Newsletters

UPDATE: 12-22-2020 conversation with Iowa Department of Public Health staff regarding social workers receiving the COVID-19 vaccination.

The Iowa Department of Public Health (IDPH) is deferring to each individual County Health Department to determine who is in priority category 1A for vaccinations.

The federal Advisory Committee on Immunizations Practices (ACIP) recommended to and the Centers for Disease Control (CDC) adopted guidance that health care workers be in priority group 1A.Under Iowa Code social workers are health care workers, but the priority list wasn’t created by the state of Iowa -- it was created by a federal committee (the ACIP), and then adopted by another federal entity (the CDC).  And the ACIP did not define health care provider.

Each county has a different number of vaccines available and likely a different level of demanded within that county.So if they have vaccines available, the County Health Department may be willing to provide vaccines to social workers in private practice, if they believe that the social workers fall within the 1A priority group. The Iowa Department of Public Health has sent lists of licensed social workers (and other licensees) to the County Health Departments. Of course, this will not include any non-licensed BSWs that may be working at your organization.(As a reminder, licensing of BSWs is optional in the state of Iowa.)

We have heard that some social workers working in Federal Qualified Health Centers and Community Mental Health Centers have been told that they are scheduled to receive the vaccine.

So my best advice is to call the County Public Health Department in the county where your address for licensure is. If you are an employer, you will want to call the County Public Health Department where you have facilities.

Here is a list of Local Public Health Agencies and their contact information:

https://idph.iowa.gov/lphs/local-public-health-agencies

Please let us know what you hear from your County Health Department/Local Public Health Agency, so we can pass that on to others.

Other helpful links:

Here’s a link to the IDPH Version 2.0 of the “COVID -19 Vaccination Strategy- Draft”

https://idph.iowa.gov/Portals/1/userfiles/61/covid19/vaccine/V%202%20IOWA%20COVID-19%20VACCINATION%20STRATEGY%2012_4_20_FINAL.pdf

Here is a link to the IDPH webpage on COVID-19 Resources for Underserved Populations

https://idph.iowa.gov/Health-Equity/COVID-19-Resources-for-Underserved-Populations


12-9-2020 New Emergency Disaster Proclamation from the Governor with a bit of new Guidance.

Governor Reynolds issued a new Proclamation of Emergency Disaster on

Wednesday, 12-9-2020

The governor’s current proclamation runs through 1-8-2020.

Telehealth portion of the proclamation remains the same

Section 70 – Reimbursement of telehealth services still at 100% of an in-person visit for policies regulated by the Iowa Insurance Division. Audio-only visits are still covered.

Keep in mind

  • Reimbursement rate is NOT the same as BENEFITS.Businesses are encouraged to “remove cost sharing or other financial barriers to the use of telehealth in their health insurance plans.”
  • As before, the Governor’s proclamation only applies to the insurance policies that are regulated by the Iowa Insurance Division.This does NOT include
    • self-insured plans (regulated by ERISA)
    • Medicare (regulated by CMS at the US Department of Health and Human Services)
    • Medicaid (regulated by Iowa Medicaid Enterprise)
    • Federal employee plans (Office of Personnel Management)
    • CHAMPUS

Heads up on advocacy needs!

As the last General Assembly came to a close, the rumor mill indicated that the Telehealth segment of the proclamation would go through 1-31-2021.The legislature will have to act VERY quickly to bridge that gap (session begins on 1-11-2021).Be in touch with your legislators NOW to let them know that you would like the telehealth components of the Governor’s proclamation made permanent.

What happens at the legislature is likely to be different this year – we NEED YOUR GRASSROOTS advocacy!

Mandatory Reporter Training

Section Sixty-Nine – The requirement to attend mandatory reporter training within six months of initial hire employment has been suspended.However, cases of child or dependent adult abuse must still be reported to the proper authorities.

To see the Governor’s full proclamation, go to

https://governor.iowa.gov/sites/default/files/documents/Public%20Health%20Proclamation%20-%202020.12.09.pdf

Licensure renewal

The Iowa Board of Social Work has updated their guidance.

The deadline for licensure renewal has been extended until 2 months after the governor’s Proclamation of Emergency Disaster has expired.  However, folks CAN renew now if they would like. As of now, CEUs may be completed up until 6-30-2021 for the 2019-2020 licensure period.

CEUs earned between 1-1-2021 & 6-30-2021

Social Work CEUs earned between 1-1-2021 & 6-30-2021 may be applied to

  • The 1-1-2019 to 12-31-2020 licensure period (if needed)

OR

  • The 1-1-2021 to 12-31-2023 licensure period

But NOT both

Out of State Social Workers

“For the duration of the Proclamation, individuals who are licensed as social workers in another state, whose license is in good standing, may provide services to Iowans through electronic means without obtaining a license from the Board.”

