Last Update 06-22-20
Requesting Personal Protective Equipment (PPE) for Novel Coronavirus 2019 (COVID-19)
The purpose of this fact sheet is to provide updated guidance for requesting PPE under Governor AndyBeshear's "Healthy at Work" initiative. Pursuant to Executive Order 2020-215, the Cabinet for Health and Family Services has issued orders for the reopening of the healthcare and medical community. READ MORE
COVID-19 Frequently Asked Questions (FAQs) on Medicare Fee-for-Service (FFS) Billing
A few answers in this document explain provisions from the Coronavirus Aid, Relief, and Economic Security (CARES) Act, Public Law No. 116-136 (March 27, 2020). CMS is thoroughly assessing this new legislation and new and revised FAQs will be released as implementation plans are announced. READ MORE
COVID-19 Frequently Asked Questions (FAQs)
HRSA is working to keep health centers and Health Center Program partners updated on the latest information regarding coronavirus disease 2019 (COVID-19). All COVID-19 information for health centers will appear on this page, and we will update resources as they become available. READ MORE
Virtual COVID-19 Grand Rounds hosted by UK HealthCare CECentral
At the University of Kentucky we would like to ensure our UK and community physicians have the best possible current information about diagnosing and treating COVID-19. Because of the evolving nature, CECentral is starting a virtual Grand Rounds with COVID-19 updates. RegisterPaycheck Protection Program (PPP) Forgiveness Application ReleasedLate on Friday, May 15, the SBA, in consultation with the Department of the Treasury, issued the PPP Loan Forgiveness Application (“Forgiveness Application”) with corresponding detailed explanations. Below is a high-level overview of the guidance. Blue & Co. will be releasing detailed analysis and education on the application in the upcoming week. READ MORERural HIV/AIDS Planning ProgramThis notice announces the opportunity to apply for funding under the Rural HIV/AIDS Planning Program. ‘Ending the HIV Epidemic (EHE): A Plan for America’ is a multi-year U.S. Department of Health and Human Services (HHS) initiative to end the HIV epidemic in the United States by 2030. The Rural HIV/AIDS Planning program targets seven states (Alabama, Arkansas, Kentucky, Mississippi, Missouri, Oklahoma and South Carolina) with a disproportionate number of HIV diagnoses in rural areas. The purpose of the Rural HIV/AIDS Planning program is to assist in the planning and development of an integrated rural HIV health network for HIV care and treatment, specifically with network participants who do not have a history of formal collaborative HIV efforts. READ MOREAstraZeneca & Seqirus Flu vaccine pre-book period extendedA 2016 Journal of American Medical Association (JAMA) study on influenza confirmed what most health center staff have long known: "severe influenza requiring hospitalization is more prevalent in impoverished neighborhoods nationwide." With 1 in 3 people in poverty calling a health center their primary care medical home, health centers are the front-line defense against seasonal flu for the most vulnerable American populations. READ MOREPrichard Committee, other Ky.-based organizations urge Congress to fund universal internet accessThe Prichard Committee for Academic Excellence and numerous other education, health, business and non-profit organizations are calling for federal funding to make universal internet access available in rural areas and to low-income citizens.READ MOREHHS Extends Deadline for Attestation, Acceptance of Terms and Conditions for Provider Relief Fund Payments to 45 DaysThe Department of Health and Human Services has extended the deadline for healthcare providers to attest to receipt of payments from the Provider Relief Fund and accept the Terms and Conditions. Providers will now have 45 days, increased from 30 days, from the date they receive a payment to attest and accept the Terms and Conditions or return the funds. As an example, the initial 30-day deadline for providers who received payment on April 10, 2020, is extended to May 24 from May 9, 2020. With the extension, not returning the payment within 45 days of receipt of payment will be viewed as acceptance of the Terms and Conditions. READ MORECoronavirus-Related Funding Frequently Asked Questions (FAQ)If the answer to your question is not located here or on one of the technical assistance webpages, please submit it through the BPHC Contact Form HRSA BPHC exit disclaimer. Select "Coronavirus Inquiries (COVID-19)" as the issue type, and then select the appropriate supplemental funding category. READ MORECoronavirus Disease 2019 (COVID-19) Frequently Asked QuestionsHRSA recognizes the essential work being performed by health centers during the COVID-19 pandemic, both in providing testing and care for those directly affected by the virus, while also continuing to provide quality primary health care services for the nation’s underserved. We are updating this page regularly as information becomes available. READ MOREHHS Begins Distribution of Payments to Hospitals