RHP 2 Conference Call-HHSC Updates-Monday, October 13

RHP 2 Providers and Stakeholders:

If possible, plan to join us for a brief conference call on Monday, October 13, 2014 at 1:00 pm (details below).  We will cover updates received from HHSC’s anchor call today.

 Date:                    Monday, October 13, 2014

Time:                    1:00-1:30 pm

Dial:                      1.877.226.9790

Access Code:      3020674

RHP 2 October Reporting Call – 10-09-14

Thank you to everyone who participated in the RHP 2 October reporting call.  Attached is the document [Talking Points] containing the talking points that were discussed, and note that we will be updating this list as new information/clarification comes in from HHSC. 

Susan Seidensticker, BSIE, MSHAI, CPHQ, CSSBB, PMP
Director, Waiver Quality Operations
University of Texas Medical Branch (UTMB)
Shearn Moody, 9th Floor
409-766-4041
smseiden@utmb.edu

IMPORTANT Region 2 Update: Notice of deferral of Federal Funds Relating to Certain Private Hospital Payments

Dear Region 2:

I wanted to provide an update on an important issue we learned about last week from HHSC leadership. In a [letter] dated September 30, 2014, CMS has stated it will “defer” federal funds for Uncompensated (UC) payments for private hospitals that are in certain funding arrangements that CMS believes may be unallowable uses of provider-related donations.  I have outlined a summary of the situation below.  The [letter] attached provides the additional background.

  • In May, CMS issued a letter to state Medicaid directors which discussed guidance related to provider related donations (letter attached).
  • This summer, CMS conduced a financial management review of the 1115 waiver in RHP’s 4, 7, 9 and 10.  During this review, CMS identified certain funding arrangements it believes constitute the unallowable use of provider-related donations.
  • CMS has questions regarding the source of the non-federal share of these expenditures. In particular, CMS would like to explore further the understanding of the financing mechanism being utilized and its intersection with the recent guidance issued in State Medicaid Director Letter #14- 004 on May 9, 2014. It appears that the intergovernmental transfer (IGT) may be derived from funds that the government entity previously would have spent on providing the services that are now being provided/funded by the private entity and/or direct payments made to the governmental entity from private entities.
  • Last week, CMS issued a letter indicating that they will defer the federal expenditures in the regions reviewed – a total of $74,891,536 – until the source of the non-federal share is determined appropriate.
  • HHSC has a call with CMS today, Monday, October 6, 2014, to discuss the deferral further and try to better understand what documentation must be submitted.
  • At this time, UC and DSH payments are “on hold.”  HHSC indicates that it has made no determination about DSRIP payments; but, the state hopes that this will be resolved before the next DSRIP payments are made in January (based on DY3 October reporting.)
  • HHSC indicates that a similar deferral of federal funds occurred in 2007/08, relating to the same issue, and it took approximately a year to resolve the issue.  The ultimate result of the review at that time was the release of the federal funds.

A few other pieces of information HHSC passed along about CMS comments:

  • CMS indicated that source of IGT for DSRIP payments would be under the same scrutiny.
  • CMS has indicated that they believe this is a statewide issue, not isolated to just the four (4) regions audited.
  • CMS stated that during the financial review, private hospitals were not forthcoming about the amount of money they are contributing to the not-for-profit organizations and their role in providing these services.
    - Although the safeguards are still in place from the 2007/08 review, CMS has noted that they may need to take a fresh look at these relationships (arrangements) based on the State Medicaid Director Letter #14- 004, dated/issued on May 9, 2014.

We will continue to share information as we received it in our anchor office; and, in full transparency, wanted to share the above knowledge with the region as soon as possible following the call on Friday afternoon, October 3, 2014.

If you have questions, you can contact HHSC directly or filter through my office. 

Thank you,

-Craig

1115 Waiver – RHP 2 Providers Invited to Join Ebola Outbreak Presentation

Part of UTMB’s commitment as anchor of RHP 2 is to coordinate efforts to share information regionally; therefore, please see the announcement on a very important and timely presentation regarding the Ebola outbreak.  I apologize for the short notice, but if you are able to join us Friday, October 3, 2014, Dr. Tom Ksiazek will be presenting live in the Main Auditorium of Levin Hall, located at 10th and Market Street in Galveston.  UTMB also plans to stream the presentation live and record it for YouTube viewing.

To view the Ebola lecture online, please use the following links:

 Apple QuickTime Viewers: http://129.109.152.33/stream.sdp

 Windows Media Viewers:  http://129.109.152.60:8080/stream

 If technical assistance is required, please call 409.747.9037.

Additionally, if any providers in the region have specific questions regarding the Ebola crisis, the Office of Waiver Operations will happily facilitate a discussion with one of UTMB’s experts on the topic.  We are very fortunate in RHP 2 to have some of the world’s leading researchers and experts who are most willing to serve as a resource with our regional providers.  If you have questions, please let me know:  cskovace@utmb.edu or 409.766.4047. 

 

 

 

9/26/14 Anchor Call Notes and Pre-test/Post-test Guidance

Dear Region 2 Performing Providers & Stakeholders:

Attached are the [anchor call notes] from Friday, September 26, 2014.  As John noted during the call, regarding the October reporting template, Anchors will be able to view what providers in their region report in the new automated reporting system.  He also confirmed after the call that Anchors will also be able to open any attached documentation files.

