Rural Health Care Program


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  • Put in the flow diagram instead of 8 steps
  • Put in the flow diagram instead of 8 steps
  • Put in the flow diagram instead of 8 steps
  • We are offering two live training sessions in April. The first is here at USAC on April 5th. It is the only live training offered prior to the window opening. Space is limited so you should register soon if you plan to attend. If you received this week’s RHC Circuit, there is a link directly to the registration. You can also find it on the RHC website under the Training Events link. I believe it’s the second item on the list.The next training session will be after the registration and window open, but still early. That will be at the American Telemedicine Association’s annual confernence in San Jose, CA on April 28th. I believe you must be registered to attend ATA to come to this training.
  • In addition to the two training sessions, are small team is hard at work developing some web-based tools that we will post online under the Resources link beneath Training. Of course we’ll keep you updated on any changes or additions though email, the RHC Circuit, and additional conference calls.
  • Rural Health Care Program

    1. 1. Rural Health Care Program Program Overview Georgia Partnership for Telehealth March 16, 2012
    2. 2. USAC, the Universal Service Fund (USF), and the FCCThe Universal Service Administrative Company (USAC)administers the Universal Service Fund (USF) on behalf ofand under the auspices of the FCC High Cost Low Income Rural Health Schools and ($4 billion) ($1.3 billion) Care Libraries ($80 million) ($2.25 billion) 2
    3. 3. Rural Health Care Current 3
    4. 4. The RHC Program Overview• Pilot Program (closed to new applicants) supports 85% of the cost of broadband networks.• Primary Program provides discounts for telecommunications services and Internet access for rural health care providers (HCPs) 4
    5. 5. The RHC ProgramPrimary Program Basics• For telecommunications services, RHC funds the difference between the urban and rural rates• For Internet access, RHC funds a straight 25% discount off the rural 5
    6. 6. The RHC ProgramWhat does the RHC program fund?• Connectivity to: • Telephone service • Internet access • Telecommunications services • Wireless services Must be used for the provision of health 6
    7. 7. EligibilityPartial List of Eligible Services• Ethernet • Redundant circuits• T1 • DS3• Fiber • Internet• Satellite service • Telephone• MPLS • DSL Additional eligible services are listed on the RHC 7
    8. 8. EligibilityThree criteria to be deemed eligible 1. Eligible location (rural) 2. Eligible status (non-profit or public) 3. Eligible organization 8
    9. 9. Eligibility1. Eligible Location • Determined by FCC definition of rural2. Eligible Status • Non-profit OR • 9
    10. 10. Eligibility3. Eligible Organization Type• Not-for-profit hospitals • Community health centers or• Rural health clinics health centers providing health• Community mental health care to migrants centers • Dedicated emergency• Local health departments or departments of rural for-profit agencies hospitals• Post-secondary educational • Consortia of HCPs consisting of institutions offering health care rural not-for-profit hospitals instruction, teaching • Part-time eligible entities hospitals, and medical schools located in facilities that are 10
    11. 11. Eligible Health Care Providers by Type Rural Emergency Dept: Health < 1% Clinic: 46% Post secondary inst: 1% Community health center: 8% Local health dept or agency: 9% Not-for- Community profit mental health center: 7% hospital: 11
    12. 12. The RHC ProgramFour Steps for Health Care Providers:1. Health Care Provider’s eligibility is determined2. HCP requests services, and Service Providers (SPs) provide bids for the HCP to evaluate (1st Form: 465)3. Once HCP has selected services/service providers, HCP notifies RHC of selection (2nd Form: 466/466-A)4. Once approved for support, HCP notifies RHC that services have been received (3rd Form: 467) 12
    13. 13. First Step: EligibilityThree criteria to be deemed eligible 1. Eligible location (rural) 2. Eligible status (non-profit or public) 3. Eligible organization 13
    14. 14. Second Step: Form 465What is the Form 465?Description of Services Requested and Certification Form• First form filed by the HCP to initiate program participation• Certifies that the HCP meets eligibility requirements• Used to request bids from service providers for eligible 14
    15. 15. Second Step: Form 465Competitive Bidding• HCPs must not enter into a contract or service agreement until the Allowable Contract Selection Date (ACSD), or the 29th day after the 465 is posted• HCPs must select the most cost effective 15
