FLSA MLTC HOSPICE BILLING CODES FLSA funds are coming Get the latest info about CMS has announced the FY HCA, the state and soon. Learn about the MLTC enrollment numbers 2017 final hospice rates. managed care plans schedule and survey and program updates. work to finalize process. uniform billing codes.
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Your Source for HOME CARE News, Policy and Advocacy Issue 1, Vol. 1 | September 12, 2016 COMING UP HCC Member Forum Inaugural Issue: This is the first issue of The Situation Report, HCA’s new weekly Sept. 19 newsletter, which replaces our former ASAP publication, with a new publication date 10 a.m. to 12:30 p.m. (Mondays) and look. We hope you enjoy it. Hunter College Brookdale Campus MLTCs Receive FLSA Funds for Pass-through to Providers 425 East 25th Street, NYC
Upstate LHCSA Forum The state Department of Health (DOH) has confirmed that the federal-share of Sept. 20 funding to assist home care providers with new costs due to the Fair Labor 10 a.m. to 12:30 p.m. Standards Act (FLSA) rule change were paid to the MLTC plans via checks dated Mohawk Valley Health August 10. These funds are for the period of October 13, 2015 to March 31, 2016. System Community Room 1650 Champlain Avenue, Utica MLTC plans have 30 days from receipt of the check to pass the funds to their home care contracted providers. DOH had previously advised HCA that the federal-share Addressing Factors that amount ($22.8 million) is the same as the previous state-share amount, and that Increase Workers’ Compensation Costs See FLSA p. 3 Sept. 28 130 East 59th Street 7th Negotiate Your Way to Professional Success at Floor, NYC HCA Women’s Summit in Just Two Weeks! Women in Healthcare A Special Message from HCA President Joanne Cunningham Leadership Summit Sept. 28 and 29 Negotiation is a tricky art that comes into play during just about Excelsior Springs at the Courtyard Marriott any social or professional situation. All organizations need Saratoga Springs people who can understand or anticipate another party’s needs, Register for all HCA programs their eagerness (or reluctance) to strike a deal, and the balance at www.hcanys.org. See NEGOTIATE p. 2
INSIDE
MLTCs Receive FLSA Funds for Pass-through to Providers…...... …1 HCA Meets DOH on Uniform Billing Codes for Managed Care...... 9 Negotiate Your Way to Professional Success at HCA Women’s Summit…...1 CMS Issues FY 2017 Medicaid Hospice Payment Rates...... 9 Home Care Provider Selections Made for 2015-16 QIVAPP Funding .....……3 Registration Open for HCA Compliance Symposium: Oct. 6...... 10 MLTC Update……...... 4 Final Rule Issued on Methods of Wage Payments…...... 11 Updated Contact Information Required for HCS...... …6 CMS Finalizes Rule on Emergency Preparedness Requirements...... 11 HCA PR Highlights Sepsis Tool and Other Home Care Partnerships…...... 6 2016 State Consumer Guide to Health Insurers Issued…...... 13 Worker’s Compensation Address Change…...... 7 CMS Reopens Funding to Address Health-related Social Needs...... 13 Member Hiring Announcements...... 8 Resources...... 14 The Situation Report: the Home Care Association of New York State Volume 1, No. 1 September 12, 2016
NEGOTIATE from p. 1 The Situation Report is a weekly between competing value-propositions. You simply cannot publication of the Home Care Association of New York State succeed in the health care leadership arena without being a (HCA). Unless otherwise noted, all skillful negotiator. articles appearing in The Situation Report are the property of the Home Care Association of New Every day in health care we negotiate legislation, vendor York State. Reuse of any content contracts, payment and purchasing agreements, human- within this newsletter requires resource decisions, grants, and a whole lot more. permission from HCA. Accountable Care Organizations, DSRIP, managed care, value- Joanne Cunningham based payment ... these are all arenas where negotiation HCA President skills are a prerequisite in which women leaders, especially, [email protected] need to focus and apply their unique perspectives and Roger L. Noyes talents. Director of Communications, Editor of The Situation Report Bethany Gilboard, a speaker at our upcoming Women in [email protected]
Healthcare Leadership Summit, on September 28-29, knows Al Cardillo this as well as anyone. She’s the CEO of a Medicare shared- Executive Vice President, savings ACO. She’s also CEO of a performing provider system Policy & Programs in New York’s DSRIP program. She’s been in the negotiation [email protected] room when it comes to some of the biggest driving forces of Patrick Conole change in our health care system, and she’ll be drawing from Vice President, Finance & Management this proven track record in her HCA Summit presentation on [email protected] “Reaching the Heights of Personal and Professional Success: Strategies and Negotiating Tips.” Andrew Koski Vice President, Program, Policy & Services Our Summit is just two weeks away. Have you registered [email protected] yet? We’ve sent recent alerts about many of the other incredible speakers in our lineup who will offer you concrete Alexandra Fitz Blais Director of Public Policy skills, and we have several other top-tier women leaders on [email protected] our schedule who we’ll be introducing over the next several days as the conference draws closer. Laura Constable Senior Director, Membership & Operations Please reserve your seat today or encourage a woman [email protected] colleague to do so, as this conference not only supports women leaders in their professional aims, but it also provides Celisia Street Director of Education a focused venue of skill-building that benefits your [email protected] organization as a whole. Mercedes Teague Finance Manager Register for the conference online: [email protected] https://www.eventville.com/Catalog/ EventRegistration1.asp?EventId=1011975 Jenny Kerbein Director of Governance & Special Projects Download our brochure: [email protected] http://hca-nys.org/wp-content/uploads/2016/07/HCA- Billi Wilson Women-in-Healthcare-Leadership-Summit-Brochure.pdf Manager, Meetings & Events [email protected]
Home Care Association of New York State (HCA) Teresa Brown 388 Broadway, 4th Floor, Albany, NY 12207 Administrative Assistant [email protected] Tele: 518-426-8764; Fax: 518-426-8788; Website www.hcanys.org 2 The Situation Report: the Home Care Association of New York State Volume 1, No. 1 September 12, 2016
FLSA from p. 1 MLTCs are expected to pass through the federal amount to their home care providers in the same amounts as they did with the state share.
We expect that members will encounter similar issues in the distribution of the federal-share funds which they met with the state-share funds, including varied amounts from different plans; difficulty in learning how the amounts were computed; receipt of funding at different times by different plans; lack of any mechanism to contest the amounts; and more.
