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# Late Breaking News {#late-breaking-news .CAP-Head-1}

## Greetings CAPpers {#greetings-cappers .CAP-Head-2}

We are just completing the process of funding an additional 50-60 CAP
communities throughout the country. They will be joining the CAP family
in September and will be at our upcoming fall conference.

Speaking of which, as you know, the conference is coming (more details
in the body of the newsletter) and we are looking for two kinds of
volunteers: 1) Help plan the conference and 2) Share your model: please
share your communities' successes and challenges on a panel/breakout
session. We are looking for presenters in a wide variety of areas,
including: MIS, Pharmacy, Provider Community, Rural Health Issues,
Sustainability, and more. If you are interested, please contact me
(<asmolkin@hrsa.gov>) as soon as possible.

CAP is happy to announce the arrival of a new staff member, Diana
Froley. Diana joins us from the Department of Labor and will be working
on program management and development. We are pleased to have her on
staff!

Audrey Smolkin

# ![](media/image2.jpeg){width="0.26319444444444445in" height="0.25in"} CAP TA Calls {#cap-ta-calls .CAP-Head-1}

## Technical Assistance Calls {#technical-assistance-calls .CAP-Head-2}

Technical Assistance calls for grantees are continuing every other
Tuesday from 2 to 3 pm EDT. The schedule for September appears below. To
register for the calls, please contact Angelique Raptakis at
301-468-6006 Ext. 501 or at araptakis@mac1988.com with your name and
contact information at least one week prior to the call.

Shortly after you register, you will receive a call-in number and an
access code. If you do not receive this call-in information by the
Monday before the call, please contact Angelique. Agendas for TA calls
will be emailed ahead of time.

## CAP TA Calls

# Date Topic 

September 4 **Conference Planning Call**

If you have already expressed interest in helping plan the conference,
you will receive call-in information and an agenda for this call. If you
are interested in planning and have not been in touch, please contact
Audrey Smolkin at [**asmolkin@hrsa.gov**](../asmolkin@hrsa.gov).

September 18 **Local Evaluation**

As promised, this is our rescheduled TA call on local evaluation. You
will

receive additional information and an agenda closer to the call. If you
are

interested in sharing your local evaluation challenges and successes on
the

call, please be in touch with our evaluation specialist, Teresa Brown at

[**tbrown@hrsa.gov**](../tbrown@hrsa.gov).

October 2 **Legal Issues:** **Drug Pricing**

This session will address how CAP coalitions can take advantage of the
340B program to lower outpatient drug acquisition costs, as well as the
compliance requirements associated with the program.

Call summaries, with the exception of calls related to legal issues, are
posted on the CAP web site (<http://www.capcommunity.org/>). While the
some of the web site is still under development, it currently has links
to grantees, information on peer-to-peer support by area, call
summaries, legal issue briefs, and a bulletin board to post questions.
You can also use the website for TA questions and as a link to our CAP
TA consultant, MAC, for assistance and consultant recommendations.

# ![](media/image2.jpeg){width="0.26319444444444445in" height="0.25in"} Grant Opportunities {#grant-opportunities .CAP-Head-1}

## HHS To Offer "Micro-Grants" To Organizations That Support Healthy People 2010 {#hhs-to-offer-micro-grants-to-organizations-that-support-healthy-people-2010 .CAP-Head-2}

On July 16^th^ HHS announced the agency's plans to award hundreds of
"micro-grants" to community organizations for activities that support
the goals of Healthy People 2010, the nation's health and prevention
agenda for the next decade. HHS will launch the new micro-grant
initiative with a two-year project, committing \$500,000-\$700,000 for
Year One. Grants in amounts of up to \$2010 each will be used to foster
the prevention efforts of local not-for-profit groups, including
faith-based organizations. Grantees may use the funding for anti-tobacco
campaigns, substance abuse forums, or other projects aimed at enhancing
quality of life and eliminating health disparities. Projects that
involve coalitions of community groups are expected to receive
preference in obtaining funds.

HHS will choose several organizations to recruit, review and award grant
applications in different geographic areas. The simple application
process will also be available electronically.