Keep in mind, Governor Reynolds has NO JURISDICTION over what licenses other states accept (looking at you Missouri).If you have clients in other states, you need to check with that state’s licensing body to see if, as a social worker licensed in Iowa, you are allowed to provide services in that state by electronic means.You can also check the Association of Social Work Boards website (but it may not be up-to-date):

https://www.aswb.org/covid-19

Link to guidance from the Iowa Board of Social Work

https://idph.iowa.gov/Portals/1/userfiles/90/2020_11_10%20-%20Iowa%20Board%20of%20Social%20Work%20Guidance%20%281%29.pdf

NASW IA COVID-19 Update #7


Here is a not so quick synopsis of news in the Age of Corona.  Scroll down for more information on

  1. A reminder from the NASW Office of General Counsel…antitrust law and social work
  2. State of Iowa Employees and those who have State of Iowa Employees as clients
  3. Guide from U.S. Representative Cindy Axne (IA-
  4. SBA Economic Injury Disaster Loans, including non-profits
  5. UPDATE! Medicare and Telehealth modifiers
  6. Action Alert:  Medicare Telehealth
  7. Social workers help lower patient health care utilization rates 
  1. A reminder from the NASW Office of General Counsel…antitrust law and social work

As we are advocating for telehealth insurance coverage, please be cognizant of your own contractual obligations to not discuss specific rate reimbursement.

“Discussions among health care providers (including social workers) about third-party reimbursement – including fee schedules and other terms of their contracts with health plans – can lead to violation of antitrust law. Antitrust laws are broad and complex, but on a basic level they operate to prohibit coordinated anticompetitive activities between competitors. In this case, maybe counterintuitively, social workers are considered competitors against each other, in negotiating with insurers. Discussion among competitors of pricing and contract terms must be avoided, because it can result in anticompetitive activities such as boycotting (or otherwise coercing) a health insurer to provide more favorable rates and terms. In order to avoid potential liability, legal commentators caution that such discussions must be avoided in all forums, including during meetings, private conversations and on-line chats.”

 

  1. State of Iowa Employees and those who have State of Iowa Employees as clients

Good information in general, but see

bottom of page 6, Q17

for specifics on telehealth, including mental health. 

Audio only will be allowed through June 16, 2020. 

https://das.iowa.gov/sites/default/files/hr/documents/COVID19/COVID-19_FAQ.pdf

Federal Resources

  1. Guide from U.S. Representative Cindy Axne (IA-3)

The office of U.S. Rep. Cindy Axne has put together an extensive resource guide on Corona Virus, including what has changed with the COVID-19 legislation

https://axne.house.gov/media/coronavirus-resource-guide

  1. SBA Economic Injury Disaster Loans, including non-profits

SBA has Economic Injury Disaster Loans available to small businesses, small agricultural cooperatives, aquaculture businesses and nonprofit organizations affected by the COVID-19 pandemic.

More information about the various types of SBA assistance is available at: https://www.sba.gov/funding-programs/loans/coronavirus-relief-options

  1. UPDATE! Medicare and Telehealth modifiers

On April 3, 2020 Medicare reported revisions to telehealth place of service and modifier codes. The revisions will allow clinical social workers and other providers to be reimbursed for telehealth services at the same rate as an in-person service. The Practice Alert, Attention Clinical Social Workers: Medicare Revises Telehealth Place of Service and Modifier Codes During COVID-19, provides information to NASW members and is available at

https://www.socialworkers.org/LinkClick.aspx?fileticket=AIf2z25g2mI%3d&portalid=0

 

  1. Action Alert:  Medicare Telehealth

As you may know, the Centers for Medicare and Medicaid Services (CMS) recently implemented temporary flexibilities in regulations regarding telehealth in order to ensure that beneficiaries can access health and mental health services during the COVID-19 public health emergency. Clinical social workers can use smartphones with video chat apps such as Skype or Apple Facetime, in addition to video conferencing technology (which was permissible prior to the pandemic), to conduct psychotherapy. However, as of this writing, Medicare will not reimburse for psychotherapy provided via audio-only devices (e.g. landlines).

NASW National has created an easy way to ask the US Dept. of Health and Human Services to change this and allow social workers and other mental health professionals to provide and be reimbursed for  telehealth via audio only means. Click on the link below:

https://www.socialworkers.org/Advocacy/Legislative-Alerts

And finally, some good news! 

  1. Social workers help lower patient health care utilization rates 

https://www.modernhealthcare.com/safety-quality/social-workers-lower-patient-healthcare-use-study-shows               

It’s hard to believe that we are wrapping up what we are calling Week 4 of COVID-19 Iowa Rapid Response (counting from Sunday, March 15 – the day the Iowa legislature announced that it would be meeting for an abbreviated session on Monday, March 16). Please let us know what you need from your professional association to make your job easier. That is why you pay your dues!

Information is available from all kinds of sources. Social workers turn to NASW as a trusted source of authoritative practical guidance, evidence-based practice information and curated content. The more you put into your NASW membership, the more you’ll get out of it – so take advantage of your membership to help you learn, thrive, and grow in your social work career.  Help us help you.