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PA Health Policy Update for April 28

The following is an update of selected state health policy developments in Pennsylvania from April 24 -28.  (Some of the language used below is taken directly from state documents.) 

Medicaid Eligibility Redetermination 

Medicaid unwinding has officially begun, and recipients will begin to receive their renewal packets and additional communications from the Department of Human Services 90 days prior to their individual renewal date. Individuals can view their renewal dates in COMPASS and can begin the renewal application online up to 60 days early. Additional updates and resources about the Medicaid eligibility renewal process may be found here. 

General Assembly

  • The state House and Senate returned to Harrisburg on April 24 for voting session. Below is coverage of selected health-related committee proceedings.
    • The Senate Consumer Protection and Professional Licensure Committee held a public hearing Monday, April 24 at 10:00am on professional licensing delays in health care. A recording of the hearing can be viewed here.
    • The House Insurance Committee held a voting meeting on Monday, April 24 to consider, among other bills, SB 8 which requires insurers to cover all costs associated with genetic counseling and genetic testing for the BRCA1 and BRCA2 gene mutation if a person is diagnosed with breast or ovarian cancer or has a family history of breast or ovarian cancer, and also requires insurers to cover all costs associated with a supplemental breast screening by MRI or Ultrasound for women at increased risk of breast cancer. The bill advanced from committee and received a unanimous vote on final passage in the House.  SB 8 will move to the Governor’s desk for his consideration upon signature in the Senate.
    • The Senate Veteran Affairs and Emergency Preparedness Committee held a voting meeting to consider SB 81, which codifies the ability for EMS providers to leave a dose of Naloxone with an on-scene caregiver. The bill now moves to the full Senate for consideration. A recording of the meeting can be viewed here.
    • The House Health Committee held an informational meeting Wednesday, April 26 on unregulated intoxicants and psychoactive substances. A recording of the hearing can be viewed  here.
    • The House Human Services Committee held a voting meeting Wednesday, April 26 to consider the following bills.
      • HB 409, which would establish a mental health care services clearinghouse. The bill was reported without amendment.
      • HB 754, which would provide a standard notice to each nursing home resident and their designated representatives at the time of their admission that they have the option of having legal representation to assist with the application for Medicaid benefits. The bill was re-referred to the House Health Committee.

A recording of the meeting can be viewed here.

    • The House Professional Licensure Committee held an informational meeting on the Bureau of Professional and Occupational Affairs. A recording of the meeting can be viewed here.
  • The state House and Senate will return to Harrisburg for voting session Monday, May 1. Following are selected health-related proceedings.
    • The House Health Committee will hold a public hearing Tuesday, May 2 at 9:30am on HB 106, the Patient Safety Act, which sets nursing ratios. The hearing will be held in Room 523 of the Irvis Office Building and can be live streamed here.
    • The Senate Health and Human Services Committee is holding a voting meeting on Tuesday, May 2 at 11:00 to consider among other bills:
      • SB 100, Establishing the Lyme Disease and Related Tick-Borne Illness Diagnosis and Treatment Act.
      • SB 262, Amends the Maternal Mortality Review Committee Act regarding reportable events.
      • SB 414, Expanding access to Sexual Assault Nurse Examiners (SANE).
      • SB 500, Provides for Medicaid Coverage for Pasteurized Donor Human Milk.
      • SB 549, Requires consent for pelvic, rectal, and prostate exams.
      • SB 555, Reducing the loaded mileage requirements for EMS Medicaid reimbursement.

The meeting will be held in Room 8E of the East Wing and will be livestreamed here. 

Department of Health 

The Department of Health issued a Health Alert (PAHAN – 693-04-28) with updated recommendations regarding the Monovalent and Bivalent mRNA COVID-19 vaccines.

Department of Human Services

  • The Department of Human Services (DHS) issued a press release highlighting how the Shapiro administration has reduced the backlog for Medicaid provider enrollment from 34,682 applicants waiting more than 30 days to less than 8,500. The press release notes the backlog has been reduced by 75 percent in the administration’s first 100 days.
  • DHS has issued Provider Quick Tip (#263) with an update notifying providers that the electronic submission process for Office of Medical Assistance Fee-for-Service (FFS) and the Office of Long Term Living’s 180-day exception requests and other claims requiring documentation is available in the PROMISe Portal.

Stakeholder Events

PHC4 –Executive Committee & Council Meeting – May 4

The Pennsylvania Health Care Cost Containment Council (PHC4) has scheduled an executive committee meeting at 9:30 a.m. and a council meeting at 10:00 a.m. on May 4, 2023. Go here for additional information and details on how to register to participate.

DHS – Managed Long-Term Services and Supports Subcommittee – May 12

The Managed Long-Term Services and Supports (MLTSS) Subcommittee will hold a meeting on Friday, May 12 from 10:00 a.m. – 1:00 p.m. in the Department of Education Building’s Honors Suite, 1st floor, at 333 Market Street in Harrisburg, or via webinar. You may register for the webinar here.

2023-04-28T20:48:32+00:00April 28th, 2023|long-term care, Medical Assistance Advisory Committee, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid policy, Pennsylvania Medical Assistance, Uncategorized|Comments Off on PA Health Policy Update for April 28
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PA Health Policy Update for April 21

The following is an update of selected state health policy developments in Pennsylvania from April 17 -21.  (Some of the language used below is taken directly from state documents.) 

Governor Shapiro

Governor Shapiro announced this week his administration submitted a notice of intent to temporarily add xylazine, commonly known as “tranq,” to the list of schedule III drugs under Pennsylvania’s Controlled Substance, Drug, Device, and Cosmetic Act. This step is an effort to limit access to xylazine, which is increasingly being found in Pennsylvania’s illicit drug trade. The administration also intends to schedule nitazenes, a class of synthetic opioids, as a schedule I drug. 

General Assembly

  • The House Aging and Older Adult Services Committee held an informational hearing Thursday, April 20 on The State Master Plan on Aging. A recording of the hearing can be viewed here.
  • The House Children and Youth Committee held a public hearing Thursday, April 20 on overcrowding in Pennsylvania’s Juvenile Detention Facilities. A recording of the hearing can be viewed here.
  • The state House and Senate will return to Harrisburg on Monday, April 24 for voting session. Following are selected health-related committee proceedings.
    • The Senate Consumer Protection and Professional Licensure Committee will hold a public hearing Monday, April 24 at 10:00am on professional licensing delays in health care. The hearing will be held in Hearing Room 1 of the North Office Building and will be livestreamed here.
    • The House Insurance Committee will hold a voting meeting on Monday, April 24 at 11:00 a.m. to consider among other bills, SB 8 which requires insurers to cover all costs associated for genetic counseling and genetic testing for the BRCA1 and BRCA2 gene mutation if a person is diagnosed with breast or ovarian cancer or has a family history of breast or ovarian cancer, and also requires insurers to cover all costs associated with a supplemental breast screening by MRI or Ultrasound for women at increased risk of breast cancer. The meeting will be held in Room B31 of the Main Capitol and will be livestreamed here.
    • The House Health Committee will hold an informational meeting Wednesday, April 26 at 9:00 a.m. on unregulated intoxicants and psychoactive substances. The hearing will be held in Room G-50 of the Irvis Office Building and will be livestreamed here.
    • The House Human Services Committee will hold a voting meeting Wednesday, April 26 at 9:15 a.m. to consider the following bills.
      • HB 409, which would establish a mental health care services clearinghouse.
      • HB 754, which would provide a standard notice to each nursing home resident and their designated representatives at the time of their admission that they have the option of having legal representation to assist with the application for Medicaid benefits.

