I can always ask Maria King at MDH. She forwarded all of the issues we covered yesterday to MDH staff that are working on the waiver exemptions they’ll be sending to CMS.
Kathy Messerli
Executive Director | Minnesota HomeCare Association
2550 University Ave. W., Ste. 350 S | St. Paul, MN 55114-1900
Direct: 651.635.0038 | Main: 651.635.0607
Toll-free: 866.607.0607 | Fax: 651.635.0043
www.mnhomecare.org |
kmesserli@mnhomecare.org
Mission: MHCA represents and supports Minnesota home care providers committed to high quality
home care services.
Vision: MHCA will shape the home care landscape to improve and sustain quality home care services.
From: mhcabod@list.mnhomecare.org <mhcabod@list.mnhomecare.org>
On Behalf Of Goldade, Joelle
Sent: Friday, March 20, 2020 12:05 PM
To: mhcabod@list.mnhomecare.org
Subject: RE: Member Business Meeting
I agree, impressive Kristy! My question would be – is there a direct connect to person/website to find out which waivers have been submitted already?
- State Dept of Health Submitting requests – do individuals also need to submit waiver individual requests?
- No – if states are submitting, there is not an additional need for individuals to do so. CMS will consider whether this waiver should be extended to the rest of the country.
Joelle Goldade RN, BSN, CHPN, COS-C, HCS-D
Director of Clinical Operations
CHI Health at Home – Home Health and Hospice
4816 Amber Valley Parkway
Fargo ND 58104
Cell (primary number): 701.640.6209 | Office: 701.237.8147 | F: 701.237.8188
joellegoldade@catholichealth.net
The information contained in this electronic mail communication and the accompanying pages and/or attachments is intended solely for the use of the addressee. Unauthorized use, disclosure,
distribution, or copying is strictly prohibited and may be unlawful. The information contained in this document is highly confidential and may be subject to legally enforceable privileges. If you have received this communication in error, please inform us
of the erroneous delivery by return e-mail, and delete all copies. Thank you for your cooperation.
From:
mhcabod@list.mnhomecare.org <mhcabod@list.mnhomecare.org>
On Behalf Of Judy M. Giel
Sent: Friday, March 20, 2020 11:40 AM
To: mhcabod@list.mnhomecare.org
Subject: Re: Member Business Meeting
CAUTION: This email is not from a CHI source. Only click links or open attachments you know are safe.
Please send as an attachment all spam/phishing and unusual emails to
spam@catholichealth.net.
Kristy,
Thank you for the very detailed notes. While the messages/information from the call may not be what we were hoping for, your notes are very helpful. Especially because a number of people couldn't
get on the call.
You are super helpful!
Judy Giel
Chief Clinical Officer
Pediatric Home Service
2800 Cleveland Ave N
Roseville, MN 55113
(P) (651) 604-5166
(F) (651) 638-0680
(Main) (651) 642-1825
www.pediatrichomeservice.com
'The happiness you bring to a patient and their family is immeasurable'
-Nick, PHS Nurse | Apply at
PHSCareers.com
From:
mhcabod@list.mnhomecare.org <mhcabod@list.mnhomecare.org> on behalf of Husen, Kristen <HusenK@centracare.com>
Sent: Friday, March 20, 2020 11:29 AM
To: mhcabod@list.mnhomecare.org <mhcabod@list.mnhomecare.org>
Subject: RE: Member Business Meeting
BEYOND disappointing. I took very diligent notes (see below) in hopes that I could type something super helpful and exciting. No such luck.
☹
NOTES:
- Recording will be posted on the CMS website over the weekend or early next week.
- Additional questions can be emailed to:
1135waiver@cms.hhs.gov
- Thank you for the work you are doing in the field…we appreciate your innovative ideas!
