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CMS NEWS

FOR IMMEDIATE RELEASE
July 15, 2019

Contact: CMS Media Relations
(202) 690-6145 | CMS Media Inquiries

 CMS Proposes to cover Acupuncture for Chronic Low Back Pain for Medicare beneficiaries enrolled in approved studies

 Proposed decision would add new access to acupuncture for Medicare beneficiaries, as a potential treatment alternative to opioid use, while data is collected on patient outcomes

Today the Centers for Medicare & Medicaid Services (CMS) proposed to cover acupuncture for Medicare patients with chronic low back pain who are enrolled participants either in clinical trials sponsored by the National Institutes of Health (NIH) or in CMS-approved studies.  Currently, acupuncture is non-covered by Medicare.  CMS conducted evidence reviews to inform today’s proposal, and the agency recognizes that the evidence base for acupuncture has grown in recent years, but questions remain.

“Today’s proposal represents the Trump Administration’s commitment to providing Americans with access to a wide array of options to support their health,” said HHS Secretary Alex Azar. “Defeating our country’s epidemic of opioid addiction requires identifying all possible ways to treat the very real problem of chronic pain, and this proposal would provide patients with new options while expanding our scientific understanding of alternative approaches to pain.”

Acupuncture is a treatment in which practitioners stimulate specific points on the body, most often by inserting thin needles through the skin. CMS has been actively collaborating with the National Institutes of Health (NIH) as part of the Opioids Workgroup and Evidence Generation Workgroup to launch studies on acupuncture for the treatment of chronic low back pain in adults 65 years of age and older. Under today’s proposed decision, CMS would continue its collaboration with NIH to further develop evidence to inform future Medicare coverage determinations for acupuncture treatment for beneficiaries with chronic low back pain.

“Chronic low back pain impacts many Medicare patients and is a leading reason for opioid prescribing,” said CMS Principal Deputy Administrator of Operations and Policy Kimberly Brandt.  “Today’s proposed decision would provide Medicare patients who suffer from chronic low back pain with access to a nonpharmacologic treatment option and could help reduce reliance on prescription opioids. CMS will work closely with our sister agencies to monitor outcomes for Medicare beneficiaries receiving acupuncture to inform our understanding of the efficacy of this therapeutic approach.”

To read the proposed decision, visit the CMS website at: https://www.cms.gov/medicare-coverage-database/details/nca-tracking-sheet.aspx?NCAId=295

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Get CMS news at cms.gov/newsroom, sign up for CMS news via email and follow CMS on Twitter CMS Administrator @SeemaCMS, @CMSgov, and @CMSgovPress.

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This September, the Department of Drug and Alcohol Programs (DDAP) will be celebrating the 30th Anniversary of Recovery Month. DDAP is seeking participation in their Annual Recovery Month Kickoff, which will take place on September 4 from 11:00 am – 1:00 pm. The event will be a bit different from previous years and will be held in the atrium at Strawberry Square; a focal point of downtown Harrisburg with a lot of foot traffic from community members.

By moving the event location from the Capitol Rotunda to Strawberry Square, DDAP hopes the venue change will attract more interaction with community members. DDAP is looking for providers to participate in the September 4 event by setting up a display table with information about your organization and the services that you provide.

Please note that space is limited and participation will be granted on a first-come, first-served basis. To secure a table, please email DDAP Communications Director Rachel Kostelac. Questions, please contact Jack Phillips.

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Prior to the July 4 holiday, the House and Senate passed legislation to extend Certified Community Behavioral Health Clinics (CCBHC) funding from June 30 through July 14. The bill, sent to President Trump for his signature, can be seen here.

RCPA is requesting members to contact their state legislators and ask them to reach out to Governor Wolf and the Department of Human Services (DHS) Secretary Teresa Miller, to have them accept the federal extension of CCBHC funding.

The areas in Pennsylvania that have CCBHC facilities are as follows:

  • Philadelphia;
  • Delaware and Montgomery counties;
  • Berks County;
  • Allegheny County;
  • Clearfield, Clarion, and Centre counties; and
  • Bradford County.

Please contact RCPA Director of Government Affairs Jack Phillips with any questions.

