Shortage Designations Terri Lang, Project Coordinator UND Center for Rural Health October 12, 2011.
-
Upload
doris-shepherd -
Category
Documents
-
view
213 -
download
0
Transcript of Shortage Designations Terri Lang, Project Coordinator UND Center for Rural Health October 12, 2011.
![Page 1: Shortage Designations Terri Lang, Project Coordinator UND Center for Rural Health October 12, 2011.](https://reader030.fdocuments.us/reader030/viewer/2022032805/56649ef75503460f94c0ad05/html5/thumbnails/1.jpg)
Shortage Designations
Terri Lang, Project Coordinator
UND Center for Rural Health
October 12, 2011
![Page 2: Shortage Designations Terri Lang, Project Coordinator UND Center for Rural Health October 12, 2011.](https://reader030.fdocuments.us/reader030/viewer/2022032805/56649ef75503460f94c0ad05/html5/thumbnails/2.jpg)
Shortage Designations• HPSA
Health Professional Shortage Area• MUA/P
Medically Underserved Area/Population
• What are they:A way to identify areas of greatest
health needs so limited resources can be prioritized and given to those most in need of primary health services
![Page 3: Shortage Designations Terri Lang, Project Coordinator UND Center for Rural Health October 12, 2011.](https://reader030.fdocuments.us/reader030/viewer/2022032805/56649ef75503460f94c0ad05/html5/thumbnails/3.jpg)
Legislation
• Original legislation enacted by Congress in 1970s, Sections 330 MUA/MUP and 332 (HPSA) of Public Health Service Act as amended.
• Most recently, Health Care Safety Net Amendments authorized automatic facility HPSA designation process for Federally Qualified Health Centers and a simple HPSA application process for Rural Health Clinics.
![Page 4: Shortage Designations Terri Lang, Project Coordinator UND Center for Rural Health October 12, 2011.](https://reader030.fdocuments.us/reader030/viewer/2022032805/56649ef75503460f94c0ad05/html5/thumbnails/4.jpg)
When you think…HPSA
• Think three health professions– Primary Care– Dental– Mental Health
• Think three sub-types– Geographic– Population– Facility
![Page 5: Shortage Designations Terri Lang, Project Coordinator UND Center for Rural Health October 12, 2011.](https://reader030.fdocuments.us/reader030/viewer/2022032805/56649ef75503460f94c0ad05/html5/thumbnails/5.jpg)
Primary Care HPSAs
![Page 6: Shortage Designations Terri Lang, Project Coordinator UND Center for Rural Health October 12, 2011.](https://reader030.fdocuments.us/reader030/viewer/2022032805/56649ef75503460f94c0ad05/html5/thumbnails/6.jpg)
Mental Health HPSAs
![Page 7: Shortage Designations Terri Lang, Project Coordinator UND Center for Rural Health October 12, 2011.](https://reader030.fdocuments.us/reader030/viewer/2022032805/56649ef75503460f94c0ad05/html5/thumbnails/7.jpg)
Dental Care HPSAs
![Page 8: Shortage Designations Terri Lang, Project Coordinator UND Center for Rural Health October 12, 2011.](https://reader030.fdocuments.us/reader030/viewer/2022032805/56649ef75503460f94c0ad05/html5/thumbnails/8.jpg)
When you think…MUA
• Think Federally Qualified Health Centers (FQHC) or Community Health Centers and FQHC look-a-likes
![Page 9: Shortage Designations Terri Lang, Project Coordinator UND Center for Rural Health October 12, 2011.](https://reader030.fdocuments.us/reader030/viewer/2022032805/56649ef75503460f94c0ad05/html5/thumbnails/9.jpg)
Medically Underserved Areas/Populations
![Page 10: Shortage Designations Terri Lang, Project Coordinator UND Center for Rural Health October 12, 2011.](https://reader030.fdocuments.us/reader030/viewer/2022032805/56649ef75503460f94c0ad05/html5/thumbnails/10.jpg)
Who uses the designations
***Approximately 40 federal programs use MUA/P and HPSA designations as eligibility requirements
![Page 11: Shortage Designations Terri Lang, Project Coordinator UND Center for Rural Health October 12, 2011.](https://reader030.fdocuments.us/reader030/viewer/2022032805/56649ef75503460f94c0ad05/html5/thumbnails/11.jpg)
Designation Needed for Selected Federal ProgramsShortage Designations Options
National Health Service Corps
Federally Qualified Health Center Programs
CMS Medicare Incentive Payment
CMS Rural Health Clinic Program
J-1Visa Waiver
Primary Care HPSA
X X GeographicHPSA only
X X
Dental Care HPSA X
Mental Health HPSA
X X 7/1/04 Geographic only
X
HPSA Subtypes
Geographic HPSA X X X X
Population HPSA X X X
Facility HPSA X X
Medically Underserved Area (MUA)
X X X
Medically Underserved Population (MUP)
X X X
![Page 12: Shortage Designations Terri Lang, Project Coordinator UND Center for Rural Health October 12, 2011.](https://reader030.fdocuments.us/reader030/viewer/2022032805/56649ef75503460f94c0ad05/html5/thumbnails/12.jpg)
Primary Benefits• If you are in a HPSA
You can apply for National Health Service Corps (NHSC) loan repayment or a NHSC scholar.
You can apply to be Rural Health ClinicYou can seek a J1 Visa Physician
• If you are in a Geographic HPSAThere are 10% Medicare Incentive Benefits
o Psychiatrists can receive same incentive benefits beginning 7-1-2004 in a Mental Health Geographic HPSA
![Page 13: Shortage Designations Terri Lang, Project Coordinator UND Center for Rural Health October 12, 2011.](https://reader030.fdocuments.us/reader030/viewer/2022032805/56649ef75503460f94c0ad05/html5/thumbnails/13.jpg)
Primary Benefits
• If you are in a MUA/P::
You can apply to be Federally Qualified Health Center. (FQHC) or a FQHC look alike, who are both Automatic HPSAs.
You can apply to be Rural Health Clinic (RHC) who can obtain a Automatic HPSA.
You can seek a J1 Visa Physician.
![Page 14: Shortage Designations Terri Lang, Project Coordinator UND Center for Rural Health October 12, 2011.](https://reader030.fdocuments.us/reader030/viewer/2022032805/56649ef75503460f94c0ad05/html5/thumbnails/14.jpg)
How a HPSA/MUA is Designated
• DHHS contracts with State Health Department to analyze local areas to determine shortages.
• The rules are very specific in law and regulation.• If it appears the area meets criteria, application is
submitted to Shortage Designation Branch.
Currently taking approximately 3 months or more to make a determination.
The rules are being more strictly interpreted than they were a few years ago.
![Page 15: Shortage Designations Terri Lang, Project Coordinator UND Center for Rural Health October 12, 2011.](https://reader030.fdocuments.us/reader030/viewer/2022032805/56649ef75503460f94c0ad05/html5/thumbnails/15.jpg)