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In this issue:
Primary Intelligence
Member News
Outreach and Enrollment
Advocacy
NC Tracks
State Updates
Federal Updates
Healthcare Headlines
Workforce Development
Funding Opportunities
Group Purchasing
Events and Training





 

Primary Intelligence

Join us for Primary Care Safety Net Day at the NCGA!  February 20, 2019
Register Here
 
Announcing an Additional NAP Q&A Session
HRSA will hold a second question and answer session for New Access Points (NAP) applicants. Due to technical issues, the first session ended earlier than scheduled. In response to your feedback, we are happy to offer this second opportunity for you to receive answers to your NAP-specific questions. Please continue to send your NAP questions to Health Center Program Support, as some of these will be shared during the upcoming call.
Wednesday, February 20
3:00-4:00 p.m. ET
Join the webcast day of the session
Call-in: 800-779-8419
Passcode: 9842068
Please note: HRSA updated the NAP NOFO to clarify that only full-time, fixed sites located in a “hot spot” zip code are eligible for the High Unmet Need Area priority points. For more information and additional resources, including a pre-recorded NAP technical assistance (TA) presentation and the recording of the January 31 Q&A session, please visit the NAP TA webpage.
 
BPHC All-Programs Webinar
Tuesday, March 5
2:00-3:00 p.m. ET
Webcast information coming soon
To submit questions in advance, send an email to bphcta@hrsa.gov by Friday, March 1, with the subject line "BPHC All-Programs Question."

Save the dates: NCCHCA Medicaid Managed Care Contracting Training Series. Webinar series for primary care safety net provider organizations only. (Registration fee required.) Register here for all three sessions:
  • February 21, 2:00pm-3:30pm: Current NC Environment & Preparing Your Health Center for Contracting (Guest Speaker: Mari Kaptain-Dahlen, Siouxland Health Center, Iowa)
  • Feb 26, 9:00-10:30am: Clinically Integrated Networks, Advanced Medical Home, and Value-Based Payment in Contracting

Outreach and Enrollment

Penalty Still Applies for Consumers Who Were Uninsured in 2018
Individuals who were uninsured for all or part of 2018 will be subject to a penalty when they complete their 2018 tax return. The penalty amount is a percentage of household income or a flat dollar amount, whichever is greater (see table below and the Tax Year 2018 Reference Guide).
 
Percent of Household Income Flat Dollar Amount
2.5% of income above tax filing threshold $695/adult; $347.50/child
Capped at annual cost of average premium of bronze level plan Capped at $2,085
 
Enrollment assisters can review exemptions individuals may be eligible for, possibly helping them avoid the penalty. The Exemptions Tool on Healthcare.gov can be used to assess possible exemptions an individual may be able to claim. The current tax season represents the last year uninsured individuals will be assessed the individual mandate penalty.


 

Member and NCCHCA News


App Healthcare team recognized with Best Practice Award
“The Innovative Approaches team (Community Systems Building Grants for Children and Youth with Special Health Care Needs) for DHHS and the Division of Public Health will receive the 2019 Association of Maternal and Child Health Programs (AMCHP) Best Practice Award. The Innovative Approaches team consists of five local coordinators and five part-time parent outreach coordinators affiliated with local health departments across the state, including Diane Coffey and McKenzie Mayes of AppHealth Care. The award honors especially innovative and effective practices in maternal and child health. The Innovative Approaches team will also be recognized at AMCHP's 2019 annual conference on March 12.”


