Lance's Corner

HRSA Issues Regulatory Update

Apr 19, 2024

The United States Health Resources and Services Administration (HRSA) has issued an update on its regulatory activities.  You can read the complete HRSA regulatory update, with links to additional resources, below.

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April 19, 2024

HRSA Joins Secretary Becerra and Members of Congress for Black Maternal Health Week

johnson becerra and illinois reps
On Friday, April 12, HRSA Administrator Carole Johnson joined Secretary Xavier Becerra, Rep. Lauren Underwood, Rep. Alma Adams, Rep. Robin Kelly, and other HHS leaders at the 2nd Annual Black Maternal Health Outcomes Matter conference to discuss best practices and innovative models used to improve maternal and infant health outcomes.

During the event, Administrator Johnson highlighted HRSA’s year-long Enhancing Maternal Health Initiative to help strengthen and expand the agency's maternal health work to address the unacceptable rates of maternal mortality and disparities, especially among Black women, in the United States.

Biden-Harris Administration Takes Action to Support the Primary Care Workforce

surgeons in surgeryOn Thursday, April 4, HRSA announced that it has increased by 50% the initial loan repayment amount available to primary care providers—M.D.s and D.O.s, including OB-GYNs and pediatricians; nurse practitioners; certified nurse midwives; and physician assistants—through the National Health Service Corps.

With the growing cost of medical school and increased challenges in recruiting primary care providers to high need areas, this action will help rural and historically underserved communities attract providers to deliver critical primary care services. These providers could have as much as $75,000 in loan debt forgiven in exchange for a two-year service commitment.

HRSA also announced that it is also offering up to an additional $5,000 in loan repayment to National Health Service Corps Loan Repayment Program participants who can demonstrate fluency in Spanish and who commit to practice in a high need area serving patients with limited English proficiency.
Read the release.

During Second Chance Month, HRSA Takes Policy Action, Releases First-Ever Funding Opportunity for Health Centers to Support Transitions in Care for People Leaving Incarceration

NurseDuring Second Chance Month, HRSA took new policy action and announced the availability of $51 million for the first-ever funding opportunity for HRSA-funded health centers to implement innovative approaches to support transitions in care for people leaving incarceration. Aligned with the White House Second Chance Initiative, this action, for the first time, explicitly supports the provision of health services to individuals up to 90 days prior to their release to help them return to the community by expanding access to primary health care, including mental health and substance use disorder treatment, furthering public health and strengthening public safety.

Studies have shown a dramatic and concerning increase in risk for opioid overdose after release from incarceration, with one study showing the risk of death at least ten times higher than for the general public. Individuals returning to the community also become disconnected from critical medications and treatment for diabetes and hypertension – among the leading causes of death in the United States. They also face disproportionate risks of bad health outcomes overall because they lack connections to services and supports to navigate the process of applying for or reinstating health insurance eligibility and other benefits in the immediate period after their release.

Health centers can use funds made available through this funding opportunity to address mental health and substance use disorder treatment needs, treat hepatitis C, HIV, syphilis, and other infectious diseases, and provide case management services that address key social drivers of health, such as housing and food insecurity, financial strain, access to transportation, and intimate partner violence.

Read the release.

Have Your Say: Participate in the Grantee Satisfaction Survey

Picture of a customer survey with a pen in a hand checking a box. There is a pair of glasses next to the survey form..Calling all HRSA grantees! The 2024 Grantee Satisfaction Survey opens Monday, April 29.  HRSA has updated the survey to gather more detailed information about your experience. Your confidential responses help HRSA take concrete actions to:

  • Understand your needs better
  • Improve our guidance and assistance
  • Tailor our services to serve you better
  • Advance our mission

Please take a few minutes to complete the survey and help us enhance our support to better serve you. Your feedback matters. Together, we can make a difference!  Questions or concerns about the survey? Email HRSA Grantee Survey.