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New SAMHSA Publication:
Guidance to States and School Systems on Addressing Mental Health and Substance Use Issues in Schools

The Substance Abuse and Mental Health Services Administration (SAMHSA) and the Centers for Medicare & Medicaid Services (CMS) released a new joint informational bulletin, Guidance to States and School Systems on Addressing Mental Health and Substance Use Issues in Schools. This guidance includes examples of approaches for mental health and substance use disorder (SUD) related treatment services in schools, and describes some of the Medicaid state plan benefits and other Medicaid authorities that states may use to cover these treatment services. Additionally, the guidance summarizes best practice models to facilitate implementation of quality, evidence-based, comprehensive mental health and SUD related services for students.

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Later today, Gov. Tom Wolf is scheduled to announce another renewal — the sixth one since he first made the declaration on January 10, 2018 — of a state opioid disaster declaration. Pennsylvania state law regarding disaster declarations is written to address, primarily, natural disasters, and Wolf’s opioid disaster declaration was the first-of-its-kind health emergency-related disaster declaration. Under state law, a state of disaster emergency may be continued by the Governor for no more than 90 days, unless renewed by the Governor or terminated, at any time, by a concurrent resolution approved by the Pennsylvania General Assembly. His office says he plans to talk about two new opioid-related initiatives at the presser this afternoon in the Governor’s Reception Room in the Main Capitol, and he’ll be joined by State Insurance Commissioner Jessica Altman, State Health Secretary Dr. Rachel Levine, Drug and Alcohol Programs Secretary Jennifer Smith, members of the Opioid Command Center, and state legislators. Questions, please contact Jack Phillips.

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RCPA is pleased to announce an important change in personnel. Lynn Cooper will be leaving her current position as Drug and Alcohol (D&A) Division Director and will now be the Director of Cross Systems Development/Western Region Representative. She will specifically be further developing activities in Western PA while addressing important cross-systems projects that have been raised recently.

RCPA will be hiring a new D&A Director to take on these responsibilities, based out of the RCPA office in Harrisburg. This is obviously a big change for Lynn, given her 24 years working in this area (and others) for RCPA, as well as its predecessor, PCPA.

This change is effective immediately; however, there will be a transition period as needed until a new D&A Director is hired. Please join us in welcoming Lynn to this new and exciting role. Contact Richard Edley with any questions.

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Bucks County Democratic lawmakers are proposing legislation designed to punish drug treatment and testing companies that use vulnerable patients to help boost their profits. State Senator Steven Santarsiero, D-10, of Lower Makefield, and Representatives Tina Davis, D-141, of Bristol Township and Perry Warren, D-31, of Newtown Township, on Thursday unveiled a proposed bill that would make it a felony for health care providers, including drug and alcohol treatment centers, to give or receive money, perks, or other compensation in exchange for patient referrals. The number of licenses for drug and alcohol treatment programs issued in Pennsylvania jumped from 570 to 824 between 2012 and last year, with the biggest surge in the last three years, according to Pennsylvania Department of Drug and Alcohol Programs (DDAP) data. To read the complete article, please use this link. Questions, please contact Jack Phillips, RCPA Director of Government Affairs.

(Source: The Intelligencer; “Legislation would make patient-brokering illegal in Pennsylvania” by Jo Ciavaglia, June 7, 2019)

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The Department of Human Services (DHS) is partnering with the University of Pittsburgh Child Welfare Resource Center to recruit for the Pennsylvania Citizen Review Panels (CRPs). The CRPs are groups of volunteer citizens who examine policies, procedures, and practices of state and local agencies and make recommendations for improvement to DHS. CRPs partner with state and local children and youth agencies, relying on maintaining respectful and positive relationships with these agencies to complete their work. To learn more about Pennsylvania’s CRPs, including their mission, vision, function, and members, visit this website. Please also see the website for our recruitment video.

They are currently working to recruit additional members to all three regional panels in the Northeast, South Central, and Southwest. Brochures for each panel as well as a general CRP flyer are below. Each brochure lists the counties within each region. Information on regions can also be found on the CRP website. The recruitment period will remain open until June 15.

It is requested that you forward this information on to your contacts and/or provide the names and contact information of individuals you feel would be a good fit for the panels and are located within one of the three regions. An online application can be accessed through the “Join” page on the CRP website. Referral information can be sent to the CAPTA Program Development Specialist, Kari Coccagna, via email or at 717-795-9048.