 
Blue Ridge Health Rutherford Practice Celebrates 5 Years
Tuesday, February 19, 3pm-5pm
187 W Main St, Spindale, NC
Please join Blue Ridge Health as they celebrate with the Rutherford County community the 5th Anniversary of the Blue Ridge Health – Rutherford practice. Drop in for a tour of the facility and see the changes, connect with the BRH Leadership, meet the hard working staff who have made this practice the success it is, and enjoy some refreshments with your friends and peers. 
Please RSVP to Kathryn McConnell by Friday, Feb 15: kmcconnell@brchs.com


Triad Adult and Pediatric Medicine’s (TAPM) -  2nd Annual Friends of TAPM Brunch featuring Merle Green, Director of Guilford County Department of Public Health as our Keynote Speaker and the inaugural Dr. Stewart and Betty Rogers Award. Thursday, April 25, 2019 | 8:30am-11:00am | The Conference Center at GTCC – Oak Ridge Room| 7908 Leabourne Road, Colfax, NC, 27235.  For more information go to friendsoftapmbrunch.eventbrite.com
 

Advocacy

Join us for Primary Care Safety Net Day at the NCGA!  February 20, 2019
Register Here
We’ll have a webinar to prepare those attending for the day.
Please register for Prep for Safety Net Day at the NCGA on Feb 13, 2019 10:00 AM EST at:
https://attendee.gotowebinar.com/register/3540386056173657602
How to talk to your legislator, review of our legislative priorities (Closing the coverage gap) and logistics.
 
NACHC’s Policy & Issues Forum
March 27-30, 2019, Marriott Wardman Park, Washington, D.C.
CONFERENCE REGISTRATION IS NOW OPEN!
Even if you’re not attending the conference, we encourage FQHC staff and board members to join NCCHCA for  Capitol Hill Visit Day (March 28, 2019). Come talk with our elected officials about the important services you are providing to your communities and explain why Congress should renew mandatory Community Health Center funding. Please fill out this form to let us know which staff/board members/patients from your health center will be joining us on March 28th.

 

NC Tracks

Is It Time for Your Re-verification Application? 
It's already been five years since the implementation of NCTracks, which means there are many providers who will need to complete re-verification over the next few months. If you haven't received a re-verification notification in your Message Center Inbox yet, you may be seeing it soon. To find your re-verification date, go to the NC Division of Medical Assistance (DMA)'s list of the providers who are due for re-verification in 2018 under 'Recredentialing' on the DMA Provider Enrollment webpage
 
Be sure to check your email and NCTracks Provider Portal for reminders on useful resources and tips for completing your application. To learn more, visit the Re-verification/Re-credentialing FAQs page today.

NCTracks Provider Announcement and Newsletters
Join NCTracks’ Email List

 

State Updates

NC DHHS to Issue March SNAP Benefits Early 
The North Carolina Department of Health and Human Services (NC DHHS) will issue March SNAP benefits between March 1-3, 2019. Benefits are typically issued to SNAP households between the 3rd and 21st of each month. The early issuance of March benefits is intended to minimize the effects of the early issuance of February SNAP benefits, which were distributed on January 20, 2019 as a result of the uncertainty created by the 35-day partial federal government shutdown. The early issuance of February benefits has meant that SNAP households have had to stretch their benefits over a longer period of time. NC DHHS is working to get SNAP households back on their regular issuance schedule. Community health centers and other community groups can let households know about the early issuance of March SNAP benefits by posting and distributing this flyer available in English and Spanish.  

 

Federal Updates

It’s Time to Recertify for 340B – Must Complete by Monday, 2/25
Every year, all health centers are required to “recertify” their compliance with all 340B program requirements, as well as each of their clinical and contract pharmacy sites, on the HRSA 340B database.  Health centers who fail to complete this process by Monday, February 25 will lose eligibility to participate in 340B for a minimum of 4 months.  HRSA has information and tutorials on recertification available here. For further assistance, please contact the 340B Call Center at apexusanswers@340bpvp.com or 1-888-340-2787. NACHC will be reaching out via email to PCA 340B contacts to share lists of health centers that have not yet completed the recertification process.


