- VDH - Current Covid Activity in Vermont
- American Academy of Pediatrics Vermont Chapter Calls on Schools To Prioritize In Person Attendance for Some Students - July 27, 2020
- VDH COVID-19 Testing Plan: A Coordinated Public Health and Health Care Response - July 27, 2020
- Governor Scott Strengthens Mask Mandates to Require in All Public Places By August 1 - July 24, 2020
- VDH HAN - Duration of Isolation and Precautions for Adults with COVID-19 - July 24, 2020
- DFR Bulletin 214 - COVID Testing Coverage - July 21, 2020
- DFR Bulletin 215 - Resumption of Routine Provider Audits by Insurers - July 21, 2020
- Vermont Health Care Provider Stabilization Grant - Apply between July 17-August 15, 2020
- Health Care Provider Stabilization Grant Program Online Application Portal Link The first AHS application period is now open for all Vermont health care provider applicants from July 17, 2020 through August 15, 2020. For more information please click here.
Health Care Provider Stabilization Grant Program Guidance Documents:
- Program Overview
- Frequently Asked Questions
- Application Readiness & Documentation Uploads Guide
- Expenditures Guide
- Peer Support & Program Pre-Approval Certification
- Revenue Changes Guide
- Financial Assistance To Date Guide
- Sign Up for the Listserv to stay up to date on important changes and announcements
- Online Question Submission Form
Health Care Provider Stabilization Grant Program: Webinar Series
This week, AHS and DVHA hosted an informational webinar series on the Provider Stabilization Grant Program. Here is the schedule and recordings:
- Tuesday, July 21st, Completing the Revenue Expenses (focus on providers that bill insurance for revenue)- Slides and Video Recording
- Wednesday, July 22nd, Completing the Revenue Expenses (focus on providers that mainly take out of pocket, grants, and other non-insurance revenue) - Slides and Video Recording
- Thursday, July 23rd, Claiming COVID19-related Expenses - Slides and Video Recording
- Troubleshooting Password Issues - Slides and Video Recording
- Front-Line Employees Hazard Pay Grant Program - The application period will be open for eligible applicants in early August and will be available soon. Sign Up for the Listserv to stay up to date on important changes and guidance.
- Vermont Practices Contacted if Eligible for Federal Financial Relief - In recognition that many Vermont Medicaid clinicians may still be uncertain whether or not they are eligible for the federal financial relief allocated for Medicaid providers through the CARES Act Provider Relief Fund, DVHA wanted to let clinicians know of a recent communication from HHS. HHS informed Vermont Medicaid that it had identified 1,902 Vermont Medicaid medical, dental and long-term support and service providers as potentially eligible for the Medicaid Provider Relief Fund. If you received a recent email from DVHA, you were identified as a Medicaid provider potentially eligible for the federal Medicaid Provider Relief Fund distribution. As of July 15th, only 34 of Vermont’s potentially eligible providers have applied for financial relief. Medicaid providers must submit and complete an application (see instructions here) to HHS’ provider portal by August 3, 2020 (the date has been extended). Providers with questions about eligibility, whether a payment has been issued, and/or where the payment was sent should call the CARES Act Provider Relief Fund Help Desk at 1-866-569-3522 and press option 2 or visit the HHS CARES Act Provider Relief Fund website for more information.
- Repayment of Accelerated and Advanced Payments Begins This Week - National Government Services (NGS) is reminding Part B Medicare providers that repayment of Accelerated and Advanced Payments (AAP) began July 27th, 2020. Providers have a 90-day window to make their AAP repayment, with each provider having a unique repayment due date based on the date your AAP was issued. Click to read more on the NGS recoupment process.
PPE Purchasing Options |
Resuming Elective Care Resources |
BiState Primary Care Launches Telehealth Bootcamp
Thisonline bootcampis designed to complement the Vermont Telehealth Resources Guide. The strategy is simple - if you’re new to telehealth, then every morning for one work week, set a timer for 30 minutes and review one of the five sections below. By the end of the week you’ll know the basics and be ready to explore the many great resources available to help Vermont health care providers implement a strong telehealth strategy.
