Today with Macrae, Provider Relief Updates, and More! HRSA PHC Digest

A Newsletter from the Health Resources & Services Administration (HRSA)

HRSA BPHC Primary Health Care Digest

April 28, 2020

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Today with Macrae: Health Center Program Updates
Our next Today with Macrae session will focus on COVID-19 and funding updates.

Monday, May 4
2:00-3:00 p.m. ET
Join the day of the session*
Call-in: 800-779-1622
Passcode: 1843682
Submit a question in advance, by Friday, May 1.
*NOTE: This link will be accessible only to the first 1,500 participants. If you cannot log in for the visual portion, please still call in!

Missed our most recent Today with Macrae calls? We post the recordings and transcripts on our Emergency Preparedness and Recovery Resources for Health Centers webpage as soon as we’re able. Here are some resources discussed during last Friday’s Today with Macrae:


Provider Relief Updates
HHS recently announced several additional allocations of CARES Act Provider Relief Fund payments. These include $20 billion in additional funds for providers that received the initial general distribution payments. These additional funds augment their previous allocation so that the whole $50 billion general distribution is allocated proportional to providers' share of 2018 net patient revenue. In addition, HHS has allocated targeted distributions to providers that have been uniquely impacted by COVID-19, including $10 billion for hospitals in high impact areas as well as $10 billion for rural health clinics and hospitals and $400 million for Indian Health Service facilities.

Recognizing the precarious financial position created by COVID-19, HHS is also developing Provider Relief Fund payments for other providers, including skilled nursing facilities, dentists, and providers that solely take Medicaid. Finally, providers will also be able to seek reimbursement, at Medicare rates, for COVID-19-related testing and treatment of uninsured patients on or after Tuesday, February 4, subject to available funding.

For specific questions regarding qualification for payments, providers should call the toll-free CARES Provider Relief line at (866) 569-3522. Additional details will be posted on the current and future allocations on the CARES Act Provider Relief webpage  as they become available.


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COVID-19 Frequently Asked Questions Update
We continually update our Health Center Program COVID-19 Frequently Asked Questions (FAQs) webpage. We created a separate page for new funding FAQs. We’ll continue to expand it over time and will let you know as we make additions.

Editor’s Note: See below for additional COVID-19 resources and upcoming events.


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Jump To: COVID-19 | Substance Use Disorder & Mental Health | HIV  | Workforce | Additional Resources


What's New

2020 Uniform Data System Reporting Requirement Changes
Join HRSA for a presentation on the changes to the calendar year 2020 Uniform Data System (UDS) reporting. (The reporting window will be open Friday, January 1, 2021, to Monday, February 15, 2021.) We will provide an overview of the changes and a question and answer session.

Thursday, May 7
1:00-2:30 p.m. ET
Register here

Key reporting changes include:

  • Addition of HIV screening measure (CMS349v2);
  • Addition of prescription for Pre-Exposure Prophylaxis (PrEP) International Classification of Diseases (ICD) 10 codes and Current Procedural Terminology (CPT) codes; and
  • Revision of Appendix D to capture information on prescription drug monitoring programs (PDMPs) and social determinants of health.

For additional information, see Program Assistance Letter (PAL) 2020-04: UDS Changes for Calendar Year 2020.


Clarification on Unobligated Balance Carryover Process under Expanded Authority
As we announced a few months ago, Health Center Program awardees do not need prior approval from HRSA to carry over unobligated balances of grant funds that are 25% or less of the amount awarded for the budget period. Starting with the submission of fiscal year 2019 Federal Financial Reports (FFR), your health center has “Expanded Authority” to carry over unobligated balances that are 25% or less of the amount awarded for the budget period, within the project period, without prior approval from HRSA.

When submitting the FFR in EHBs, there are several choices related to unobligated balances. Please note:

  • The $250,000 limit on submitting carryover without prior approval does NOT apply to Health Center Program awardees
  • If your health center’s unobligated balance is 25% or less of the total amount awarded, select the first option in EHBs to request carryover. No additional action is necessary. 

Visit our website for FAQs and related resources and contact your Grants Management Specialist with any specific questions.


COVID-19

HHS Awards Nearly $165 Million to Combat the COVID-19 Pandemic in Rural Communities
Last week, HHS awarded nearly $165 million to combat the COVID-19 pandemic in rural communities. These investments will support 1,779 small rural hospitals and provide additional funding to 14 HRSA-funded Telehealth Resource Centers to provide technical assistance (TA) on telehealth to help rural and underserved areas combat COVID-19. Read more.