For more information, please visit:
<http://www.hhs.gov/news/press/2001pres/20010716.html>.

For more information on Healthy People 2010, go to:
<http://www.health.gov/healthypeople>*.*

## ![](media/image2.jpeg){width="0.26319444444444445in" height="0.25in"} Conferences {#conferences .CAP-Head-2}

## CAP Grantee Conference Set for October 2001 {#cap-grantee-conference-set-for-october-2001 .CAP-Head-2}

The Fall 2001 CAP Grantee Meeting will take place October 14-17 in
Arlington, Virginia, close to Washington National Airport. The focus of
the conference is: **Building** **Partnerships: Leveraging Resources to
Extend Community Health**.

The meeting will open on Sunday night with a grants management briefing
for the newest CAP grantees, awarded September 2001. A networking
reception for all grantees will then take place later in the evening.
Two full days of sessions will be offered on the 15^th^ and 16^th^,
followed by one half day of optional session on Wednesday, October 17th.
The optional session will be on clinical redesign. More details on this
and the rest of the conference can be found at the CAP website:
[www.capcommunity.org](http://www.capcommunity.org/).

The event will take place at the Hyatt Regency Crystal City in
Arlington. Reservations can be made by calling (703) 418-1234. Ask for
"in-house reservations" and reference the Community Access Program to
get the discounted conference rate. Please call to make your
reservations as early as possible. CAP communities will receive
additional registration information very soon.

It's very important for grantees to be involved in the development of
the conference agenda. If you would like to participate in the planning
process, please contact Audrey Smolkin at (215) 861-4794 or email
asmolkin@hrsa.gov.

For questions regarding conference logistics, please contact Dawn
Farrell Mitchell at dmitchell@synthesisps.com, (301) 770-8970 ext. 13,
or Wendy Houston at (301) 770-8970 ext. 12, <whouston@synthesisps.com>.

##  {#section .CAP-Head-2}

## Videoconference Set For September  {#videoconference-set-for-september .CAP-Head-2}

Coming soon...the Communities in Action videoconference, "Communities in
Action to Reduce and Eliminate Health Status Disparities," will take
place on **Wednesday, September 26, 2001.** The goal of the event is to
build and sustain the momentum to transform the nation's health care
system to provide 100 percent access and zero health disparities.
Content and logistics of the videoconference are still in development.
For more information please contact Dennis Wagner at 301-594-4121.

To learn more about Communities in Action, visit their web site at:
<http://www.bphc.hrsa.dhhs.gov/cca/>

## National Faith-Health Leadership Forum {#national-faith-health-leadership-forum .CAP-Head-2}

The Health Resources Services Administration (HRSA) and Bureau of
Primary Health Care (BPHC) will be sponsoring a National Faith-Health
Leadership Forum from November 7-10, 2001 at the Xerox Training &
Conference Center in Leesburg, Virginia. The objectives of the forum are
to obtain guidance and direction for BPHC to better utilize the
Faith-Health Initiative, to increase the practice of preventive
medicine, and to improve accessibility and quality of health care.
Plenary sessions and interactive workshops will focus on the tools,
technologies, models and best practices that the faith and health
communities can use to address access to health care and health
disparities.

For more information on the conference, please contact Jim Gray at
<jgray@hrsa.gov>.

# ![](media/image2.jpeg){width="0.26319444444444445in" height="0.25in"} GRANTEE NEWS {#grantee-news .CAP-Head-1}

## CAP Collaborative Awarded Local Funding {#cap-collaborative-awarded-local-funding .CAP-Head-2}

Leon County Collaborative members have been meeting since 1995 to
address a critical need for primary care services and pharmaceutical
assistance for uninsured residents in their community. In July, the Leon
County Commission agreed to provide \$1.2 million in primary health care
funding for Leon County for the 2001-2002 fiscal year. Funds will come
from a combination of reserves and a small Municipal Services Tax (MSTU)
on local real estate. The award follows a long series of public hearings
and votes at both City and County levels.

After trying to garner local support for several years, the
Collaborative believes the CAP Grant helped provide the validation they
needed to finally receive local financial assistance. According to Art
Cooper, director of the Leon County Health Department, CAP funding
provided "the infrastructure and momentum needed to keep the energy in
the community moving to this point."

