physical presence in a state, and that 1 entity must be a community and consumer based non-profit
- Essential Health Benefits: Allows states to establish new minimum standards through the EHB benchmarking process, but imposes penalties if states provide a more generous benefit package
- Special Enrollment Periods (SEP): Provides an SEP to pregnant women losing CHIP coverage under the "fetus" option
- Simple Choice Plans: Eliminates the "simple choice" plans
- Data Matching Inconsistencies (DMI): Creates a new DMI for consumers who attest their income is 100-400% FPL when federal data sources indicate the consumer's income may be below 100% FPL
- Failure to Reconcile (FTR): Eliminates the "direct notification" requirement for FTR that was in the 2018 final rule
Calendar Year (CY) 2019 Requirements for Federal Tort Claims Act (FTCA) Medical Malpractice Coverage
HRSA issued PAL 2018-01 to describe the process for Health Center Program grantees to submit applications for FTCA initial deeming and redeeming for CY 2018 and 2019. In addition, PAL 2018-02 describes the deeming process and requirements for health center volunteer health professionals for CY 2019. Redeeming applications are due by 11:59 p.m. ET on Monday, June 4.
Webinars, Trainings, Roundtable Discussions
2018 Uniform Data System (UDS) Reporting Changes Technical Assistance Webinar
This technical assistance webinar will provide an overview of the changes for the CY 2018 UDS data collection and reporting activities. HRSA will summarize the approved changes for 2018 UDS (for reports submitted by February 15, 2019), then share possible changes for 2019 UDS and revised clinical measures resulting from continued alignment with electronic specified clinical quality measures.
Thursday, May 10
1:00-2:30 p.m. ET
Join the webinar the day of the session
Development of Community Partnerships – Key Components of Integrated Behavioral Health Care Roundtable Discussion for Health Centers
Join the SAMHSA-HRSA Center for Integrated Health Solutions (CIHS) for a regionally-focused and interactive roundtable discussion on the key components of behavioral health integration with a special focus on the development of community partnerships. This roundtable discussion includes specific intervention topics to help providers meet the needs of their community.
Experts from the field will be joining the discussion: Jennifer Yturriondobeitia, MSW, Behavioral Health Programs Manager, and Amy Walters, PhD, Director of Behavioral Health Services from St. Luke’s Health Partners.
Wednesday, May 9
3:00-4:00 p.m. ET
FQHC Funding Alerts
COMING SOON! The Rural Communities Opioid Response Funding Opportunity
The Health Resources and Services Administration's (HRSA) Federal Office of Rural Health Policy (FORHP) plans to award up to 75 grants to rural communities as part of a new Rural Communities Opioid Response (Planning) (RCORP) initiative in FY 18.
Successful awardees will receive up to $200,000 for one year to develop plans to implement opioid use disorder prevention, treatment, and recovery interventions designed to reduce opioid overdoses among rural populations.