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PA Health Policy Update for the Week of November 15-19

The following is an update of selected state health policy developments in Pennsylvania for the week of November 15-19, 2021.  (Some of the language used below is taken directly from state documents.)

Governor Wolf

Governor Wolf, the Department of Human Services, and the Department of Community and Economic Development announced a plan to spend nearly $300,000 on the state’s Pre-Apprentice and Apprenticeship Program to expand its nurse residency apprenticeship program.  Go here to read the announcement and here to learn more about the state’s apprenticeship programs.

General Assembly

  • The House of Representatives passed House Bill 1995 by a vote of 115-85 this week.  This legislation clarifies the Department of Drug and Alcohol Programs’ authority to promulgate regulations that affect licensed drug and alcohol treatment providers and subjects those regulations to the formal regulatory review process, including publication, notice, and comment.
  • The House Health Committee met on Tuesday, November 16 and favorably reported the following bills:
    • House Bill 1005 adds information to the prescription drug monitoring program (ABC-MAP) when Narcan/Naloxone is used to combat an overdose by emergency responders or medical professionals.
    • House Bill 1644 directs the Department of Human Services to develop a state-wide process to place patients enrolled in Medicaid who have behavioral health or other long-term-care needs in appropriate care settings in a timely manner.
    • House Bill 1959 authorizes the clinical study of the efficacy and cost/benefit optimization of psilocybin-assisted therapy in the treatment of post-traumatic stress disorder, traumatic brain injury, and various mental health conditions.
    • House Bill 2013 adds language to the state constitution establishing an individual’s right to refuse any medical procedure, treatment, injection, or vaccine.
    • House Bill 2033 extends the reporting requirement on the status of COVID-19 testing at the state laboratory until December 31, 2022.
    • House Bill 2077 creates certain exceptions to the COVID-19 vaccine requirement.
  • The House Human Services Committee held an informational hearing on reimbursement rates for drug and alcohol, mental health, and intellectual disability treatment.  A recording of the hearing may be viewed here.

Department of Human Services

Department of Health

  • The Department of Health shared updated guidance from the Centers for Medicare & Medicaid Services about visitation in nursing homes during the pandemic.
  • The Department of Health has produced a neonatal abstinence syndrome family guide toolkit in partnership with the Northwestern Pennsylvania Neonatal Abstinence Syndrome Coalition and the Ohio Perinatal Quality Collaborative to help educate families on the symptoms of neonatal abstinence syndrome and treatment resources.
  • The Department of Health has posted a notice on its message board explaining that its Bureau of Epidemiology and Bureau of Facility Licensure and Certification have notified skilled nursing facilities that they are not required to call 1-877-PA-HEALTH or email Bureau of Epidemiology staff with each new case of COVID-19 identified in staff and residents.  Facilities should continue to call 1-877-PA-HEALTH only to report new outbreaks within their building.  Bureau of Epidemiology staff may request line lists or updates about the status of an outbreak during specific situations.  Facilities should continue to follow all other reporting mandates, including reporting to ERS, CMS, NHSN, or PA-NEDSS.

COVID-19:  By the Numbers

  • The general downward trend in new daily COVID-19 cases in Pennsylvania has ended.  The new case totals for Wednesday, November 16 and Thursday, November 17 were the highest the state has experienced since mid-April.
  • The number of new COVID-19-related deaths remains high.
  • “About nine in ten COVID-19 hospitalizations and deaths in Pennsylvania have involved people who are less than fully vaccinated against the virus, according to new data from the state health department,” PennLive reports.
  • All 67 Pennsylvania counties continue to experience a high rate of COVID-19 transmission.
  • The number of Pennsylvanians hospitalized because of COVID-19, in hospital ICUs because of COVID-19, and on ventilators because of the virus, all of which had declined during the first two week of November, are now higher than they were on the first of the month.
  • 73.3 percent of Pennsylvanians 18 years of age and older are now fully vaccinated – more than 6.5 million people.  49,000 Pennsylvanians were recorded as completing a vaccine regimen in the past week.

Department of Drug and Alcohol Programs

The Department of Drug and Alcohol Programs has announced the availability of $10 million in grant funding for stabilization payments to substance use disorder treatment providers to assist with pandemic-related expenses.  Learn more about the program and how to apply for funding in this department news release.  The deadline for funding applications is noon on December 8,

The Department of Drug and Alcohol Programs is in the process of implementing the ATLAS® (Addiction Treatment Locator, Analysis, and Standards) platform in Pennsylvania in the coming months.  Affected providers previously were asked to complete a survey for this purpose.  Find that survey here.  The following resources are available for those seeking assistance completing the survey:

Pennsylvania Health Care Cost Containment Council (PHC4)

PHC4 has published volume two of its annual ambulatory surgery centers financial analysis for 2020.  Its analysis found that the average total margin for ambulatory surgery centers decreased 1.66 percentage points, from 25.04 percent in FY 2019 to 23.38 percent in FY 2020, with the state-wide average operating margin decreasing 2.88 percentage points, from 25.13 percent in FY 2019 to 22.25 percent in FY 2020.  Go here (under “Ambulatory Surgery Centers Volume Two”) for the agency’s news release about the report, the report itself, and a link to downloadable data from the report.

Pennsylvania Higher Education Assistance Agency (PHEAA)

“Pennsylvania-licensed nurses could soon have some of their student loan debt paid off for them,” reports PennLive, explaining that “A one-time student loan forgiveness program will provide up to $7,500 in debt reduction under a program that the Pennsylvania Higher Education Assistance Agency’s board authorized on Thursday.”  Learn more about the PHEAA board action here and about the PA Student Loan Relief for Nurses Program here.

Stakeholder Events

Medical Assistance Advisory Committee’s Managed Long-Term Services and Supports Subcommittee Meeting – December 2

The Medical Assistance Advisory Committee’s managed long-term services and supports subcommittee will hold a virtual public meeting on Thursday, December 2 at 10:00 a.m.  To register to participate, go here.

Medical Assistance Advisory Committee – December 9

The Medical Assistance Advisory Committee will meet virtually on Thursday, December 9 at 10:00 a.m.  Go here to register for the web event.

Patient Safety Authority – December 9

The Patient Safety Authority will hold a virtual public meeting of its board on Thursday, December 9, 2021, at 1 p.m.  Go here for information about registering and participating.

2021-11-19T22:17:34+00:00November 19th, 2021|Coronavirus, COVID-19, Pennsylvania Department of Health and COVID-19, Pennsylvania Medicaid coronavirus, Pennsylvania Medicaid COVID-19, Pennsylvania Medicaid policy|Comments Off on PA Health Policy Update for the Week of November 15-19
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PA Health Policy Update for the Week of October 18-22

The following is an update of selected state health policy developments in Pennsylvania for the week of October 18-22, 2021.  (Some of the language used below is taken directly from state documents.)

Governor Wolf

Governor Wolf has signed an executive order calling on the state’s Department of Labor & Industry to “study the feasibility of implementing Occupational Safety and Health Administration (OSHA) standards” in state offices and requiring that for profit entities that do business with the state pay “…a minimum wage that meets or exceeds” the state’s minimum wage and offer paid sick leave to their employees.  Go here to see that executive order and here to see a Wolf administration news release about it.

House Chamber of the State HouseGeneral Assembly

  • The House of Representatives’ Democratic Policy Committee held a hearing this week titled “Navigating Healthcare Consolidation.”  Co-hosted by chairman Ryan Bizarro and northeast delegation chair Rep. Maureen Madden, the hearing focused on the market dynamics that contribute to health care consolidation and the effect consolidation has on communities, patients, and employees.  Representatives from the hospital community, organized labor, and patient advocacy groups testified.  A press release issued following the hearing may be viewed here and testimony offered at the hearing may be viewed here.
  • The House and Senate will be in session next Monday (10/25), Tuesday (10/26), and Wednesday (10/27).  As of October 22, the following health care-related committee meetings have been scheduled for next week:
    • The House Aging & Older Adult Services Committee will meet on Tuesday, October 26 to consider, among other bills, House Bill 1356, which amends the Human Services Code to increase the reimbursement rate for guardians of older adults.
    • The House Human Services Committee will meet on Tuesday, October 26 to consider House Bill 1561 and House Bill 1563.  These bills, which amend the Mental Health Procedures Act and the Drug and Alcohol Abuse Control Act, respectively, seek to align them with HIPAA and give providers, facilities, and insurers the ability to more easily share patient mental health and substance use disorder treatment information.  The committee also will consider House Bill 1308, which enables local communities and agencies in Pennsylvania to establish overdose fatality review teams.  Finally, the committee will consider House Bill 1995, which clarifies the Department of Drug and Alcohol Programs’ ability to promulgate rules and regulations and makes them subject to the regulatory review process, including publication, notice, and comment.

