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BOOTCAMP HCA continues to offer you education on wage and hour issues during Oct. 20 Bootcamp

HOME CARE SEPSIS TOOL On Sept. 30, HCA and partners are holding the first in a series of webinars on a new home care screening tool for sepsis.

INFRASTRUCTURE $ The state has extended the deadline for providers to submit applications for transformation dollars.

HHCCN CHANGES CMS has updated the Change of Care Notice. HCA table explains important Medicare patient forms.

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COMING UP Upstate LHCSA Forum Sept. 20 10 a.m. to 12:30 p.m. Mohawk Valley Health System Community Room 1650 Champlain Avenue, Utica Addressing Factors that Increase Workers’ Compensation Costs Sept. 28 130 East 59th Street 7th Floor, NYC Women in Healthcare Leadership Summit Sept. 28 and 29 Excelsior Springs at the Courtyard Marriott Saratoga Springs HCA Corporate Compliance Symposium Oct. 6 Renaissance Albany Hotel Albany, NY 12207 Register for all HCA programs at www.hcanys.org.

Your Source for HOME CARE News, Policy and Advocacy

Issue 2, Vol. 1 | September 19, 2016

OMIG & OIG Officials For You at Oct. 6 HCA Compliance Symposium: Register Today! OMIG and OIG are two acronyms that your compliance teams know extremely well – and HCA has officials from both agencies at our upcoming Corporate Compliance Symposium on October 6 in Albany. Have your compliance and management teams registered yet? It’s important for all staff leads on compliance issues, including senior management, to hear the latest See COMPLIANCE p. 3

HCA Board Chair Pamela Joachim Invites You and Peers to Women’s Summit on Sept. 28-29 By HCA Board Chair Pamela Joachim, Executive Director, Montefiore Medical Center Home Health HCA’s Board of Directors is very unique from other governing bodies I’ve seen or participated in. I am so proud to serve as Chair of this collegial, efficient, deliberative, and thoughtful group of leaders who make vital decisions affecting the advocacy, policy and educational direction of your state’s home care association: HCA. See JOACHIM p. 2

INSIDE OMIG & OIG Officials For You at Oct. 6 HCA Compliance Symposium...........1 HCA Board Chair Invites You and Peers to Women’s Summit ......................1 HCA Presents Oct. 20 Bootcamp: Federal, State Wage and Hour Rules......3 NEW Keynotes for HCA’s Women in Healthcare Leadership Summit............4 Sept. 30 Webinar Launches Home Care Sepsis Screening Tool...................5 HCA Participates in National Sepsis Forums............................................6 F2F a Heavy Focus of MSSNY-HCA Task Force..............................................7 State Updates on Value Based Payment, DSRIP Initiatives........................8 Deadline Extended for Health Care Facility Transformation Program.......8

Revalidation Required for Some Providers.....................................................9 Member Hiring Announcements.................................................................10 UAS Changes Announced............................................................................11 PHHPC Committee Agenda Posted...............................................................11 Q&As Posted for Nonprofit Infrastructure Capital Investment Program........12 New Website for Nonprofits Established.....................................................13 CMS Posts HHCCN with New Date.................................................................13 Upcoming NGS Education Programs..............................................................14 Resources...................................................................................15

The Situation Report: the Home Care Association of New York State JOACHIM from p. 1 Perhaps the most interesting feature of this group is that nearly 75 percent of the 27 HCA Board seats are currently held by women leaders in health care. When I look around the Board table, I am struck by the fact that, joining me, are 19 exceptional women leaders who represent every region of the state: Long Island, New York City, the Hudson Valley, the Southern Tier, Western New York, Central New York, the North Country, and the Capital Region. These women join seven incredible men leaders who form one of the most effective governing organizations I have had the privilege to work with, and I appreciate the dedication, intelligence and sacrifices of every one of them. Not only do women have strong representation on the HCA Board, but every single one of the Board leadership posts is held by a woman. As Board Chair, I am in the company of some incredibly talented peers: Board Vice Chair Sue Brett, COO/Senior Vice President of People Care; Board Secretary Laurie Neander, CEO of Bassett Healthcare Network: At Home Care, Inc.; and Board Treasurer Sue Larman, CEO of VNA Home Health. In addition to HCA’s policy and advocacy priorities, the women and men on HCA’s Board offer enthusiastic input and direction on the many conferences and seminars that HCA produces throughout the year. When the HCA Education team asked the Board for our thoughts on a proposed Women in Healthcare Leadership Summit, we all thrilled at the idea, knowing that this is exactly the kind of training which can inspire and foster the strong leadership function we find on HCA’s Board. As Chair of HCA’s Board of Directors, I strongly urge you to attend HCA’s first-of-its kind Women in Healthcare Leadership Summit, on September 28-29 in Saratoga Springs, or encourage a peer to do so. The women leaders of HCA’s Board are looking forward to participating and enhancing our own skills as Board leaders and as home care agency management. And I know that our men counterparts on the Board will be encouraging their women peers and fellow staff to participate because we all know that this summit offers the kind of opportunity for skill development that enhances the work of our organizations. Online registration is at https://www.eventville.com/Catalog/ EventRegistration1.asp?EventId=1011975. The brochure is published at the back of this week’s Situation Report.