Also attached, please find the [guidance for utilizing pre-and post-testing] to report scores for survey tools in OD-10 and OD-11, mentioned in the anchor notes.
Thanks, Craig

Oct 13

RHP 2 Conference Call-HHSC Updates-Monday, October 13

RHP 2 Providers and Stakeholders: If possible, plan to join us for a brief conference call on Monday, October 13, 2014 at 1:00 pm (details below).  We will cover updates received from HHSC’s anchor call today.  Date:                    Monday, October 13, 2014 Time:                    1:00-1:30 pm Dial:                      1.877.226.9790 Access Code:      3020674

Permanent link to this article: http://blogs.utmb.edu/1115/2014/10/13/rhp-2-conference-call-hhsc-updates-monday-october-13/

Oct 09

RHP 2 October Reporting Call – 10-09-14

Thank you to everyone who participated in the RHP 2 October reporting call.  Attached is the document [Talking Points] containing the talking points that were discussed, and note that we will be updating this list as new information/clarification comes in from HHSC.  Susan Seidensticker, BSIE, MSHAI, CPHQ, CSSBB, PMP Director, Waiver Quality Operations University of Texas Medical Branch …

Continue reading »

Permanent link to this article: http://blogs.utmb.edu/1115/2014/10/09/rhp-2-october-reporting-call-10-09-14/

Oct 07

IMPORTANT Region 2 Update: Notice of deferral of Federal Funds Relating to Certain Private Hospital Payments

Dear Region 2: I wanted to provide an update on an important issue we learned about last week from HHSC leadership. In a [letter] dated September 30, 2014, CMS has stated it will “defer” federal funds for Uncompensated (UC) payments for private hospitals that are in certain funding arrangements that CMS believes may be unallowable …

Continue reading »

Permanent link to this article: http://blogs.utmb.edu/1115/2014/10/07/mportant-region-2-update-notice-of-deferral-of-federal-funds-relating-to-certain-private-hospital-payments/

Oct 02

1115 Waiver – RHP 2 Providers Invited to Join Ebola Outbreak Presentation

Part of UTMB’s commitment as anchor of RHP 2 is to coordinate efforts to share information regionally; therefore, please see the announcement on a very important and timely presentation regarding the Ebola outbreak.  I apologize for the short notice, but if you are able to join us Friday, October 3, 2014, Dr. Tom Ksiazek will …

Continue reading »

Permanent link to this article: http://blogs.utmb.edu/1115/2014/10/02/1115-waiver-rhp-2-providers-invited-to-join-ebola-outbreak-presentation/

Sep 29

9/26/14 Anchor Call Notes and Pre-test/Post-test Guidance

Dear Region 2 Performing Providers & Stakeholders: Attached are the [anchor call notes] from Friday, September 26, 2014.  As John noted during the call, regarding the October reporting template, Anchors will be able to view what providers in their region report in the new automated reporting system.  He also confirmed after the call that Anchors …

Continue reading »

Permanent link to this article: http://blogs.utmb.edu/1115/2014/09/29/92614-anchor-call-notes-pre-testpost-test-guidance/

Sep 22

1115 Medicaid Waiver: HHSC Updates for Region 2 Performing Providers & Stakeholders

Good Afternoon Region 2 Performing Providers & Stakeholders  HHSC provided anchors with a few updates on Friday afternoon related to risk adjusted outcomes under the 1115 Waiver.  Please see both the note below and the two (2) attachments [Normative data for use with DSRIP Category 3 risk adjusted outcomes]  [Risk adjustment for DSRIP] included with this …

Continue reading »

Permanent link to this article: http://blogs.utmb.edu/1115/2014/09/22/1115-medicaid-waiver-hhsc-updates-for-region-2-performing-providers-stakeholders/

Sep 08

1115 Waiver: IMPORTANT INFORMATION for Region 2 Providers & Stakeholders

Greetings from Galveston Island and the Region 2 Anchor Office team! This message contains a number of important updates so please review carefully,  and let me or a member of my staff know if we can answer any questions for you.  Many of you have received more specific, targeted messages if you have a DSRIP …

Continue reading »

Permanent link to this article: http://blogs.utmb.edu/1115/2014/09/08/1115-waiver-important-information-for-region-2-providers-stakeholders/

Sep 08

Statewide Learning Collaborative Summit – Webstreaming Access Information

Information for Web Attendees at the HHSC Statewide Learning Collaborative Summit / September 9-10, 2014 Thank you for your interest in participating in the HHSC Statewide Learning Collaborative Summit on September 9-10, 2014.  In order to allow interested individuals to watch the proceedings, HHSC has arranged for the Summit to be available for viewing on-line, …

Continue reading »

Permanent link to this article: http://blogs.utmb.edu/1115/2014/09/08/statewide-learning-collaborative-summit-webstreaming-access-information/

Sep 02

UTMB Hosting Special Lecture: Reducing Readmissions by Safe Care Transition

Dear RHP 2 Performing Providers & Stakeholders:   UTMB will be hosting a special lecture on Friday morning, September 5, 2014 at 8 am on our main campus in Galveston.  All RHP 2 Stakeholders are welcome to attend this lecture which will focus on “Reducing Readmissions by Safe Care Transition.”  Please see the [attached documen]t …

Continue reading »

Permanent link to this article: http://blogs.utmb.edu/1115/2014/09/02/utmb-hosting-special-lecture-reducing-readmissions-by-safe-care-transition/

Aug 18

DSRIP Webinar – Risk Adjustment for Cat 3 – August 28th 1:00 – 2:30

HHSC is hosting a webinar on DSRIP Risk Adjustment Methodology for Category 3 [Presentation] Date: Thursday, August 28, 2014 Time: 1:00 – 2:30pm, Central Daylight Time Speaker(s):  Jennifer Woodard (HHSC) and Lisa Lyons (3M)  To join the online meeting: 1) Go to www.webex.com 2) Click on Attend Meeting 3) Enter Meeting Number: 803 411 043 …

Continue reading »

Permanent link to this article: http://blogs.utmb.edu/1115/2014/08/18/dsrip-webinar-risk-adjustment-for-cat-3-august-28th-100-230/

Older posts «