- Actions already taken:
- Specific guidance related to infection control practices and transfers to/from hospitals
- Relief related to OASIS transmission and MACs to extend auto-cancellation dates
- Allow providers working across state lines to work – waiving licensure requirements
- Telehealth waivers and provider enrollment waivers
CHECK BACK FREQUENTLY ON THE SITE FOR UPDATES
- Some blanket waivers for the country that don’t need special request…individual requests can be submitted to the email address above.
Q & A Portion:
- State Dept of Health Submitting requests – do individuals also need to submit waiver individual requests?
- No – if states are submitting, there is not an additional need for individuals to do so. CMS will consider whether this waiver should be extended to the rest of the country.
- Can we use telehealth for Medicare patients in HH and Hospice? Will there be any codes to utilize on the claim? Count as a visit to avoid LUPA?
- We (CMS) do not have an update on hospice telehealth at this time. We continue to look at what additional flexibilities we have, but at this time, not making additional waivers but we are looking
closely at this.
- We (CMS) can provide just one update – F2F encounter for home health to qualify is allowed to be a telehealth visit under the 1135 waiver. Requirement is that the F2f can be performed via “telehealth.”
- CMS has a number of existing requests for flexibility related to this. People are welcome to submit their own request as well – but they are still talking through what flexibility there is for allowing
telehealth to “count” or replace an in person visit.
- Dr. Victor Sandler follow up question related to the Hospice F2F requirement: Asking about whether we can anticipate the 1135 covering hospice F2F visits and would it be retroactive?
- Statute is very different between Home Health and Hospice. In home health there is verbiage in the statue that applies to telehealth…but this isn’t the situation in the hospice statues. So currently,
hospice F2F visits cannot be done via telehealth, but they are looking to see what their options might be.
- Dr. Sandler stressed that he feels that having physicians provide these visits goes against CDC recommendations. He also asked if hospices be “penalized” if we forego these visits?
- Response was basically that it remains to be seen but CMS is also aware of and considering safety concerns.
- Homebound status question:
- They are looking at their flexibility related to what information they can provide to HHA’s. HH must be certified by a physician and consistent with a POC. They know patients are finding themselves
in challenging situations and there is a potential need to provide services in the home. And yet, being homebound remains a requirement to qualify for home health services under the Medicare benefit.
- Supply conservation question – will there be changes to the requirements?
- We (CMS) are working daily with CDC to look at the guidelines and determine the best options.
- White house is looking to make more available.
- Recommend that we work with our local and state level leaders related to this.
From: mhcabod@list.mnhomecare.org <mhcabod@list.mnhomecare.org>
On Behalf Of Troumbly, Katie J
Sent: Friday, March 20, 2020 11:28 AM
To: mhcabod@list.mnhomecare.org
Subject: RE: Member Business Meeting
I agree – very disappointing. Kathy – thank you for following-up on the waiver. I would be surprised with CMS wasn’t being inodiated with homebound waiver requests from most states.
From:
mhcabod@list.mnhomecare.org <mhcabod@list.mnhomecare.org>
On Behalf Of Kathy Messerli
Sent: Friday, March 20, 2020 11:25 AM
To: mhcabod@list.mnhomecare.org
Subject: RE: Member Business Meeting
Sigh…..no new answers
☹ I will loop back to Maria King – she emailed me to see if I was on the call. I’ll ensure MDH is sending the requests to CMS and that MHCA doesn’t need to also do so (pertaining to the question from my colleague, Tracey).
Kathy Messerli
Executive Director | Minnesota HomeCare Association
2550 University Ave. W., Ste. 350 S | St. Paul, MN 55114-1900
Direct: 651.635.0038 | Main: 651.635.0607
Toll-free: 866.607.0607 | Fax: 651.635.0043
www.mnhomecare.org
| kmesserli@mnhomecare.org
Mission: MHCA represents and supports Minnesota home care providers committed to high quality home care services.
Vision: MHCA will shape the home care landscape to improve and sustain quality home care services.
