NCCHCA Press Release on HB 655: North Carolina Community Health Center Association Supports Covering the Uninsured Working Poor
HRSA Service Area Considerations
HRSA is pleased to announce the release of the Health Center Program Service Area Considerations Request for Information (RFI). HRSA seeks input from the public on service area considerations that may inform HRSA decisions regarding Health Center Program expansion through an existing health center’s addition of new service delivery sites.
These considerations include factors such as:
- Parameters for unmet need;
- Proximity;
- Reasonable boundaries for the service area;
- Consultation with other local providers;
- Demonstrated capacity and performance in existing service area; and
- Ensuring patient input/representation.
The Service Area RFI announcement will begin with a 30-day preview period. Instructions on how external stakeholders may submit feedback are forthcoming. Following the preview period, HRSA will accept public feedback for 60 days and plans to announce those details in a future Primary Health Care Digest newsletter. We look forward to receiving your feedback.
HRSA announces the availability of $200 million in supplemental funding for Integrated Behavioral Health Services (IBHS).
IBHS will increase access to high-quality integrated behavioral health services, including prevention or treatment of mental health conditions and/or substance use disorders, including opioid use disorder. Organizations currently receiving Health Center Program operational grant funding are eligible to apply for up to $145,000.
You can begin using the HRSA Electronic Handbooks (EHBs) application module on Friday, April 5, 2019. HRSA will email eligible organizations’ authorizing officials, business officials, and project directors the link to access the application. We encourage you to start developing your IBHS project now using the resources available on the IBHS Technical Assistance (TA) webpage.
Applications are due in EHBs by Monday, May 13, 2019, at 5:00 p.m. ET. HRSA expects to make awards in September.
For more information:
Visit the TA webpage for details about the Q&A Sessions and additional TA resources. Contact the IBHS TA Team with questions.
Oral Health Infrastructure
April 22. HRSA announced the availability of $76 million in one-time supplemental funding for Oral Health Infrastructure (OHI) to support health center infrastructure enhancements. These investments will increase access to new or enhanced high-quality, integrated oral health services, including those provided via telehealth and virtual dentistry. Applications are due in Grants.gov by Monday, April 22 (11:59 p.m. ET) and HRSA’s Electronic Handbooks (EHBs) by Tuesday, May 21 (5:00 p.m. ET).
For more information:
If you have questions, contact the OHI TA team
Notice of Funding Opportunity for Rural Providers: Small Health Care Provider Quality Improvement Program
Applications are due by Monday, April 22.
HRSA recently released a notice of funding opportunity that will support up to 32 public or private nonprofit health care providers located in rural areas to improve patient care in their communities. HRSA expects to invest approximately $6.4 million for this program, which aims to improve the quality of rural health care through an evidence-based approach to primary care that has proven effective in rural areas.
Previously funded organizations under this program designed and carried out projects focused on coordinated care for patients, chronic disease management, integrated care delivery systems, and reduced admissions for emergency rooms and hospitals, among other issues for rural providers. Objectives for this program, which is competitive every three years, include improved health outcomes, better engagement of patients and their caregivers, and continuous improvement to chronic disease management. Grantees also are encouraged to implement quality improvement activities that measure value by outcomes, establish and maintain PCMHs, and integrate behavioral health into the primary care setting.
View the announcement on Grants.gov to learn more.
2019 Patient Target EHBs Notification to Health Centers
Beginning this week, HRSA is sending a tailored email from the Electronic Handbooks (EHBs) to each Health Center Program award recipient with a direct link to the patient target in EHBs. The Program Director should review the patient target and take appropriate action in EHBs by Friday, April 19. Email BPHCPatientTargets@hrsa.gov with questions. A recorded walk-through of the EHBs Patient Target Management Module and Patient Target Frequently Asked Questions are available on the Service Area Competition Technical Assistance (TA) website.
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April SNAP Benefits
NC DHHS continues to work towards getting SNAP households back on their normal benefit issuance schedule, which was disrupted by the federal shutdown earlier this year. Households that receive SNAP benefits between the 1st-11th of the month will receive their April SNAP benefits on their normal cycle. Households that receive benefits between the 12th-21st of the month will receive them on April 12. The regular issuance schedule will resume in May. Help spread the word by posting this flyer (available in English and Spanish) throughout your health center. Please note that SNAP is referred to as Food & Nutrition Services (FNS) in North Carolina.