I hope to see you in Saratoga on September 28-29 and strongly encourage you to join us for this exceptional program. Home Care Association of New York State (HCA) 388 Broadway, 4th Floor, Albany, NY 12207 Tele: 518-426-8764; Fax: 518-426-8788; Website www.hcanys.org

Volume 1, No. 2 September 19, 2016 

The Situation Report is a weekly publication of the Home Care Association of New York State (HCA). Unless otherwise noted, all articles appearing in The Situation Report are the property of the Home Care Association of New York State. Reuse of any content within this newsletter requires permission from HCA. Joanne Cunningham HCA President jcunningham@hcanys.org Roger L. Noyes Director of Communications, Editor of The Situation Report rnoyes@hcanys.org Al Cardillo Executive V ice President, Policy & Programs acardillo@hcanys.org Patrick Conole Vice President, Finance & Management pconole@hcanys.org Andrew Koski Vice President, Program, Policy & Services akoski@hcanys.org Alexandra Fitz Blais Director of Public Policy ablais@hcanys.org Laura Constable Senior Director, Membership & Operations lconstable@hcanys.org Celisia Street Director of Education cstreet@hcanys.org Mercedes Teague Finance Manager mteague@hcanys.org Jenny Kerbein Director of Governance & Special Projects jkerbein@hcanys.org Billi Wilson Manager, Meetings & Events bwilson@hcanys.org Teresa Brown Administrative Assistant tbrown@hcanys.org

The Situation Report: the Home Care Association of New York State COMPLIANCE from p. 1 compliance issues from a range of experts and regulators so that you know all the rules, requirements and potential penalties. HCA is pleased to announce that the state OMIG’s chief, Medicaid Inspector General Dennis Rosen, and a lead counsel in the federal Office of the Inspector General’s (OIG) office, Nancy W. Brown, will speak at the symposium. They’ll present the latest home health target-issues and trends in their agencies’ audit, recovery and integrity work plans when it comes to home health’s two dominant payor sources: Medicaid and Medicare. These officials are reason enough to attend ... but we’ve got a lot more in store. Delving even deeper into the state regulatory compliance arena, we’re also offering a state Department of Health (DOH) “Regulatory & Compliance Update” from Rebecca Fuller Gray, Director of the Division of Home and Community Based Services, and Mark Hennessey, Director of the Center for Health Care Quality and Surveillance. Providers will also gain insights from consultants and legal experts who are intimately involved in all of the major compliance trends, “watch” areas, and are assisting agencies with their compliance activities. Tracy Miller, Counsel at Bond, Schoeneck & King, will address “The Compliance Intersection for providers under new models of care and payment”; Melissa Zambri, Partner at Barclay Damon, will focus on “Legal Ethics in Electronic Health Records and Information Exchange”; and Frank Fanshawe, Partner at Jackson Lewis, will share his expertise on “Cyber Security Incident Response Preparedness: Developing and Testing an Incident Response Plan.” As always, the HCA Policy team will present our latest updates to assist and advocate for you in the compliance arena. This is a can’t-miss program of home care compliance information that you can’t get anywhere else, all in one day! Download the brochure at the back of this week’s Situation Report, or register online right now at https:// www.eventville.com/catalog/ eventregistration1.asp?eventid=1012021.

Volume 1, No. 2 September 19, 2016 

HCA Offers Oct. 20 Bootcamp: Federal, State Wage & Hour Rules If you attended our recent Senior and Financial Manager’s Retreat or Annual Conference, you know that the attorneys from Hodgson Russ are in-demand experts on all areas of home care labor law. Their sessions have garnered rave reviews, and now HCA has invited them to provide an even deeper look at labor law issues during an October 20 Bootcamp in New York City entitled “Understanding the Federal and State Wage & Hour Rules for Home Care Providers and Rising Above the Challenges.” Hodgson Russ Attorneys Peter Godfrey, John Godwin and Emina Poricanin specialize in wage and hour laws for the home care industry. They’ll discuss the key federal and state compensation requirements for home care providers, also covering topics such as: accurate computation of the regular rate of pay; properly paying overtime; accurately tracking work time, including travel time; spread of hours and split-shift pay; call-in pay regulations; the Domestic Workers’ Bill of Rights; and the Wage Parity Law. The session will additionally provide an overview of some of the most pressing challenges to the home care industry, including litigation of live-in cases, complications created by the elimination of the companionship exemption, and the rise in private plaintiff class-action litigation. Attendees will develop a greater understanding of their legal obligations and learn about tips to overcome some of the most difficult issues plaguing the home care industry today. If you missed the Hodgson Russ team at our Annual Conference and Senior and Financial Managers Retreat, or feel you could use a refresh or deeper dive into these issues, you will not want to miss this session, which is expected to draw a big turnout. A registration form is at the back of this week’s Situation Report or on our website at www.hca-nys.org.

The Situation Report: the Home Care Association of New York State

Volume 1, No. 2 September 19, 2016 

NEW Keynotes for HCA’s Women in Healthcare Leadership Summit By HCA Education Director Celisia Street Times Union news editors Tracy Ormsbee and Jennifer Gish have created a unique platform for women to connect and learn by developing Women@Work, a one-of-a-kind bimonthly magazine for women business leaders. But Women@Work is more than a magazine; it’s also evolved into an entire community, where members subscribe to the magazine but also gain access to exclusive social-media networking channels and member discounts to attend Women@Workhosted receptions and panel sessions. Women business leaders have been eager to participate. Within a year, Women@Work became the Capital Region’s fastest-growing women’s organization, and this new community has brought real results in terms of strengthening women’s work in business and leadership. During HCA’s Women in Healthcare Leadership Summit, Ms. Ormsbee and Ms. Gish will be the featured speakers for the Making HERstory Luncheon, where they will share their insights, observations and inspiration from the Women@Work initiative.

HCA Director of Education Celisia Street

The summit is fast approaching (on September 28-29 in Saratoga). Akin to the mission of Women@Work, this summit offers women a unique space to form supportive and lasting professional connections with other health care leaders, while also providing highly transferable skills in the realms of communication, negotiation and professional sponsorship. I encourage you to make the investment in yourself, and to support your high potential staff to take advantage of this customized professional development opportunity. Still on the fence? If you are still uncertain whether to attend the summit, consider some of the reasons why leadership training is essential ... because, according to allbusiness.com, these kinds of programs “build selfconfidence and wisdom, empower you to succeed, teach valuable skills, encourage introspection, surround you with other leaders, help you clarify your vision, teach you how to avoid mistakes,” and more (source: https://www.allbusiness.com/ten-reasons-to-take-a-leadership-training-course-4113269-1.html). Best yet, this program offers all of these benefits in a way geared specifically for women in healthcare. Please download the brochure and register today through our website at www.hcanys.org. I look forward to seeing you in Saratoga!