Department of Human Services

  • The Department of Human Services (DHS) has added November dates to its calendar of when it will be issuing Remittance Advices (RAs) and corresponding checks.  Find the updated calendar here.
  • DHS has updated its information about provider enrollment and revalidation changes during the COVID-19 emergency.
  • DHS’s Office of Medical Assistance Programs has issued a Medical Assistance Bulletin advising providers of updates of certain error status codes for personal care services subject to electronic visit verification, effective for claims received on or after October 22, 2021.  The bulletin also gives providers an updated Provider Assistance Center contact e-mail address for their use.  Go here to find this Medical Assistance Bulletin.
  • DHS’s Office of Mental Health and Substance Abuse Services has informed providers that certain regulatory requirements for on-site inspections have been reinstated as of October 18, 2021.  This includes visitation requirements, the right to enter and inspect, and the requirement to undergo an annual inspection.
  • DHS’s Office of Medical Assistance Programs has issued a Medical Assistance Bulletin to inform Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC) of the procedure for submitting claims to DHS for a take-home supply of naloxone distributed to Medical Assistance beneficiaries.  Find that bulletin here.
  • The federal Centers for Medicare & Medicaid Services (CMS) has issued guidance on coordinating care provided by out-of-state providers for children with medically complex conditions, including a description of best practices and other implementation considerations related to coordination of care from out-of-state providers for children with medically complex conditions.  Go here to see CMS’s guidance memo to state Medicaid programs.

Department of Health

The Department of Health has published an update on point-of-care COVID-19 antigen tests and the interpretation of test results.  The updated guidance replaces previous department guidance.

COVID-19:  By the Numbers

  • The daily number of new COVID-19 cases declined slightly this week.
  • The number of new COVID-19-related deaths remains high but did not rise during the past week.
  • The number of Pennsylvanians hospitalized because of COVID-19, on ventilators because of the disease, and being treated in hospital ICUs has remained relatively steady since the beginning of the month.
  • 71.1 percent of Pennsylvanians 18 years of age and older are now fully vaccinated – more than 6.4 million people.  3000 Philadelphians and 58,000 other Pennsylvanians were recorded as completing a vaccine regimen in the past week.

Pennsylvania Rural Health Model

The federal Center for Medicare and Medicaid Innovation has posted its first evaluation of its Pennsylvania Rural Health Model, a federally approved program that seeks “…to improve population health outcomes, increase access to high-quality care, and improve the financial viability of acute care hospitals in rural Pennsylvania.  Designed to reduce the risk of rural hospital closures, the Model seeks to stabilize participating hospitals’ finances by providing a predictable revenue stream through global budgets.”  Go here and scroll down for information about the model and links to additional resources.

Stakeholder Events

Medical Assistance Advisory Committee – Consumer Subcommittee – October 27

The Medical Assistance Advisory Committee’s Consumer Subcommittee will meet virtually on Wednesday, October 27 at 1:00 p.m.  Go here to register to participate.

Medical Assistance Advisory Committee – October 28

The Medical Assistance Advisory Committee will meet on Thursday, October 28 at 10:00 a.m.  Go here to register to participate virtually.

Special Pharmaceutical Benefits Program Advisory Council – October 28

The next meeting of the Special Pharmaceutical Benefits Program Advisory Council will be held virtually on Thursday, October 28, 2021 at 10:00 a.m.  To participate:

Health Care Cost Containment Council – November 4

The Health Care Cost Containment Council will meet via teleconference on Thursday, November 4 at 10:00 a.m.  The public is invited to participate.  See this Pennsylvania Bulletin notice about how to join the meeting.

Organ Donation Advisory Committee Meeting – November 4

The Organ Donation Advisory Committee will hold a virtual meeting on Thursday, November 4 at 10:00 a.m.  See this Pennsylvania Bulletin notice for information about how to join the meeting.

Traumatic Brain Injury Advisory Board – November 5

The Traumatic Brain Injury Advisory Board will hold a virtual meeting on Friday, November 5 at 10:00 a.m.  See this Pennsylvania Bulletin notice for information about how to join the meeting.

Pharmaceutical Assistance Advisory Board – November 15

The Department of Aging’s Pharmaceutical Assistance Advisory Board will hold a virtual meeting on Monday, November 15, 2021 at 8:30 a.m.  To participate virtually or by phone, go here for further information.

 

2021-10-22T21:03:04+00:00October 22nd, 2021|Coronavirus, COVID-19, Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Department of Health and COVID-19, Pennsylvania Medicaid, Pennsylvania Medicaid COVID-19, Pennsylvania Medicaid policy|Comments Off on PA Health Policy Update for the Week of October 18-22
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PA Health Policy Update for the Week of September 20-24

The following is an update of selected state health policy developments in Pennsylvania for the week of September 20-24, 2021.  (Some of the language used below is taken directly from state documents.)

Harrisburg, PA capital buildingGeneral Assembly

  • House Republican leadership held a press conference on Monday to discuss their legislative agenda for the fall.  In addition to addressing the Wolf administration’s mask mandate for K-12 schools, they plan to work on legislation to address the opioid and addiction crises and COVID-19 regulatory waivers and flexibilities.  View the news conference here.
  • The House of Representatives sent House Bill 1861 to the Senate, where it was referred to the Health & Human Services Committee.  This bill will likely serve as the legislative vehicle for an extension of the health-related COVID-19 regulatory waivers and flexibilities set to expire on September 30, 2021.
  • The House of Representatives unanimously approved House Bill 1774, which amends the Achieving Better Care by Monitoring All Prescriptions Program (ABC-MAP).  Specifically, the bill extends the sunset date to December 31, 2028 and grants the Department of Labor & Industry access to the prescription monitoring program.
  • Senate Bill 397 and Senate Bill 398 were reported as amended by the House Professional Licensure Committee on Monday.  These two bills would modernize Pennsylvania law on physician assistants and their oversight.
  • The House and Senate will be in session again next week on Monday (9/27), Tuesday (9/28), and Wednesday (9/29).  The following health care-related committee meetings have been scheduled:
    • The House State Government Committee will convene on Monday (9/27) to consider, among other bills, House Bill 1893, which amends the Disease Control and Prevention Act of 1955 to make disease information under this act subject to the Right-to-Know Law.  The committee also will consider Senate Bill 533, which prohibits certain regulatory and administrative actions during a disaster emergency.
    • The Senate Health & Human Services Committee will convene on Monday, September 27 at 12:00 p.m. to consider House Bill 1861 (COVID-19 regulatory waiver and flexibility extension); House Bill 1774 (Achieving Better Care by Monitoring All Prescriptions Program); Senate Bill 782 (payment for FDA-approved anti-obesity drugs); Senate Bill 815 (pelvic exam consent requirement); and Senate Bill 818 (allowable ambulatory surgical center procedures).

Department of Human Services

Department of Health

  • The Department of Health has updated its interim infection prevention and control recommendations for health care settings to add new options for fully vaccinated individuals working in facilities in counties with low to moderate rates of community transmission of COVID-19.
  • The Department of Health, Department of Drug and Alcohol Programs, and the Pennsylvania Commission on Crime and Delinquency have written to Pennsylvania hospital officials advising them on how they can secure a supply of Narcan to support hospital- and community-based naloxone distribution efforts to help in the fight against overdose-related deaths.  See their letter here.
  • Acting Secretary of Health Alison Beam has signed an order to ensure that vaccine providers are prepared to start COVID-19 booster shots as soon as the CDC issues federal guidance to do so.  The order requires vaccine providers, as possible, to provide online scheduling for vaccination appointments; provide a telephone number to assist with scheduling appointments; offer walk-in appointments; and work with local Area Agencies on Aging and Medicaid managed care plans to help schedule appointments for eligible adults and people who cannot leave their homes to get vaccinated.  Learn more from the Department of Health’s announcement about the order and the order itself.

