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MPCA eUpdate | June 9, 2015
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June 9,  2015
The weekly e-newsletter of Michigan Primary Care Association

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Dr. Syed Promoted to Clinical Consultant   

In an announcement made by Lynda Meade, MPA, Director of Clinical Services for Michigan Primary Care Association (MPCA), Dr. Faiyaz Syed has been promoted to Clinical Consultant.  

Dr. Syed started with MPCA as an intern and has become a leader on the Clinical Services team. He will continue to focus on clinical improvement and quality management, optimization of HIT and data, and clinical policy.

Dr. Syed has spent many hours in Health Centers conducting process improvement sessions and he has an in-depth understanding of the needs and strengths of MPCA members. Congratulations Dr. Syed!

MPCA Director Quoted in National Magazine

Julie Tatko, Enabling Services Director, Michigan Primary Care Association, provided information for and was quoted in the article "Medicaid Cost Sharing Demonstrations Have Netted Little Revenue So Far" published in Modern Healthcare. The article explores Medicaid revenues from expansion states including Arkansas, Indiana, Iowa, and Michigan.

"We have not seen evidence that cost-sharing requirements have created barriers to care...mainly because co-pays and cost-sharing contributions are paid out of the beneficiary's health savings account after the services have been provided."

In Michigan, 600,000 people have gained access to coverage as part of the state's expansion, and the state collected $737,000 in monthly premiums from November 2014 to April 2015. The Centers for Medicare & Medicaid Services gave Michigan permission to impose premiums only on beneficiaries with incomes between 100 percent and 133 percent of poverty, while most people who received coverage under the expansion have incomes below the poverty level. Under the state's Healthy Michigan Plan, beneficiaries pay up to 2 percent of their income for premiums. The amount of required premiums is tied to beneficiaries participation in healthy behaviors' programs and through participation can reduce their monthly contributions by 50 percent.  

Healthy Michigan Plan Stories Needed for Advocacy Campaign

Michigan Primary Care Association is collaborating with Enroll MichiganMichigan Health & Hospital Association, and Enroll America to increase awareness and prepare an advocacy platform for the Healthy Michigan Plan (HMP) should the Centers for Medicare & Medicaid Services not approve the HMP waiver. Martin Waymire, a full-service public relations and communications firm specializing in nonpartisan, public policy messaging, will take the lead on gathering and preparing client stories to be shared in the campaign.  

We are requesting your help to identify HMP beneficiaries who are willing to share their health coverage stories and highlight how they have been able to live healthier lives or return to work after enrolling in the HMP. With permission, their health coverage stories will be shared via video, through testimony to the Michigan Legislature, or through interviews with the press. 

If you know of a beneficiary who might be willing to share their story, ask if you may forward their contact information to Martin Waymire. If interested, the beneficiary will need to complete a consent form allowing your Health Center staff to share their contact information with Martin Waymire. Please send contact information directly to Dave Waymire. Additionally, please inform beneficiaries they will be contacted by an associate of Martin Waymire. 

Your Communications/PR staff can provide your Health Center’s policies and procedures on obtaining patient consent to share information. If your Health Center does not have consent forms created, click here for a verbal and written model consent form.

If you have questions about the campaign, please email Julie Tatko (or call Julie at 517.827.0882) or email Lydia Starrs (or call Lydia at 517.827.0886).

MPCA Working To Increase Awareness of Health Care Access for Veterans

Roughly 30 percent of military personnel deployed in Iraq and Afghanistan have a mental health problem requiring treatment; yet, less than 50 percent receive treatment. Even more disconcerting is the Department of Veterans Affairs reports there are roughly 22 veteran suicide deaths each day.

According to the National Alliance on Mental Illness, more than 100,000 combat veterans have sought help for mental illness since the beginning of the war in Afghanistan (then called Operation Enduring Freedom) in 2001. Among those seeking treatment, about half were PTSD cases. Additionally, drug and alcohol dependency, as well as depression, increased by 58 percent from 2006-2007.

The Veterans Administration is currently implementing programs to address these challenges, but awareness is critical to make changes. Michigan Primary Care Association is working with key partners to increase awareness in Health Centers statewide, promoting access to health care and behavioral health services to veterans. A national counseling and suicide hotline for veterans in distress is open 24 hours a day, seven days a week. The number is 800-273-8255. The hotline is staffed by professionals experienced in the specific stressors military members face.

Patient-Centered Medical Home Seminar Announced

With the support of the Health Resources and Services Administration Accreditation Initiative, the Accreditation Association for Ambulatory Health Care (AAAHC) is coming to you.

Join your Michigan Health Centers and Michigan Primary Care Association colleagues on Thursday, July 16, 2015, for a free, hands-on educational seminar led by AAAHC experts. If you are involved in process and quality improvement or your Health Center is PCMH-recognized, accredited or exploring accreditation for the first time, you should consider attending.

AAAHC Standards will be reviewed in the context of creating a roadmap for excellence in how you deliver care to your community with a special focus on quality improvement. For over 35 years, AAAHC has been the leader in accreditation for ambulatory health care, promoting patient safety and quality of care across a wide range of settings.

