April 2, Jennifer Kent Director California Department of Health Care Services 1501 Capitol Avenue Sacramento, CA 95814
|
|
- Coral Roberts
- 5 years ago
- Views:
Transcription
1 Jennifer Kent Directr Califrnia Department f Health Care Services 1501 Capitl Avenue Sacrament, CA Subject: Draft All Plan Letter 18-XXX - Medicaid Drug Rebate Prgram Via Jennifer.Kent@dhcs.ca.gv Dear Directr Kent: The Califrnia Hspital Assciatin (CHA), the Califrnia Children s Hspital Assciatin, the Califrnia Assciatin f Public Hspitals and Health Systems, Private Essential Access Cmmunity Hspitals, Inc., Califrnia Health+ Advcates and the District Hspital Leadership Frum appreciate the pprtunity t cmment n the Draft All Plan Letter (APL) 18-XXX n the Medicaid Drug Rebate Prgram (MDRP), published by the Department f Health Care Services (DHCS) n March 19, Ntably, the APL prvides clarificatin t all Medi-Cal managed care health plans (MCPs) abut the reprting requirements needed t avid duplicate discunts in the 340B Drug Discunt Prgram. We appreciate that DHCS has identified a prcess t eliminate the risk f duplicate discunts, and we ffer the fllwing cmments t ensure the 340B prgram s benefits cntinue t serve Califrnia s mst vulnerable patients and cmmunities. Benefits f the 340B Prgram Savings frm the 340B drug discunt prgram help safety-net hspitals and clinics preserve vital health care prgrams and services. The discunts prviders receive frm the pharmaceutical industry thrugh the 340B prgram supprt prviders effrts t imprve care fr all patients, including ffering specialized prgrams fr sme f ur mst vulnerable Medi-Cal ppulatins wh rely n safety-net prviders. These services include: Extended hurs f peratin fr cmmunity clinics and health centers HIV clinics that include a full range f health and mental health services fr patients Hepatitis C clinics, which are safety-net centers f excellence that prvide lifesaving, curative treatments fr Medi-Cal patients Pst-perative services, including meds t beds prgrams that allw patients t be discharged frm majr peratins, such as cardiac surgeries r rgan transplants, with critical medicatins needed fr prper recvery and ensure that patients receive necessary fllw-up with pharmacists Specialized treatments at infusin clinics, such as thse prvided t patients with cngestive heart failure, hemphilia, multiple sclersis and cancer
2 Page 2 Case wrkers fr individuals experiencing hmelessness and additinal supprt staff t address cmplicated care needs Increased access t specialty care thrugh expanded transprtatin services t patients withut reliable transprtatin Expanded pharmacy access fr Medi-Cal and uninsured patients s that pharmacies are available thrughut lcal cmmunities 340B Drug Discunt Prgram versus Medicaid Drug Rebate Prgram With bipartisan supprt, Cngress created the 340B Drug Discunt Prgram in 1992 t enable safety-net hspitals, cmmunity-based clinics and ther prviders that serve lw-incme, vulnerable patients t purchase utpatient medicatins at a discunt frm drug manufacturers. One year prir, the MDRP was initiated t help ffset federal and state Medicaid csts fr utpatient prescriptin drugs. Unlike the 340B prgram, the MDRP requires that states share the manufacturer rebates with the federal gvernment. Accrding t a recent reprt by the Legislative Analyst s Office 1, the state general fund was entitled t nly $1.3 billin f the $4.1 billin in Medicaid drug rebates in In cntrast, cvered entities are able t retain 100 percent f the savings available thrugh the 340B prgram, allwing them t expand health care services and prgrams that benefit the entire cmmunity and supprting the state s gal f ensuring Medi-Cal beneficiaries have access t high quality services. The Affrdable Care Act (ACA) amended the MDRP by requiring manufacturers t prvide rebates fr drugs dispensed t individuals enrlled in MCPs 2, but specifically excluded 340B MCP drugs frm the rebate requirements 3. Thus, 340B MCP drugs are nt eligible fr rebates. This means that the duplicate discunt prvisin in the 340B statute des nt apply t 340B MCP drugs, because that prvisin nly applies t 340B drugs that are subject t rebates. In sum, states have n authrity t cllect rebates n 340B MCP claims. Hwever, the 340B statute prtects manufacturers frm being subject t bth a Medicaid rebate and a 340B prgram discunt n 340B drugs that are subject t payment f a Medicaid rebate. The relevant prvisin states that a prvider shall nt purchase a drug thrugh the 340B prgram that is subject t the payment f a rebate t the state. 4 This language applies t 340B fee-fr-service (FFS) claims, as the statute des nt exempt these claims frm the states rebate eligibility. Thus, cvered entities have an bligatin t fllw the U.S. Department f Health and Human Services Secretary s guidance fr preventing duplicate discunts fr FFS claims. With this in mind, we recmmend amending the APL t clarify the federal differentiatin between FFS and MCP drugs as fllws: The 340B drug pricing prgram is a federal drug discunt prgram whereby drug manufacturers prvide utpatient drugs at a reduced rate t eligible cvered entities. Federal law prtects manufacturers frm being required t prvide bth the 340B discunt t a 340B cvered entity and a Medicaid drug rebate t the state (a duplicate discunt ). Cvered entities, as defined by the 340B drug pricing prgram, are prhibited frm seeking reimbursement n drug sales that are als eligible fr a Medicaid drug rebate. MCPs whse netwrks cntain, r have cntained, 1 Legislative Analyst Office The Gvernr s Medi-Cal Prpsal fr the 340B Drug Pricing Prgram (March 2018) 2 42 U.S.C. at 1396r-8(b)(1)(A). 3 Id. at 1396r-8(j)(1). 4 Id. at 256b(a)(5)(A)(i).
