MHA Today |  January 15, 2018

January 15, 2018




 

MHA Today: News for Healthcare Leaders

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

In This Issue
CMS Approves Kentucky Medicaid Work Requirement
MO HealthNet Seeks Comments On Reduction In Outpatient Lab Reimbursement
CMS Updates Conditions Of Participation For Hospitals
CDC Launches New Patient And Provider Sepsis Resources

What You Need To Know This Week

  • Watch for Gov. Greitens to release his state budget later this week. MHA also will announce webinars to help members understand potential implications of the budget.
  • Congress faces a deadline of Friday to take action on the federal budget to avert a government shutdown.

Advocate
state and federal health policy developments


CMS Approves Kentucky Medicaid Work Requirement

Staff Contact: Brian Kinkade

The Centers for Medicare & Medicaid Services approved a Section 1115 Medicaid demonstration waiver that would allow the state of Kentucky to impose a “community engagement” requirement on adults who are not disabled, not pregnant and who are not the primary caretaker of a dependent. Nonexempt beneficiaries will be required to complete 80 hours per month of community engagement activities, such as employment, education, job skills training and community service to maintain their Medicaid eligibility. This marks the first time CMS has given approval for a state to place work conditions on Medicaid eligibility; litigation is anticipated. The Kentucky waiver also includes six-month lockout penalties for participants who fail to pay a modest premium, who do not report changes in income or life circumstances, and who do not complete their annual reapplication paperwork on time.

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MO HealthNet Seeks Comments On Reduction In Outpatient Lab Reimbursement

Staff Contact: Brian Kinkade

MO HealthNet requests comments regarding the effect on service access of its plan to set reimbursement for outpatient lab services at 80 percent of the Medicare fee schedule. Comments are due Sunday, Feb.11. This change is projected to reduce reimbursement to hospitals by approximately $10 million per year before considering the reduction in the Medicare fee schedule that took effect Jan. 1. MHA will file comments expressing concern on behalf of its members.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Updates Conditions Of Participation For Hospitals

Staff Contact: Sarah Willson

The Centers for Medicare & Medicaid Services have made several revisions to the hospital Conditions of Participation Appendix A. The most notable changes are to tags A-0144 and A-0701 regarding ligature risk and safe environments, as well as new information regarding power strips in A-0701. In addition, most emergency preparedness references in A-0701 have been deleted and are now included in separate CoPs. Several survey and certification memos have been released addressing additions and changes, including 17-44-ALL-Hospitals and how they are defined, 18-06-Hospitals noting changes under A-0701, deleting references to emergency preparedness and clarifying ligature risk policy.

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CDC Launches New Patient And Provider Sepsis Resources

Staff Contact: Sarah Willson

The Centers for Disease Control and Prevention launched additional resources for patients and providers on its Get Ahead of Sepsis campaign website. The website includes free brochures, posters and other helpful tools to raise sepsis awareness. In the Missouri legislature, SB 723 has been introduced to require hospitals to develop sepsis protocols. Mental health hospitals are excluded from the proposal. MHA encourages hospitals to have sepsis protocols in place and for staff to be training on early recognition and intervention.

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Consider This ...

The Centers for Disease Control and Prevention estimates that in the 2015-2016 flu season, the flu vaccine prevented more than five million flu cases, about 2.5 million medical visits, more than 70,000 hospitalizations and 3,000 deaths.

Source: The New York Times