The Situation Report: the Home Care Association of New York State

Volume 1, No. 2 September 19, 2016 

All Home Care Providers Urged to Participate in Sept. 30 Statewide Webinar Launching Home Care Sepsis Screening Tool Webinar to be presented by HCA, IPRO, CDC, DOH, and National Sepsis Alliance – the first of 3 programs to guide provider adoption and integration of first-in-nation home care sepsis tool All home care providers are asked to attend a September 30 webinar launching HCA’s home care screening tool and protocol for sepsis awareness, early recognition and intervention. The webinar is being hosted by IPRO, and jointly presented with HCA and other key organizations. The webinar will be the first in a sequence of three must-attend sessions, the goal of which is to present and guide home care providers on the adoption, integration and use of this sepsis tool in patient care. The U.S. Centers for Disease Control and Prevention (CDC) has recently proclaimed sepsis as a health emergency, and cited 80 percent of cases originating in the community. The HCA Quality Committee and its subgroup on sepsis have worked for the past two years to create, vet and refine this home care sepsis screening tool. The tool is a national first for home care, and a national first for sepsis. The HCA workgroup was comprised of home care clinicians, supplemented by prominent sepsis physicians, the National Sepsis Alliance, and other key experts. The U.S. Centers for Medicare and Medicaid Services (CMS) has approved use of the HCA tool as part of a CMS-sponsored sepsis project currently being implemented by IPRO in two major regions of the state. Earlier this week, the tool was featured as a potential national blueprint at a National “New Ideas” Forum on Sepsis sponsored by the Rory Staunton Foundation, and HCA is in discussions with other states and key New York stakeholders about the tool’s promise. Sepsis is among the most under-recognized and misunderstood conditions among providers and the general public. It is a leading state and national health care cost driver, and cause of mortality, hospitalizations and rehospitalizations. The etiology, nature and scope of sepsis make prevention, early identification, swift intervention, and community health engagement a public health imperative. Home care providers armed with this new tool can also bring this resource to bear in the Delivery System Reform Incentive Payment (DSRIP) program, value-based payments, as well as with hospitals, physicians and other collaborative models. The August 26, 2016 CDC Report Vital Signs: Epidemiology of Sepsis: Prevalence of Health Care Factors and Opportunities for Prevention (http://www.cdc.gov/mmwr/volumes/65/wr/mm6533e1.htm) emphasizes sepsis as a medical emergency that begins outside of the hospital in nearly 80 percent of all sepsis cases. The home care population embodies the high risks for sepsis. Home care provides a ready, statewide infrastructure of agencies and nurse clinicians with the unique community and in-home expertise to conduct essential screening, evaluation, education and intervention with critical health system partners. The sequence of webinars will be held on the following dates and times: 

Part I: Friday, September 30, 2016 – 10:30 a.m. to noon. This session will provide critical background on the sepsis emergency, presentation of the HCA Home Care Sepsis Screening Tool and Protocol. Continued on next page

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Continued from previous page 

Part II: Thursday, October 20, 2016 – 10:30 a.m. to noon. This session focuses on agency adoption of the tool and integration into your electronic health records.

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Part III: Wednesday, November 9, 2016 – 10:30 a.m. to noon. This session is a train-the-trainer program.

This webinar series is being offered free of charge to your organization but you must register to attend EACH session. Please follow the instructions provided below for registration. The webinars will be recorded to make them available for future access. Registration Instructions 1) Click or copy and paste this URL to your web browser: https:// qualitynet.webex.com/mw3100/ mywebex/ default.do?siteurl=qualitynet. This will bring you to the QualityNet eUniversity webpage. 2) Locate each of the sessions by date (listed chronologically) and click on “Register” to the right of the session name. 3) Enter the information requested and click “submit.” 4) You will receive a confirmation email with the meeting information and the registration ID for each session that will be used to log into the WebEx portion of the meeting. Please note, this e-mail may go to your spam or junk folder. It will come from the e-mail address messenger@webex.com.

HCA Executive Vice President Al Cardillo presents the National Sepsis Alliance’s “Heroes Award” to Martin Doerfler, MD, Associate Chief Medical Officer and Senior Vice President of Clinical Strategy and Development for Northwell Health.

HCA Participates in National Sepsis Forums HCA Executive Vice President Al Cardillo presented at a National “New Ideas” in Sepsis Forum, organized by the Rory Staunton Foundation on September 12 in New York City. Mr. Cardillo was invited to present HCA’s home care sepsis screen and protocol, developed by the HCA Quality Committee and subgroup on sepsis. The HCA initiative was invited as a potential blueprint for other states and the nation on harnessing home care in a community-based approach to early sepsis recognition and swift, life-saving intervention. (See related page 5 story). HCA’s initiative was a feature in the forum as a first-of-a kind effort. HCA presented as part of a slate that included Congressman Joseph Crowley; Senator Charles Schumer; Anthony Fiore, MD, Chief of Epidemiology Research and Innovations at the U.S. Centers for Disease Control and Prevention; Michael Dowling, CEO of the Northwell Health System; State Medical Director Foster Gesten, MD; Anne Goldman, Vice President of the United Federation of Teachers; and others. HCA Selected to Present National Sepsis Alliance Award to Dr. Martin Doerfler On Thursday, September 15, at the request of the National Sepsis Alliance, Mr. Cardillo presented the National Sepsis

The Situation Report: the Home Care Association of New York State

Volume 1, No. 2 September 19, 2016 

Alliance’s “Heroes Award” to Martin Doerfler, MD, Associate Chief Medical Officer and Senior Vice President of Clinical Strategy and Development for Northwell Health. Dr. Doerfler was honored for his significant work in implementing new practices, training and service models at Northwell which produced a dramatic reduction in sepsis mortality, as well as his contributions to HCA’s groundbreaking home care sepsis initiative. Dr. Doerfler has worked with HCA to lay out and reinforce the imperative for prehospital/community-based awareness, screening and intervention. He also provided regular input in HCA’s work to medically fine-tune our drafts of the tool, and joined us in briefings of the state Department of Health and others. HCA thanks and congratulates Dr. Doerfler and Northwell Health.

