Sept. 12, 2016 Edition of The Situation Report

FLSA FLSA funds are coming soon. Learn about the schedule and survey process.

MLTC Get the latest info about MLTC enrollment numbers and program updates.

HOSPICE CMS has announced the FY 2017 final hospice rates.

BILLING CODES HCA, the state and managed care plans work to finalize uniform billing codes.

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COMING UP HCC Member Forum Sept. 19 10 a.m. to 12:30 p.m.

Hunter College Brookdale Campus 425 East 25th Street, NYC 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 Register for all HCA programs at www.hcanys.org.

Your Source for HOME CARE News, Policy and Advocacy

Issue 1, Vol. 1 | September 12, 2016

Inaugural Issue: This is the first issue of The Situation Report, HCA’s new weekly newsletter, which replaces our former ASAP publication, with a new publication date (Mondays) and look. We hope you enjoy it.

MLTCs Receive FLSA Funds for Pass-through to Providers The state Department of Health (DOH) has confirmed that the federal-share of funding to assist home care providers with new costs due to the Fair Labor Standards Act (FLSA) rule change were paid to the MLTC plans via checks dated August 10. These funds are for the period of October 13, 2015 to March 31, 2016.

MLTC plans have 30 days from receipt of the check to pass the funds to their home care contracted providers. DOH had previously advised HCA that the federal-share amount ($22.8 million) is the same as the previous state-share amount, and that See FLSA p. 3

Negotiate Your Way to Professional Success at HCA Women’s Summit in Just Two Weeks!

A Special Message from HCA President Joanne Cunningham Negotiation is a tricky art that comes into play during just about any social or professional situation. All organizations need people who can understand or anticipate another party’s needs, their eagerness (or reluctance) to strike a deal, and the balance See NEGOTIATE p. 2

INSIDE MLTCs Receive FLSA Funds for Pass-through to Providers…....................…1 Negotiate Your Way to Professional Success at HCA Women’s Summit…...1 Home Care Provider Selections Made for 2015-16 QIVAPP Funding .....……3 MLTC Update……....................................................................................4 Updated Contact Information Required for HCS....................................…6 HCA PR Highlights Sepsis Tool and Other Home Care Partnerships….........6 Worker’s Compensation Address Change….............................................7 Member Hiring Announcements.............................................................8

HCA Meets DOH on Uniform Billing Codes for Managed Care...........................9 CMS Issues FY 2017 Medicaid Hospice Payment Rates....................................9 Registration Open for HCA Compliance Symposium: Oct. 6...............................10 Final Rule Issued on Methods of Wage Payments….......................................11 CMS Finalizes Rule on Emergency Preparedness Requirements...................11 2016 State Consumer Guide to Health Insurers Issued…..............................13 CMS Reopens Funding to Address Health-related Social Needs.....................13 Resources.......................................................................................................14

The Situation Report: the Home Care Association of New York State NEGOTIATE from p. 1 between competing value-propositions. You simply cannot succeed in the health care leadership arena without being a skillful negotiator.

Every day in health care we negotiate legislation, vendor contracts, payment and purchasing agreements, humanresource decisions, grants, and a whole lot more.

Accountable Care Organizations, DSRIP, managed care, valuebased payment ... these are all arenas where negotiation skills are a prerequisite in which women leaders, especially, need to focus and apply their unique perspectives and talents.

Bethany Gilboard, a speaker at our upcoming Women in Healthcare Leadership Summit, on September 28-29, knows this as well as anyone. She’s the CEO of a Medicare sharedsavings ACO. She’s also CEO of a performing provider system in New York’s DSRIP program. She’s been in the negotiation room when it comes to some of the biggest driving forces of change in our health care system, and she’ll be drawing from this proven track record in her HCA Summit presentation on “Reaching the Heights of Personal and Professional Success: Strategies and Negotiating Tips.”

Our Summit is just two weeks away. Have you registered yet? We’ve sent recent alerts about many of the other incredible speakers in our lineup who will offer you concrete skills, and we have several other top-tier women leaders on our schedule who we’ll be introducing over the next several days as the conference draws closer.

Please reserve your seat today or encourage a woman colleague to do so, as this conference not only supports women leaders in their professional aims, but it also provides a focused venue of skill-building that benefits your organization as a whole.