COVID-19:  By the Numbers

  • The daily number of new COVID-19 cases remained very high this week.  Today the number of Pennsylvanians who have contracted COVID-19 surpassed 1.4 million.
  • The number of COVID-19 cases among school-aged children (between 5-18 years old) is 12.2 times greater this year than in 2020.  Between September 15 and September 21, 2020 there were a total of 650 COVID-19 cases in school-aged kids compared to 7,928 cases in the same age group during the same week in 2021.
  • According to Pennsylvania’s COVID-19 dashboard, only 41 pediatric intensive care beds in the state – 11 percent of the total number of such beds state-wide – are currently unoccupied.
  • The number of new COVID-19-related deaths also remains high.  Yesterday the number of Pennsylvanians who have died from COVID-19 rose past 29,000.
  • For the third consecutive week, every county in Pennsylvania is experiencing a high level of COVID-19 transmission (scroll down to page 13).
  • The number of Pennsylvanians hospitalized because of COVID-19 rose 13 percent in the past week and has risen 44 percent since the first of the month; the number on ventilators has risen 14 percent in the past week and 38 percent since the first of the month; and the number in hospital intensive care units has risen 12 percent in the past week and 37 percent since the beginning of September.
  • 68.2 percent of Pennsylvanians 18 years of age and older are now fully vaccinated – 6.1 million people – up from 67.5 percent last week.  10,000 Philadelphians and 74,000 other Pennsylvanians were recorded as completing a vaccine regimen in the past week; some of the 74,000 were added to the ranks of the vaccinated as the result of a Department of Health adjustment of its vaccination data.

Around the State

  • “Regulatory waivers established last year to help hospitals and health-care workers fight COVID-19 will expire this month, and those in the field are warning the lapse could exacerbate an ongoing staffing crisis as coronavirus cases rise again,” reports Spotlight PA, which takes a closer look at some of the waivers that have been in place in Pennsylvania, what they do, and what the stakes might be if they are not renewed.
  • Emergency department volume at Children’s Hospital of Pittsburgh and Excel Health Frick Hospital has risen so much that the hospitals have erected tents to help them handle growing numbers of patients, according to the Pittsburgh Tribune-Review.
  • Mobile clinics operated by the organization Latino Connection are making a special effort to provide COVID-19 vaccines to Hispanic communities around the state, the Allentown Morning Call reports.
  • Black Doctors COVID-19 Consortium, a group launched to ensure access to COVID-19 vaccines for Philadelphia’s African-American community, will extend its scope of endeavor and open a primary care clinic to help address health disparities and inequities.  The Philadelphia Inquirer explains the group’s evolution.
  • “A new study from Penn State shows Pennsylvania could avoid billions of dollars in health damages by joining a regional cap and trade program targeting power plant emissions… The team at Penn State used four types of damage estimates to find that the commonwealth could reduce health impacts caused by power plant pollution by between $18 and 40 billion dollars over the next nine years by joining the Regional Greenhouse Gas Initiative (RGGI).”  StateImpact Pennsylvania explains.
  • Spotlight PA has posted an update on its reporting on what it calls the “…growing dementia care crisis in one of the nation’s most rapidly aging states…”  Read it here.
  • “Mental health agencies in Bucks, Dauphin, Carbon, Monroe and Pike counties are using new grant funding to test out a program designed to help people who live with serious mental illness and are at risk of ending up in jail.”  Learn more from this WITF story.
  • An EMS organization serving parts of Lancaster County is encountering funding problems – a situation found in other parts of the state as well, according to the Pennsylvania Capital-Star.

 

2021-09-24T20:29:14+00:00September 24th, 2021|Coronavirus, COVID-19, Medical Assistance Bulletin, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid COVID-19, Pennsylvania Medicaid laws and regulations, Pennsylvania Medicaid policy, Pennsylvania Medical Assistance|Comments Off on PA Health Policy Update for the Week of September 20-24
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PA Health Policy Update for the Week of September 6

The following is an update of selected state health policy developments in Pennsylvania for the week of September 6-10, 2021.  (Some of the language used below is taken directly from state documents.)

General Assembly

The House of Representatives announced it will return to session a week early to address the Wolf administration’s implementation of a mask mandate for K-12 schools and child care facilities.  The House, which was originally scheduled to return on September 27, has added September 20, 21, and 22 as voting session days.

Department of Health

Department of Human Services

  • The Department of Human Services has issued a Medical Assistance Bulletin announcing the addition of CPT codes 0003A and 0013A to the Medical Assistance Program Fee Schedule for the administration of a third dose of the Pfizer and Moderna COVID-19 vaccines.  See the notice here.
  • The Department of Human Services has posted a notice announcing FY 2022 rates for selected services provided by the state’s Office of Mental Health and Substance Abuse Services (OMHSAS).
  • The Department of Human Services has announced that it will allocate $255.556 million in total funds in FY 2022 for inpatient disproportionate share hospital (Medicaid 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, and direct medical education payments to qualifying inpatient acute-care general hospitals.  The department is not changing the state plan provisions addressing the qualifying criteria or payment methodology for these payments.  Learn more from this Pennsylvania Bulletin notice.
  • The Department of Human Services has announced its intention to make COVID-19-related Medicaid DSH payments to qualified hospitals and how much it will pay hospitals based on their Medical Assistance days and their degree of Medicaid dependence.  See the Pennsylvania Bulletin notice here.
  • The Department of Human Services is adding and end-dating procedure codes as a result of implementing the 2021 updates published by the Centers for Medicare & Medicaid Services to the Healthcare Common Procedure Coding System (HCPCS).  The department also is adding other procedure codes and making changes to procedure codes currently on the Medical Assistance Program Fee Schedule, including fee adjustments.  Learn more from this Pennsylvania Bulletin notice.
  • The Department of Human Services has published its latest monthly physical health managed care enrollment report.  Find it here.

Pennsylvania Rural Health Model

The federal Center for Medicare and Medicaid Innovation has posted its first report on the performance of its Pennsylvania Rural Health Model.  Find that report here and go here for further information about the program.

COVID-19:  By the Numbers

  • The daily number of new COVID-19 cases remained high this week, including the first day (today) with more than 5000 new cases since mid-April.
  • The number of new COVID-19-related deaths increased over the past week.
  • For the week ending September 9 in Pennsylvania, every county in the state is experiencing a high level of COVID-19 transmission.  The CDC classifies transmission as follows:
    • Low:  0-10 new cases per 100,000 residents over the past week or 0-5% positivity rate
    • Moderate: 15-50 new cases per 100,000 residents over the past week or 5-8% positivity rate
    • Substantial:  50-100 new cases per 100,000 residents over the past week or 8-10% positivity rate
    • High: 100+ new cases per 100,000 residents over the past week or 10%+ positivity rate
  • The number of Pennsylvanians hospitalized because of COVID-19 has risen 17 percent since the beginning of the month, the number on ventilators has risen 14 percent, and the number in hospital intensive care units has risen 11 percent.
  • According to the state’s revised figures, 66.8 percent of Pennsylvanians 18 years of age and older are now fully vaccinated – 6.0 million people – up from 66.0 percent last week.  Only 11,000 Philadelphians and 65,000 other Pennsylvanians (fewer than last week) completed a vaccine regimen in the past week.

Around the State

Independent Regulatory Review Commission

Pennsylvania’s Independent Regulatory Review Commission has rejected regulations proposed by the state’s Department of Drug and Alcohol Programs for the licensure or certification of drug and alcohol recovery houses that receive funds or referrals from the department or a federal, state, or other county agency to ensure that a drug and alcohol recovery house provides a safe environment for residents.  See the commission’s explanation of its decision in this Pennsylvania Bulletin notice.

Stakeholder Events

  • The consumer subcommittee of the Medical Assistance Advisory Committee will meet on September 22 at 1:00 pm.  Go here to register to participate remotely.
  • The Medical Assistance Advisory Committee will meet on September 23, 2021 at 10:00 am.  Go here to register to participate remotely.
  • The Patient Safety Authority will hold a virtual public meeting on Thursday, September 23 at 1:00 p.m. and it is open to the general public.  For information about how to join the meeting, see this Pennsylvania Bulletin notice.
2021-09-10T21:48:42+00:00September 10th, 2021|Coronavirus, COVID-19, DSH hospitals, Medicaid supplemental payments, Medical Assistance Bulletin, Pennsylvania Bulletin, Pennsylvania Department of Health and COVID-19, Pennsylvania Department of Health coronavirus, Pennsylvania Medicaid, Pennsylvania Medicaid coronavirus, Pennsylvania Medicaid COVID-19, Pennsylvania Medicaid laws and regulations, Pennsylvania Medicaid policy, Pennsylvania Medical Assistance|Comments Off on PA Health Policy Update for the Week of September 6
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PA Health Policy Update for the Week of August 16-20

The following is an update of selected state health policy developments in Pennsylvania for the week of August 16-20, 2021.  (Some of the language used below is taken directly from state documents.)

