/ en Mon, 28 Apr 2025 05:02:57 -0500 Thu, 29 Aug 24 06:00:00 -0500 /aha-online-store-publications-frequently-asked-questions <div class="container"><div class="row"><div class="col-md-8"> h2 { color:#9D2235; } h4 { color: #003087; } <h2>Contents</h2><ol><li><a href="#orderproducts">Order Products</a></li><li><a href="#payments">Payments</a></li><li><a href="#taxandtaxexemption">Tax and Tax Exemption</a></li><li><a href="#memberprice">Member Price</a></li><li><a href="#quantitydiscounts">Quantity Discounts</a></li><li><a href="#shipping">Shipping</a></li><li><a href="#internationalorders">International Orders</a></li><li><a href="#pdfandebookproducts">PDF and eBook Products</a></li><li><a href="#returnpolicy">Return Policy</a></li></ol><h2 id="orderproducts">Order Products</h2><h3>How can I place a publication order?</h3><p>You can order online, by phone, mail, or fax. When ordering by phone, please reference the publications item # or title. When ordering by fax please download and complete the <a href="/system/files/media/file/2024/08/AHA-Print-Publication-Order-Form-20240830.pdf">AHA Print Publication Order Form</a>.</p><p>Due to Payment Card Industry (PCI) regulations, no credit card orders may be emailed.</p><p><strong>Online:</strong> <a href="https://ams.aha.org/eweb/dynamicpage.aspx?Site=AHA&WebCode=StoreMainPage&AHABU=AHA&utm_source=website-faq&utm_medium=web&utm_campaign=ecommerce-2025" target="_blank" title="AHA Online Store">www.ahaonlinestore.com</a><br><strong>Phone:</strong> <a href="tel:1-800-242-2626">800-242-2626</a> (8:30 a.m. – 4:30 p.m. CT)<br><strong>International phone:</strong> <a href="tel:1-240-547-2205">240-547-2205</a><br><strong>Fax:</strong> <a href="tel:1-240-547-0009">240-547-0009</a><br><strong>International fax:</strong> <a href="tel:1-240-547-0009">240-547-0009</a><br><strong>Mail:</strong><br>���������� Association – Bright Key<br>75 Remittance Drive, Dept. 91656<br>Chicago, IL 60675-1656</p><h3>Will I receive a confirmation number for my order?</h3><p>Yes. After submitting your order online you will see a confirmation page with your order number. For phone, fax and mail orders, contact <a class="ck-anchor" href="mailto:orders@aha.org" id="mailto:orders@aha.org">orders@aha.org</a> or call <a href="tel:1-800-242-2626">800-242-2626</a>. Most orders are processed within 24 hours. Transit time is typically 3-7 business days for UPS ground service depending on the delivery location.</p><h3>How do I check the status of my order?</h3><p>To check the status of your order and/or have shipping tracked please email, <a class="ck-anchor" href="mailto:orders@aha.org" id="mailto:orders@aha.org">orders@aha.org</a> or call <a href="tel:1-800-242-2626">800-242-2626</a>.</p><h3>Can I reprint my receipt or invoice?</h3><p>Yes, to reprint your receipt or invoice, sign into your account and click on “Order History.”</p><p>Click on “For your order” and a PDF will be displayed.</p><h3>Do I need to create an online account to place an order?</h3><p>Yes. Customers must register/login and provide basic contact information for billing and shipping of orders and pricing details.</p><p>For those who do not wish to create an online account, contact <a class="ck-anchor" href="mailto:orders@aha.org" id="mailto:orders@aha.org">orders@aha.org</a> or call <a href="tel:1-800-242-2626">800-242-2626</a> to place your order.</p><h3>How do I create an online account?</h3><p>Go to the AHA Help Center for <a href="https://aha-pmg.zendesk.com/hc/en-us/articles/14408492740891-Creating-an-Account" target="_blank" title="AHA Support Center: Creating an Account">detailed instructions on creating your AHA online account</a>.</p><h3>The publication I would like to purchase is on backorder. What happens next?</h3><p>For information about backorder status, contact <a class="ck-anchor" href="mailto:orders@aha.org" id="mailto:orders@aha.org">orders@aha.org</a> or call <a href="tel:1-800-242-2626">800-242-2626</a>.</p><h2 id="payments">Payments</h2><h3>What payment methods are accepted?</h3><p>The ���������� Association (AHA) and its affiliates accept American Express, VISA, and MasterCard. For all print products – credit cards, checks, and ACH or wire payments are accepted. All eBook orders must be placed online and must paid by credit card. All fees are calculated and paid U.S. currency.</p><h3>Are purchase orders accepted?</h3><p>Purchase orders are accepted in limited situations, unless there is a wholesaler agreement in place. Printed and signed purchase orders require approval before processing. To confirm your wholesaler agreement, email <a class="ck-anchor" href="mailto:orders@aha.org" id="mailto:orders@aha.org">orders@aha.org</a> a scanned copy of the signed agreement or fax to <a href="tel:1-240-547-0009">240-547-0009</a>. Verbal purchase orders are not accepted.</p><h3>Can I mail a check payment for book orders?</h3><p>Orders can be paid with a check (USD) by completing and mailing the <a href="/system/files/media/file/2024/08/AHA-Print-Publication-Order-Form-20240830.pdf">AHA Print Publication Order Form</a> with the check to:</p><p>���������� Association - Bright Key<br>75 Remittance Drive, Dept. 91656<br>Chicago, IL 60675-1656</p><h3>I placed my order, but my credit card has not been charged yet. When will my credit card be charged?</h3><p>Credit card payments are not processed until the items have shipped.</p><h2 id="taxandtaxexemption">Tax and Tax Exemption</h2><h3>What states are charged for tax?</h3><p>All orders shipped to these states are charged applicable tax: AL, CA, CO, DC, FL, GA, ID, IL, IN, KS, MA, MD, MN, MO, NJ, NV, NY, NC, OH, OK, PA, TN, TX.</p><h3>My organization is tax exempt. How do I receive this exemption?</h3><h4>Online Orders</h4><p>Online orders are not exempt from sales tax. If you are an individual placing an order on behalf of an organization, be advised we no longer process tax refunds for orders entered through the online store. Please call <a href="tel:1-800-242-2626">800-242-2626</a> or email <a href="mailto:orders@aha.org">orders@aha.org</a> to place a tax-exempt order.</p><h4>Phone Orders</h4><p>Please call <a href="tel:1-800-242-2626">800-242-2626</a> to place your order. A service representative will ask you to email or fax your tax-exempt certificate. Once received, they will complete your order without the tax amount.</p><h4>Faxed Orders</h4><p>Please include a copy of your tax-exempt certificate with the <a href="/system/files/media/file/2024/08/AHA-Print-Publication-Order-Form-20240830.pdf">AHA Order Form</a> and fax to <a href="tel:1-240-547-0009">240-547-0009</a>.</p><h4>Mail Orders</h4><p>Complete the <a href="/system/files/media/file/2024/08/AHA-Print-Publication-Order-Form-20240830.pdf">AHA Order Form</a> and include a copy of your organization’s tax-exempt certificate with your check and mail to:</p><p>���������� Association - Bright Key<br>75 Remittance Drive, Dept. 91656<br>Chicago, IL 60675-1656</p><h3>Can you ship my tax-exempt order to a home address?</h3><p>A tax-exempt order may not be shipped to a home or personal address. Tax-exempt orders can only be shipped to the organization’s address.</p><h2 id="memberprice">Member Price</h2><p>Discounts on products and services are a valuable benefit of being a member of AHA, affiliate, or Professional Membership Group (PMG). Learn more about the different types of membership at <a href="https://aha-pmg.zendesk.com/hc/en-us/articles/14348568186011-How-do-I-know-if-my-hospital-or-health-system-is-an-AHA-member" target="_blank" title="AHA Help Center: How do I know if my hospital or health system is an AHA member?">AHA’s Help Center</a>.</p><p>To receive the discounted member price, you must be logged in and your user account must be linked to a member organization or reflect an individual membership. For more help on logging in and accessing member benefits, visit AHA’s Help Center articles on web access issues.