Registration is now open and is limited to two staff members per Health Center.

MPCA 2014 Annual Report

The 2014 Michigan Primary Care Association (MPCA) annual report is now available. This year, the annual report has been completely reformatted into a four-page document. The shorter report has a marketing-centric focus and provides a summary of 2014 while infographics provide a snapshot of the impact Michigan Health Centers have and the highlights from MPCA's portfolio of work.


More News from MPCA



Please note that you must be logged in to MPCA’s online community when registering for MPCA-hosted events to receive a discounted rate if your organization is an MPCA member. If you are subscribed to the MPCA eUpdate, you have a profile in MPCA's online community. If you have forgotten your password, please use the "forgot password" link under the sign-in box to reset your password. If you need further assistance, please contact


Webinar: The Michigan Medicaid Health Plan Re-Bid - What's New and Opportunities for Health Centers
June 10, 2015, 1 - 2:30 pm ET

ICD-10 Bootcamp
June 7 - 8, 2015
Crown Plaza Lansing West, Lansing, MI

Learning the Principles of Patient-Centered Medical Home (PCMH) Among Peers
July 16, 2015, 8:30 am - 4 pm ET
Michigan Primary Care Association, Lansing, MI

Save the Date: 2015 MPCA Annual Conference
August 30 - September 1, 2015
Grand Traverse Resort, Acme, MI 


More MPCA Events


More Health Center News


Do you have news to share about your Michigan Health Center? Email events and happenings to



More Career Opportunities


MPCA posts job openings at Michigan Health Center Program grantees, Michigan FQHC Look-Alikes, and MPCA active member organizations. To submit a job opening for posting in the online MPCA Career Center and in the MPCA eUpdate, email the job title, a brief overview, a bulleted list of qualifications, and instructions on how to apply to with Job Posting in the subject field.



State Budget on Way to Governor's Desk

On June 3, 2015, Michigan lawmakers finalized the 2015-16 general fund budget. The $37.8 billion budget is a 2.9% increase from the 2014-15 fiscal plan.

Highlights for the Health and Human Services budget includes:

  • An increase of $1.3 billion in federal funding for Medicaid, MIChild, Federal Medicare pharmaceutical costs and the Healthy Michigan plans;
  • $1.5 million for a prescription drug abuse prevention and treatment;
  • $1.5 million for health and wellness initiatives;
  • $2.1 million for a newborn screening program;
  • $500,000 for a immunization and vaccine education program;
  • $150,000 for an Alzheimer’s Disease in-home care pilot;
  • $2.5 million for a Hospice Room and Board;
  • $37 million to expand the Healthy Kids dental program to kids, ages 0-12, in Wayne, Kent, and Oakland counties; and
  • $275,000 for a suspicion-based drug testing program for welfare recipients. 

The remainder of the budget highlights can be read here. The budget is waiting for Governor Snyder's approval.

School-Based Health Care Funding Preserved for FY 2016

All school-based health care funding has been preserved in the state budget for 2016. On June 2, 2015, the Conference Committee report continued the $2 million for 99 school-based and school-linked Health Centers as well as three pilot programs for sites in Detroit (2) and Muskegon for a funding continuation of $3.5 million. The total line item is $5,557,300.  

CMS Finalizes Rules for Medicare Shared Savings Program

The Centers for Medicare & Medicaid Services (CMS) released a final rule updating the Medicare Shared Savings Program to encourage the delivery of high-quality care for Medicare beneficiaries and build on the early successes of the program and of the Pioneer Accountable Care Organization (ACO) Model.  

This final rule, issued on June 4, 2015, is an effort to provide support for the care provider community in creating a delivery system with better care, smarter spending, and healthier people. In addition, the rule improves the program in a number of areas, including but not limited to:

  • Creates a new Track 3, based on some of the successful features of the Pioneer ACO Model, which includes higher rates of shared savings, the prospective assignment of beneficiaries, and the opportunity to use new care coordination tools;
  • Streamlines the data sharing between CMS and ACOs, helping ACOs more easily access data on their patients in a secure way for quality improvement and care coordination that can drive critical improvements in beneficiaries’ care;
  • Establishes a waiver of the 3-day stay Skilled Nursing Facility (SNF) rule for beneficiaries that are prospectively assigned to ACOs under Track 3; and
  • Refines the policies for resetting ACO benchmarks to help ensure that the program continues to provide strong incentives for ACOs to improve patient care and generate cost savings, and announces CMS’ intent to propose further improvements to the benchmarking methodology later this year.

The Medicare Shared Savings Program was created by Section 3022 of the Affordable Care Act to promote better health for Medicare fee-for-service beneficiaries by encouraging physicians, hospitals, and other health care providers to improve patient health and experience of care and to reduce growth in costs. The program is voluntary and accepts applications on an annual basis in which organizations agree to participate for three years. 