The meeting will be held in Room 523 of the Irvis Office Building and will be livestreamed here.

    • The House Professional Licensure Committee will hold an informational meeting April 26 at 10:00am on the Bureau of Professional and Occupational Affairs. The hearing will be held in Room 140 of the Main Capitol and will be livestreamed here.

Department of Health

  • DOH reminded long-term care facilities that the obligation to report COVID-19 cases and deaths through the ERS will continue beyond the end of the federal PHE on May 11. These records are reportable within 24 hours of diagnosis. Only new cases should be reported and positive cases that later result in death should be amended rather than entered as a new data record.  Find details on the reporting process here.
  • DOH encouraged nursing care facilities to make every effort to help temporary nurse aides to schedule and complete the required exams to become permanent certified nurse aides as soon as possible. When the federal PHE ends on May 11, candidates will have four months to complete the required testing as long as they are enrolled in an Approved Nurse Aide Training Program and candidates may continue to work in facilities while they complete the training program. Information on preparing and scheduling tests can be found here.   

Department of Human Services

  • The Department of Human Services (DHS) released the agenda for the Medical Assistance Advisory Committee’s (MAAC) April 27 meeting. In advance of the meeting, DHS also issued a briefing document outlining proposed changes and clarifications to the 340B Drug Pricing Program.
  • DHS issued proposed regulations to strengthen and clarify the Adult Protective Services Act (Act 70). Implementation of Act 70 began in 2015 but has operated under agency guidance and contract amendments rather than formal regulation. Find additional information and the proposed regulations in this Pennsylvania Bulletin notice.
  • DHS has updated its calendar of mailing dates for Remittance Advices and corresponding electronic transfers and checks into late May.  Find the updated calendar here. 

Insurance Department

The Insurance Department issued a request for comments on a proposal to suspend the reinsurance program for the state-based insurance exchange, PENNIE®, and potentially replace it with a possible “state subsidy wrap.” Additional information on the proposal and details on how to comment may be found in this Pennsylvania Bulletin notice. 

Office of the Attorney General 

Attorney General Michelle Henry joined a coalition of seventeen other Attorneys General submitting a letter in support of the Federal Trade Commission’s proposal to prevent businesses from having employees sign non-compete agreements as a condition of employment. Find additional information in this press release. 

Independent Regulatory Review Commission

The Independent Regulatory Review Commission (IRRC) released the agenda for its May 18 meeting. Following are certain health-related regulations IRRC will consider.

Stakeholder Events

DHS – Drug Utilization Review (DUR) Board – April 26

The DUR Board will meet Wednesday, April 26 from 9:00 a.m. to 4:00 p.m. Go here for additional information and details on how to participate. 

DHS – Medical Assistance Consumer Subcommittee – April 26

The Consumer Subcommittee of the Medical Assistance Advisory Committee is scheduled to meet on April 26, 2023, at 1:00 pm. Go here to register to participate. 

DHS – Medical Assistance Advisory Committee – April 27

The Medical Assistance Advisory Committee is scheduled to meet on Thursday, April 27 at 10:00 a.m.  Go here to register to participate.

Patient Safety Authority – April 27

The Patient Safety Authority’s board will meet virtually on Thursday, April 27 at 1:00 p.m. Go here for additional information and details on how to participate.

DHS – Managed Long-Term Services and Supports Subcommittee – May 12

The Managed Long-Term Services and Supports (MLTSS) Subcommittee will hold a meeting on Friday, May 12 from 10:00 a.m. – 1:00 p.m. in the Department of Education Building’s Honors Suite, 1st floor, at 333 Market Street in Harrisburg, or via webinar. You may register for the webinar here.

DDAP – Xylazine: A New Drug Additive – June 12

The Department of Drug & Alcohol Programs (DDAP) will host two additional sessions of “Xylazine: A New Drug Additive,” presented by Savage Sisters Recovery, in Harrisburg on June 12, 2023. Please visit the Training Management System for details and to register.

2023-04-21T20:06:37+00:00April 21st, 2023|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid policy, Uncategorized|Comments Off on PA Health Policy Update for April 21
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PA Health Policy Update for April 14

The following is an update of selected state health policy developments in Pennsylvania from April 10 -14.  (Some of the language used below is taken directly from state documents.) 

General Assembly 

  • The House and Senate Appropriations Committees concluded their budget hearings this week.
    • On Tuesday, April 11, the Department of Human Services appeared before the House Appropriations Committee. A recording of the hearing can be viewed here and here.
    • On Wednesday, April 12, the Department of Human Services appeared before the Senate Appropriations Committee. A recording of the hearing can be viewed here and here.
    • On Thursday, April 13, the Department of Health appeared before the Senate Appropriations Committee. A recording of the hearing can be viewed here.
  • The House Health Committee held an informational hearing Wednesday, April 12 on prescription drug affordability boards. A recording of the hearing can be viewed here.
  • The House Democratic Policy Committee held a public hearing Thursday, April 13 on black maternal health. A recording of the hearing can be viewed here.
  • The House Aging and Older Adult Services Committee held an informational hearing Thursday, April 13 on PACE/PACENET, the State Long-Term Care Ombudsman and AARP. A recording of the hearing can be viewed here.
  • The House Aging and Older Adult Services Committee will hold an informational hearing Thursday, April 20 at 1:00pm on The State Master Plan on Aging. The hearing will be held in Room G-50 of the Irvis Office Building and can be livestreamed here.
  • The House Children and Youth Committee will hold a public hearing Thursday, April 20 at 10:00am on overcrowding in Pennsylvania’s Juvenile Detention Facilities. The hearing will be held in Room 515 of the Irvis Office Building and can be livestreamed here.
  • The state House and Senate are currently recessed. They will return to Harrisburg on Monday, April 24.

Department of Health

The Department of Health posted new documents related to the implementation of the long-term care nursing facilities regulations that become effective July 1, 2023:

  • Guidance for long term care regulations (effective July 1, 2023)
  • LTC Licensure Regulations Provider Updates – Presentation
  • LTC Licensure Regulations Provider updates – slides

View these and other guidance documents on the dedicated webpage here.

The Department of Health issued a health advisory with information about the Pennsylvania Childhood Blood Lead Act that took effect on January 2, 2023, and requires certain blood lead assessment and testing for children and pregnant women. Find more information in the health advisory. 

Department of Human Services

  • The Department of Human Services (DHS) issued a Medical Assistance Bulletin with the U.S. Department of Health and Human Services’ Centers for Disease Control and Prevention’s (CDC) Recommended Child and Adolescent Immunization Schedule for ages 18 years or younger, United States, 2023. This bulletin replaces the 2022 recommended vaccine schedule.
  • DHS issued Provider Quick Tip #41, which is an updated Medical Assistance (MA) Desk Reference with provider contacts.
  • DHS issued a Medical Assistance Bulletin to inform MA providers that DHS added Current Procedural Terminology (CPT) codes 0164A (Moderna, Inc.) and 0173A (Pfizer, Inc.) to the MA Program Fee Schedule for the administration of additional bivalent doses of the novel coronavirus (SARS-CoV-2) vaccines.
  • DHS issued a Medical Assistance Bulletin to inform providers of updates to the Emergency Medical Condition Information Eligibility form. 

Around the State      

  • The Pennsylvania Capital Star reported on the House Appropriations Committee’s examination of Governor Shapiro’s proposed FY 2023-24 budget for DHS.
  • The Scranton Times Tribune wrote about the continued nursing shortage in Pennsylvania and its impact on the health care system.