</p><p>Not sure if you or your organization is a member of AHA? Go the the <a href="https://aha-pmg.zendesk.com/hc/en-us/articles/14348568186011-How-do-I-know-if-my-hospital-or-health-system-is-an-AHA-member" target="_blank" title="AHA Help Center: How do I know if my hospital or health system is an AHA member?">AHA Help Center</a> for more information.</p><h2 id="quantitydiscounts">Quantity Discounts</h2><h3>If I order multiple copies of one title, is there a discount?</h3><p>Yes, quantity discounts apply when ordering multiple copies of one title. Not all titles are available for quantity discounts. For more information, please call <a href="tel:1-800-242-2626">800-242-2626</a> or email <a class="ck-anchor" href="mailto:orders@aha.org" id="mailto:orders@aha.org">orders@aha.org</a>.</p><h2 id="shipping">Shipping</h2><h3>What shipping methods are available?</h3><p>All orders ship UPS Ground. Next day and 2nd day service are available Monday - Friday if orders are received in the fulfillment center prior to 12pm Central Time. UPS cannot ship to P.O. Boxes. Please provide a complete street address when ordering and include the company name when using a business address. Orders weighing in excess of 200 pounds will be charged additional freight. </p><p>Please call <a href="tel:1-800-242-2626">800-242-2626</a> or email <a class="ck-anchor" href="mailto:orders@aha.org" id="mailto:orders@aha.org">orders@aha.org</a> for assistance in placing your order.</p><h3>How are shipping costs calculated?</h3><p>Shipping costs are managed by UPS and AHA includes a handling fee to address warehousing, packaging and assorted distribution costs such as weight, distance and rush status. </p><h3>Is express delivery available?</h3><p>Yes, express delivery is available for an additional charge.</p><h2 id="internationalorders">International Orders</h2><h3>How do I place an international order?</h3><p>Please call <a href="mailto:1-800-242-2626">800-242-2626</a> or email <a class="ck-anchor" href="mailto:orders@aha.org" id="mailto:orders@aha.org">orders@aha.org</a> for assistance in placing your order.</p><h3>How do I pay for an international order?</h3><p>International orders must be prepaid in full by wire transfer, credit card, or check (USD).</p><h3>How are international orders shipped?</h3><p>All books sent outside the U.S. are shipped via United Parcel Service International. Orders are subject to shipping fees, applicable customs, duties and taxes, all of which are the responsibility of the customer. Shipping and handling rates for international orders will be calculated based on weight.</p><h3>Order Tracking Details</h3><p>If you ordered a print product and want shipping and tracking information, please contact <a class="ck-anchor" href="mailto:orders@aha.org" id="mailto:orders@aha.org">orders@aha.org</a> or call 800-242-4890.</p><h2 id="pdfandebookproducts">PDF and eBook Products</h2><p>AHA digital products are accessed, viewed and downloaded from our partner, Tizra, by logging in at <a href="https://ebooks.aha.org/" target="_blank" title="AHA eBooks homepage">ebooks.aha.org</a>. For more on this topic, visit our <a href="https://aha-pmg.zendesk.com/hc/en-us/sections/15115974156699-Your-Orders" target="_blank" title="AHA Help Center: Your Orders">FAQ on ordering and accessing eBooks</a>.</p><ul><li>The online acceptance of a User License Agreement is required prior to completing the order transaction.</li><li>No software is required to view the eBook. It is viewable within your internet browser.</li><li>You will receive a confirmation email within one hour of your online order from no-reply@aha.org.</li><li>You will receive another email from no-reply@aha.org with the subject line “Important Information Regarding Accessing Your AHA Ebook on Tizra.” This email contains access instructions and your individual log-in credentials. Check your Spam folder if email hasn't arrived. If you do not receive the email within one hour of your online order, please email <a href="mailto:helpebooks@aha.org">helpebooks@aha.org</a>.</li><li>Please be aware that if you order multiple eBook/PDF products or multiple copies of the same product, you will receive an ORDER CONFIRMATION and AHA eBook/PDF PRODUCT DELIVERY EMAIL containing the product link for each copy.</li><li>Taxes may apply.</li><li>Digital Products are not returnable or refundable.</li><li>Questions about ordering? Email <a href="mailto:helpebooks@aha.org">helpebooks@aha.org</a>.</li></ul><h2 id="returnpolicy">Return Policy</h2><h3>Return and Refund Policies</h3><p>The following products are not eligible returns and/or refunds: print books, whitepapers, eBooks, PDFs, and all other electronic media.</p><h3>Return Exceptions: Printed Books Only</h3><p>If you receive a damaged, misprinted, or missing pages from a book, it may be exchanged for a replacement. Please email <a class="ck-anchor" href="mailto:orders@aha.org" id="mailto:orders@aha.org">orders@aha.org</a> with your order number and include a picture of the book. Pre-paid UPS shipping labels will be provided. Enclose a copy of the packing slip and a brief explanation for the return to the address below.</p><p>If you were sent the incorrect book, it may be returned for a refund or exchanged for the correct book. The returned item must be in the original condition: shrink-wrapped or sealed. Pre-paid UPS shipping labels will be provided for orders shipped in error. Please email us at <a class="ck-anchor" href="mailto:orders@aha.org" id="mailto:orders@aha.org">orders@aha.org</a> or call <a href="tel:1-800-242-2626">800-242-2626</a> and a service representative will assist you. Be sure to enclose a copy of the packing slip and a brief explanation for the return to the address below.</p></div></div></div> Thu, 29 Aug 2024 06:00:00 -0500 Frequently Asked Questions (FAQs) /frequently-asked-questions-faqs/2024-02-07-cms-faqs-2024-medicare-advantage-rule <p>The CMS FAQs that clarify coverage criteria and utilization management requirements for Medicare Advantage plans under its final rule for calendar year 2024, which includes provisions intended to increase program oversight. Topics addressed by the FAQs include medical necessity determinations; algorithms and artificial intelligence; internal coverage criteria; post-acute care; the two-midnight benchmark for inpatient admission criteria; prior authorization; and enforcement. </p><p>View the entire memo below. </p> Wed, 07 Feb 2024 14:23:49 -0600 Frequently Asked Questions (FAQs) /patient-safety-initiative-faq <h2 class="text-align-center">Background</h2><h3>What is the Patient Safety Initiative?</h3><p>Hospitals and health systems have expressed a commitment to enhancing patient safety. In response, the AHA launched a national initiative to support these efforts, building on existing safety infrastructure, expertise and partnerships. With over 1,500 participants and growing, this initiative leverages AHA's coordination to facilitate progress.</p><h3>Why is the AHA doing this now?</h3><p>Since the Institute of Medicine's To <em>Err Is Human</em> report, care delivery has rapidly evolved. The COVID-19 pandemic intensified challenges in advancing safety and quality. Hospitals and health systems now seek to proactively lead patient safety efforts, rather than having policies imposed by external stakeholders. This initiative aims to capitalize on past lessons and promote collaboration and innovation.</p><h3>Why AHA?</h3><p>The AHA is the ideal convener due to:</p><ul><li>Its extensive membership</li><li>Proven success in national safety improvement efforts</li><li>Members' interest in advancing patient safety</li></ul><h3>Who is participating?</h3><p>All AHA member hospitals and health systems are invited to participate.</p><h3>What is the goal of the Patient Safety Initiative?