The Wolf Administration

The Wolf administration has directed vaccine providers to support COVID-19 vaccination clinics and has introduced a free COVID-19 testing program for schools across the state.  Learn more from this news release and from a Department of Health order in support of the governor’s directive.

General Assembly

The Senate Aging & Youth Committee held a hearing this week to examine proposed revisions of the state’s Child Protective Services Law.  Testimony presented to the committee and a video transcript may be found here.

Next week the Senate Health & Human Services and Aging & Youth committees will hold a joint hearing with the House Aging & Older Adult Services and Human Services committees to “discuss the Department of Human Services’ intent to contract with Maximus as its independent enrollment broker (IEB) and the impact this will have on seniors and adults with disabilities.”  The hearing will take place on Monday, August 23 at 12:30 p.m.  Livestream the hearing here.

Department of Health

  • Effective August 18, the Department of Health’s order regarding daily hospital data reporting through the Corvena system is amended to add new data fields related to the vaccination status of hospital patients.  View details in the amended order here.
  • The Department of Health has issued an advisory to health care facilities and providers caring for people whose immune systems are moderately to severely compromised about the CDC’s recommendation that such individuals may benefit from an additional dose of mRNA COVID-19 vaccine to ensure they have enough protection against COVID-19.  Find the advisory here.
  • The Department of Health has informed health care facilities and providers of the CDC’s recommendation that pregnant people should be vaccinated against COVID-19.  Learn more from a department health advisory.
  • In July the Department of Health’s nursing home surveyors conducted 466 inspections, including 289 complaint investigations, of 329 separate nursing homes.  Of these inspections, 30 were COVID-19-specific investigations.  There were five new sanctions finalized against nursing care facilities in the past month resulting in a total of $40,150 in fines.  Learn more from this department news release.

Department of Human Services

  • DHS has added September dates to its calendar of MA remittance advice delivery dates.  Find the updated list here.
  • DHS has published a Medical Assistance Bulletin announcing changes in the Medical Assistance program fee schedule, including changes resulting from the implementation of the 2021 Healthcare Common Procedure Coding System procedure codes updates.  In addition, DHS also is adding other procedure codes and making changes to procedure codes currently in the MA program fee schedule, including fee adjustments, as well as setting limitations and prior authorization requirements.  These changes are effective for dates of service on and after August 23, 2021.  Find this Medical Assistance Bulletin here.
  • Officials from DHS and the Department of Health have introduced the PA Health Equity Analysis Tool (HEAT), an interactive map that synthesizes Medical Assistance and population health data to show opportunities for intervention to promote better health and promote health equity.   PA HEAT provides state, county, zip code, and census track-level data on a number of population health measures and social determinants of health and how they affect local communities and Pennsylvania as a whole.  Results can also be displayed according to environmental justice areas, which are calculated based on concentrations of people living at or below the federal poverty line, based on resident demographics.  Learn more about PA HEAT from this DHS announcement and from the PA HEAT web site.
  • DHS has released quarterly licensing and enforcement activity data for its five licensing offices that oversee providers of long-term care, child care, behavioral health care, day activity programs, and residential care for individuals with intellectual disabilities and autism.  Find a summary of the report in this DHS announcement.
  • A notice in the Pennsylvania Bulletin announces that documents are now available on DHS’s web site about proposed annual case-mix per diem rates for state fiscal year 2021-2022 for non-public and county nursing facilities and the budget adjustment factor that will be applied to non-public and county nursing facilities.  Find the Pennsylvania Bulletin notice here and the DHS web site with the nursing facility rates here.

COVID-19:  By the Number

  • The daily number of new COVID-19 cases continued to rise during the past week.  The 3451 new cases reported on Thursday was the highest single-day total since April 30.
  • The number of deaths, while slightly higher during the past week, remains far lower than when comparable numbers of new cases were being reported in the spring.
  • For the week of August 6-12 the state’s overall COVID-19 test positivity rate was 6.0 percent, up from 5.4 percent last week and the fifth consecutive week with an increase.
  • In Pennsylvania, only Sullivan County is classified as having a low rate of COVID-19 transmission this week; three counties – Forest, Tioga, and Warren – have a moderate rate of transmission; 25 counties are currently experiencing a substantial rate of transmission; and 38 currently show a high rate of transmission, including nine of the ten most populous counties in the state:  Philadelphia, Allegheny, Delaware, Bucks, Montgomery, York, Lehigh, Berks, and Lancaster.
  • The number of Pennsylvanians hospitalized because of COVID-19 has more than doubled since the beginning of the month; the number on ventilators because of the virus is two-and-half times greater than it was at the beginning of the month; and the number in hospital intensive care units has more than tripled since the beginning of the month.
  • According to the state’s COVID-19 Dashboard, only 57 pediatric ICU beds in the state are not currently occupied.  That figure represents 14.7 percent of the total of such beds in Pennsylvania.
  • According to the state’s revised figures, 64.7 percent of Pennsylvanians 18 years of age and older are now fully vaccinated – 5.86 million people – up from 62.8 percent last week.  Only 54,000 Pennsylvanians completed a vaccine regimen in the past week and only 134,000 have done so since the beginning of August.

Around the State

  • Governor Wolf is “…reinstating a mask mandate for all state employees and contracted staff working under his jurisdiction regardless of their vaccination status, starting on Monday,” PennLive reports.
  • A shortage of nurses in the Philadelphia area has led hospitals to offer signing and retention bonuses of as much as $20,000 to experienced nurses.  The Philadelphia Inquirer offers the details.
  • “Overburdened health care systems from Texas to Florida are pleading with Western Pennsylvania hospitals to take on transfer patients at record-high rates as beds and ventilators reach capacity in covid-19 hot spots across the country,” the Pittsburgh Tribune-Review reports.
  • “While nearly a third of deer tested in Pennsylvania carried antibodies indicating they were exposed to COVID-19, the Pennsylvania Game Commission noted there is no evidence that deer can transmit the virus to humans and advised hunters to ‘take usual precautions when handling their harvests.’”  The Bradford Era explains what this means.
  • WTAE TV in Pittsburgh has published on its web site an interactive map showing the COVID-19 transmission rate for every county in the state.  Find the map here (scroll down to see it).
  • The Wolf administration plans to engage at least 100 people to perform COVID-19 contact tracing, Spotlight PA reports.

Stakeholder Event

The Department of Health’s Health Research Advisory Committee will hold a public meeting on Monday, August 23, from 10:00 a.m. to 11:30 a.m.  The meeting will be held virtually via Microsoft Teams at +1 267-332-8737 with Conference ID: 545 844 262#.  The purpose of the meeting is to review the work of the committee and plan future health research priorities.  Find the meeting agenda here.

2021-08-20T21:33:37+00:00August 20th, 2021|Coronavirus, COVID-19, Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Department of Health and COVID-19, Pennsylvania Department of Health coronavirus, Pennsylvania Medicaid, Pennsylvania Medicaid coronavirus, Pennsylvania Medicaid laws and regulations, Pennsylvania Medicaid policy, social determinants of health|Comments Off on PA Health Policy Update for the Week of August 16-20
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PA Health Policy Update for the Week of August 2-6

The following is an update of selected state health policy developments in Pennsylvania for the week of August 2-6, 2021.  (Some of the language used below is taken directly from state documents.)

The Wolf Administration

The Wolf administration has announced plans to extend postpartum Medicaid coverage for mothers.  Federal law requires Medicaid to extend eligibility for pregnant women with incomes up to 138 percent of the federal poverty level for 60 days following the birth of a baby but the American Rescue Plan Act authorizes states to expand the Medicaid postpartum coverage period for mothers to one year following the birth of a baby beginning on April 1, 2022.  Learn more from this Wolf administration news release.