Stakeholder Events

DHS – Drug Utilization Review (DUR) Board – April 26

The DUR Board will meet Wednesday, April 26 from 9:00 a.m. to 4:00 p.m. Go here for additional information and details on how to participate. 

DHS – Medical Assistance Consumer Subcommittee – April 26

The Consumer Subcommittee of the Medical Assistance Advisory Committee is scheduled to meet on April 26, 2023, at 1:00 pm. Go here to register to participate. 

DHS – Medical Assistance Advisory Committee – April 27

The Medical Assistance Advisory Committee is scheduled to meet on Thursday, April 27 at 10:00 a.m.  Go here to register to participate.

Patient Safety Authority – April 27

The Patient Safety Authority’s board will meet virtually on Thursday, April 27 at 1:00 p.m. Go here for additional information and details on how to participate.

DOH – Special Pharmaceutical Benefits Program – May 4

The Statewide Special Pharmaceutical Benefits Program (SPBP) Advisory Council will hold a public meeting on Thursday, May 4, 2023, from 10 a.m. to 3 p.m. The SPBP Advisory Council will provide program guidance and recommendations to the Department’s SPBP in regard to the following: drug formulary; covered lab services; drug utilization review; clinical programs; eligibility; and program management. Go here for additional information and details on how to participate.

DHS – Managed Long-Term Services and Supports Subcommittee – May 12

The Managed Long-Term Services and Supports (MLTSS) Subcommittee will hold a meeting on Friday, May 12 from 10:00 a.m. – 1:00 p.m. in the Department of Education Building’s Honors Suite, 1st floor, at 333 Market Street in Harrisburg, or via webinar. You may register for the webinar here.

DHS – Dual Diagnosis Conference – May 18

The Office of Developmental Programs and Office of Mental Health and Substance Abuse Services will host a state-wide Dual Diagnosis Conference virtually on May 18, 2023. The conference will include a variety of perspectives for supporting individuals who have experienced trauma. You may register here.

Pennsylvania Long-Term Care Council – 2023 Meeting Dates

The Pennsylvania Long-Term Care Council released an update list of its remaining meetings for the 2023 calendar year. Additional details may be viewed here.

2023-04-14T20:25:48+00:00April 14th, 2023|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Uncategorized|Comments Off on PA Health Policy Update for April 14
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PA Health Policy Update for April 7

The following is an update of selected state health policy developments in Pennsylvania from April 3 to April 7.  (Some of the language used below is taken directly from state documents.)  

General Assembly

  • The House and Senate Appropriations Committees will resume budget hearings next week. 
    • On Tuesday, April 11 at 10:00 a.m., the Department of Human Services will appear before the House Appropriations Committee. The hearing will be held in the House chamber and will also be live streamed here.   
    • On Wednesday, April 12 at 9:30 a.m., the Department of Human Services will appear before the Senate Appropriations Committee. The hearing will be held in Hearing Room 1 of the North Office Building and will also be live streamed here.  
    • On Thursday, April 13 at 9:30 a.m., the Department of Health will appear before the Senate Appropriations Committee. The hearing will be held in Hearing Room 1 of the North Office Building and will also be live streamed here.   
    • A complete schedule for the House Appropriations Committee can be viewed here and a complete schedule for the Senate Appropriations Committee can be found here.  
  • The House Health Committee will hold an informational hearing Wednesday, April 12 at 10:00 a.m. on prescription drug affordability boards. The hearing will be held in in Room 205 of the Ryan Office Building and will be live streamed here. 
  • The House Democratic Policy Committee will hold a public hearing Thursday, April 13 at 12:00 p.m. on black maternal health. The hearing will be held in Room G-50 of the Irvis Office Building and will be live streamed here. 
  • The House Aging and Older Adult Services Committee will hold an informational hearing Thursday, April 13 at 1:00 p.m. on PACE/PACENET, the State Long-Term Care Ombudsman and AARP. The hearing will be held in Room 515 of the Irvis Office Building and will be live streamed here.
  • The state House and Senate are currently recessed.  They will return to Harrisburg on Monday, April 24 following the conclusion of budget hearings. 

Department of Health 

  • The Department of Health (DOH) published the Pennsylvania State Health Improvement Plan (SHIP) that outlines goals, objectives, and strategies to improve the health of Pennsylvania residents over the next five years. The 2023-2028 SHIP was developed in collaboration with the Healthy Pennsylvania Partnership, which is made up of nearly 300 health care professionals, associations, health systems, health and human services organizations, community collaborations, local public health agencies, and government agencies. 
  • DOH issued a health update reminding healthcare facilities, providers, and laboratories to have heightened awareness for C. auris in their patients and updating a previous alert with information on new confirmed cases in Cumberland, Erie, and Monroe counties.  C. auris has been detected in ventilator-capable skilled nursing facilities, long-term acute care hospitals, and acute care hospitals since the current outbreak began in March 2020.  Find more information in this Health Update.  
  • DOH has alerted providers and laboratories to current outbreaks of Marburg virus in Tanzania and Equatorial Guinea and recommends they consider Marburg virus in patients with recent travel to those areas.  Find details in the Health Alert here.  

Department of Human Services   

  • The Department of Human Services (DHS) announced the Centers for Medicare & Medicaid Services (CMS) approved the Office of Long-Term Living’s (OLTL) Community HealthChoices (CHC) waiver amendment, which took effect April 1, 2023. Changes in the approved waiver include benefits counseling, home health aide services, nursing services, and occupational, physical, and speech and language therapy services. The current approved CHC Waiver can be found here. 
  • OLTL released a transition plan to phase out temporary changes to the CHC 1915(c) Waiver. Effective May 11, 2023, OLTL will phase out its emergency flexibilities to coincide with the end of the federal Public Health Emergency. 
  • DHS announced CMS has approved OLTL’s OBRA Waiver amendment, which took effect April 1, 2023, for home and community-based services. The current OBRA Waiver can be viewed here.
  • The Department of Human Services (DHS) issued a Medical Assistance Bulletin to notify dental providers enrolled in the Medical Assistance program that DHS will begin accepting the 2019 American Dental Association (ADA) Claim Form upon issuance of this bulletin and will no longer accept the 2012 ADA Claim Form for dates of service on and after June 1, 2023.
  • DHS released a Provider Quick Tip (#263) notifying providers about an electronic submission process for FFS 180-day exception requests and other claims requiring documentation will soon be available in the Promise Portal. 

Department of Drug & Alcohol Programs 

The Department of Drug and Alcohol Programs and DHS jointly issued a bulletin to update the guidance in OMHSAS bulletin 06-03 dated February 10, 2006. This bulletin includes the definitions of co-occurring capable and co-occurring enhanced programs as set forth in The ASAM Criteria. The information may be used to assist SCAs, BH-MCOs, and treatment providers in identifying co-occurring capable and co-occurring enhanced programs and in referring individuals to those programs.  

Revenue Collection Update  

The Department of Revenue announced Pennsylvania collected $6.2 billion in General Fund revenue in March, which was $499.4 million, or 8.8 percent, more than anticipated. Fiscal year-to-date General Fund collections total $32.3 billion, which is $1.1 billion, or 3.7 percent, above estimate.  

Around the State   

WHYY reported about the end of continuous Medicaid enrollment, beginning April 1, 2023, and how individuals can prepare for renewals.   

The Erie Times-News published an article about the drug-resistant fungus, Candida auris, which was found in a patient at a health care facility in Erie County.    