</h3><p>This project aims to support hospitals in enhancing patient safety by:</p><ul><li>Providing tools and data</li><li>Offering a platform for sharing improvement stories</li><li>Scaling successful local innovations nationally</li><li>Informing public policy to support safety improvements</li></ul><h3>What are the priority areas?</h3><p>Selected through feedback from expert panels and hospital leaders, the priority areas are:</p><ul><li><strong>Culture of Safety:</strong> Strategies for board and senior leadership to support safer care delivery.</li><li><strong>Health Equity:</strong> Ensuring <em>all</em> patients receive safe care.</li><li><strong>Workforce Safety:</strong> Ensuring <em>all</em> employees remain safe in their workplaces.</li><li><strong>Innovation:</strong> Leveraging new technologies and practices to enhance patient safety and care quality.</li></ul> hr { margin-top: 40px; margin-bottom: 40px; border-top: 5px solid #eee; width: 75%; } <hr><h2 class="text-align-center">Practical Matters</h2><h3>Is there any fee to participate?</h3><p>No, participation is included in your AHA membership.</p><h3>How long will it last?</h3><p>The initiative spans multiple years, starting in 2024. Progress is expected in 2025 through enhanced collaboration and foundational safety practices.</p><h3>How can I sign up my health system?</h3><p>Register using the sign-up form and include a contact person. Additional information will be sent to identified contacts once registration is received.</p><h3>What will participation look like?</h3><p>AHA will provide tools, resources and educational collaboratives around the priority areas. Hospitals can access webinars and other resources to share knowledge and practices. Hospitals will also have opportunities to share work and report progress on key measures.</p><h3>Do I need to sign up for all educational offerings?</h3><p>No, participation in each offering is not required, but highly encouraged. Hospitals can focus on areas of need and share their experiences with others. Reporting progress at the end of the first year is encouraged.</p><h3>Do I have to participate equally in all the priority topics?</h3><p>No, hospitals can focus on their areas of need. If significant work has been done in a priority area, hospitals are encouraged to share their experiences and contribute to the learning collaboratives. Participation in the initiative and progress reporting is encouraged.</p> Tue, 21 Nov 2023 11:53:30 -0600 Frequently Asked Questions (FAQs) <div class="container"> <div class="row"> <div class="col-md-8"> <p>Without consulting health care providers or complying with legally required processes, the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) recently issued a new rule restricting hospitals from using third-party technologies that capture IP addresses on the portions of hospitals’ public-facing webpages that address health conditions or health care providers. This new rule — known as the Bulletin — has prevented hospitals and health systems from reaching the communities they serve and upended their ability to share critical health information with the public.</p> </div> <div class="col-md-4"> <div class="external-link spacer"><a class="btn btn-wide btn-primary" href="/system/files/media/file/2023/11/Myth-vs-Fact-HHS-OCR-Online-Tracking-Rule.pdf" target="_blank" title="Click here to download the Myth vs. Fact: HHS-OCR Online Tracking Rule PDF.">Download the Myth vs. Fact PDF</a></div> </div> </div> <div class="row"> <div class="col-md-8"> <p>After attempts to engage OCR officials to educate them about the impact of their new rule, the ���������� Association (AHA) determined it was necessary but to file a lawsuit on behalf of its members that wish to use their websites to provide the communities they serve with critical health care information without fear of repercussions. Below is a list of OCR’s claims about these third-party technologies and its Bulletin, along with the realities of how these technologies function and how the new rule was issued.</p> .th1 { background-color: #003087; color: white; } .th2 { background-color: #307fe2; color: white; } table, th, td { border: 1px solid; } <table> <tbody> <tr> <th class="th1">OCR Claim</th> <th class="th2">Facts</th> </tr> <tr> <td> <p><strong>OCR Claim #1:</strong><br> Online technologies violate HIPAA.</p> </td> <td> <p>protects patients’ health information without compromising the flow of health care information to the public. These technologies allow providers to use nonprivate information from publicly accessible websites to improve care and disseminate accurate, reliable information — something the federal government itself encourages. These technologies do not disclose private information from patient records or billing statements. And the AHA does not seek to allow the use of third-party technologies on the password-protected portions of hospitals’ websites such as patient portals.</p> <p>OCR’s Bulletin provides no basis or evidence suggesting that an IP address’s public website visit can be used to identify the individual whose health, care, or payment for care relates to the website visit. By reaching beyond the law to forbid using these tools on public-facing webpages, OCR exceeded its authority under HIPAA.</p> </td> </tr> <tr> <td> <p><strong>OCR Claim #2:</strong><br> The risks associated with online technologies outweigh the benefits.</p> </td> <td> <p>Without access to IP-address information, the following commonplace web tools are ineffective:</p> <ol> <li><strong>Analytics software</strong> that converts interactions with hospital web pages into critical data, such as the specific medical concerns in various communities and the areas of hospital websites that are difficult to navigate.</li> <li><strong>Video technologies</strong> that educate communities on health conditions, allow visitors to virtually tour the facilities where procedures are performed, etc.</li> <li><strong>Translation and accessibility services</strong> that help people with limited English proficiency and people with disabilities access vital health care information on hospitals’ webpages.</li> <li><strong>Digital maps</strong> that provide information about where health care services are available, including embedded applications with public transportation schedules and driving directions.</li> </ol> </td> </tr> <tr> <td> <p><strong>OCR Claim #3:</strong><br> Online technologies have no place on health care websites.</p> </td> <td> <p>These third-party technologies are so essential that the government itself uses them on the webpages of agencies covered under HIPAA, including <a href="https://www.medicare.gov/" target="_blank">Medicare.gov</a>, <a href="https://tricare.mil/" target="_blank">Tricare.mil</a>, and the Veterans Health Administration.</p> <p>For example, forensic tools show that the Veterans Health Administration uses analytics and advertising software on a range of sites, including online resources on the symptoms of and treatment options for post-traumatic stress disorder.</p> </td> </tr> <tr> <td> <p><strong>OCR Claim #4:</strong><br> OCR met with the AHA to learn about the concerns with the Bulletin from hospitals and health systems before issuing it.</p> </td> <td> <p>OCR unlawfully issued its Bulletin without providing any reasoning to support its novel legal assertions and without undertaking standard, required notice-and-comment rulemaking processes. Prior to issuing its new rule, OCR did not consult hospitals and health systems about their use of online technologies or the impact that its new rule would have on potential patients or community members.