See below message from DCH: Effective November 1, 2016, enhancements are being made to our Georgia Medicaid Management Information System (GAMMIS) that should allow Skilled Nursing Facility (SNF) providers to better utilize our Web Portal’s Provider Workspace features. This change is effective for Level I PASRR requests. This enhancement will allow for search and edit functions to be utilized and provide better control over the quality of applications being submitted. Due to the volume of applications with errors and little success in correcting those errors, an update is being made to remove the Preadmission Screening and Resident Review (PASRR) link from the public portion of the GAMMIS effective January 1, 2017. Providers who are seeking PASRR approval for a Nursing Facility admission will be required to make the request through the Provider Workspace. Also, it will increase the ability of providers to correct errors on those applications submitted. The following is a list of updates on GAMMIS currently being developed for SNF providers enrolled in Category of Service (COS) 110 and/or 160: A) Update errors in Medicaid ID Numbers; B) Update errors in Date of Birth; C) Update errors in member's name; D) Correct Social Security Numbers. The system will be updated to allow providers to submit a Change Request if the Level I decision is [...]
The House Governmental Affairs Committee held a special hearing this Tuesday on HB 1055. This bill, authored by House Judiciary Committee Chairman Wendell Willard (R-Sandy Springs), calls for a complete repeal of Georgia’s certificate of need program. This was a “hearing only” committee meeting and no vote was scheduled to take place. The committee heard from nearly 20 parties testifying both for and against the bill. GHCA President and CEO Tony Marshall joined numerous hospital and provider groups asking the committee to protect and retain Georgia’s certificate of need program. Click here to view footage of the entire committee hearing. GHCA’s testimony begins at the 4 hour, 49 minute mark. Despite there being no action taken on Tuesday, Chairman Willard assured the committee that there will be a CON repeal or reform bill forthcoming in the 2017 legislative session. While a full repeal is highly unlikely, GHCA staff and leadership will continue to be active participants in all negotiations to ensure long term care is not adversely affected by this legislation.
Long Term/Post-Acute Care and Assisted Living Sectors Applaud Nomination of Chairman Price as HHS Secretary, Seema Verma to Lead CMS
As reported by AHCA/NCAL: The American Health Care Association/National Center for Assisted Living (AHCA/NCAL) today issued the following statements regarding President-elect Trump’s nomination of House Budget Chairman Tom Price (R-GA) as Secretary of Health and Human Services (HHS). Statement of Mark Parkinson, President & CEO, AHCA/NCAL “Chairman Price is known throughout the country not only for his medical expertise, but also his breadth of policy when it comes to the nation’s health care system. He is a champion of forward-thinking ideas that improve lives and deliver solutions, and our profession looks forward to working with him upon his confirmation.” Statement of Neil L. Pruitt, Jr., Chairman and CEO, PruittHealth and former AHCA Board Chairman “Chairman Price has long been a strong advocate for the post-acute care community. We are excited that President-elect Trump has selected a Georgian who could not be more qualified, and respected, to be HHS Secretary. We look forward to working closely with him in his new capacity on addressing the health care challenges that face this country. Chairman Price’s vision of how health care can be transformed, to benefit all Americans, is one every provider can support.” Statement of Doug Burr, Chairman of Georgia Health Care Association Reimbursement Committee “Rep. Price has been a great friend to post-acute and long term care [...]
GHCA/GCAL is offering a unique training opportunity for companies providing products and services to skilled nursing and rehab centers next week, December 5 & 6, at the Fred A. Watson Training Center in Stockbridge. Whether you are new to long term care or a seasoned professional, and especially if you plan on exhibiting at the 2017 GHCA/GCAL Winter Trade Show, this program is for you. This testimonial says it best: " I attended the two-day Increase Your Sales to Senior Care Boot Camp in 2015 and recommend this program to anyone selling within this market! My deeper understanding of providers' current and future challenges is a definite competitive advantage, and I have much greater credibility when approaching potential clients. Following Lou Ann's recommendations on prospecting, qualifying and developing presentation strategy, I landed the biggest prospect in my territory AND substantially increased my income." Angie Wright, Healthcare Account Executive Calderon Textiles Click here to register today!
GHCA Staff and Leadership Engage Senate Health Leaders on Session Priorities With preparations for the 2017 legislative session in full swing, GHCA staff enjoyed extended, one-on-one visits with both Senate Health Chairman Renee Unterman and Senate Appropriations Chairman Dr. Dean Burke. In both meetings, GHCA made clear our legislative priorities for the upcoming session: 1) secure new lines of funding in the FY2018 budget, 2) protect the integrity of Georgia’s current certificate of need program, and 3) maintain the current provider fee structure utilized by our members. Georgia Chamber Holds its Annual Fall Government Affairs Council Conference GHCA and PruittHealth were both represented at the annual pre-session gathering of the Georgia Chamber’s Government Affairs Council. Healthcare was a principal topic of discussion, highlighted by a panel discussion regarding Medicaid expansion and rural health access. Governor Deal Chief of Staff Chris Riley, Senate Majority Leader Bill Cowsert, and House Majority Leader Jon Burns were among the presenters at the Council meeting. Near the conclusion of the event, the Chamber hosted over 20 of the newly-elected House and Senate members who will be sworn in this January. GHCA Hosts Reception for Lt. Governor Casey Cagle Following the November Board Meeting GHCA Board members and staff hosted Lt. Governor Cagle for a reception in support of Cagle’s Political [...]