Department of Health

  • The Department of Health announced that it will begin sending text messages to people who received their first dose of a COVID-19 vaccine but have not received their second dose.  See the department’s announcement about this effort.
  • The Department of Health has updated its guidance for who should quarantine if they have been exposed to someone who is diagnosed with COVID-19 or has been in contact with someone who has COVID-19 and for how long they should quarantine.  See the updated guidance here.
  • The Department of Health has published a Health Alert Network notice that provides an update on the outbreak of C. auris in Pennsylvania, first reported in March of 2020 and affecting 52 cases in 13 health care facilities since then.  The notice describes the current epidemiology of C. auris and discusses risk factors, transmission, diagnosis, and prevention.  See the notice here.
  • The Department of Health will be publishing facility-level COVID-19 vaccination rates (as reported to the CDC) on its website next week.  It compiled materials from multiple sources to help educate skilled nursing facility staff about the safety and benefits of COVID-19 vaccines.  Those sources include:

Department of State

The Department of State notified providers about its plans to phase out many of the current waivers and flexibilities in place for the pandemic as a result of legislation calling for an end to such waivers by September 30, 2021 or earlier at the discretion of each department.  These flexibilities will expire on either August 17, August 31, or September 15, 2021, as indicated in this announcement.  Licensees and other affected stakeholders are urged to return to compliance with all requirements without delay but in any event no later than the relevant expiration dates.

Department of Drug and Alcohol Programs

The Department of Drug and Alcohol Programs has issued an information bulletin explaining that the federal Substance Abuse and Mental Health Services Administration (SAMHSA) has removed from its terms and conditions for grant funding a statement that prohibited any entity from receiving funds if the entity provides or permits marijuana use for the purposes of treating substance use or mental disorders.  Updated manuals can be found on the Department of Drug and Alcohol Programs website.

Department of Aging

The Department of Aging announced changes to the maximum amount available to a qualified primary caregiver for out-of-pocket expenses incurred for services and the lifetime amount for home modifications or assistive devices.  The new maximum amounts will be effective August 10, 2021 and are the result of legislative changes enacted earlier this summer.  Find the new amounts in this Pennsylvania Bulletin announcement.

COVID-19:  By the Numbers

  • The daily number of new COVID-19 cases rose considerably again over the past week.  Thursday’s new case count was the highest single day total since May 21.
  • The number of deaths, however, remains very low.
  • For the week from July 23 through July 29 the state’s overall COVID-19 test positivity rate was 3.9 percent, up from 2.6 percent last week and the fourth consecutive week with an increase after more than two months of declining rates.
  • The number of Pennsylvanians hospitalized because of COVID-19, in hospital intensive care units because of COVID-19, and on ventilators because of COVID-19 rose sharply in the past week.
  • According to the state’s revised figures, 63.4 percent of Pennsylvanians 18 years of age and older are now fully vaccinated, a small increase over last week’s number.  In Philadelphia, only 17,000 people reached full vaccination status in the past week and 46,000 have done so since July 1.

Around the State

Stakeholder Events

  • Human Immunodeficiency Virus (HIV) Community Prevention Planning Committee

August 11-12 at 9:00 a.m.

The state-wide Human Immunodeficiency Virus (HIV) Community Prevention Planning Committee will hold public meetings on Wednesday, August 11, 2021, and Thursday, August 12, 2021 from 9 a.m. to 4:30 p.m.  To see the agenda and find information about where the meeting will be held and how individuals can participate virtually, see the meeting announcement in the Pennsylvania Bulletin.

  • Pennsylvania Rural Health Redesign Center Authority Board

August 17 at 10:00 a.m.

The Board is charged with administering the Pennsylvania Rural Health Model and the virtual meeting will provide updates on a variety of topics including model status updates, Federal grant deliverables, global budget methodology, and more.  For information on how individuals can participate virtually, see the meeting announcement in the Pennsylvania Bulletin.

  • Maternal Mortality Review Committee Virtual Public Meeting

August 18 at 9:00 a.m.

The purpose of the virtual public meeting is to discuss new and ongoing issues relating to treatment of maternal mortality and the Department of Health’s programs related to care and treatment.  For information on how individuals can participate virtually, see the meeting announcement in the Pennsylvania Bulletin.

Stakeholder Event Materials

 

 

 

 

2021-08-16T15:17:35+00:00August 16th, 2021|Coronavirus, COVID-19, Medical Assistance Bulletin, Pennsylvania Bulletin, Pennsylvania Medicaid COVID-19, Pennsylvania Medicaid policy|Comments Off on PA Health Policy Update for the Week of August 2-6
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PA Health Policy Update for the Week of July 19-23

The following is an update of selected state health policy developments in Pennsylvania for the week of July 19-23, 2021.  (Some of the language used below is taken directly from state documents.)

General Assembly

The Senate Health & Human Services Committee and Communications & Technology Committee held a joint hearing on Wednesday to examine contracts awarded by the Department of Health  through emergency procurements.  The hearing largely focused on the department’s recent announcement that it intends to enter into a year-long $34 million contract with Public Consulting Group (PCG) to conduct COVID-19 contact tracing.  PCG is being hired to replace the state’s former contact-tracing vendor, Insight Global, which received a multi-million contract last year through an emergency procurement but was fired in May for mishandling sensitive personal information.  Read Acting Health Secretary Alison Beam’s testimony here and watch a replay of the hearing here.

Office of the Attorney General

Attorney General Josh Shapiro announced this week a $26 billion settlement with Cardinal, McKesson, AmerisourceBergen, and Johnson & Johnson for their role in the opioid epidemic.  This agreement would resolve the claims of nearly 4,000 state and local governments across the country that have filed lawsuits against these companies.  States have 30 days to agree to the settlement and local governments have 150 days.  Shapiro has estimated that Pennsylvania will receive as much as $1 billion from the settlement.

Department of Health

Wolf administration officials announced proposed changes in state nursing home regulations that seek to improve the quality of care received by residents by increasing the minimum direct care hours by 1.4 hours each day.  The current skilled nursing facility regulations have not been updated since 1999.   The Department of Health has indicated that it intends for this to be the first of five proposals to update the regulations governing long-term-care facilities.  With this announcement the Department of Health submitted the first installment of the proposed nursing home regulations to the General Assembly, the state’s Independent Regulatory Review Commission, and the Legislative Reference Bureau.  The next step is for these proposed regulations to be published in the Pennsylvania Bulletin by the end of July, which will start a 30-day public comment period.  Learn more from this Wolf administration news release about the newly proposed regulations and go here, to the web site of the Independent Regulatory Review Commission, to find the proposed regulations themselves.

Department of Human Services

DHS has updated its “Monthly Physical Health Managed Care Program Enrollment Report” with new data on the number of Pennsylvanians who participated in Medical Assistance managed care in April, May, and June.  The report breaks down Medicaid managed care enrollment by county, by racial and ethnic group, and by health plan.  Find the report here.

COVID-19:  By the Numbers

  • The daily number of new COVID-19 cases rose considerably over the past week, with Tuesday’s total the highest one-day figure in more than one month.  Even these higher numbers are only between one-third and one-half of what they were at this time two months ago.
  • The number of Pennsylvanians hospitalized with COVID-19 has risen 12 percent since the beginning of July and the number in hospital ICUs has risen a good deal in recent days.  The number of COVID-19 patients on ventilators continues to decline.
  • 5.6 million Pennsylvanians have been fully vaccinated against COVID-19, according to the state’s COVID-19 dashboard, but only 56,000 completed the full vaccination regimen in the past week – barely more than half the number of last week; another 823,000 Philadelphians are now fully vaccinated but only 10,000 reached that status in the past week.

Around the State

  • The Philadelphia Department of Public Health now “…strongly recommends that everyone, including fully vaccinated people, wear masks in all public indoor places,” Philadelphia health officials announced in their latest update on the state of COVID-19 in the city.
  • A long-sought psychiatric residential treatment facility in Philadelphia for kids with complex needs may close just a few months after it opened because the state has revoked its license.  The Philadelphia Inquirer explains why.
  • Opioid problems, addictions, and deaths are rising in western Pennsylvania, the Pittsburgh Tribune-Review reports.
  • Will Pennsylvania public school students be required to wear masks when they return to the classroom in September?  In Pittsburgh it looks like they will; elsewhere in Allegheny County, some will and some will not; in Philadelphia they definitely will; in the Scranton School District they are still deciding; and in the Central Bucks School District masks will be optional.
  • “Pennsylvania officials in Harrisburg are mulling pay increases, signing bonuses and student loan forgiveness for the state’s care workers who provide home and community based services – part of a plan to spend an additional $1.2 billion in federal funding for those services that allow seniors and people with disabilities to live independently,” according to the Pittsburgh Post-Gazette, which also reports on the proposed strategy the state has submitted to the federal Centers for Medicare & Medicaid Services.
  • City and State Pennsylvania, which describes itself as a “…multi-media news firm that dedicates its coverage to Pennsylvania’s state and local government, political and advocacy news,” has come out with a list of “The Pennsylvania Healthcare Power 100.”  See who made the cut here.
  • About 1500 employees of more than a dozen Pennsylvania nursing homes will go on a one-day strike on July 27.  GoErie explains why.
  • Worried about the recent increase in the number of new COVID-19 cases?  Experts in western Pennsylvania are not – at least not yet.  The Pittsburgh Tribune-Review shares their thoughts.
  • The Justice Department has informed the Wolf administration that it will not investigate whether the state ordered nursing homes to accept residents after they had been treated in a hospital for COVID-19, which would have been a violation of federal law, according to the Associated Press.