Stakeholder Events  

PHC4 – Data Systems Committee – April 10 

The Pennsylvania Health Care Cost Containment Council (PHC4) has scheduled a Data Systems Committee meeting on April 10 at 10:00 a.m. Go here for additional information and details on how to participate.   

DOH – State Child Death Review Team – April 20 

The State Child Death Review (CDR) Team will hold a public meeting on Thursday, April 20 from 1:00 – 3:00 p.m. Go here for additional information and details on how to participate.  

DOH – Renal Disease Advisory Committee – April 21 

The Renal Disease Advisory Committee will hold its quarterly public meeting on Friday, April 21 from 10:00 a.m. to 12:00 p.m. Go here for additional information and details on how to participate.  

DHS – Drug Utilization Review (DUR) Board – April 26 

The DUR Board will meet Wednesday, April 26 from 9:00 a.m. to 4:00 p.m. Go here for additional information and details on how to participate.  

DHS – Medical Assistance Consumer Subcommittee – April 26 

The Consumer Subcommittee of the Medical Assistance Advisory Committee is scheduled to meet on April 26, 2023, at 1:00 pm. Go here to register to participate.  

DHS – Medical Assistance Advisory Committee – April 27 

The Medical Assistance Advisory Committee is scheduled to meet on Thursday, April 27 at 10:00 a.m.  Go here to register to participate.  

Patient Safety Authority – April 27 

The Patient Safety Authority’s board will meet virtually on Thursday, April 27 at 1:00 p.m. Go here for additional information and details on how to participate.  

DHS – Managed Long-Term Services and Supports Subcommittee – May 12 

The Managed Long-Term Services and Supports (MLTSS) Subcommittee will hold a meeting on Friday, May 12 from 10:00 a.m. – 1:00 p.m. in the Department of Education Building’s Honors Suite, 1st floor, at 333 Market Street in Harrisburg, or via webinar. You may register for the webinar here. 

2023-04-20T17:15:29+00:00April 7th, 2023|Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid policy, Pennsylvania Medical Assistance|Comments Off on PA Health Policy Update for April 7
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PA Health Policy Update for March 31

The following is an update of selected state health policy developments in Pennsylvania from March 27 to March 31.  (Some of the language used below is taken directly from state documents.) 

 General Assembly 

  • The House Health Committee met on Wednesday, March 29 and favorably reported, among other bills, House Bill 155, which removes the requirement that direct-care workers be interviewed in person for a position, and House Bill 507, which requires medical schools, teaching hospitals, and medical institutions to receive explicit patient consent for all procedures and exams performed under anesthesia by medical students or for training purposes.
  • The Departments of Health, Aging, and Drug & Alcohol Programs appeared before the House Appropriations Committee for their respective budget hearings this week. A recording of the hearings can be viewed here. 
  • The House and Senate Appropriations Committees will continue budget hearings the week of April 10. A complete schedule for the House Appropriations Committee can be viewed here, and a complete schedule for the Senate Appropriations Committee can be viewed here. 
  • The state House and Senate are currently recessed. They will return to Harrisburg on Monday, April 24 following the conclusion of budget hearings. 

Department of Health 

The Department of Health (DOH) is evaluating a future purchase and distribution of devices that can eliminate viruses, bacteria, mold and other pathogens from air and surfaces simultaneously. DOH would purchase and distribute the devices free of charge to small businesses, non-profit entities, and other facilities throughout the Commonwealth to mitigate the spread of COVID-19, flu, and other diseases. Long-term care facilities that are interested in receiving a device if this program moves forward should complete this application.  The application is being used to gauge interest in receiving a device and those who complete the application are not guaranteed to receive one.  

In response to the Norfolk Southern train derailment in East Palestine, Ohio, DOH announced the establishment of a community-based health resource network this week to connect Pennsylvania residents impacted by the derailment with local health care providers for long-term assistance.   

Department of Human Services   

The Office of Medical Assistance Programs (OMAP) issued a bulletin to advise providers of additions and updates to the Medical Assistance (MA) Program Fee Schedule and the issuance of updated physician and general hospital provider handbook pages regarding the prior authorization procedures for proton therapy services. These changes are effective for dates of services on and after April 1, 2023.  

The Office of Mental Health & Substance Abuse Services (OMHSAS) issued a memorandum to address stakeholder concerns about the impact of ending OMHSAS’ bulletin suspensions regarding signature requirements specific to consent for treatment, service verification, and treatment plans on March 31, 2023, and clarifying the use of audio-only for telehealth in the delivery of services licensed by OMHSAS.  

Board of Nursing  

The State Board of Nursing published Interpretations Regarding the Administration of Drugs-Statement of Policy in the Pennsylvania Bulletin. This statement of policy clarifies that registered nurses may administer a specific amount of conscious sedation medication during minor therapeutic and diagnostic procedures upon a written order of either a physician or a CRNP when either a physician or CRNP is present during the administration. This statement of policy is expected to eliminate confusion about CRNPs’ authority to order and supervise registered nurses’ administration of conscious sedation under certain circumstances.  

Around the State   

The Pennsylvania Capital-Star reported Pennsylvania long-term care facilities will share $14.2 million from the Centers for Disease Control & Prevention (CDC). The funds are intended to support workforce development, staff retention, and infrastructure improvements.   

The Pittsburgh Post-Gazette wrote about the Pennsylvania Department of Health’s budget hearing this week and noted the focus on the state’s response to the East Palestine, Ohio train derailment and Pennsylvania’s post-COVID public health landscape.   

A report issued by Kaufman Hall noted that hospital finances continue to struggle in the face of macroeconomic headwinds but they appear to be beginning to stabilize. Fierce Healthcare details the challenges hospitals continue to confront here.   

Stakeholder Events  

DOH – Medical Marijuana Advisory Board – April 12 

The Medical Marijuana Advisory Board will meet on April 12, 2023, from 10:30 a.m. to 12:30 p.m. Go here for additional information and details on how to participate.   

DHS – Drug Utilization Review (DUR) Board – April 26 

The DUR Board will meet Wednesday, April 26 from 9:00 a.m. to 4:00 p.m. Go here for additional information and details on how to participate.  

DHS – Medical Assistance Consumer Subcommittee – April 26 

The Consumer Subcommittee of the Medical Assistance Advisory Committee is scheduled to meet on April 26, 2023, at 1:00 pm. Go here to register to participate.  

DHS – Medical Assistance Advisory Committee – April 27 

The Medical Assistance Advisory Committee is scheduled to meet on Thursday, April 27 at 10:00 a.m.  Go here to register to participate. 

2023-04-05T18:10:50+00:00March 31st, 2023|COVID-19, Medical Assistance Advisory Committee, Medical Assistance Bulletin, Meetings and notices|Comments Off on PA Health Policy Update for March 31
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PA Health Policy Update for March 24

The following is an update of selected state health policy developments in Pennsylvania from March 18 to March 24.  (Some of the language used below is taken directly from state documents.)

General Assembly

  • The House Appropriations Committee will hold a budget hearing next Tuesday, March 28 at 10:00 for the Department of Health and at 1:00 for the Department of Drug and Alcohol Programs.  The hearings will be held in the House chamber and also will be live-streamed here.  A complete schedule for the House Appropriations Committee can be viewed here and a complete schedule for the Senate Appropriations Committee can be found here.
  • The House Health Committee will convene on Wednesday, March 29 to consider, among other bills, House Bill 155, which removes the requirement that direct-care workers be interviewed in person for a position, and House Bill 507, which requires medical schools, teaching hospitals, and medical institutions to receive explicit patient consent for all procedures and exams performed under anesthesia by medical students or for training purposes.
  • The state House and Senate are currently recessed.  They will return to Harrisburg on Monday, April 24 following the conclusion of budget hearings.