This week, DCH held its November Board meeting. There were several public notices that affect GHCA members: Nursing Facility Rules Update - Addition of the requirement for each facility to carry or be covered by liability insurance or have established for its benefit a self-insurance trust for a nursing home claim as a condition precedent to obtaining or maintaining a permit to operate a nursing home. Click here for the public notice. Click here for the proposed revised rule. Assisted Living Communities Rules Update - Addition of the requirement to provide each resident with educational information on influenza no later than September 1 of each year. Click here for the public notice. Click here for the proposed revised rule. Norman Boyd, DCH Board Chair, thanked Commissioner Clyde Reese for his dedicated service to the Department of Community Health, wishing him well in his next opportunity serving the state of Georgia. Click here for the Board meeting minutes.
Federal Races Senator Johnny Isakson delivered a strong win at 14 points ahead of his challenger. The state’s congressional delegation was re-elected by similar margins on both sides of the aisle. General Assembly In the state Senate, one seat changed hands, with Republican Senator Janice Van Ness losing in a strongly Democratic district that she previously won in a special election. In the state House, GHCA supported a Brookhaven attorney, Megan Hanson, in her successful bid to unseat Democratic incumbent Taylor Bennett. Bennett was supported and funded by the Georgia Trial Lawyers Association. In Gwinnett county, incumbent Republican Valerie Clark was defeated by Samuel Park in a similarly competitive district and incumbent Republican Mike Cheokas narrowly lost a competitive southwest Georgia seat. Despite those changes, the Georgia Legislature remains safely in Republican hands. The GOP maintains majorities in both the House (118 – 62) and Senate (39 – 17). Constitutional Amendments Four Constitutional amendments were also on the ballot. The first was a highly visible debate over whether the state should intervene to save failing schools, which was defeated by 60% following major spending by the National Education Association. The other three amendments were largely uncontested and passed widely. They would change the structure of our state’s judicial accountability mechanism, and earmark funds for trauma care [...]
After eight stops across the state Georgia, the fall council tour concludes. Click here to view the complete version of the presentation slides.
President-elect Trump Shocks Washington: Election provides us new opportunities and some potential challenges
See below message from AHCA President & CEO Mark Parkinson: Yesterday was an historic day. Once again the voters shattered the conventional "wisdom" of D.C., and Donald Trump was elected the 45th President of the United States. Very few in this town ever thought it would actually happen. It was a complete repudiation of the status quo that brought other winners as well. Republicans retained both the Senate and House, and in doing so are now in complete charge of both the executive and legislative branches. What made this election different than any in my lifetime is the absolute certainty that each side had going into Tuesday: that the other winning would wreck the country. This leaves the nation deeply divided and in need of healing and unity. I have a view that is not widely held: the country would have been fine under either candidate. We have survived a revolution, a civil war, a great depression, and two world wars. It's never, ever, smart to bet against the United States. We will be fine and hopefully, prosper. Similarly, the sector will be fine, but only if we make the right choices and do the hard work that our members and your residents and employees deserve. I have already been contacted by members asking me what [...]
Minimum Criteria for Submission of Application (Deadline December 16) Participate in the Georgia Quality Improvement Program. Must meet minimum points on Quality Incentive Report for quarters ending: 9/30/15, 12/31/15, 3/31/16, 6/30/16. Note: Failure to attach all required data will result in disqualification. Must be below the Georgia (State) average calculation points for cited deficiencies using the Calculating Survey Results form below (submit 3 years of survey data July 1, 2013 – June 30, 2016). Clinical Quality Quantitative data to be considered will be: Must be at or below the State average on 8 of 11 Quality Measures, Q2 2016. Immunization rates for flu and pneumonia for these specified quarters needs to be at 80% or above for each quarter. Data from CMS will be used for this award year's reporting period, Q2 2016 Long Stay composite score measures to be included are: Percent of residents with one or more falls with major injury Percent of residents with a UTI Percent of residents who self-report moderate to severe pain Percent of high-risk residents with pressure ulcer Percent of low-risk residents with loss of bowels or bladder Percent of residents with catheter inserted or left in bladder Percent of residents physically restrained Percent of residents whose need for help with ADL has increased Percent of residents who [...]