Stakeholder Events

Special Pharmaceutical Benefits Program

July 29 at 10:00

This is a telephone meeting.

Join on your computer or mobile app

Click here to join the meeting

Or call in (audio only)

+1 412-648-8888,,785376728#   United States, Pittsburgh

(866) 588-4789,,785376728#   United States (Toll-free)

Phone Conference ID: 785 376 728#

Traumatic Brain Injury Advisory Board

August 6 at 9:00 a.m.

The Traumatic Brain Injury Advisory Board will hold a virtual public meeting on Friday, August 6, 2021.  For information about the board’s mission, meeting materials, and how to participate virtually, see the meeting announcement in the Pennsylvania Bulletin.

Human Immunodeficiency Virus (HIV) Community Prevention Planning Committee

August 11-12 at 9:00 a.m.

The state-wide Human Immunodeficiency Virus (HIV) Community Prevention Planning Committee will hold public meetings on Wednesday, August 11, 2021, and Thursday, August 12, 2021 from 9 a.m. to 4:30 p.m.  To see the agenda and find information about where the meeting will be held and how individuals can participate virtually, see the meeting announcement in the Pennsylvania Bulletin.

2021-07-23T21:07:14+00:00July 23rd, 2021|Coronavirus, COVID-19, HealthChoices, long-term care, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid policy|Comments Off on PA Health Policy Update for the Week of July 19-23
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PA Health Policy Update for the Week of July 12-16

The following is an update of selected state health policy developments in Pennsylvania for the week of July 12-16, 2021.  (Some of the language used below is taken directly from state documents.)

General Assembly

The House Democratic Policy Committee’s Subcommittee on Progressive Policies for Working Families held an informational hearing this week on “Pricing Out Pennsylvanians:  How to Drive Down Drug Prices.”  Various stakeholders, including PhRMA, the National Academy for State Health Policy, patient advocates, and pharmacists, spoke to the committee.  Find their testimony here.

On Wednesday, July 21 at 10:30 a.m. the Senate Health & Human Services Committee and the Senate Communications & Technology Committee will hold a joint public hearing examining the Department of Health’s COVID-19 contact tracing emergency procurement.  Go here to stream the hearing.

Department of Human Services

  • DHS has published a notice in the Pennsylvania Bulletin announcing its intention to discontinue Medical Assistance stability payments beginning with FY 2022 and to revise the payment reconciliation process to account for the discontinuation of these payments.  Find the notice here.
  • DHS has updated its Remittance Advice (RA) calendar to add August dates.
  • DHS has published a notice in the Pennsylvania Bulletin announcing revisions of the Medical Assistance program fee schedule that take effect for dates of services on and after December 21, 2020.  It also has added procedure code and modifier combinations to the fee schedule.  Find the notice here.
  • DHS has published a notice in the Pennsylvania Bulletin addressing its FY 2022 Nursing Facility Assessment Program announcing the proposed assessment amount, the proposed assessment methodology, and the estimated aggregate impact on nursing facilities that will be subject to the assessment.  Find the notice here.
  • DHS has announced that all of its county assistance offices resumed serving clients in person on July 12, 2021.  The services that have been available to clients online during the COVID-19 emergency will remain available online through DHS’s Compass web site.  Learn more from this DHS announcement.

COVID-19:  By the Numbers

  • The Department of Health announced that it had overcounted the number of Pennsylvanians who have received their first of two COVID-19 injections but undercounted those who are now completely vaccinated.  The announcement was included in this department news release and explained in greater detail in this Lancaster Online article.
  • According to the state’s revised figures, 61.4 percent of Pennsylvanians 18 years of age and older are now fully vaccinated.
  • 5.6 million Pennsylvanians have been fully vaccinated against COVID-19, according to the state’s COVID-19 dashboard, but only 105,000 completed the full vaccination regimen in the past week; another 813,000 Philadelphians are now fully vaccinated but only 11,000 reached that status in the past week.
  • The daily number of new COVID-19 cases rose slightly over the past week, with the total from Tuesday through Friday the highest four-day figure in more than a month.
  • The number of Pennsylvanians hospitalized with COVID-19 and on ventilators and in hospital ICUs declined slightly in the past week.
  • For the week from July 2 through July 8 the state’s overall COVID-19 test positivity rate was 1.2 percent, up from 1.1 percent last week and the first increase the state has experienced in two months.

Pennsylvania Health Care Cost Containment Council (PHC4)

As directed by Act 15 of 2020, PHC4 has issued a report with data on the effect of the COVID-19 disaster emergency on Pennsylvania hospitals and health care facilities.  According to the report, Pennsylvania hospitals and health systems reported $1.4 billion in COVID-19 related expenses and revenue losses for the period October 2020-March 2021.  These expenses and revenue losses, according to PHC4, were attributable to COVID-19 and used to prevent, prepare for, and respond to the pandemic.  Total COVID-19-related expenses and lost revenue reported by Pennsylvania hospitals and health systems through March 2021 (January 2020-March 2021) were $6.5 billion.  Learn more from the PHC4’s “COVID-19 Disaster Emergency Report.”

Around the State

  • With no public health department of its own, Delaware County enlisted Chester County’s public health department to lead its pandemic response.  Now, Delaware County is addressing this shortcoming in its local governance:  its new board of health held its first meeting last month and hiring for the county’s new health department will begin in the fall.  The Philadelphia Inquirer tells the story.
  • With a new goal of cutting HIV diagnoses 75 percent over the next five years, Philadelphia public health officials are trying a new HIV testing strategy:  focusing testing on high-risk groups rather than focusing on sheer numbers of tests administered.  The Philadelphia Inquirer explains the why and the how.
  • The Lycoming County commissioners have awarded River Valley Health & Dental, a federally qualified health center, $25,000 in Pennsylvania Emergency Management Agency money to educate the public about COVID-19 and vaccinations.  The Williamsport Sun-Gazette provides the details.
  • The office of Delaware County’s medical examiner is getting a makeover:  a new medical examiner, a new or renovated facility, new policies and procedures, and more, according to the Delaware County Times.

Stakeholder Events

  • Medical Assistance Advisory Committee

July 22 at 10:00 am

To register, go here.

  • Special Pharmaceutical Benefits Program

July 29, 2021 at 10:00

This is a telephone meeting.

Join on your computer or mobile app

Click here to join the meeting

Or call in (audio only)

+1 412-648-8888,,785376728#   United States, Pittsburgh

(866) 588-4789,,785376728#   United States (Toll-free)

Phone Conference ID: 785 376 728#

Stakeholder Meeting Materials

Materials from the June 24 meeting of the Office of Medical Assistance Programs’ Medical Assistance Advisory Committee (MAAC):

2021-07-16T21:06:12+00:00July 16th, 2021|Coronavirus, DSH hospitals, Medicaid supplemental payments, Pennsylvania Bulletin, Pennsylvania Medicaid policy, Pennsylvania Medical Assistance|Comments Off on PA Health Policy Update for the Week of July 12-16
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PA Health Policy Update for the Week of June 21-25

The following is an update of selected state health policy developments in Pennsylvania for the week of June 21-25, 2021.  (Some of the language used below is taken directly from state documents.)

State-Wide Mask Mandate

The Department of Health announced that it is lifting its order requiring universal face coverings at 12:01 a.m. on Monday, June 28.   See the announcement here.  The department continues to urge Pennsylvanians to follow CDC guidance for wearing a mask where required by law, rule, and regulations, including health care, local business, and workplace guidance.  For the protection of themselves and others, individuals who have not yet been vaccinated or are partially vaccinated are still encouraged to wear a mask when in public.

