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In April's Issue:
HAP HAPpenings
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New Collaborative State Projects (CSPs)
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Coming Soon: HAP’s Updated Training Manuals
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HAP Launches New Project to Help Medicare Beneficiaries
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Now Available: Updated Plan Numbers for SHIPs
CMS News
- Update on the Medicare and You Handbook
Interesting Items
- Study Finds Fraud and Abuse in Medicare Home Health Payments
- Economic Recovery Payments to Go Out in May
- NCOA Announces Grantees
HAP's Extra Hand
HAP’s latest feature—HAP’s Extra Hand—highlights topics affecting low-income seniors and vulnerable populations. This month's feature article is Access Gaps Remains for Low-Income Seniors and Elderly African Americans.
You can expect this eNewsletter feature to appear as relevant topics arise, including:
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Overviews of larger economic and policy issues affecting these populations
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Outreach and enrollment resources for SHIPs
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Useful links to strategies and best practices from partners in the field
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Best Practices
SHIP Certification: Strategies for Ensuring Competence and Confidence
HAP’s 2008 SHIPs' Needs Survey found that SHIPs use a variety of strategies and methods to certify their volunteers and staff. After the survey, HAP followed-up with a handful of SHIPs to learn more about what they’re doing and how it’s working for them.
We encourage you to take a look at these best practices to find out what other SHIPs are doing and learn from their valuable advice!
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Conference Call Survey
Did you join HAP’s March conference call?
If so, please take our quick survey to let us know what you think, and what topics you’d like to talk about in our future calls.
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We welcome your comments and suggestions. Email us at SHIPhelp@hapnetwork.org. | |
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HAP HAPpenings
New Collaborative State Projects (CSPs) The Health Assistance Partnership (HAP) is pleased to announce that Virginia, Colorado, and Alabama have been selected to participate in the 2009-2010 CSPs. The CSPs will address volunteer recruitment, training, and management challenges. In addition, we at HAP have decided to continue our partnership with Montana for another year to continue strengthening their Medicare training program.
A total of 11 states submitted very compelling applications, making our selection of the three states extremely difficult. Thanks again to all those who applied.
The new CSPs will cover a 12-month period (April 1, 2009 - March 31, 2010) during which both HAP and the selected SHIP programs will be engaged in developing and implementing innovative and replicable projects. Congratulations again to the selected SHIP programs—we look forward to working with you!
Coming Soon: HAP’s Updated Training Manuals Be on the lookout for HAP’s April 15 eAlert, which will announce the posting of our three new training manuals to our website. The manuals include: Medicare Basics (Original Medicare, supplemental insurance, coordination of benefits, etc.), Medicare Advantage, and Medicare Part D.
These manuals were designed to be a resource for SHIP trainers and counselors alike to address Medicare-related topics such as the recent MIPPA-related changes to MA and Part D plan marketing rules, Medigap standardization, Medicare Savings Programs (MSPs) eligibility, and much more. They also contain abundant examples of how Medicare applies to a given situation, counseling tips, links to resources, and samples of relevant forms that can be great quick-reference guides for SHIP counselors.
Also, be sure to look for these manuals as they become available to SHIPTools users as part of the online training component later in May.
| National Volunteer Week: April 19 – 26
National Volunteer Week is a great time to recognize your SHIP volunteers! You can nominate them for awards or highlight them through your local media. Click here to download the National Volunteer Week tool kit. |
HAP Launches New Project to Help Medicare Beneficiaries The Health Assistance Partnership (HAP) has received a grant from the Retirement Research Foundation (RRF) to identify and address persistent issues that affect beneficiaries across the Medicare program. In addition to identifying and capturing systemic issues frequently encountered by Medicare beneficiaries, HAP will also deliver free trainings and provide tools to help build SHIP capacity to address the issues at the individual beneficiary level. HAP will use its findings to develop system-wide Medicare program recommendations for policy makers and other key audiences to help promote long-term, lasting benefits for all Medicare consumers.
HAP recognizes that SHIPs are the “first responders” of the Medicare program—you provide services of critical importance in your communities, and are among the first to spot issues and trends that adversely affect beneficiaries. You provide beneficiaries with a voice. We will be listening to you, and learning from you, in the coming months to inform this work. Stay tuned to future issues of the HAP’s eNewsletter for updates on the project, as well as additional information on the role your SHIP can play. Or, feel free to contact us directly with questions and suggestions at SHIPhelp@hapnetwork.org.
Now Available: Updated Plan Numbers for SHIPs HAP has worked with America’s Health Insurance Plans (AHIP) in the past to provide you with direct telephone numbers to Medicare Advantage (MA) and Prescription Drug Plans (PDPs) in your state. These numbers provide SHIPs access to plan representatives without the typical customer hold time, making it easier for SHIPs to resolve client issues.
HAP recently received the updated list from AHIP for 2009. If you’d like to receive your state’s list of plan numbers to share within your SHIP program, please send us an email, and just be sure to mention your state!