Despite forceful HCA objections, DOH has decided it will not require that any additional funds built into managed care plan rates be passed-through to home care agencies to meet the FLSA requirements after March 31, 2016, and any new funding for home care providers will be up to negotiation with their managed care contractors. HCA is pressing for continuation of rates and MLTC pass-through Late last week, HCA held our Senior and Financial Managers provisions that cover the ongoing home care Retreat at the Mohonk Mountain House in New Paltz. The Retreat, obligation of FLSA. We have also advocated one of our signature annual events, included updates and insights legislation to ensure funding adequacy of all on a range of payment, regulatory, workforce and legal issues that home care and MLTC cost obligations that are affect each home care agency’s bottom line. Above: Jason Ganns of KPMG, the state’s contractor on its Value Based Payment initiative, not currently reflected in the rates – legislation discusses the value-based model and its implications for home we will continue to push in the upcoming state care. legislative session.
FLSA Survey Home Care Provider Selections Made for DOH has informed HCA that it had received 2015-16 QIVAPP Funding about 300 completed surveys designed to ascertain the actual costs faced by home care The state Department of Health (DOH) has selected agencies in complying with the FLSA changes. those home care providers who are eligible for funding These related to: overtime pay; travel expenses; under the Quality Incentive Vital Access Provider Pool 24-hour, live-in cases; and other ongoing (QIVAPP) program for the period of April 1, 2015 to expenses. March 31, 2016.
DOH’s contractor, Mercer, will be examining the DOH last week requested that the MLTC plans provide survey results to determine if DOH has the number of hours each of their eligible contracted accurately incorporated these costs into the home care providers delivered for this time period MLTC plans’ premiums. which will then be used to calculate how much QIVAPP money each home care provider will be eligible to For more information, contact Andrew Koski at receive from their MLTC plan(s). (518) 810-0662 or [email protected]. Continued on next page 3 The Situation Report: the Home Care Association of New York State Volume 1, No. 1 September 12, 2016
Continued from previous page The plans were given until September 23 to provide this information on an attestation form that also attests to their paying at least $18.50 per hour for this time period. Once DOH obtains this information, it will then determine funding for each eligible home care provider and will next have to issue payments to the MLTC plans which are expected to pass these monies through to their eligible contractors.
As detailed in previous editions of our ASAP newsletter (now The Situation Report), the state decided that QIVAPP for this time period would be given to those agencies found eligible for the 2014-15 period and for any other agency found eligible after submitting documentation to IPRO demonstrating their eligibility.
The list of those eligible for the 2015-16 funding includes five additional agencies that did not receive funding for the prior period.
For more information, contact Andrew Koski at (518) 810-0662 or [email protected].
MLTC Updates on Community First Choice Roll-out and Enrollment Numbers
At this week’s state Department of Health (DOH) Managed Care Policy and Planning meeting, DOH announced a change in the effective date of the new Community First Choice Option (CFCO).
The state plans to add CFCO services to the Medicaid managed care and MLTC benefit packages on January 1, 2017 (December 1 was the prior date).
As reported to members in numerous stories, CFCO provides enhanced federal Medicaid funding to expand and enhance personal attendant services and supports into the Medicaid State Plan for eligible individuals who need help with everyday activities due to a physical, developmental or behavioral disability. The focus is on person-centered, individually directed services that help recipients to maximize their independence and participation in community settings.
The CFCO services, some of which were only available in waiver programs but are now part of state plan services, include: Assistive Technology; Community Habilitation; Community Transitional Services; Durable Medical Equipment/Medical Supplies; Environmental Modification; Home Delivered/Congregate Meals; Home Health Care; Homemaker/Housekeeper; Personal Care/Consumer Directed Personal Assistance Program; Personal Emergency Response System; Vehicle Modification; Transportation; Supervision and Cueing; voluntary training course for individuals on how to manage their home care workers; transition expenses to help an individual move from an institutional setting to a community-based setting; and others.
Non-Emergency Transportation (currently provided in MLTC and as fee-for-service within Medicaid managed care) will be expanded under CFCO to include social transportation to and from social gatherings in the community, as appropriately authorized in the consumer’s person-centered plan of care.
Access to these new services and enhanced benefits is limited to consumers who meet each of the following criteria:
Eligible for Medicaid; Continued on next page 4 The Situation Report: the Home Care Association of New York State Volume 1, No. 1 September 12, 2016
Continued from previous page
Require an institutional level of care as determined using the state’s designated assessment tool, currently the Uniform Assessment System (UAS); and
Live safely in their own residence or that of a family member.
The service delivery model options under CFCO include the traditional agency model and the “agency with choice” model similar to consumer directed services.
During this month, the state will:
Provide a policy paper for plans, including billing guidelines and service authorization criteria.
Provide plans with a list of providers to allow them to begin contracting.
Provide plans with an insert for the member handbook regarding CFCO services.
Develop a template letter for plans to distribute to members announcing Medicaid coverage of CFCO services.
Continue to work with the state’s enrollment broker, New York Medicaid Choice, to ensure readiness to educate consumers on CFCO services and enrollment options.
In October, the state will hold a webinar to provide information on best practices for implementation of CFCO services and supports.
In November, DOH will provide guidance and work with plans to ensure their ability to explain and deliver services, including service authorization criteria, a handbook, educational materials, policies and procedures, and establishment of network providers.
Some other highlights of this week’s meeting include:
MLTC enrollment (as of August, or September, in the case of FIDA) includes: 176,516 for all MLTC plans; 159,575 for partial capitated plans; 6,055 in Medicaid Advantage plans; 5,524 in Programs of All-Inclusive Care for the Elderly (PACE); 5,090 in Fully Integrated Duals Advantage (FIDA) plans; and 272 in a FIDA plan for individuals with intellectual and developmental disabilities (FIDA-IDD).
DOH has launched a multimedia campaign for FIDA; the primary target audience for the campaign includes providers in the areas with the highest potential for enrollment growth. Potential participants, members of their care team (family and friends) and their community are the secondary target audience. The campaign will run until mid-January 2017.
There will be stakeholder webinar on FIDA Advertising and Outreach on September 16, from 2 to 3 p.m. Contact [email protected] for registration.
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A meeting of the Nursing Home Transition Diversion/Traumatic Brain Injury Waiver Transition plan will be held on September 14, at 1 p.m. The draft transition plan for enrollment of individuals in these waiver programs into managed care is at https://www.health.ny.gov/health_care/medicaid/ redesign/mrt90/tbi-nhtd_waiver_trans_ingo.htm.
Updated Contact Information Required for HCS
The state Department of Health (DOH) has issued a Dear Administrator Letter (DAL) that requests providers to review and update their business and emergency contact information on the Health Commerce System (HCS) by October 7.
This contact information is vital as DOH depends on it to send critical communications to health care providers via the following two tools on its HCS: the Integrated Health Alerting and Notification System (IHANS), and the Communications Directory.
DOH has determined that it needs to improve the quality and completeness of contact information in the Communications Directory for Chief Executive Officers, Administrators and Operators.