- Medicare will pay physicians for telehealth services at the same rate as in-person visits for all diagnoses, not just services related to COVID-19.
- Patients can receive telehealth services in all areas of the country and in all settings, including at their home.
- Increased reimbursement rates for audio-only telemedicine. The change, which is retroactive to March 1, boosts payments for telephonic evaluation and management services (CPT codes 99441-99443) to match those of regular, in-office E/M visits (99212-99214). Payments will increase from about $14-$41 to about $46-$110.
- CMS expanded the list of services eligible to be reported via telehealth (link here)
- CMS will permit reporting of telehealth E/M office or other outpatient visits based on time or Medical Decision Making (MDM).
- The Qualified Healthcare Professionals that are eligible for telehealth has been expanded. Additional codes for these services were also added to the CMS telehealth list.
- CMS has clarified that telehealth services are permitted with both new and established patients.
- Physicians can reduce or waive cost-sharing for telehealth visits. In addition, all cost-sharing for Medicare beneficiaries is waived for COVID19 testing and visits related to the testing. Modifier CS – Cost sharing must be appended to these claims to ensure cost-sharing.
- Physicians licensed in one state can provide services to Medicare beneficiaries in another state. State licensure laws still apply.
- Well-child care should occur in person whenever possible.
- Well-childcareshould be provided consistentwiththeBright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents(4thEdition)and the correspondingBright Futures/AAP Recommendations for Preventive Pediatric Health Care(Periodicity Schedule).
- Well-child care should occur within the child’s medical home where continuity of care may be established and maintained.
- Where community circumstances require pediatricians to limit in-person well visits:
- Clinicians are encouraged to prioritize in-personnewborn care, and well visits and immunization of infants and young children (through 24 months of age) wheneverpossible.
- Well visits for children may be conducted through telehealth, recognizing that some elements of the well exam should be completed in clinic once community circumstances allow.These elements include, at a minimum: the comprehensive physical exam; office testing, including laboratory testing; hearing, vision, and oral health screening; fluoride varnish; and immunizations.
Tuesday, April 7th, 12:15-12:45pm
Please join VMS, for a weekly COVID-19 update from 12:15-12:45 pm hosted by Vermont Department of Health (VDH) Commissioner Mark Levine.
Join Skype Meeting
Join by phone: Dial-in number: +1 (802) 552-8456
Conference ID: 993815551
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Vermont Physician License Renewal to Open in August; CME Requirement Reduced - June 9.2020
The license renewal process for physicians for the next biennium (Dec. 1, 2018 to Nov. 30, 2020) will begin August, 2020 and will close at the end of November, 2020. As an acknowledgement of the cancellation of many CME programs and conferences and the many hours of professional development performed by licensees to learn about COVID-19, the Board of Medical Practice has reduced the CME requirement from 30 hours to 15 hours of AMA PRA Category 1 Credit™, including 1 hour addressing palliative care, hospice care, OR pain management, and 2 hours addressing prescribing-controlled substances for physicians with DEA registrations. These three subject-specific activities count towards the 15-hour requirement (and cannot be waived by the Board as they are required by Vermont State statute). Licensees who have not completed the 15-hour CME requirement may file ‘make-up plans’ along with their license renewal application. For online, free or low cost CME options,click here.For more information about license renewal, see theBoard of Medical Practice webpage.
Vermont’s designated and specialized service agencies are still here to help with mental health, substance use disorder and developmental services needs via video and phone. Clinical assessment, individual therapy, and 24/7 mental health crisis response – among other services – are all just a phone call away and are generally covered by your insurance, Medicaid, or other public funding. Find your local agency. Intake phone numbers and crisis lines are here.