with High COVID-19 Admissions, Rural ProvidersHHS Begins Distribution of Payments to Hospitals with High COVID-19 Admissions, Rural Providers. READ MORENew and Expanded Flexibilities for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) During the COVID-19 Public Health Emergency (PHE)To provide as much support as possible to RHCs and FQHCs and their patients during the COVID-19 PHE, both Congress and the Centers for Medicare & Medicaid Services (CMS) have made several changes to the RHC and FQHC requirements and payments. These changes are for the duration of the COVID-19 PHE, and we will make additional discretionary changes as necessary to assure that RHC and FQHC patients have access to the services they need during the pandemic. READ MOREMedicaid COVID-19 FAQs
This document has been updated to address telehealth, MCO-related, and laboratory specific FAQs that have beenreceived. The MCO FAQs begin on page 13 of this document. The laboratory specific FAQs begin on page 18 of this
document. Pursuant to 907 KAR Chapter 17 and the DMS – MCO contracts, DMS has directed the contracted MCOs to comply with and implement these FAQs. READ MORERequesting Personal Protective Equipment (PPE) for Novel Coronavirus 2019 (COVID-19)
The purpose of this fact sheet is to provide updated guidance for requesting PPE under Governor Beshear's "Healthy at Work" initiative for the reopening of healthcare services. Only emergent PPE requests to support direct COVID-19 patient care will be considered. READ MOREFinancial Programs for Rural Health Clinics During COVID-19 PandemicThe federal government recognizes that the health care industry is in the midst of both a public health crisis and a financial crisis and while it may or may not be enough, they have appropriated $175 billion thus far to keep our industry afloat. This $175 billion has been split into multiple allocations for different purposes and it comes on top of other programs, such as the Paycheck Protection Program and the Medicare Accelerated Payment Program. READ MORETelehealth: Health care from the safety of our homes.During the COVID-19 Public Health Emergency, we don’t have to choose between medical care and social distancing. When patients can get health care through telehealth — and doctors can provide it — we protect ourselves and our communities. READ MOREHHS Announces $10 Billion for Rural Health Clinics and Rural HospitalsOn April 22, 2020, HHS updated their provider relief website with additional information about how they plan to spend the rest of the $100 billion allocated for healthcare providers by the CARES Act. READ MOREHow & What Will Medicare Pay for RHC Telehealth Visits
For those who were unable to attend or would like to view it again, NARCH has made the webinar recording available on their website. READ MORERequesting Personal Protective Equipment (PPE) for Novel Coronavirus 2019 (COVID-19)The purpose of this fact sheet is to provide guidance for requesting PPE through the State Emergency Operations Center (SEOC) to support health and medical operations during the response to COVID-19. READ MOREMaximizing Forgiveness & Minimizing Reduction for Your Paycheck Protection Program (P3) LoanNovel Coronavirus (COVID-19) Information and Resources for Community Health CentersNACHC’s novel coronavirus (also known as COVID-19) resource page is a hub for information Community Health Centers can use to strengthen readiness efforts and educate their communities.READ MOREUSDA Opens Second Application Window for Distance Learning and Telemedicine Grant Program FundingU.S. Department of Agriculture (USDA) Deputy Under Secretary for Rural Development Bette Brand today announced that USDA has opened a second application window for funding under the Distance Learning and Telemedicine (DLT) grant program. READ MORETrump Administration Announces Expanded Coverage for Essential Diagnostic Services Amid COVID-19 Public Health EmergencyThe Centers for Medicare & Medicaid Services (CMS), together with the Departments of Labor and the Treasury, issued guidance today to ensure Americans with private health insurance have coverage of 2019 Novel Coronavirus (COVID-19) diagnostic testing and certain other related services, including antibody testing, at no cost. As part of the effort to slow the spread of the virus, this guidance is another action the Trump Administration is taking to remove financial barriers for Americans to receive necessary COVID-19 tests and health services, as well as encourage the use of antibody testing that may help to enable health care workers and other Americans to get back to work more quickly. READ MOREMedicaid COVID-19 FAQsThis document has been updated to address telehealth and MCO-related FAQs that have been received. The MCO FAQs begin on page 13 of this document. Pursuant to 907 KAR Chapter 17 and the DMS – MCO contracts, DMS has directed the contracted MCOs to comply with and implement these FAQs. READ MOREProvider Letter for Presumptive EligibilityDue to the current state of emergency related to COVID-19, the number of individuals enrolled in Medicaid continues