MHA Today | March 31, 2016

March 31, 2016
MHA Today: News for Healthcare Leaders


MHA Today is provided as a service to members of the Missouri Hospital Association. Additional information is available online at MHAnet. Connect with us on LinkedIn.

In This Issue
State House Advances Telemedicine Bill
Medicaid Issues Federal Upper Limits And Medicaid Covered Outpatient Drug Final Rule
CMS Provides Additional RHC Billing Guidance
MLN Connects Provider eNews Available
State And Federal Agencies Release Zika Virus Resources
AHRQ Releases Report: Improving Cultural Competence To Reduce Health Disparities

Advocate
state and federal health policy developments


State House Advances Telemedicine Bill

Staff Contact: Daniel Landon

The Missouri House of Representatives has given its final approval to House Bill 1923. The legislation revises standards governing the delivery and coverage of services via telemedicine. The bill now moves to the Senate.

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Medicaid Issues Federal Upper Limits And Medicaid Covered Outpatient Drug Final Rule

Staff Contact: Steve Renne

The Federal Upper Limits Medicaid Covered Outpatient Drug final rule is available on Medicaid.gov. States will have up to 30 days from the Friday, April 1, effective date to implement FULs. The MO HealthNet Division already manages multisource generic drugs through the Maximum Allowable Cost Program. MHD will need to validate that the methodology is at or below FUL, but does not anticipate any impact of FULs on outpatient pharmacy billing and reimbursement.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Provides Additional RHC Billing Guidance

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services previously announced that beginning Friday, April 1, rural health clinics will be required to detail bill for services provided. CMS now has released a slide deck with additional details and contact information about the new requirements.

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MLN Connects Provider eNews Available

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services issues updates to MLN Connects Provider eNews. eNews includes information about national provider calls, meetings, events, announcements and other MLN educational product updates. The latest issue provides updates and summaries of the following.

  • modifications to the health care common procedure coding system
  • advance care planning FAQs
  • revisions to:
    • long-term care hospital PPS booklet
    • Medicare ambulance transports booklet
    • clinical laboratory fee schedule fact sheet
    • hospital outpatient PPS fact sheet


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Quality and Population Health


State And Federal Agencies Release Zika Virus Resources

Staff Contacts: Jackie Gatz or Sarah Willson

The Centers for Disease Control and Prevention released new U.S. maps that identify the estimated range where the two Zika-associated species of mosquitoes are prevalent. The maps will help health care providers assess potential risks and take precautions. The maps do not indicate the density of each species or potential for spreading disease.

The Missouri Department of Health and Senior Services released a health update to provide guidance for counseling patients about pregnancy planning and timing after possible Zika exposure. The update references recently revised CDC interim guidance for health care providers caring for women of reproductive age.

The Centers for Medicare & Medicaid Services has published a survey and certification memo with guidance for the deployment of Emergency Use Approval Zika tests for state and local public health laboratories.

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AHRQ Releases Report: Improving Cultural Competence To Reduce Health Disparities

Staff Contact: Leslie Porth

The Agency for Healthcare Research and Quality has released a report, Improving Cultural Competence to Reduce Health Disparities. Culturally competent care addresses diversity and other factors that can affect health and health care, such as language, communication styles, beliefs, attitudes and behaviors. The report is intended to help health care decision-makers — patients and clinicians, health system leaders, policymakers, and others — make well-informed decisions, thereby improving the quality of health care services. MHA has pledged to increase awareness to eliminate health disparities. To learn more about the disparities that exist in Missouri, collecting REaL data and strategies to provide culturally competent care, attend MHA’s health equity webinar series.

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Consider This ...

Traumatic brain injury is a major cause of death and disability in the U.S., contributing to about 30 percent of all injury deaths.

Source: Centers for Disease Control and Prevention