Department of Human Services

Department of Health

  • The Department of Health has added Mucopolysaccharidosis Type II Disorder (MPS II) screening to the supplemental conditions mandated for screening and follow-up under the state’s newborn screening program effective July 1.  Learn more from this Pennsylvania Bulletin notice.
  • The Department of Health, which last month joined the Department of Agriculture and Department of Environmental Protection in establishing a temporary physical presence in Darlington Township, Beaver County to assist residents affected by the Norfolk Southern train derailment in East Palestine, Ohio, has announced that the three departments will maintain a weekly presence there to continue addressing the needs and concerns of local residents.  Learn more about when the departments will be on site and what services they will offer from this Department of Health news release.

Department of Drug and Alcohol Programs

The Department of Drug and Alcohol Programs has announced an expansion of its free substance use disorder prevention and education tool “Just Five.”  Learn more about the expansion of this tool and its new components from this Department of Drug and Alcohol Programs news release.

COVID-19:  By the Numbers           

  • The number of new COVID-19 cases reported in Pennsylvania fell 26 percent last week after 19 percent declines in each of the two previous weeks.  The number of weekly deaths is holding steady.
  • In the past week the state surpassed 2.9 million confirmed cases of COVID-19; another 637,000 cases are considered “probable.”
  • According to the Department of Health, the number of Pennsylvanians hospitalized with COVID-19 fell 10 percent last week after falling 14 percent the previous week and 16 percent the week before that.  The number of COVID-19 patients on ventilators rose slightly in the past week and the number in hospital ICUs fell slightly.
  • The CDC reports a 10 percent decline in the seven-day daily average of new hospital admissions in Pennsylvania because of COVID-19 after an 18 percent decline the previous week and a 13 percent decline the week before that.
  • For the week ending March 22, one Pennsylvania county (Sullivan) experienced a low rate of community transmission of COVID-19; 28 counties experienced a moderate rate of community transmission of COVID-19; 23 counties experienced a substantial rate of community transmission; and 15 counties experienced a high rate of community transmission.

Stakeholder Events

DHS – Medical Assistance Advisory Committee – Managed Long-Term Services and Supports Subcommittee Meeting April 5

The Medical Assistance Advisory Committee’s managed long-term services and support subcommittee will hold a public meeting on Wednesday, April 5 at 10:00 in Harrisburg.  For information about how to join the meeting in person or participate remotely, see this DHS notice.

Department of Health – Spinal Cord Research Advisory Committee Meeting – April 10

The Department of Health’s Spinal Cord Research Advisory Committee will meet in Sellersville and be available for participants virtually on Monday, April 1 at 1:00.  For information about the committee, the location of the meeting, and how to join virtually, see this Pennsylvania Bulletin notice.

 Department of Drug and Alcohol Programs – Adolescent ASAM Criteria – May 16

The Department of Drug and Alcohol Programs is offering training on adolescent ASAM criteria, to be delivered virtually, for participants who already understand the foundational aspects of the ASAM criteria.  The purpose of this training is to explore and discuss the adolescent-specific aspects of the ASAM criteria and offer participants a practical focus through lecture, real-world clinical vignettes, and case studies.  The program will be held on May 16 at 8:30.  Continuing education credits are available.  Learn more about the program, including requirements for participation and how to join, from this Department of Drug and Alcohol Programs notice.  Please note that this program is identical to one offered on March 9.

2023-03-24T20:58:02+00:00March 24th, 2023|COVID-19, Medical Assistance Advisory Committee, Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid policy, Uncategorized|Comments Off on PA Health Policy Update for March 24
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PA Health Policy Update for March 17

The following is an update of selected state health policy developments in Pennsylvania from March 11 to March 17.  (Some of the language used below is taken directly from state documents.)

General Assembly

  • The General Assembly will begin hearings examining Governor Shapiro’s FY 2023-24 budget proposal next week.  A complete schedule for the House Appropriations Committee can be viewed here and a complete schedule for the Senate Appropriations Committee can be found here.  The following are the schedules for the Department of Health and the Department of Human Services budget hearings.
    • Tuesday, March 28:  Department of Health – House Appropriations Committee
    • Tuesday, April 11:  Department of Human Services – House Appropriations Committee
    • Wednesday, April 12:  Department of Human Services – Senate Appropriations Committee
    • Thursday, April 13:  Department of Health – Senate Appropriations Committee
  • The House and Senate are currently recessed.  They will return to Harrisburg on Monday, April 24 following the conclusion of budget hearings.

Department of Health

The federal Centers for Medicare & Medicaid Services has informed the Department of Health that the approved CMS waiver extending the deadline for temporary nurse aides to complete required examinations is in effect until May 11, 2023.  Learn more about the implications of the expiration of this waiver and how nurse aide candidates can continue to work while pursuing certification from this Department of Health notice.

The Department of Health’s Medical Marijuana Advisory Board will add chronic hepatitis C as a qualifying serious medical condition for medical marijuana use in Pennsylvania.  Learn more from this Pennsylvania Bulletin notice.

COVID-19:  By the Numbers           

  • The number of new COVID-19 cases reported daily in Pennsylvania fell 19 percent last week after a similar 19 percent decline last week and 17 percent the previous week.  The number of daily deaths is holding steady.
  • According to the Department of Health, the number of Pennsylvanians hospitalized with COVID-19 fell 14 percent last week after a 16 percent decline the previous week and a nine percent decline the week before that.  The number of COVID-19 patients on ventilators and in hospital ICUs held steady over the past two weeks.
  • The CDC reports a 10 percent decline in the seven-day daily average of new hospital admissions in Pennsylvania because of COVID-19 after an 18 percent decline the previous week and a 13 percent decline the week before that.
  • For the week ending March 15, 24 Pennsylvania counties experienced a moderate rate of community transmission of COVID-19; 20 counties experienced a substantial rate of community transmission; and the remaining 33 counties experienced a high rate of community transmission.

Stakeholder Events

DHS – Medical Assistance Advisory Committee – Consumer Subcommittee – March 22

The consumer subcommittee of the Medical Assistance Advisory Committee will meet virtually on Wednesday March 22 at 1:00.  Go here to register to participate.

March 22 – Medicaid and CHIP Continuous Enrollment Unwinding Webinar – March 22

CMS will hold a webinar on the unwinding of Medicaid and CHIP continuous enrollment and what providers need to know and how to prepare for that unwinding on Wednesday, March 22 at noon (eastern).  During the webinar, CMS officials will review recently released CMS unwinding resources to help partners with their outreach efforts and respond to questions about Medicaid renewals and terminations, Medicaid to marketplace transitions, Medicaid to Medicare transitions, communication and outreach strategies, and more.  Go here to register to participate.  CMS will offer the same webinar on April 26, May 24, and June 28.  Go here and scroll down for materials from previous webinars on Medicaid unwinding.

DHS – Medical Assistance Advisory Committee – March 23

The Medical Assistance Advisory Committee will hold its next public meeting virtually on Thursday, March 23 at 10:00.  Go here to register to participate.

DHS – Medical Assistance Advisory Committee – Managed Long-Term Services and Supports Subcommittee Meeting April 5

The Medical Assistance Advisory Committee’s managed long-term services and support subcommittee will hold a public meeting on Wednesday, April 5 at 10:00 in Harrisburg.  For information about how to join the meeting in person or participate remotely, see this DHS notice.