to grow. In order to accommodate the increase in Medicaid enrollment, the Department expanded the Presumptive Eligibility (PE) enrollment process. READ MOREFCC ANNOUNCES COVID-19 TELEHEALTH PROGRAM APPLICATION PORTAL WILL OPEN ON MONDAYThe Federal Communications Commission’s Wireline Competition Bureau will begin accepting applications for the COVID-19 Telehealth Program beginning Monday, April 13, 2020 at 12:00 PM ET at www.fcc.gov/covid19telehealth. The COVID-19 Telehealth Program will provide $200 million in funding, appropriated by Congress as part of the CARES Act, to help health care providers furnish connected care services to patients at their homes or mobile locations in response to the COVID-19 pandemic. READ MOREOutpatient and Ambulatory Care Settings: Responding to Community Transmission of COVID-19 in the United Stateshis interim guidance outlines goals and strategies suggested for U.S. ambulatory care settings in response to community spread of coronavirus disease-2019 (COVID-19). Ambulatory care settings are where health services or acute care services are provided on an outpatient basis and can include community health centers, urgent care centers, retail clinics co-located in pharmacies, grocery stores, or mass merchants, hospital-based outpatient clinics, non-hospital-based clinics and physician offices, and public health clinics. These settings, particularly those which offer primary care services, play an important role in the healthcare system’s response to the COVID-19 outbreak. READ MOREFUNDING AVAILABLE: FCC $200M Grant FundFCC released a new funding opportunity available specifically for Telehealth Program funding.
This Telehealth funding is part of the CARES Act and provides $200 million to help health care providers deliver connected care services to patients in their homes or mobile locations in response to the novel Coronavirus (COVID-19) pandemic. READ MOREProvider Telehealth or Telephonic Health Services FAQs
This document has been updated to address telehealth and MCO-related FAQs that have been received. The MCO FAQs begin on page 12 of this document. Pursuant to 907 KAR Chapter 17 and the DMS – MCO contracts, DMS has directed the contracted MCOs to comply with and implement these FAQs. READ MORERequirement to Obtain Written Informed Consent for Telehealth During COVID-19 EmergencyIn response to your question whether written informed consent is required for telehealth services, including health services delivered via phone only, based on guidance and regulations promulgated in response to COVID19, we conclude that informed consent must be obtained and documented for both new patients and established patients who have not previously received care via telehealth, but consent could be obtained verbally and documented in the record rather than through a signed written consent form. READ MORESurviving COVID-19 as a Rural Health Clinic, New Federal Policies & Programs to Help Keep Your Clinic Open.This webinar from NARHC covers some great information many RHC has been asking about COVIT-19. READ MOREApply for SBA loanMany banks, credit unions, and other FDIC-insured financial institutions are eligible to participate in the CARES Act SBA 7(a) PPP loan program. Some may initially just work with their current banking customers and then expand to others, whereas some may accept anyone. In addition to traditional financial institutions, there are other financial institutions and non-bank SBA lenders who are building portal sites for processing PPP applications. Also, some large FinTech companies would like to participate as well but need Treasury approval to do so, which some Congressional leaders are encouraging. Note: April 10th is the start date for independent contractors and self-employed. READ MOREPaycheck Protection Program
The Paycheck Protection Program is a loan designed to provide a direct incentive for small businesses to keep their workers on the payroll. SBA will forgive loans if all employees are kept on the payroll for eight weeks and the money is used for payroll, rent, mortgage interest, or utilities. You can apply through any existing SBA 7(a) lender or through any federally insured depository institution, federally insured credit union, and Farm Credit System institution that is participating. Other regulated lenders will be available to make these loans once they are approved and enrolled in the program. You should consult with your local lender as to whether it is participating in the program. READ MOREAPPLICABLE KENTUCKY CONTROLLED SUBSTANCES LAWSAlthough the DEA has relaxed Federal controlled substances laws, Kentucky Drug Enforcement and Professional Practices Branch of the Kentucky Office of Inspector General in the Cabinet for Health and Family Services has not. Therefore, Kentucky laws, since they are more stringent, must be followed. READ MOREDEA Qualifying PractitionersDEA notes that practitioners have further flexibility during the nationwide public health emergency to prescribe buprenorphine to new and existing patients with OUD via telephone by otherwise authorized practitioners without requiring such practitioners to first conduct an examination of the patient in person or via telemedicine.2 This additional flexibility under which authorized practitioners may prescribe buprenorphine to new patients on the basis of a telephone evaluation is in effect from March 31, 2020, until the public health emergency declared by the Secretary ends. READ MORETelehealth and Telephone Visits in the Time of COVID-19: FQHC Workflows and GuidesIn this time of COVID-19, safety net providers are looking for solutions for providing care without requiring patients to physically go into the clinic. Many are switching their scheduled in-person visits to telephone or video visits. READ MOREAnthem Blue Cross and Blue Shield (Anthem) COVID-19 telehealth webinar