Register for the conference online: https://www.eventville.com/Catalog/ EventRegistration1.asp?EventId=1011975 Download our brochure: http://hca-nys.org/wp-content/uploads/2016/07/HCAWomen-in-Healthcare-Leadership-Summit-Brochure.pdf 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

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Volume 1, No. 1 September 12, 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

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Volume 1, No. 1 September 12, 2016 

FLSA from p. 1 MLTCs are expected to pass through the federal amount to their home care providers in the same amounts as they did with the state share.

We expect that members will encounter similar issues in the distribution of the federal-share funds which they met with the state-share funds, including varied amounts from different plans; difficulty in learning how the amounts were computed; receipt of funding at different times by different plans; lack of any mechanism to contest the amounts; and more.

Despite forceful HCA objections, DOH has decided it will not require that any additional funds built into managed care plan rates be passed-through to home care agencies to meet the FLSA requirements after March 31, 2016, and any new funding for home care providers will be up to negotiation with their managed care contractors. HCA is pressing for continuation of rates and MLTC pass-through provisions that cover the ongoing home care obligation of FLSA. We have also advocated legislation to ensure funding adequacy of all home care and MLTC cost obligations that are not currently reflected in the rates – legislation we will continue to push in the upcoming state legislative session.

FLSA Survey DOH has informed HCA that it had received about 300 completed surveys designed to ascertain the actual costs faced by home care agencies in complying with the FLSA changes.

These related to: overtime pay; travel expenses; 24-hour, live-in cases; and other ongoing expenses.

DOH’s contractor, Mercer, will be examining the survey results to determine if DOH has accurately incorporated these costs into the MLTC plans’ premiums.

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

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Late last week, HCA held our Senior and Financial Managers Retreat at the Mohonk Mountain House in New Paltz. The Retreat, one of our signature annual events, included updates and insights on a range of payment, regulatory, workforce and legal issues that affect each home care agency’s bottom line. Above: Jason Ganns of KPMG, the state’s contractor on its Value Based Payment initiative, discusses the value-based model and its implications for home care.

Home Care Provider Selections Made for 2015-16 QIVAPP Funding The state Department of Health (DOH) has selected those home care providers who are eligible for funding under the Quality Incentive Vital Access Provider Pool (QIVAPP) program for the period of April 1, 2015 to March 31, 2016.

DOH last week requested that the MLTC plans provide the number of hours each of their eligible contracted home care providers delivered for this time period which will then be used to calculate how much QIVAPP money each home care provider will be eligible to receive from their MLTC plan(s).

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Continued from previous page The plans were given until September 23 to provide this information on an attestation form that also attests to their paying at least $18.50 per hour for this time period. Once DOH obtains this information, it will then determine funding for each eligible home care provider and will next have to issue payments to the MLTC plans which are expected to pass these monies through to their eligible contractors.

As detailed in previous editions of our ASAP newsletter (now The Situation Report), the state decided that QIVAPP for this time period would be given to those agencies found eligible for the 2014-15 period and for any other agency found eligible after submitting documentation to IPRO demonstrating their eligibility.

The list of those eligible for the 2015-16 funding includes five additional agencies that did not receive funding for the prior period.

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

MLTC Updates on Community First Choice Roll-out and Enrollment Numbers At this week’s state Department of Health (DOH) Managed Care Policy and Planning meeting, DOH announced a change in the effective date of the new Community First Choice Option (CFCO).

The state plans to add CFCO services to the Medicaid managed care and MLTC benefit packages on January 1, 2017 (December 1 was the prior date).

As reported to members in numerous stories, CFCO provides enhanced federal Medicaid funding to expand and enhance personal attendant services and supports into the Medicaid State Plan for eligible individuals who need help with everyday activities due to a physical, developmental or behavioral disability. The focus is on person-centered, individually directed services that help recipients to maximize their independence and participation in community settings.

The CFCO services, some of which were only available in waiver programs but are now part of state plan services, include: Assistive Technology; Community Habilitation; Community Transitional Services; Durable Medical Equipment/Medical Supplies; Environmental Modification; Home Delivered/Congregate Meals; Home Health Care; Homemaker/Housekeeper; Personal Care/Consumer Directed Personal Assistance Program; Personal Emergency Response System; Vehicle Modification; Transportation; Supervision and Cueing; voluntary training course for individuals on how to manage their home care workers; transition expenses to help an individual move from an institutional setting to a community-based setting; and others.

