Lance's Corner

NYSDOH Highlights National Women's Health Week

May 15, 2024

Per the notice below, the New York State Department of Health (NYSDOH) is highlighting National Women's Health Week.

 

New York State Department of Health Recognizes National Women's Health Week

Department Celebrates Women's Voices, Wellness and Resilience

The New York State Department of Health recognizes National Women's Health Week, observed May 12-18, by promoting initiatives and practices to improve women's health.  This year's theme is "Celebrating Voices, Wellness and Resilience."

"Health is about achieving an optimal state of physical, mental and social well-being," State Health Commissioner Dr. James McDonald said.  "Women's Health Week is a time to address health issues that impact women and work toward implementing initiatives to enhance women's health.  We are committed to providing quality resources and support to all women in this state, so they lead healthy, empowered, and full lives."

"The New York State Department of Health is proud to work with providers across the state to develop and ensure quality, safe and inclusive services for cis and trans women," Executive Deputy Commissioner Johanne Morne said.  "As we recognize Women's Health Week, let's honor the many people who provide access to support, prevention, treatment and care services for women without stigma and judgment."

Women's Health Week is an opportunity to highlight the health needs of all people who were assigned female at birth, regardless of their gender identity or gender expression, and all people who identify as women.  Transgender men and those who identify as non-binary who were assigned female at birth may still be at risk of health complications like cervical cancer or breast cancer.  Transgender women need access to affirming health care services that meet their needs.  As these communities may not be aware of these potential health risks or may have a mistrust of traditional health care providers, in 2023, the Department implemented a pilot Transgender Clinical Scholars Training Program to recruit and train health professionals to deliver transgender primary care and other services to members of the transgender community.  The Department has also highlighted the various health needs of transgender and non-binary New Yorkers.

The State Department of Health has advanced comprehensive policies and programs that support the health and autonomy of women in New York State.  This year, Commissioner McDonald signed a standing order for contraception, allowing individuals to obtain hormonal contraception without first visiting a doctor.  This builds upon the Department's commitment to protect people who are of reproductive age following the Supreme Court's decision to overturn Roe v. Wade.  The Department is committed to addressing systemic inequities and racism in health care, creating safer birth experiences for all New Yorkers, maintaining access to reproductive health services, and providing resources to women and their families.

As of March 1, 2024, New York State Medicaid covers doula services for pregnant, birthing, and postpartum people.  Doulas support pregnant and postpartum people to improve health outcomes of the populations served.  Doulas provide physical, emotional, educational, and non-medical support for pregnant and postpartum people before, during, and after childbirth or end of pregnancy.  To support access to services, the Department maintains a directory of doulas enrolled to provide covered services to Medicaid members.  The Doula Expansion Grant Program will allow the Department to award $250,000 to community-based organizations for the recruitment, training, certification, support, and/or mentoring of community-based doulas.

New York Medicaid and Child Health Plus (CHPlus) extended the duration of postpartum health coverage from 60 days to a full year following pregnancy.  The Centers for Medicare and Medicaid Services (CMS) approved the benefit extension, allowing New York State to provide pregnant enrollees with 12 months of postpartum coverage, regardless of immigration status or how the pregnancy ends.

The New York State Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides breastfeeding support, nutrition education, referrals to other services, and nutritious foods to over 430,000 women, infants, and children each month.  The Department recently added Spanish as a language option for "Wanda," its virtual assistant that helps people learn about and connect with the program.

The Department continues to work to prevent and control cardiovascular disease, diabetes, HIV, asthma, cancer, and related risk factors for these diseases, which are commonly cited as causes of disability and death for women, both nationally and in New York State.  The Department's AIDS Institute's Division of HIV/STD/HCV Prevention Women's Services Initiative and Communities of Color Initiative support programs that provide a comprehensive range of HIV/STI/HCV prevention interventions and related services for women and young women of color through the implementation of proven high impact prevention strategies and innovative interventions.

The Department funds several grantees to offer a Post-Treatment Support Services for Breast Cancer Survivors program.  This program consists of support groups and one-to-one peer mentoring to breast cancer survivors who are transitioning from active treatment to post-treatment care, with an added focus of supporting survivors who are Black to help address disparities in breast cancer outcomes.  The New York State Cancer Services Program offers free breast, cervical, and colorectal cancer screening, diagnostic testing, and referral to treatment to eligible uninsured and underinsured people, including women.

The Women's Health information page can be found here.  Women's Health Issues can be found here.  The New York State Department of Health Cancer Community Programs List can be found here.

USDOL Issues Comprehensive Employer Guidance on Long COVID

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

Supporting Employees with Long COVID: A Guide for Employers

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

Download the guide

Accommodation and Compliance: Long COVID

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

Long COVID, Disability and Underserved Communities: Recommendations for Employers

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

Read the brief

Long COVID and Disability Accommodations in the Workplace

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

Download the policy brief

Understanding and Addressing the Workplace Challenges Related to Long COVID

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

Download the report

Working with Long COVID

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

Download the fact sheet

COVID-19: Long-Term Symptoms

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

Watch the motion graphic

A Personal Story of Long COVID and Disability Disclosure

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

Listen to the podcast

HHS OIG Issues Annual Report on State MFCUs

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

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

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

Outcomes

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

Resources

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

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

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

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

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

Read the Full Report

View the Statistical Chart

Engage with the Interactive Map

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

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

CMS Issues Latest Medicare Regulatory Activities Update

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