We’d also like to hear how these numbers work for your program. As we continue to work with AHIP to improve this SHIP service, please send us any feedback so we can share your comments (without any identifying information) to help improve the process.
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CMS News
Update on the Medicare and You Handbook In late March 2009, CMS released the draft 2010 version of the Medicare and You handbook to a select group of organizations, including HAP, for review and comments. Responding organizations were asked to submit their feedback by April 6, 2009.
Because of the tight turnaround, HAP was not able to directly solicit input from the SHIP network. However, our submitted comments reflected your consistent feedback about the need to make the handbook easier for beneficiaries to understand and use. HAP’s position is that Medicare and You must provide clear and consistent information about the Medicare program to allow SHIPs to better assist beneficiaries.
The input you provide about Medicare resources such as the Medicare and You handbook and the Medicare Prescription Drug Benefit Manual makes them even more valuable for beneficiaries. As with all of these opportunities, remember that HAP is here to help, and we welcome the opportunity to collaborate with you on submitted comments. In the meantime, if you’d like a copy of HAP’s comments on the handbook, or have questions about the comments process, please contact us at SHIPhelp@hapnetwork.org.
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Interesting Items
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Study Finds Fraud and Abuse in Medicare Home Health Payments Fraud and abuse in Medicare billing helped boost Medicare spending on home health services in 2006—up 44 percent since 2002. A new U.S. Government Accountability Office (GAO) report, Medicare: Improvements Needed to Address Improper Payments in Home Health Care, examined spending and utilization growth in Medicare home health services between 2002 and 2006, and looked closely at the benefit's vulnerability to improper payments, such as upcoding, or overstating a beneficiary’s condition, and billing for services not actually received. The report includes GAO’s specific recommendations for CMS to strengthen the controls on these fraudulent and abusive practices in the Medicare home health benefit.
For more information on home health services, check out HAP’s Access the Care booklet available on our website.
Economic Recovery Payments to Go Out in May Starting in May, people who receive Social Security and Supplemental Security Income (SSI) benefits will also receive a one-time $250 economic recovery payment from the federal government. No action is required on the recipient's part. Social Security asks that individuals and representatives not contact Social Security about an economic recovery payment unless it hasn’t been received by June 4, 2009.
For more information and details about the payment, see SSA's FAQ on the topic. |
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HAP's Extra Hand
Access Gaps Remain for Low-Income Seniors and Elderly African Americans The drug benefit has done little to close large and longstanding prescription drug access gaps for the most vulnerable beneficiaries. A new study recently released by the Center for Studying Health System Change and funded by the Robert Wood Johnson Foundation, Access to Prescription Drugs for Medicare Beneficiaries, found that access to prescription drugs among elderly Medicare beneficiaries varied widely depending on source of drug coverage as well as age, health, and income.
Despite the introduction of the Medicare prescription drug benefit in January 2006, the proportion of dual-eligible seniors who went without a prescribed medicine almost doubled between 2003 and 2007. The study also found persistent gaps in prescription drug access between low-income and high-income beneficiaries, and between elderly African American and white beneficiaries.
For additional reports and updates on issues affecting low-income populations, check out the National Senior Citizen’s Law Center (NSCLC) Medicare Part D Advocate's Alert. This most recent edition also includes tools that may be helpful in your SHIP’s daily counseling work.
HAP also offers a number of resources on assisting low-income beneficiaries with their prescription drug benefit issues, including the Extra Help for Part D Tool Kit. The Tool Kit is devoted to helping low-income beneficiaries with their drug plan costs through the low-income subsidy (LIS) program. You may also want to visit our section on State Pharmaceutical Assistance Programs (SPAPs).
Do you like this new feature? Email us your feedback at SHIPhelp@hapnetwork.org.
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NCOA Announces Grantees Last November HAP highlighted a grant opportunity from the National Council on Aging (NCOA). NCOA has just announced the 10 grantees—and HAP would like to take this opportunity to offer huge congratulations to those SHIPs and SHIP partners chosen to receive the funding! The 10 grantees will use the funding to establish Benefits Enrollment Centers (BEC) that assist people with enrolling in all of the assistance and benefit programs for which they qualify.
The 10 grantees are the following (Grantees in bold offer SHIP services. Way to go, SHIPs!): South Alabama Regional Planning Commission (SARPC) in Mobile, AL; AgeOptions in Oak Park, IL; Green River Area Development District (GRADD) in Owensboro, KY; Maine SHIP, Office of Elder Services in Augusta, ME; Washington County Commission on Aging, Inc. (WCCoA) in Hagerstown, MD; Elder Law of Michigan in Lansing, MI; Montana Department of Public Health & Human Services in Helena, MT; Center for Independence of the Disabled in New York (CIDNY) in New York, NY; Western Reserve Area Agency on Aging in Cleveland, OH; and Benefits Data Trust in Philadelphia, PA.
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