(Recorded Webinar) Medicaid FQHC PPS Changes in Scope
The Government’s response to COVID-19 has included a consideration of new approaches through Section 1135 waiver authority and additional funding through the recently enacted Coronavirus Aid, Relief, and Economic Security (“CARES”) Act. However, health centers should not lose sight of a more traditional way to update and adjust their Medicaid per visit rates under the prospective payment system (PPS) methodology.
That traditional mechanism is adjustment to Medicaid per visit rates to account for changes in scope. Federal law requires States to provide mechanisms to adjust FQHC per visit rates to reflect changes in the scope of services provided by FQHCs during the year in which those changes took place. To the extent the COVID-19 pandemic may have affected a health center’s cost experience and those changes have not been compensated through some other mechanism, it will become important for health centers to familiarize themselves with the Medicaid PPS change in scope process to ensure their cost experience is accurately reflected in their Medicaid per visit rates.
This webinar will cover the ins and outs of the Medicaid change in scope process under federal law and provide examples of common triggers to changes in scope as well as point out some common pitfalls.
- Health center management
- Finance personnel
After this webinar, you will be able to:
- Understand the federal Medicaid change in scope requirement and where it fits into the overall PPS rate calculation
- Identify common triggers for changes in scope of services with an emphasis of the types of changes that may have taken place as a result of the COVID-19 pandemic
- Articulate common risk areas and pitfalls with respect to how various States implement their change in scope methodology
Kathy is a Partner in Feldesman Tucker’s health law practice group. In the area of health law, Kathy’s practice focuses on government-sponsored health care programs such as Medicaid, CHIP, Medicare, and the Affordable Care Act, with an emphasis on payment/reimbursement and compliance related issues. Kathy also represents clients in government investigations and audits, litigation before federal and state courts, as well as in administrative appeals with the U.S. Department of Health and Human Services Departmental Appeals Board (DAB) and Provider Reimbursement Review Board (PRRB). She provides reimbursement counseling (including identification, reporting, and repayment of overpayments) with respect to Medicare, Medicaid, and private third-party payors. [Full Bio]
Certificates of Attendance: We verify attendance upon completion of a webinar (live or recorded version) and will only issue certificates in the name of the account holder enrolled in the course. If you need to document attendance for someone other than the account holder, we provide blank Certificates of Attendance for a supervisor to sign and certify that a different individual viewed the course.
Group Attendance: Due to the online nature of webinars, we cannot verify participation by more than one person. For groups, we provide an attendance record form and blank Certificates of Attendance to record attendance at a group viewing session and document each individual's participation. We recommend that a supervisor or colleague sign the certificate to certify attendance.
Read more about maintaining an attendance record in our FAQs.
- 1.00 Certificate of Attendance
Recorded webinars are available for 180 days after the date of purchase or date of the webinar. Once posted to your account, you can view this webinar anytime on-demand during the access period identified in your purchase confirmation. For additional information on viewing and accessing webinars, view our full terms and conditions here.
If you pay by credit card or PayPal, you will be able to access the recorded webinar immediately (unless the live webinar has not yet occurred). If you pay by check, we will grant access to the recording when we receive your check. You will receive a confirmation email once access is granted. FTLF reserves the right to suspend access to the webinar if payment is not received within 30 days. For more information on payments and registration, please visit our FAQ page.
No refunds will be provided for recorded webinars. FTLF can transfer a registration to someone else within your organization or, provided you have not already viewed the webinar, transfer the registration to another on-demand program. Where the registration fee for the new webinar is higher, you must also pay the difference between the original course and the new course registration fee at the time of transfer. Administrative fees may also apply. If your organization purchased a webinar under the account of a staff member who no longer works for your organization, please Contact Us. View our full policy on refunds and cancellations here.
Google Chrome and Mozilla Firefox are the preferred browsers.