June 2, 2015
HOT OFF THE PRESSES
1. On May 26, 2015, CMS released the Medicaid and Children’s Health Insurance Program (CHIP) Managed Care proposed regulation. This proposed rule modernizes Medicaid managed care regulations that have not been revised since 2002. The rule seeks to strengthen actuarial soundness and align the requirements with other major sources of health insurance coverage, such as with Medicare and the Health Insurance Marketplace. The proposed rule also changes the definition of rural currently used by the Medicaid program to that used by the Medicare Advantage program. This is important because, in those areas deemed rural, if there is only one managed care plan offered, the state must either seek a waiver with certain requirements (such as provider choice) or allow fee for service payments outside of the managed care plan. Even under a waiver, the enrollee must have access to providers outside the plan’s network if the plan does not have the right provider in-network.
May 27, 2015
Attached is the May 2015 Newsletter from the National Center for Rural Health Works! We hope you enjoy it and here are the highlights from the newsletter:
- 2014-2015 Current Year Work Projects’ UPDATES
- The Economic Impact of a Hospital Closure on a Rural Community
- The Economic Impact of Rural PPS Hospital
- 2014-2015 Current Year Outreach Activities
- EMS Budget Generator presented to NASEMSO
- Summary Document: “Economic Impact of Rural Health Care,” Updated October 2014
- Other Activities (Not Funded through RHW Grant Funds)
- Impact of Medicaid Demonstration Project
Information on our next regional workshop is also attached. The workshop will be held on Wednesday, July 22, 2015, in State College, PA. The Pennsylvania Office of Rural Health is sponsoring the workshop. The workshop is presented in conjunction with the National Center for the Analysis of Healthcare Data (NCAHD).
Information will be presented on the following topics:
- Health impact
- Community health needs assessment (CHNA)
- Health budgeting.
- Mapping and spatial data analysis to further support the outcomes of Rural Health Works
- How to download healthcare workforce provider data FREE through NCAHD’s portal at: http://gis.ncahd.org/
The Workshop Flyer is attached with more detailed information and a registration form.
May 26, 2015
The Missouri Rural Health Association in partnership with Missouri Ozarks Medical Center and Medical Revenue Solutions is offering affordable on-line ICD-10 training. The On-line training is $50 per site per class. YES, with just $50, you can train a class full of employees on the new Coding & Guidelines requirement to begin October 1, 2015.
It is not too late to enroll but sites are limited and will be filled in order of enrollment. See the attached brochure for more information.
The remaining 5 courses are still available:
View the online training sessions
ICD-10 Code Set & Guidelines Part 1, 2, 3, & 4 Beginning June 2!
ICD-10 Provider Documentation Offered June 16!