Non-Emergency Transportation (currently provided in MLTC and as fee-for-service within Medicaid managed care) will be expanded under CFCO to include social transportation to and from social gatherings in the community, as appropriately authorized in the consumer’s person-centered plan of care.

Access to these new services and enhanced benefits is limited to consumers who meet each of the following criteria: 

Eligible for Medicaid; Continued on next page

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Continued from previous page 

Require an institutional level of care as determined using the state’s designated assessment tool, currently the Uniform Assessment System (UAS); and

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Live safely in their own residence or that of a family member.

The service delivery model options under CFCO include the traditional agency model and the “agency with choice” model similar to consumer directed services.

During this month, the state will: 

Provide a policy paper for plans, including billing guidelines and service authorization criteria.

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Provide plans with a list of providers to allow them to begin contracting.

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Provide plans with an insert for the member handbook regarding CFCO services.

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Develop a template letter for plans to distribute to members announcing Medicaid coverage of CFCO services.

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Continue to work with the state’s enrollment broker, New York Medicaid Choice, to ensure readiness to educate consumers on CFCO services and enrollment options.

In October, the state will hold a webinar to provide information on best practices for implementation of CFCO services and supports.

In November, DOH will provide guidance and work with plans to ensure their ability to explain and deliver services, including service authorization criteria, a handbook, educational materials, policies and procedures, and establishment of network providers.

Some other highlights of this week’s meeting include: 

MLTC enrollment (as of August, or September, in the case of FIDA) includes: 176,516 for all MLTC plans; 159,575 for partial capitated plans; 6,055 in Medicaid Advantage plans; 5,524 in Programs of All-Inclusive Care for the Elderly (PACE); 5,090 in Fully Integrated Duals Advantage (FIDA) plans; and 272 in a FIDA plan for individuals with intellectual and developmental disabilities (FIDA-IDD).



DOH has launched a multimedia campaign for FIDA; the primary target audience for the campaign includes providers in the areas with the highest potential for enrollment growth. Potential participants, members of their care team (family and friends) and their community are the secondary target audience. The campaign will run until mid-January 2017.

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There will be stakeholder webinar on FIDA Advertising and Outreach on September 16, from 2 to 3 p.m. Contact fida@health.ny.gov for registration.

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Volume 1, No. 1 September 12, 2016 

A meeting of the Nursing Home Transition Diversion/Traumatic Brain Injury Waiver Transition plan will be held on September 14, at 1 p.m. The draft transition plan for enrollment of individuals in these waiver programs into managed care is at https://www.health.ny.gov/health_care/medicaid/ redesign/mrt90/tbi-nhtd_waiver_trans_ingo.htm.

Updated Contact Information Required for HCS The state Department of Health (DOH) has issued a Dear Administrator Letter (DAL) that requests providers to review and update their business and emergency contact information on the Health Commerce System (HCS) by October 7.

This contact information is vital as DOH depends on it to send critical communications to health care providers via the following two tools on its HCS: the Integrated Health Alerting and Notification System (IHANS), and the Communications Directory.

DOH has determined that it needs to improve the quality and completeness of contact information in the Communications Directory for Chief Executive Officers, Administrators and Operators.

In the near future, DOH will be taking several steps for maintenance of this contact information. First, an upcoming function on the HCS will require users to update or attest to the accuracy of their business and emergency contact information as it is listed in the Directory upon login to the HCS every three months.

Additional efforts will include streamlining the number of “roles” that a facility/agency must maintain in the Directory. Roles are key positional titles or responsibilities of users that allow the targeting of essential communications to the appropriate staff person(s) at each facility/agency. Roles also provide access to specific HCS applications used by facilities/agencies.

DOH will also conduct drills during business hours to confirm the accuracy and completeness of provider contact information.

The DAL, available on the HCS (https://commerce.health.state.ny.us/public/hcs_login.html), also includes brief instructions on how to update personal contact information on the HCS.