CMS Updates for Health Centers
A new fact sheet addresses New and Expanded Flexibilities for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs). Highlights include:

  • For telehealth, the modality to be used is an interactive audio and video telecommunications system. For Virtual Communication Services, which are not considered telehealth services, other modalities may be used.
    • RHCs and FQHCs will receive $92 for a telehealth delivered service.
    • Any health care practitioner working at an FQHC/RHC may provide a telehealth delivered service as long as it is within their scope.
    • The health care practitioner can be at home when they furnish services via telehealth.
  • New guidance pertains to providing essential non-COVID-19 care to patients without symptoms of COVID-19 in regions with low and stable incidence of COVID-19. The new recommendations are specifically targeted to communities that are in Phase 1 of the White House’s Guidelines for Opening Up America Again.

National Practitioner Data Bank Waives User Fees to Support COVID-19 Response
HRSA is temporarily waiving query fees for health care entities to search the National Practitioner Data Bank (NPDB). This waiver supports efforts to mobilize and deploy health professionals during the COVID-19 pandemic by reducing costs and expediting credentialing, hiring, privileging, and licensing processes.

The NPDB fee waiver is retroactive from Sunday, March 1, and extends through Sunday, May 31. The NPDB will issue query credits to reimburse entities that conducted queries (one-time and continuous) between March 1 and this announcement. Learn more or access the recording from a recent teleconference.


Health Center and Look-Alike COVID-19 Survey Data Published
Last week we published updated COVID-19 data collected from HRSA-funded health centers and look-alikes.

In the survey sent on Friday, April 24, we added questions about race and ethnicity because of growing evidence of racial disparities in testing and morbidity. The CDC has added new resources on this topic:


Resources


Upcoming Events

  • Finance Office Hours for Health Centers: Strategies to Manage Operations During COVID-19: Everything About FQHC Medicare
    Hosted by The National Association of Community Health Centers (NACHC), a HRSA-funded NCA.

    Tuesday, April 28
    2:00-3:00 p.m. ET
    Register here

  • COVID-19: A Clinic’s Experience Incorporating Emergency Management Framework for Pandemic Response
    ECRI will host this webinar on HRSA’s behalf. One medical clinic incorporated FEMA’s Incident Command System framework to efficiently and effectively handle staff communications, resource management, and patient care during this pandemic. Learn more from Jennifer Schmidt, M.D., assistant professor, Department of Internal Medicine, Washington University School of Medicine (St. Louis, MO). Dr. Schmidt serves as medical director in the university’s medical clinic. She will discuss approaches for managing issues such as patient triage and scheduling, business continuity and back-up plans, staff coordination, and patient communication.

    Thursday, May 7
    2:00-3:00 p.m. ET
    Register here

Substance Use Disorder & Mental Health

Cost Accounting for Behavioral Health Integration for Health Professionals
Join a webinar presented by the HRSA Center of Excellence for Behavioral Health TA. Presenters will share strategies that health centers can use to assess their organization's level of behavioral health integration and identify strategies and resources they can use to guide telehealth billing during COVID-19.

Thursday, April 30
3:00-4:00 p.m. ET

To register for the webinar, you must first set up an account on the new HRSA Center of Excellence for Behavioral Health TA website.


National Prevention Week
National Prevention Week is a public education platform that promotes prevention year-round through providing ideas, capacity building, tools, and resources to help individuals and communities make substance use prevention happen every day. This year it will happen May 10-16. Find out how your health center can participate and access resources, like the planning toolkit and promotional materials.


HIV

New Funding Opportunities
HRSA recently released several notices of funding opportunities for programming within the Ryan White HIV/AIDS Program to be conducted using Minority HIV/AIDS Program funds. See open funding opportunities. The TargetHIV website includes details on pre-application TA.


Workforce

Deadline This Week: Nurse Corps Scholarship Program
HRSA’s Nurse Corps Scholarship Program is accepting applications through Thursday, April 30. Students accepted or enrolled in a diploma, associate, baccalaureate, or graduate degree nursing program may be eligible to apply. The program provides scholarships to nursing students, paying for tuition, fees, and other reasonable costs, as well as a monthly living stipend. In exchange, participants commit to a minimum of two years of full-time service (or part-time equivalent) at an eligible health care facility with a critical shortage of nurses. This year, there is special funding for nurse practitioners specializing in psychiatric mental health and nurse midwives.


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Deadline Extended: Apply Now to the National Health Service Corps Scholarship Program
Medical and dental school students, do you want to provide care where you’re needed most? We will support you by paying your tuition, fees, and other educational costs and by providing you a living stipend. In exchange, you agree to serve at least two years at National Health Service Corps-approved sites in underserved rural, urban, and tribal communities. Applications are now due Friday, May 15. Learn more.


Additional Resources

Now More Than Ever: Help Patients Quit
The CDC reports that people of any age who have serious underlying medical conditions, such as moderate to severe asthma and COPD, might be at higher risk for severe illness from COVID-19. Now more than ever, health centers will want to screen patients diagnosed with asthma and COPD for tobacco smoking and provide them with referrals, tools, and resources to help them quit.