3 Page 3 cvered entities participating in as described by the 340B drug pricing prgram must ensure that rebate claims are prperly identified as such prir t submissin t DHCS as part f the MCP s encunter data reprt. This prper identificatin requirement is in place t avid requests fr duplicate discunts. In additin, the ACA amendment t the MDRP that allws states t cllect manufacturer rebates n MCP claims des nt expressly allw MCPs t cllect drug rebates. Therefre, we wuld recmmend the fllwing change t the APL: States became eligible t cllect rebates fr cvered utpatient drugs dispensed by Medi-Cal managed care rganizatins, including MCPs, became eligible t cllect drug rebates fr cvered utpatient drugs dispensed t Medi-Cal members with the March 23, 2010, passage f the Patient Prtectin and Affrdable Care Act (ACA). Claim-Level Identificatin f 340B Drugs The APL includes the fllwing reprting requirement fr drugs purchased thrugh the 340B prgram: Encunters utilizing 340B-purchased cvered utpatient drugs must be identified with the apprpriate indicatrs as utlined in the mst recent DHCS Cmpanin Guide fr X12 Standard File Frmat and Pst Adjudicatin Payer sheet 2.2 r 4.2 fr the Natinal Cuncil fr Prescriptin Drug Prgrams standard file frmat. Our understanding is that this requirement refers t the need fr cvered entities t apply a mdifier (UD fr physician administered claims and 20 fr pharmacy claims) t all drugs purchased thrugh the 340B prgram. In turn, the MCPs can identify thse claims n the encunter data files t ensure the state des nt claim a rebate. Assuming ur interpretatin is crrect, we cncur that this is a reliable way t avid duplicate discunts and we recmmend DHCS update the APL t cnvey this expectatin mre clearly. Absent such clarificatin, prviders wh are less familiar with the DHCS Cmpanin Guide fr X12 Standard File Frmat and Pst Adjudicatin Payer sheets may nt understand the expectatin. 340B Cntract Pharmacy Arrangements Existing federal laws allw a cvered entity, regardless f the availability f an in-huse pharmacy, t cntract with ne r mre licensed pharmacies t dispense 340B drugs t eligible patients, prvided the arrangement is in accrdance with all ther statutry 340B requirements. In additin, Health Resurces and Services Administratin (HRSA) guidance allws cntract pharmacies t dispense 340B-purchased drugs t Medicaid patients nly if the cvered entity, the cntract pharmacy, and the state Medicaid agency have established an arrangement t prevent duplicate discunts. As cnfirmed in a 2016 Office f Inspectr General reprt 5, the HRSA requirement fr an apprved three-way agreement nly applies t FFS drugs because it was develped befre the ACA expanded the MDRP t include MCP drugs. The APL appears t impse this requirement n 340B drugs dispensed t MCP patients, and implies that this requirement exists within the HRSA guidance and Califrnia Medicaid State Plan. Based n the OIG reprt, we disagree that there is a federal requirement that cvered entities have apprved three-way agreements in place prir t using cntract pharmacies t dispense 340B purchased drugs t MCP patients. 5 Office f Inspectr General - State Effrts t Exclude 340B Drugs frm Medicaid Managed Care Rebates (June 2016)
4 Page 4 In additin, SPA , Prescribed Drugs, has the fllwing requirement under sectin 7.c: A cntract pharmacy, under cntract with a 340B cvered entity described in Sectin 1927(a)(5)(B) f the Scial Security Act may nly use 340B drugs t dispense Medicaid prescriptins if the cvered entity, the cntract pharmacy, and the State Medicaid agency have established an arrangement t prevent duplicate discunts as utlined in the HRSA Final Ntice regarding Cntract Pharmacy Services published at 75 Fed. Reg (Mar. 5, 2010) and the details f that arrangement have been shared with HRSA. As nted abve, the HRSA requirements were published prir t the ACA expansin f the MDRP t include MCP drugs. Therefre, as cnfirmed by the OIG, the HRSA requirement and arguably the apprved SPA are nly applicable t FFS drugs. That said, we share DHCS desire t prevent duplicate discunts n 340B drugs dispensed thrugh cntract pharmacies t MCP patients and ffer the fllwing suggestins: As nted abve, the APL already requires that 340B entities and MCPs identify 340B claims using the apprpriate indicatrs. We recmmend that the same requirement apply t 340B drugs dispensed t MCP patients thrugh cntract pharmacies. This wuld eliminate the need fr a three-way agreement between the cvered entity, state and cntract pharmacy. MCPs culd cntractually require 340B cvered entities t cmply with their plicies and prcedures t prevent duplicate discunts. We recmmend that MCPs and 340B entities wrk tgether t identify any ther prcesses and prcedures that may be necessary t track claims apprpriately. Partnership HealthPlan f Califrnia has prven that these methds fr preventing duplicate discunts are effective, and has been using a mdel t flag 340B cntract pharmacy claims since We recmmend sharing the Partnership mdel bradly with ther MCPs and cvered entities that may be interested in adpting a similar system fr preventing duplicate discunts. In additin, we prpse striking the language belw, as the APL already requires 340B indicatrs that wuld prevent duplicate discunts: 340B Cntract Pharmacies On March 5, 2010, the Health Resurces and Services Administratin (HRSA), an agency f the U.S. Department f Health and Human Services, released the final rulemaking ntice regarding 340B Cntract Pharmacy Services. 6 Unless a cvered entity, 7 its cntracted pharmacies, and the state Medicaid agency have established an arrangement t prevent duplicate discunts, the ntice prhibits the cvered entity and its cntracted pharmacies frm allwing drugs purchased under the 340B prgram t be dispensed t Medicaid members. In additin, the ntice stipulates that the cvered entity must reprt t HSRA n any arrangement t prevent duplicate discunts. If the cvered entity des nt utilize cntract pharmacies, n such arrangement with the state Medicaid agency is required. Cnsistent with the abve HRSA ntice and the Califrnia Medicaid State Plan, the terms f the required arrangement must be frmalized in the MCP s plicies and prcedures apprved by DHCS prir t the MCP allwing r initiating a cntract pharmacy arrangement within its prvider netwrk. The MCP s cntract pharmacy plicies and prcedures must be submitted 6 Federal Register Vl. 75, N Cvered entity definitin is cdified in 42 U.S.C. 256b(a)(4) and is available at