    16. 16. Second Step: Form 465Competitive Bidding• USAC encourages the use of an (optional) scoring tool/scoring matrix – HCPs should choose the selection criteria most important to them. Some examples include but are not limited to:  Technical support  Previous experience with service provider  Cost for service  Rapid response  Service provider to provide a single point of 16
    17. 17. Third Step: Forms 466/466-AWhat are the Forms 466 and 466-A?Funding Request and Certification Form• Second form(s) filed in the application process• Identifies the HCP’s selected service(s), rates, carrier(s), and date of carrier selection• The HCP must submit one form for each service• Funds cannot be committed until RHC receives a completed form and required supporting 17
    18. 18. Third Step: Forms 466/466-A FORM 466: FORM 466-A: Internet ServiceFunding Request and Certification Funding Request and Certification• Used for telecommunications • Used for Internet services services• Funds difference between rural • Funds 25% of rural rate rate and urban rate• Blocks 1-3 are the same on both forms• Both require rural rate documentation• Both require contract and bids to be submitted (if applicable) 18
    19. 19. Third Step: Forms 466/466-ARequired Documentation• Copy of a bill, contract, service offer, or letter from the service provider within the current funding year showing the rural rate entered on the form• Copy of contract signed by both parties (if applicable) after the Allowable Contract Selection Date (ACSD)• Copy of bids (if applicable) and decision criteria• Urban rate information (if you indicate on your Form 466 that you are not using a posted RHC rate) 19
    20. 20. Fourth Step: Form 467What is the Form 467?Connection Certification• Third and final form required in the application process• Used to confirm the following: – When service was provided (service start date) – When/if service was disconnected (service end date) – If service was never turned on• The HCP will NOT receive support until the Form 467 is 20
    21. 21. RHC Primary Program June 30, 2013 • Last day of Funding Year • Deadline to submit Form(s) 466/466-A July 1, 2012 June 2, 2012 • First day of Funding Year Last day to post Form 465 to receive a • First day funding can be committed full year of funding. Support is pro-rated if Form 465 is posted after this dateApril 16, 2012Prior to the beginning of thefunding year, filing windowopened so that HCPs cansubmit a Form 465 21
    22. 22. Timeline• Window opening: – Earliest date that the Form 465 can be posted for upcoming Funding Year – Typically occurs March – April (4/16/12 for FY 2012) – Remember to allow time in addition to 28 days to review bids, sign a contract, and get services prior to July 1st• Full year of funding: – Form 465 must be posted at least 28 calendar days prior to the start of the upcoming Funding Year (June 2nd) 22
    23. 23. 23
    24. 24. Training and Website• Welcome Packet and Handouts• Ongoing exhibits and training for current program at conferences such as American Telemedicine Association, NRHA, American Public Health Association, etc.• Webinars on the RHC site: – Competitive Bidding and Evergreen Contracts – The Role of the Service Provider• RHC website is undergoing complete 24
    25. 25. 25 25
    26. 26. Changes to the RHC Program• Additional training – live and online – is in development• Complete website overhaul nearing completion!• New system for application submission and processing to launch for FY 26
    27. 27. Changes to the RHC ProgramNew application system• Single login for access to your HCP• Increased security• Access to passwords• Forms management• Document upload• Automated alerts• Faster processing• More 27
    28. 28. Important Dates Funding Year 2012Live Training for Applicants (DC) April 5, 2012My Portal Registration April 9 – 15, 2012FY 2012 Window Open April 16, 2012Live Training for Applicants (ATA April 28, 2012Conference – San Jose, CA)2012 Funding Year Begins July 1, 20122012 Funding Year Closes June 30, 2013
    29. 29. Next StepsTwo Training Sessions• April 5 at USAC in Washington, DC, and April 28 at the American Telemedicine Association (ATA) Annual Conference in San Jose, CAWeb-based Training• Posted on the RHC website prior to the window opening to include: • Registering and logging into the My Portal • Navigating My Portal • Posting an FCC Form 465 in My Portal • What Consultants Need to know• Direct questions about the My Portal to• Updates, tips, and more information will be shared with applicants via email, the RHC Circuit newsletter, and additional conference calls
    30. 30. Ongoing Training• Customer Support Center • 1-800-229-5476 •• Conference Calls • 2nd Thursday of each month for applicants and service 30