From:
mhcabod@list.mnhomecare.org <mhcabod@list.mnhomecare.org>
On Behalf Of Goldade, Joelle
Sent: Friday, March 20, 2020 11:22 AM
To: mhcabod@list.mnhomecare.org
Subject: RE: Member Business Meeting
NOT at all what I was hoping for ---
Joelle Goldade RN, BSN, CHPN, COS-C, HCS-D
Director of Clinical Operations
CHI Health at Home – Home Health and Hospice
4816 Amber Valley Parkway
Fargo ND 58104
Cell (primary number): 701.640.6209 | Office: 701.237.8147 | F: 701.237.8188
joellegoldade@catholichealth.net
The information contained in this electronic mail communication and the accompanying pages and/or attachments is intended solely for the use of the addressee. Unauthorized use,
disclosure, distribution, or copying is strictly prohibited and may be unlawful. The information contained in this document is highly confidential and may be subject to legally enforceable privileges. If you have received this communication in error, please
inform us of the erroneous delivery by return e-mail, and delete all copies. Thank you for your cooperation.
From:
mhcabod@list.mnhomecare.org <mhcabod@list.mnhomecare.org>
On Behalf Of Troumbly, Katie J
Sent: Friday, March 20, 2020 11:21 AM
To: mhcabod@list.mnhomecare.org
Subject: RE: Member Business Meeting
CAUTION: This email is not from a CHI source. Only click links or open attachments you know are safe. Please send as an attachment all spam/phishing
and unusual emails to spam@catholichealth.net.
Did anyone think that call was helpful?!
From:
mhcabod@list.mnhomecare.org <mhcabod@list.mnhomecare.org>
On Behalf Of Judy M. Giel
Sent: Friday, March 20, 2020 10:52 AM
To: mhcabod@list.mnhomecare.org
Subject: Re: Member Business Meeting
I'm also on hold.
Judy Giel
Chief Clinical Officer
Pediatric Home Service
2800 Cleveland Ave N
Roseville, MN 55113
(P) (651) 604-5166
(F) (651) 638-0680
(Main) (651) 642-1825
www.pediatrichomeservice.com
'The happiness you bring to a patient and their family is immeasurable'
-Nick, PHS Nurse | Apply at
PHSCareers.com
From:
mhcabod@list.mnhomecare.org <mhcabod@list.mnhomecare.org>
on behalf of Kathy Messerli <kmesserli@mnhomecare.org>
Sent: Friday, March 20, 2020 10:50 AM
To: mhcabod@list.mnhomecare.org <mhcabod@list.mnhomecare.org>
Subject: RE: Member Business Meeting
I’m still on hold……hoping I’m ‘in.’ There will be a recording so will watch for that.
Kathy Messerli
Executive Director | Minnesota HomeCare Association
2550 University Ave. W., Ste. 350 S | St. Paul, MN 55114-1900
Direct: 651.635.0038 | Main: 651.635.0607
Toll-free: 866.607.0607 | Fax: 651.635.0043
www.mnhomecare.org
| kmesserli@mnhomecare.org
Mission: MHCA represents and supports Minnesota home care providers committed to high quality home care services.
Vision: MHCA will shape the home care landscape to improve and sustain quality home care services.
From:
mhcabod@list.mnhomecare.org <mhcabod@list.mnhomecare.org>
On Behalf Of Andrea Jung
Sent: Friday, March 20, 2020 10:48 AM
To: mhcabod@list.mnhomecare.org
Subject: RE: Member Business Meeting
I couldn’t get in for the call. Let me know if they send out a recording, etc thanks!
From:
mhcabod@list.mnhomecare.org <mhcabod@list.mnhomecare.org>
On Behalf Of Troumbly, Katie J
Sent: Friday, March 20, 2020 10:03 AM
To: mhcabod@list.mnhomecare.org
Subject: RE: Member Business Meeting
Thanks, Joelle! Please keep forwarding when you have an opportunity.
Happy Friday all!