In the near future, DOH will be taking several steps for maintenance of this contact information. First, an upcoming function on the HCS will require users to update or attest to the accuracy of their business and emergency contact information as it is listed in the Directory upon login to the HCS every three months.
Additional efforts will include streamlining the number of “roles” that a facility/agency must maintain in the Directory. Roles are key positional titles or responsibilities of users that allow the targeting of essential communications to the appropriate staff person(s) at each facility/agency. Roles also provide access to specific HCS applications used by facilities/agencies.
DOH will also conduct drills during business hours to confirm the accuracy and completeness of provider contact information.
The DAL, available on the HCS (https://commerce.health.state.ny.us/public/hcs_login.html), also includes brief instructions on how to update personal contact information on the HCS.
HCA PR Highlights Sepsis Screening Tool and Other Home Care Partnerships
In recognition of Sepsis Awareness Month, and given recent alarms from the U.S. Centers for Disease Control and Prevention (CDC), HCA sent out a press release this past week about the home care role in sepsis prevention, including our work on a new sepsis screening tool for home care nurses.
As reported to you in our last newsletter, HCA and partners from IPRO were recently interviewed by iHeart radio, which is running a local segment about the sepsis issue and home care on several capital district radio news stations later in the month. Our subsequent press release – with quotes from IPRO, Sepsis
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Alliance and others – got picked up by Crain’s Worker’s Compensation Address Change Health Pulse this week, and several other news HCA to hold Bootcamp on Worker’s Compensation outlets have expressed interest as we continue to push for coverage of this vital issue. The Worker’s Compensation Board has announced a change in the address to which the original Notice of “Home care providers in New York State have Appeal should be delivered. routine, often daily interactions with 400,000 patients per year, many of them very sick, The original Notice of Appeal should be served upon chronically ill or frail elderly,” said HCA Executive the Board’s Office of the Secretary, in-person or by Vice President Al Cardillo in the press release. mail, at the following address: “These patients are receiving follow-up care after delivering babies or after hospital surgery, or Office of the Secretary have conditions susceptible to infection, NYS Workers’ Compensation Board regardless of whether they’ve entered a hospital 328 State Street or not. Home care’s routine patient interaction Schenectady, NY 12305 makes in-home nurses a powerful force in combatting the sepsis health care crisis – a crisis Service of the original Notice of Appeal with proof that presents itself at home or in community of service at any other address will not be settings even more regularly than in hospitals, accepted. Service of additional copies of the Notice even though most of the focus on sepsis- of Appeal on other offices of the Board will not be prevention has been directed at hospital care.” accepted, except for service on the Uninsured Employers Fund, Special Disability Fund, or the Recognizing the power of home care providers to Reopened Case Fund when such Fund is a party to deliver interventions for this major public health the case. threat, HCA partnered with quality improvement experts at IPRO, Sepsis Alliance, doctors, home Any questions or inquiries regarding this policy should care providers, and others to develop, pilot and be directed to the Office of the Secretary at (518) 402- support a screening tool and provider protocol 6070. that home care clinicians can use to identify the risk of sepsis, treat infections at home if Worker’s Compensation Bootcamp Program appropriate, and refer patients for higher-level hospital care if certain risk criteria are presented HCA reminds members that we are holding a Bootcamp that require immediate action. HCA is working program where you will learn ways to save money on the closely with IPRO and Sepsis Alliance to present skyrocketing costs of Worker’s Compensation and how to this new tool and protocol, and provide guidance establish effective risk management strategies. and training to launch it on a statewide, voluntary basis for home care clinicians sometime in late The program, “Addressing Factors that Increase September. Worker’s Compensation Costs and Developing Ways that Home Care Providers Can Reduce Their Members can read the full press release on our Expenses,” will be held in New York City on website at http://hca-nys.org/press-releases/as- cdc-raises-alarms-on-deadly-sepsis-crisis-home- September 28 from 9:30 a.m. to noon. care-takes-action-with-new-screening-tool- partnerships. We will continue to keep you Registration is at http://hca-nys.org/wp-content/ uploads/2016/06/Sept-28-Survival-Bootcamp-Work- updated about our PR efforts throughout Sepsis Comp-Costs-and-Expense-Reduction.pdf. Awareness Month.
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Essex County Dept. of Public Health’s Certified Home Health Agency (CHHA)
HIRING: DIRECTOR OF PATIENT SERVICES HIRING
Essex County Nursing Services, Elizabethtown, New York, located in the heart of the Adirondacks is seeking an experienced individual who has the will and determination to successfully lead the agency in today’s home health care environment.
This position involves planning, organizing, directing, coordinating and evaluating patient care services provided by the certified home health agency. The Director of Patient Services is responsible for the professional and financial operations of the agency; and provides and ensures that quality improvement is the main focus of the agency.
MINIMUM QUALIFICATIONS: A Masters or Baccalaureate Degree in Nursing from an approved program, or from a non-approved program supplemented by content which can be equated to an approved program, and either: A) Two years of experience in a management level position in a certified home health agency; or B) A combination of education and experience which is deemed equivalent to the experience requirement as specified in (a) by the State Office of Health Systems Management.
BENEFITS: Excellent county/government benefits including New York State Retirement System. Great team of professionals to work with.
Candidates must possess a limited permit to practice or licensure and current registration to practice as a Registered Professional Nurse in New York State at the time of appointment.
Qualified candidates will be subject to a civil service examination to be announced at a later date. Applications will be accepted until the announced closing date for the examination.
Please go to www.co.essex.ny.us/job.asp to complete an application and to view a complete job description.
Director of Patient Services – Full Time
Living Resources Certified Home Health Agency in Albany is growing and we are seeking a dynamic leader to fill this pivotal position.
This position is responsible for overall strategic, clinical, operational and financial leadership to the CHHA and ensures high quality, cost effective care. This individual will work in collaboration with the Living Resources Corporation’s CEO and Associate Executive Director to ensure the integrity of the agency in accordance with the goals and objectives of the agency as set forth by the Board of Directors.
Qualifications: Current RN license, required Bachelor’s degree, Master’s degree preferred; minimum of three years of management experience in home health care or related field.
For immediate consideration, please forward résumé/cover letter and salary requirements in confidence to Lisa Razanousky at [email protected].
Additional opportunities available: Clinical Manager, RNs, Physical Therapists, Occupational Therapists, Home Health Aides and PCAs. 8 The Situation Report: the Home Care Association of New York State Volume 1, No. 1 September 12, 2016
HCA Meets DOH on Uniform Billing Codes for Managed Care
On September 2, HCA and other provider associations met with the state Department of Health (DOH) to finalize the implementation of uniform billing codes for home and community-based services under Medicaid managed care.
Over the past year and a half, HCA and other provider associations have devoted many hours to developing sample codes. We have shared them with the managed care plans and DOH, working to come to an agreement with plans on the codes. The plans reviewed the most recent version of sample codes and had some suggested changes.