Remind Consumers to Reconcile APTCs
Enrollment assisters should remind consumers to reconcile advanced premium tax credits (APTCs) received in 2018 when they file their taxes. Consumers can reconcile APTCs by using the information provided on Form 1095-A to complete Form 8962. If a consumer has not received Form 1095-A for their 2018 Marketplace coverage, they can log-in to their Marketplace account or call the Marketplace Call Center (1-800-318-2596) to obtain a copy. Consumers who fail to file a 2018 tax return and reconcile APTCs received in 2018 will not be issued PTCs for plan year 2020 until they take action.
Penalty Still Applies for Consumers Who Were Uninsured in 2018
Individuals who were uninsured for all or part of 2018 will be subject to a penalty when they complete their 2018 tax return, unless they qualify for an exemption. The penalty amount is a percentage of household income or a flat dollar amount, whichever is greater (see table below and the Tax Year 2018 Reference Guide).
| Percent of Household Income |
Flat Dollar Amount |
| 2.5% of income above tax filing threshold |
$695/adult; $347.50/child |
| Capped at annual cost of average premium of bronze level plan |
Capped at $2,085 |
Enrollment assisters can review exemptions individuals may be eligible for, possibly helping them avoid the penalty. The Exemptions Tool on Healthcare.gov, as well as this exemptions worksheet, can be used to assess possible exemptions an individual may be able to claim. The current tax season represents the last year uninsured individuals will be assessed the individual mandate penalty.
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 Congrats to Greene County Health Care, which recently named Megan Lasure to the position of Human Resources director. As Human Resources (HR) director, Mrs. Lasure will supervise the organization’s HR department, including compensation, benefits, training and development, employee relations and management, recruitment and strategic planning for HR.
CommWell Health Invites you to their Ribbon Cutting/Open House Ceremony
Tuesday, April 16 , 2019 | 12:00 PM
CommWell Health Bolivia
4311 Old Ocean Hwy, Bolivia, NC 28422
RSVP to Andrea Morales-Williams aamorales@commwellhealth.org
Triad Adult and Pediatric Medicine’s (TAPM) - 2nd Annual Friends of TAPM Brunch featuring Merle Green, Director of Guilford County Department of Public Health as our Keynote Speaker and the inaugural Dr. Stewart and Betty Rogers Award. Thursday, April 25, 2019 | 8:30am-11:00am | The Conference Center at GTCC – Oak Ridge Room| 7908 Leabourne Road, Colfax, NC, 27235. For more information go to friendsoftapmbrunch.eventbrite.com
The Seventh Annual Lincoln Community Health Center Foundation Legacy Award Luncheon Honoring Dr. Oveta McIntosh-Vick and Dr. Veronica Ray, Friday May 10, 2019 at the Washington Duke Inn and Golf Club, Durham, NC. Lincolnchcf.org
Call for NCCHCA Board Officer Nominations
The North Carolina Community Health Center Association is pleased to announce the call for nominations for the 2019-20 Board of Directors. Only representatives of corporate members in good standing are eligible to hold office.
Nomination Deadline: Noon on Monday, April 15, 2019 to Nominating Committee Chair Carolyn Allison CarolynAllison@cchc-clt.org and Ben Money moneyb@ncchca.org.
Election Process: The election will be held via electronic polling May 15 – 31, 2019 and the results announced at the Annual Meeting June 26, 2019.
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Close the Health Insurance Coverage Gap!
Although it’s not a perfect bill, HB 655: NC Health Care for Working Families, may be our state’s best option for closing the coverage gap this session. Though the deadline for cosponsorship of the bill has passed, please contact your member of the NCGA and ask them to do what they can to Close the Health Insurance Coverage Gap this year!
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Is It Time for Your Re-verification Application?
It's already been five years since the implementation of NCTracks, which means there are many providers who will need to complete re-verification over the next few months. If you haven't received a re-verification notification in your Message Center Inbox yet, you may be seeing it soon. To find your re-verification date, go to the NC Division of Medical Assistance (DMA)'s list of the providers who are due for re-verification in 2018 under 'Recredentialing' on the DMA Provider Enrollment webpage.
Be sure to check your email and NCTracks Provider Portal for reminders on useful resources and tips for completing your application. To learn more, visit the Re-verification/Re-credentialing FAQs page today.