HCA PR Highlights Sepsis Screening Tool and Other Home Care Partnerships In recognition of Sepsis Awareness Month, and given recent alarms from the U.S. Centers for Disease Control and Prevention (CDC), HCA sent out a press release this past week about the home care role in sepsis prevention, including our work on a new sepsis screening tool for home care nurses.

As reported to you in our last newsletter, HCA and partners from IPRO were recently interviewed by iHeart radio, which is running a local segment about the sepsis issue and home care on several capital district radio news stations later in the month. Our subsequent press release – with quotes from IPRO, Sepsis

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

Alliance and others – got picked up by Crain’s Health Pulse this week, and several other news outlets have expressed interest as we continue to push for coverage of this vital issue.

“Home care providers in New York State have routine, often daily interactions with 400,000 patients per year, many of them very sick, chronically ill or frail elderly,” said HCA Executive Vice President Al Cardillo in the press release.

“These patients are receiving follow-up care after delivering babies or after hospital surgery, or have conditions susceptible to infection, regardless of whether they’ve entered a hospital or not. Home care’s routine patient interaction makes in-home nurses a powerful force in combatting the sepsis health care crisis – a crisis that presents itself at home or in community settings even more regularly than in hospitals, even though most of the focus on sepsisprevention has been directed at hospital care.”

Recognizing the power of home care providers to deliver interventions for this major public health threat, HCA partnered with quality improvement experts at IPRO, Sepsis Alliance, doctors, home care providers, and others to develop, pilot and support a screening tool and provider protocol that home care clinicians can use to identify the risk of sepsis, treat infections at home if appropriate, and refer patients for higher-level hospital care if certain risk criteria are presented that require immediate action. HCA is working closely with IPRO and Sepsis Alliance to present this new tool and protocol, and provide guidance and training to launch it on a statewide, voluntary basis for home care clinicians sometime in late September.

Members can read the full press release on our website at http://hca-nys.org/press-releases/ascdc-raises-alarms-on-deadly-sepsis-crisis-homecare-takes-action-with-new-screening-toolpartnerships. We will continue to keep you updated about our PR efforts throughout Sepsis Awareness Month.

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Volume 1, No. 1 September 12, 2016 

Worker’s Compensation Address Change HCA to hold Bootcamp on Worker’s Compensation The Worker’s Compensation Board has announced a change in the address to which the original Notice of Appeal should be delivered.

The original Notice of Appeal should be served upon the Board’s Office of the Secretary, in-person or by mail, at the following address: Office of the Secretary NYS Workers’ Compensation Board 328 State Street Schenectady, NY 12305 Service of the original Notice of Appeal with proof of service at any other address will not be accepted. Service of additional copies of the Notice of Appeal on other offices of the Board will not be accepted, except for service on the Uninsured Employers Fund, Special Disability Fund, or the Reopened Case Fund when such Fund is a party to the case.

Any questions or inquiries regarding this policy should be directed to the Office of the Secretary at (518) 4026070.

Worker’s Compensation Bootcamp Program HCA reminds members that we are holding a Bootcamp program where you will learn ways to save money on the skyrocketing costs of Worker’s Compensation and how to establish effective risk management strategies.

The program, “Addressing Factors that Increase Worker’s Compensation Costs and Developing Ways that Home Care Providers Can Reduce Their Expenses,” will be held in New York City on September 28 from 9:30 a.m. to noon.

Registration is at http://hca-nys.org/wp-content/ uploads/2016/06/Sept-28-Survival-Bootcamp-WorkComp-Costs-and-Expense-Reduction.pdf.

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Essex County Dept. of Public Health’s Certified Home Health Agency (CHHA) HIRING: DIRECTOR OF PATIENT SERVICES

HIRING

Essex County Nursing Services, Elizabethtown, New York, located in the heart of the Adirondacks is seeking an experienced individual who has the will and determination to successfully lead the agency in today’s home health care environment.

This position involves planning, organizing, directing, coordinating and evaluating patient care services provided by the certified home health agency. The Director of Patient Services is responsible for the professional and financial operations of the agency; and provides and ensures that quality improvement is the main focus of the agency.

MINIMUM QUALIFICATIONS: A Masters or Baccalaureate Degree in Nursing from an approved program, or from a non-approved program supplemented by content which can be equated to an approved program, and either: A) Two years of experience in a management level position in a certified home health agency; or B) A combination of education and experience which is deemed equivalent to the experience requirement as specified in (a) by the State Office of Health Systems Management.