Information on Auto-HPSA updates available on NACHC and HRSA websites:  By now, all health centers should have received the third set of preliminary estimates for their updated auto-HPSA scores.  Once finalized, these new scores will become effective for the 2020 NHSC recruiting year. Both NACHC and HRSA have information on their websites about how and why the scores are being updated, and how to interpret preliminary estimates.  The NACHC Shortage Designation website contains FAQs, a background memo, and a recording of a NACHC webinar discussing the auto-HPSA changes.  The HRSA website contains general information about the Shortage Designation Modernization Project.  The State PCO is the immediate contact regarding preliminary HPSA scores however NCCHCA can facilitate with the process of collecting correct data for your county/area.  You may direct your questions about interpretation or incorrect/missing data related to your profile/preliminary estimates to  Sharon Brown-Singleton at NCCHCA.
 
The Pain Management Best Practices Inter-Agency Task Force released their draft report entitled Pain Management Best Practices: Updates, Gaps, Inconsistencies, and Recommendations. The Task Force was created by the Comprehensive Addiction and Recovery Act (CARA) of 2016 with the goal of identifying, revising, and developing a strategy for disseminating information about best practices for pain management (including chronic and acute pain) and includes representatives from federal agencies and non-federal stakeholders. The draft report is open for a 90-day public comment period. More information on submitting comments can be found here. Deadline, April 1st.

Updated Federal Poverty Guidelines
The 2019 poverty guidelines are in effect as of January 11. See the new guidelines.

 
New FTCA Site Visit Protocol
FTCA-deemed health centers are already familiar with FTCA site visits. Now we have streamlined the process into one document, the FTCA Site Visit Protocol, to help you find the information you need.


 

Healthcare Headlines

State
‘Carolina Cares’ bill would close gap in opioid treatment
For all the progress we’ve made in fighting the opioid epidemic – the STOP Act, the HOPE Act, the Good Samaritan law, overdose reversal drugs, overdose response teams, and countless other efforts – there is one big problem that North Carolina has not tackled. Tens of thousands of people living with the disease of addiction – people who have gotten to a point where they need and want help – can’t get the detox, treatment, and recovery support they need. And all too often they can’t get the help they need for one simple reason: They don’t have health insurance.

Walter Jones, congressman who worked to atone for his Iraq war vote, is dead at 76
Rep. Walter B. Jones Jr., an Eastern North Carolina congressman who made it his mission to atone for his vote sending U.S. troops into Iraq in the early 2000s, died Sunday on his 76th birthday. Jones, like his father, served his district for nearly a quarter-century.
 
Hunger at home (Wilkes Journal-Patriot)
Just one child going hungry is too many, but the number of Wilkes County kids who don’t get enough to eat when schools are out in the summer is staggering. The Wilkes County Schools Child Nutrition Department is trying to increase the sites providing free nutritious meals and snacks to all youths through its Summer Food Service Program to help address this intolerable situation. Several thousand children in Wilkes don’t get enough to eat in the summer months.
 

 

Funding Opportunities

New Access Points Funding Opportunity Now Available (HRSA-19-080)
$50 million in New Access Points (NAP) funding for the delivery of primary health care services for underserved and vulnerable populations will be awarded to approximately 75 awards in September. Organizations can apply for up to $650,000 per year and the deadline is Tuesday, March 12. For more information, read the Notice of Funding Opportunity and visit the NAP technical assistance webpage.


All other funding opportunities are listed on our website, here.
 

Workforce Development

STAR² CENTER SELF-PACED COURSES
The STAR² Center has added new interactive self-paced online courses to our growing catalogue of resources and training opportunities for health center workforce teams looking to enhance their recruitment and retention efforts. Take some time today to  set up your learner account and review our new "Administrative Strategies for Increasing Retention" course.  Click here to view a brief overview of how to access and register to complete these courses and be sure to reach out to Mariah Blake with any questions.


Become a Vital part of North Carolina’s Safety Net!
Community Health Centers are a unique, growing area of the health care industry. Community Health Centers offer many dynamic career opportunities for dedicated individuals who want to make a difference in their communities. You will also find postings for careers within the North Carolina Community Health Center Association (NCCHCA) whose mission is to promote and support patient-governed community health care organizations and the populations they serve. Visit our website to see open positions and to post opportunities.