NCTracks Provider Announcement and Newsletters
Join NCTracks’ Email List
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NC lawmakers introduce telehealth legislation
This week, NC lawmakers introduced legislation (HB 721: Increase Access to Telehealth Services) which would broaden the types of telehealth services that could be utilized and reimbursed under NC Medicaid, commercial plans and the State Employees Health Plan. This bill would improve quality of care and increase access for those in rural areas.
Prepaid Health Plan Meet and Greet Sessions
Regional sessions will offer providers an opportunity to meet with health plan representatives, ask specific questions about provider network participation and Medicaid Managed Care transition. Health Plans and NC Medicaid subject matter experts will be on hand to respond to provider inquiries. For more information, visit: https://medicaid.ncdhhs.gov/php-meet-and-greet
Virtual Office Hours
Virtual office hours (VOH) will provide an interactive format for providers to have their questions answered. For the first VOH session, the focus will be on Medicaid provider enrollment and credentialing. A panel of NC Medicaid subject matter experts on this topic will be available to answer questions. For more information, visit: https://medicaid.ncdhhs.gov/virtual-office-hours
NC Medicaid Managed Care Training Courses
MCT 101 - Provider Transition to NC Medicaid Managed Care 101
A high-level overview for providers of the transition to NC Medicaid Managed Care. The webinar covers the vision and context of North Carolina's transformation to a managed care system, provides a close look at managed care key initiatives, and highlights opportunities for providers to be part of the process.
Review Medicaid Enrollment Records in NCTracks in Advance of Managed Care
To ease the burden on credentialing with multiple Medicaid managed care plans, the NC Department of Health and Human Services selected a provider data contractor (PDC) – Wipro Infocrossing – to serve as the state’s centralized credentialing provider. Neither the PDC nor Medicaid prepaid health plans/managed care plans are permitted to reach out to providers to update credentialing information (this is meant to ease the burden on providers). Therefore, it is imperative that Medicaid providers keep their information up to date in NCTracks. As outlined in the NC Medicaid April bulletin, be sure to:
- Review affiliations by location for accuracy
- End-date any affiliations that are not current
- Make sure physical addresses are correct with the accurate taxonomies
- Review license, certification, and accreditation information
- If necessary, begin the Managed Change Request process to make necessary corrections and updates
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Streamlining Medicare Site Enrollment
Join us for a webinar featuring CMS that will explain upgrades to the Provider Enrollment, Chain, and Ownership System (PECOS) for health centers enrolling in Medicare to receive their Federally Qualified Health Center certification. HRSA and CMS collaborated on PECOS upgrades that launched on Monday, April 1, and aim to streamline the enrollment process for new health center sites.
Wednesday, April 24
2:00-3:30 p.m. ET
Join the webcast the day of the session
Call-in: 888-233-9404
Passcode: 8901264
Deadline Extended: Review Patient Targets by Friday, April 26
The deadline for Health Center Program award recipients to review their patient target and take appropriate action in EHBs is extended to Friday, April 26. View the recorded walk-through of the EHBs Patient Target Management Module to learn how to access your patient target in EHBs. Visit the Service Area Competition TA webpage for additional resources and contact the Patient Targets Team with questions.
2019 UDS Reporting Changes TA
HRSA presents a TA webinar that will provide an overview of the changes for the calendar year (CY) 2019 UDS data collection and reporting activities for reports submitted by February 15, 2020. There will also be discussion of possible changes for 2020 UDS and revised clinical measures resulting from continued alignment with electronic specified clinical quality measures. Read a summary of the approved changes in the UDS Changes Program Assistance Letter (PAL).
Thursday, May 9
1:00-2:30 p.m. ET
Join the webcast the day of the session
Call-in: 888-233-9404
Passcode: 6379668
Register here
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State
Lawmakers look for ways to cover more low-income uninsured
Two years ago, a group of Republicans in the North Carolina House of Representatives made a splash when they defied their party’s orthodoxy: They wanted to provide a way to get hundreds of thousands of low-income North Carolinians access to health insurance via the state’s Medicaid program. But they didn’t say they were “expanding Medicaid,” they called it Carolina Cares. This year, the same quartet of lawmakers are back, this time with a bill they’re calling the NC Health Care for Working Families Act. Again, Rep. Donny Lambeth (R-Winston-Salem) said that this was “a North Carolina solution.” Just don’t call it “Medicaid expansion.” Nonetheless, the bill uses the mechanism of the Medicaid program to cover people who fall in the “coverage gap” between the very low-income and disabled people who currently qualify for Medicaid, and people who earn enough to purchase subsidized health insurance on the online marketplace created by the ACA.