BENEFITS: Excellent county/government benefits including New York State Retirement System. Great team of professionals to work with.

Candidates must possess a limited permit to practice or licensure and current registration to practice as a Registered Professional Nurse in New York State at the time of appointment.

Qualified candidates will be subject to a civil service examination to be announced at a later date.

Applications will be accepted until the announced closing date for the examination.

Please go to www.co.essex.ny.us/job.asp to complete an application and to view a complete job description.

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.

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Volume 1, No. 1 September 12, 2016 

HCA Meets DOH on Uniform Billing Codes for Managed Care On September 2, HCA and other provider associations met with the state Department of Health (DOH) to finalize the implementation of uniform billing codes for home and community-based services under Medicaid managed care.

Over the past year and a half, HCA and other provider associations have devoted many hours to developing sample codes. We have shared them with the managed care plans and DOH, working to come to an agreement with plans on the codes. The plans reviewed the most recent version of sample codes and had some suggested changes.

DOH intends to complete the uniform codes and send them to managed care plans this week. Plans will have until December 31, 2016 to implement them. HCA will inform members when DOH develops guidance.

The uniform billing requirement, along with a requirement that plans pay electronic claims from providers via electronic funds transfer, were both part of the 2014-15 state budget. These measures were sought by HCA to help home care agencies and their managed care contractors by simplifying billing procedures and facilitating timely payments for agencies.

For more information, contact the HCA Policy staff.

CMS Issues FY 2017 Medicaid Hospice Payment Rates The U.S. Centers for Medicare and Medicaid Services (CMS) CHIP Services Financial Management Group has recently issued a memorandum to Associate Regional Administrators in the Division of Medicaid regarding the minimum Medicaid Hospice payment rates that will be effective for Fiscal Year (FY) 2017.

By law, Medicaid fee-for-service hospice payments are calculated using Medicare rates for the applicable time period, although there are minor differences in the payment rates.

As under Medicare, Medicaid hospices should be paid at one of two Routine Home Care (RHC) rates depending on where the day of care falls in the patient’s episode of care (days 1 to 60 and day 61 or later). The regulation also directs Medicaid to provide payment for the Service Intensity Add-on (SIA) for up to four hours in each of the final seven days of life at the Continuous Home Care (CHC) hourly rate of $40.21 if the required conditions are met.

However, the state Department of Health (DOH) has yet to make this Medicaid payment adjustment for hospice providers in New York. HCA has regularly asked the Department for an update on this issue and will continue our advocacy on making sure DOH makes this adjustment.

The following table provides a comparison of the Medicare and Medicaid rates that will be applicable to hospice services during FY 2017.

FY 2017 Hospice Payment Rates Code / Description

Final FY 2017 Medicare Rate

FY 2017 Medicaid Rate

651 / Routine Home Care Days 1Ǧ60 651 / Routine Home Care Days 61+

$190.55 $149.82

$190.80 $150.01

652 Continuous Home Care (hourly is SIA Rate)

$964.63 ($40.19 hourly)

$965.01 ($40.21 hourly)

655 / Inpatient Respite 656 / General Inpatient Care

$170.97 $734.94

$179.97 $734.94

Note: Hospices failing to meet quality reporting requirements will be paid 98% of these rates.

For further information, contact Patrick Conole at (518) 810-0661 or pconole@hcanys.org.

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Volume 1, No. 1 September 12, 2016 ď Žď€

Registration Open for Must-Attend HCA Compliance Symposium: Oct. 6 Registration is now open for HCA's annual Corporate Compliance Symposium, on October 6 in Albany, a must-attend event that includes presentations from national and state compliance experts helping you to sharpen your knowledge and strategies for identifying risks, addressing them, and developing an ironclad compliance program.

Few other organizational priorities require the substantial level of knowledge and action-plan development that comes with the job of compliance manager, a role that runs throughout the work activities of your entire organization.

HCA's Corporate Compliance program is a must-attend, highly anticipated annual event which brings together the top state and federal regulators (like Medicaid Inspector General Dennis Rosen and staff from the federal Office of the Inspector General), legal experts and organizational compliance consultants. These experts will keep your team up to date on: new requirements, changes in laws and regulations, tools, resources and best-practices 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 access to top state and federal government auditors and experts so that your team has the understanding to ensure your compliance program is functioning at the highest level.