Anthem invites a representative from your office to attend one of the webinar sessions listed below. During the webinar, Provider Solutions representatives will provide the most up-to-date information on what Anthem is doing to support the protective measures taken across the country to help prevent the spread of COVID-19 and to remove barriers for members to receive care. READ MORE
Cashflow and Payroll Options for Health Centers During the Covid-19 Crisis
As health centers play a crucial role in responding to the COVID-19 pandemic, many are encountering severe and unprecedented drops in short-term revenue, due to sharp decreases in routine visits as patients shelter in place, and the need to reduce or stop some services in order to divert PPE and other resource to COVID-19 efforts. As health centers’ cash reserves drop, many now face difficult decisions on how to meet payroll or other financial obligations. This document provides an overview of new programs that health centers – as well as PCAs, HCCNs, and NTTAPs - can tap to cover revenue shortfalls and to help their employees make ends meet during this time. READ MORERHC Relief Options in Recently Signed CARES LegislationOn Friday, March 27, President Trump signed into law the Coronavirus Aid, Relief, and Economic Security (CARES) Act. There are several provisions in this new law that will directly affect Rural Health Clinics and your ability to remain open to see patients during the duration of the COVID-19 pandemic. In particular, there are four provisions of the bill that I wanted to go through:
1.Authorization of physicians, PAs, NPs and other RHC recognized clinicians to engage intelehealth visits with your RHC patients – and get paid for those telehealth visits;
2.Grants for Health care providers – including Rural Health Clinics – to cover the revenueloss you have and will experience due to the COVID-19 pandemic;
3.Small Business Loans (which can be forgiven) to cover the cost of employee salaries andrent if you keep your practice open during the pandemic.
4.Expanded availability of Medicare Advanced Payments READ MORETelehealth Tips: Managing Suicidal Clients During the COVID-19 Pandemic
The current need for social distancing and isolation related to the COVID-19 pandemic has necessitated a quick expansion of the provision of mental health services via remote platforms. Here are some tips for evaluating and treating suicidal individuals remotely via telehealth. READ MORETelehealth Information for Health Centers on the Frontlines of COVID-19President Trump signed H.R. 6074, the “Coronavirus Preparedness and Response Supplemental Appropriations Act of 2020,” into law earlier this month, providing emergency supplemental funding in response to the coronavirus, also known as COVID-19. READ MORE
Important COVID-19 update: Prior authorization and other policy adjustments
COVID-19 Update: Anthem suspends select prior authorization rules and announces significant policy adjustments in response to unprecedented demands on health care providers. READ MORE
KENTUCKY BOARD OF PHARMACY Directives from Special Called Board Meeting March 25, 2020
The KYBOP met Wednesday to discuss the latest concerns regarding prescriptions, licensing and more. READ MORE
GOVERNOR’S EXECUTIVE ORDER AND CLINIC OPERATIONS
This Executive Order has created quite a bit of confusion when interpreted as inconsistent with your federal directive, as FQHCs and RHCs, to operate pursuant to emergency preparedness plans. Please know that by design, it is important that certified providers continue to operate as safety-net providers delivering essential health care services. The definition of what is and is not an essential health care service will require clinicians to use professional medical judgment. Wellness visits need to be postponed. The use of telehealth should be maximized. Clinicians should use their professional medical judgment and continue to deliver chronic care and disease management services as necessary. Immunizations should continue to be provided as needed. The same applies to MAT, behavioral health and enabling services. READ MORE
Humana policy update for telehealth visits – effective March 23, 2020
To support providers with caring for their Humana patients while promoting both patient and provider safety, we have updated our existing telehealth policy.