DOH intends to complete the uniform codes and send them to managed care plans this week. Plans will have until December 31, 2016 to implement them. HCA will inform members when DOH develops guidance.
The uniform billing requirement, along with a requirement that plans pay electronic claims from providers via electronic funds transfer, were both part of the 2014-15 state budget. These measures were sought by HCA to help home care agencies and their managed care contractors by simplifying billing procedures and facilitating timely payments for agencies.
For more information, contact the HCA Policy staff.
CMS Issues FY 2017 Medicaid Hospice Payment Rates
The U.S. Centers for Medicare and Medicaid Services (CMS) CHIP Services Financial Management Group has recently issued a memorandum to Associate Regional Administrators in the Division of Medicaid regarding the minimum Medicaid Hospice payment rates that will be effective for Fiscal Year (FY) 2017.
By law, Medicaid fee-for-service hospice payments are calculated using Medicare rates for the applicable time period, although there are minor differences in the payment rates.
As under Medicare, Medicaid hospices should be paid at one of two Routine Home Care (RHC) rates depending on where the day of care falls in the patient’s episode of care (days 1 to 60 and day 61 or later). The regulation also directs Medicaid to provide payment for the Service Intensity Add-on (SIA) for up to four hours in each of the final seven days of life at the Continuous Home Care (CHC) hourly rate of $40.21 if the required conditions are met. However, the state Department of Health (DOH) has yet to make this Medicaid payment adjustment for hospice providers in New York. HCA has regularly asked the Department for an update on this issue and will continue our advocacy on making sure DOH makes this adjustment.
The following table provides a comparison of the Medicare and Medicaid rates that will be applicable to hospice services during FY 2017.
FY2017HospicePaymentRates
Code/Description FinalFY2017MedicareRate FY2017MedicaidRate 651/RoutineHomeCareDays1Ǧ60 $190.55 $190.80 651/RoutineHomeCareDays61+ $149.82 $150.01 652ContinuousHomeCare(hourlyisSIARate) $964.63($40.19hourly) $965.01($40.21hourly) 655/InpatientRespite $170.97 $179.97 656/GeneralInpatientCare $734.94 $734.94 Note:Hospicesfailingtomeetqualityreportingrequirementswillbepaid98%oftheserates. For further information, contact Patrick Conole at (518) 810-0661 or [email protected]. 9 The Situation Report: the Home Care Association of New York State Volume 1, No. 1 September 12, 2016
Registration Open for Must-Attend HCA Compliance Symposium: Oct. 6
Registration is now open for HCA's annual Corporate Compliance Symposium, on October 6 in Albany, a must-attend event that includes presentations from national and state compliance experts helping you to sharpen your knowledge and strategies for identifying risks, addressing them, and developing an ironclad compliance program.
Few other organizational priorities require the substantial level of knowledge and action-plan development that comes with the job of compliance manager, a role that runs throughout the work activities of your entire organization.
HCA's Corporate Compliance program is a must-attend, highly anticipated annual event which brings together the top state and federal regulators (like Medicaid Inspector General Dennis Rosen and staff from the federal Office of the Inspector General), legal experts and organizational compliance consultants. These experts will keep your team up to date on: new requirements, changes in laws and regulations, tools, resources and best-practices for fulfilling your compliance responsibilities.
Your compliance officers and senior management need routine training in all of these areas to avoid both financial risk and potential harm to your organization's reputation and patients. This program gives access to top state and federal government auditors and experts so that your team has the understanding to ensure your compliance program is functioning at the highest level.
If you plan on staying over the night before the conference, please note that the deadline for HCA's room-block at the conference site, the Renaissance Albany Hotel, is September 19.
All details and a full agenda are included in the brochure at the back of this week’s newsletter or on our education and events page at http://hca-nys.org/events-education/upcoming-events.
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Final Rule Issued on Methods of Wage Payments
The state Labor Department has issued a final rule that provides clarification and specification as to the permissible methods of payment of wages, including payroll debit cards.
The final rule is at http://docs.dos.ny.gov/info/register/2016/sept7/pdf/rulemaking.pdf (page 8).
The rule covers wage payments by cash, check, direct deposit or payroll debit card. Under the rule, an employer who uses methods of payments other than cash or check shall provide employees with a written notice that identifies the following:
A plain language description of all of the employee’s options for receiving wages;
A statement that the employer may not require the employee to accept wages by payroll debit card or by direct deposit;
A statement that the employee may not be charged any fees for services that are necessary for the employee to access his or her wages in full; and
If offering employees the option of receiving payment via payroll debit card, a list of locations where employees can access and withdraw wages at no charge to the employees within reasonable proximity to their place of residence or place of work.
Furthermore, an employer who offers one or more method(s) of payment of wages that require(s) consent shall obtain such consent in writing and shall ensure that:
It obtains the employee’s informed consent without intimidation, coercion, or fear of adverse action by the employer for refusal to accept payment of wage by direct deposit or payroll debit card; and
Does not make payment of wage by direct deposit or payroll debit card a condition of hire or of continued employment.
The state Labor Department intends to prepare templates that contain all of the information necessary for compliance with the rule’s notice and consent requirements.
CMS Finalizes Rule Implementing Emergency Preparedness Requirements for Health Care Providers
The U.S. Centers for Medicare and Medicaid Services (CMS) has finalized a rule establishing emergency preparedness requirements for health care providers participating in Medicare and Medicaid.
An advance copy of the final rule is at https://s3.amazonaws.com/public-inspection.federalregister.gov/2016-21404.pdf.
The new requirements will require certain participating providers and suppliers to plan for disasters and coordinate with government emergency preparedness systems to ensure that facilities are adequately
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prepared to meet the needs of their patients during disasters and emergency situations. CMS said the rule is necessary because it found that regulatory requirements were not comprehensive enough to address the complexities of emergency preparedness.
New York State already maintains rigorous emergency preparedness requirements for home care, and HCA has been involved in several public policy efforts related to home care emergency preparedness planning.
The state’s surveillance activities include reporting and communications requirements through the Health Commerce System and other infrastructures, as well as the maintenance of provider-developed emergency preparedness plans, which are tested as part of routine drills and desk-audits.
On a proactive level, HCA has been working with state and local emergency management systems, including regional Health Emergency Preparedness Coalitions, to raise awareness of home care’s role in preparedness and response. This effort has included several HCA-developed regional sessions – which already began in the Western New York region and will be rolled-out statewide – in which HCA and the New York State Association of Health Care Providers (HCP) have invited local emergency planning entities and home care agencies for shared understanding of system roles.