Congratulations Leon County!

To learn more about the Leon County Collaborative, contact director Art
Cooper at Art_Cooper@doh.state.fl.us.

## Case Management Leads To SKYCAP Success {#case-management-leads-to-skycap-success .CAP-Head-2}

The Southeast Kentucky Community Access Program (SKYCAP) was initiated
by the University of Kentucky's Center for Rural Health in September of
2000. The Program utilizes Family Health Navigators (FHNs) who work with
local providers to facilitate a holistic care management system that
provides physical, mental and environmental care to uninsured residents
of their communities. This holistic approach, combined with effective
MIS implementation, has led to a substantial reduction in the cost of
hospitalization and emergency room visits for counties served by the
SKYCAP program. The cost of hospitalizations for the two-county area was
drastically reduced after residents enrolled in the program. Cost of
emergency room visits also decreased dramatically after program entry.

The SKYCAP program clearly demonstrates the positive economic impact of
successful case management efforts. Congratulations SKYCAP!

To learn more about SKYCAP's FHN program, contact director Fran Feltner
at fjfeltn@pop.uky.edu.

Do you have exciting or interesting news you would like to share with
other grantees?

Please send your ideas to Audrey Smolkin at <asmolkin@hrsa.gov>.

# ![](media/image2.jpeg){width="0.26319444444444445in" height="0.25in"} REPORTS AND ISSUE BRIEFS {#reports-and-issue-briefs .CAP-Head-1}

## Annual Federal Child Health And Well-Being Report {#annual-federal-child-health-and-well-being-report .CAP-Head-2}

The Federal government has released its fifth annual report on the
status of children in the nation. "America's Children: Key National
Indicators of Well-Being, 2001" examines the changing population and
family context in which children are living, and focuses on the areas of
economic security, health, behavior, social environment and education.
This year's study includes two additional reports on childhood asthma
prevalence and youth employment.

The report is available in its entirety at <http://www.childstats.gov/>.

## ASTHO Promotes Children's Oral Health  {#astho-promotes-childrens-oral-health .CAP-Head-2}

The Association of State and Territorial Health Officials (ASTHO)
recently released an access brief on children's oral health entitled,
"Children's Oral Health: State Initiatives and Opportunities to Address
the Silent Epidemic". The brief discusses oral health policy issues and
challenges, and examines initiatives of five states that are working to
improve children's oral health status. Examples from Alabama, New
Hampshire, North Carolina, Washington and Wisconsin are used to
demonstrate opportunities available to expand access to oral health care
through utilization of public and private resources, and establishment
of interdisciplinary, collaborative partnerships. The authors believe
that states, communities, health care providers, and individuals are
each responsible for helping children obtain and maintain optimal oral
health.

To view the entire access brief, visit:
<http://www.astho.org/access/documents.html>. Choose the first brief
listed under Maternal and Child Health. Additional oral health
information is available at HRSA/HCFA's Oral Health Initiative website,
located at: <http://www.hrsa.gov/oralhealth/>.

## Kaiser Reports Safety Net Challenges {#kaiser-reports-safety-net-challenges .CAP-Head-2}

A new report from the Kaiser Commission on Medicaid and the Uninsured
examines the financial challenges of safety net providers trying to
serve the uninsured residents of their communities. While policymakers
debate the future of medical care for millions of uninsured Americans,
the cost of uncompensated care continues to increase and safety net
providers struggle to find new ways to subsidize care for the uninsured
population.

The report focuses specifically on a study of safety net hospitals in
five major metropolitan areas of the United States: Los Angeles,
Houston, Denver, Boston and Detroit. Site visits and comprehensive
interviews were conducted with hospital administrators, staff, other
providers and local officials to assess the different methods that
providers use to respond to both common and site-specific challenges.
The research suggests that two key factors for determining the success
and future viability of a safety net provider are the amount of implicit
financial support they receive from all levels of government, and the
magnitude of the uninsurance problem in their specific community.

To access the full report, please visit:
<http://www.kff.org/content/2001/2250>.

