NJAASC has curated authoritative information and a list of resources for our Membership’s reference. We will continue to update this as more information becomes available.
PAST COVID E-BLAST HAVE BEEN ARCHIVED DUE TO SPACE RESTRAINTS AND TO KEEP THINGS CURRENT.
SOME INFORMATION ON THE REPORTING PORTAL - 6/24/20
There are a lot of questions surrounding the portal, in particular access.
Below find a synopsis from the Department.
1. Each facility's data contributor will have access to their data and only their data.
2. All those individuals credentialed as an ASC Portal Administrator may aggregate and utilize the data
3. All those individuals credentialed as an ASC Portal Administrator will have access to dashboard information
4. Only those with specific ASC Portal Administrator rights will be able to export the individual data for all ASCs
a. ASC Portal Administrators would be: NJHA & DOH staff-as administrators they will have access to the data base for administrative purposes only.
THANKS
Stefanie
Stefanie Mozgai, BA, RN, CPM
Assistant Commissioner
Department of Health
Health Facility Survey & Field Operations
PO Box 367
Trenton, NJ 08625-0367
AMENDS COMING TO ED 20-016 - 6/24/20
NJDOH will be amending ED 20-016. It is in the process of being reviewed and approved. Nothing earth shattering, just clarifications and tweaks.
Some highlights:
Per our request, they are changing the portal reporting language to indicate that ASCs will report weekly. This is no different than the interpretation from the original guidelines, but we asked that it be properly stated.
They will add antigen testing to the accepted tests.
ANTIGEN
, not ANTI-BODY!
Currently there is only 1 commercially available antigen test:
Quidel- Sofia Sars-COV2 EIA.
There will also be changes to the Visitor Policies, specifically for pediatrics.
NJAASC SUGGESTED TIME SENSITIVE TEMPLATE FOR USE BY ASC’S- 6/24/20
In ED 20-016, the Department allowed for ‘time sensitive’ cases.
All cases require testing.
These are cases that can be performed after testing, but prior to results received (6 days) IF the procedure is deemed absolutely necessary due to risk/harm to the patient.
It is suggested that this form be used as documentation, to substantiate the need for such, per the Department requirement for documentation in ED 20-016.
These type cases should only be performed as exceptions, not as the rule! They should not be performed because a doctor simply does not want to wait for test results for cases that would not endanger the health of the patient if delayed for test results.
The Department is going to collect this case information via the PPE/case portal, so they will be looking at this particular exception and enforcing it.
HHS Launches New Distribution and Payment Portal for Medicaid and CHIP Providers - 6/24/20
The Department for Health and Human Services (HHS) has announced that it will be distributing $15 billion as a Targeted Distribution to eligible Medicaid and Children’s Health Insurance Program (CHIP) providers under the HHS Provider Relief Fund. A new
Provider Relief Fund Payment Portal
has been launched for Medicaid and CHIP providers to apply for this funding. HHS developed this new “enhanced” Payment Portal for providers who did not receive any payments under the previous General Distribution, including those providers who bill Medicaid and CHIP, i.e., pediatricians, long-term care and behavioral health providers. The portal will serve as the point of entry for providers who have received Medicaid and CHIP payments in 2017, 2018, 2019, or 2020 and who have not already received any payments from the $50 billion Provider Relief Fund General Distribution.
Providers are not eligible for the Medicaid/CHIP payment if they rejected a prior General Distribution payment. Providers, however, who received a prior payment from another Targeted Distribution (i.e., the High Impact Area, Rural Area, Indian Health Service, or SNF Targeted Distributions) are eligible for the Medicaid/CHIP payment. Furthermore, providers who received payments from the $50 billion General Distribution cannot use the new Payment Portal to edit, re-access, or resubmit a General Distribution submission that was previously submitted prior to June 3.
The deadline to submit an
application
for the Medicaid/CHIP Targeted Distribution is July 20, 2020. Payments will be disbursed on a rolling basis, as information is validated.
The methodology for the Medicaid Targeted Distribution will be based upon 2% of (gross revenues x percent of gross revenues from patient care) for calendar year 2017, or 2018 or 2019, as selected by the applicant and with accompanying submitted tax documentation. Payments will be made to applicant providers who are on the filing TIN curated list submitted by states to HHS or whose applications underwent additional validation by HHS. HHS has collected Medicaid and CHIP provider data from state and federal sources, including corporate names, TINs, and payment amounts, and is using this data to validate portal submissions.
To be eligible to apply for this Medicaid/CHIP payment, the applicant must meet all of the following requirements:
- Must not have received payment from the $50 billion General Distribution;
- Must have (i) directly billed Medicaid for healthcare-related services during the period of January 1, 2018 to December 31, 2019, or (ii) own (on the application date) an included subsidiary that has billed Medicaid for healthcare-related services during the period of January 1, 2018 to December 31, 2019;
- Must have either (i) filed a federal income tax return for fiscal years 2017, 2018, or 2019 or (ii) be an entity exempt from the requirement to file a federal income tax return and have no beneficial owner that is required to file a federal income tax return (i.e. a state-owned hospital or healthcare clinic);
- Must have provided patient care after January 31, 2020;
- Must not have permanently ceased providing patient care directly or indirectly through included subsidiaries; and
- If the applicant is an individual, have gross receipts or sales from providing patient care reported on Form 1040, Schedule C, Line 1, excluding income reported on a W-2 as a (statutory) employee.
In addition to the above criteria, the provider must not be currently terminated from participation in Medicare or precluded from receiving payment through Medicare Advantage or Part D; must not be currently excluded from participation in Medicare, Medicaid, and other Federal health care programs; and must not currently have Medicare billing privileges revoked. The provider’s billing TIN must be included in the State-provided list of eligible Medicaid and CHIP providers or the provider’s application must pass additional validation by HHS.
The
application
requires the following information to be uploaded on the new portal:
- Applicant’s most recent federal income tax return for 2017, 2018, or 2019 or a written statement explaining why the applicant is exempt from filing a federal income tax return (e.g. a state-owned hospital or healthcare clinic);
- The applicant’s Employer’s Quarterly Federal Tax Return on IRS Form 941 for Q1 2020, Employer's Annual Federal Unemployment (FUTA) Tax Return on IRS Form 940, or a statement explaining why the applicant is not required to submit either form (i.e. no employees);
- The applicant’s Full-time Employee (FTE) Worksheet (provided by HHS);
- If required by Field 15, the applicant’s Gross Revenue Worksheet (provided by HHS).
Detailed instructions for completing the application can be found on the
HHS website.
Providers that have been allocated a payment must sign an attestation confirming receipt of the funds and agree to the
Terms and Conditions
within 90 days of payment.
HHS will be hosting a webcast regarding the application process. Providers must pre-register to reserve a spot for the webcast on Thursday, June 25, 2020 at 2:00 PM ET.
Register today
.