Department of Drug and Alcohol Programs – Adolescent ASAM Criteria – May 16

The Department of Drug and Alcohol Programs is offering training on adolescent ASAM criteria, to be delivered virtually, for participants who already understand the foundational aspects of the ASAM criteria.  The purpose of this training is to explore and discuss the adolescent-specific aspects of the ASAM criteria and offer participants a practical focus through lecture, real-world clinical vignettes, and case studies.  The program will be held on May 16 at 8:30.  Continuing education credits are available.  Learn more about the program, including requirements for participation and how to join, from this Department of Drug and Alcohol Programs notice.  Please note that this program is identical to one offered on March 9.

2023-03-17T19:46:43+00:00March 17th, 2023|COVID-19, Federal Medicaid issues, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania proposed FY 2024 budget|Comments Off on PA Health Policy Update for March 17
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PA Health Policy Update for Friday, March 10

The following is an update of selected state health policy developments in Pennsylvania from March 4 to March 10.  (Some of the language used below is taken directly from state documents.)

Governor Shapiro

Governor Shapiro delivered his first budget address before the General Assembly this week.  The themes highlighted throughout his speech included investing in public safety and public health, creating opportunity by growing the state’s economy, expanding the workforce, ensuring that every child has access to a quality education, and increasing access to mental health services.  In total, Governor Shapiro’s proposed FY 2024 budget would spend $45.8 billion, a $2.5 billion or 5.9 percent increase over the current fiscal year.  For further information about the proposed budget, see the following resources:

General Assembly

  • The Senate unanimously passed Senate Bill 8 this week.  This legislation requires insurers to cover costs associated with genetic counseling and genetic testing for the BRCA1 and BRCA2 gene mutation if a person is diagnosed with breast or ovarian cancer or has a family history of breast or ovarian cancer.  It also requires insurers to cover all costs associated with a supplemental breast screening by MRI or ultrasound for women at increased risk of breast cancer pursuant to Act 52 of 2020.  Senate Bill 8 was received in the House and referred to the Insurance Committee.
  • The state House and Senate appropriations committees will begin hearings on Governor Shapiro’s proposed FY 2024 budget the week of March 20.  A complete schedule for the House Appropriations Committee can be viewed here and a complete schedule for the Senate Appropriations Committee can be viewed here.
  • The state House and Senate are now recessed until the conclusion of budget hearings.  Both chambers will return to session on Monday, April 24.
  • The House Democratic Caucus announced its 2023-2024 legislative session committee chairs this week.  Representative Dan Frankel will serve as chair of the Health Committee and Representative Stephen Kinsey will serve as chair of the Human Services Committee.  A complete list of the House committee chairs can be viewed here.

Department of Human Services

  • The Department of Human Services (DHS) has posted a notice to inform presumptive eligibility providers of care to pregnant women that the income guidelines used to determine presumptive eligibility have been updated effective January 12, 2023.  Go here to see the notice, which includes information about the criteria for qualifying for presumptive eligibility and the new income guidelines.
  • DHS has posted a reminder that all Medicaid-enrolled providers who dispense hearing aid supplies to Medicaid patients must submit a copy of their renewed Department of Health certification to MA Provider Enrollment by March 16 to continue providing and billing DHS for hearing aid supplies.  Find that notice here.
  • DHS has issued a request for information seeking stakeholder input and information concerning the current Community HealthChoices agreement for the anticipated re-procurement of Community HealthChoices managed care organization contracts.  Specifically, the state seeks information on the statement of work for the upcoming re-procurement before issuing a request for application for vendors to bid on program participation.  Go here to learn more about the request for information and what the state seeks from interested parties.  The deadline for submitting comments is April 14.
  • DHS has shared minutes from the February 23 meeting of the Medical Assistance Advisory Committee and minutes from the January 25 meeting of that committee’s consumer subcommittee.
  • Acting DHS Secretary Dr. Val Arkoosh has written an op-ed column outlining how the state will work with its Medicaid population and various organizations to determine the continued eligibility of current participants in the face of the end of the continuous Medicaid eligibility that was part of the federal government’s and the state’s response to the economic challenges posed by COVID-19.  That column was published in several newspapers across the state; find an example here from the Pittsburgh Tribune-Review.  The ideas outlined in this op-ed column are reinforced and explained in greater detail in this Shapiro administration news release.

Department of Health

  • The Department of Health has issued a request for applications to award grants to local health departments, health systems, health clinics, Federally Qualified Health Centers, Rural Health Clinics, non-profit organizations, local governments, 501(c)(3) organizations, and other clinical providers serving the 10 counties with the highest suicide rates in Pennsylvania (Venango, Blair, Dauphin, Berks, Luzerne, Lycoming, Wayne, Franklin, Sullivan, and McKean counties) for a suicide prevention pilot program.  It seeks to fund applicants addressing evidence-based suicide prevention strategies for youth between the ages of 15 and 24 and creating local inventories of suicide prevention resources.  The overall goal of this funding is to promote the reduction of factors that increase risk and increase factors that promote resilience among disproportionately affected populations especially among Pennsylvania youth.  Learn more from this solicitation notice, which includes a link to the request for applications.  Applications are due by April 6.
  • The Department of Health has published decisions on recent requests for exceptions to health care facility regulations.  Find those decisions in this Pennsylvania Bulletin notice.

COVID-19:  By the Numbers           

  • The number of new COVID-19 cases reported daily in Pennsylvania fell 19 percent over the past week after falling 17 percent the previous week.  In addition, the number of daily deaths has declined slightly.
  • According to the Department of Health, the number of Pennsylvanians hospitalized with COVID-19 fell 16 percent last week after a nine percent decline the previous week and was below 1000 for the first time since May of 2022.  The number of COVID-19 patients on ventilators declined 17 percent last week and the number in hospital ICUs fell 28 percent and is down into double digits – 98 – for the first time since July of 2022.
  • The CDC reports an 18 percent decline in the seven-day daily average of new hospital admissions in Pennsylvania because of COVID-19 after a 13 percent decline the previous week.
  • For the week ending March 8, 10 Pennsylvania counties experienced a moderate rate of community transmission of COVID-19; 29 counties experienced a substantial rate of community transmission; and the remaining 29 counties experienced a high rate of community transmission.  This reflects a significant improvement over recent weeks.

Stakeholder Events

Patient Safety Authority – Board Meeting – March 16

The Patient Safety Authority board will meet virtually on Thursday, March 16 at 1:00.  For information about participating in the meeting, see this Pennsylvania Bulletin notice.

DHS – Medical Assistance Advisory Committee – Consumer Subcommittee – March 22

The consumer subcommittee of the Medical Assistance Advisory Committee will meet virtually on Wednesday March 22 at 1:00.  Go here to register to participate.

DHS – Medical Assistance Advisory Committee – March 23

The Medical Assistance Advisory Committee will hold its next public meeting virtually on Thursday, March 23 at 10:00.  Go here to register to participate.

DHS – Medical Assistance Advisory Committee – Managed Long-Term Services and Supports Subcommittee Meeting April 5

The Medical Assistance Advisory Committee’s managed long-term services and support subcommittee will hold a public meeting on Wednesday, April 5 at 10:00 in Harrisburg.  For information about how to join the meeting in person or participate remotely, see this DHS notice.