HRSA Funding in the Community

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April

  • Autism Awareness Month 
  • National Child Abuse Prevention Month
  • Donate Life Month 
  • National Minority Health Month 
  • Sexual Assault Awareness Month 
  • STI Awareness Week (14-20)
  • National Pediatric Transplant Week (21-27) 
  • Youth Violence Prevention Week (22-26) 
  • National Infant Immunization Week (22-29)

Funding Opportunities

 


Bureau of Health Workforce

National Health Service Corps Scholarship Program – apply by April 25

NSL Graduate - apply by April 30

NSL Baccalaureate - apply by April 30

Nurse Corps Scholarship Program – apply by May 2

Opioid-Impacted Family Support Program - apply by May 6

National Health Service Corps Loan Repayment Program – apply by May 9

Bureau of Primary Health Care

Native Hawaiian Health Care Improvement Act Program - apply by May 2

Quality Improvement Fund – Transitions in Care for Justice-Involved Populations (QIF-TJI) - apply by June 10

Federal Office of Rural Health Policy

Medicare Rural Hospital Flexibility Program – Emergency Medical Services Supplement - apply by April 26

Rural Communities Opioid Response Program - Impact - apply by May 6

Rural Health Research Center Program - apply by May 23

Radiation Exposure Screening and Education Program - apply by May 29

HIV/AIDS Bureau

Ryan White HIV/AIDS Program Part B States/Territories Supplemental Grant Program - apply by April 30

Ryan White HIV/AIDS Program Part F Dental Reimbursement Program (DRP) - apply by April 30

Ryan White HIV/AIDS Program Part D - Women, Infants, Children and Youth (WICY) Grant Supplemental Funding - apply by May 13

Ryan White HIV/AIDS Program Part C Early Intervention Services Program: Existing Geographic Service Areas (HRSA-25-002) - apply by June 17

Ryan White HIV/AIDS Program Part C Early Intervention Services Program: Existing Geographic Service Areas (HRSA-25-003) - apply June 17

Ryan White HIV/AIDS Program Part C Early Intervention Services Program: Existing Geographic Service Areas (HRSA-25-004) - apply by June 17

Maternal and Child Health Bureau

Poison Control Centers Program - apply by May 1

Maternal Health Training and Resource Center (MHTRC) - apply by May 2

Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program - apply by May 29

Supporting Fetal Alcohol Spectrum Disorders Screening and Intervention - apply by June 21

Office of Intergovernmental and External Affairs

National Organizations of State and Local Officials (NOSLO): State Health Services and Financing - apply by May 23

View All Funding Opportunities

USDOL Issues Comprehensive Employer Guidance on Long COVID

The United States Department of Labor (USDOL) has issued a comprehensive set of resources that can be accessed below for employers on dealing with Long COVID.

Supporting Employees with Long COVID: A Guide for Employers

The “Supporting Employees with Long COVID” guide from the USDOL-funded Employer Assistance and Resource Network on Disability Inclusion (EARN) and Job Accommodation Network (JAN) addresses the basics of Long COVID, including its intersection with mental health, and common workplace supports for different symptoms.  It also explores employers’ responsibilities to provide reasonable accommodations and answers frequently asked questions about Long COVID and employment, including inquiries related to telework and leave.

Download the guide

Accommodation and Compliance: Long COVID

The Long COVID Accommodation and Compliance webpage from the USDOL-funded Job Accommodation Network (JAN) helps employers and employees understand strategies for supporting workers with Long COVID.  Topics include Long COVID in the context of disability under the Americans with Disabilities Act (ADA), specific accommodation ideas based on limitations or work-related functions, common situations and solutions, and questions to consider when identifying effective accommodations for employees with Long COVID.  Find this and other Long COVID resources from JAN, below:

Long COVID, Disability and Underserved Communities: Recommendations for Employers

The research-to-practice brief “Long COVID, Disability and Underserved Communities” synthesizes an extensive review of documents, literature and data sources, conducted by the USDOL-funded Employer Assistance and Resource Network on Disability Inclusion (EARN) on the impact of Long COVID on employment, with a focus on demographic differences.  It also outlines recommended actions organizations can take to create a supportive and inclusive workplace culture for people with Long COVID, especially those with disabilities who belong to other historically underserved groups.

Read the brief

Long COVID and Disability Accommodations in the Workplace

The policy brief “Long COVID and Disability Accommodations in the Workplace” explores Long COVID’s impact on the workforce and provides examples of policy actions different states are taking to help affected people remain at work or return when ready.  It was developed by the National Conference of State Legislatures (NCSL) as part of its involvement in USDOL’s State Exchange on Employment and Disability (SEED) initiative.