## ANF Releases Four New Reports from the NSAF on SCHIP  {#anf-releases-four-new-reports-from-the-nsaf-on-schip .CAP-Head-2}

Assessing the New Federalism (ANF) is a multi-year Urban Institute
Research Project focused on monitoring and assessing the devolution of
social programs from Federal to state and local levels. This series of
articles presents findings from the National Survey of America's
Families (NSAF), a major new economic, health and social study of
children and adults under the age of 65. The results are analyzed
specifically as they relate to SCHIP, the State Children's Health
Insurance Program (http://www.hcfa.gov/init/children.htm).

The articles are on the following topics:

***"Why Aren\'t More Uninsured Children Enrolled in Medicaid or
SCHIP?"***

Read the full report at:
<http://newfederalism.urban.org/html/series_b/b35/b35.html>

***"How Familiar Are Low-Income Parents with Medicaid and SCHIP"***

Please visit:
<http://newfederalism.urban.org/html/series_b/b34/b34.html>

***"Has the Jury Reached a Verdict?  States\' Early Experiences with
Crowd-Out under SCHIP"***

To read the full report, visit:
<http://newfederalism.urban.org/html/op47/occa47.html>

***"Are We Responding to Their Needs? States\' Early Experiences Serving
Children with Special Health Care Needs under SCHIP"***

For more information, go to:
<http://newfederalism.urban.org/html/op48/occa48.html>

To visit the Urban Institute, please go to: <http://www.urban.org/>.
ANF's website can be found at <http://newfederalism.urban.org/>, and the
NSAF site is located at:
<http://newfederalism.urban.org/nsaf/cpuf/index.htm>.

# ![](media/image2.jpeg){width="0.26319444444444445in" height="0.25in"} WEB RESOURCEs {#web-resources .CAP-Head-1}

## CMS (formerly HCFA) Guide Now Available On The Web {#cms-formerly-hcfa-guide-now-available-on-the-web .CAP-Head-2}

The Center for Medicare and Medicaid Services' guide, "Continuing the
Progress: Enrolling and Retaining Low-Income Families and Children in
Health Care Coverage" is now available online. The guide is intended to
assist States in ensuring that low-income families and children have
access to health insurance benefits, but can also be helpful for any
organization dealing with public program application processes. The six
chapters of the guide examine:

-   Medicaid Application and Eligibility Processes

-   Medicaid Renewal and Termination Processes

-   Medicaid/TANF (Temporary Assistance for Needy Families) Delinking

-   Medicaid Eligibility Options

-   Program Monitoring by States

-   State Simplification Strategies

The comprehensive guide is available at two locations on the HCFA
website: <http://www.hcfa.gov/medicaid/wrefhmpg.htm> or
<http://www.hcfa.gov/init/outreach/examples.htm>

## HIPAA Help {#hipaa-help .CAP-Head-2}

There are a variety of HIPAA related TA websites available. Please see
the last page of the newsletter (under Web Quicklist) for more
information.

# ![](media/image2.jpeg){width="0.26319444444444445in" height="0.25in"} FYI... {#fyi .CAP-Head-1}

## CAP Compendium {#cap-compendium .CAP-Head-2}

The CAP Compendium of 2000 and 2001 grantees is in development. An
interim version including summaries of each of the current 76 grantees
will be disseminated to all CAP grantees at the upcoming October CAP
Grantee Conference. The Compendium is an exciting opportunity to share
your own experiences and learn from other grantees.

All current grantees should have returned their Compendium templates and
reviewed and approved their subsequent summaries by August 21, 2001. If
you are a current grantee and have not completed these tasks and require
assistance, please contact Christine Ayman at
[cayman@synthesisps.com](../cayman@synthesisps.com).

# ![](media/image2.jpeg){width="0.26319444444444445in" height="0.25in"} Web quicklist {#web-quicklist .CAP-Head-1}

An alphabetical listing of all of the websites mentioned in this
newsletter, along with additional important or relevant online
resources.

