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October 3, 2013 Edition
clientuploads/2013 Images/SysAdmin/campaign_bug_OUTREACH.png NYS HEALTH PLAN MARKETPLACE NEWS

Open Enrollment for New York State of Health Has Begun!
Open enrollment for NY State of Health, the State’s new health plan marketplace, has begun! New York’s Federally Qualified Health Centers (FQHCs) are ready to assist.  They have long been preparing, supported by funds awarded earlier this year by President Obama’s administration, to hire new staff and implement new programs in order to provide personalized enrollment assistance to the nearly 1.1 million New Yorkers expected to seek coverage through the marketplace. read more >>

Fair Labor Standards Act Requires Notice to Employees Regarding Coverage Options 
Section 18B of the Fair Labor Standards Act requires employees to be notified of health insurance coverage options being made available to them via the state’s health plan marketplace. The United States Department of Labor has released guidance regarding this notice requirement, including a model notice form that employers can use. read more >>

NYSDOH Releases New Administrative Directive on Medicaid Eligibility Changes under the Affordable Care Act
On September 25, 2013, the New York State Department of Health (NYSDOH) released 13ADM-03: Medicaid Eligibility Changes under the Affordable Care Act (ACA) of 2010. This Administrative Directive advises districts of expanded Medicaid coverage under the ACA, a new method for counting household income based on modified adjusted gross income (MAGI), Medicaid benefits under the ACA, and Medicaid enrollment in New York's Health Benefit Exchange. read more >>

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The Government Shutdown: Where to Go for More Information 
Due to the inability of the Senate and the House to agree upon the terms of the Continuing Resolution necessary to maintain funding, the U.S. federal government has been shut down since midnight on Monday, September 30.  At this time, it is unclear how long the shutdown will last. CHCANYS recommends checking the following links regularly... read more >>

CMS Issues Proposed Rule to Establish Medicare Prospective Payment System for FQHCs
On Wednesday, September 18th, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to establish a Medicare prospective payment system (PPS) for Federally Qualified Health Centers (FQHCs), as outlined in the Affordable Care Act. The new payment system, scheduled to begin on October 1, 2014, would increase Medicare payments to these health centers by approximately 30%... read more >>

Ordering/Referring Editing Implementation Delayed Until January 1
The October 1, 2013 implementation of new claims editing requiring Medicaid enrollment for ordering, prescribing, referring, and attending (OPRA) physicians and healthcare professionals has been delayed until January 1, 2014. 
The extended implementation will allow for more time for OPRA providers to request and obtain enrollment. Providers who have submitted enrollment applications will be notified by letter when a determination has been made or if the...  read more >>

FIDA Demonstration FAQs Now Available
The Fully Integrated Duals Advantage (FIDA) Demonstration Frequently Asked Questions (FAQ) document is now available on the NYSDOH website. This document responds to questions that are not addressed in other Fully Integrated Duals Advantage (FIDA) Demonstration materials posted on the MRT website, including webinars, presentations... read more >>

New York State of Oral Health: A Virtual Conference
This week of events, or virtual conference, will provide informational sessions for a wide variety of community partners, oral health and medical practitioners and health departments about new initiatives, best practices and the latest research on oral health. 
Sponsored by: the Schuyler Center for Analysis and Advocacy (SCAA), the NYS Department of Health and the NYS Oral Health Coalition.  read more >>

Poster Contest Deadline Extended Through December
The deadline for CHCANYS’ Poster Contest has been extended until Friday, December 20 in order to ensure that as many health center advocates as possible have an opportunity to participate. With mandatory Affordable Care Act funding for the Health Centers program soon coming to an end, it critical that we do everything we can to make sure... read more >>

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HRSA Releases PAL 2013-10: Look-Alike Program Update: On-Site Compliance Reviews for Initial Designation and Designation Period Changes
The purpose of Program Assistance Letter (PAL) 2013-10 is to communicate changes to the Health Resources and Services Administration (HRSA) look-alike initial designation application review process. The PAL outlines the changes in the steps to be taken prior to official Look-Alike designation. read more >>

NACHC to Host New Managed Care Contracting Webinar Series
NACHC, in partnership with experts from Feldesman Tucker Leifer Fidell LLC, will offer a five-part webinar series in February/March 2014 on Managed Care Contracting in order to provide community health centers with the tools necessary to conduct successful contract negotiations. Topics to be discussed include The Health Center Perspective on the State of Managed Care, Problematic Provisions and Reimbursement Issues in Managed Care, Easily Overlooked Clauses in Managed Care Agreements, Transitioning... read more >> 

New York State Medicaid Update
The Office of Health Insurance Programs of the New York State Department of Health has approved the release of the September 2013 Medicaid Update. Click here to access it.

