Advocacy Campaigns CaliforniaHealth+
Transcription
Advocacy Campaigns CaliforniaHealth+
4/21/2015 CPCA Weekly Update View in a browser | Send to Friend Grant Opportunities | Training & Events | CPCA Employment April 16, 2015 In This Issue Advocacy Campaigns CaliforniaHealth+ CPCA News Federal Legislative Update Health Center Operations Health Information Technology ICDTransition MediCal Public Health Corner Advocacy Campaigns CPCA’s Government Affairs All Member Weekly Update Call NO CALL ON APRIL 22nd NO CALL ON APRIL 22nd BECAUSE OF DAY AT THE CAPITOL. Please join me again on April 29th. CPCA’s Government Affairs All Member Weekly Update Call Hosted by Sean South, Associate Director of Policy and Legislation Every Wednesday / 11:00 – 11:30 am (may end earlier if subject matter is covered before 11:30 am) Callin number: 18664693239 / Attendee access code: 582 317 61#. If you would like an update on a specific issue covered by any of our Government Affairs staff, please send your request to Sean South at [email protected] the Monday preceding our Wednesday call. We will be providing a federal update and an update on each of our sponsored bills. State Legislative Update Workforce 2015 Annual Sponsors CaliforniaHealth+ TCE Develops New Outdoor Ads with CaliforniaHealth+ This week we learned that The California Endowment (TCE) is working with one of their media partners to develop a new round of outdoor advertisements focused on MediCal renewals. We are very excited that TCE is utilizing and building upon our successful outdoor campaign last year. We hope to build on this momentum and develop additional outdoor advertisements similar to these. Click here to see the new ads. http://cpca.informz.net/informzdataservice/onlineversion/ind/bWFpbGluZ2luc3RhbmNlaWQ9NDI2MzcxNyZzdWJzY3JpYmVyaWQ9Nzg2OTA3ODgw 1/7 4/21/2015 CPCA Weekly Update CPCA News Modern Healthcare The nation’s leading source of healthcare business and policy news, research and information, recently published a commentary on by CPCA CEO Carmela CastellanoGarcia about how California’s community clinics and health centers are using innovation to address the key challenges in today’s healthcare environment. Click here to read the full commentary. Federal Legislative Update H.R. 2 Passed by Senate – Funding for Health Centers, NHSC, THCGME Included Thanks to thousands of phone calls, emails, letters, and inperson meetings by CPCA members, the U.S. Senate took an important step forward by passing H.R. 2 with an overwhelming 928 vote, with both California Senators in support. This follows the House of Representatives passing the same measure by a vote of 39237 a few weeks ago, with nearly all of California’s Representatives in support. H.R. 2 addresses the “Primary Care Funding Cliff” and includes a 2 year extension of mandatory funding for Community Health Centers, the National Health Services Corps, and Teaching Health Center's Graduate Medical Education Program. The bill will now move to the President’s desk for his signature. Health Center Operations Adding Dental Hygienist Services to a Dental Program Recently, CPCA has received a few requests about the process for adding dental hygienist (DH) services to a FQHC/RHC dental program. In 2007, CPCA sponsored SB 238 (Aanestad), which added DH services as a billable visit for FQHCs and RHCs. The bill, which was effective January 1, 2008, divided affected FQHCs and RHCs into two groups; 1) FQHCs/RHCs that had DH cost in their rates on or before January 1, 2008 and 2) FQHCs/RHCs that elect to add this service at a later date. When a FQHC/RHC elects to add DH services as a billable visit, one of the requirements in the legislation (WIC Section 14132.100 (g)(2)(C)) is to process the addition of the DH services through a change in scope request with the Department of Health Care Services. CPCA is developing a training that will walk FQHCs/RHCs through the process of adding DH services to a dental practice. The training is scheduled to be held late summer. For any questions, please contact Ginger Smith, Director of Health Center Operations, at [email protected] or Meghan Nousaine, Associate Director of Clinical Affairs, at [email protected]. DentaQuest Institute Online Learning Center The DentaQuest Online Learning Center is a free hub of learning and http://cpca.informz.net/informzdataservice/onlineversion/ind/bWFpbGluZ2luc3RhbmNlaWQ9NDI2MzcxNyZzdWJzY3JpYmVyaWQ9Nzg2OTA3ODgw 2/7 4/21/2015 CPCA Weekly Update resources for safety net professionals interested in oral health prevention and disease management protocols. Membership to