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PHE

The Centers for Medicare and Medicaid Services (CMS) has released a Request for Information (RFI) that seeks public input on accessing healthcare and related challenges, understanding provider experiences, advancing health equity, and assessing the impact of waivers and flexibilities provided in response to the COVID-19 Public Health Emergency (PHE).

The Make Your Voice Heard: Promoting Efficiency and Equity Within CMS Programs RFI furthers CMS’ commitment to engaging and learning from partners, communities, and individuals across the health system to inform how we can better support the populations we serve. In alignment with Executive Order 13985, Advancing Racial Equity and Support for Underserved Communities Through the Federal Government, the CMS Strategic Plan Pillar: Health Equity, and the CMS Framework for Health Equity (2022–2032), this RFI aims to gather feedback and perspectives related to challenges and opportunities for CMS to embed health equity into their efforts encouraging innovation, reducing burden, and creating efficiencies across the healthcare system.

CMS is seeking to better understand individual and community-level burdens, health-related social needs, and opportunities for improvement that can reduce disparities and promote efficiency and innovation across programs. CMS is requesting information related to strategies that successfully address drivers of health inequities, including opportunities to address social determinants of health and challenges underserved communities face in accessing comprehensive, quality care. For example, challenges accessing care may include understanding coverage options, receiving culturally and linguistically appropriate care, accessing oral health services, and accessing comprehensive and timely healthcare services and medication.

Through this RFI, CMS also seeks to better understand the factors impacting provider wellness and learn more about the distribution of the healthcare workforce. CMS is particularly interested in understanding the greatest challenges for healthcare workers in meeting the needs of individuals, and the impact of CMS policies, documentation, and reporting requirements, operations, and communications on provider experiences.

Comments received in response to the Make Your Voice Heard RFI will be used to identify opportunities for improvement and to increase efficiencies across CMS programs. In addition, CMS hopes to learn how specific programs have benefited providers, practices, and the people served.

CMS encourages comments from all interested stakeholders, in particular, patients and their families, providers, clinicians, consumer advocates, and healthcare professional associations. CMS also encourages comments from individuals serving and located in underserved communities and from all CMS stakeholders serving populations facing disparities in health and healthcare. The RFI is open for a 60-day public comment period.

Comments must be received by November 4, 2022, to be considered.

The Department of Human Services (DHS) has announced that they are preparing for the end of the federal Public Health Emergency (PHE). Included in this preparation is a webinar planned for October 24, 2022, at 2:30 pm. Register for the webinar at the link below:

https://padhs19.webex.com/padhs19/j.php?RGID=re51d9b2a4909630f736cfdbb2c6a0dad

When the PHE ends, DHS will resume closing Medicaid cases for ineligible recipients. DHS has stressed that they want all recipients that remain eligible to keep their coverage and complete their renewals in a timely manner. Providers can assist by making sure that they are prepared to aid the individuals to complete their renewal when it is due, now and after the PHE ends.

The Biden administration on Friday, July 15, 2022, extended the COVID-19 public health emergency (PHE) for another three months. US Department of Health and Human Services Secretary Xavier Becerra officially renewed the declaration, extending it through October 13, 2022. The extensions include the Centers for Medicare & Medicaid Services (CMS) standards governing the delivery of services via telehealth.

If you have additional questions, please contact your RCPA Policy Director.

Message from Kristen Houser, Deputy Secretary of the Office of Mental Health and Substance Abuse Services (OMHSAS):

Pursuant to Act 30 of 2022, the suspension of various regulatory provisions under the state disaster emergency declaration that are currently in effect and which were set to expire on June 30, 2022, are now extended until October 31, 2022. A list of the regulations that were suspended in whole or in part and their current status is available here.

If you have any questions, please contact Jim Sharp.

 

The Substance Abuse and Mental Health Services Administration (SAMHSA) announced today it is extending its opioid treatment program (OTP) exemption for an in-person physical evaluation for buprenorphine treatment for a period of one year from the end of the COVID-19 Public Health Emergency (PHE). The extension goes into effect upon the expiration of the COVID-19 PHE.

Read the full announcement.

ODP Announcement 22-073 announces that the Department of Human Services (DHS) is preparing for the eventual end of the Public Health Emergency. Under the federal COVID-19 Public Health Emergency (PHE) declaration, Pennsylvania has continued Medical Assistance (MA) coverage for most people unless they moved out-of-state, passed away, or asked to end their MA.

When the federal PHE ends, the Department of Human Services must determine if people are still eligible for MA. MA recipients will have to complete a renewal to maintain their MA coverage.

DHS is seeking trusted partners to assist in this PHE unwinding process through means of connection to individuals that will need to renew MA benefits. Today, an email newsletter called the DHS Helper Portal is being launched.

Sign up to become a helper today!

  1. Fill out the simple online form.
  2. The form will generate an email to the email address given.
  3. Confirm the address by walking through the prompts in the email.
  4. Congratulations! You are a helper!