Lance's Corner

HRSA Issues Health Newsletter

Aug 12, 2024

The United States Health Resources and Services Administration (HRSA) has issued its latest health newsletter, which you can read below.

July in Brief

In July, HRSA hosted the National Telehealth Conference, announced a new grant program to support multistate social worker licensure, co-led a White House Maternal Mental Health Roundtable, held the latest convening of the Enhancing Maternal Health Initiative in Maryland, announced funding to expand women’s and children’s access to HIV/AIDS care, hosted a Tribal Advisory Council meeting, and more.

 

Recent HRSA Highlights

HRSA Administrator Hosts National Telehealth Conference and Announces Initiative To Build Multistate Social Worker Licensure Compact

HRSA Administrator Hosts National Telehealth Conference

On July 16, Administrator Carole Johnson hosted HRSA’s National Telehealth Conference, which brought together more than 2,000 public and private sector leaders to discuss telehealth best practices. The conference is the largest federal meeting on telehealth issues.  

At the conference, Administrator Carole Johnson and Department of Health and Human Services (HHS) Deputy Secretary Andrea Palm announced the first-ever Licensure Portability Grant Program investment in a multistate social worker licensure compact. These compacts allow providers to practice across state lines without having to apply for a license in each state, alleviating workforce shortages and increasing access to critical services.

“HRSA is leading the way in growing the behavioral health workforce both by training more providers and by breaking down barriers to allow the workforce to make mental health and substance use disorder services more accessible across the country,” Deputy Secretary Palm said.

Other topics covered during the conference included expanding access to services for rural, underserved, and low-income communities; exploring innovations in telehealth; and improving health equity by expanding broadband access and adoption of telehealth.

 

Office of the Vice President Convenes Maternal Mental Health Hotline Counselors at the White House

Office of the Vice President Convenes Maternal Mental Health Hotline Counselors at the White HouseOn July 26, the Office of Vice President Kamala Harris and HRSA Administrator Carole Johnson convened counselors from the National Maternal Mental Health Hotline (1-833-TLC-MAMA) at the White House. Ten Hotline counselors shared information about the ways they provide real-time support, encouragement, information, and referrals to those in need.

The toll-free, confidential hotline is available 24/7 to respond to the mental health needs of pregnant women, new moms, their families, and the communities that support them. Since being launched on Mother’s Day two years ago, the Hotline has answered more than 40,000 calls and texts. The Hotline connects callers with counselors who are bilingual in English and Spanish, as well as interpreters who support over 60 additional languages.

 

HRSA Announces More Than $68 Million To Improve Access to HIV Care for Women, Infants, Children, and Youth During Maryland Maternal Health Convening

HRSA Maryland Maternal Health Convening

On July 31, Administrator Johnson visited Morgan State University in Baltimore, Maryland, for the latest Enhancing Maternal Health Initiative convening, where she announced more than $68 million in Ryan White HIV/AIDS Program funding to provide family-centered medical care and essential support services for women with low incomes, infants, children, and youth living with HIV.

Administrator Johnson met with state health officials and HRSA grantees from across Maryland, including home visitors, Healthy Start providers, health center leaders, community health workers, health care providers, maternal health researchers, and new mothers who shared powerful stories about how HRSA programs supported them and their babies throughout prenatal and postpartum care.

Morgan State University is the coordinating center for HRSA’s Maternal Health Research Collaborative for Minority Serving Institutions. The center coordinates maternal health research across more than 16 universities and colleges to improve maternal health disparities research, mentor the next generation of maternal health researchers, and identify community-based solutions to improve maternal health outcomes.

 

HRSA Deputy Administrator Delivers Keynote at 340B Conference  

HRSA Deputy Administrator Delivers Keynote at 340B Conference

On July 8, HRSA Deputy Administrator Jordan Grossman delivered keynote remarks at the 340B Coalition Summer Conference held in National Harbor, Maryland. The conference convened safety net health care providers, pharmaceutical manufacturers, pharmacies, government leaders, and other 340B stakeholders. 

Deputy Administrator Grossman underscored the foundational impact of the 340B Program in enabling HRSA grantees like health centers, rural hospitals, HIV clinics and programs, and other safety net providers to provide high-quality care to high-need communities and highlighted proposals in the President’s Budget to strengthen the 340B Program.

 

HRSA Announces 2024 Medicare Beneficiary Quality Improvement Project Winners

HRSA Federal Office of Rural Health Policy Associate Administrator Tom MorrisOn July 18, Federal Office of Rural Health Policy Associate Administrator Tom Morris announced the winners of the 2024 Medicare Beneficiary Quality Improvement Project awards at the Medicare Rural Hospital Flexibility (Flex) Program Reverse Site Visit. This program works with 1,360 rural Critical Access Hospitals (CAH) on strategies for using quality reporting data to improve the quality of patient care.

The 2024 winners—Alabama, Arkansas, Hawaii, Illinois, Idaho, Nevada, Pennsylvania, South Dakota, Virginia, and West Virginia—were the 10 top-performing states for CAH quality reporting and performance. The winning states have excelled in improving patient outcomes in rural communities.

 

HRSA Convenes Tribal Advisory Council Meeting

HRSA Convenes Tribal Advisory Council Meeting On July 23 and 24, HRSA convened the Tribal Advisory Council in Washington, D.C. Chaired by Chief Chuck Hoskin, Jr., Principal Chief of the Cherokee Nation, the meeting brought together all 11 seated tribal delegates to share feedback and recommendations about public health needs in Indian Country.

HRSA Deputy Administrator Jordan Grossman led an interactive session with the delegates to discuss agency priorities and collaborative efforts. HRSA leaders and delegates discussed engagement and partnership opportunities and priorities for the coming year. HHS Assistant Secretary for Health Admiral Rachel Levine also discussed strategies to address rising rates of syphilis in tribal communities.

HRSA Convenes Tribal Advisory Council Meeting

See News & Announcements on HRSA.gov.

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