In July, the Pennsylvania Department of Human Service (DHS) implemented revisions to Appendix R, Encounter Data Submissions Requirements and Accompanying Sanctions for Noncompliance. The focus of Appendix R is two-fold: DHS is interested in both the timeliness (more…)
In July, the CMS Medicaid and CHIP Managed Care Final Rule went into effect. Included in the rule is a provision that allows states to cover inpatient treatment for adults in an Institution for Mental Diseases (IMD). Previously, these services were totally excluded from federal matching funds. (more…)
October is National Cyber Security Awareness Month (NCSAM). This campaign, an initiative of the U.S. Department of Homeland Security, is focused on raising awareness about cyber security, and providing tools and resources to help everyone stay safe online. (more…)
NOTE: On November 6th, DHS announced it would delay the implementation of Phases 2 and 3 of the Community Health Choices program. Phase 1 will still begin as planned in 14 Southwestern Pennsylvania counties on January 1st. However, Phase 2 will now begin January 1, 2019 instead of July 1, 2018, and Phase 3 on January 1, 2020 instead of January 1, 2019.
This year has seen its share of hospital system mergers, acquisitions and joint ventures. Earlier this month, Pittsburgh-based University of Pittsburgh Medical Center (UPMC) announced that it has reached an agreement, pending regulatory approval, to acquire Pinnacle Health System of Harrisburg. (more…)
Pennsylvania has the dubious distinction of leading the country in health care data breaches for the first half of 2017, with two of the five largest breaches occurring in our state. These two breaches have affected about 400,000 people. (more…)
The Pennsylvania Department of Human Service (DHS) has implemented its planned revisions to encounter data submissions requirements and accompanying sanctions for non-compliance. These revisions are contained in a HealthChoices Behavioral Health (HC BH) Amendment dated July 1, 2017 and distributed as an updated Appendix R. (more…)