</p> <p>After repeated attempts by the AHA to schedule a meeting, the OCR finally agreed to sit down with the AHA last spring, but the agency refused to address any of the AHA’s concerns. Instead, OCR and the Federal Trade Commission sent letters to 130 hospitals and telehealth providers threatening enforcement and later publishing the providers’ names. Some of these hospitals had no idea why they received a letter before their names were published, and many had long disabled these valuable third-party technologies to avoid the very enforcement threats that OCR made in these letters</p> </td> </tr> <tr> <td> <p><strong>OCR Claim #5:</strong><br> The fact that an IP address searched for health information can be used to identify the person whose health care relates to the search. That is why the combination of an IP address and webpage visits should be protected health care information.</p> </td> <td>This is not protected information under the law because it cannot reasonably be used to identify the individual whose health care actually relates to the webpage visit. For example, the user could be searching for health information on behalf of a family member or for research purposes, but under OCR’s new rule, the visits to public-facing webpages are subject to HIPAA restrictions.</td> </tr> </tbody> </table> <h2>About the ���������� Association</h2> <p>The ���������� Association (AHA) is a not-for-profit association of health care provider organizations and individuals that are committed to the health improvement of their communities. The AHA advocates on behalf of our nearly 5,000 member hospitals, health systems and other health care organizations, our clinician partners — including more than 270,000 affiliated physicians, 2 million nurses and other caregivers — and the 43,000 health care leaders who belong to our professional membership groups. Founded in 1898, the AHA provides insight and education for health care leaders and is a source of information on health care issues and trends. For more information, visit the AHA website at <a href="/">www.aha.org</a>.</p> </div> <div class="col-md-4"> <div class="panel module-typeC"> <div class="panel-heading"> <h3 class="panel-title">Related Resources</h3> </div> <div class="panel-body"> <ul> <li><a href="/legal-documents/2023-11-02-lawsuit-challenges-federal-rule-ties-providers-hands-efforts-reach-their-communities">Lawsuit Overview</a></li> <li><a href="/press-releases/2023-11-02-hospital-associations-and-hospitals-file-lawsuit-challenging-federal-rule-ties-providers-hands-their">Press Release</a></li> <li><a href="/special-bulletin/2023-11-02-hospital-associations-and-hospitals-file-lawsuit-challenging-federal-rule-ties-providers-hands">Special Bulletin</a></li> <li><a href="/legal-documents/2023-11-02-case-complaint-aha-tha-thr-united-health-care-system-v-rainer">Case Complaint</a></li> <li><a href="/legal-documents/2023-11-02-case-explainer-american-hospital-association-v-rainer">Case Explainer</a></li> <li><a href="/frequently-asked-questions-faqs/2023-11-02-myth-vs-fact-hhs-ocr-online-tracking-rule">Myth vs. Fact Document</a></li> </ul> </div> </div> <hr> <p><a href="/system/files/media/file/2023/11/Myth-vs-Fact-HHS-OCR-Online-Tracking-Rule.pdf" target="_blank" title="Click here to download the Myth vs. Fact: HHS-OCR Online Tracking Rule PDF."><img alt="Myth vs. Fact: HHS-OCR Online Tracking Rule page 1." data-entity-type="file" data-entity-uuid="c8e629d2-4411-42b5-af3e-f29bc04235d7" src="/sites/default/files/inline-images/Page-1-Myth-vs-Fact-HHS-OCR-Online-Tracking-Rule.png" width="695" height="900"></a></p> </div> </div> </div> Thu, 02 Nov 2023 06:00:00 -0500 Frequently Asked Questions (FAQs) <div class="container"> <div class="row"> <div class="col-md-8"> <table> <tbody> <tr> <th>Questions</th> <th>Answers</th> </tr> <tr> <td class="table-subhead" colspan="2">Sign-up Campaign</td> </tr> <tr> </tr> <tr> <td>What is this campaign all about?</td> <td>Since 2018, the AHA has asked all 340B hospitals to commit voluntarily to three overarching Good Stewardship Principles (GSP) to better communicate the value of the 340B program and describe how savings from this program are used to support their patients and communities. With increased scrutiny of the program by policymakers and the media, it is important that 340B hospitals proactively commit to these principles to demonstrate the value 340B provides to the patients and communities eligible hospitals serve.</td> </tr> <tr> <td class="table-subhead" colspan="2">Timing</td> </tr> <tr> <td>Why are you doing this?</td> <td>Even some supporters of the 340B program have urged greater transparency about how 340B savings are used to support vulnerable communities. The GSPs are intended to demonstrate that further regulatory or legislative action is unnecessary because the 340B hospital field can provide the requested transparency without additional requirements. Many of the current legislative proposals would seek to require 340B hospitals to report burdensome data to the government on their use of 340B savings and other metrics that would not provide a complete picture of the value of the 340B program to hospitals and their patients.</td> </tr> <tr> <td>What is the timeframe for this sign-up campaign?</td> <td>Now! We urge all 340B hospitals to sign up as soon as possible. By signing up, your hospital is demonstrating its commitment to the GSP, vowing to work in earnest toward meeting the principles’ actions. The expectation is that once you sign on, you will begin taking steps to honor GSP commitment. Resources are available on the AHA website to provide support, as well as members of the AHA 340B team.</td> </tr> <tr> <td class="table-subhead" colspan="2">Process to Sign-Up</td> </tr> <tr> <td>How do 340B hospitals sign up?</td> <td> <p>Please email <strong><a href="mailto:340BGSP@aha.org?subject=Sign Up for the 340B Good Stewardship Principles Campaign">340BGSP@aha.org</a> and an AHA team member will contact you.</strong></p> <p>Each hospital should estimate their own 340B savings and develop a narrative that communicates the use of 340B program savings to address the unique needs of the patients and communities of that hospital.</p> <p>Visit <a href="/initiativescampaigns/2018-09-13-340b-hospital-commitment-good-stewardship-principles">AHA's 340B program webpage</a> to access the three principles, guidance documents and sign-up instructions.</p> </td> </tr> <tr> <td>Who can sign on behalf of the 340B hospital?</td> <td>Whomever signs the commitment form must have authorization to do so from their hospital CEO.</td> </tr> <tr> <td>How do health systems sign up?</td> <td> <p>Health systems cannot sign the commitment as systems, but system leaders are encouraged to sign up 340B hospitals within their systems. System leaders can do this by individually signing up the 340B hospitals or by contacting the AHA to help facilitate this process.</p> <p>Each hospital should estimate their own 340B savings and develop a narrative that communicates the use of 340B program savings to address the unique needs of the patients and communities of that hospital.</p> <p>The AHA has contacted individual 340B hospitals urging them to sign the commitment.</p> </td> </tr> <tr> <td class="table-subhead" colspan="2">Communicating the Value of the 340B Program</td> </tr> <tr> <td>The first principle asks hospitals to prepare an annual narrative that communicates the value of the 340B program to the hospital and the community it serves. How do I write this narrative?</td> <td>AHA created a <a href="/initiativescampaigns/2018-09-13-template-communicate-value-340b-program">template</a> for 340B hospitals to use to develop their narrative. You can also access <a href="/initiativescampaigns/2018-09-13-340b-hospital-commitment-good-stewardship-principles">public testimony and case examples</a> from hospitals, which can help describe the value of the 340B program.</td> </tr> <tr> <td>How do I make this narrative public?</td> <td> <p>Each hospital can determine how best to make the narrative public. This could include publishing it to the hospital’s website and updating it annually.