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Children's Services

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The Centers for Medicare and Medicaid Services (CMS) recently announced that payments under the Accelerated and Advance Payment (AAP) Program for the Change Healthcare/Optum Payment Disruption (CHOPD) will end on July 12, 2024.

CMS has reported that CHOPD accelerated payments totaling more than $2.55 billion have been issued to over 4,200 Medicare Part A providers, and another 4,722 CHOPD advance payments, totaling more than $717.18 million, have been issued to Part B suppliers. CMS also states that providers of services and suppliers are now successfully billing Medicare, and to date, CMS has already recovered over 96% of the CHOPD payments. After July 12, providers that are having difficulty with billing or receiving payments should contact Change Healthcare and/or their Medicare Administrative Contractor (MAC) directly.

Additional information can be found on the Healthcare and Public Health Cybersecurity Performance Goals web page.

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In May 2024, OMHSAS announced the next evolution of the Call for Change initiative: Advancing the Call for Change. Beginning in 2022, a diverse group of stakeholders with lived experience came together to form a steering committee that convened regularly over the course of a year and formulated goals and objectives they felt were important to continue system transformation. The efforts of this committee resulted in the Advancing the Call for Change document. Advancing the Call for Change was designed to assess how far the behavioral health system has come in 19 years, stimulate conversation, and drive action. As the system progresses, this document should act as a guide for all decision-makers in focusing on the critical principles of recovery and resilience, including ensuring that approaches are person-centered, strengths-based, trauma-informed, follow a DEI framework, integrate peer supports, and are outcomes-focused.

In July 2004, the OMHSAS Adult Advisory Committee called for a work group to guide recovery transformation efforts. In November 2004, the work group held its first meeting and a steering committee was formed to move forward with recommendations. In November 2005, A Call for Change was presented to the Adult Advisory Committee.

A Call for Change offers a basic framework for transformation, including indicators of a recovery-oriented system. In addition, it discusses some of the implications of these changes and recommends some approaches for using the indicators to initiate changes in local, county, and statewide systems. It is to be considered a “living, breathing” document and not a “set in stone” plan. As the first phase of an ongoing process, the purpose of the report is to stimulate discussion in all arenas and at all levels. Additional materials will need to be developed to help inform and guide the process as Pennsylvania shifts toward a more recovery-oriented service system.

We are grateful to the Department for their inclusion of RCPA on the Call for Change Work Group and look forward to the opportunities to implement the recommendations with our members. If you have any questions, please contact RCPA COO and Mental Health Director Jim Sharp.

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The Centers for Medicare & Medicaid Services (CMS) announced the availability of $500 million in grants over the next five years to increase the number of organizations who help people enroll in health coverage through the Federally-Facilitated Marketplace (FFM) on HealthCare’s website. This is the largest funding allocation CMS has made available for Navigator grants to date. With the additional funding, CMS encourages eligible entities and individuals to apply, especially those that focus on education, outreach, and enrollment efforts to underserved and diverse communities.

Please read the the full announcement details and guidance below. If you have questions, please contact RCPA COO and Policy Director Jim Sharp.

What’s new for this year’s Navigator Notice of Funding Opportunity (NOFO)?

  • Focuses on increased participation of smaller, community-based organizations as part of CMS efforts to reach people where they are.
  • Provides longer multi-year grant funding.
  • Shorter and easier to understand application.

Who can apply?
Eligible organizations may include but are not limited to community and consumer-focused nonprofit groups; trade, industry, and professional associations; commercial fishing industry organizations; ranching and farming organizations; chambers of commerce; unions; resource partners of the Small Business Administration; and non-healthcare licensed insurance agents and brokers. Such other entities may include but are not limited to Indian tribes, tribal organizations, urban Indian organizations, and state or local human service agencies.

How much funding is available through this funding opportunity?
CMS expects to award $500 million total over the five-year period of performance, provided in five budget periods of 12 months each; $100 million is available for the first 12-month budget period.

Will there be technical assistance available for applicants?
CMS will hold two technical assistance sessions for potential applicants. These sessions will provide applicants with an overview of this project, relay budget guidance, and review the instructions for applying outlined in the 2024 Navigator funding opportunity. Applicants are encouraged to submit questions in advance of each session to CMS via email.

Technical Assistance Session #1

Technical Assistance Session #2

What is the deadline to submit an application for the NOFO?

Applications must be submitted by July 8, 2024 at 11:59pm ET. You must submit your application through the Grants website. Grants.gov creates a date and time record when it receives the application. If you submit the same application more than once, we will accept the last on-time submission.

For instructions on how to submit in Grants.gov, see the Quick Start Guide for Applicants.

Can my organization help promote the NOFO?

CMS encourages partners to share this listserv with your networks and to use the below social media and attached graphics on your social accounts.

  • CMS has announced $500 million in grants over the next 5 years for Navigator programs, as part of the continued efforts to connect people to the ACA Marketplace and other health coverage options. Learn more.
  • CMS has announced $500 million in grants over the next 5 years for Navigator programs, as part of the continued efforts to connect people to the ACA Marketplace and other health coverage options. These awards mark the first time the grants have been awarded for a period of more than three years of funding, allowing grantees to better retain and add more staff who are trained to help consumers find affordable, comprehensive health coverage.

For more information about the Navigator NOFO, visit the links below:

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