Also, as extensively covered in recent editions of our newsletter, we have been pressing for the Governor’s signature on an HCA-developed bill that would grant essential-personnel status for home care and hospice providers during emergencies – so staff can reach patients during curfews and other emergency-prompted travel restrictions – and the bill would also incorporate home care and hospice into local emergency management decision-making. The bill, passed by both houses of the Legislature, has been recast from prior iterations to address past interpretation issues that had led to the Governor’s veto of earlier versions of the bill.
It is unclear how the new CMS rule would intersect with the already robust health care emergency preparedness requirements in New York State, and HCA will be analyzing the final rule further to determine how the various elements of the CMS requirements will impact or overlap with state requirements already in effect.
The CMS rule seeks to address four elements aimed at improving communication for coordination purposes, contingency planning, and training of personnel. These four elements are described below:
Emergency plan: Based on a risk assessment, providers are to develop an emergency plan using an all-hazards approach focusing on capacities and capabilities that are critical to preparedness for a full spectrum of emergencies or disasters specific to the location of a provider or supplier.
Policies and procedures: Development and implementation of policies and procedures based on the plan and risk assessment.
Communication plan: Development and maintenance of a communication plan that complies with both federal and state laws. Patient care must be well-coordinated within the facility, across health care providers, and with state and local public health departments and emergency systems.
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Training and testing program: Development of training and testing programs, including initial and annual trainings, as well as drills and exercises or participation in an actual incident that tests the plan.
These standards are adjusted to reflect the characteristics of each type of provider and supplier. For example, CMS says, outpatient providers and suppliers will not be required to have policies and procedures for provision of subsistence needs. Hospitals, Critical Access Hospitals, and Long Term Care facilities will be required to install and maintain emergency and standby power systems based on their emergency plan.
HCA will review the rule carefully to determine its effect on home care providers, including any new mandates, requirements or planning activities.
These regulations are effective 60 days after publication in the Federal Register (September 16). Health care providers and suppliers affected by this rule must comply and implement all regulations one year after the effective date.
2016 State Consumer Guide to Health Insurers Issued
Last week, the state Department of Financial Services released the 2016 New York State Consumer Guide to Health Insurers. See: http://www.dfs.ny.gov/consumer/health/cg_health_2016.pdf.
This guide includes a ranking of managed care plans and health insurance companies based on complaints (prompt payment, reimbursement, coverage, benefits, rates and premiums), statistics and enrollee satisfaction surveys. Also included is information on the number of successful appeals to external review agents.
The annual guide is designed to inform consumers of the health insurance products offered in New York and help them choose a health insurance company based on quality of care and service.
CMS Reopens Funding for Applicants to Address Health-related Social Needs Newly reopened funding opportunity includes changes that allow for broader participation
The U.S. Centers for Medicare and Medicaid Services (CMS) has renewed its funding opportunity announcement for Track 1 of the Accountable Health Communities (AHC) model, which seeks to address health-related social needs in the community.
The original funding announcement, in January, requested applications for three different scalable tracks. CMS has decided to make modifications to the Track 1 application requirements to permit a broader set of applicants. These changes include: 1) reducing the number of beneficiaries that applicants are required to screen (from 75,000 to 53,000) and; 2) increasing the maximum funding award per recipient (from $1 million to $1.17 million over five years).
Applications are due November 3. They are accepted from community-based organizations, health care practices, hospitals and health systems, institutions of higher education, local government entities and others “with the capacity to develop and maintain relationships with clinical delivery sites and community
13 The Situation Report: the Home Care Association of New York State Volume 1, No. 1 September 12, 2016
service providers.” Previous applicants for Tracks 1, 2 or 3 are eligible. Previous Track 1 applicants must re- apply through the new funding announcement.
This is the first CMS model, through CMS’s Center for Medicare and Medicaid Innovation, to focus on the health-related social needs of Medicare and Medicaid beneficiaries, such as housing instability, hunger, and interpersonal violence which affect individuals’ health; yet these social issues are rarely, if ever, detected or addressed during typical health care-related visits.
Track 1 will support bridge organizations that are working to increase a patient’s awareness of available community services through screening, information dissemination, and referral. It seeks to meet beneficiaries’ health-related social needs in cases where a lack of universal screening or clinical delivery sites exists, as well as a lack of awareness among patients about existing community service providers that could address those needs. Track 1 award recipients will partner with the state Medicaid agency, community service providers and clinical delivery sites to implement the model.
Applications can be sent at www.grants.gov. Questions about the AHC Model can be sent to [email protected]. For more information about the AHC Model, please visit https://innovation.cms.gov/initiatives/ahcm.
Resources
“Who Will Make Decisions About Your Health Care When You Lack Capacity to Do So?,” by the New York Legal Assistance Group http://www.wnylc.com/health/entry/131/
“Medicaid Consumer Directed Personal Assistance Program (CDPAP) in New York State,” by the New York Legal Assistance Group http://www.wnylc.com/health/entry/40/
14 HCA Introduces…
September 28 & 29, 2016 Excelsior Springs at the Courtyard Marriott 47 Excelsior Avenue Saratoga Springs, NY 12866 While New York State is home to some of the nation’s premier women leaders in healthcare, women are still vastly underrepresented in top executive leadership roles, despite research indicating that women offer tremendous skills, talents and track records to the executive team.
Let’s change this!
The Home Care Association of New York State is proud to present the inaugural Women in Healthcare Leadership Summit. This educational symposium offers transferable skills and insights to empower and enlighten women leaders from all areas of healthcare, not just home care. Whether your career is in the provider sector, finance, lobbying, government policymaking, strategic analysis, or elsewhere, this Summit offers you and other women leaders the opportunity to network and learn from colleagues in other fields and leadership arenas.
You’ll gain new skills for communication, strategy, negotiation, overcoming obstacles and meeting new challenges. We’ll delve into life-balance issues, career choices, and tools to help you to reach your greatest potential. The program also offers time to reenergize and renew your commitment to personal improvement.
HCA has carefully constructed this program to be thought-provoking and insightful, creative and interesting, while offering some fun networking opportunities. Don’t miss it!.
AGENDA
Wednesday, September 28, 2016 1:00 PM – 1:15PM HCA Welcome – Joanne Cunningham, President, HCA
1:15 – 2:30 PM Vision, Voice and Victory: The Changing Face of Women’s Leadership Miriam Hawley, CEO, Enlignment, Inc.
The ground-breaking book Our Bodies, Ourselves shifted the national and international dialogue about women’s health, sexuality and power. Miriam Hawley, a founder of the Boston Women’s Health Book Collective, Inc. that is responsible for writing this best-seller, has played an instrumental role in building the women’s movement and transforming the global conversation about women’s health and sexuality. In 2016, the 45th year following this pioneering publication, the vision and voice of female leadership has evolved. This session for today’s women executives will offer insights about the timeless and essential ingredients to leadership growth, success and collectively cracking the glass ceiling in the healthcare industry and beyond.