</p> <p>Please contact the AHA with further questions.</p> </td> </tr> <tr> <td>Is AHA collecting all the 340B hospital narratives?</td> <td>No, but we encourage you to share them with us.</td> </tr> <tr> <td>In the narrative, can hospitals reference efforts that are part of their community benefits program, reported to the Internal Revenue Service in its Schedule H filing?</td> <td>Yes, savings from the 340B program can be attributed to supporting community benefit programs that a hospital includes in its Schedule H filing.</td> </tr> <tr> <td class="table-subhead" colspan="2">Calculating 340B Estimated Savings</td> </tr> <tr> <td>Can you explain the approach taken to calculate the 340B estimated savings?</td> <td>This <a href="/initiativescampaigns/2018-09-13-template-calculating-estimated-340b-program-savings">340B calculator tool</a> was designed to help you develop a high-level estimate of the value the 340B program provides to your hospital. The tool compares what a hospital spends purchasing 340B drugs to a reasonable assessment of what it would have spent on those same drugs without the benefit of 340B savings. It was designed to be a simple, standardized approach that all types of 340B hospitals could apply.</td> </tr> <tr> <td>Can you provide an overview of the calculator tool?</td> <td> <p>After extensive discussion with 340B member hospitals, we determined that the original simple approach did not capture all the reasonable costs associated with managing the 340B program for certain types of hospitals.</p> <p>So AHA created two more alternative versions, for a total of three calculator options:</p> <ol> <li>Basic method</li> <li>Basic method with compliance/administrative costs</li> <li>Basic method with compliance/administrative, plus added costs for disproportionate share hospitals associated with the statutory group purchasing organization prohibition</li> </ol> <p><a href="/initiativescampaigns/2018-09-13-template-calculating-estimated-340b-program-savings">Access all three calculators.</a></p> <p>Note: The “basic method” calculator is the original calculator shared by AHA when the GSPs were launched. Included within the administrative/compliance costs for the second and third calculator options are loss of revenue due to 340B status from Medicaid managed care organizations, Medicare outpatient prospective payment system, Medicare Advantage and private payers. These modifications align with those included in the 340B calculator tools developed by Apexus.</p> <p>Please use whichever calculator is the best fit for your organization and contact the AHA with further questions.</p> </td> </tr> <tr> <td>Is the AHA collecting each hospital’s estimated 340B savings data?</td> <td>No, but you are welcome to share this with the AHA.</td> </tr> <tr> <td>How should hospitals make this information public?</td> <td>Each hospital can determine how best to make the narrative public. This could include publishing it to the hospital’s website and updating it annually.</td> </tr> <tr> <td>How are the GSPs different from 340B Health’s own initiative, which is asking member hospitals to develop individual Impact Profiles?</td> <td>The AHA and 340B Health work closely on 340B advocacy. 340B Health has endorsed AHA’s GSP and urges members to sign on. Some of the definitions in 340B Health’s Impact Profiles are different from AHA’s, and there is no mention of sharing the information on savings publicly. If you already have an Impact Profile, that should only make it easier to honor your commitment to AHA’s GSPs. The GSPs are an effort that policymakers are aware of, and your commitment will go a long way in demonstrating to policymakers your hospital’s willingness to be transparent about your 340B savings.</td> </tr> <tr> <td class="table-subhead" colspan="2">Other Organizations Endorsing the 340B Good Stewardship Principles</td> </tr> <tr> <td>Are the other national hospital organizations supporting this effort?</td> <td> <p>Yes. All the major national associations representing 340B hospitals have endorsed the principles: AAMC, Children’s Hospital Association, Catholic Hospital Association, America’s Essential Hospitals, 340B Health and Vizient.</p> <p>All these organizations are working to get their members to sign the commitment.</p> </td> </tr> <tr> <td class="table-subhead" colspan="2">Public Information</td> </tr> <tr> <td>What information will AHA be making public or has already made public?</td> <td> <p>The list of <a href="/initiativescampaigns/2019-10-03-hospitals-have-committed-340b-principles/">hospitals that have committed to the principles</a> is posted publicly on the AHA’s website.</p> <p>We will update this list periodically as new hospitals sign on. If you believe you have already signed the commitment and do not see your hospital’s name on this list, please contact the AHA immediately.</p> </td> </tr> </tbody> </table> </div> <div class="col-md-4"> <p><a href="/system/files/media/file/2019/03/faqs-340b-good-stewardship-principles-march-2019.pdf" target="_blank" title="Click here to download the AHA 340B Good Stewardship Principles Sign-up Campaign Frequently Asked Questions PDF."><img alt="AHA 340B Good Stewardship Principles Sign-up Campaign Frequently Asked Questions page 1." data-entity-type="file" data-entity-uuid="e6c05309-e081-449f-9a6b-8cd7f1d8baf6" src="/sites/default/files/inline-images/Page-1-2023-09-12-340B-Good-Stewardship-Principles-FAQs-FINAL.png" width="695" height="900"></a></p> </div> </div> </div> table, td, th { border: 1px solid black; } th { text-align: center; } .table-subhead { text-align: center; background-color: #b1b3b333; font-weight: bold; } Wed, 13 Sep 2023 11:26:49 -0500 Frequently Asked Questions (FAQs) <p><span><span><span><span><span><span>Below are a collection of frequently asked questions on the uninsured and self-pay good faith estimates, required as part of the No Surprises Act. The ���������� Association (AHA) and Healthcare Financial Management Association (HFMA) will regularly update this document based on the latest information on these requirements. </span></span></span></span></span></span></p> <p><span><span><span><b><u><span><span><span>Frequently Asked Question</span></span></span></u></b></span></span></span></p> <div class="WordSection1"> <ol> <li><span><span><span><span><b><span>When do facilities and providers need to begin providing good faith estimates for patients scheduling or shopping for care? </span></b><span>Providers and facilities are required to provide <b><i>uninsured or self-pay </i></b>patients with good faith estimates for scheduled services (or upon request) beginning Jan. 1, 2022. The government has delayed implementation of the good faith estimates for <b><i>insured </i></b>patients until further rulemaking. AHA is seeking clarity from HHS on whether items/services scheduled in 2021 for a 2022 date require good faith estimates and, if yes, when such estimates would be due.</span></span></span></span></span></li> </ol> <p class="MsoBodyText"> </p> <ol start="2"> <li><span><span><span><span><b><span>Isn’t the government delaying enforcement of these requirements? </span></b><span>In part. The government will delay enforcement of two components of the good faith estimates policies: 1) the requirement that the convening provider collect all components of an estimate from co-providers when providing a good faith estimate to an <b>uninsured or self-pay </b>patient, and 2) the requirement to provide good faith estimates for <b><u>insured</u> </b>patients for use in the health plans’ advanced explanations of benefits (AEOBs).