Rural Health Information Hub Latest News

New Data Released on Medicaid and CHIP and Maternal Health

This infographic from the Centers for Medicare & Medicaid Services (CMS) provides a snapshot of demographics, health outcomes, risk factors, access and utilization, and disparities among Medicaid and Children’s Health Insurance Program (CHIP) beneficiaries seeking pregnancy-related care and those with a recent live birth. It shows the states with the highest percentage of Medicaid and CHIP beneficiaries ages 15-49 living in rural areas as well as the number of general obstetrics and gynecology physicians and advanced practice midwives per 100,000 women ages 15–49. This data analysis informed the Medicaid and CHIP Maternal and Infant Health Initiative Summer 2024 Webinar Series, occurring every Tuesday at 2:00 pm Eastern, and the CMS Affinity Groups scheduled for this fall on maternal mental health and substance use and maternal hypertension and cardiovascular health.

DoD Announces Removal of Certain Temporary Regulation Changes Made in Response to COVID-19 for TRICARE

– Comment by July 23. The U.S. Department of Defense (DoD) issued a direct final rule removing temporary TRICARE regulations established in response to the COVID-19 public health emergency. TRICARE is the health insurance program for active-duty service members and their families. Examples of expiring flexibilities include the removal of the temporary waiver requirement for a three-day prior hospital stay before admission to a skilled nursing facility, the removal of the temporary reimbursement of all long-term care hospitals (LTCHs) at the LTCH prospective payment system standard Federal rate and the removal of the temporary waiver of cost-shares and copayments associated with telehealth services. A disproportionate share of veterans live in rural America. According to the National Center for Veterans Analysis and Statistics and the U.S. Department of Veterans Affairs (VA) Office of Rural Health (ORH), of the nearly 20 million veterans in the United States, 4.4 million live in rural America. 2.7 million, or 61%, of these rural veterans are enrolled in the Veteran Affairs (VA) healthcare system, with 54% of rural enrolled veterans 65 years and older, and 60% affected by a service-related condition.

CMS Seeks Public Comment On Shared Claims Matching Program with Department of Veterans Affairs 

– Comment by June 24. The Centers for Medicare & Medicaid Services (CMS) seeks comments on the reestablishment of a matching program between CMS and the U.S. Department of Veterans Affairs (VA) Veterans Health Administration (VHA) titled “Identification and Recovery of Duplicate Payments for Medical Claims.” According to the U.S. Department of Veterans Affairs (VA) Office of Rural Health (ORH), there are 4.4 million veterans living in rural America, with 2.7 million enrolled in the VA health care system. The matching program will assist CMS and VHA in identifying claims where VHA and CMS made duplicate payments for the same healthcare services. The program will be effective 30 days after the publication of the final rule and will begin with an initial term of 18 months (from approximately June 24, 2024 to December 23, 2025).

CMS Releases New Emergency Medical Treatment and Labor Act (EMTALA) Complaint Module

 

Last week, the Centers for Medicare & Medicaid Services (CMS) announced that individuals now have the option to file an Emergency Medical Treatment and Labor Act (EMTALA) complaint directly with CMS if they believe their EMTALA rights have been violated by a hospital emergency department. CMS’ new process is in addition to the traditional process of contacting state survey agencies. EMTALA is a federal law that helps prevent any hospital emergency department that receives Medicare funds from refusing to treat patients. The new form is the latest in a series of new resources from CMS to help educate the public about EMTALA.

HRSA Substance Use Disorder Treatment and Recovery Loan Repayment Program Launches

– June 27.  HRSA’s Bureau of Health Workforce provides up to $250,000 in loan repayment for behavioral health clinicians, support workers, and clinical support staff trained in substance use disorders.  According to data from the Rural Health Research Gateway, “as of March 31, 2023, there were 4,040 Mental Health Professional Shortage Areas in rural areas, with 2,141 practitioners needed to remove the designations.”

 

Mpox Cases on the Rise in Pennsylvania 

Mpox cases continue to rise in Pennsylvania and the surrounding states. The Pennsylvania Department of Health (DOH) is encouraging providers to continue to screen all patients with suspected mpox for travel to the Democratic Republic of the Congo (DRC) or recent contact with someone who has traveled to DRC. Providers should be aware of the more stringent infection control measures required for Clade I mpox and are encouraged to follow the CDC guidelines for infection prevention and control for mpox. Outreach, education, testing and vaccination continue to be important. According to DOH, Hispanic men are significantly impacted and there is need for these interventions among the migrant worker population. See mpox toolkit for more information on mpox and promotional materials.

Clinical Quality Measures for Eligible Professionals: 2024 Update Released

A new spreadsheet developed by the HITEQ Center provides a crosswalk of Clinical Quality Measures and their electronic specifications as defined in the 2023 update for Eligible Professionals (Clinicians). Fields include the crosswalk of measures with related information about CMS, NQF, and CMS Quality or MIPS ID, and Telehealth Eligibility, as well as inclusion in HRSA BPHC Uniform Data System (UDS) CY2024, Million Hearts, CMS Quality Payment Program (QPP) – APM Performance Pathway (APP) Measures, 2024 APM Performance Pathway: CMS Web Interface Measure Benchmarks for CMS ACO Shared Savings Program, CMS Core Set (Child Core Set Medicaid / CHIP): HEDIS Specified, CMS Core Set (Adult Core Set Medicaid): HEDIS Specified, Core Quality Measures Collaborative (ACO / Primary Care). Links are included throughout. Download the spreadsheet here.