If you plan on staying over the night before the conference, please note that the deadline for HCA's room-block at the conference site, the Renaissance Albany Hotel, is September 19.

All details and a full agenda are included in the brochure at the back of this week’s newsletter or on our education and events page at http://hca-nys.org/events-education/upcoming-events.

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Final Rule Issued on Methods of Wage Payments The state Labor Department has issued a final rule that provides clarification and specification as to the permissible methods of payment of wages, including payroll debit cards.

The final rule is at http://docs.dos.ny.gov/info/register/2016/sept7/pdf/rulemaking.pdf (page 8).

The rule covers wage payments by cash, check, direct deposit or payroll debit card. Under the rule, an employer who uses methods of payments other than cash or check shall provide employees with a written notice that identifies the following: 

A plain language description of all of the employee’s options for receiving wages;

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A statement that the employer may not require the employee to accept wages by payroll debit card or by direct deposit;

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A statement that the employee may not be charged any fees for services that are necessary for the employee to access his or her wages in full; and

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If offering employees the option of receiving payment via payroll debit card, a list of locations where employees can access and withdraw wages at no charge to the employees within reasonable proximity to their place of residence or place of work.

Furthermore, an employer who offers one or more method(s) of payment of wages that require(s) consent shall obtain such consent in writing and shall ensure that: 

It obtains the employee’s informed consent without intimidation, coercion, or fear of adverse action by the employer for refusal to accept payment of wage by direct deposit or payroll debit card; and

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Does not make payment of wage by direct deposit or payroll debit card a condition of hire or of continued employment.

The state Labor Department intends to prepare templates that contain all of the information necessary for compliance with the rule’s notice and consent requirements.

CMS Finalizes Rule Implementing Emergency Preparedness Requirements for Health Care Providers The U.S. Centers for Medicare and Medicaid Services (CMS) has finalized a rule establishing emergency preparedness requirements for health care providers participating in Medicare and Medicaid.

An advance copy of the final rule is at https://s3.amazonaws.com/public-inspection.federalregister.gov/2016-21404.pdf.

The new requirements will require certain participating providers and suppliers to plan for disasters and coordinate with government emergency preparedness systems to ensure that facilities are adequately

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prepared to meet the needs of their patients during disasters and emergency situations. CMS said the rule is necessary because it found that regulatory requirements were not comprehensive enough to address the complexities of emergency preparedness.

New York State already maintains rigorous emergency preparedness requirements for home care, and HCA has been involved in several public policy efforts related to home care emergency preparedness planning.

The state’s surveillance activities include reporting and communications requirements through the Health Commerce System and other infrastructures, as well as the maintenance of provider-developed emergency preparedness plans, which are tested as part of routine drills and desk-audits.

On a proactive level, HCA has been working with state and local emergency management systems, including regional Health Emergency Preparedness Coalitions, to raise awareness of home care’s role in preparedness and response. This effort has included several HCA-developed regional sessions – which already began in the Western New York region and will be rolled-out statewide – in which HCA and the New York State Association of Health Care Providers (HCP) have invited local emergency planning entities and home care agencies for shared understanding of system roles.

Also, as extensively covered in recent editions of our newsletter, we have been pressing for the Governor’s signature on an HCA-developed bill that would grant essential-personnel status for home care and hospice providers during emergencies – so staff can reach patients during curfews and other emergency-prompted travel restrictions – and the bill would also incorporate home care and hospice into local emergency management decision-making. The bill, passed by both houses of the Legislature, has been recast from prior iterations to address past interpretation issues that had led to the Governor’s veto of earlier versions of the bill.

It is unclear how the new CMS rule would intersect with the already robust health care emergency preparedness requirements in New York State, and HCA will be analyzing the final rule further to determine how the various elements of the CMS requirements will impact or overlap with state requirements already in effect.

The CMS rule seeks to address four elements aimed at improving communication for coordination purposes, contingency planning, and training of personnel. These four elements are described below: 

Emergency plan: Based on a risk assessment, providers are to develop an emergency plan using an all-hazards approach focusing on capacities and capabilities that are critical to preparedness for a full spectrum of emergencies or disasters specific to the location of a provider or supplier.