A good place to start a patient on this journey is the National Cancer Institute quit line. 1-800-QUIT-NOW line will connect them with local resources. Visit CDC’s site for resources and videos that can be shared.


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Technical Assistance & Training

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Visit the training calendar to learn details about or register for events.

Through May 5

Finance Office Hours for Health Centers: Strategies to Manage Operations During COVID-19: Everything About FQHC Medicare
Hosted by NACHC, a HRSA-funded NCA
Tuesday, April 28
2:00-3:00 p.m. ET
Register here

Overview of Quality Improvement
Hosted by The Accreditation Association for Ambulatory Health Care
Wednesday, April 29
1:00-2:00 p.m. ET
Register here

COVID-19 Webinar Series: Resource Sharing and Discussions with the Frontline
Hosted by The National Center for Farmworker Health, a HRSA-funded NCA
Wednesday, April 29
2:30-3:30 p.m. ET
Register here

Flattening the COVID-19 Curve: Latest Update
Hosted by NACHC, a HRSA-funded NCA
Thursday, April 30
1:00-2:00 p.m. ET
Visit NACHC's website to register or view past recordings

Safer at Home? COVID-19 and Domestic Violence
Hosted by the National Health Care for the Homeless Council, a HRSA-funded NCA
Thursday, April 30
2:00-3:00 p.m. ET
Register here

Cost Accounting for Behavioral Health Integration for Health Professionals
Thursday, April 30
3:00-4:00 p.m. ET
To register, first set up an account on the new HRSA Center of Excellence for Behavioral Health TA website.

Health Information Technology, Evaluation, and Quality Center (HITEQ) Highlights: Electronic Patient Engagement in an Integrated Setting
Hosted by HITEQ, a HRSA-funded NCA
Thursday, April 30
3:00-4:00 p.m. ET
Register here

Self-Management Techniques for Adults with Sickle Cell Disease
Cohosted with the HHS Office of Minority Health
Friday, May 1
1:30-2:30 p.m. ET
Register here

How You(th) Are the Key to Tackling the Stigma on Mental Health
Hosted by the School-Based Health Alliance, a HRSA-funded NCA
Friday, May 1
2:00-3:00 p.m. ET
Register here

Today with Macrae: Health Center Program Updates
Monday, May 4
2:00-3:00 p.m. ET
Join the day of the session*
Call-in: 800-779-1622
Passcode: 1843682
Submit a question in advance, by Friday, May 1.
*NOTE: This link will be accessible only to the first 1,500 participants. If you cannot log in for the visual portion, please still call in!


Upcoming

PCMH Office Hours: Social Determinants of Health
Hosted by the National Committee for Quality Assurance
Wednesday, May 6
10:00-11:00 a.m. ET
Register here

HITEQ Highlights: Health Center Defense Against the Dark Web: Strategies for Building Security Awareness, Education, and Compliance in 2020
Hosted by HITEQ, a HRSA-funded NCA
Wednesday, May 6
2:00-3:00 p.m. ET
Register here    

2020 UDS Reporting Requirement Changes
Thursday, May 7
1:00-2:30 p.m. ET
Register here

National Older Adult Mental Health Awareness Day 2020: Combating Social Isolation for Seniors during the COVID-19 Pandemic
Hosted by SAMHSA, the Administration for Community Living, the Veterans Health Administration, and the National Coalition on Mental Health, and Aging
Thursday, May 7
1:00-2:30 p.m. ET
Register here

COVID-19: A Clinic’s Experience Incorporating Emergency Management Framework for Pandemic Response
Hosted by ECRI on HRSA’s behalf
Thursday, May 7
2:00-3:00 p.m. ET
Register here

Introduction to the UDS Mapper
Thursday, May 7
2:00-3:00 p.m. ET
Register here

UDS Mapper Advanced Topics: Assessing Your Community Using the UDS Mapper
Tuesday, May 19
11:00 a.m.-noon ET
Register here

Health Network: A Care Coordination Program for Mobile Patients Including Those with Hypertension
Hosted by Migrant Clinicians Network, a HRSA-funded NCA
Tuesday, May 19
1:00-2:00 p.m. ET
Register here

Using the Health Center Dental Dashboard for Tracking, Measuring, and Improvement
Hosted by the National Network for Oral Health Access, a HRSA-funded NCA
Tuesday, May 19
1:00-2:00 p.m. ET
Register here
**1.0 CDE credit available**

Today with Macrae: Health Center Program Updates
Tuesday, May 19
2:00-3:00 p.m. ET
Access details coming soon.
Submit a question in advance, by Friday, May 15.

Clinicians’ Coffee Chat: Diabetes and Nutrition
Hosted by the National Health Care for the Homeless Council, a HRSA-funded NCA
Wednesday, May 20
Noon-1:00 p.m. ET
Register here

Webinars are hosted by HRSA unless otherwise noted.