DHHS Messsage on Hurricane Florence and Medicaid

Raleigh

Sep 13, 2018

Today, the North Carolina Department of Health and Human Services announced broad efforts to work with federal and county partners to provide additional flexibility to people enrolled in the Medicaid program and their health care providers during and after Hurricane Florence.
 
"Our highest priority is keeping people safe and healthy,” said DHHS Secretary Mandy Cohen, M.D. “We are doing everything possible to help those impacted by Hurricane Florence to continue to get the care and services they need without disruption.”
 
“We are immediately exercising existing authority and seeking additional authority to help minimize the impact of this disaster on people in Medicaid,” said Deputy Secretary for Medicaid Dave Richard. “We want to make it easier for people to access care, easier for doctors to provide that care, and to give our beneficiaries as much support as possible.”
 
To help make sure that people who are eligible for Medicaid continue to be able to enroll in the program and access services quickly, DHHS will temporarily allow self-attestation for most eligibility criteria for those impacted by the hurricane if documentation is not available. DHHS will also temporarily extend redetermination timelines for current enrollees to help prevent lapses in coverage due to the hurricane.
 
To help ensure a sufficient number of providers are available to serve Medicaid enrollees, DHHS is seeking temporary authority to waive some provider enrollment requirements, to waiver revalidation of providers who are impacted by the disaster, and to allow physicians and other health care professionals with out-of-state licenses to enroll and provide services. DHHS will also be seeking authority to make it easier to redirect individuals to alternative care locations when needed.
 
NC Medicaid will also support beneficiaries if they need additional units of service, medical supplies, specialized equipment or oral supplements to remain safe during the hurricane. DHHS is working with the Centers for Medicare and Medicaid Services to ensure that providers will be reimbursed for the services that they have provided even if it exceeds the beneficiary’s current authorization. DHHS is also working with CMS to retain additional flexibility as needed to support these beneficiaries in the most impacted areas of our state.
 
For more information regarding Hurricane Florence, please visit https://www.ncdps.gov/florence. Those with non-emergency questions or concerns related to the hurricane should call 2-1-1 or visit https://www.nc211.org/. 

 

 


 

 

Quality Payment Program 

August 2018

On July 12, 2018, CMS released a notice of proposed rulemaking (NPRM) detailing proposed changes to the Quality Payment Program (QPP), including the expansion of eligible clinician types to include occupational therapist. 

General information on the Quality Payment System: The QPP was established by Congress in the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015.  The QPP contains two tracks clinicians can choose to participate: the Merit-Based Incentive Payment System (MIPS) or Advanced Alternative Payment Models (APMs).  Initially, the clinician types that were eligible for the first two years of participation (2017 and 2018) included physicians, physician assistants, nurse practitioners, clinical nurse specialists, and certified registered nurse anesthetists.  For the 2019 performance year, CMS is proposing to add Occupational Therapists and other disciplines for the definition of "eligible clinician."  Public comments on the proposed rules are due no later than September 10, 2018.

Clinicians or groups who are eligible to participate in MIPS are scored based on their performance in four categories: quality, cost, improvement activities, and promoting interoperability.  

To view the CY 2019 Physician Fee Schedule proposed rule

For a fact sheet on the CY 2019 Quality Payment Program proposed rule

 

 


 

 

NCBOT OTA Supervision Changes

July 2018

As of July 1st 2018, NCBOT has officially changed the supervision requirements for OTAs. Historically close supervision has been required for OTA's during their first year of practice. The Board now requires general supervision for all levels of OTA practice, including entry level. However, practitioners remain responsible for maintaining standards of practice as outlined in our Code of Ethics including ensuring safe and effective service delivery of occupational therapy services and fostering professional competence and development. 
The new rules can be found here

 

House Bill 967-Telemedicine Policy

Legislative Update 

 7/2018

 

Update on Telemedicine Policy Bill:
House 967 Telemedicine Policy:  This bill started out as a bill to expand opportunities in the area of telehealth for providers listed in Chapter 90 of the North Carolina General Statutes, like occupational therapists.  The bill, however, was changed to a study bill before being adopted by the House of Representatives.  The Senate did not vote on HB 967 before adjourning.  NCOTA plans to closely monitor the progress of telehealth initiatives and advocate for expanded telehealth opportunities for occupational therapists.   
 
Update on Medicaid Transformation:
House Bill 156 Medicaid PHP Licensure and Transformation Modifications:  This bill, adopted by the General Assembly, puts in statute elements of the Medicaid transformation plan championed by the North Carolina Department of Health and Human Services.  The proposed transformation plan will bring physical health services into a capitated managed care approach similar to the current MCO model. House Bill 156 requires the Department of Health and Human Services to submit a report by October 1, 2018, to the Joint Legislative Oversight Committee on Medicaid and NC Health Choice containing proposed additional needed legislative changes and sets forth a time frame within which the Department of Health and Human Services must issue requests for proposals.

 

House Bill 403 Medicaid and Behavioral Health Modifications:  This bill, adopted by the General Assembly, sets in motion the development of the tailored plans, an integral part of the Medicaid Transformation plan developed by the Department of Health and Human Services. Details on the implementation of tailored plans can be found in the implementation plan link below.  

 

Department of Health and Human Services Implementation Plan for Tailored Plans

 

Pursuant to House Bill 403, the North Carolina Department of Health and Human Services issued this Implementation Plan for Behavioral Health and Individuals with Developmental Disabilities Tailored Plans to the NC Joint Legislative Oversight Committee on Medicaid and NC Health Choice on June 22. 

 


 

 

Advocacy Update

https://www.ncdhhs.gov/concept-papers

This is a website that is helpful with finding out proposed plans, policies, manuals and public comments regarding Medicaid Managed Care. This link includes DHHS Medicaid Managed Care policy papers focused on specific subjects in relation to the proposed Medicaid and NC Health Choice care program designs. Topics include:

Supporting provider transitions

Prepaid Health Plans

Behavioral Health and IDD Plans

Clinical Coverage policies

And others

[email protected] is an email that is helpful for any questions

 

 


 

AOTA's Message Regarding OTA Payment Changes in Budget Bill

Click here to read the official statement


 

Our advocacy is working!

 

On February 9, 2018, the president signed into law a bill that repeals the cap on Medicare part B outpatient therapy services; this has been 20 years in waiting! This therapy cap created significant barriers for our client’s with chronic, long-term conditions and clients that required ongoing services.  This cap previously caused many of our clients financial hardships for paying out of pocket after meeting their cap or if they could not afford services possibly permanent and debilitating injuries. We can now treat based on Medical Necessity!

 

 AOTA President, Amy Lamb issues a public statement:

 

https://www.aota.org/Advocacy-Policy/Congressional-Affairs/Legislative-Issues-Update/2018/therapy-cap-repealed-signed-into-law-aota-president-message.aspx