National
Mulvaney, administration officials emerge from Camp David summit planning health care rollout 'fairly shortly'
Acting White House chief of staff Mick Mulvaney said Sunday that the White House plans to release an Obamacare replacement plan before the 2020 election, after hosting top administration officials at Camp David over the weekend for a meeting on health care.
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Funding for Public Charge Education
Proposals Due April 15, 2019
The Protecting Immigrant Families Campaign has issued a Request for Proposals to support organizations with engaging their networks and disseminating accurate and understandable information about the conditions under which public charge factors can be taken into account for immigration purposes - and when they cannot - both abroad and in the U.S. Grants of $10,000-20,000 will be awarded for a project period of approximately eight months. Learn more.
SAMHSA: Substance Use Disorder Treatment for Minorities at High Risk for HIV/AIDS
April 22. The Substance Abuse and Mental Health Services Administration (SAMSHA) will make 24 awards of up to $500,000 each to increase engagement in care for racial and ethnic minority individuals with substance use disorders, and/or co-occurring substance use and mental disorders, who are at risk for HIV or are receiving HIV services and treatment. Eligible applicants include state, local and tribal governments, public and private universities and colleges, and community- and faith-based organizations. Racial and ethnic minority populations make up only 15 percent of the rural population, but approximately 62 percent of people living with HIV/AIDS in rural areas are minorities.
Rural Communities Opioid Response Program-Implementation (RCORP-Implementation)
May 6. The Health Resources and Services Administration’s (HRSA) Federal Office of Rural Health Policy (FORHP) will be making approximately 75 awards of up to $1 million each to rural communities to enhance service delivery for substance use disorder, including opioid use disorder. All domestic public and private entities, nonprofit and for-profit, are eligible to apply and all services must be provided in HRSA-designated rural areas (as defined by the Rural Health Grants Eligibility Analyzer). The applicant organization must be part of an established network or consortium that includes at least three other separately-owned entities. At least two of these entities must be located in a HRSA-designated rural area. FORHP will hold a 90-minute webinar for applicants on Wednesday, March 27, 2019 from 11:30-1:00 pm ET. A recording will be made available for those who cannot attend. For the webinar dial-in and playback information, please reference page (ii) in the Notice of Funding Opportunity on Grants.gov. (Click “Preview” on the Package tab, and then “Download Instructions”.) Contact ruralopioidresponse@hrsa.gov with questions.
Opioid Workforce Expansion Program – Professionals and Paraprofessionals
May 7. HRSA is accepting applications for the FY 2019 Opioid Workforce Expansion Program (OWEP) Professionals and Paraprofessionals funding opportunities. Apply on Grants.gov by Tuesday, May 7.
The OWEP for Professionals’ purpose is to build upon existing HRSA investments to enhance community-based experiential training focused on OUD and other SUD for students preparing to become behavioral health professionals. The OWEP for Paraprofessionals funds this same training for peer support specialists and other types of behavioral health-related paraprofessionals.
HRSA anticipates awarding $39.3 million for approximately 29 OWEP for Professionals awards and $29.8 million to fund about 33 OWEP for Paraprofessionals awards.
All other funding opportunities are listed on our website, here.
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STAR² CENTER SELF-PACED COURSES
The STAR² Center has added new interactive self-paced online courses to our growing catalogue of resources and training opportunities for health center workforce teams looking to enhance their recruitment and retention efforts. Take some time today to set up your learner account and review our new "Administrative Strategies for Increasing Retention" course. Click here to view a brief overview of how to access and register to complete these courses and be sure to reach out to Mariah Blake with any questions.
Become a Vital Part of North Carolina’s Safety Net!
Community Health Centers are a unique, growing area of the health care industry. Community Health Centers offer many dynamic career opportunities for dedicated individuals who want to make a difference in their communities. You will also find postings for careers within the North Carolina Community Health Center Association (NCCHCA) whose mission is to promote and support patient-governed community health care organizations and the populations they serve. Visit our website to see open positions and to post opportunities.
