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Authors Posts by Fady Sahhar

Fady Sahhar

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Fady is responsible for policy and regulatory matters related to Physical Disabilities and Aging, with primary focus on personal assistance, employment services, and service coordination. Emphasis is placed on engaging the Office of Long-Term Living and the Community HealthChoices Managed Care Organizations, coordination of care with Behavioral HealthChoices MCOs, and collaborations with other advocacy and provider associations. Fady is also the President / CEO of ProVantaCare, an RCPA-affiliated company focused on contracting with MCOs, and is the President of XtraGlobex, a consulting firm focused on Value-Based Payment contracting. He brings extensive experience in the advocacy and operations of human services providers in physical disabilities and aging, from his role at Liberty Resources, Inc., and his service with a number of nonprofit services providers. He earned an MBA in Marketing from The University of Tennessee and a PhD in Organizational Leadership from Capella University.

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The Department of Health and Human Services (HHS) released an initial $30 billion in relief funding to Medicare providers today as part of the CARES Act, bringing the total to be distributed in the coming months to more than $100 billion. Pennsylvania has been allocated more than $1 billion in funding, which is one of the highest distribution amounts in the country.

Providers who are enrolled in Medicare have been allotted a portion of these funds based on their share of 2019 Medicare fee-for-services reimbursements. These are payments, not loans, to health care providers and will not need to be repaid.

HHS is partnering with UnitedHealth Group to deliver the initial $30 billion distribution to providers as quickly as possible. Providers will be paid via Automated Clearing House account information on file with UHG, UnitedHealthcare, or Optum Bank, or used for reimbursements from CMS. Providers who normally receive a paper check for reimbursement from CMS will receive a paper check in the mail for this payment as well, within the next few weeks.

Within 30 days of receiving the payment, providers must sign an attestation confirming receipt of the funds and agreeing to the terms and conditions of payment. The portal for signing the attestation will be open Monday and will be available here.

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CMS provided clarification around the suspension of sequestration in a special edition of MLNConnects: Section 3709 of the Coronavirus Aid, Relief, and Economic Security (CARES) Act temporarily suspends the 2% payment adjustment currently applied to all Medicare Fee-For-Service (FFS) claims due to sequestration. The suspension is effective for claims with dates of service from May 1 through December 31, 2020.

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The Medical Assistance Advisory Committee (MAAC) met on March 24, 2020. OLTL and ODP delivered the below presentations, providing significant details to this advisory group. RCPA President/CEO Richard S. Edley, PhD, serves on the MAAC and will be able to answer questions you have about these presentations during our Membership Meeting this Friday, March 27, at 3:30 pm. Please send any questions to Allison Brognia prior to the meeting.

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