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➥ COVID-19
➥ Events and Trainings
➥ Policy and Advocacy
➥ Medicaid Managed Care

➥ Funding Opportunities
➥ Workforce
➥ Member Spotlight
➥ NCCHCA Jobs Board
Focal Point is NCCHCA's twice-weekly newsletter during COVID19. Questions about anything in this newsletter? Email us, If you received this newsletter from someone else but would like to be added to our list, you can  sign up here

FDA Approves a Fourth COVID Vaccine from Drugmaker Novavax

The FDA recently approved a fourth COVID-19 vaccine for adults from drugmaker Novavax. Once the CDC grants its approval (likely later in July), it will become available for use.

The Novavax vaccine will be administered as a two-dose primary series, three weeks apart and offers people an alternative to the mRNA-based Pfizer and Moderna vaccines. 

U.S. HHS Renews COVID-19 Public Health Emergency Another 3 Months

The U.S. Department of Health and Human Services (HHS) has extended the COVID-19 public health emergency through at least October and with it key flexibilities on telehealth and reporting deadlines. The agency has long agreed to give stakeholders a 60-day warning if the emergency will not be extended again. Read more at Fierce Healthcare.

NC DHHS Covid Therapeutics Provider Hub
The NCDHHS Therapeutics Provider Hub simplifies and improves the provider experience by centralizing key resources, guidance, and communications into a single site accessible to all providers.

Please refer to the Therapeutics Provider Hub for more information on the following topics:

Monkeypox Guidance Updated
Updated guidance for evaluation, testing and prevention of monkeypox was released July 14.

Key updates include guidance for suspicion of monkeypox, testing availability at commercial and other laboratories, and information and expanded eligibility for monkeypox vaccines.

See additional information posted on the NCDHHS monkeypox page.

Events and Trainings

Register for NCAHEC’s Newest Community Health Worker (CHW) Specialty Training Program on Resource Coordination
More information here.
This 90-minute self-guided course is offered as part of the commitment of NCAHEC and NCDHHS to provide CHWs with support and resources.

19 Days Out: National Health Center Week (August 7-13)

Please finalize your NHCW event plans this week and submit them on this form so NCCHCA staff can help promote your events and make plans to attend. You can also reach out to our new board liaison and executive assistant, Jennifer James, to communicate your event details.

Remember to invite state legislators, members of Congress, and candidates to your NHCW event. You can adapt this template invitation letter.

Find more resources at

Save the Date for NCCHCA’s 2022 Clinical Conference - October 20-21 in Winston-Salem

We look forward to welcoming you at our 2022 Clinical Conference, which will be a valuable opportunity for professional development and networking. Please mark your calendars for October 20-21 and be on the lookout for more details and a registration link coming soon.

Policy and Advocacy

 U.S. Sen. Manchin Kills Hope for Broad Reconciliation Bill But Supports Drug Pricing Provisions

Last week, Sen. Joe Manchin (D-WV) told Senate leadership that he will only support a narrow budget reconciliation package before Labor Day if it does not include new spending to fight climate change or taxes on wealthy individuals or corporations, saying the only provisions he is willing to support are those to lower prescription drug prices and a two-year extension of higher ACA subsidies enacted under the American Rescue Plan. It is not clear whether a package may include closing the coverage gap for states that have not expanded Medicaid.

FY23 U.S. Appropriations Update: House Moving Forward, Senate Outlook Much Murkier
The FY23 appropriations process is moving forward in the House. The Appropriations Committee passed each of its 12 FY2023 appropriations bills last month, and Committee Chairwoman hopes to get all 12 bills through the House floor by the end of the month.  The FY23 Labor-HHS bill is expected to go to the House floor during the final week of July.

On the Senate side, negotiations between Democrats and  Republicans over top-line numbers stalled last month, and no committee mark-up schedule has been announced yet. It is unlikely that the Senate will make significant progress on FY23 Appropriations until November.  

Annual Physician Fee Schedule Includes Dental, Hearing, and ACO Expansions But No Long-Term FQHC Medicare Telehealth Fix

After last year’s Physician Fee Schedule rule allowed FQHCs to be reimbursed by Medicare on a permanent basis at PPS for behavioral health visits provided via telehealth, FQHCs were disappointed by CMS’ recently published proposed CY2023 PFS regulation for not doing the same for medical services provided via telehealth. Given that CMS did not include this proposal, FQHCs’ ability to be reimbursed for medical telehealth visits will now end 152 days after the COVID Public Health Emergency ends unless Congress intervenes before then.