5 Page 5 separate and apart frm any ther pharmacy r prvider netwrk related plicies and prcedures. Implementatin Timeline The 340B Drug Discunt Prgram is a lifeline fr vulnerable patients and lcal cmmunities. Califrnia hspitals and clinics are cmmitted t ensuring that the prgram s integrity is maintained and patients cntinue t have access t life-saving care. T that end, it is critical that DHCS allw ample time fr MCPs t update plicies and prcedures and ensure that all infrmatin systems have the infrastructure in place t accurately capture 340B drugs befre the encunter data is submitted t the state. We encurage DHCS t include an implementatin timeline in the APL that allws fr cllabrative dialgue between all stakehlders. We appreciate the pprtunity t prvide input n the draft APL, and lk frward t cntinued cllabratin n this imprtant tpic. If yu have any questins, r wuld like t schedule a time t meet abut this critical matter, please cntact Amber Ott at (916) Sincerely, Califrnia Hspital Assciatin Califrnia Assciatin f Public Hspitals and Health Systems Califrnia Children s Hspital Assciatin Califrnia Health+ Advcates District Hspital Leadership Frum Private Essential Access Cmmunity Hspitals, Inc. cc: Ms. Mari Cantwell, Chief Deputy Directr, Health Care Prgrams Ms. René Mllw, Deputy Directr, Health Care Benefits & Eligibility Mr. Nathan Nau, Chief, Managed Care Quality and Mnitring Divisin
State of Florida Department of Children and Families
State f Flrida Department f Children and Families Rick Sctt Gvernr Mike Carrll Secretary Request fr Applicatins #11H20GN1 ADDENDUM #001 Criminal Justice Mental Health and Substance Abuse (CJMHSA) Reinvestment
More informationLSU HEALTH SHREVEPORT NOTICE OF PRIVACY PRACTICES FOR PROTECTED HEALTH INFORMATION
LSU HEALTH SHREVEPORT NOTICE OF PRIVACY PRACTICES FOR PROTECTED HEALTH INFORMATION THIS NOTICE DESCRIBES HOW YOUR MEDICAL INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
More informationInpatient Rehab/LTLD Discharge Planning Practices Pre- and Post-Implementation Survey Results of TC LHIN Hospitals
Inpatient Rehab/ Discharge Planning Practices Pre- and Results f TC LHIN Hspitals 1.0 BACKGROUND The Patient Access and Flw Cmmittee f the GTA Rehab Netwrk develped a new resurce, Discharge Planning Guidelines
More informationQuincy University Grants Development & Management Guide
1 Quincy University Grants Develpment & Management Guide Intrductin The Office f University Advancement versees the grants prcess at Quincy University and is yur resurce fr seeking funding frm any external
More informationEnvironment, Health and Safety Policy Appendix B: Environment, Health and Safety Responsibilities
U f A Plicies and Prcedures On-Line (UAPPOL) Original Apprval Date: August 22, 2006 (frmerly a prcedure) Mst Recent Apprval Date: May 28, 2014 Parent Plicy: Envirnment, Health and Safety Plicy Envirnment,
More informationCMS Change Request User Guide. Required April 1, Consolo Services CMS Change Request 8358 User Guide P a g e 1
CMS Change Request 8358 User Guide Required April 1, 2014 Cnsl Services CMS Change Request 8358 User Guide P a g e 1 CMS Change Request 8358 Required April 1, 2014 User Guide Overview: CMS Change Request
More informationPractice Improvement Network (PIN) Project Application
Practice Imprvement Netwrk (PIN) The Practice Imprvement Netwrk (PIN) The PIN is the utpatient, ambulatry netwrk f the Quality Imprvement Innvatin Netwrks (QuIIN). As QuIIN evlved frm a netwrk f practicing
More informationDenver Public Schools. Financial Services. Financial Services Manual. Grants
Denver Public Schls Financial Services Financial Services Manual Grants Table f Cntents Grants... 3 Prcedures GRC Website... 3 Step by Step Guide... 4 Federal Grants... 7 Title I... 7 Title II... 8 Time
More informationIHSS In Home Support Services
IHSS In Hme Supprt Services What is IHSS? The IHSS prgram is a statewide mandated prgram administered by each cunty under the directin f the Califrnia Department f Scial Services. It prvides thse with
More informationMedicaid Redesign Team Update and Next Steps
Redesign Medicaid in New Yrk State Medicaid Redesign Team Update and Next Steps Significant Prgress, Lts Still t Be Dne July 10, 2013 United Hspital Fund Jasn A. Helgersn, Medicaid Directr NYS Department
More informationPRIVACY IMPACT ASSESSMENT (PIA) For the
PRIVACY IMPACT ASSESSMENT (PIA) Fr the Medical Bards Online Tracking System (MEDBOLTS) Department f the Navy - TMA DHP Funded System SECTION 1: IS A PIA REQUIRED? a. Will this Department f Defense (000)
More informationCommunity Development Small Grants Fund. Guidelines 2018
Cmmunity Develpment Small Grants Fund Guidelines 2018 This fund is pen t charitable nt-fr-prfit cmmunity welfare grups whse primary clientele cme frm within Palmerstn Nrth City Cuncil (PNCC) bundaries.