F2F a Heavy Focus of MSSNY-HCA Physician-Homecare Task Force This week HCA and the Medical Society of the State of New York (MSSNY) launched a joint task force on physician-homecare engagement. The Task Force is comprised of prominent MSSNY physicians, including the chair and members of the MSSNY Long Term Care Committee and MSSNY’s past-president, and several members of the HCA Board and membership. The Task Force was recommended by MSSNY leadership and HCA following a presentation to the MSSNY Long Term Care Committee by HCA and members of HCA’s MLTC Forum on opportunities and challenges in physician-homecare/MLTC engagement. The Task Force provides an excellent opportunity for HCA and organized medicine to discuss critical issues and partnerships between physicians and home care. The Task Force devoted the vast majority of its first meeting to federal and state requirements for physician-patient Face-to-Face (F2F) visits for home care authorization. Task Force members explored core solutions and simultaneous practical means of mitigating the F2F visitation and documentation burden. The task force will focus on overall promotion and strengthening of physician-home care engagement, and partnerships, as well as obstacles and adversities which detract from and interfere with physician-home care engagement. This includes:       

Physician Face-to-Face authorization requirements Overbearing regulations, forms and documentation requirements for certifying patient eligibility and services (orders, renewals, revised orders, etc.) A lack of shared electronic health records Insufficient understanding of home care Barriers to physician house-calls Physician hesitancy or over-use of/involvement in home care Effect of these issues on home care or physician provider costs/reimbursement

HCA and MSSNY will be following up by identifying actionable steps to address these areas. For further information, please contact Al Cardillo at acardillo@hcanys.org.

The Situation Report: the Home Care Association of New York State

Volume 1, No. 2 September 19, 2016 ď Žď€

State Updates on Value Based Payment, DSRIP Initiatives The state Department of Health (DOH) has posted the Value Based Payment (VBP) Clinical Advisory Groups (CAGs) Recommendation Reports for Chronic Heart Disease; Pulmonary; and Diabetes. These CAG reports have been posted for public comment at http://www.health.ny.gov/health_care/medicaid/ redesign/dsrip/vbp_library/vbp_final_cag_reports.htm. The comment period begins September 14, 2016 and ends on October 14, 2016. Comments should be sent to dsrip@health.ny.gov. The CAG Recommendation Report provides definition and associated quality measures for each VBP arrangement. The CAG reports inform providers and payors of the details of each arrangement, further supporting their transition to VBP. Each report represents the final output from each respective CAG for that specific arrangement. Recommendations from the CAG will be further explored throughout the early phases of VBP implementation. Based on lessons learned through VBP implementation, each CAG may be reconvened to continue discussions of VBP arrangement definition and quality measures. The Managed Long Term Care VBP CAG Report is expected to be posted very soon, at which time HCA will notify members. Mid-Point Assessment of PPSs The federal Standard Terms and Conditions (STCs) that govern the Delivery System Reform Incentive Payment (DSRIP) program require Mid-Point Assessment of all 25 Performing Provider Systems (PPS) around the state. On October 7, 2016, the Department and Public Consulting Group (PCG) will brief the Project Approval and Oversight Panel (PAOP) on the mid-point assessment process and PPS progress. The meeting will be in Albany at the Empire State Plaza, meeting room No. 1, from 10:30 a.m. to 3:30 p.m. It will be open to the public; however, there will be no opportunity for public comment. An agenda for the meeting will be sent out when it becomes available. This meeting will be webcast at http://www.health.ny.gov/events/webcasts/index.htm.

Deadline Extended for Health Care Facility Transformation Program The state has extended the deadline, from September 16 to September 28, 2016, to apply for funding under the Health Care Facility Transformation Program. The state has posted Addendum no. 3 that includes this new deadline and a clarification on how to complete the Capital Budget and associated financial information (Attachment 3) sections on the application. Applications must be submitted through the Grants Gateway website at https://grantsgateway.ny.gov/ intelligrants_NYSGG/module/nysgg/goportal.aspx?NavItem1=4&ngoID=5000607. The Request for Applications (RFA), along with Questions and Answers and materials from an earlier webinar, is at http://www.health.ny.gov/funding/rfa/1607010255/index.htm. Continued on next page

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Continued from previous page HCA and community health provider representatives worked in partnership to push for this transformation funding during budget negotiations, convincing the Legislature and Governor to dedicate a portion of these funds for home and community-based providers specifically. While a $30 million minimum is dedicated to home and community-based providers (including home care agencies), specifically, these entities are also eligible for funding in the remainder of the pool as well. The goal of this program is to provide grants that primarily support capital projects (but it may include noncapital expenses) “for the purpose of strengthening and protecting continued access to health care services in communities throughout New York State and associated with a merger, consolidation or significant corporate restructuring activity that is part of an overall transformation plan intended to create a financially sustainable system of care.” Non-capital projects, in addition to debt restructuring, may be eligible for funding, and they include general operating expenses directly connected to the eligible project for which funding is sought as well as non-capital expenses in cases where the RFA does not explicitly mention them as excluded. Those excluded are general operating expenses applicable to day-to-day operations and unconnected to the eligible project for which funding is being sought. At an August 8 webinar, the state said that proposals will be judged on how well they achieve an entity’s financial sustainability and are associated with a merger, consolidation, or corporate restructuring, but restructuring will be interpreted broadly. The project must also preserve essential health services (and be aligned with Delivery System Reform Incentive Payment program principles). The webinar materials are at http://hca-nys.org/wp-content/uploads/2016/08/SHCFTP-RFA-Applicant-Webinar-8-8-16.pdf, while the recording is at http://tinyurl.com/z7esohv. A Grantee Quick Start Guide and webinars are available for application assistance at http://grantsreform.ny.gov/grantees.