2:30 – 3:30 PM Reaching the Heights of Personal and Professional Success – Strategies and Negotiating Tips Bethany Gilboard, CEO, Innovative Health Alliance of New York and Alliance for Better Healthcare, LLC
Bethany Gilboard, a successful veteran of healthcare industry strategy and one of the state's most prominent women healthcare leaders, will share her unique perspective on tackling tough professional and personal challenges and dilemmas and offer women leaders strategies, tips and advice to negotiate the highest levels of professional advancement and personal balance and success.
3:30 – 6:00 PM
Women’s Mini-Expo 3:30-4:15 PM Explore an array of fashion, lifestyle, and health & Wine & Appetizer Pairing – Time to Unwind wellness vendors (make-up, chair massages, product and Relax demos and more). Sample a variety of wines while learning about wine selections and pairings from a seasoned wine connoisseur. 3:30-6:00 PM Executive Headshot Station 4:15-5:00 PM Cooking Demo An exceptional headshot can promote a positive and Learn (and sample) some easy, creative, and simple- professional image for all women leaders. It’s a fairly to-make appetizer recipes from an expert chef who simple concept, but many women find it time- will show you some stress-free menus to entertain consuming to seek out the most professional and with flair. flattering photographic look. Come dressed to impress for this not-to-be missed photo-op with an 5:00 – 6:00 PM expert photographer from The Booth for Business, a Women-Who-Lead Networking Reception company that was recently tapped to photograph Mix and mingle with like-minded power-house attendees at the first United State of Women women in the healthcare industry while you enjoy a Conference. This is a FREE opportunity for all cocktail (or two) and hors d'oeuvres featured in the conference attendees. cooking demo.
AGENDA
Thursday, September 29, 2016
8:00-8:45AM Noon-1:30PM Women of Influence Executive Breakfast Making HERstory Luncheon and Keynote Address
8:45-9:00AM 1:30-2:30PM HCA Welcome The Bitch in Your Head: Become More Empowered and Confident by Squashing Your 9:00-10:15AM Inner Critic Creating Your Path to Leadership Success Dr. Jacqueline Hornor Plumez Vicky Hines, Chief Operating Officer, University of Rochester Medical Faculty Group Too many of us live with a litany of self-defeating self- criticisms like: You’re too fat! How could you be such an Career choices offer new opportunities; but they also idiot? Don’t even try; it will never work. Some people hear can involve risk-taking and a whole lot of uncertainty. this “Bitch” in their head and think it is motivating. But Some degree of calculated risk is necessary for leaders in truth it keeps us from having a good day or a good to develop or reach career success. Hear from a home night’s sleep, from getting the love we want or the raise care leader veteran about career avenues, how to create we deserve. new paths for higher-level executive opportunities, and tips for professional development that can lead to the This presentation, based on Dr. Plumez's entertaining best choices. and enlightening book The Bitch in Your Head: How to Finally Squash Your Inner Critic, will offer tools and 10:15-10:30AM Break techniques to rid yourself of negative thinking in every area of your life – and in every 10:30-Noon era of life, spotlighting attitudes for success in Communicating with Impact: Purpose, Power the workplace. and Presence Karen Friedman, Chief Improvement Officer, Karen Friedman Enterprises, Inc.
Learn how women leaders can tap their unique perspectives as women to contribute and communicate with maximum impact across diverse audiences. This workshop – featuring on-the-spot coaching and interactive exercises – will provide practical strategies and easy-to-use techniques that you can apply as soon as you leave the room. Be better positioned to express ideas, command attention and project greater presence, whether you are talking to management, co-workers or customers. By leveraging the three Ps ― purpose, power and presence ― you’ll empower listeners, influence key audiences, and come across as the leader you want others to see.
AGENDA
Thursday, September 29, 2016 – continued
2:30-2:45PM Break
2:45-4:15PM Catalyst is the leading Advancing Your Career with the Sponsorship Effect nonprofit organization Rachel Soares, Director of Research, Catalyst with a mission to accelerate progress for Women’s representation on boards and in leadership positions is changing, women through but at a glacial pace. Intentional action from individuals, leaders, and workplace inclusion. organizations alike are needed to accelerate progress for women. Catalyst research has found that mentoring is essential to leadership development With offices in but it is not enough, on its own, to help women advance. A more Australia, Canada, influential and direct professional relationship for career acceleration exists: Europe, India, Japan, it’s called sponsorship. Whether you are considering your next promotion and the United States, or want to become a board member of an organization, sponsorship is a Catalyst is dedicated to powerful tool for women’s advancement. In this session, attendees will creating workplaces learn about the importance of sponsorship and concrete strategies to get sponsored and be a sponsor yourself. By creating a culture of sponsorship where employees for your own teams, you’ll see how paying it forward pays back for the representing every sponsor, protégé, and the organization at large. dimension of diversity can thrive. 4:15PM Closing Remarks and Adjournment
Hotel Information Courtyard Marriott 11 Excelsior Avenue Saratoga Springs, NY 12866
A room block has been made at the Courtyard Marriott, which is located directly next door to the summit venue The Excelsior Springs, for the evening of Wednesday, September 28th at the reduced rate of $169 per room. To make your reservation, call 866-210-9325 and ask for the Home Care Association of NYS group rate. The deadline for reservations at the group rate is August 17; after this time, prevailing rates will apply.
Meet Our 2016 Thought Leaders
Karen Friedman is an international communications expert and author of the best-selling book ‘Shut Up and Say Something’ (Praeger Publishing). She heads Karen Friedman Enterprises, Inc. which for 19 years has been teaching professionals how to become more compelling communicators.
Her expertise was recognized by former Secretary of State Hillary Rodham Clinton who tapped Karen to provide media and political training for women in South and Central America. Since then, her firm has worked across industries, with a specialty in life sciences and pharmaceuticals, coaching executives and key opinion leaders, and teaching patient advocates how to share their stories with impact.
Karen spent more than two decades as an award-winning major market television news reporter whose breaking coverage of local and national events aired on ABC, CBS, NBC, CNN, the Today Show, Good Morning America and Nightline. Her last stop was ABC-TV Action News in Philadelphia. Today, she continues to write as a columnist for the Philadelphia Business Journal and her articles are syndicated nationwide. Karen is also adjunct faculty at Smith College’s prestigious executive education programs for women where she teaches leadership communications. In addition, she hosts the popular Internet TV and radio series on ReachMD which helps health care professionals improve their communication skills.