More informationSmart Energy GB in Communities Fund Small grants. Grant Guidelines May 2016
Smart Energy GB in Cmmunities Fund Small grants Grant Guidelines May 2016 0 What can I d nw? Befre yu apply fr funding make sure yu have lked at the free resurces available. Yu can start using these immediately.
More informationOLTL Transition Plan CMS HCBS Regulations. Introduction
OLTL Transitin Plan CMS HCBS Regulatins Intrductin New Centers fr Medicare and Medicaid Services (CMS) rules utlined at 42 CFR 441.301(c)(4) require public cmment n any new 1915(c) waivers, waiver renewals
More informationKansas Paralegal Association's Code of Ethics and Professional Responsibility
Kansas Paralegal Assciatin's Cde f Ethics and Prfessinal Respnsibility PREAMBLE: Kansas Paralegal Assciatin ("KPA") is a prfessinal rganizatin frmed t: (1) prmte and maintain high standards in the Paralegal
More informationA Plan to Transform the Empire State s Medicaid Program. 2013: The Year Ahead in Medicaid Redesign
Redesign Medicaid in New Yrk State A Plan t Transfrm the Empire State s Medicaid Prgram 2013: The Year Ahead in Medicaid Redesign May 17, 2013 Jasn A. Helgersn, Medicaid Directr NYS Department f Health
More informationWORKFORCE IMPLEMENTATION GUIDANCE (WIG) LETTER RELEASE OF GEORGIA LWDA STRATEGIC PROGRAMMING GRANTS
WORKFORCE IMPLEMENTATION GUIDANCE (WIG) LETTER DATE: December 16, 2015 NO: TO: FROM: SUBJECT: WIG GA-15-006 LOCAL WORKFORCE SYSTEM STAKEHOLDERS ODIE DONALD, WIOA Services Directr RELEASE OF GEORGIA LWDA
More informationWHAT IS CAL MEDICONNECT? Cal MediConnect is a health plan that combines all of the benefits you now get from Medicare and Medi-Cal into a single plan.
Last updated: 3/8/2016 5:25 PM DO YOU HAVE BOTH MEDICARE AND MEDI-CAL? Intrductin If s, yu may be eligible t jin a Cal MediCnnect health plan. WHAT IS CAL MEDICONNECT? Cal MediCnnect is a health plan that
More informationGRANT APPLICATION. Sustainable Agricultural Land Strategy Grants SUSTAINABLE AGRICULTURAL LANDS CONSERVATION PROGRAM
SUSTAINABLE AGRICULTURAL LANDS CONSERVATION PROGRAM Sustainable Agricultural Land Strategy Grants GRANT APPLICATION Strategic Grwth Cuncil Califrnia Natural Resurces Agency Califrnia Department f Cnservatin
More informationDOCUMENT TITLE: Clarification of Bureau of Primary Health Care Credentialing and Privileging Policy outlined in Policy Information Notice
2002-22 DATE: July 10, 2002 DOCUMENT TITLE: Clarificatin f Bureau f Primary Health Care Credentialing and Privileging Plicy utlined in Plicy Infrmatin Ntice 2001-16 TO: Cmmunity Health Centers Migrant
More informationAppendix I Provider of Last Resort Procurement Plan FY 2005
Appendix I Prvider f Last Resrt Prcurement Plan FY 2005 PROVIDER OF LAST RESORT PROCUREMENT PLAN FY 2005 Lubbck Reginal Mental Health Mental Retardatin Center I. Backgrund II. III. IV. CONTENTS Ntificatin:
More informationSeptember 26, Dear Chairman Tiberi:
September 26, 2017 United States Huse f Representatives Cmmittee n Ways & Means 1102 Lngwrth Huse Office Building Washingtn D.C. 20515 WMPrviderFeedback@mail.huse.gv Dear Chairman Tiberi: Thank yu fr the
More informationSlowing Ohio s Medicaid Per Capita Spending - Progress to Date
Slwing Ohi s Medicaid Per Capita Spending - Prgress t Date January 2017 Since the creatin f the Jint Medicaid Oversight Cmmittee (JMOC) in May 2014, with its fcus n lwering health care csts and imprving
More informationAppendix B: Welcome Baby: Summary of Job Responsibilities for Key Personnel
Appendix B: Welcme Baby: Summary f Jb Respnsibilities fr Key Persnnel Prgram Management Staff Prject Directr (suggested qualificatins include: B.A. r Masters level in Public Health, Public Administratin
More informationResponse to Recommendations in Report: Salt Spring Island Health Services Review
Respnse t Recmmendatins in Reprt: Salt Spring Island Health Services Review The Salt Spring Island Health Services Review was cmmissined by Island Health (Vancuver Island Health Authrity) in Nvember 2009.