Revalidation Required for Some Providers Providers who were notified about the need to revalidate their Medicaid program enrollment are reminded to do so by the September 25, 2016 deadline. The Affordable Care Act requires that all Medicaid and Medicare providers must be revalidated every five years. Revalidation includes providing information on the provider’s ownership, managing employees, agents, persons with a control interest, as well as providing current addresses, specialties, etc. Failure to revalidate can result in your agency’s termination from Medicaid. Information on revalidation, including the required form, questions and answers and more, is at https://www.emedny.org/info/ProviderEnrollment/revalidation/index.aspx

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HIRING 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 lrazanousky@livingresources.org. Additional opportunities available: Clinical Manager, RNs, Physical Therapists, Occupational Therapists, Home Health Aides and PCAs. Job Position: Patient Service Manager-Quality Management (Montefiore Home Health Agency) BS in Nursing required. Candidate must have a New York State Registered Professional Nurse License and current Registration to practice nursing. Must have a valid NYS driver’s license with registration and insurance. Candidate is responsible for planning, supervising, coordinating, and evaluating patient care services provided by the nursing staff employed directly by MMC or through contract with the CHHA/LTHHCP. Required Qualifications:      

Current NYS RN License and Registration; BSN required, Master’s in Nursing preferred. Minimum of three years of Home Care QI experience. Knowledge of Home Care regulations (i.e. Joint Commission/DOH). OASIS certified preferred. Coding certified preferred. Knowledge of Excel/Power Point. Education experience preferred/strong presentation skills.

Please apply directly through our website: www.montefiore.org/careers. MMC is an equal opportunity employer and will not discriminate against any employee or applicant for employment because of race, color, religion, gender, sexual orientation or national origin.

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UAS Changes Announced The state Department of Health (DOH) has announced a new enhanced security procedure for all who access the Uniform Assessment System of New York (UASNY). DOH intends to implement a Multi-factor Authentication (MFA) security process effective mid-October 2016 for all users of the UAS-NY. MFA requires a user to provide two pieces of information to access an application each time the user logs in: one piece is a password and the second piece is an authentication code. HCA Member Selfhelp Community Services received a proclamation All UAS-NY users are required to from the New York City Council this week in recognition of its 80th complete the steps described in the anniversary. HCA Board Member Russell Lusak, Senior Vice President at Quick Reference Guide (at http://hcaSelfhelp, is at far right, joining colleagues and members of the City nys.org/wp-content/uploads/2016/09/ Council for this week’s event. ctrlacc_ams_tmp_Notification_20913.pdf) to set-up MFA by no later than October 24, 2016.

After MFA registration is complete and MFA is launched in mid-October, users will be prompted to complete an authentication process each time they log into UAS-NY. The user will receive an authentication code from the method of choice and enter the code. Once the code is confirmed, the user will have access to the UASNY. Questions concerning the MFA registration process should be addressed to the Commerce Accounts Management Unit (CAMU) at 866-529-1890.

PHHPC Committee Agenda Posted The state Department of Health (DOH) has posted the agenda for the September 22 meeting of the Public Health and Health Planning Council (PHHPC) Committee on Establishment and Project Review. It is at http:// www.health.ny.gov/facilities/public_health_and_health_planning_council/meetings/2016-09-22/. The agenda includes the following home-care-related applications:

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An entity to consolidate its CHHA operating certificates from seven to four and its LTHHCP Program operating certificates from five to four;

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One change of proposed operator of a previously approved LHCSA; and

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Eleven LHCSA changes of ownership.

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Q&As Posted for Nonprofit Infrastructure Capital Investment Program The state has posted Questions and Answers (Q&As) related to the Nonprofit Infrastructure Capital Investment Program (NICIP). The Q&As, along with the Request for Applications, are on the Grants Gateway at https:// grantsgateway.ny.gov/IntelliGrants_NYSGG/module/nysgg/goportal.aspx?NavItem1=2. The Q&As cover: allowable number of applications; application materials; eligible technology costs; eligible entities; and more. As described in previous stories, NICIP will make targeted investments throughout the state in capital projects that will improve or maintain the quality, efficiency, accessibility, and reach of nonprofit human services organizations. Qualified organizations include those that provide direct services to New Yorkers through state contracts, state payment rates, or state authorized payments which represent funding appropriated by the state and passed through to a local government which then provides that money directly to the nonprofit organization. Home care and hospice providers may be eligible for funding if they meet all of the eligibility criteria in the RFA. Nonprofit organizations are eligible to apply for a NICIP grant if they meet all of the following criteria: 

They are registered with Grants Gateway and are Prequalified at the time and date that the application is due. Applicants are strongly encouraged to review their document vaults prior to the application deadline to ensure that their documents are up to date.

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They are a human services organization.

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They provide direct services in New York State to individuals and families residing in New York.

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They currently receive funding from New York State for providing direct human services in the form of a: state contract; state payment rate; or state authorized payment.

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They have annual revenue, as reported on line 12 of their most recently filed IRS form 990, of at least $100,000. Please see the RFA for additional information for entities that are not required to file an IRS form 990, or where another organization files an IRS form 990 on behalf of the applicant.

Applications are due by September 29 and must be submitted through the Grants Gateway; awards will be announced by November 1.

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New Website for Nonprofits Established This week, the New York State Division of the Budget announced the launch of a new website – www.ny.gov/ nonprofits – which will “enhance the relationship between New York State government and nonprofit organizations.” The website will serve as New York’s source for information impacting the nonprofit sector and as a portal to streamline the myriad interactions between the state and its nonprofit partners. Features of www.ny.gov/ nonprofits include: 

A step-by-step guide to help New Yorkers establish a nonprofit organization, including how to file for tax exemptions and links to the appropriate forms and instructions.

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Instructions for nonprofits to prequalify for state grants. The Grants Gateway system allows nonprofits to complete many of the administrative tasks prior to the application process.

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Information on new state initiatives, such as the $100 million in total funding for the Nonprofit Infrastructure Capital Investment Program. (See p. 12 story.)



A news portal where nonprofits can find the latest updates and guidance on issues of vital importance.

CMS Posts HHCCN with New Date The U.S. Centers for Medicare and Medicaid Services (CMS) has posted the Home Health Change of Care Notice (HHCCN) with a June 2016 date. According to its August 2016 announcement (below), the only change is in the expiration date: The Home Health Change of Care Notice (HHCCN), Form CMS-10289 (should be CMS-10280), and form instructions have been approved by the Office of Management and Budget (OMB) for renewal. While there are no changes to the form itself, providers should take note of the newly incorporated expiration date in the form instructions.