Katie
From:
mhcabod@list.mnhomecare.org <mhcabod@list.mnhomecare.org>
On Behalf Of Goldade, Joelle
Sent: Friday, March 20, 2020 9:55 AM
To: mhcabod@list.mnhomecare.org
Subject: RE: Member Business Meeting
Agree and thanks! As just and FYI if you all didn’t read below this important call today:
Joelle Goldade RN, BSN, CHPN, COS-C, HCS-D
Director of Clinical Operations
CHI Health at Home – Home Health and Hospice
4816 Amber Valley Parkway
Fargo ND 58104
Cell (primary number): 701.640.6209 | Office: 701.237.8147 | F: 701.237.8188
joellegoldade@catholichealth.net
The information contained in this electronic mail communication and the accompanying pages and/or attachments is intended solely for the use of the addressee. Unauthorized use,
disclosure, distribution, or copying is strictly prohibited and may be unlawful. The information contained in this document is highly confidential and may be subject to legally enforceable privileges. If you have received this communication in error, please
inform us of the erroneous delivery by return e-mail, and delete all copies. Thank you for your cooperation.
From:
mhcabod@list.mnhomecare.org <mhcabod@list.mnhomecare.org>
On Behalf Of Kathy Messerli
Sent: Friday, March 20, 2020 9:24 AM
To: mhcabod@list.mnhomecare.org
Subject: RE: Member Business Meeting
CAUTION: This email is not from a CHI source. Only click links or open attachments you know are safe. Please send as an attachment all spam/phishing
and unusual emails to spam@catholichealth.net.
Thanks all – yes I agree that including Judy will be ideal! We’ll see what the protocol is for social distancing by then or perhaps we will do 2 separate videos.
Kathy Messerli
Executive Director | Minnesota HomeCare Association
2550 University Ave. W., Ste. 350 S | St. Paul, MN 55114-1900
Direct: 651.635.0038 | Main: 651.635.0607
Toll-free: 866.607.0607 | Fax: 651.635.0043
www.mnhomecare.org
| kmesserli@mnhomecare.org
Mission: MHCA represents and supports Minnesota home care providers committed to high quality home care services.
Vision: MHCA will shape the home care landscape to improve and sustain quality home care services.
From:
mhcabod@list.mnhomecare.org <mhcabod@list.mnhomecare.org>
On Behalf Of Kim Olson
Sent: Friday, March 20, 2020 9:15 AM
To: mhcabod@list.mnhomecare.org
Subject: Re: Member Business Meeting
It sounds like a good plan. I agree with Sue, Judy would be a strengthening asset.
Kim
On Thu, Mar 19, 2020 at 3:18 PM Kathy Messerli <kmesserli@mnhomecare.org> wrote:
As we are thinking through the ramifications of postponing the Annual Meeting, one thing we didn’t discuss during the meeting is the Annual Business Meeting. Members will need to vote on the Bylaws change and the Board positions. In order to help them understand why we are changing the Bylaws/dates, we’ll need to announce that the Annual Meeting is moving to fall. That was all going to happen at the Business Meeting in May.
Here’s the staff recommendation:
· Do a short video with a message from me (Judy could be included) – brief highlights, announce the conference change and the interim 18-month committee term, as well as the Nominations slate).
· Follow-up with a survey for the vote on board positions and Bylaws. Survey Monkey was used for our voting for years before we began voting at the meeting a couple years alo.
· This could be done in early May so voting is wrapped up by mid-May when we would have met.
Please respond with your acceptance (or not) of this plan by Friday. Thanks everyone!!
Be Well,
Kathy Messerli
Executive Director | Minnesota HomeCare Association
2550 University Ave. W., Ste. 350 S | St. Paul, MN 55114-1900
Direct: 651.635.0038 | Main: 651.635.0607
Toll-free: 866.607.0607 | Fax: 651.635.0043
www.mnhomecare.org | kmesserli@mnhomecare.org
Mission: MHCA represents and supports Minnesota home care providers committed to high quality home care services.
Vision: MHCA will shape the home care landscape to improve and sustain quality home care services.
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