Download the policy brief

Understanding and Addressing the Workplace Challenges Related to Long COVID

The report “Understanding and Addressing the Workplace Challenges Related to Long COVID” summarizes key themes and takeaways from an ePolicyWorks national online dialogue through which members of the public were invited to share their experiences and insights regarding workplace challenges posed by Long COVID.  The dialogue took place during summer 2022 and was hosted by USDOL and its agencies in collaboration with the Centers for Disease Control and Prevention and the U.S. Surgeon General.

Download the report

Working with Long COVID

The USDOL-published “Working with Long COVID” fact sheet shares strategies for supporting workers with Long COVID, including accommodations for common symptoms and resources for further guidance and assistance with specific situations.

Download the fact sheet

COVID-19: Long-Term Symptoms

This USDOL motion graphic informs workers with Long COVID that they may be entitled to temporary or long-term supports to help them stay on the job or return to work when ready, and shares where they can find related assistance.

Watch the motion graphic

A Personal Story of Long COVID and Disability Disclosure

In the podcast “A Personal Story of Long COVID and Disability Disclosure,” Pam Bingham, senior program manager for Intuit’s Diversity, Equity and Inclusion in Tech team, shares her personal experience of navigating Long COVID symptoms at work.  The segment was produced by the USDOL-funded Partnership on Employment and Accessible Technology (PEAT) as part of its ongoing “Future of Work” podcast series.

Listen to the podcast

HHS OIG Issues Annual Report on State MFCUs

Per the notice below, the Office of the Inspector General (OIG) of the United States Department of Health and Human Services (HHS) has issued its annual report on the performance of state Medicaid Fraud Control Units (MFCUs).

Medicaid Fraud Control Units Fiscal Year 2023 Annual Report (OEI-09-24-00200) 

Medicaid Fraud Control Units (MFCUs) investigate and prosecute Medicaid provider fraud and patient abuse or neglect. OIG is the Federal agency that oversees and annually approves federal funding for MFCUs through a recertification process. This new report analyzed the statistical data on annual case outcomes—such as convictions, civil settlements and judgments, and recoveries—that the 53 MFCUs submitted for Fiscal Year 2023.  New York data is as follows:

Outcomes

  • Investigations1 - 556
  • Indicted/Charged - 9
  • Convictions - 8
  • Civil Settlements/Judgments - 28
  • Recoveries2 - $73,204,518

Resources

  • MFCU Expenditures3 - $55,964,293
  • Staff on Board4 - 257

1Investigations are defined as the total number of open investigations at the end of the fiscal year.

2Recoveries are defined as the amount of money that defendants are required to pay as a result of a settlement, judgment, or prefiling settlement in criminal and civil cases and may not reflect actual collections.  Recoveries may involve cases that include participation by other Federal and State agencies.

3MFCU and Medicaid Expenditures include both State and Federal expenditures.

4Staff on Board is defined as the total number of staff employed by the Unit at the end of the fiscal year.

Read the Full Report

View the Statistical Chart

Engage with the Interactive Map

GAO Issues Report on Medicaid Managed Care Service Denials and Appeal Outcomes

The United States Government Accountability Office (GAO) has issued a report on federal use of state data on Medicaid managed care service denials and appeal outcomes.  GAO found that federal oversight is limited because it doesn't require states to report on Medicaid managed care service denials or appeal outcomes and there has not been much progress on plans to analyze and make the data publicly available.  To read the GAO report on federal use of state data on Medicaid managed care service denials and appeal outcomes, use the first link below.  To read GAO highlights of the report on federal use of state data on Medicaid managed care service denials and appeal outcomes, use the second link below.
https://www.gao.gov/assets/d24106627.pdf  (GAO report on federal use of state data on Medicaid managed care service denials and appeal outcomes)
https://www.gao.gov/assets/d24106627_high.pdf  (GAO highlights on federal use of state data on Medicaid managed care service denials and appeal outcomes)

CMS Issues Latest Medicare Regulatory Activities Update

The Centers for Medicare and Medicaid Services (CMS) has issued its latest update on its regulatory activities in the Medicare program.  While dentistry is only minimally connected to the Medicare program, Medicare drives the majority of health care policies and insurance reimbursement policies throughout the country.  Therefore, it always pays to keep a close eye on what CMS is doing in Medicare.  To read the latest CMS update on its regulatory activities in Medicare, use the link below.
https://www.cms.gov/training-education/medicare-learning-network/newsletter/2024-03-14-mlnc