The HHCCN and instructions are at https://www.cms.gov/Medicare/Medicare-General-Information/BNI/ HHCCN.html. The HHCCN is used to notify beneficiaries of plan-of-care changes under fee-for-service or original Medicare. Home health agencies must provide the HHCCN whenever they plan to reduce or terminate a beneficiary’s home health services due to a physician-ordered change in the plan of care, a lack of orders to continue the care, or limitation of the home health agency in providing the specific service (i.e. staffing shortages or safety concerns in a beneficiary’s home). Continued on next page

The Situation Report: the Home Care Association of New York State

Volume 1, No. 2 September 19, 2016 

Continued from previous page Below is a chart of some of the forms that home health providers are expected to give to their patients. HCA will inform members when the forms are revised and/or updated.

Home Health Agency Medicare Fee-For-Service Patient Forms Form

Reason

Form & Date

Link

Advance Beneficiary Notice of Noncoverage (ABN)

Given in situations where Medicare payment is expected to be denied

CMS-R-131 (Approved 03/2011)

https://www.cms.gov/Medicare/MedicareGeneral-Information/BNI/ABN.html

Home Health Change of Care Notice (HHCCN)

Covers plan-of-care changes when agency plans to reduce or terminate a beneficiary’s services due to a physician-ordered change in the CMS-10280 plan of care, a lack of orders to (Approved 06/2016) continue the care, or a limitation of the agency in providing the specific service

https://www.cms.gov/Medicare/MedicareGeneral-Information/BNI/HHCCN.html

Notice of Medicare Non-Coverage (NOMNC)

Given at least two calendar days prior to ending Medicare-covered home health services

CMS 10123-NOMNC (Approved 12/31/2011)

https://www.cms.gov/Medicare/MedicareGeneral-Information/BNI/FFSEDNotices.html

Detailed Explanation of Non-Coverage (DENC)

Delivered to patient after the Quality Improvement Organization notifies agency that patient is appealing a termination of services.

CMS-10124-DENC (Approved 12/31/2011)

https://www.cms.gov/Medicare/MedicareGeneral-Information/BNI/FFSEDNotices.html

For more information, contact Andrew Koski at (518) 810-0662 or akoski@hcanys.org.

Upcoming NGS Education Programs National Government Services (NGS), New York’s Medicare Administrative Contractor (MAC), will be hosting the following educational webinars this week:



Provider Enrollment – Getting Connected to PECOS: Tuesday, September 20, from 1 to 2 p.m. Registration is at: https://attendee.gotowebinar.com/register/3494198851407632385



Ordering & Certifying Medicare Home Health Services: Wednesday, September 21, from 1 to 2 p.m. Registration is at: https://attendee.gotowebinar.com/register/1051734925883777028



Provider Enrollment Revalidation: Thursday, September 22, from 10 to 11 a.m. Registration is at: https://attendee.gotowebinar.com/register/4234866167741716737



Home Health 34X Billing: Thursday, September 22, from 2 to 3:30 p.m. Registration is at: https://attendee.gotowebinar.com/register/493906268363911294

The Situation Report: the Home Care Association of New York State

Volume 1, No. 2 September 19, 2016 

Resources 

“Influenza Vaccine Payment Allowances – Annual Update for 2016-2017 Season,” by the U.S. Centers for Medicare and Medicaid Services https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R3611CP.pdf



“2016-2017 Influenza Resources for Health Care Professionals,” by the U.S. Centers for Medicare and Medicaid Services http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/ Downloads/SE1622.pdf



“Families Caring for an Aging America,” by the National Academies of Sciences, Engineering, and Medicine http://nationalacademies.org/hmd/reports/2016/families-caring-for-an-agingamerica.aspx?utm_source=HMD+Email+List&utm_campaign=3a485c9fffFamilies_Caring_for_an_Aging_America_9_13_2016&utm_medium=email&utm_term=0_211686812e3a485c9fff-180152073



“Medicaid Fraud Control Units Fiscal Year 2015 Annual Report,” by federal Office of Inspector General https://oig.hhs.gov/oei/reports/oei-07-16-00050.pdf



“Private Duty Nursing Manual, Prior Approval Guidelines (9/12/2016),” eMedNY https://www.emedny.org/ProviderManuals/NursingServices/PDFS/ Private_Duty_Nursing_PA_Guidelines.pdf



“Medicare Preventive Services Educational Tool,” by the U.S. Centers for Medicare and Medicaid Services https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/ Downloads/MedicarePreventiveServicesNationalEducationProducts.pdf



“Long-Term Care Workforce: Better Information Needed on Nursing Assistants, Home Health Aides, and Other Direct Care Workers,” by the U.S. Government Accountability Office http://www.gao.gov/assets/680/679100.pdf



“Applying for Medicaid Personal Care Services and CDPAP Outside NYC – 2016 Changes,” by the New York Legal Assistance Group http://www.wnylc.com/health/entry/39/

For more information, contact Andrew Koski at (518) 810-0662 or akoski@hcanys.org.

HCA Introducesâ€Ś

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 Explore an array of fashion, lifestyle, and health & wellness vendors (make-up, chair massages, product demos and more).

3:30-4:15 PM Wine & Appetizer Pairing – Time to Unwind and Relax 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 professional image for all women leaders. It’s a fairly simple concept, but many women find it timeconsuming to seek out the most professional and flattering photographic look. Come dressed to impress for this not-to-be missed photo-op with an expert photographer from The Booth for Business, a company that was recently tapped to photograph attendees at the first United State of Women Conference. This is a FREE opportunity for all conference attendees.

5:00 – 6:00 PM Women-Who-Lead Networking Reception

Learn (and sample) some easy, creative, and simpleto-make appetizer recipes from an expert chef who will show you some stress-free menus to entertain with flair.

Mix and mingle with like-minded power-house women in the healthcare industry while you enjoy a cocktail (or two) and hors d'oeuvres featured in the cooking demo.