</span></span></span></span></span></li> </ol> <p class="MsoBodyText"> </p> <ol start="3"> <li><span><span><span><span><b><span>Do these policies apply to all scheduled services? </span></b><span>Yes, this requirement applies to all scheduled services for patients who are uninsured, do not have coverage for the scheduled item/service, or do not plan to submit a claim for the scheduled item/service to their health plan, i.e., self-pay. In other words, providers and facilities are required to provide an estimate when: (i) a service is scheduled; (ii) a request for a good faith estimate has been made; or (iii) an inquiry as to the potential cost of a service or item has been made.</span></span></span></span></span></li> </ol> <p class="MsoBodyText"> </p> <ol start="4"> <li><span><span><span><span><b><span>How are the good faith estimates for uninsured and self-pay patients calculated? </span></b><span>The good faith estimates need to be the cash/self-pay rates, reflective of any discounts (e.g., financial aid) for which the patient would be</span></span></span></span></span> <span><span><span>eligible, even if the discount brings the patient’s expected bill to $0. A <a href="https://www.hfma.org/content/dam/hfma/document/policies_and_practices/PDF/19968.pdf"><span>patient-</span></a> <a href="https://www.hfma.org/content/dam/hfma/document/policies_and_practices/PDF/19968.pdf"><span>centered approach</span> </a>is advised when screening for financial assistance.</span></span></span></li> </ol> </div> <p> </p> <div class="WordSection2"> <p class="MsoBodyText"> </p> <ol start="5"> <li><span><span><span><span><b><span>Does this policy require a provider or facility to screen all uninsured or self-pay patients for financial assistance eligibility prior to scheduling? </span></b><span>Good faith estimates are expected to reflect financial assistance. The AHA and</span></span></span></span></span> <span><span><span>HFMA are seeking further clarification from the Department of Health and Human Services (HHS) on whether need-based financial assistance screening must occur <u>for all patients</u> prior to the issuance of a good faith estimate or whether providers can instead limit proactive financial assistance eligibility assessments only to patients who request one or those for which the hospital has a reasonable expectation of eligibility.</span></span></span></li> </ol> <p class="MsoBodyText"> </p> <ol start="6"> <li><span><span><span><span><b><span>What disclosures are required on the good faith estimate? </span></b><span>The convening provider must include the following types of disclosures on the good faith <span>estimate:</span></span></span></span></span></span> <ul> <li><span><span><span><span><span>a disclaimer informing the patient that there may be other items or services recommended by the convening or co-provider as part of the course of care that need to be scheduled separately; and</span></span></span></span></span></li> <li><span><span><span><span><span><span><span>a disclaimer noting that the expected charges listed are only estimates and that the final billed charges may differ; and</span></span></span></span></span></span></span></li> <li><span><span><span><span><span>a disclaimer on the patient’s right to the patient-provider dispute resolution process, including information on how to initiate the process; and</span></span></span></span></span></li> <li><span><span><span><span><span>a disclaimer that the estimate is not a contract and does not require the patient to obtain the items or services listed on the estimate. (This disclaimer is also required of all the co-providers and co-facilities.)</span></span></span></span></span></li> </ul> </li> </ol> <p class="MsoBodyText"> </p> <ol start="7"> <li><span><span><span><span><b><span>Is there model language for the notification of rights and good faith estimate disclosures? </span></b><span>Yes. HHS provides model language for informing uninsured/self-pay patients of their right to good faith estimates and the patient- provider dispute resolution process; HHS provides a template of the comprehensive good faith estimate with model disclaimer language </span><a href="https://www.cms.gov/regulations-and-guidancelegislationpaperworkreductionactof1995pra-listing/cms-10791"><span><span>here</span></span></a><span>.</span></span></span></span></span></li> </ol> <p class="MsoBodyText"> </p> <ol start="8"> <li><span><span><span><span><b><span>Are patients required to sign the good faith estimates to prove they received them? </span></b><span>No, the patients do not need to sign or otherwise verify that they received the good faith estimate.</span></span></span></span></span></li> </ol> <p class="MsoBodyText"> </p> <ol start="9"> <li><span><span><span><span><b><span>How does HHS define “self-pay?” </span></b><span>HHS defines “self-pay” patients as patients who may have health care coverage but do not have benefits for an item or service under the health plan <i>or </i>do not plan to submit a claim to their insurance for the scheduled item or service. If the patient does ultimately submit a claim for the item or service, they are no longer considered self-pay and are not eligible for the patient-provider dispute resolution process.</span></span></span></span></span></li> </ol> <p class="MsoBodyText"> </p> <ol start="10"> <li><span><span><span><span><b><span>What is the required method of delivery of the good faith estimate to the uninsured/self-pay patient? </span></b><span>The good faith estimates need to be delivered</span></span></span></span></span> <span><span><span>either electronically (e.g., secure email, patient portal message) or via paper mail, based on the patient’s preference. If the estimates are delivered electronically, they must be provided in a manner that allows the patient to save and print the estimate.</span></span></span></li> </ol> </div> <div class="WordSection3"> <p class="MsoBodyText"> </p> <ol start="11"> <li><span><span><span><span><b><span>What items/services need to be included in the good faith estimate? </span></b><span>Good faith estimates need to include all items/services expected to be delivered during a period of care. In other words, good faith estimates should include the primary service (e.g., knee surgery), as well as all the items/services associated with the primary service that wouldn’t be scheduled separately (e.g., physician professional services, anesthesiologist professional services, facility services, prescription drugs). The estimate does not need to include pre- or post-service estimates for items/services that would typically be scheduled separately (e.g., physical therapy), though the convening provider must include a list of typical pre- and post-service items or services on a good faith estimate.</span></span></span></span></span></li> </ol> <p class="MsoBodyText"> </p> <ol start="12"> <li><span><span><span><span><b><span>Does this requirement apply only to facility-based care? </span></b><span>No, this requirement applies to all services in any setting (e.g., hospital, clinic, urgent care) that are scheduled 3+ days in advance. This includes pre-paid, elective services (e.g., elective cosmetics).</span></span></span></span></span></li> </ol> <p class="MsoBodyText"> </p> <ol start="13"> <li><span><span><span><span><b><span>Do these requirements apply to out-of-network patients? </span></b><span>These requirements only apply to out-of-network patients if the patient does not plan to have a claim for coverage submitted to their insurance. If the patient does plan to have an out-of-network claim submitted to their insurance, then these requirements do not apply.