Department of Drug and Alcohol Programs – Adolescent ASAM Criteria – May 16

The Department of Drug and Alcohol Programs is offering training on adolescent ASAM criteria, to be delivered virtually, for participants who already understand the foundational aspects of the ASAM criteria.  The purpose of this training is to explore and discuss the adolescent-specific aspects of the ASAM criteria and offer participants a practical focus through lecture, real-world clinical vignettes, and case studies.  The program will be held on May 16 at 8:30.  Continuing education credits are available.  Learn more about the program, including requirements for participation and how to join, from this Department of Drug and Alcohol Programs notice.  Please note that this program is identical to one offered on March 9.

2023-03-10T21:19:08+00:00March 10th, 2023|COVID-19, HealthChoices, Medical Assistance Advisory Committee, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania proposed FY 2023 budget, Pennsylvania state budget issues|Comments Off on PA Health Policy Update for Friday, March 10
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PA Health Policy Update for March 3

The following is an update of selected state health policy developments in Pennsylvania from February 27 to March 3.  (Some of the language used below is taken directly from state documents.)

Governor Shapiro

Governor Shapiro will deliver his budget address before the General Assembly on Tuesday, March 7 at 11:00.  The FY 2023-2024 budget proposal, the governor’s first, will be an opportunity for him to outline his agenda for the new administration.  Go here to stream the governor’s budget address.

General Assembly

  • State Representative Mark Rozzi (D) resigned as Speaker of the House on Tuesday.  Rozzi, who was unexpectedly elected Speaker on January 3, indicated that he accomplished what he set out to do.  The House then elected Representative Joanna McClinton (D) as Speaker by a vote of 102-99.  She will be the first woman to serve in the position.
  • Following the election of Speaker McClinton, the House Democratic Caucus announced a new leadership team.  Representative Matt Bradford will serve as majority leader and Representative Jordan Harris will serve as chair of the Appropriations Committee.  The complete list of leadership members can be viewed here.
  • The House and Senate are scheduled to be in session on Monday, March 6 through Wednesday, March 8.  On Tuesday, March 7 the two chambers will convene at 11:00 for a joint session to hear Governor Shapiro’s budget address.
  • The Senate Banking & Insurance Committee met on Tuesday, February 28 and favorably reported Senate Bill 8, which requires insurers to cover costs associated with genetic counseling and genetic testing for the BRCA1 and BRCA2 gene mutations if a person is diagnosed with breast or ovarian cancer or has a family history of breast or ovarian cancer.  It also requires insurers to cover all costs associated with a supplemental breast screening by MRI or ultrasound for women at increased risk of breast cancer pursuant to Act 52 of 2020.  The bill received second consideration on Wednesday, March 1.

Revenue Collection Update

  • The Department of Revenue announced this week that Pennsylvania collected $2.8 billion in General Fund revenue during February, which was $351.8 million, or 14.2 percent, more than anticipated.  Fiscal year-to-date General Fund revenue collections total $26.1 billion, which is $649.3 million, or 2.6 percent, above estimate.

Department of Human Services

Department of Health

  • The Department of Health (DOH) has issued final-form rulemaking to replace the temporary regulations currently governing the state’s medical marijuana program.  In its notice, DOH responds to public comments and explains differences between the temporary regulations and this final-form version.  For further information, see this Pennsylvania Bulletin notice.
  • Another DOH notice on the medical marijuana program presents a statement of policy to provide guidance to all growers/processors and laboratories approved to test medical marijuana under the program.  Learn more from this Pennsylvania Bulletin notice.
  • DOH has opened a health resource center in Darlington Township, Beaver County for residents of Beaver and Lawrence counties who have health concerns following the Norfolk Southern train derailment in East Palestine, Ohio on February 3.  The Pennsylvania Department of Environmental Protection and the Pennsylvania Department of Agriculture also will participate in the center’s efforts to help interested residents sign up for free, independent water testing and to provide guidance on food and animal safety.  The center will be open weekdays from 10:00 am to 8:00 pm and is scheduled to operate through March 10.  Learn more from this Shapiro administration news release.
  • DOH has issued a health advisory warning providers of an increase in extensively drug-resistant shigellosis in the U.S.  The advisory includes a CDC advisory on the same condition that includes information about identifying, diagnosing, treating, and reporting the condition.  The advisory notes that no such cases have been reported in Pennsylvania.  Find the advisory here.

COVID-19:  By the Numbers           

  • The number of new COVID-19 cases reported daily in Pennsylvania fell 17 percent over the past week while the number of daily deaths held steady.
  • Pennsylvania recently passed 50,000 deaths from COVID-19.
  • According to the Department of Health, the number of Pennsylvanians hospitalized with COVID-19 fell nine percent last week while the number on ventilators and in hospital ICUs held steady.
  • The CDC reports a 13 percent decline in the seven-day daily average of new hospital admissions in Pennsylvania because of COVID-19.
  • For the week ending March 1, one Pennsylvania county – Bedford – experienced a moderate rate of community transmission of COVID-19; 26 counties experienced a substantial rate of community transmission; and the remaining 40 counties experienced a high rate of community transmission.

Stakeholder Events

Department of Aging – Pennsylvania Long-Term Care Council – March 9

The Department of Aging’s Long-Term Care Council will meet in Harrisburg on Thursday, March 9 at 10:00.  For information on the location of the meeting or how to participate virtually, see this Pennsylvania Bulletin notice.

Department of Drug and Alcohol Programs – Adolescent ASAM Criteria – March 9

The Department of Drug and Alcohol Programs will offer a training program for adolescent service providers on two dates:  March 9 and May 16, both at 8:30.  This training on adolescent ASAM criteria, to be delivered virtually, is designed for participants who already understand the foundational aspects of the ASAM criteria.  The purpose of this training is to explore and discuss the adolescent-specific aspects of the ASAM criteria and offer participants a practical focus through lecture, real-world clinical vignettes, and case studies.  Continuing education credits are available.  Learn more about the program, including requirements for participation and how to join, from this Department of Drug and Alcohol Programs notice.  Please note that the March 9 and May 16 sessions will be identical.

Patient Safety Authority – Board Meeting – March 16

The Patient Safety Authority board will meet virtually on Thursday, March 16 at 1:00.  For information about participating in the meeting, see this Pennsylvania Bulletin notice.

DHS – Medical Assistance Advisory Committee – Consumer Subcommittee – March 22

The consumer subcommittee of the Medical Assistance Advisory Committee will meet virtually on Wednesday March 22 at 1:00.  Go here to register to participate.

DHS – Medical Assistance Advisory Committee – March 23

The Medical Assistance Advisory Committee will hold its next public meeting virtually on Thursday, March 23 at 10:00.  Go here to register to participate.

Department of Drug and Alcohol Programs – Adolescent ASAM Criteria – May 16

The Department of Drug and Alcohol Programs is offering training on adolescent ASAM criteria, to be delivered virtually, for participants who already understand the foundational aspects of the ASAM criteria.  The purpose of this training is to explore and discuss the adolescent-specific aspects of the ASAM criteria and offer participants a practical focus through lecture, real-world clinical vignettes, and case studies.  The program will be held on May 16 at 8:30.  Continuing education credits are available.  Learn more about the program, including requirements for participation and how to join, from this Department of Drug and Alcohol Programs notice.  Please note that this program is identical to one offered on March 9.

 

2023-03-03T20:24:07+00:00March 3rd, 2023|COVID-19, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid policy|Comments Off on PA Health Policy Update for March 3
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PA Health Policy Update for February 17

The following is an update of selected state health policy developments in Pennsylvania from February 11-17.  (Some of the language used below is taken directly from state documents.)

General Assembly

The state House of Representatives will convene for session on Tuesday, February 21 at 12:00 p.m. The state Senate is scheduled to return on Monday, February 27.