Emergency Paid Sick Leave and Emergency Family Medical Leave in response to COVID-19as established in the “Families First Coronavirus Response Act”
The Families First Coronavirus Response Act (FFCRA), signed into law on March 18, created two new types of paid leave for workers impacted by COVID-19: Emergency Paid Sick Leave and Emergency Family and Medical Leave. READ MORE
Anthem COVID 19 Testing & Care.
Access to Virtual Care and Development of a Coronavirus Assessment Via Anthem’s Sydney Care Mobile App, Access to Testing and Medical Care, Access to Medication, and Access to Virtual Care. READ MORE
Provider Telehealth or Telephonic Health Services FAQs
The March 17, 2020 Behavioral Health Provider letter addressed multiple medical and behavioral health issues relating to telehealth. In addition, future executive orders and administrative regulations to expand telehealth services are expected. As additional guidance, DMS is offering this FAQ document for providers and recipients. READ MORE
NACHC is pleased to share the “Sample Drive-Thru Clinic Procedures (NACHC Resource Packet)”.
This packet contains procedures developed by or contributed to by health centers that are currently implementing drive-thru COVID-19 screening clinic sites. Attached is the actual packet and sample budget worksheet (in excel) to utilize and disseminate. READ MORE
COVID-19 Public Health Emergency Response and 42 CFR Part 2 Guidance
In response to the Novel Coronavirus Disease (COVID-19) pandemic, SAMHSA is providing COVID-19 Public Health Emergency Response and 42 CFR Part 2 guidance to ensure that substance use disorder treatment services are uninterrupted during this public health emergency. READ MOREPresident Trump Expands Telehealth Benefits for Medicare Beneficiaries During COVID-19 OutbreakOn March 17, the Trump Administration announced expanded Medicare telehealth coverage that will enable beneficiaries to receive a wider range of health care services from their doctors without having to travel to a health care facility. Beginning on March 6, 2020, Medicare—administered by CMS—will temporarily pay clinicians to provide telehealth services for beneficiaries residing across the entire country. READ MOREGov. Beshear has issued an executive order to waive copays, deductibles, cost-sharing and diagnostic testing fees for private insurance and state employees and asked providers to expand their networks to patients that may go outside their normal providers. READ THE DECLARATIONThe Kentucky Primary Care Association is strongly recommending that all of our dental clinics postpone all non-emergent care until April 6.
With growing concerns about COVID-19, a few states yesterday issued similar recommendations and we expect all states to follow, so in order to protect our dental staff and patients, we are being proactive and making this recommendation now for several reasons. READ MOREWage replacement for first responders and medical personnel.Gov. Beshear announced effective immediately that Kentucky Employers’ Mutual Insurance (KEMI) will provide wage replacement benefits for first responders and medical personnel who have been quarantined for COVID-19 as a result of their increased risk of exposure in the course of their work. READ MORE
Billing Medicare Telehealth
- MEDICARE TELEMEDICINE HEALTH CARE PROVIDER FACT SHEET
- List of services payable under the Medicare Physician Fee Schedule when furnished via telehealth.
- Billing for Telehealth Encounters
- TELEHEALTH SERVICES: Medicare Fee-For-Service Providers
- RURAL HEALTH CLINIC
- Coronavirus Disease 2019 (COVID-19) Frequently Asked Questions