NACHC Offers New Risk Management Resource
A new risk management tool entitled Contract Terms to Minimize Risks: A Guidance Series for Common Health Center Agreements is now available through NACHC. Written by legal experts at Feldesman Tucker Leifer Fidell LLC, the series addresses 14 common kinds of agreements and includes recommended terms and examples of contract language for each, along with checklists of considerations... read more >> 

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Free Training for People Living with HIV/AIDS
The Leadership Training Institute’s Self-Management Training is an interactive, informative three-day training for people living with HIV/AIDS (PWHA). It is led by HIV+ trainers in a confidential and safe environment and is free to all PWHA who live in New York State and are over the age of 18. read more >>

NYSHealth Launches 2014 Special Projects Fund Request for Proposals
The New York State Health Foundation’s (NYSHealth) 2014 Special Projects Fund Request for Proposals (RFP) is now available. Applicants must submit an online inquiry form to determine whether a proposed project fits the funding criteria. There are two deadlines for the online inquiry form: October 10, 2013 and April 10, 2014. read more >>

Training: Active Drug Users and HIV/HCV Retention in Care and Treatment Adherence
Sponsored by the New York State Department of Health AIDS Institute, this one-day training is designed to assist health and human services providers in promoting retention in care and treatment adherence with active substance users.  Providers who are aware of effective strategies for... read more >>

Third Annual New York Transgender Health Conference
Date: Friday, October 25, 2013; Time: 9:00 a.m.; Location: Pace University, 1 Pace Plaza, New York, NY. For questions regarding this event, please contact Luis Freddy Molano, MD, VP of HIV Programs & Services, Community Healthcare Network or Renato more >>

Center for Practice Innovations Releases Smoking Cessation Video 
"Becoming Tobacco Free,” a six-minute video released by the Center for Practice Innovations (CPI), features clips of mental health consumers discussing their journey to becoming tobacco free, the health benefits of quitting, tools to help think through the pros and cons of quitting, what to expect when quitting, and how to get help. read more >> 

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Register Today!  CHCANYS 2013 Statewide Conference and Clinical Forum
CHCANYS’ annual Statewide Conference and Clinical Forum is scheduled for October 27-29 in Saratoga Springs, NY and is geared to senior leaders, staff, board members and partners. Critical and timely national and state issues will be covered during the General Sessions. read more >>

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Influenza Reporting Requirements 
The New York State Department of Health (NYSDOH) will begin conducting enhanced surveillance for influenza starting the first week of October 2013 and will continue until May 2014.  NYSDOH requires all medical facilities to report influenza-related data through its Health Commerce...

Health Center Personnel Vaccination and Reporting Requirements
Per its New York Codes, Rules, and Regulations, Title 10, Section 2.59 (10 NYCRR Section 2.59), the New York State Department of Health (NYSDOH)  requires all health care facilities licensed under Articles 28, 36, or 40 to document and report the number and percentage of ... read more >>

CDC Vaccine Recommendations for the 2013-14 Influenza Season
In 2012, the CDC’s advisory committee on Immunization Practices published in the Morbidity and Mortality Weekly Report (MMWR 2012; 61:613-8) its recommendation that all persons aged 6 months or over receive at least a routine annual influenza vaccination. This recommendation remains in force for the current season. read more >> 

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Free NACHC Resource on the Modified HIPAA Rules from the HITECH Act of 2009
NACHC has announced the availability of a new, downloadable publication entitled, “HIPAA Omnibus Rule Information Bulletin,” which contains information needed in order to comply with the modified HIPAA Rules required by the HITECH Act of 2009 and the Genetic Information Nondiscrimination Act of 2008.  Covered entities, such as community health centers and their business associates, are now required to comply with... read more >>

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