More informationFollow-up on Recommendations from the 10/15/14 Stakeholder Workgroup
L.A. COUNTY COORDINATED CARE INITIATIVE (CCI) Stakehlder Wrkgrup AGENDA Nvember 12, 2014; 1-3p.m. Cathedral f Our Lady f the Angels 555 West Temple Street, Ls Angeles, CA 90012 Cnference Rms 6, 7 & 8 1:00-1:05pm
More informationMUNICIPAL EMPLOYMENT INCENTIVE PROGRAM (MEIP)
This dcument cntains bth infrmatin and frm fields. T read infrmatin, use the Dwn Arrw frm a frm field. NIAGARA GATEWAY ECONOMIC ZONE COMMUNITY IMPROVEMENT PLAN MUNICIPAL EMPLOYMENT INCENTIVE PROGRAM (MEIP)
More informationChanges in the Scope of Practice Environment for Nurse Practitioners in Michigan
Changes in the Scpe f Practice Envirnment fr Nurse Practitiners in Michigan It has been an exciting and interesting year in the plicy wrld fr NP practice in Michigan. The changes that have ccurred happened
More informationGRANT GUIDELINES FOR ORGANIZATIONS 2017 CYCLE
GRANT GUIDELINES FOR ORGANIZATIONS 2017 CYCLE SUBMISSION DEADLINE Thursday, March 30, 2017 at 5:00 PM GRANTS PROGRAM OVERVIEW CultureWrks missin is t drive a vibrant cmmunity by inspiring, enabling and
More informationFrequently asked questions about health identifiers August 2015
Frequently asked questins abut health identifiers August 2015 1 P a g e Questins abut individual health identifiers What is an individual health identifier r IHI? An individual health identifier r IHI
More informationABI Forum of the CT Community Nonprofit Alliance
Date: January 16, 2017 ABI Frum f the CT Cmmunity Nnprfit Alliance T: The Hnrable Representative Abercrmbie Frm: Julia Wilcx, Senir Public Plicy Specialist, CT Cmmunity Nnprfit Alliance (The Alliance)
More informationApplication. Community Health Excellence (CHE) Grant Program
Cmmunity Health Excellence (CHE) Grant Prgram 2017 2018 Applicatin A cmpleted applicatin must be submitted by July 30, 2017, and must include: A cmpleted Applicatin Cver Sheet and Narrative A cmpleted
More informationResidential Mental Health Treatment for Children and Adolescents
Residential Mental Health Treatment fr Children and Adlescents Requirement: Frequency: Due Date: Chapter 394, F.S. Sectin 39.407, F.S. Fla. R. Juv. P. 8.350 Chapter 65E-9, F.A.C. Chapter 65E-10, F.A.C.
More informationLearning Together From Safeguarding Adult Reviews
Learning Tgether Frm Safeguarding Adult Reviews Key findings and learning utcmes frm the recent Safeguarding Adult Review cncerning Adult A Adult A: The East Sussex Safeguarding Adults Bard (SAB) recently
More informationNOTE: The first appearance of terms in bold in the body of this document (except titles) are defined terms please refer to the Definitions section.
TITLE ACCESS TO A DESIGNATED LIVING OPTION IN CONTINUING CARE SCOPE Prvincial DOCUMENT # HCS-117 APPROVAL LEVEL Alberta Health Services Executive Leadership Team SPONSOR Vice President Prvince-Wide Clinical
More informationMedical Assistance in Dying: Update Stakeholder Presentation
Medical Assistance in Dying: Update Stakehlder Presentatin Ministry f Health and Lng-Term Care and Ministry f the Attrney General Week f August 1, 2016 Implementatin Questins: What We Heard Frm Yu 1. Reprting:
More informationCHAPTER 6 NETWORK REQUIREMENTS
CHAPTER 6 NETWORK REQUIREMENTS 6.1 CREDENTIALING AND RECREDENTIALING APPLICATION PROCESS Once it has been determined that credentialing is needed, requests can be emailed t the Health Chice Integrated
More informationBoston University. Advocate Applicant Information Packet Spring Tony Kushner
Bstn University The wrld is calling; heal the wrld and in the prcess heal yurself, find the human in yurself by finding the citizen, the activist, the her. Tny Kushner Advcate Applicant Infrmatin Packet
More informationPosition Statement on Managed Care
Psitin Statement n Managed Care The Cuncil n Cathlic Healthcare f the Michigan Health and Hspital Assciatin I. Intrductin In this Psitin Statement, the Cuncil n Cathlic Healthcare f the Michigan Health
More informationCOMMUNITY FOUNDATION OF BOONE COUNTY 2018 Competitive Grant Guidelines
COMMUNITY FOUNDATION OF BOONE COUNTY 2018 Cmpetitive Grant Guidelines Histry and Missin The Cmmunity Fundatin f Bne Cunty (CFBC) was funded in 1991 with gifts frm individuals, families, businesses, rganizatins
More informationQuality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario
Quality Imprvement Plan (QIP) Narrative fr Health Care Organizatins in Ontari 2/7/2016 This dcument is intended t prvide health care rganizatins in Ontari with guidance as t hw they can develp a Quality
More informationGuidance on Superintendent Evaluation
Guidance n Superintendent Evaluatin The superintendent evaluatin is ne f the bard s mst imprtant tasks. It is directly cnnected t the bard s respnsibility fr versight and setting directin fr the district.