</span></span></span></span></span></li> </ol> <p class="MsoBodyText"> </p> <ol start="14"> <li><span><span><span><span><b><span>How do these good faith estimates relate to the notice and consent estimates? </span></b><span>These good faith estimates must be provided to any <i>uninsured or self-pay patient prior to any scheduled item or service</i>. The notice and consent estimates are required specifically when an out-of-network provider or facility seeks to balance bill certain <i>insured out-of-network </i>patients for scheduled or post-stabilization care, consistent with other requirements in the No Surprises Act. As noted above, there may be some instances in which an out-of-network patient may seek care as a self-pay patient. In those instances, the good faith estimate requirements apply and not the notice and consent requirements.</span></span></span></span></span></li> </ol> <p class="MsoBodyText"> </p> <ol start="15"> <li><span><span><span><span><b><span>HHS defines the convening provider as the provider/facility responsible for scheduling the primary item/service or that receives the request for an estimate. In practicality, does this mean the convening provider is the physician who requests a procedure to be scheduled at a hospital or the hospital that schedules it? </span></b><span>The regulations are not clear on this point. The AHA is seeking clarity from HHS.</span></span></span></span></span></li> </ol> <p class="MsoBodyText"> </p> <ol start="16"> <li><strong><span><span><span><span>Can the convening provider simply utilize the required machine-readable files posted on each hospital's website (as required under the Hospital </span></span></span></span></strong><span><span><span><b><span>Price Transparency rule) to gather the co-facility estimate information? </span></b><span>No. The good faith estimates need to be the cash/self-pay rates, reflective of any discounts (e.g., financial aid) for which the patient would be eligible. The machine-readable files include general rates and would not allow a convening provider to derive a patient-specific estimate.</span></span></span></span></li> </ol> </div> <div class="WordSection4"> <p class="MsoBodyText"> </p> <ol start="17"> <li><span><span><span><span><b><span>How quickly does the co-provider or co-facility need to return expected charges and additional information to the convening provider? </span></b><span>The regulation allows the convening provider or facility to set a deadline for co- providers/co-facilities such that they can meet the deadline for returning the good faith estimate to the patient. The deadline must be included in the request for expected charges that the convening provider or facility sends to the co- providers/co-facilities. The co-provider’s response also must include the patient’s name and date of birth; an itemized list of expected items and services to be provided by the co-provider; applicable diagnosis and service codes; the co- provider’s name, NPI, and TIN; and a disclaimer that the good faith estimate is not a contract.</span></span></span></span></span></li> </ol> <p class="MsoBodyText"> </p> <ol start="18"> <li><span><span><span><span><b><span>How quickly does the convening provider or facility need to return the consolidated good faith estimate to the patient? </span></b><span>The convening provider or facility must provide a consolidated good faith estimate of expected charges for all items and services to an uninsured or self-pay patient within the following <span>timeframes:</span></span></span></span></span></span> <ul> <li><span><span><span><span><span><span><span>if a service is scheduled at least 3 days in advance, the good faith estimate must be provided no later than 1 business day after the date of scheduling; or</span></span></span></span></span></span></span></li> <li><span><span><span><span><span>if a service is scheduled at least 10 days in advance, the good faith estimate must be provided no later than 3 business days after the date of scheduling; or</span></span></span></span></span></li> <li><span><span><span><span><span>if an estimate of expected costs is otherwise requested by an uninsured or self-pay individual, the good faith estimate must be provided no later than 3 business days after the request.</span></span></span></span></span></li> </ul> </li> </ol> <p class="MsoBodyText"> </p> <ol start="19"> <li><span><span><span><span><b><span>Is the co-provider/co-facility any provider or facility outside of the convening provider/facility? </span></b><span>A co-provider/co-facility is any provider or facility that will provide care for the patient as part of a scheduled service for whom the convening provider does not bill. In other words, co-providers/co-facilities are the other providers/facilities delivering items/services during the period of care covered by the good faith estimate that would bill separately from the hospital.</span></span></span></span></span></li> </ol> <p class="MsoBodyText"> </p> <ol start="20"> <li><span><span><span><span><span><b><span><span>Do these policies apply to patients with short-term, limited-duration plans, liability insurance/workers compensation plans, or health sharing ministries? </span></span></b><span><span>Patients enrolled in these types of coverage, absent enrollment in other forms of comprehensive coverage, are considered <u>uninsured </u>for the purpose of this regulation, as these types of coverage are not recognized as</span></span></span></span></span></span></span> <span><span><span><span>group health insurance. Therefore, these patients should receive uninsured/self- pay good faith estimates prior to scheduled care.</span></span></span></span></li> </ol> </div> <p> </p> <div class="WordSection5"> <p class="MsoBodyText"> </p> <ol start="21"> <li><span><span><span><span><span><b><span><span>Do these policies apply to reference-based pricing plans? </span></span></b><span><span>Reference-based pricing plans that are offered as part of ERISA-regulated group health insurance are subject to these regulations. Therefore, patients with reference-based pricing plans are considered insured, and therefore do not need to receive an uninsured/self-pay good faith estimate for scheduled services.</span></span></span></span></span></span></span></li> </ol> <p class="MsoBodyText"> </p> <ol start="22"> <li><span><span><span><span><span><b><span><span>Do these policies apply to federal health care programs coverage? </span></span></b><span><span>Items and services covered under a federal health care program, such as Medicare, Medicaid, Indian Health Service, or Tricare are considered insured. Therefore, unless they have otherwise indicated a desire to self-pay, these patients do not need to receive an uninsured/self-pay good faith estimate for scheduled services.</span></span></span></span></span></span></span><br />  </li> <li><span><span><span><span><b><span>If a patient that requested a good faith estimate goes on to schedule a procedure, does the provider need to provide a new good faith estimate? </span></b><span>Yes, if the patient schedules the service following a request for a good faith estimate, a new estimate is required.</span></span></span></span></span></li> </ol> <p class="MsoBodyText"> </p> <ol start="24"> <li><span><span><span><span><b><span>What content is required to be included on the good faith estimate in instances when the final code is unknown at the time of scheduling (e.g., E&M CPT codes, Dx codes) Would a standard menu of all possible codes and their corresponding charges suffice? </span></b><span>Providers should use their best efforts to provide a good faith estimate that is reflective of what the final bill will include. Though additional services that are unknown at the time of scheduling are often unavoidable and to be expected, the regulation leaves additional costs exceeding $400 from the good faith estimate (including additional, unexpected services) to be subject to the patient dispute resolution processes. We recommend that providers develop a policy on how to handle additional services in advance of Jan. 1, 2022. We also recommend that providers adjust their processes to ensure that good faith estimates are properly created by people with knowledge of billing processes. Additional training for front office and finance staff will likely be required in order to achieve compliance with the regulation.