On a brighter note, the proposed rule offers several provisions that will benefit FQHC patients. These include:

  • An expansion in the list of dental services that are considered “medically necessary” and therefore covered by Medicare.

  • Allowing patients to see an audiologist once a year without receiving an order from a doctor or NPP.

  • Health equity incentives for ACOs.  

Bipartisan 340B Letter Delivered with 181 House Rep. Signatures

In a letter sent to HHS Secretary Xavier Becerra, Rep. Spanberger (VA-7) and 180 additional U.S. House Representatives - including Reps. Adams (NC-12), Butterfield (NC-1), and Manning (NC-6) from N.C. - called on HHS to penalize drug manufacturers that refuse to comply with their 340B obligations under law.

“We urge the Department of Health and Human Services (HHS) and its Office of the Inspector General (OIG) to use current statutory authority to impose civil monetary penalties against all drug manufacturers who have unlawfully overcharged safety net health care providers,” said Spanberger and her colleagues.

Additionally, they emphasized how recent changes have negatively impacted patients, pharmacists, and healthcare providers across the country.

Annual Essential Community Provider (ECP) Petitions Submission 

Deadline: August 17th for inclusion in the final Plan Year 2024 ECP List. 

The Essential Community Provider petition submission is an annual process that works prospectively. HHS updates this ECP list annually to assist issuers with identifying providers that qualify for inclusion in an issuer's plan network toward satisfaction of the ECP standard under 45 CFR 156.235. 

Per CMS, “For ongoing provider updates, the ECP petition process remains open year-round. Provider petitions submitted between August 19, 2021, and August 17, 2022, will be reviewed for inclusion on the final Plan Year 2024 ECP List. Provider petitions submitted after August 17, 2022, will be reviewed for inclusion on the final Plan Year 2025 ECP List. 

Click here to download a detailed memo with important reminders and instructions.

Click here to visit the CMS website to view all sites currently associated with your organization and submit a petition for each of your facilities. All FQHCs should submit a petition for each of their facilities even if they do not see errors or omissions that require correction.

Questions? Contact Chaundra Cureton, Member Management Specialist,

Medicaid Managed Care

FQHC Radiology Services Reimbursement Methodology Revision
July 18 Bulletin)

Effective Aug.1, 2022, only the technical component of an onsite radiology service performed at FQHCs/RHCs will be separately reimbursed by Medicaid. The professional component of these services will no longer be reimbursed using the radiology CPT codes after Aug. 1, 2022.  

The technical component of an RHC or FQHC service includes diagnostic tests such as x-rays and electrocardiograms (EKGs). When an on-site radiology service and a core service are performed on the same date of service, the FQHC or RHC bills on two separate claims: the professional encounter is included under the T1015 procedure code and the technical component is billed using the FQHC or RHC rendering provider number. 

Modifier TC appended to the procedure code reports the technical component of such procedures. FQHCs and RHCs shall bill for the technical component of an onsite radiology service by billing the correct CPT code with modifier TC. 

Please Respond to NCCHCA Survey on Radiology Services Reimbursement Change
In response to the recent Medicaid Bulletin stating that, effective Aug.1, 2022, only the technical component of an onsite radiology service performed at federally qualified health centers will be separately reimbursable, NCCHCA is requesting input from your health center.

Please complete our brief survey at this link. We will use information gathered from this survey to determine if advocacy action is needed on this issue.

Contracting with Tailored Plans

Beginning Dec. 1, 2022, NC Medicaid will transition approximately 170,000 beneficiaries who may need services for a severe mental health disorder, severe substance use disorder, intellectual/developmental disability (I/DD) or traumatic brain injury (TBI) to Behavioral Health and I/DD Tailored Plans (Tailored Plans). 

Key Tailored Plan Dates

  • Aug. 15, 2022 – Beneficiary Choice Period begins. Enrollment Broker begins mailing Enrollment Packets to beneficiaries, and beneficiaries can choose a PCP and Tailored Care Management provider by contacting their Tailored Plan.
  • Sept. 15, 2022 – Last day for PCPs to have fully executed contracts with Prepaid Health Plans (PHP) for inclusion in PCP Auto-Assignment.
  • Oct. 14, 2022 – Last day for beneficiaries to choose a PCP and Tailored Care Management provider before auto-assignment.
  • Post Oct. 14, 2022 – PCP and Tailored Care Management Provider Auto-Assignment for beneficiaries who have not chosen a PCP or Tailored Care Management provider.
  • Dec. 1, 2022 – Behavioral Health I/DD Tailored Plans launch.