Bethany Gilboard is Chief Executive Officer of both the Innovative Health Alliance of New York LLC, a Medicare Shared Savings Program ACO and a Clinically Integrated Network in Albany, NY and the Alliance for Better Health Care, LLC a performing provider system participating in the New York State DSRIP program. The goal of the DSRIP program is to redesign the New York State Medicaid program and in doing so transform the current payment systems to reward value, quality and patient outcomes Ms. Gilboard has been on the forefront of population health management. She has a proven track record of developing successful ACOs and building statewide and local collaborations with physicians, hospitals, health plans and key constituents in Massachusetts and now New York. Ms. Gilboard was also the former Director of the Massachusetts Regional Extension Center, a program to help support small physician practices in their adoption of electronic health record technology. The Federal program was funded under the Affordable Care Act.
Ms. Gilboard earned a bachelor’s degree from the University of Rochester, Rochester, NY and a master’s in public administration, health policy and planning from New York University Graduate School of Public Administration. She received advanced program certification in health care negotiation and conflict resolution from Harvard School of Public Health, and the Leadership Academy at Tufts University School of Medicine
Nancy Miriam Hawley is CEO of Enlignment®, Inc. She and her husband, Jeffrey McIntyre, work individually and in partnership with executive management teams and entrepreneurial individuals, couples and families to cultivate strong relationships through clear communication in order to develop and sustain thriving businesses. Miriam and Jeffrey co-authored The Seven Intelligences of Leadership®, an integrative approach to visionary leadership that was featured at the International Coaches Federation of New England 2008 Annual Conference.
Miriam is a founder of the Boston Women’s Health Book Collective, Inc. (BWHBC), the organization responsible for writing the best seller Our Bodies, Ourselves, a book that shifted the national and international dialogue about women’s health, sexuality and power. The BWHBC continues to thrive globally as an educational and activist organization forty years after its inception. As a catalyst for global transformation, Miriam is a highly regarded keynote speaker and facilitator of dialogues to unleash visionary leadership at work, at home, in the community and in the world, with a commitment to sustainable relationships and extraordinary results.
Victoria G. Hines was appointed Chief Operating Officer for the University of Rochester Medical Faculty Group (URMFG) in August 2014. URMFG is the 1,200-member faculty practice group of the University of Rochester Medical Center (URMC), generating approximately $400 million in annual revenue. She is responsible for setting strategic direction, providing leadership and driving successful change to business models that will make URMFG world class in terms of access to care, patient and family-centered care delivery, and cost efficiency.
Prior to her role as COO, Ms. Hines served as the President and CEO of Visiting Nurse Service of Rochester and Monroe County, Inc., and of Finger Lakes Visiting Nurse Service, Inc. for 13 years.
Ms. Hines is actively engaged in redesigning the system of care. She serves on the New York Public Health and Health Planning Council and has served as the Board Chair for several organizations devoted to advocacy and access to quality services for seniors, including the Alzheimer’s Association, the Home Care Association of New York State, and the Finger Lakes Visiting Nurse Service.
Dr. Jacqueline Hornor Plumez has received both the Distinguished Psychologist and Distinguished Service award from The Westchester County Psychological Association. In May 2015, she received Bucknell University’s 2015 Service to Humanity award.
Dr. Plumez is a practicing psychologist and career counselor in Larchmont, New York. In addition to The Bitch in Your Head: How to Finally Squash Your Inner Critic, Dr. Plumez is also the author of Successful Adoption; Divorcing a Corporation; and Mother Power. She has appeared on The Today Show and Good Morning America, and her articles have appeared in Ladies’ Home Journal and The New York Times Magazine.
Rachel Soares directs research to identify the global gender leadership gap, investigate myths that restrain women’s advancement into corporate leadership, and explore how diversity, leadership and performance intersect. As a core member of the Catalyst Research Center for Equity in Business Leadership, Ms. Soares oversees the annual Catalyst Census reports of the Fortune 500 and researches how different countries are taking action to increase gender diversity on Boards of Directors. She has also contributed to Catalyst’s research on corporate social performance. Drawing on her research experience, Ms. Soares speaks about corporate governance and women in leadership.
She is also a member of Catalyst’s Work-Life Issue Specialty Team. Through her current role at Catalyst and prior positions, she has extensive experience working with quantitative and qualitative research methods to address questions relating to leadership, organizational change and effectiveness, and work-family contexts. September 28 & 29, 2016 Excelsior Springs at the Courtyard Marriott - 47 Excelsior Avenue - Saratoga Springs, NY 12866
REGISTRANT INFORMATION – Please register by Sept. 16. Hotel Information Courtyard Marriott Name: ______11 Excelsior Avenue Saratoga Springs, NY 12866 Title:______Phone: (866) 210-9325 Agency:______Located directly next door to the summit venue, the Address:______Courtyard Marriott offers a reduced rate of $169 per room City/State/Zip:______if booked before August 17th. Please contact them directly at Phone:______Ext.______Fax: ______the number above to make your reservation. Email: ______(Required)
HCA Cancellation HCA REGISTRATION FEE Policy HCA registration cancellations □ HCA Members $279 per person $______received by Sept. 7 are □ Non-Member $379 per person $______refundable less a 25% administrative fee. No refunds will be issued after this date.
Cancellations must be received PAYMENT – Please check method of payment: in writing at [email protected]. Substitutions are permitted. ______MasterCard ______VISA ______American Express ______Check* Please note Courtyard Marriott’s *Make checks payable to: HCA Education and Research and mail to 388 Broadway, cancellation policy when making 4th Floor, Albany, NY 12207. Checks must be received by Sept. 26. your reservation.
______Card Number Special Needs ______In accordance with the Expiration Date Security Code Americans with Disabilities Act, or special dietary needs, please ______let us know how we can Mailing Address of Card Holder accommodate you: ______City, State, Zip ______Name on Card ______Authorized Signature ______
Register online at www.eventville.com/hcanys or FAX completed form to HCA at (518) 426-8788 For more information on this or other HCA Educational Programs contact Celisia Street, Director of Education, at (518) 810-0656. HCA Corporate Compliance Symposium October 6, 2016 Renaissance Albany Hotel Albany, NY 12207
HCA CAN HELP YOU OVERCOME CORPORATE COMPLIANCE
THE CONUNDRUM THAT MAY PLAGUE YOUR AGENCY HCA Corporate Compliance Symposium
October 6, 2016 - Renaissance Albany Hotel - Albany, NY 12207
HCA introduces its Annual Corporate Compliance Symposium, a must-attend event that includes presentations from national and state compliance experts that will enable attendees to sharpen their knowledge on organizational compliance risks and identify strategies and resources to enhance organization compliance programs and efforts.
As one of the principal organizational leaders tasked with ensuring the highest level of corporate compliance excellence, you are responsible for detecting and preventing risk areas and regulatory compliance weaknesses that may compromise your organization’s ability to provide the highest level of quality patient care and ensure the integrity of your organization’s mission. Few other organizational priorities require this substantial level of knowledge and action plan development to assure the highest levels of compliance.