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Dept of Labor and Industry

FOR IMMEDIATE RELEASE
May 3, 2019

L&I Seeks Public Input on Proposed Changes to Pennsylvania’s Vocational Rehabilitation Services Plan

Harrisburg, PA – Department of Labor & Industry (L&I) Secretary Jerry Oleksiak today encouraged Pennsylvanians to provide comments on proposed changes to the state’s vocational rehabilitation services plan. Pennsylvania expects less federal reallocation funds for the vocational rehabilitation program and must adjust the plan.

“Our primary goal throughout this process is to ensure that services continue to be provided to as many people with disabilities as possible across the commonwealth,” said Secretary Oleksiak. “I urge interested Pennsylvanians to provide us with their feedback.”

Due to the anticipated decline in federal reallocation funds, the independent Pennsylvania State Board of Vocational Rehabilitation recently voted unanimously to begin the process to close the Order of Selection, in essence creating a temporary waiting list for new OVR customers. Services would continue for current OVR customers with an Individualized Plan for Employment, as well as Pre-employment Transition Services for students with disabilities, as required by federal law.

The proposal is available in the Pennsylvania Bulletin. Comments will be accepted for 30 days, until 5:00 PM on Tuesday, June 4, 2019, and should be emailed to [email protected], with “OOS closing all categories” in the subject line. Written comments may also be mailed to OVR Central Office, c/o Cindy Mundis, 1521 North 6th Street, Harrisburg, PA 17102.

Public meetings will be conducted in-person throughout the state in each OVR district office on Wednesday, May 22, 2019, from 3:00 PM to 4:30 PM and 5:00 PM to 6:30 PM. Individuals who are unable to attend in person can participate via phone. All meeting sites are accessible and interpreters for people who are deaf or hard of hearing will be present at each public meeting.

Following the public comment period, the U.S. Department of Education’s Rehabilitation Services Administration (RSA) will review OVR’s request to temporarily close the order of selection. If approved, the waiting list is expected to be implemented on July 1, 2019.

For more information, visit the OVR page on the Department of Labor & Industry’s website.

MEDIA CONTACT: Penny Ickes, 717-787-7530 or [email protected]

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2019 marks the official 18th anniversary of Sexual Assault Awareness Month (SAAM) — but did you know we can trace its history even further back?

Even before its official declaration, SAAM was about both awareness and prevention of sexual assault, harassment, and abuse. Looking at the history of the movement to end sexual violence, it’s clear why: it’s impossible to prevent an issue no one knows about, and it’s difficult to make people aware of a problem without providing a solution. The two work in tandem, and they always have. From the civil rights movement to the founding of the first rape crisis centers to national legislation and beyond, the roots of SAAM run deep.

Roots of the Movement
As long as there have been people who care about making the world a better place, there have been individuals advocating for sexual assault prevention. In the United States, movements for social change and equality began to gain traction in the 1940s and 50s with the civil rights era. Although open discussion of the realities of sexual assault and domestic violence were limited at these times, activists for equal rights began to challenge the status quo.

Sexual Assault Awareness Month is about more than awareness — the ultimate goal is prevention. Since consent is a clear, concrete example of what it takes to end sexual harassment, abuse, and assault, this year’s theme centers on empowering all of us to put consent into practice. The campaign theme, I Ask, champions the message that asking for consent is a healthy, normal, and necessary part of everyday interactions.

Sexual assault is a serious and widespread problem. Nearly one in five women in the US have experienced rape or attempted rape at some time in their lives, and one in 67 American men have experienced rape or attempted rape. When we talk about prevention, we mean stopping sexual violence before it even has a chance to happen. This means changing the social norms that allow it to exist in the first place, from individual attitudes, values, and behaviors to laws, institutions, and widespread social norms. Prevention is everyone’s responsibility: All of us can create and promote safe environments. We can intervene to stop concerning behavior, promote and model healthy attitudes and relationships, and believe survivors and assist them in finding resources.

The National Sexual Violence Resource Center (NSVRC) is the leading nonprofit in providing information and tools to prevent and respond to sexual violence. NSVRC translates research and trends into best practices that help individuals, communities, and service providers achieve real and lasting change. The center also works with the media to promote informed reporting. Every April, NSVRC leads Sexual Assault Awareness Month (SAAM), a campaign to educate and engage the public in addressing this widespread issue.

Be sure to share your sexual assault awareness programs and activities on social media, and feel free to share on the RCPA Facebook page and Twitter feed as well.

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