Community Health Center Inc’s Clinical Workforce Development National Cooperative Agreement encourages you to apply for their Team Based Care Learning Collaborative.
Deadline: May 31, 2019
The Team-Based Care Learning Collaborative is an 8-month participatory learning experience offered by the National Cooperative Agreement (NCA) for Clinical Workforce Development, funded by the Health Resources and Services Administration, and hosted by Community Health Center, Inc.(CHCI) in Middletown, CT. The Collaborative is designed to provide transformational strategies and coaching support to help primary care practices in Federally Qualified Health Centers (FQHCs) implement an advanced model of team-based care. The Collaborative will provide a series of videoconference learning sessions with 10-12 primary care teams from across the country, as well as in-person quality improvement training, ongoing mentoring for coaches in your organization, technical assistance, and access to web-based tools. Teams will complete an assessment of their current practice using a nationally recognized method to identify opportunities for improvement, and will work between learning sessions to meet their aims.
Applications are open at www.regpacks.com/tbcnca
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The NCCHCA Group Purchasing Organization provides a shared savings model for NC Community Health Centers. NCCHCA members may participate at no cost and can save a significant amount of money on items, such as medical/dental supplies and equipment. Thank you to our current partners: LabCorp, Toshiba Business Solutions, and Community Health Ventures (VIP). Contact Chris Shank for more information.
  
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Coming Together for Rural Resiliency
The NC Agromedicine Institute is partnering with NC Cooperative Extension to conduct a one day workshop "Coming Together for Rural Resiliency" in 4 locations across the state. Workshops and lunch are all provided at no cost. If you are a community organization that provides behavioral health or other support to farming and rural communities and you would like to have a table to share resources with participants, please let them know. Topics include:
- causes & effects of escalating farm & rural stress
- share or learn about existing resources to support farm families & other rural residents experiencing stress
- share your ideas as to what strategies are needed to address farm & rural stress
- participate in ‘Talk Saves Lives’: A presentation that covers the general scope of suicide, the research on prevention, and what people can do to fight suicide
Remaining Dates and locations:
- April 15, 2019: Mountain Horticultural Crops Research and Extension Center, 455 Research Drive, Mills River, NC 28759
- April 29, 2019: NC Cooperative Extension – Forsyth County Center, 1450 Fairchild Road, Winston Salem, NC 27105
Registration is free. To register: call the NC Agromedicine Institute at 252.744.1008 or email agromedicine@ecu.edu . Be sure to indicate the date and location of the meeting you plan to attend.
National Quality Initiative (NQI) pioneers in school health services.
You are invited to form—or join—a team of leaders in children’s health in North Carolina to participate in a 10-month Collaborative Improvement and Innovation Network (CoIIN) focused on adopting and reporting the standardized performance measures for school-based health centers (SBHCs), making measurable improvements in the health and mental health of students, and working with state-level partners to strengthen policies and programs that support growth of school-based health services. The CoIIN will take place during the 2019-20 school year.
- WHO CAN APPLY? SBHC providers, administrators, and state-level representatives from the Departments of Health, Education, Title V, Medicaid, Primary Care Organizations, and/or managed care organizations from ANY state or territory can for a team and apply.
- WHEN DO I APPLY? The Alliance will be accepting applications from April 1 through May 31, 2019.
- WHAT DOES IT MAKE POSSIBLE FOR YOU? Participating in the CoIIN will give you an opportunity to create or strengthen relationships in North Carolina between you and other state leaders such as department of health, Title V, Medicaid, and other state-level partners; and an opportunity to develop and improve policies and programs that promote quality, sustainability, and growth of school-based health services.
CLICK HERE to learn more and apply. QUESTIONS: Please contact Paula Fields (pfields@sbh4all.org).
CDC Webinar: Cultural Competence in Preparedness Planning
April 24 at 1 PM ET
Is your organization committed to building cultural competency? Do you need communication resources to help? Please join CDC’s Emergency Partners Information Connection (EPIC) for a webinar. When a disaster strikes a community, it affects people of various cultural backgrounds—sometimes disproportionately. Cultural competency can help public health communicators reduce this disparity. Please join CDC EPIC and CDC’s Office of Minority Health and Health Equity for this discussion. Julio Dicent Taillepierre, team leader for the Initiatives and Partnerships Team, will discuss why cultural competency matters during emergencies, the potential consequences of being culturally incompetent, and resources to help build your understanding.