Find Tailored Plan contact information here. It is important to contract with multiple, if not all, networks who serve beneficiaries in your community so that existing patients and their families can remain in network.

Find more contracting information and a map of Tailored Plan catchment areas here.

Medicaid Bulletin Roundup
The following recent bulletin(s) from NC Medicaid may be of interest to health centers:

Key Reminders from Previous Newsletter Editions

HRSA Health Center Program Updates from Last Week's “Today with Macrae”
  • Today With Macrae2021 UDS data will be released on August 8, via the BPHC UDS webpage. There will be a webinar on August 9 from 1:00-2:00 p.m. to review trends; register here.
  • The Community Health Quality Recognition (CHQR) Badges will be released around the end of August. They will recognize CHCs that have made "notable quality improvement achievements" in access, quality, HIT, disparities, and COVID response.
  • Regarding the national CHC Workforce Well-Being Survey that will roll out this fall, all data will be kept confidential. Within 60 days of survey completion, each CHC will get a very high-level report. Within six months, CHCs will receive a more detailed report with comparison information.
  • BPHC is making further improvements to enhance the “customer experience”, such as:
    • a new webpage entitled “Engaging with BPHC” that lays out how to get answers to specific types of questions and
    • updating the BPHC contact form to allow people to see their current and previous requests.
Note: "Today with Macrae” sessions will be moving to roughly every-other month. The next sessions will be 9/14/2022 at 3 PM ET and 12/1/2022 at 2 PM ET.
Funding Opportunities

Rural Communities Opioid Response Program – Medication Assisted Treatment Access
Deadline: July 29, 2022

The goal of this HRSA funding opportunity is to improve health care in rural areas by establishing new medication-assisted treatment (MAT) access points and increasing the capacity for sustainable MAT service provision in rural areas.

Building Bridges to Better Health: A Primary Health Care Challenge
Deadline: August 2, 2022

Building Bridges to Better Health is a national competition with a total of $1 million in cash prizes to encourage innovation through technical assistance to health centers. Competition participants will accelerate the development of low-cost, scalable solutions to help HRSA-supported community health centers improve patient access to primary care and strengthen the link between health care and social services.

Phase 1 (concept design) will include initial awards totaling $300,000 for up to 30 winners. Phase 1 submissions are due Tuesday, August 2. Visit for more information.


NCCHCA Workforce Development Workgroup
July 27, 2022, 10 AM ET 
Click Here to Register.

Join your CHC colleagues to share information, challenges, and best practices on workforce planning, development, and partnerships in your CHCs. Our July meeting will focus on your recently submitted HPET Plans, how to optimize and augment, plus your own workforce priorities. We’ll also include a new staff resiliency highlight!

NCCHCA HPET/Workforce Update Survey
Deadline: July 29, 2022
Survey Link

This survey will be conducted twice a year to collect data on any Workforce Programs/Partnerships at your CHC. This will let us know how to best support you in developing and strengthening your existing workforce, and your efforts to expand your workforce pathways! This survey is designed to be quick (10-15 minutes) and simple, and allow you to efficiently share updates and request T/TA.

Please complete by July 29, 2022, and feel free to share with colleagues as needed. Reach out with any feedback or questions:

Workforce Strategic Planning: Resources Available!

As most of you already know, HPET (Health Professions Education and Training) Plans have been a core focus of the NCCHCA Workforce Workgroup this year, and much of last. As we move towards finalizing drafts, here are some resources to support you:

➥ HPET Plan Template

➥ WSP Quick Guide - General Components of a Workforce Strategic Plan

➥ Star2 Center Workbook - Strategic Workforce Planning

➥ Star2 Center Workforce Resources

As always, for targeted support with your HPET/Strategic Workforce Plan or your Comprehensive Workforce Plan, please connect with NCCHCA: Josie Lane-Kuzniar.

Member Spotlight

Appalachian Mountain CHC Launches Mobile Dental Unit
Appalachian Mountain Community Health Centers recently posted to social media about adding a new line of service. The AMCHC team is excited to offer high-quality dental services at a low cost to Western North Carolina's most vulnerable populations. They thank Kwane Watson at Kare Mobile, Inc. for helping the Center achieve this goal.

Stay tuned: AMCHC is positioned for growth and will be opening its very first Dental Office soon. Hats off to AMCHC!

NCCHCA Jobs Board
Check out NCCHCA’s jobs page for more CHC jobs in North Carolina. Member health centers can post jobs to the site as well using their website logins. 
Copyright © 2022 North Carolina Community Health Center Association, All rights reserved.

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