Department of Human Services

  • The fee-for-service subcommittee of the Department of Human Services (DHS) Medical Assistance Advisory Committee met on Wednesday, February 8.  See the presentation made by Office of Medical Assistance officials during that meeting.
  • DHS’s Office of Long-Term Living offered a presentation during the February 14 meeting of the Medical Assistance Advisory Committee’s long-term services and supports subcommittee.  Find that presentation here.
  • DHS has published a notice of its funding allocation for FY 2023 inpatient disproportionate share hospital (DSH) payments to qualifying inpatient acute-care general, psychiatric, and rehabilitation hospitals and qualifying psychiatric and rehabilitation units of acute-care general hospitals; outpatient supplemental payments to qualifying inpatient acute-care general hospitals; direct medical education payments to qualifying inpatient acute-care general hospitals; and certain DSH and supplemental payments to new hospitals.  It is not otherwise changing the qualifying criteria or payment methodology for these payments.  These payments will amount to $257.76 million in total funds.  Learn more from this Pennsylvania Bulletin notice.
  • DHS has published a notice of its funding allocation for DSH payments to qualifying acute-care general hospital burn centers, to qualifying acute-care general hospitals providing obstetrical and neonatal services, to critical access and qualifying rural hospitals, and to qualifying acute-care general hospitals that treat a high percentage of Medical Assistance patients under 18 years of age.  Together, the payments amount to $107.655 million in total state and federal funds.  Learn more from this Pennsylvania Bulletin notice.
  • DHS has published procedure codes and payment rates for the administration of the Pfizer and Moderna bivalent booster dose of the COVID-19 vaccines.   Find the codes, the rates, and their effective dates in this Pennsylvania Bulletin notice.
  • DHS’s Office of Long-Term Living has informed stakeholders that the Centers for Medicare & Medicaid Services has approved renewal of the Community HealthChoices waiver, effective January 1, 2023, for five years.  See the DHS message here.
  • DHS has published a notice announcing that it will increase fees in the Medical Assistance Program for certain ambulance transportation services in both the fee-for-service and managed care delivery systems, effective with dates of service on and after January 1, 2023.  Those fees will be not less than $325 for basic life support ambulance transportation services, not less than $400 for advanced life support ambulance transportation services, and not less than $4 per loaded mile for each loaded mile beyond 20 loaded miles for ground ambulance transportation.  Learn more from this Pennsylvania Bulletin notice.

Department of Health

  • The Department of Health (DOH) has issued a health alert to providers advising them about a possible nation-wide increase in invasive group A streptococcal (iGAS) infections in children.  This increase, however, reflects only a return to pre-pandemic levels.  The alert includes information about the condition and offers guidance for clinicians and laboratories.  Find the alert here.
  • DOH has published information about its Medical Care Availability and Reduction Error (MCARE) Act surcharge for FY 2023, a per unit assessment of approximately $156.56 payable by June 1.  Learn more about the surcharge and the providers to which it applies from this Pennsylvania Bulletin notice.
  • DOH has published information about its Nursing Home Patient Safety Trust Fund surcharge for FY 2023.  That surcharge will be $13.83 per nursing facility bed.  Learn more from this Pennsylvania Bulletin notice.
  • DOH has published a list, as required by regulation, of hospitals that have chosen to exercise their religious or moral beliefs regarding the provision of certain contraception-related emergency services and will instead refer patients to other hospitals to receive such services.  Learn more from this Pennsylvania Bulletin notice.

COVID-19:  By the Numbers           

  • The number of new COVID-19 cases reported daily in Pennsylvania and the number of new daily deaths in the past week remained at the same levels as last week.
  • According to the Department of Health, the number of Pennsylvanians hospitalized with COVID-19 and on ventilators held steady over the past week while the number in hospital ICUs declined 25 percent.
  • The CDC reports a six percent decline in the seven-day daily average of new hospital admissions in Pennsylvania because of COVID-19.
  • For the week ending February 15, five Pennsylvania counties experienced a moderate rate of community transmission of COVID-19; 16 counties experienced a substantial rate of community transmission; and the remaining 46 counties experienced a high rate of community transmission – all the same numbers as last week.

Department of Drug and Alcohol Programs

In response to the continuing challenge health care providers are having maintaining an adequate workforce, the Department of Drug and Alcohol Programs is conducting a workforce climate survey among drug and alcohol service providers to learn about which jobs and positions are in short supply or understaffed, the challenges these providers face, what they are doing to address them, and how they think the state can help them address those challenges.  Find that survey here.

Independent Regulatory Review Commission

The Independent Regulatory Review Commission has issued comments in response to regulations proposed by the State Board of Nursing that address licensure by endorsement and reactivation.  Find those comments in this Pennsylvania Bulletin notice.

Stakeholder Events

DHS – Medical Assistance Advisory Committee – Consumer Subcommittee – February 22

The consumer subcommittee of the Medical Assistance Advisory Committee will meet virtually on  Wednesday, February 22 at 1:00.  Learn more from the meeting’s agenda and go here to register to participate.

DHS – Medical Assistance Advisory Committee Meeting – February 23

The Medical Assistance Advisory Committee will meet virtually on Thursday, February 23 at 10:00.  For the meeting agenda go here and to register to participate go here.

DHS – Managed Long-Term Services and Supports Subcommittee Meeting – March 1

The Medical Assistance Advisory Committee’s Managed Long-Term Services and Supports Subcommittee will meet in Harrisburg on Wednesday, March 1 at 10:00.  For information on the location of the meeting or how to participate virtually, see this DHS notice.

Department of Aging – Pennsylvania Long-Term Care Council – March 9

The Department of Aging’s Long-Term Care Council will meet in Harrisburg on Thursday, March 9 at 10:00.  For information on the location of the meeting or how to participate virtually, see this Pennsylvania Bulletin notice.

Department of Drug and Alcohol Programs – Adolescent ASAM Criteria – March 9

The Department of Drug and Alcohol Programs will offer a training program for adolescent service providers on two dates:  March 9 and May 16, both at 8:30.  This training on adolescent ASAM criteria, to be delivered virtually, is designed for participants who already understand the foundational aspects of the ASAM criteria.  The purpose of this training is to explore and discuss the adolescent-specific aspects of the ASAM criteria and offer participants a practical focus through lecture, real-world clinical vignettes, and case studies.  Continuing education credits are available.  Learn more about the program, including requirements for participation and how to join, from this Department of Drug and Alcohol Programs notice.  Please note that the March 9 and May 16 sessions will be identical.

Department of Drug and Alcohol Programs – Adolescent ASAM Criteria – May 16

The Department of Drug and Alcohol Programs is offering training on adolescent ASAM criteria, to be delivered virtually, for participants who already understand the foundational aspects of the ASAM criteria.  The purpose of this training is to explore and discuss the adolescent-specific aspects of the ASAM criteria and offer participants a practical focus through lecture, real-world clinical vignettes, and case studies.  The program will be held on May 16 at 8:30.  Continuing education credits are available.  Learn more about the program, including requirements for participation and how to join, from this Department of Drug and Alcohol Programs notice.  Please note that this program is identical to one offered on March 9.

 

2023-02-17T21:42:53+00:00February 17th, 2023|COVID-19, DSH hospitals, long-term care, Medicaid supplemental payments, Meetings and notices, Pennsylvania Medicaid, Pennsylvania Medicaid policy|Comments Off on PA Health Policy Update for February 17
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Home / About Us / Advocacy / Why Join? / SNAPShots / Contact Us

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  • 2020 Safety-Net Association of Pennsylvania

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