Participating in this webinar will qualify attendees for CEU, CHES, and CPH continuing education units. Closed captioning will be available.
Click Here to Join Webinar
2019 Communities Joined in Action National Conference
April 24-26, 2019
Seattle, WA
Communities Joined in Action (CJA) will bring together community and national health leaders to share innovations, lessons-learned, and inspiration. Attendees will leave with ideas, tools, and action plans that improve health for all people. The conference will include compelling plenary presentations by national leaders, group discussions of current challenges and opportunities, and focused workshops that highlight local innovations. The conference will help community leaders better understand how to work toward creating equity in health and health care delivery. Learn more.
Healthy Eating Active Living (HEAL) Convening
May 2-3
Goldsboro, NC
This convening is designed for nonprofit and faith-based organizations who are interested in learning creative ways to develop programming around healthy eating, active living or who want to enhance programming they are already doing. They provide spots for agency representatives as space permits. Anyone who’s interested can learn more at the event Facebook page at www.facebook.com/resourcefulcommunities.
National Center for Medical-Legal Partnership Summit
Request for Workshop Proposals
Deadline: May 13, 2019
The National Center for Medical-Legal Partnership is accepting workshop proposals for their upcoming Summit, scheduled for September 19-20, 2019 in National Harbor, MD. Individuals do not need to work with a medical-legal partnership in order to present a workshop at the Summit. Preference will be given to proposals that take a layered approach and include a broad range of perspectives. Preference will also be given to proposals that include consumer presenters. Full tuition and travel scholarships are available for consumers who present workshops. Learn more about submitting a workshop proposal.
Registration Open: Federal Tort Claims Act (FTCA) University
May 15-16, 2019
Asheville, NC
Hosted by the North Carolina Community Health Center Association and presented by the Health Resources and Service Administration, the Federal Tort Claims Act University (FTCAU) is an innovative training offered to members of the health center community. FTCAU provides a great opportunity for seasoned quality and risk management professionals and new professionals to learn from experts, leaders, and government officials about FTCA, healthcare quality and risk management, and related subjects. Over the course of two days, attendees will participate in interactive presentations and exercises that are specially geared toward health center grantees.
Who should attend?
- Quality Improvement Coordinators
- Risk Managers
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Save the Dates: Oral Health and Primary Care Integration for People Living with HIV
HRSA will host a two-part webinar series on oral health and primary care integration to support people living with HIV. The strategies we will cover are designed for all HRSA recipients serving people living with HIV regardless of whether the organizations deliver oral health care directly, refer out for all services, or are somewhere in between. We’ll share registration information when it becomes available.
- Assessing Risk and Providing Basic Services at Primary Care Settings
Thursday, May 23
2:00-3:00 p.m. ET
- Connecting Clients to Oral Health Services
Thursday, June 6
2:00-3:00 p.m. ET
Opioid Misuse and Overdose Prevention Summit
June 11-12. 2019
McKimmon Center at NC State University
Raleigh, NC
Summit website and registration.
Save the Date: 2019 NCCHCA Primary Care Conference
June 26-28, 2019
Renaissance Asheville Hotel
31 Woodfin Street
Asheville, NC 28801
Registration Opening Soon.
10th Biennial Childhood Obesity Conference
July 15th - 18th
Anaheim, CA
Click Here for more information
Save the Date: 2019 East Coast Migrant Stream Forum
October 9-11 | Carolina, Puerto Rico
The East Coast Migrant Stream Forum convenes over 200 health professionals, researchers, advocates, and students from 20+ states and Puerto Rico for three days of professional development and networking opportunities. The conference is organized into five major disciplines – clinical, outreach/lay health/community health workers, policy, programmatic/administrative, and research – and focuses on increasing access to care and reducing health disparities among vulnerable populations with an emphasis on migrant and seasonal agricultural workers.
Request for proposals, hotel information, sponsorship opportunities, training stipend application, and more coming soon!
Please save the date for the
Fourth Annual John W. Hatch FaithHealth Lecture
December 3, 2019
Shaw University—Raleigh, North Carolina
Find More Conference and Training Opportunities on the NCCHCA Calendar
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