Legislative Update

The following are health care bills that have received third and final consideration in the state House and/or Senate as of Thursday, June 24. Both chambers will hold voting session on Friday and Saturday and we anticipate there will be additional health care-related measures passed. We will provide an update following the end of session on any pertinent bills.

  • Senate Bill 115 – establishes the Nurse Licensure Compact Act, which upon enactment makes the Commonwealth a party to the Nurse Licensure Compact with all other states that have joined the compact. The bill was passed by the House 146-55 and sent to the Governor’s desk.
  • Senate Bill 425 – amends the Medical Care Availability and Reduction of Error (MCARE) Act to permit a physician to fulfill their duty to obtain a patient’s or the patient’s authorized representative’s consent by a qualified practitioner prior to conducting surgery or administering radiation or chemotherapy blood transfusions, or medications and devices. The bill was unanimously passed by the House on June 24th and sent to the Governor’s desk.
  • Senate Bill 484 – adds the chair of the State Veterans’ Commission or a designee to the Pennsylvania Long-term Care Council. The bill was unanimously passed by the House on June 24th and sent to the Governor’s desk.
  • Senate Bill 618 – prohibits the use of vaccine passports by government entities. It also prohibits institutions of higher education from requiring proof of vaccination against COVID-19 to use a service, enter a building, or undertake an activity, including attending class in person. In addition, the bill further restricts the Secretary of Health’s ability to implement certain disease control measures for individuals who have not been exposed, potentially or otherwise, to a contagious disease. The bill was signed in the state House and Senate on June 24th and sent to the governor. The governor has indicated he will veto

Department of Human Services

Department of Health

Effective at midnight on June 23, 2021, the Department of Health terminated its order requiring skilled nursing facilities to complete a vaccine needs assessment survey since those facilities are now reporting to the federal government.

COVID-19:  By the Numbers

  • The daily number of new COVID-19 cases continues to decline significantly.  The 174 new COVID-19 cases reported on Wednesday marked the lowest new daily case count since March 25, 2020, when 276 new cases were announced.
  • The number of COVID-19 deaths continues to decline significantly as well.
  • For the week from June 11 through June 17 the state’s overall COVID-19 test positivity rate was 1.4 percent, down from 1.9 percent last week and 2.9 percent the week before.
  • Sixty-four counties had a positivity rate lower than five percent, up from 62 last week, and no counties had a positivity rate greater than 20 percent for the eighth consecutive week.
  • Thirty-seven counties are currently experiencing low levels of community transmission of COVID-19, up from 22 last week; the remaining 30 Pennsylvania counties are experiencing moderate levels of community transmission and no counties are experiencing a high level of community transmission.
  • Since June 1 the number of Pennsylvanians hospitalized with COVID-19 has fallen 62 percent; the number on a ventilator has fallen 54 percent; and the number in hospital intensive care units has fallen 70 percent.
  • 5.3 million Pennsylvanians have been fully vaccinated against COVID-19, according to the state’s COVID-19 dashboard.  Growth in this number has slowed significantly over the past month and only about 150,000 new vaccinations were reported in the past week. Another 760,000 people have been vaccinated in Philadelphia.  According to the state, 59.4 percent of Pennsylvanians 18 years of age and older are now fully vaccinated and 62.2 percent of the entire population has now received at least the first dose of a vaccine.

Around the State

Two Pennsylvania children’s hospitals ranked among the best ten such hospitals in the U.S. in the latest rankings published by U.S. News & World Report:  Children’s Hospital of Philadelphia ranked second and UPMC Children’s Hospital of Pittsburgh ranked ninth.

Two Pennsylvania-based health insurers, Highmark and Independence Blue Cross, are among five Blues plans joining forces in a new venture called Evio, a for-profit venture that will seek to make prescription drugs more affordable and improve health care outcomes.  Learn more here.

Stakeholder Events

  • Maternal Mortality Review Committee

June 28 at 8:00

This meeting will be held via conference call.  The purpose of the meeting is to discuss new and ongoing procedural issues relating to the review process for the committee.  To join the call, dial +1 (267) 332-8737 and when prompted, enter the following conference code: 522 321 931#.

  • DHS Office of Long-Term Living – Financial Management Services Meeting

June 28 at 11:00 a.m.

The purpose of this meeting is to discuss upcoming changes in the administration of financial management services under the Community HealthChoices, OBRA Waiver, and Act 150 programs.  Representatives from the Office of Long-Term Living and Community HealthChoices managed care organizations will discuss the upcoming changes.  Interested parties can join the meeting in the following ways:

From the meeting link:

https://pa-hhs.webex.com/pa-hhs/j.php?MTID=m15e2e495a802f00df6fa38c9e645237d

By meeting number:

Meeting number (access code): 132 280 2499

From a mobile device (attendees only):

1-408-418-9388,,1322802499## United States Toll

1-202-860-2110,,1322802499## United States Toll (Washington D.C.)

By phone:

+1-408-418-9388 United States Toll

+1-202-860-2110 United States Toll (Washington D.C.)

Meeting password: Stakeholder

From a video system or application

Dial 1322802499@pa-hhs.webex.com

You can also dial 173.243.2.68 and enter your meeting number

  • Managed Long-Term Services and Supports Subcommittee Meeting

July 7 at 10:00 a.m.

This meeting will be held via webinar.  Public comments will be taken after each presentation and questions can be entered in the chat box.  Interested parties can participate in the following ways:

Webinar registration – go here

Dial in:  1-914-614-3221, access code 716-025-613

Remote captioning and streaming link – go here

  • Newborn Screening and Follow-Up Technical Advisory Board

July 15 at 10:00

The virtual public meeting will be conducted as a teleconference Skype meeting.  The dial-in number is (267) 332-8737 and the conference access ID is 63145728#.

  • Special Pharmaceutical Benefits Program

July 29, 2021 at 10:00

This is a telephone meeting.

Join on your computer or mobile app

Click here to join the meeting

Or call in (audio only)

+1 412-648-8888,,785376728#   United States, Pittsburgh

(866) 588-4789,,785376728#   United States (Toll-free)

Phone Conference ID: 785 376 728#

Stakeholder Event Report

Medical Assistance Advisory Committee Meeting – June 24

Deputy DHS Secretary Sally Kozak announced that DHS will perform readiness reviews of the managed care organizations selected to participate in the latest HealthChoices program procurement.  The procurement remains the subject of litigation so DHS will stop short of negotiating with the managed care organizations until there is a final decision in that case.

Stakeholder Events Materials

DHS has posted four presentations offered at the June 24 meeting of the Medical Assistance Advisory Committee.  Those presentations were delivered by its:

 

2021-06-26T13:46:01+00:00June 26th, 2021|Coronavirus, COVID-19, HealthChoices, Medical Assistance Bulletin, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid policy, Pennsylvania Medical Assistance, Pennsylvania proposed FY 2022 budget, Pennsylvania state budget issues|Comments Off on PA Health Policy Update for the Week of June 21-25
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Pennsylvania Health Policy Update for the Week of June 14-18

The following is an update of selected state health policy developments in Pennsylvania for the week of June 14-18, 2021.  (Some of the language used below is taken directly from state documents.)

Pennsylvania’s COVID-19 Disaster Declaration

With the certification of November’s election results, Governor Wolf’s COVID-19 emergency disaster declaration has officially ended but most of the regulatory waivers issued during the emergency will remain in effect until the end of September.  Learn more here.

Update on State FY 2021-2022 Budget

The General Assembly continues to work toward a final budget agreement, with both the House and Senate beginning to position bills that could ultimately serve as vehicles for a final budget agreement by June 30.  The Senate sent a General Fund appropriations bill (Senate Bill 255) to the House earlier this week and scheduled a Finance Committee meeting on Monday, June 21 to consider a fiscal code bill (House Bill 1348).  We will continue to keep you apprised of any relevant budget updates.

House Chamber of the State HouseLegislative Update

The following are health care bills that received third and final consideration in the state House and/or Senate during the week of June 14.  We are tracking other health care bills as they move through the legislative process as well.