More informationInstructions. Important Dates. Application Deadline: May 15, 2013 at 5:00 p.m. Grant Awards Announced: July 15, 2013
Instructins Imprtant Dates Applicatin Deadline: May 15, 2013 at 5:00 p.m. Grant Awards Annunced: July 15, 2013 Prject Cmpletin: December 31, 2014 CONTACT: Lancaster Cunty Cnservancy Fritz Schreder PO Bx
More informationOriginal Date: January 27, 2010 Reviewed/Last Modified Date: September 15, 2015
Hme and Cmmunity Care - Feedback Reprting Prcess: Cmplaints, Cmpliments and Inquiries Manual: Administratin Sectin: Risk and Safety Management Subsectin: Original Date: January 27, 2010 Reviewed/Last Mdified
More informationVoluntary Pre-Offer Self-Identification of Protected Veteran Status
Vluntary Pre-Offer Self-Identificatin f Prtected Veteran Status This emplyer is a Gvernment cntractr subject t the Vietnam Era Veterans' Readjustment Assistance Act f 1974, as amended by the Jbs fr Veterans
More informationMIPS Improvement Activities Performance Category
MIPS Imprvement Activities Perfrmance Categry The Imprvement Activities cmpnent is ne f the fur Merit-Based Incentive Payment System (MIPS) perfrmance categries under which participating MIPS eligible
More informationUse of Fixed Term Contracts within. This document is intended to support managers and staff understand the use of fixed term contracts
Name Use f Fixed Term Cntracts Summary This dcument is intended t supprt managers and staff understand the use f fixed term cntracts Target audience All staff Versin number 1 PIN plicy Use f Fixed Term
More informationCritical Access Behavioral Health Agency (CABHA) UPDATE
Critical Access Behaviral Health Agency (CABHA) UPDATE Jint Legislative Oversight Cmmittee n MH/DD/SAS April 14, 2010 Michael Watsn Assistant Secretary fr MH/DD/SAS Develpment Department f Health and Human
More informationBulletin. Required Activity: Admission to Medicaid-Certified Nursing Facilities and 90-day Redetermination TOPIC PURPOSE CONTACT SIGNED
Bulletin NUMBER #17-25-06 DATE August 7, 2017 OF INTEREST TO Cunty Directrs Scial Services Supervisrs and Staff Tribal Health Directrs Lng Term Care Cnsultatin Cntacts Nursing Facility Prviders Hspital
More informationTRAINING PLAN FOR STEM OPT STUDENTS
1 CmpletingtheFrmI983 TRAININGPLANFORSTEMOPTSTUDENTS Science, Technlgy, Engineering & Mathematics (STEM) Optinal Practical Training (OPT) STEMOPTstudentsandtheiremplyersaresubjecttthetermsftheFrmI983,TrainingPlanfr
More informationSERVICES COVERED BY PHP FamilyCare
SERVICES COVERED BY PHP FamilyCare PHP FamilyCare cvers the same services that Medicaid des. Cverage is nt available unless the service is medically necessary. Cverage is als nt available unless the service
More informationOur Epic Project Frequently Asked Questions
Our Epic Prject Frequently Asked Questins What is EPIC? EPIC is a state-f-the art integrated infrmatin system that cmbines all available patient infrmatin in a single database t imprve all caregivers ability
More informationSCHEDULE 2 THE SERVICES
SCHEDULE 2 THE SERVICES A. Service Specificatins Mandatry headings 1 4. Mandatry but detail fr lcal determinatin and agreement Optinal headings 5-7. Optinal t use, detail fr lcal determinatin and agreement.
More informationYOUTH What is Heads Up Football? What are the benefits of a youth football organization adopting Heads Up Football?
YOUTH What is Heads Up Ftball? Heads Up Ftball is a USA Ftball rganizatinal membership prgram designed t create a better, safer game. Key cmpnents f this prgram include caches cmpleting the nly natinally
More informationGuidelines for Analysis of Credentials to be Included on COOL
Guidelines fr Analysis f Credentials t be Included n COOL Relatedness Determinatin Guidelines Relatedness Determinatin (RD) refers t the identificatin f certificatins relevant t a Navy rating/designatr/ccupatin.
More informationTerminating the Provider- Patient Relationship. Provided by Coverys Risk Management
Terminating the Prvider- Patient Relatinship Prvided by Cverys Risk Management Terminating the Prvider-Patient Relatinship What s the Risk? An allegatin f abandnment may be brught against a prvider if
More informationAdministration of First Aid Policy
Administratin f First Aid Plicy First aid can save, and lives prevent minr injuries r illnesses frm becming majr. The ability t prvide prmpt basic first aid is particularly imprtant in the cntact f an
More informationON THE ISSUES: MEDICAID AND DEMENTIA
ON THE ISSUES: MEDICAID AND DEMENTIA Mre than 5.5 millin peple in the United States are living with Alzheimer s disease r anther frm f dementia. Nearly 25 percent f these individuals receive care thrugh
More informationCOMMUNITY PHARMACY WARFARIN SERVICE Community Pharmacy Anti-coagulation Management (CPAM) Service
COMMUNITY PHARMACY WARFARIN SERVICE Cmmunity Pharmacy Anti-cagulatin Management (CPAM) Service Intrductin INFORMATION FOR GENERAL PRACTICE In cuntries such as the UK, Australia, Canada and USA anticagulant
More informationReview of Transitional Support Services at Bellwoods: Community Connect Program
Review f Transitinal Supprt Services at Bellwds: Cmmunity Cnnect Prgram Presented by: Lri Hllway, CEO Cpyright 2017 Bellwds Centres fr Cmmunity Living Inc. All rights reserved 4 Bellwds Experience Backgrund,
More informationPOLICY ON NURSE PRESCRIBING OF MEDICAL IONISING RADIATION 1
POLICY ON NURSE PRESCRIBING OF MEDICAL IONISING RADIATION 1 Versin Number V1 Date f Issue July 2016 Reference Number Review Interval Apprved By Name: Dr. Rachel Byrne Title: Cnsultant Radilgist Authrised
More informationEMPLOYEE INNOVATION GRANTS (EIG)
EMPLOYEE INNOVATION GRANTS (EIG) The Center fr Innvatin supprts creative excellence and celebrates ideas that inspire change, transfrmatin and prfessinal develpment fr all SLCC emplyees. Emplyee Innvatin
More informationMilitary Medical Student Association (MMSA) Constitution
Military Medical Student Assciatin (MMSA) Cnstitutin Article 1: Name Military Medical Student Assciatin (MMSA) Article 2: Purpse a) Its primary missin is t supprt current military cntract students by:
More informationMedical Conditions Policy
Lxtn Preschl Centre Medical Cnditins Plicy Medical Cnditins Plicy NQS QA2 2.1.1 Each child s health needs are supprted. 2.1.4 Steps are taken t cntrl the spread f infectius diseases and t manage injuries
More informationPAPER FOR NHS LUTON COMMUNITY SERVICES BOARD MEETING HELD ON 21 ST APRIL 2010
PAPER FOR NHS LUTON COMMUNITY SERVICES BOARD MEETING HELD ON 21 ST APRIL 2010 TITLE AUTHOR(S) PRESENTED BY DIRECTOR S SIGNATURE PURPOSE/ SUMMARY DECISION REQUIRED Standards fr Better Health & CQC Registratin
More informationState/City Specific Statutory Earned Sick Time Provision Policy for Store, Regional Office and DC Field Hourly Team Members
State/City Specific Statutry Earned Sick Time Prvisin Plicy fr Stre, Reginal Office and DC Field Hurly Team Members NOTE: If yu d nt wrk in a lcatin with a state r city specific Sick Pay law, please refer
More informationDoD Plain Writing Act Compliance Report April 13, 2018
DD Plain Writing Act Cmpliance Reprt April 13, 2018 This reprt utlines the prgress twards implementing the Plain Writing Act f 2010 within the DD. Please check back fr updates. I. Senir Agency Official
More informationEngaging in End of Life Conversations with Patients and Families: A Four Part Series
Engaging in End f Life Cnversatins with Patients and Families: A Fur Part Series Part One: General Explratin f End f Life Optins We receive training and build skills thrughut ur careers that allw us t
More informationResident Assistant Application
Resident Assistant Applicatin We are excited that yu have decided t apply t be a Resident Assistant (RA). It is a unique pprtunity t wrk with diverse grups f students and be actively invlved n the Queens
More informationConference Grants Program
Cnference Grants Prgram Spencer Fundatin Web: https://www.spencer.rg/ Email: cnferences@spencer.rg Twitter: @Spencer_Fdn Spencer Fundatin The Fundatin is cmmitted t supprting highquality investigatin f
More informationInstitutional Policy Manual
Institutinal Plicy Manual Drug Diversin Reprting and Respnse Cntent Applies t Arizna, Flrida, Rchester Scpe Arizna, Flrida, Rchester Purpse T prvide guidelines fr the identificatin, reprting, and investigatin
More informationBarnett Wood Pre-School. Medication Policy and Procedure
Barnett Wd Pre-Schl Medicatin Plicy and Prcedure Cntents: Our Aim General Pints Our Prcedures Prescriptin Medicatin Strage f Medicatin Outings and Trips Nn-prescribed Medicatin Self-held Medicatin Prir
More informationEach Home Instead Senior Care franchise office is independently owned and operated Home Instead, Inc.
Each Hme Instead Senir Care franchise ffice is independently wned and perated. 2010 Hme Instead, Inc. The nrmal aging prcess, which may invlve sensry lss, decline in memry, and slwer prcessing f infrmatin
More informationAcademic Health Center Mayo Mail Code Delaware Street SE, Minneapolis, MN nexusipe.
Academic Health Center May Mail Cde 501 420 Delaware Street SE, Minneaplis, MN 55455 612-625-3972 nexusipe@umn.edu nexusipe.rg Natinal Center fr Interprfessinal Practice and Educatin Nexus Summit 2017:
More informationLOGISTICS SECTION CHIEF
Missin: Organize and direct the service and supprt activities needed t ensure the material needs fr the hspital s respnse t an incident are available when needed. Psitin Reprts t: Incident Cmmander Cmmand
More informationLEVEL OF CARE GUIDELINES: TARGETED CASE MANAGEMENT AND INTENSIVE CASE MANAGEMENT FLORIDA MEDICAID MMA
OPTUM LEVEL OF CARE GUIDELINES: TARGETED CASE MANAGEMENT INTENSIVE CASE MANAGEMENT FLORIDA MEDICAID MMA LEVEL OF CARE GUIDELINES: TARGETED CASE MANAGEMENT INTENSIVE CASE MANAGEMENT FLORIDA MEDICAID MMA
More informationSIVB Learning Session 1. Patient and Family Perspectives and their connection to Increasing the Vaginal Birth Rate
SIVB Learning Sessin 1 Patient and Family Perspectives and their cnnectin t Increasing the Vaginal Birth Rate The Assignment: Patients cme t ur units t deliver their babies with a range f needs, expectatins,
More informationYolo County Homeless and Poverty Action Coalition (HPAC)
Yl Cunty Hmeless and Pverty Actin Calitin (HPAC) FY 2017 Emergency Slutins Grant (ESG): Lcal Cmpetitin Timeline and Selectin Prcess Adpted June 9, 2017 Tentative Lcal Emergency Slutins Grant (ESG) Cmpetitin
More informationSOUTHAMPTON UNIVERSITY HOSPITALS NHS TRUST Trust Key Performance Indicators December Regular report to Trust Board
SOUTHAMPTON UNIVERSITY HOSPITALS NHS TRUST Trust Key Perfrmance Indicatrs December 2010 Reprt t: Trust Bard 31 January 2011 Reprt frm: Spnsring Executive: Aim f Reprt / Principle Tpic: Review Histry t
More informationGovernment of Ontario IT Standard (GO-ITS) GO-ITS Number 56.5 OPS Grants Management Reference Model
Gvernment f Ontari IT Standard (GO-ITS) GO-ITS Number 56.5 OPS Grants Management Reference Mdel Versin #: 2.4 Status: Apprved Prepared fr the Infrmatin Technlgy Standards Cuncil (ITSC) under the delegated
More informationFAQs: ARC PARTICIPATION & ELIGIBILITY CRITERIA
FAQs: ARC PARTICIPATION & ELIGIBILITY CRITERIA TOGETHER FOR DEVELOPMENT One UN Plaza DC1-16 Flr New Yrk NY 10017 T +1 212 906 6924 undg.rg FREQUENTLY ASKED QUESTIONS ARC PARTICIPATION & ELIGIBILITY CRITERIA
More informationPillars of Quality: The University of California at a Crossroads
Pillars f Quality: The University f Califrnia at a Crssrads Executive Vice President Nathan Brstrm Senir Vice President Daniel M. Dley Vice President Patrick J. Lenz March 29, 2012 A snapsht f UC in 2012
More informationRegional Sports and Recreation Grants Programme Application Guidelines
Reginal Sprts and Recreatin Grants Prgramme Applicatin Guidelines Aucklanders: mre active, mre ften Auckland ffers sprt and recreatin pprtunities withut equal in the suthern hemisphere which inspire and
More informationNOTE: The first appearance of terms in bold in the body of this document (except titles) are defined terms please refer to the Definitions section.
