Category: Health Center Regulatory Issues

Health Center Regulatory Issues, Health Center State Policy

Leveraging Medicaid Administrative Claiming for Health Centers

Guest post contributed by Lisa Chan-Sawin, MHA, and Gretchen Schroeder, MPH, Transform Health Due to the COVID-19 outbreak, critical safety net providers such as Community Health Centers are experiencing significant drops in patient revenue as a result of stay-at-home orders across the nation. During this global public health crisis it is critical to explore innovative …

Health Care News, Health Center Regulatory Issues

Telehealth, COVID-19 & Health Centers

CMS Announces Guidance for FQHCS on CARES Distant Site Provision (Updated April 17, 2020) Today the Centers for Medicare and Medicaid announced its guidance allowing Community Health Centers and Rural Health Clinics (RACs) to receive enhanced Medicare reimbursement for telehealth services, per the provision in the CARES Act.  Retroactive to January 27, 2020 and continuing …

Health Center News, Health Center Regulatory Issues

Telehealth Information for Health Centers on the Frontlines of COVID-19

NACHC staffer Michaela Keller contributed to this NACHC Blog post. President Trump signed H.R. 6074, the “Coronavirus Preparedness and Response Supplemental Appropriations Act of 2020,” into law earlier this month, providing emergency supplemental funding in response to the coronavirus, also known as COVID-19. In addition to $100 million in funding for Community Health Centers, the …

Health Center Regulatory Issues

Update on Medicare Rule for Health Centers

The Centers for Medicare and Medicaid Services (CMS) finalized a rule on the Medicare Shared Savings Program (MSSP) last December, bringing significant changes to the program.  Named the “Pathways to Success,” the final rule will require Accountable Care Organizations (ACOs) participating in the MSSP to take greater financial risks.  NACHC’s comments on the proposed rule …

Health Center Regulatory Issues

NAPs Funding Opportunity Comes with Scoring Changes

BPHC has released a Notice of Funding Opportunity (NOFO) Number HRSA-19-080, announcing $50 million for New Access Points (NAPs).  Approximately 75 NAPs are expected to be funded.  As in the past, NAP applications may be submitted by new organizations (new applicants) or by health centers currently receiving Health Center Program operational funding (satellite applicants.) The …

Health Center Federal Policy, Health Center Regulatory Issues

Items of Interest to Health Centers in CMS Medicare Physician Fee Schedule Proposed Rule

Update (Nov. 16, 2018): This rule has been finalized as proposed.  Beginning January 1, 2019, health centers will be able to bill for these services. NACHC is hosting a webinar on Thursday, November 29, 2018 at 1 pm ET with the  Centers for Medicare & Medicaid Services and health center partners to learn more about these …

Health Center Regulatory Issues

A New Medicare Shared Savings Proposed Rule Could Affect Health Centers

The Centers for Medicare and Medicaid Services  (CMS) has released a proposed rule that would transform their Medicare Shared Savings Program (MSSP), pushing accountable care organizations (ACOs) to take on increasing levels of financial risk.  CMS’s proposal, which it is calling “Pathways to Success,” would consolidate and streamline the ACO track options; require that participating …

Health Center Regulatory Issues

Confidentiality and Medical Records: Do Special Protections Apply?

Since the 1970s, the Federal Government has required that the medical records of patients who receive treatment for substance use disorder (SUD) be given extra protections to ensure confidentiality.  These federal rules – commonly known as 42 CFR Part 2 – have recently been revised, and are more extensive than the standard protections required under …

Health Center Regulatory Issues, Health Center State Policy

CMS Issues Guidance on Community Engagement and Work Requirement Proposals for Medicaid

Today CMS published its much anticipated federal policy guidance (SMD: 18-002, see NACHC summary here) reiterating its support and describing considerations for states with an interest in pursuing Section 1115(a) Medicaid waivers to implement work and/or community engagement requirements for Medicaid. This effort began last year with a letter from then-Secretary Price and CMS Administrator …

Health Center Regulatory Issues

CMS Releases Rule That Improves Care for Health Center Medicare Patients

The Centers for Medicare and Medicaid Services (CMS) released its final rule on the CY2018 Physician Fee Schedule earlier this month.  While this annual rule typically does not impact services for Community Health Centers (because they are not paid on the Physician Fee Schedule), this year’s rule includes some important provisions that boost care for health center …