  • House Bill 1082 requires the Department of Health to establish and maintain an Early Detection and Diagnosis of Alzheimer’s Disease or a Related Disorder toolkit.  The toolkit, among other things, shall include best practice and cognitive assessment tools, primary care workforce education resources, and materials on the importance and value of early detection and timely diagnosis.  The House passed the bill 201-1 and sent it to the Senate for consideration.
  • House Bill 1428 permits a resident, or their guardian, to authorize the installation and use of video surveillance devices in long-term-care nursing facilities provided certain conditions are met.  The House passed the bill 160-42 and sent it to the Senate for consideration.
  • House Bill 1429 adds a new section to the state Crimes Code providing for the offense of financial exploitation of an older adult or care-dependent person.  It also clarifies that district attorneys have the right to investigate and institute criminal proceedings for any violation of this new section.  The House unanimously passed the bill and sent it to the Senate for consideration.
  • House Bill 1431 adds a new section to the Crimes Code that defines as abuse and establishes as a misdemeanor the use of social media by employees who post pictures of care-dependent individuals without permission.  The House passed the bill 198-4 and sent the bill to the Senate for consideration.
  • Senate Bill 445 permits a person renewing a driver’s license, identification card, or vehicle registration electronically through the Department of Transportation’s web site to contribute $5 to the Pennsylvania Breast Cancer Coalition for breast cancer research.  The House passed the bill unanimously and sent the bill to the governor for his consideration.
  • Senate Bill 416 establishes the certified registered nurse anesthetist (CRNA) designation in the commonwealth.  The legislation grants an individual licensed to practice professional nursing and who meets the requirements of this act the right to use the CRNA designation exclusively.  The Senate passed the bill unanimously and sent it to the House for consideration.
  • House Bill 649 requires the Department of Health, in consultation with the Department of Human Services, to establish protocols to permit an essential caregiver to provide in-person physical and emotional support to a congregate care facility resident during a declaration of disaster emergency.  The Senate passed the bill 32-18 and sent it to the governor.

COVID-19:  By the Numbers

  • The daily number of new COVID-19 cases continues to decline.  With 277 new COVID-19 cases reported, yesterday marked the lowest new daily case count since March 25, 2020, when 276 new cases were announced.
  • The number of COVID-19 deaths continues to decline significantly.
  • For the week from June 4 through June 10 the state’s overall COVID-19 test positivity rate was 1.9 percent, down from 2.9 percent last week and 3.8 percent the week before.
  • Sixty-two counties had a positivity rate lower than five percent, up from 55 last week, and no counties had a positivity rate greater than 20 percent for the seventh consecutive week.
  • Twenty-two counties are currently experiencing low levels of community transmission of COVID-19, up from 13 last week; 53 counties are experiencing moderate levels of community transmission; and only one county (Potter) is currently experiencing a substantial level of community transmission, the same number as last week.
  • In just 17 days since June 1 (as of Thursday, June 17), the number of Pennsylvanians hospitalized with COVID-19 has fallen 54 percent; the number on a ventilator has fallen 44 percent; and the number in hospital intensive care units has fallen 54 percent.
  • 5.2 million Pennsylvanians have been fully vaccinated against COVID-19, according to the state’s COVID-19 dashboard.  Growth in this number has slowed significantly over the past three weeks. Another 760,000 have been vaccinated in Philadelphia.  According to the state, 58.8 percent of Pennsylvanians 18 years of age and older are now fully vaccinated and 61.1 percent of the entire population has now received at least the first dose of a vaccine.

Department of Human Services

The American Rescue Plan offers a temporary 10 percent increase in federal Medicaid matching fund for certain state Medicaid expenditures for home and community-based services (HCBS).  DHS has submitted a preliminary spending plan to the federal Centers for Medicare & Medicaid Services (CMS) as part of the process of seeking approval for this additional funding and has invited stakeholder comment on its proposal.  Comments are due July 6.  Go here to see DHS’s announcement of this endeavor; go here to see a Wolf administration news release on the subject; and go here to see DHS’s preliminary spending plan.

DHS has updated its list of mailing dates for the most current four Remittance Advices and corresponding checks.

Department of Drug and Alcohol Programs

In response to the COVID-19 pandemic, the Department of Drug and Alcohol Programs suspended three of its regulations governing narcotic treatment programs:  one limiting the supply of medicine  those programs can dispense at one time to their patients; another requiring those programs to meet patients in person before prescribing buprenorphine; and the third requiring them to have a physician on the premises.  While the governor’s declaration of a disaster emergency has been terminated, the department has advised all stakeholders that these three regulations will remain suspended until September 30.  Go here for more information.

The Department of Drug and Alcohol Programs has issued an alert clarifying the requirements that licensed providers must meet to use certain medications, including methadone, buprenorphine, and naltrexone.

Around the State

  • Of the more than 600,000 residents of Allegheny County who are fully vaccinated, according to county health officials, only 420 have contracted COVID-19 – so-called breakthrough cases; only 11 of the 420 required hospitalization.  The Pittsburgh Tribune-Review provides the details.
  • Demand for COVID-19 vaccinations is falling in the Lehigh Valley and throughout Pennsylvania and the Allentown Morning Call offers the numbers to prove it.
  • While COVID-19-related hospitalizations have declined state-wide they are rising in Erie and Crawford County.  GoErie looks into why.
  • Cumberland County has made masks optional for staff and visitors at any county facility except the Claremont Nursing and Rehabilitation Center and Cumberland County Prison, according to the Carlisle Sentinel.
  • The city of Pittsburgh has announced plans for its workforce to return to city offices, the Pittsburgh Business Times reports.
  • “The company responsible for administering Pennsylvania’s contact tracing program has called on current and former employees to help it locate and secure documents online that might still contain the personal information of those who were contacted, “ according to Spotlight PA, which added that “…a lawyer for Insight Global asked them to contact the company’s information security team if they had any paper or electronic records, internet links and files, or Google Drive documents related to the program.”  The company was fired because of data leaks.
  • Black maternal morbidity rates in Philadelphia are among the highest in the country, the Pennsylvania Capital-Star reports.
  • “Medical marijuana sales in Pennsylvania topped more than $900 million over one year during the COVID-19 pandemic, and could soon see $3 billion in total sales with just a few operating years under its belt,” the Delaware County Daily Times writes, adding that “According to figures provided by the Pennsylvania Department of Health, sales from growers/producers to dispensaries have reached almost $1.2 billion and sales from dispensaries to patients have crested $1.7 billion.”

Pennsylvania Bulletin

The latest issue of the Pennsylvania Bulletin is now available.  It includes new items from the Department of Human Services, Department of Health, the General Assembly, and others.  Find it here.

Stakeholder Events

Medical Assistance Advisory Committee’s Consumer Subcommittee Meeting

June 23 at 1:00 p.m.

Register here

Medical Assistance Advisory Committee Meeting

June 24 at 10:00 a.m.

Register here

DHS Office of Long-Term Living – Financial Management Services Meeting

June 28 at 11:00 a.m.

The purpose of this meeting is to discuss upcoming changes in the administration of financial management services under the Community HealthChoices, OBRA Waiver, and Act 150 programs.  Representatives from the Office of Long-Term Living and Community HealthChoices managed care organizations will discuss the upcoming changes.  Interested parties can join the meeting in the following ways:

From the meeting link:

https://pa-hhs.webex.com/pa-hhs/j.php?MTID=m15e2e495a802f00df6fa38c9e645237d

By meeting number:

Meeting number (access code): 132 280 2499

From a mobile device (attendees only):

1-408-418-9388,,1322802499## United States Toll

1-202-860-2110,,1322802499## United States Toll (Washington D.C.)

By phone:

+1-408-418-9388 United States Toll

+1-202-860-2110 United States Toll (Washington D.C.)

Meeting password: Stakeholder

From a video system or application

Dial 1322802499@pa-hhs.webex.com

You can also dial 173.243.2.68 and enter your meeting number

Managed Long-Term Services and Supports Subcommittee Meeting

July 7 at 10:00 a.m.

This meeting will be held via webinar.  Public comments will be taken after each presentation and questions can be entered in the chat box.  Interested parties can participate in the following ways:

Webinar registration – go here

Dial in:  1-914-614-3221, access code 716-025-613

Remote captioning and streaming link – go here

2021-06-18T19:18:59+00:00June 18th, 2021|Coronavirus, COVID-19, Meetings and notices, Pennsylvania Bulletin, Pennsylvania Medicaid, Pennsylvania Medicaid policy, Pennsylvania proposed FY 2022 budget|Comments Off on Pennsylvania Health Policy Update for the Week of June 14-18
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  • P: (717) 234-6970

  • 2020 Safety-Net Association of Pennsylvania

Home / About Us / Advocacy / Why Join? / SNAPShots / Contact Us

  • P: (717) 234-6970

  • 2020 Safety-Net Association of Pennsylvania

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