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Policies and procedures: Development and implementation of policies and procedures based on the plan and risk assessment.

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Communication plan: Development and maintenance of a communication plan that complies with both federal and state laws. Patient care must be well-coordinated within the facility, across health care providers, and with state and local public health departments and emergency systems.

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Continued from previous page 

Training and testing program: Development of training and testing programs, including initial and annual trainings, as well as drills and exercises or participation in an actual incident that tests the plan.

These standards are adjusted to reflect the characteristics of each type of provider and supplier. For example, CMS says, outpatient providers and suppliers will not be required to have policies and procedures for provision of subsistence needs. Hospitals, Critical Access Hospitals, and Long Term Care facilities will be required to install and maintain emergency and standby power systems based on their emergency plan.

HCA will review the rule carefully to determine its effect on home care providers, including any new mandates, requirements or planning activities.

These regulations are effective 60 days after publication in the Federal Register (September 16). Health care providers and suppliers affected by this rule must comply and implement all regulations one year after the effective date.

2016 State Consumer Guide to Health Insurers Issued Last week, the state Department of Financial Services released the 2016 New York State Consumer Guide to Health Insurers. See: http://www.dfs.ny.gov/consumer/health/cg_health_2016.pdf.

This guide includes a ranking of managed care plans and health insurance companies based on complaints (prompt payment, reimbursement, coverage, benefits, rates and premiums), statistics and enrollee satisfaction surveys. Also included is information on the number of successful appeals to external review agents.

The annual guide is designed to inform consumers of the health insurance products offered in New York and help them choose a health insurance company based on quality of care and service.

CMS Reopens Funding for Applicants to Address Health-related Social Needs Newly reopened funding opportunity includes changes that allow for broader participation The U.S. Centers for Medicare and Medicaid Services (CMS) has renewed its funding opportunity announcement for Track 1 of the Accountable Health Communities (AHC) model, which seeks to address health-related social needs in the community.

The original funding announcement, in January, requested applications for three different scalable tracks.

CMS has decided to make modifications to the Track 1 application requirements to permit a broader set of applicants. These changes include: 1) reducing the number of beneficiaries that applicants are required to screen (from 75,000 to 53,000) and; 2) increasing the maximum funding award per recipient (from $1 million to $1.17 million over five years).

Applications are due November 3. They are accepted from community-based organizations, health care practices, hospitals and health systems, institutions of higher education, local government entities and others “with the capacity to develop and maintain relationships with clinical delivery sites and community

13

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

Volume 1, No. 1 September 12, 2016 

service providers.” Previous applicants for Tracks 1, 2 or 3 are eligible. Previous Track 1 applicants must reapply through the new funding announcement.

This is the first CMS model, through CMS’s Center for Medicare and Medicaid Innovation, to focus on the health-related social needs of Medicare and Medicaid beneficiaries, such as housing instability, hunger, and interpersonal violence which affect individuals’ health; yet these social issues are rarely, if ever, detected or addressed during typical health care-related visits.

Track 1 will support bridge organizations that are working to increase a patient’s awareness of available community services through screening, information dissemination, and referral. It seeks to meet beneficiaries’ health-related social needs in cases where a lack of universal screening or clinical delivery sites exists, as well as a lack of awareness among patients about existing community service providers that could address those needs. Track 1 award recipients will partner with the state Medicaid agency, community service providers and clinical delivery sites to implement the model.

Applications can be sent at www.grants.gov. Questions about the AHC Model can be sent to AccountableHealthCommunities@cms.hhs.gov. For more information about the AHC Model, please visit https://innovation.cms.gov/initiatives/ahcm.

Resources

14



“Who Will Make Decisions About Your Health Care When You Lack Capacity to Do So?,” by the New York Legal Assistance Group http://www.wnylc.com/health/entry/131/



“Medicaid Consumer Directed Personal Assistance Program (CDPAP) in New York State,” by the New York Legal Assistance Group http://www.wnylc.com/health/entry/40/

HCA Introduces‌

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:

_______________________ _______________________ _______________________ _______________________ _______________________ _______________________ _______________________

Register online at www.eventville.com/hcanys or FAX completed form to HCA at (518) 426-8788

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

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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