Assessing the New Federalism <http://newfederalism.urban.org/>

ASTHO <http://www.astho.org/>

Bright Futures <http://www.brightfutures.org/>

Community Access Program <http://www.capcommunity.org/>

Communities in Action <http://www.bphc.hrsa.dhhs.gov/cca>

Federal Interagency Forum Report <http://www.childstats.gov/>

Health Care Financing Administration <http://www.hcfa.gov/>

Healthy People 2010 <http://www.health.gov/healthypeople>

HHS <http://www.hhs.gov/>

HRSA <http://www.hrsa.gov/>

HRSA Oral Health <http://www.hrsa.gov/oralhealth>

Kaiser Family Foundation <http://www.kff.org/>

NSAF <http://newfederalism.urban.org/nsaf>

SCHIP <http://www.hcfa.gov/init/children.htm>

Urban Institute <http://www.urban.org/>

## HIPAA TA Websites {#hipaa-ta-websites .CAP-Head-2}

HHS Administrative Simplification Site\
<http://aspe.hhs.gov/admnsimp>

HHS Privacy Related Issues\
<http://www.hhs.gov/ocr/hipaa/>

From HCFA Main Page\
<http://www.hcfa.gov/hipaa/hipaahm.htm>

HCFA NPI Site\
<http://www.hcfa.gov/stats/npi/overview.htm>

  ---------------------- --- --------------------------------------------
                             

  ---------------------- --- --------------------------------------------

Medicaid HIPAA\
<http://www.hcfa.gov/medicaid/hipaa/default.asp>\
\
Medicaid HIPAA Plus\
<http://www.hcfa.gov/medicaid/hipaa/adminsim/hipaapls.htm>\
\
Medicaid HIPAA Compliant Concept Model\
<http://www.mhccm.org/>\
\
Medicaid Private Sector Technical Advisory\
<http://www.ps-tag.org/>\
\
Medicare Electronic Data Interchange (EDI)\
<http://www.hcfa.gov/medicare/edi/edi.htm>\
\
Medicare HIPAA documents (Program Memorandums, etc)\
<http://www.hcfa.gov/medicaid/hipaa/adminsim/default.htm>\
\
Joint Healthcare Information Technology Alliance\
<http://www.jhita.org/>\
\
AHIMA (American Health Information Management Association)\
<http://www.ahima.org/>\
\
Data Interchange Standards Association\
<http://www.disa.org/>\
\
National Uniform Claims Committee\
<http://www.nucc.org/>\
\
Data Interchange Standards Association\
<http://www.x12.org/>\
\
CPRI-HOST: Electronic Standards, Patient Records and Open Systems in
Health Care\
<http://www.cpri-host.org/>

Washington Publishing - HIPAA Implementation Guides\
<http://hipaa.wpc-edi.com/HIPAA_40.asp>

National Council of Prescription Drug Programs Telecommunication
Standard Format\
<http://www.ncpdp.org/>\
\
GW University Health Privacy Project (HPP)\
<http://www.healthprivacy.org/>\
\
Phoenix Health System\
<http://www.hipaadvisory.com/>\
\
National Uniform Billing Committee\'s EDI Transactions Primer\
<http://www.wpc-edi.com/models/primerhome.html>\
\
HIPAA Security Accreditation by Electronic Healthcare Network
Accreditation Commission\
<http://www.ehnac.org/SecurityAccreditation/Default.html>\
\
North Carolina Healthcare Information and\
Communications Alliance\
<http://www.nchica.org/>\
\
HIPAAcomply - Security And Privacy Compliance\
<http://www.hipaacomply.com/>\
\
Workgroup for Electronic Data Interchange\
<http://www.wedi.org/>\
\
HIPAA Directory.com\
<http://www.hipaadirectory.com/>\
\
Health Level 7\
<http://www.hl7.org/>

HIPAA - Designated Standard Maintenance Organization (DSMO)

<http://www.hipaa-dsmo.org/>

CAPStone is provided as a service to CAP Grantees by the Community
Access Program of the Health Resources and Services Administration.
Please forward your corrections, questions or comments about the
newsletter to:

Synthesis Professional Services, Inc.

\(301\) 770-8970 ext. 11

<CAP@Synthesisps.com>