the Online Learning Center is free and registration only takes a few minutes to complete. Click here to register. Upon registration, you will be given access to the following and much more. Instructional Webinars, Online Courseware and the Resource Library. ECRI Clinical Risk Management Services Access evidencebased reviews of patient safety and risk management issues, selfassessment tools, standards and guidelines, and enewsletters covering current topics in patient safety and risk management. Learn about common risks to patient care and safety through online courses, webinars, and audio conferences. These issues and many others are addressed in a clinical risk management program being provided to you at NO COST on behalf of HRSA. Access is sponsored by HRSA. If you have not yet registered, simply send an email request to [email protected] or call (610) 8256000, ext. 5200 and join today, by clicking here. In this program you have access to Continuing Medical Education (CME) courses, email newsletters, and webbased resources to help you save time and reduce risk in your health centers. In addition, you are invited to participate in free webinars, click here to access them. These events provide information on important risk management topics. Decision Memo for Screening for the Human Immunodeficiency Virus The Centers for Medicare & Medicaid Services (CMS) is expanding coverage in section 210.7 of the Medicare National Coverage Determinations (NCD) Manual. CMS has determined that the evidence is adequate to conclude that screening for HIV infection for all individuals between the ages of 15 and 65 years, as is recommended with a grade of A by the United States Preventive Services Task Force (USPSTF), is reasonable and necessary for the early detection of HIV and is appropriate for individuals entitled to benefits under Part A or enrolled under Part B. For more information click here. DHCS is Replacing their CAMMIS (MediCal) System DHCS is in the process of replacing an over 30 year old California Medicaid Management Information System (CAMMIS) which is used for providing eligibility information and processing claims for MediCal providers and beneficiaries. The replacement system, referred to as CAMMIS Health Enterprise (HE), will transition the legacy CAMMIS business operations gradually to the new CA MMIS HE, providing additional capabilities and supporting all the various MediCal programs. For more information click here. HPSA and MUA/MUP MiniWorkshop: May 6, 2015 in Clearlake, CA The Shortage Designation Program within the Office of Statewide Health Planning and Development invites you to attend a free Mini Workshop in Clearlake, CA that will discuss the benefits of HPSA http://cpca.informz.net/informzdataservice/onlineversion/ind/bWFpbGluZ2luc3RhbmNlaWQ9NDI2MzcxNyZzdWJzY3JpYmVyaWQ9Nzg2OTA3ODgw 3/7 4/21/2015 CPCA Weekly Update and MUA/MUP Designations. To RSVP and for more information, click here to view the flyer and click on the “Click here” button at the bottom left corner of the flyer to register. Health Information Technology CMS New Rule On Friday April 10, CMS issued a new proposed rule for the Medicare and Medicaid EHR Incentive Programs. The new rule proposes a change in the reporting period for meaningful use from one year to 90 days in 2015. Some of the other proposed changes are aligned with Stage 3, streamlining reporting by removing redundant, duplicative, and toppedout measures and modifying patient action measures related to patient engagement. A fact sheet about the NPRM is available from CMS. CPCA and CalHIPSO welcome modifications to the EHR Incentive Program. Detailed information on the impact of these proposed modifications and how to navigate will be available soon. Pg. 100 has a summary table. ICD10 Transition ICD10 Transition Additional Training Resources and ICD9 to ICD10 Crosswalks Macman Management Health Care Services (MMHCS) is ready to prepare providers and staff for ICD10! Our ICD10 training program has been designed to focus on Community Health Centers’ core programs and services, level of ICD9 base understanding, and ICD 10 advanced coding knowledge. The structure of this training is customized to focus on both coding and documentation for providers, billers and coders. In addition, MMHCS is now offering CHCs custom crosswalks from ICD9CM to ICD10CM coding. We will take your most frequently used codes and map them in a userfriendly format, which can be used by your staff as a quick reference to ensure accuracy while documenting and capturing ICD 10 codes. Click here to learn more or contact [email protected]. MediCal Update MediCal Announces New Benefit Effective for dates of service on or after March 1, 2015, five new health and behavior assessment/intervention CPT4 codes are new MediCal benefits. These codes are used to identify the psychological, behavioral, emotional, cognitive and social factors important to the prevention, treatment or management of physical health problems. Click here to read the MediCal bulletin. Because these codes crosscut medical and behavioral health care, CPCA encourages health centers to reach out to their local MediCal managed care plans to clarify billing procedures and ensure that all relevant providers are properly credentialed prior to billing these new codes. http://cpca.informz.net/informzdataservice/onlineversion/ind/bWFpbGluZ2luc3RhbmNlaWQ9NDI2MzcxNyZzdWJzY3JpYmVyaWQ9Nzg2OTA3ODgw 4/7 4/21/2015 CPCA Weekly Update Public Health Corner Health Care for the Homeless Conference & Policy Symposium Announces Keynote Speakers The 2015 National Health Care for the Homeless Conference & Policy Symposium will take place in Washington, D.C. at the Hyatt Regency Washington on Capitol Hill. Conference workshops will be held on ThursdaySaturday, May 79, with fullday Pre Conference Institutes on May 6. This annual event is organized by HCH professionals for HCH professionals and advocates, including clinicians, support staff, administrators, board members, and consumers of HCH services. Click here for keynote speakers and registration information. State Legislative Update CPCA Sponsored Legislation CPCA is sponsoring six pieces of legislation that will come before the California State Assembly and Senate this year. Each of the six sponsored bills were selected by the CPCA Board of Directors and will support the mission of health centers in California. A brief description of each bill is below. If you have any questions or comments about the legislation, please feel free to contact Sean South at [email protected]. Payment Reform Pilot Program for Federally Qualified Health Centers (Payment Reform) Senate Bill 147 by Senator Ed Hernandez (DWest Covina) requires the Department of Healthcare Services (DHCS) to authorize a voluntary threeyear alternative payment methodology pilot for Federally Qualified Health Centers (FQHC) in California. Under the pilot, participating FQHCs would receive capitated monthly payments from their health plan rather than the traditional feeforservice pervisit reimbursement s from DHCS. The capitated payment will provide the FQHC with greater flexibility to deliver health care to the patient in a manner that best meets the patient’s needs. The bill was heard on April 15 in the Senate Health Committee and passed with bipartisan support, by a vote of 70. The bill will be heard in the Senate Appropriations Committee next. Timely Reimbursement of Health Centers (Timely Reimbursement) Senate Bill 610 by Senator Richard Pan (D Sacramento) establishes reasonable timelines for the Department of Healthcare Services (DHCS) to finalize MediCal reimbursement rates and complete the annual reconciliation process for federally qualified health centers (FQHCs). If enacted, the bill will require DHCS to finalize a health center rate within 90 days after receiving the requisite information and complete the annual reconciliation within 15 months of the last date of the fiscal year for which the department is conducting the review. The bill is scheduled to be heard on April 22 in the Senate Health Committee. Improving Access to Behavioral Health Services in Primary Care (MFT Providers) Assembly Bill 690 by Assembly member Jim Wood (DHealdsburg) adds marriage and family therapists (MFTs) as health care professionals whose services may be reimbursed by MediCal when provided at a federally qualified health center (FQHC) or rural health clinic (RHC). According to 2012 http://cpca.informz.net/informzdataservice/onlineversion/ind/bWFpbGluZ2luc3RhbmNlaWQ9NDI2MzcxNyZzdWJzY3JpYmVyaWQ9Nzg2OTA3ODgw 5/7 4/21/2015 CPCA Weekly Update OSHPD data, 41.5 percent of community clinics and health centers (CCHCs) provide behavioral health services in 50 of California’s 58 Counties. The bill was heard on April 7 in the Assembly Health Committee and was approved by a vote of 18 0. This bill will next be heard in the Assembly Appropriations Committee. Improving Access to Behavioral Health Services in Primary Care (Same Day Billing) Assembly Bill 858 by Assembly member Jim Wood (DHealdsburg) allows federally qualified health centers (FQHCs) and rural health clinics (RHCs) to provide and be reimbursed for