HCA’s Corporate Compliance program, on October 6, is a must-attend, highly anticipated annual event which brings together the top state and federal legal experts, state regulators and organizational compliance consultants to keep your team up to date on: new requirements, changes in laws and regulations, tools, resources and best- practices for fulfilling your compliance responsibilities.
Your compliance officers and senior management need routine training in all of these areas to avoid both financial risk and potential harm to your organization’s reputation and patients. This program gives your team access to top state and federal government auditors and experts so that they have the understanding to ensure your compliance program is ironclad and functioning at the highest level.
AGENDA
Thursday, October 6, 2016
8:00 – 8:30AM Registration Opens with Light Breakfast
8:30 – 9:00AM Welcome and HCA Compliance Update
HCA’s Policy team will set the stage by outlining the must-know compliance issues for your organization, including the latest on Executive Order No. 38 regulations and reporting; labor law requirements; recent government mandates from the state Department of Health, state Office of the Medicaid Inspector General and federal Office of the Inspector General; and other areas. This is your chance to ask questions of the HCA team and identify areas of compliance ambiguity that we can address on your behalf.
AGENDA - continued
9:00 – 10:00AM 12:15 – 1:00PM Lunch Latest Developments in Compliance from the NYS Medicaid Inspector General 1:00-2:00PM Dennis Rosen, NYS Medicaid Inspector General Legal Ethics in Electronic Health Records and Information Exchange For home care, and across the continuum of Medicaid services, Melissa Zambri, Partner, Barclay Damon the state Medicaid Inspector General’s work plan, audit activities, protocols, data-mining, and enforcement efforts are perhaps the As home care agencies implement new technologies for patient most influential driver of your compliance plan under Medicaid. records and expand their connectivity to participating provider Simply put: if it’s a focus area of OMIG, then it must be a focus networks, they must stay up-to-date on the laws and ethical area of your risk-assessment work. implications that relate to the use of such Electronic Health Records (EHRs). Health information legal expert Melissa Zambri Medicaid Inspector General Dennis Rosen offers a look at his will explore the current state of EHRs and highlight associated office’s work plan, its focus areas, recent developments with ethical pitfalls. OMIG’s audit protocols, and the evolving expectations of his office’s Medicaid integrity initiatives, especially as providers’ 2:00 – 3:00PM roles change under new regulations, the advent of managed care Federal Compliance & Fraud Prevention Initiatives and new models of payment and integrity responsibility. HHS Office of Inspector General
10:00 – 10:15AM The HHS Office of the Inspector General (OIG) is the largest BREAK inspector general’s office in the federal government, with extensive resources aimed at combatting fraud, waste and abuse 10:15AM – 11:15AM in the Medicare and Medicaid programs. Learn from one of OIG’s DOH Regulatory & Compliance Update senior officials about the OIG work plan, its areas of focus, its Rebecca Fuller Gray, Director, Division of Home and Community emphasis on combatting fraud and abuse, its review for Based Services compliance with various aspects of the home health prospective Mark Hennessey, Director, Center for Health Care Quality and payment system rule, (including required documentation, such as Surveillance Medicare face-to-face), and much more.
The state Department of Health’s Division of Home and 3:00 - 3:15PM Break Community Based Services and Surveillance units are responsible for an array of regulatory compliance requirements affecting your 3:15 – 4:15PM operation, with wide reach into areas of licensing or jurisdiction, Cyber Security Incident Response Preparedness: clinical standards, mandatory reporting, and operational Developing and Testing an Incident Response Plan standards. This includes several new areas of regulatory Frank Fanshawe, Partner, Jackson Lewis, PC development like recent changes in the physician order deadlines, a federally required Medicaid face-to-face Recent cautionary news stories detail major data breaches in requirement (similar to the one in effect for Medicare), and issues several sectors of health care including home care. Breaches in related to Article 36 jurisdiction in a changing health care cybersecurity can wreak havoc on even well-conceived and environment. This session will ensure that you have the latest constructed information technology systems. The consequences information on new DOH requirements, regulatory updates and can be devastating for any home care agency, including the loss expectations as well as on DOH desk-audits and surveillance of trust and feeling of security. focus areas. In this session you will hear from one of the state’s preeminent 11:15AM – 12:15PM legal experts on data security and privacy compliance about the The Compliance Intersection for providers under new models benefits of developing and maintaining an incident response of care and payment (including Value Based Payment and plan. This session will include a discussion of the key elements of within DSRIP arrangements) these plans including which staff should be involved, the role of Tracy Miller, Of Counsel, Bond, Schoeneck & King , LLC business associates, training, testing and, especially, implementation when a cybersecurity incident occurs or Evolving care models of service delivery and payment reforms becomes an imminent threat to your home care agency. prompt new compliance questions and challenges. While the state seeks to streamline the siloed approach to health care 4:1 5PM Wrap Up and Adjourn delivery in new models of payment and care delivery, home care organizations find their jurisdictional roles, responsibilities to patients, and payment arrangements in a new state of flux – with potential overlap with other providers and payors and new HCA Corporate Compliance complexity. This session will provide you with compliance Symposium insights to consider in new models of payment and delivery that will ensure that your organization’s compliance program works with that of your organizational partners and addresses any new potential risk areas and conflicts.
Hotel Information HCA Corporate Compliance Symposium Renaissance Albany Hotel October 6, 2016 144 State Street Renaissance Albany Hotel Albany, NY 12207 Albany, NY 12207
A small block of rooms has been secured A big thank you to our SPONSORS and at the Renaissance Hotel for the evening of October 5 at a discounted rate of EXHIBITORS who helped make this program $169 possible and who are an important voice on To make your overnight accommodations, compliance issues and technical assistance. call 1-888-236-2427 before September 19 and ask for the Sept. 19 Home Care Association of NYS rate.
REGISTRATION HCA Cancellation Policy HCA registration cancellations received by September 12 are refundable less a 25% administrative fee. No refunds will be issued after this date. Cancellations must be received in writing via e-mail to: [email protected]. Substitutions are permitted.
REGISTRANT INFORMATION PAYMENT Please register by September 19. Please check method of payment:
Name: ______□ Check* □ MasterCard □ VISA □ Am Exp
Title:______*Make checks payable to/mail to: HCA Education and Research, 388 Broadway, 4th Floor, Agency:______Albany, NY 12207. Checks must be received by September 23. Address:______
City/State/Zip:______Card Number Phone:______Ext.______Fax: ______Email: ______Expiration Date Security Code (Required) ______Mailing Address of Card Holder HCA REGISTRATION FEE ______Member Fee $239 City, State, Zip ____ Prospective Member $389 ______Name on Card ______SPECIAL NEEDS Authorized Signature In accordance with the Americans with Disabilities Act, or special dietary needs, please let us know how we can accommodate you:
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