Category: Health Center Regulatory Issues

Health Center Regulatory Issues

CMS 2015 PQRS Payment Adjustments and Implications on RHCs/FQHCs

By Alyssa Shinto, NACHC Federal and Regulatory Affairs Intern On January, 26 2015, the Centers for Medicare and Medicaid Services (CMS) released a Frequently Asked Question document on the 2015 Physician Quality Reporting System (PQRS) Payment Adjustment and Providers who Rendered Services at Rural Health Clinics (RHC)/ Federally Qualified Health Centers (FQHC). We have heard …

Health Center Regulatory Issues

Medicaid Fee Bump Expires in 2015: The Impact on Primary Care Provider Payments in States

Due to concerns over physician reimbursement rates in Medicaid and the reported effect on participation of providers, the Affordable Care Act (ACA) included a mandatory two-year increase in Medicaid fees for primary care services by eligible providers to Medicare rates.[1] This increase, fully funded by the federal government, was approved to take effect on January …

Health Center Regulatory Issues

HRSA Webinar on Annual Recertification for 340B Covered Entities

We wanted to let you know about an upcoming webinar with HRSA’s Office of Pharmacy Affairs on the annual 340B Recertification Process.  Please see the details of the webinar below.   Should you have any questions about the webinar or the recertification process, you can contact the Prime Vendor Program at 1-888-340-2787 or ApexusAnswers@340bpvp.com. The Health …

Health Center Regulatory Issues

Electronic Health Records Incentives and Meaningful Use Penalties- A New Round of Questions Answered

Recently, we have received several inquiries from health centers regarding Electronic Health Record (EHR) Incentives and “meaningful use” (MU) requirements and penalties as prescribed in the HITECH Act. As most health centers will recall, due to the more generous benefits available under the Medicaid incentive program, virtually all eligible health center providers opted to participate …

Health Center Regulatory Issues

HRSA Issues “Frequently Asked Questions” to Clarify Certain Aspects of the Sliding Fee Discount Program Policy

In keeping with recent trends pertaining to the issuance of new policies and guidance, the Health Resources and Services Administration (HRSA) recently issued Frequently Asked Questions (FAQs) to clarify certain aspects of PIN 2014-02: Sliding Fee Discount and Related Billing and Collections Program Requirements. While some of the FAQs appear to reiterate the requirements set forth …

Health Center Regulatory Issues

HRSA Issues Revised Site Visit Guide to Include Requirements from New Policies

HRSA Issues Revised Site Visit Guide to Include Requirements from New Policies On November 24, 2014, the Health Resources and Services Administration (HRSA) issued a revised Health Center Program Site Visit Guide (the Guide), effective December 1, 2014. The updated Guide incorporates revisions and clarifications that were initially included in several HRSA policies and guidance …

Health Center Regulatory Issues

HRSA Completes Analysis of Scope Alignment Validation Submissions and Announces Next Steps

In its Primary Health Care Digest dated November 19, 2014, the Health Resources and Services Administration (HRSA) announced that it had completed its analysis of the Scope Alignment Validation (SAV) submissions and is ready to take the next steps in the process to correct health centers’ scope of project forms (Forms 5A and 5B), consistent …

Health Center Regulatory Issues

HRSA Issues Guidance on Application of Progressive Action Process to FQHC Look-Alike Entities

On November 14, 2014, HRSA issued Program Assistance Letter (PAL) 2014-11: Applicability of PAL 2014-08: Health Center Program Requirements Oversight to Look-Alikes, which addresses application of the existing grantee Progressive Action Process for non-compliance with Health Center Program Requirements (set forth in PAL 2014-08) to “Health Center Program Look-Alike” entities. PAL 2014-08 applied solely to …

Health Center Regulatory Issues

HRSA Issues Guidance on Application of Progressive Action Process to FQHC Look-Alike Entities

On November 14, 2014, HRSA issued Program Assistance Letter (PAL) 2014-11: Applicability of PAL 2014-08: Health Center Program Requirements Oversight to Look-Alikes, which addresses application of the existing grantee Progressive Action Process for non-compliance with Health Center Program Requirements (set forth in PAL 2014-08) to “Health Center Program Look-Alike” entities. PAL 2014-08 applied solely to …

Health Center Regulatory Issues

OIG Issues FY 2015; Includes Several Audits Impacting Health Centers

On October 31, 2014, the Office of the Inspector General (OIG) for the U.S. Department of Health and Human Services (HHS) published its Work Plan for FY 2015, summarizing new and ongoing reviews and activities that the OIG plans to pursue with respect to HHS programs and operations during the current fiscal year. Similar to …