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CMS

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Photo by Markus Winkler on Unsplash

The Office of Mental Health and Substance Abuse Services (OMHSAS) Deputy Secretary Jen Smith recently provided an update on the federal four walls rule. The Centers for Medicare and Medicaid Services (CMS) has issued a proposed rule, or Notice of Public Rulemaking, that could create exceptions to the existing four walls requirement for IHS/Tribal clinics, behavioral health clinics, and clinics located in rural areas.

The official language posted to the federal register can be found on page 15 of the Federal Register, which is scheduled to be published on July 22, and is copied below.

“This proposed rule includes a proposal to create exceptions to the Medicaid clinic services benefit four walls requirement, to authorize Medicaid payment for services provided outside the four walls of the clinic for IHS/Tribal clinics, behavioral health clinics, and clinics located in rural areas. Our current regulation at 42 CFR § 440.90(b) includes an exception to the four walls requirement under the Medicaid clinic services benefit only for certain clinic services furnished to individuals who are unhoused. We believe these proposed exceptions would help maintain and improve access for the populations served by IHS/Tribal clinics, behavioral health clinics, and clinics located in rural areas.”

As a reminder, this is a proposed rule intended to announce and explain CMS’s plan to address the problem. As such, all proposed rules must be published in the Federal Register to notify the public and give them an opportunity to submit comments. The proposed rule and the public comments received on it form the basis of a final rule. More information on the final rulemaking process is available here. Interested parties should provide public comments on this proposed rule to the addresses listed in the federal register by September 9, 2024.

While CMS works through this process, OMHSAS, RCPA, and the PA General Assembly continue efforts to address this through the recently released HCO 3450 legislation that will address the psychiatric outpatient in-office requirements and the Medicaid “4 walls” standards. RCPA will work with our members and the National Council for Mental Wellbeing on developing public comments for submission regarding this proposed rule. If you have any questions, please contact RCPA COO and Mental Health Policy 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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Photo by Christina @ wocintechchat.com on Unsplash

The Centers for Medicare and Medicaid Services (CMS) has announced that the next hospital/quality initiative open door forum has been scheduled for June 4, 2024, from 2:00 pm – 3:00 pm. The agenda topics will include:

Register for the webinar.
Meeting ID: 160 823 4591
Passcode: 200020

After registering, you will receive a confirmation email containing information about joining the webinar.

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RCPA’s Brain Injury Committee meeting with representatives from the Office of Long-Term Living (OLTL), originally scheduled for May 22, 2024, has been rescheduled to Wednesday, June 26, 2024, from 10:00 am – 12:00 pm. The meeting will include Deputy Secretary Juliet Marsala and Director of the Bureau of Coordinated and Integrated Services Randy Nolen. Additionally, representatives from the Centers for Medicare and Medicaid Services (CMS) advised they will be attending the meeting.

While this will be a hybrid meeting, members are encouraged to attend in person if possible. Register for the meeting here.

We are asking members to send topics and/or questions to Melissa Dehoff by Friday, May 31, 2024.

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The Office of Developmental Programs (ODP) has received approval from the Centers for Medicare & Medicaid Services (CMS) to make one-time payments for workforce recovery efforts. Payments will be calculated at 6% of the fee schedule revenue received for services rendered between July 1, 2023, through December 31, 2023, for the waiver services listed in the announcement. Don’t miss this opportunity for additional funding for your organization!

The intent of these funds is to assist providers in covering costs related to staffing programs and services. Other than the restriction that payments may not be used to increase or supplement compensation for agency executive staff, there are no specific restrictions, timeframes, or reporting due for these funds other than completing the ODP Workforce Recovery Supplemental Payments survey. ODP has indicated that this revenue would be considered similar to any other service revenue and advises providers to keep a record of how funds were used in the event that they are reviewed as part of the normal claim review process.

As of the morning of May 6, 2024, ODP has received requests from 350 providers. If your MPI is on this file, this will serve as confirmation that your agency’s request has been received. ODP will release a similar file next week prior to the deadline. Late requests will not be accepted. Providers must request the subject payments no later than May 15, 2024. See ODP Announcement 24-041 for additional information.

For any questions, contact Carol Ferenz.

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The Centers for Medicare and Medicaid Services (CMS) has announced the next Medicare Updates and Education webinar. The webinar, “Medicare & Other Programs for People With Disabilities,” is scheduled for May 9, 2024, from 1:00 pm – 2:30 pm and will include information about:

  • What’s Happening in Medicare – May 2024;
  • NTP Announcements and Resources;
  • Women’s Health Week (May 12 — May 18);
  • National Osteoporosis Prevention Month;
  • World No Tobacco Day (May 31);
  • Older Americans Month;
  • Arthritis Awareness Month;
  • Mental Health Awareness Month; and
  • Coverage to Care.

To participate, please register here.

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