Medicaid FQHC PPS Changes in Scope

April 15, 2020

Access the On-Demand Webinar Here.

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.

Target Audience

  • Health center management
  • Finance personnel

Learning Objectives

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
Course summary
Available credit: 
  • 1.00 Certificate of Attendance
Course opens: 
04/01/2020
Course expires: 
01/01/2022
Event starts: 
04/15/2020 - 1:00pm EDT
Event ends: 
04/15/2020 - 2:00pm EDT
Cost:
$150.00
Add to calendar: 

KATHY GHILADI

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]

Participants can earn up to 1.2 CPE credit in Specialized Knowledge and Applications upon completion of all course requirements.

ADDITIONAL INFORMATION

  • Prerequisites: None 
  • Target Audience: Health center management, Finance personnel
  • Advanced Preparation: None  
  • Program Level: All
  • Delivery Method: Group Internet Based
  • Attendance Requirements: In order to be awarded the full credit, you must respond to three (3) out of five (5) polling questions.

Feldesman Tucker Leifer Fidell LLP is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website www.nasbaregistry.org (formerly www.learningmarket.org).

Available Credit

  • 1.00 Certificate of Attendance

Price

Cost:
$150.00
Please login or register to take this course.

Access to the recorded version of this webinar is included in your purchase.

ACCESSING THE RECORDING

The recorded version of this webinar will be available within two (2) business days after the conclusion of the live event. You will have access to the recording for 180 days after the live webinar has concluded. Once posted to your account, you can view this webinar anytime on-demand during the access period identified in the Recorded Webinar Now Available email. For additional information on viewing and accessing webinars, view our full terms and conditions here.

PAYMENT POLICY

All registrations made the day of a live webinar must be completed using a credit card or PayPal. We do not accept check payments or purchase orders for live webinars on the day of the webinar. If you wish to pay by check, please register in enough time for your check to reach our office; we must receive your check before we grant access to the webinar. If we receive your check after the live webinar, we will grant you access to the recorded webinar. For the most current information, please visit our FAQ page.

REFUNDS/ CANCELLATIONS

For orders of live webinars, FTLF will issue a full refund for cancellations requested at least one week PRIOR to the live webinar. We do not provide refunds for no-shows; however, you may request access to the recorded version of the webinar. If you ordered the wrong webinar and need to transfer your registration to a different program, please Contact Us. View our full policy on refunds and cancellations on our FAQ page.

Required Hardware/Software

Google Chrome and Mozilla Firefox are the preferred browsers.