TITLE MANAGEMENT OF PATIENT S OWN MEDICATIONS SCOPE Prvincial APPROVAL AUTHORITY Clinical Operatins Executive Cmmittee SPONSOR Prvincial Medicatin Management Cmmittee PARENT DOCUMENT TITLE, TYPE AND NUMBER
More informationBehavioral Health Community Partners. May 2018
Behaviral Health Cmmunity Partners May 2018 Assciatin fr Behaviral Healthcare (ABH) 2 Wh We Are ABH is a statewide assciatin representing 85+ cmmunity-based mental health and addictin treatment prvider
More informationYes, USERRA Applies to 12304b Duty
LAW REVIEW 17110 1 Nvember 2017 Yes, USERRA Applies t 12304b Duty By Captain Samuel F. Wright, JAGC, USN (Ret.) 2 Update n Sam Wright 1.1.3.1 USERRA applies t vluntary service 1.1.3.3 USERRA applies t
More informationWe believe that creative and sustainable solutions come from people who work in partnership to address common needs and aspirations.
Cmmunity Grants Guidelines Revised Nvember 2014 Prgram Gals The Cmmunity Grants Prgram is a bradly accessible, respnsive statewide grants prgram. Its lng-term gals are t strengthen the scial fabric f ur
More informationJune 18, RE: Policy Priority Areas to Combat the Opioid Epidemic. Dear Chairman Alexander and Ranking Member Murray:
June 18, 2018 The Hnrable Lamar Alexander Chairman United States Senate Cmmittee n Health, Educatin, Labr, and Pensins 455 Dirksen Senate Office Building Washingtn, DC 20510 The Hnrable Patty Murray Ranking
More informationBuilding Capacity for Transformation Region 7 IDN Executive Summary
Building Capacity fr Transfrmatin Regin 7 IDN Executive Summary Backgrund Nrth Cunty Health Cnsrtium (NCHC) is the Administrative Lead Agency fr Regin 7 Integrated Delivery Netwrk (IDN), which cvers all
More informationARKANSAS. Recent news, pending action: Medicaid law and regulations: From Telemedicine for CSHCN: A State- by- State
ARKANSAS State Recent news, pending actin: Medicaid law and regulatins: fr CSHCN: A State- by- State Cmparisn f Medicaid Plicies and Title V Activities (2005) prepared by Cnnectins fr Children and Yuth:
More informationA Grant Program for Neighborhood Residents
Lve My Neighbr! Example Grant Applicatin A Grant Prgram fr Neighbrhd Residents At Neighbrhd Allies, we believe n ne knws ur cmmunities as well as thse wh live in them. If yu are a resident and have an
More informationCLINICAL PLACEMENT SHIFT and ROSTERING GUIDELINES: Nursing and Midwifery
Faculty f Health and Behaviural Sciences SCHOOL OF Nursing, Midwifery &Scial Wrk CLINICAL PLACEMENT SHIFT and ROSTERING GUIDELINES: Nursing and Midwifery General Infrmatin fr Students All clinical sites
More informationPlans in Progress: CHCF Payer-Provider Partnerships for Palliative Care December 2015
Plans in Prgress: CHCF Payer-Prvider Partnerships fr Palliative Care December 2015 While health care prvider rganizatins, payers, and the health plicy cmmunity increasingly recgnize the deficiencies in
More informationCALL FOR ABSTRACTS. Overview of Summit Themes. Skills-Based Workshops
CALL FOR ABSTRACTS Submissin will pen January 26, 2018 Submissin deadline is March 6, 2018 Presenters will be ntified April 6, 2018 Overview f Summit Themes Nexus Summit 2018 brings tgether a grwing cmmunity
More informationUSF GME - Moonlighting Privileges Request July1, 2018 June 30, 2019
USF GME - Mnlighting Privileges Request July1, 2018 June 30, 2019 Achieving the gals and bjectives f the educatinal prgram must be the highest prfessinal respnsibility f the huse fficer. Mnlighting is
More informationTHE FOX THEATRE INSTITUTE
THE FOX THEATRE INSTITUTE GRANT DESCRIPTION This grant is designed t cmplete prjects and develp cmmunity-wide participatin at the lcal level. Als knwn as the brick and mrtar grant, this annual basis grant
More informationAGENCY NAME - Crisis Stabilization Services
AGENCY NAME - Crisis Stabilizatin Services Prgram Statement Crisis stabilizatin services are prvided t children and adlescents ages 6-17 that have symptms and current presentatin that requires skilled
More informationChampions for Healthy Kids Grants
Champins fr Healthy Kids Grants 2015-2016 Champins fr Healthy Kids Grants Nw Available! $1 Millin Champins fr Healthy Kids grants available t nnprfit rganizatins fr prgrams perating June 1, 2015-May 31,
More informationResident Assistant Application
Resident Assistant Applicatin 2017-2018 We are excited that yu have decided t apply t be a Resident Assistant (RA). It is a unique pprtunity t wrk with diverse grups f students and be actively invlved
More informationSecure Blue (PPO) 2016 Evidence of Coverage. January 1 December 31, 2016
Secure Blue (PPO) 2016 Evidence f Cverage January 1 December 31, 2016 Yur Medicare Health Benefits and Services Cverage as a Member f Secure Blue (PPO) This bklet gives yu the details abut yur Medicare
More information