Workgroup of the NYC Hepatitis B Coalition & NYC Hepatitis C Task ForceThursday June 28th (3-5 PM) CMS Office: 26 Federal Plaza – 38th floor
In Attendance: See Below

Please Consider Attending a Future Meeting! Meeting is for those working directly on Health Care Access, Insurance & Care/Treatment/Medication Coverage. Contact njohnso2@health.nyc.gov to join

Future Meeting Schedule: Third Thursday of Every Other Month (3-5 PM).
Next Meeting: August 23rd (3-5 PM) NYC Health Department Building – 42-09 28th Street Queens – Room 5-22. *RSVP is required for security clearance!

Announcements!

Upcoming Conference Call with NYS Medicaid Managed Care: To discuss hepatitis C Medicaid coverage & medication issues
July 26 (1:30-3 PM)
Purpose of Call: NYS DOH will provide an overview of the Medicaid Managed Care Carve-in,  background on Medicaid Fee-for Service Program as it pertains to the Drug Utilization Review Board and Hepatitis C drugs, and issues of concern raised by HCV providers. This is an opportunity for HCV providers or members of the HCV community to raise concerns regarding access to the new Hep C drugs, and any challenges experienced now that coverage for these drugs is provided through Medicaid Managed Care. Pre-Registration is required, If you would like to participate, contact: Frank Winter (frank.winter@cms.hhs.gov)

Recent Workgroup Success! Primary Care Information Project Bulletin highlights the NYC DOHMH Check Hep C Program ‘Electronic Health Record Module to Manage Hepatitis C Testing and Care’ (Page 2)

Meeting Highlights

Discussion of New Medicaid Fee-For-Service Policies Regarding Hep C Medications

Hispanic FederationCurrent Health Care Advocacy Initiatives – Samantha Paz (spaz@hispanicfederation.org)

  • Action Alert! Samantha is seeking patients, patient navigators/case managers and medical providers who  are willing to share health care ‘issues’ (disruptions in care and treatment, barriers to care) posed by existing prior authorization requirements and/ or coverage of prescriptions. Hispanic Federation is in the process of resolving issues with NYS Medicaid Managed Care.

To provide feedback contact: Samantha Paz (spaz@hispanicfederation.org). Soft deadline – end of August.

Update on Electronic Health Records Project – Emanuel Simhayev, PharmD Candidate – Touro College of Pharmacy

  • See attached, latest draft of the Hepatitis C Electronic Health Record Fundamental Requirements Recommendations
    • Please review and provide comments – suggestions
    • Added alert to report Acute HCV cases to the Health Department
    • HBV document in development

NP and Health IT consultant who successfully treats HIV, HBV & HCV and has built Hepatitis B & C Modules/Templates into their EHR as well as at HELP/PSI, HousingWorks, and Ryan Network: Hema Santhanam, MSN, CFNP, AAHIVS  Damian Family Care Center hsanthanam@damianfcc.org 718-298-5100. Anjali Consulting Services, LLC e-mail:  hema@anjali-consulting.com

Health Care Page on Coalition Website: will display all workgroup outcomes and resources!

  • Finding Health Insurance
  • Help for People who cannot get Insurance (Undocumented)
  • Assistance with Medications
  • Frequently asked questions

A ‘Health Care access Q&A of the month’ will be integrated into the monthly newsletter. Question posed at meeting:

Q: HCV+ potential transplant Patient identified through Syringe Exchange Program not eligible for Medicaid due to $300 surplus from unemployment insurance.
A: Try applying for Medicaid Spend Down – seek assistance from Self Help Legal Services (ask for Valerie Bogart)

Please email your Hep B & C Health Care Access questions to info@hepfree.nyc

New Resource Brought to meeting: NYCRx is a non-profit organization working to increase access to affordable medications for medically underserved communities. – Free Discount Prescription Card

Medicaid Redesign – HCV Stakeholders Meeting – This meeting took place on July 10th. To be informed in advance of future meetings, contact: Colleen Flanigan at caf03@health.state.ny.us. The New York State Department of Health AIDS Institute will hold a meeting with HCV stakeholders from across the New York State to discuss the HCV Medicaid Redesign Team (MRT #5311) proposal, “Promote Hepatitis C Care and Treatment through Service Integration,” developed by the MRT’s Health Disparities Workgroup. The purposes of this meeting are to provide background information, to obtain input, and to answer any questions related to the proposal.  Click here for copies of the MRT proposal and the budget language.Additional information on the MRT can be found on the NYSDOH web site by clicking here.

Discussion of Staten Island Hep C Task Force Meeting and access problems in Staten Island – there are limited HBV & HCV mono-infection treatment options for Medicaid patient on Staten Island – this topic when tabled to next meeting when representation from SI is present.

Affordable Care Act (ACA) Update – upheld by Supreme Court!

Since meeting the following announcment (attached) was release: ‘Criteria for Drug Inclusion in a New York State Medicaid Managed Care Plan’s Exclusive Pharmacy Network’

In Attendance:
Frank Winter (frank.winter@cms.hhs.gov); Frida Abramov, PA (fabramov@chpnet.org); Gina Black (Gina_Black@vrtx.com); Nirah Johnson <njohnso2@health.nyc.gov>; Paulina Vargas, Patient Navigator (paulina.vargas@mountsinai.org); Adrian Lopez, Patient Navigator (Adrian.Lopez@mountsinai.org); Yamina Sara Chekroun (yaminasara@gmail.com); Leah Dorman, MSW (leah.dorman@gmail.com); Celia Correa, Patient Navigator (Cecorrea84@gmail.com); Anthony Varikos, Pharmacist (anthony@eversrx.com); Nicole Bannister (nbannister@health.nyc.gov); esimhaye@student.touro.edu; Samantha Paz (spaz@hispanicfederation.org); Marina Farid, Pharm. D., RPh (marina.f@KingsRx.com), Christina Tarantola Christina.t@kingsrx.com, Nirah Johnsoninfo@hepfree.nyc

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