Fiscal and Operations Group
Optional Health Center Tour/Networking Dinner:
Wednesday, February 20, 2019
Access Community Health Center-William T. Evjue Clinic
3434 East Washington Avenue, Madison, 53704
Winter Face-to-Face Meeting
Thursday, February 21, 2019
5202 Eastpark Blvd, Suite 109, Madison, 53718
Overall Meeting Objectives:
- Leverage the collective knowledge of the group to accelerate Health Center work related to improving the quality of Health Center fiscal and operations
- Strengthen relationships/networks among Health Center staff
- Gain strategic ideas and tactical skills to use on the job
9:00-10:15 Welcome, Introductions, State, HRSA & Federal Policy Updates
This is a standing agenda item that supports WPHCA and CHC intelligence sharing about state and federal reimbursement, funding, and the policy environment that have potential implications for CHCs. Topics for sharing often include:
- Recently released PINs/PALs
- HRSA announcements and/or intelligence regarding operational site visits
- Other state and federal regulatory changes and/or initiatives
- Financial considerations when submitting a New Access Point grant proposal
10:30-11:30 Medicaid PPS, Change In Scope, Updates & Intelligence Sharing
This session will provide participants with an opportunity to connect on discussion topics that range from new processes that Health Centers have put in place to manage Medicaid reimbursement post-PPS implementation, long-term
Key Discussion Questions:
- What are Health Centers doing to manage Medicaid claims? What are you thinking about-TPAs, internal review processes, and/or other special handling?
- How are Health Centers thinking differently and managing their finances differently with life under PPS? Particularly, rate adjustments incrementally vs. cost? What reporting, and projections are you monitoring? How are you educating staff about the differences?
- What are Health Centers learning about/hearing from Medicaid regarding Medicaid encounter reconciliation processes, change in scope and other implications related to the PPS transition?
- What actions have Health Centers taken since our last FOG discussion, to better understand what was included in the 2015/16 rate setting process?
- What are strategic decisions are Health Centers making to shift to PPS reimbursement model?
11:30-12:15 Behavioral Health & Substance Use Disorder Treatment Services Expansion
Many Health Centers have been working to expand behavioral health and substance use disorder (SUD) treatment services after receiving new HRSA funding. While some Health Centers have long established services and/or referral sources to meet patient needs, others are surveying their communities to identify how best to meet patient and community needs and expand services to meet those needs. At the same time, SUD service expansion presents Health Centers an opportunity to demonstrate value to patients, partners, and funders.
- What behavioral health and SUD services/providers/models are your Health Centers focusing on implementing and/or expanding (e.g. SBIRT/universal screening, integrated behavioral health, CSAC certified providers, addictionologists, care coordination, recovery coaches)?
- How are you structuring the new/expanded services to assure financial sustainability over time?
- What lessons learned have you experienced? Successes? Barriers?
- How are you documenting ROI? To partners? To Funders?
1:00-2:30 Finance & Operations Speed Dating
WPHCA’s FOG has a cohort of longstanding members within its membership who have a wealth of financial knowledge, operational insight and experience. Over the past year, several new Finance leaders have come onboard and will be joining our FOG meeting for the first or second time. This session will be designed to facilitate candid conversations between members.
2:30-3:00 Health Insurance Work Group & Next Steps, Evaluation, & Wrap Up