both medical and mental health services to MediCal beneficiaries on the same day, in the same location. Currently, an outdated provision of law prohibits “same day billing” for medical services and mental health services, even though it does allow for medical and dental services to be delivered and paid for on the same day. Senator Mike McGuire is a CoAuthor of this bill. The bill was heard on April 14 in the Assembly Health Committee and was approved by a vote 140. This bill will next be heard in the Assembly Appropriations Committee. Improving Access to Primary Health Care (Intermittent Clinics) Assembly Bill 1130 by Assembly member Adam Gray (DMerced) allows parttime primary care clinics operating on an intermittent basis the option to provide 30 hours of care per week, rather than 20 hours, as currently allowed by law. The additional 10 hours per week will allow primary care clinics to meet the growing demand for care they have experienced following the implementation of the Affordable Care Act. CPCA and the Central Valley Health Network are both sponsoring this bill and are working collaboratively on its advancement. Assembly member Lorena Gonzales is a Principal CoAuthor of this bill. The bill was heard on April 14 in the Assembly Health Committee and was approved by a vote of 150. This bill will next be heard in the Assembly Appropriations Committee. Statewide Sweetened Beverage Fee Proposal Assembly Bill 1357 by Assembly member Richard Bloom (DSanta Monica) aims to reduce the consumption of sugar sweetened beverages through an excise tax. Revenue generated through the bill will go to support a number of state programs that are aimed at reducing childhood obesity and creating a healthier food environment. Funding would go to the Department of Public Health to administer grants to licensed clinics to be used to invest in childhood obesity and diabetes prevention and treatment activities, and children’s dental programs. Funding would also go to the Department of Health Care Services to fund the following programs: Expanded Access to Primary Care, Rural Health Services Development, Seasonal Agricultural Migratory Workers, and the Indian Health program. SB 4(Lara) Policy and Advocacy Update This week was an exciting week, both on the legislative and advocacy front, for one of CPCA’s strongly supported legislative bill, Senate Bill 4 (Lara), also known as the Health for All bill. In preparation of the Senate Health committee hearing on Wednesday, April 15, the Health For All coalition held a series of events. On Monday, CPCA and health center representatives joined the Health For All coalition at a march and rally to the capitol in support of Health For All. On Wednesday, in advance of the hearing, a consumer and board member from Clinica Romero gave testimony http://cpca.informz.net/informzdataservice/onlineversion/ind/bWFpbGluZ2luc3RhbmNlaWQ9NDI2MzcxNyZzdWJzY3JpYmVyaWQ9Nzg2OTA3ODgw 6/7 4/21/2015 CPCA Weekly Update on the importance of advancing this piece of legislation to him and those served by the health center. CPCA continues to play a leadership role in its advancement through the legislative process through our attendance at every meeting of the leadership group with the author and a continued role in crafting strategy to achieve passage of the bill. CPCA was on hand at the Senate Health committee on Wednesday, April 15, to testify in support of the bill. The bill strongly advanced with a 70 vote, with Republicans abstaining. If you have any questions about the language of SB 4 (Lara), or would like to hear about local opportunities to support the bill, please contact Sean South at [email protected]. Workforce Modern Healthcare Webinar: From Physician Burnout to Engagement Faced with long hours, unrelenting administrative burdens and the pressure to treat patients quickly, a growing number of physicians are experiencing burnout, a condition characterized by loss of empathy, exhaustion, and a low sense of accomplishment. A rising number of physicians are reporting signs of burnout, including exhaustion and a loss of empathy. Modern Healthcare conducted a free webinar on April 15 that featured experts on physician burnout, including Dr. Colin West of the Mayo Clinic and Dr. Michael Krasner of the University of Rochester. Click here for ondemand access to the webinar. California Primary Care Association 1231 I Street, Suite 400 Sacramento, CA 95814 Ph 9164408170 | Fax 9164408172 Unsubscribe http://cpca.informz.net/informzdataservice/onlineversion/ind/bWFpbGluZ2luc3RhbmNlaWQ9NDI2MzcxNyZzdWJzY3JpYmVyaWQ9Nzg2OTA3ODgw 7/7