The published Federal Register can be accessed here

Three-Part Webinar Series on ICD-10 Announced

The National Association of Community Health Centers is planning a three-part webinar series on ICD-10. The series, "It's Really Happening - ICD-10", will be presented twice, one at 8 am ET and one at 11 am ET on June 25 (Let's Review: ICD-10 Facts & Code Comparison), July 2 (Documentation & Common Errors), and July 16 (Coding Risk & Documentation Improvement). 

For more information on the series or to register, click here

Local Cancer Prevention and Control RFP Issued

The Comprehensive Cancer Control Unit within the Michigan Department of Health and Human Services has released a Request For Proposal (RFP) for Cancer Control Community Implementation Projects from 2015-2017. The purpose is to increase local cancer prevention and control activities as well as promote breast, cervical, colorectal, and lung cancer screenings.

The complete RFP can be read here.

Second Healthy Michigan Plan Waiver Posted

The Michigan Department of Health and Human Services (MDHHS) has posted the submission for the second Healthy Michigan Plan waiver. 

The MDHHS is seeking approval from the federal government to modify the health care coverage program known as the Healthy Michigan Plan, as required by State law. Specifically, MCL 400.105d(20) directs MDHHS to seek a waiver that would allow individuals who are between 100% and 133% of the federal poverty level and have had Healthy Michigan Plan coverage for 48 cumulative months to choose one of the following options:

  1. Purchase private insurance through the federal Marketplace (with eligibility for advanced premium tax credits and cost sharing reductions), or
  2. Remain in the Healthy Michigan Plan with increased cost-sharing up to 7% of income. This option also includes an increase in enrollee contributions to 3.5% of income (with the opportunity for reductions).
The individuals described above who do not choose one of these options will remain in the Healthy Michigan Plan under option 2.  

MDHHS must submit the waiver request to the federal government by September 1, 2015. Approval of this request would allow the State of Michigan to maintain coverage for the approximately 600,000 individuals currently enrolled in the program. A date has not been set for the June public hearing.

For more information and up-to-date hearing information, visit Healthy Michigan Plan Second Waiver(s) Information.

High-Pathogenic Avian Influenza Identified in Michigan

On June 8, 2015, the Michigan departments of Natural Resources (DNR) and Agriculture and Rural Development (MDARD) announced the state’s first confirmed cases of highly pathogenic avian influenza (HPAI) H5N2 in the state. The disease was found in free-ranging Canada geese in Macomb County. Avian influenza is a virus that can infect both free-ranging and domestic poultry such as chickens, turkeys, quail and geese. 

The U.S. Centers for Disease Control and Prevention considers the risk to people from these HPAI viruses to be low. To date, no human HPAI infections have been detected in the United States.

MDARD, the DNR, the Michigan Department of Health and Human Services, the U.S. Departments of Agriculture, Veterinary Services (USDA, VS) and Wildlife Services (USDA, WS) and Michigan State University (MSU) are working together to conduct avian influenza surveillance and to monitor health of poultry, livestock, wildlife and residents in Michigan.

Updates will continue to be provided in the Mi Flu Focus and via the Mi Flu Focus listserv. To be added to the listserv, email Stefanie DeVita, Influenza Epidemiologist, Michigan Department of Health and Human Services, Division of Immunization

More State & National News



Webinar: The Ethics of Digital Storytelling for Public Health
June 10, 2015, 1 - 3 pm ET
Host: Center for Digital Storytelling

Federally Qualified Health Center Prospective Payment System Seminar
June 16, 2015, 9 am - 1 pm ET
Michigan Primary Care Association, Lansing, MI
Host: WPS Medicare

Supercircular, Sliding Fee Scale and Budget PINs: It Does Not Have to be a Three-Ring Circus

June 16 - 17, 2015
Columbus, OH
Host: Feldesman Tucker Leifer Fidell

Webinar: General Overview of Medicaid for Institutional Providers (UB-04)
June 18, 2015, 9 - 10 am ET
Host: Michigan Department of Health and Human Services

National Provider Call: ICD-10 - Preparing for Implementation and New ICD-10-PCS Section X
June 18, 2015, 1:30 - 3 pm ET
Host: Centers for Medicare & Medicaid Services


More upcoming State & National events




 More Resources in MPCA's Education & Resource Center



Increasing Awareness and Implementation of the Standards for Adult Immunization Practice Through Partnerships with State and Local Immunization Programs
Funder: Department of Health and Human Services, Centers for Disease Control and Prevention
Due: July 27, 2015

2015 Brighter Futures Community Grants
Funder: Delta Dental Foundation
Due: September 30, 2015

More Funding Opportunities



The MPCA eUpdate is a weekly e-newsletter intended to keep Michigan Health Centers, MPCA members, partners, and friends updated on the latest happenings impacting Health Centers and providing care to the underserved. Please feel free to forward this to interested individuals, or they may request to be added to the distribution list. Information from outside organizations does not represent an endorsement by MPCA, and opinions expressed by outside authors are not necessarily official positions or policies of MPCA. This project is 80% supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under the $1,186,260.00 grant number U58CS06824 titled “State and Regional Primary Care Associations”. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by, HRSA, HHS or the U.S. Government.

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