AGENDA Thursday, September 29, 2016 8:00-8:45AM Women of Influence Executive Breakfast

Noon-1:30PM Making HERstory Luncheon and Keynote Address

8:45-9:00AM HCA Welcome

1:30-2:30PM The Bitch in Your Head: Become More Empowered and Confident by Squashing Your Inner Critic

9:00-10:15AM Creating Your Path to Leadership Success Vicky Hines, Chief Operating Officer, University of Rochester Medical Faculty Group Career choices offer new opportunities; but they also can involve risk-taking and a whole lot of uncertainty. Some degree of calculated risk is necessary for leaders to develop or reach career success. Hear from a home care leader veteran about career avenues, how to create new paths for higher-level executive opportunities, and tips for professional development that can lead to the best choices.

10:15-10:30AM Break 10:30-Noon Communicating with Impact: Purpose, Power 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.

Dr. Jacqueline Hornor Plumez Too many of us live with a litany of self-defeating selfcriticisms like: You’re too fat! How could you be such an idiot? Don’t even try; it will never work. Some people hear this “Bitch” in their head and think it is motivating. But in truth it keeps us from having a good day or a good night’s sleep, from getting the love we want or the raise we deserve.

This presentation, based on Dr. Plumez's entertaining and enlightening book The Bitch in Your Head: How to Finally Squash Your Inner Critic, will offer tools and techniques to rid yourself of negative thinking in every area of your life – and in every era of life, spotlighting attitudes for success in the workplace.

AGENDA Thursday, September 29, 2016 – continued 2:30-2:45PM

Break

2:45-4:15PM Advancing Your Career with the Sponsorship Effect Rachel Soares, Director of Research, Catalyst Women’s representation on boards and in leadership positions is changing, but at a glacial pace. Intentional action from individuals, leaders, and organizations alike are needed to accelerate progress for women. Catalyst research has found that mentoring is essential to leadership development but it is not enough, on its own, to help women advance. A more influential and direct professional relationship for career acceleration exists: it’s called sponsorship. Whether you are considering your next promotion or want to become a board member of an organization, sponsorship is a powerful tool for women’s advancement. In this session, attendees will learn about the importance of sponsorship and concrete strategies to get sponsored and be a sponsor yourself. By creating a culture of sponsorship for your own teams, you’ll see how paying it forward pays back for the sponsor, protégé, and the organization at large. 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.

Catalyst is the leading nonprofit organization with a mission to accelerate progress for women through workplace inclusion. With offices in Australia, Canada, Europe, India, Japan, and the United States, Catalyst is dedicated to creating workplaces where employees representing every dimension of diversity can thrive.

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

Hotel Information

REGISTRANT INFORMATION – Please register by Sept. 16. Name: __________________________________________________________________________ Title:____________________________________________________________________________ Agency:_________________________________________________________________________ Address:_________________________________________________________________________ City/State/Zip:____________________________________________________________________ Phone:________________________________ Ext._________ Fax: _________________________ Email: ___________________________________________________________________________ (Required)

□ HCA Members

$279 per person

$___________

□ Non-Member

$379 per person

$___________

______American Express

______Check*

*Make checks payable to: HCA Education and Research and mail to 388 Broadway, 4th Floor, Albany, NY 12207. Checks must be received by Sept. 26.

______________________________________________________________________________ Card Number _______________________________________ Expiration Date

Phone: (866) 210-9325

Located directly next door to the summit venue, the Courtyard Marriott offers a reduced rate of $169 per room if booked before August 17th. Please contact them directly at the number above to make your reservation.

HCA registration cancellations received by Sept. 7 are refundable less a 25% administrative fee. No refunds will be issued after this date. Cancellations must be received in writing at info@hcanys.org. Substitutions are permitted.

PAYMENT – Please check method of payment: _______VISA

Saratoga Springs, NY 12866

HCA Cancellation Policy

HCA REGISTRATION FEE

________MasterCard

Courtyard Marriott 11 Excelsior Avenue

___________________________________ Security Code

______________________________________________________________________________ Mailing Address of Card Holder ______________________________________________________________________________ City, State, Zip ______________________________________________________________________________ Name on Card

______________________________________________________________________________ Authorized Signature

Please note Courtyard Marriott’s cancellation policy when making your reservation.

Special Needs In accordance with the Americans with Disabilities Act, or special dietary needs, please let us know how we can accommodate you:

_______________________ _______________________ _______________________ _______________________ _______________________ _______________________ _______________________

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

THE

CORPORATE COMPLIANCE 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 bestpractices 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 Latest Developments in Compliance from the NYS Medicaid Inspector General Dennis Rosen, NYS Medicaid Inspector General For home care, and across the continuum of Medicaid services, the state Medicaid Inspector General’s work plan, audit activities, protocols, data-mining, and enforcement efforts are perhaps the most influential driver of your compliance plan under Medicaid. Simply put: if it’s a focus area of OMIG, then it must be a focus area of your risk-assessment work. Medicaid Inspector General Dennis Rosen offers a look at his office’s work plan, its focus areas, recent developments with OMIG’s audit protocols, and the evolving expectations of his office’s Medicaid integrity initiatives, especially as providers’ roles change under new regulations, the advent of managed care and new models of payment and integrity responsibility. 10:00 – 10:15AM BREAK 10:15AM – 11:15AM DOH Regulatory & Compliance Update Rebecca Fuller Gray, Director, Division of Home and Community Based Services Mark Hennessey, Director, Center for Health Care Quality and Surveillance The state Department of Health’s Division of Home and Community Based Services and Surveillance units are responsible for an array of regulatory compliance requirements affecting your operation, with wide reach into areas of licensing or jurisdiction, clinical standards, mandatory reporting, and operational standards. This includes several new areas of regulatory development like recent changes in the physician order deadlines, a federally required Medicaid face-to-face requirement (similar to the one in effect for Medicare), and issues related to Article 36 jurisdiction in a changing health care environment. This session will ensure that you have the latest information on new DOH requirements, regulatory updates and expectations as well as on DOH desk-audits and surveillance focus areas. 11:15AM – 12:15PM The Compliance Intersection for providers under new models of care and payment (including Value Based Payment and within DSRIP arrangements) Tracy Miller, Of Counsel, Bond, Schoeneck & King , LLC

Evolving care models of service delivery and payment reforms prompt new compliance questions and challenges. While the state seeks to streamline the siloed approach to health care 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 complexity. This session will provide you with compliance 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.