 

NCCHCA Group Purchasing Organization


The NCCHCA Group Purchasing Organization provides a shared savings model for NC Community Health Centers. NCCHCA members may participate at no cost and can save a significant amount of money on items, such as medical/dental supplies and equipment. Thank you to our current partners: LabCorp, Toshiba Business Solutions, and Community Health Ventures (VIP). Contact Chris Shank for more information.
 

Events and Training


2019 Multidisciplinary Symposium on Human Trafficking
February 20th & 21st, Charlotte, North Carolina. 
The North Carolina Human Trafficking Commission (NCHTC) invites you to attend this
regional symposium for service providers, law enforcement, advocates, legal providers,
and other professionals engaging in North Carolina’s local, regional, and statewide
response to human trafficking. Participate in discussions across a broad spectrum of
trafficking-related issues, from demand to identification to service and prosecution.
Register here.


NC Regional Telehealth Summit-West
March 1, 2019, 8:00 am-4:30 pm
Asheville, NC
Register here
You are invited to join NCRHLA for a day of education and collaboration around rural health issues, featuring telehealth delivery.  The day's agenda will cover an array of issues relevant to rural health and telehealth. There will also be an opportunity for you to share how rural health impacts your life and be part of meaningful strategy discussion.
 
NC State University Department of Social Work 2019 Spring Summit
Integrated Behavioral Health for Medically Underserved and Rural Populations
Featuring Keynote Speaker: HRSA Administrator, Dr. George Sigounas
March 5, 2019, 8:30 AM – 4:30 PM
Raleigh, NC
Register here.
The summit will focus closely on building collaborations between entities that deliver services, educate students and staff and advocate to deliver integrated behavioral health solutions to rural and underserved populations.

Building Sustainable Partnerships between Community Health Centers & Domestic Violence Programs: Opportunities and Challenges
March 20, 2019, 9:00 am-3:00 pm
Durham Convention Center
Registration info coming soon!

2019 Convergence Telehealth Summit, March 31 - April 2, 2019
The Mid-Atlantic Telehealth Resource Center (MATRC) is offering free pre-sessions on Sunday, March 31st which may be of interest to Community Health Centers. Topics for 3/31 include:
  • 2:00-4:15pm, Telehealth in Community Health Centers
  • 3:00-6:00pm,
  • 4:30-5:30pm, Post-Acute Care Management and Remote Patient Monitoring 101
Williamsburg Lodge, Williamsburg, VA, http://matrcsummit.org/
 
2019 NCCHCA Clinical Conference on Quality and Chronic Disease
April 11-12, 2019
Chapel Hill, NC
The Clinical Conference on Quality & Chronic Disease is a professional training opportunity providing continuing education at a low cost. Nationally recognized health care experts share knowledge with safety-net providers on cutting-edge trends and quality improvement methods. Registration open!
 
Save the Date: Federal Tort Claims Act (FTCA) University
May 15-16, 2019
Asheville, NC
Hosted by the North Carolina Community Health Center Association and presented by the Health Resources and Service Administration, the Federal Tort Claims Act University (FTCAU) is an innovative training offered to members of the health center community. FTCAU provides a great opportunity for seasoned quality and risk management professionals and new professionals to learn from experts, leaders, and government officials about FTCA, healthcare quality and risk management, and related subjects. Over the course of two days, attendees will participate in interactive presentations and exercises that are specially geared toward health center grantees. 
Who should attend?
  • Quality Improvement Coordinators
  • Risk Managers
  • Board Members
Registration Info coming in February 2019.
 
Save the Date: 2019 NCCHCA Primary Care Conference
June 26-28, 2019
Renaissance Asheville Hotel
31 Woodfin Street
Asheville, NC 28801
Registration Opening Soon.
 
10th Biennial Childhood Obesity Conference
July 15th - 18th
Anaheim, CA
Click here for more information
 
Find More Conference and Training Opportunities on the NCCHCA Calendar

 
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