MHA Today | June 21, 2016

June 21, 2016
MHA Today: News for Healthcare Leaders

MoHospitals Logo 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.

Celebrate Missouri hospitals by visiting mohospitals.com.

In This Issue
MHD Posts Updates To DME Coverage
MHD Extends Registered Behavior Technician Credential Deadline
HHS Announces $100 Million To Help With MACRA Payment Provisions
CMS Releases Life Safety Survey And Certification Memo
TJC Revises CT Elements Of Performance Standards
CDC Issues Preparedness Plan For Locally-Acquired Zika Cases


Upcoming seminar
Medical Staff Leadership Credentialing and Privileging Workshop
Friday, July 22
Osage Beach, Mo.


Advocate
state and federal health policy developments


MHD Posts Updates To DME Coverage

Staff Contact: Steve Renne

Effective July 1, the MO HealthNet Division has made the following durable medical equipment changes.

  • Quantity restriction for tracheostomy inner cannula replacements has increased from two inner cannulas per month to eight per month.
  • The reimbursement rate for gastronomy tube, low profile, any material type, will be increased from $33.71 to $125.
  • Huntington’s Disease will be added to the approved diagnosis list for consideration of wheelchair participants residing in a skilled nursing facility.

Back To Top


MHD Extends Registered Behavior Technician Credential Deadline

Staff Contact: Steve Renne

The MO HealthNet Division has implemented a phase-in period for the Registered Behavior TechnicianTM credential requirement. Technician staff providing applied behavior analysis must be credentialed by Saturday, Dec. 31. Effective for dates of service on or after Dec. 31, all ABA services rendered by technician staff must be provided by RBT credentialed staff.

Back To Top


Regulatory News
the latest actions of agencies monitoring health care


HHS Announces $100 Million To Help With MACRA Payment Provisions

Staff Contact: Andrew Wheeler

The U.S. Department of Health & Human Services announced that $100 million in funds will be provided to fund training and education to small physician practices about upcoming payment and policy changes resulting from the Medicare Access and Children's Health Insurance Program Reauthorization Act. To be eligible to receive the funds, organizations must demonstrate their ability to provide customized training to clinicians. These organizations would support small practices by helping them think through what is needed to be successful under the new quality payment program. Potential vendors should visit FedBizOpps.gov for additional information. Awardees will be announced by November 2016.

Back To Top


CMS Releases Life Safety Survey And Certification Memo

Staff Contacts: Sarah Willson or Jackie Gatz

On May 4, the Centers for Medicare & Medicaid Services adopted the 2012 editions of the life safety code and the health care facilities code by final rule. The final rule eliminates all references to the previously adopted 2000 edition of the LSC, and also requires providers and suppliers to comply with the 2012 LSC with certain modifications, as well as comply with the 2012 HCFC — excluding chapters 7, 8, 12, and 13 — by Tuesday, July 5. Buildings that were constructed or received design approval or building permits before July 5 can meet existing occupancy requirements. All other building construction must meet new occupancy requirements. CMS announced that it will not begin surveying codes until Tuesday, Nov. 1.

Back To Top


TJC Revises CT Elements Of Performance Standards

Staff Contact: Sarah Willson

The Joint Commission recently announced the addition of two new elements of performance that address expectations for technologists performing computed tomography exams. HR.01.02.05, EP 19, notes the expectation that CT technologists obtain advanced-level CT certification by January 2018. HR.01.05.03, EP 26, requires organizations to demonstrate that CT technologists participate in education that prepares them to achieve advanced-level CT certification. TJC has received significant feedback resulting in the decision to delete Note 1 in HR.01.02.05, EP 19, and suspend HR.01.05.03, EP 26. HR.01.02.05, EP 19, which establishes minimum qualifications for CT technologists, takes effect Thursday, Sept. 1.

Back To Top


Quality and Population Health


CDC Issues Preparedness Plan For Locally-Acquired Zika Cases

Staff Contacts: Jackie Gatz or Alison Williams

Last week, the Centers for Disease Control and Prevention issued an interim plan for responding to locally-acquired cases of Zika in the continental U.S. and Hawaii. As of June 15, only travel-associated cases have been reported in the continental U.S., including three infants born with birth defects and three pregnancy losses in the states. The response plan outlines state and CDC activities to prevent and reduce local transmission once it has been identified. According to the CDC, Zika infections appear to be rapidly increasing in Puerto Rico, based on a 1.1 percent infection rate among local blood donations. The territory has screened all local blood donations for Zika since April using a highly-accurate test. In areas without active Zika transmission, the U.S. Food and Drug Administration recommends deferring blood donations from people who have had Zika-like symptoms in the last four weeks; sexual contact with someone who has traveled to, or lived in, an area with active Zika in the last three months; or traveled to areas with active transmission in the last four weeks.

Back To Top



Consider This ...

Per capita spending for insured people with diabetes increased between 2012 and 2014 by $1,310 to $16,021 in 2014, nearly four times higher than spending for people without the illness, which was $4,396.

Source: Kaiser Health News