12:15 – 1:00PM Lunch 1:00-2:00PM Legal Ethics in Electronic Health Records and Information Exchange Melissa Zambri, Partner, Barclay Damon As home care agencies implement new technologies for patient records and expand their connectivity to participating provider networks, they must stay up-to-date on the laws and ethical implications that relate to the use of such Electronic Health Records (EHRs). Health information legal expert Melissa Zambri will explore the current state of EHRs and highlight associated ethical pitfalls. 2:00 – 3:00PM Federal Compliance & Fraud Prevention Initiatives HHS Office of Inspector General The HHS Office of the Inspector General (OIG) is the largest inspector general’s office in the federal government, with extensive resources aimed at combatting fraud, waste and abuse in the Medicare and Medicaid programs. Learn from one of OIG’s senior officials about the OIG work plan, its areas of focus, its emphasis on combatting fraud and abuse, its review for compliance with various aspects of the home health prospective payment system rule, (including required documentation, such as Medicare face-to-face), and much more. 3:00 - 3:15PM

Break

3:15 – 4:15PM Cyber Security Incident Response Preparedness: Developing and Testing an Incident Response Plan Frank Fanshawe, Partner, Jackson Lewis, PC Recent cautionary news stories detail major data breaches in several sectors of health care including home care. Breaches in cybersecurity can wreak havoc on even well-conceived and constructed information technology systems. The consequences can be devastating for any home care agency, including the loss of trust and feeling of security. In this session you will hear from one of the state’s preeminent legal experts on data security and privacy compliance about the benefits of developing and maintaining an incident response plan. This session will include a discussion of the key elements of these plans including which staff should be involved, the role of business associates, training, testing and, especially, implementation when a cybersecurity incident occurs or becomes an imminent threat to your home care agency. 4:1 5PM Wrap Up and Adjourn

HCA Corporate Compliance Symposium

Hotel Information HCA Corporate Compliance Symposium October 6, 2016 Renaissance Albany Hotel Albany, NY 12207

A big thank you to our SPONSORS and

EXHIBITORS who helped make this program possible and who are an important voice on compliance issues and technical assistance.

Renaissance Albany Hotel 144 State Street Albany, NY 12207 A small block of rooms has been secured at the Renaissance Hotel for the evening of October 5 at a discounted rate of

$169

To make your overnight accommodations, call 1-888-236-2427 before September 19 and ask for the Home Care Association of NYS rate.

Sept. 19

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: info@hcanys.org. Substitutions are permitted.

REGISTRANT INFORMATION

PAYMENT

Please register by September 19.

Please check method of payment:

Name: _____________________________________________________

□ Check*

Title:_______________________________________________________

*Make checks payable to/mail to: HCA Education and Research, 388 Broadway, 4th Floor, Albany, NY 12207. Checks must be received by September 23.

Agency:____________________________________________________

□ MasterCard

□ VISA

□ Am Exp

Address:____________________________________________________ City/State/Zip:_______________________________________________ Phone:___________________ Ext._________ Fax: ________________

Email: ______________________________________________________ (Required)

________________________________________________ Card Number

_______________ _________________ Expiration Date Security Code ________________________________________________ Mailing Address of Card Holder

HCA REGISTRATION FEE ____ Member Fee

 $239

____ Prospective Member

 $389

SPECIAL NEEDS In accordance with the Americans with Disabilities Act, or special dietary needs, please let us know how we can accommodate you: ___________________________________________________________

________________________________________________ City, State, Zip ________________________________________________ Name on Card ________________________________________________ Authorized Signature

Understanding the Federal and State Wage & Hour Rules for Home Care Providers and Rising Above the Challenges October 20, 2016 10:00am – 12:30pm

October 20, 2016 Location: Visiting Nurse Service of New York 107 East 70th Street (between Park and Lexington Ave) New York, NY 10021 9:30 to 10:00am Registration and continental breakfast 10:00am to 12:30pm Program

Registration Fees: HCA Members $79 Non-Members $179

Employment attorneys from Hodgson Russ, LLP, specializing in wage and hour laws for the home care industry, will discuss the key federal and state compensation requirements for home care providers. This session will cover topics such as accurate computation of the regular rate of pay, properly paying overtime, accurately tracking work time, including travel time, spread of hours and split-shift pay, call-in pay regulations, the Domestic Workers’ Bill of Rights, and Wage Parity Law. The session will also provide an overview of some of the most pressing challenges to the home care industry, including litigation of live-in cases, complications created by the elimination of the companionship exemption, and the rise in private plaintiff class action litigation. Through an interactive and question-and-answer session, attendees will develop a greater understanding of their legal obligations and learn about tips to overcome some of the most difficult issues plaguing the home care industry today.

Presenters from Hodgson Russ, LLP: Peter Godfrey, Partner John Godwin, Partner Emina Poricanin, Senior Associate

REGISTRATION – (Deadline October 14th) Name: _________________________________________________ Title:__________________________________________________ Agency:________________________________________________ Address:_______________________________________________ City/State/Zip:___________________________________________ Phone:______________________________ Ext._______________ Email: _________________________________________________ Cancellations received by October 14th are refundable less a 25% administrative fee. Cancellations must be received in writing via e-mail to info@hcanys.org. No refunds after that time or for no shows. Substitutions are permitted.

FAX TO: (518) 426-8788

REGISTRATION FEE HCA Members

$79 ________

Non-Members

$179

________

PAYMENT ____MasterCard

____VISA

*Make checks payable and mailed to:

____ American Express

________ Check*

HCA Education and Research 388 Broadway, 4th Floor, Albany, NY 12207

Credit Card #: _______________________ Exp. Date:_______ Security Code: ________ _________________________________________________________________________ Name and/or Company Name on Card _________________________________________________________________________ Billing Address of card (including City, State and Zip Code) _________________________________________________________________________ Authorized Signature