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April 22, 2020

In This Issue
"FrontLine WarmLine" Launches to Help Maine's Health Care Workers and First Responders Manage Emotional Toll of COVID-19
Maine Medical Association Zoom Meeting for Providers During COVID-19 Pandemic
Additional CARES Act Provider Assistance Details and Timing Released
Congress: Paycheck Protection Program Update
Promoting Health and Preventing Disease: How Public and Environmental Health Work Together
Climate Change is Degrading the Air we Breathe and Impacting our Health and Productivity
MMA Joins the Medical Society Consortium on Climate and Health
CMS Issues Recommendations to Re-Open Health Care Systems in Areas with Low Incidence of COVID-19
AMA Urges Governors to Adopt Emergency Response Protections for Physicians
A Message from Maine Responds
Nominations for the MMA 2020 Mary Cushman Award for Humanitarian Service
Responding to the 2020 Census
129th MAINE LEGISLATURE, SECOND REGULAR SESSION
Opportunities to Support Physician Candidates for the 130th Maine Legislature
UPCOMING EVENTS
Upcoming Specialty Society Meetings
April 29 webinar: MAT in a Time of Public Health Emergency & Social Distancing
Successful Opiate Recovery Strategies - June 3 at 2pm, Augusta Civic Center
Maine Suicide Prevention Program Training for Clinicians
HEALTHCARE EMPLOYMENT OPPORTUNITIES
Family Medicine Outpatient Physician
Medical Director, Primary Care Physician
Physician - Nasson Health Care
Nurse Practitioner - Nasson Health Care
Psychiatric Nurse Practitioner - Nasson Health Care
Orthopedic Surgeon Opportunity in Beautiful New England
VOLUNTEER OPPORTUNITIES
Opportunities at the VA for Volunteer Physicians
Volunteer Opportunity with Partners for World Health - Portland, ME

 
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Additional CARES Act Provider Assistance Details and Timing Released

The original CARES Act passed in late March included a $100 billion Public Health and Social Services Emergency Fund, $50 billion of which was/is to be allocated for general distribution to Medicare facilities and providers. You may recall, $30 billion was already distributed between April 10th and 17th, proportionate to providers’ share of Medicare fee-for- service reimbursements in 2019.

The feds then stated that the additional $20 billion would be going out to help providers with a relatively small share of their revenue coming from Medicare fee-for-service, such as children’s hospitals and Medicaid heavy providers. It was announced this afternoon that those funds are beginning to be delivered this week. HHS will begin distribution to providers to augment their allocation so that the total $50 billion distribution is allocated proportional to providers’ share of 2018 net patient revenue.

On April 24, a portion of providers will automatically be sent an advance payment based off the revenue data they submit in CMS cost reports. Providers without adequate cost report data on file will need to submit their revenue information to a portal opening this week at https://www.hhs.gov. Payments will go out weekly, on a rolling basis, as information is validated, with the first wave being delivered at the end of this week (April 24, 2020).

Important:Providers who receive their money automatically will still need to submit their revenue information so that it can be verified.

Important:Providers who receive funds from the general distribution have to sign an attestation confirming receipt of funds and agree to the terms and conditions of payment and confirm the CMS cost report.

Targeted Areas:

  • $10 billion will be allocated for a targeted distribution to hospitals in areas that have been particularly impacted by the COVID-19 outbreak. As an example, hospitals serving COVID-19 patients in New York, which has a high percentage of total confirmed COVID-19 cases, are expected to receive a large share of the funds.
  • A portion (unknown) will be used to reimburse healthcare providers, at Medicare rates, for COVID-related treatment of the uninsured. Every health care provider who has provided treatment for uninsured COVID-19 patients on or after February 4, 2020, can request claims reimbursement through the program and will be reimbursed at Medicare rates, subject to available funding. Registration for the program will start on April 27, 2020, and claims can be submitted in early May 2020. For more information, visit hrsa.gov/coviduninsuredclaim
  • $10 billion will be allocated for rural health clinics and hospitals, most of which operate on especially thin margins and are far less likely to be profitable than their urban counterparts. This money will be distributed as early as next week on the basis of operating expenses, using a methodology that distributes payments proportionately to each facility and clinic.
  • $400 million will be allocated for Indian Health Service facilities.
  • There are some providers who will receive further, separate funding, including skilled nursing facilities, dentists, and providers that solely take Medicaid.

Miscellaneous (Surprise Bills)

  • As a condition to receiving general funds, providers must agree not to seek collection of out-of-pocket payments from a presumptive or actual COVID-19 patient that are greater than what the patient would have otherwise been required to pay if the care had been provided by an in-network provider.

Please contact Dan Morin, director of communications and government affairs at (207) 838-8613 or dmorin@mainemed.com with any questions, comments or concerns

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