</span></span></span></span></span></li> </ol> <p class="MsoBodyText"> </p> <ol start="25"> <li><span><span><span><span><span><b><span><span>Are insured patients that do not have coverage for a particular item or service considered uninsured for the purpose of this requirement? </span></span></b><span><span>Yes, patients that are not covered for a particular item or service are considered uninsured for the purpose of these requirements. The AHA and HFMA are seeking further clarification from HHS on how providers should proceed when determining an insured patient’s coverage for an item or service is not feasible in the short good faith estimate timeline.</span></span></span></span></span></span></span></li> </ol> <p class="MsoBodyText"> </p> <ol start="26"> <li><span><span><span><span><span><b><span><span>Is it still acceptable to require a point of service collection for a self-pay scheduled service? </span></span></b><span><span>There is nothing in this regulation that would prevent a</span></span></span></span></span></span></span> <span><span><span><span>provider from requiring point of service payments from a patient. However, if the point of service collection is associated with any type of prompt pay discount, the good faith estimate should reflect the discounted amount.</span></span></span></span></li> </ol> </div> <p> </p> <p> </p> <div class="WordSection6"> <p class="MsoBodyText"> </p> <ol start="27"> <li><span><span><span><span><span><b><span><span>Are there penalties for non-compliance with these requirements? </span></span></b><span><span>If a provider does not comply with these requirements and the uninsured/self-pay patient’s bill is over $400, then the patient can initiate a patient-provider dispute resolution process. In addition, any provider or facility found to be in violation of</span></span></span></span></span></span></span> <span><span><span><span>the new requirements established under the No Surprises Act (including the good faith estimates for insured or uninsured patients, once they are both in effect) could be subject to penalties under state and federal law, including civil monetary penalties. (<i>Citation: Section 2799B-4</i>)</span></span></span></span></li> </ol> <p class="MsoBodyText"> </p> <ol start="28"> <li><span><span><span><span><span><b><span><span>How long do providers need to store the good faith estimates? </span></span></b><span><span>The good faith estimates are considered part of a patient’s medical record and should be stored in the same manner as other items in the patient’s medical record. The convening provider must be able to provide a patient a copy of any previously issued good faith estimate furnished within the previous six years.</span></span></span></span></span></span></span></li> </ol> <p class="MsoBodyText"> </p> <ol start="29"> <li><span><span><span><span><span><b><span><span>Can providers give patients one good faith estimate for a series of visits? </span></span></b><span><span>Yes, for recurring items or services, providers/facilities can deliver patients a single good faith estimate, as long as the estimate clearly identifies the scope of the estimate (e.g., timeframe, frequency, total number of visits). In addition, the good faith estimate would need to be updated annually and/or whenever there is a change to the estimated charges or scope.</span></span></span></span></span></span></span></li> </ol> <p class="MsoBodyText"> </p> <ol start="30"> <li><span><span><span><span><span><b><span><span>Do the good faith estimates need to include line item estimates, or can they be bundled under one code? </span></span></b><span><span>HHS is clear in the regulation that facilities or providers should use the most comprehensive service code available. In other words, if a single service code captures multiple components of an item or service that is the service code and corresponding charge that should be used. In instances when a comprehensive code is used, the comprehensive service code should be used for billing purposes as well.</span></span></span></span></span></span></span></li> </ol> <p class="MsoBodyText"> </p> <ol start="31"> <li><span><span><span><span><span><b><span><span>Are providers/facilities required to provide patients good faith estimates for same day services or for services scheduled less than 3 days in advance? </span></span></b><span><span>No, good faith estimates are only required for services scheduled at least 3 days in advance.</span></span></span></span></span></span></span></li> </ol> <p class="MsoBodyText"> </p> <ol start="32"> <li><span><span><span><span><span><b><span><span>What should providers/facilities do about unexpected additional services during a scheduled health care visit, such as consultation with an outside provider? </span></span></b><span><span>Providers should include charges for all services for which they are</span></span></span></span></span></span></span> <span><span><span><span>aware at the time of scheduling. To the extent that additional medically necessary services are performed, providers may charge for these services, though such charges would potentially be subject to a patient dispute resolution process if in excess of $400. We recommend that providers create policies to prepare for such scenarios.</span></span></span></span></li> </ol> </div> <p> </p> <p> </p> <div class="WordSection7"> <p class="MsoBodyText"> </p> <ol start="33"> <li><span><span><span><span><span><b><span><span>Can patients decline the good faith estimates at the time that they are notified of their rights to receive the good faith estimates? </span></span></b><span><span>No, patients are not required to sign good faith estimates, so therefore, cannot decline them. In other words, facilities/providers are always required to give uninsured/self-pay patients good faith estimates for services scheduled 3+ days in advance and whenever requested during the shopping process.</span></span></span></span></span></span></span></li> </ol> <p class="MsoBodyText"> </p> <ol start="34"> <li><span><span><span><span><span><b><span><span>Are retail services, such as acupuncture, included in these requirements? </span></span></b><span><span>Yes, good faith estimates are required for all items/services scheduled by an uninsured or self-pay patient 3+ days in advance or by request when shopping for care. HHS defines <i>items and services </i>very broadly to mean “all encounters, procedures, medical tests, supplies, prescription drugs, durable medical equipment, and fees (including facility fees), provided or assessed in connection with the provision of health care.” In the regulation, HHS notes that this definition is inclusive of those items and services related to dental health, vision, substance use disorders and mental health.</span></span></span></span></span></span></span></li> </ol> <p class="MsoBodyText"> </p> <ol start="35"> <li><span><span><span><span><b><span>If a patient presents with insurance for a scheduled procedure but at a future date we find out that the insurance retroactively terminated and the patient is deemed self-pay/no-insurance at that time, how should the provider/facility proceed given that no good faith estimate would have been generated at admission? </span></b><span>If a provider learns that a scheduled patient’s insurance has been retroactively terminated prior to the provision of care, they should provide the patient with a good faith estimate upon learning. The regulation is unclear as to how providers that learn of a patient’s lapse in coverage after care is provided should proceed when a good faith estimate was not produced due to a prior indication that the patient was insured. We recommend that providers review their eligibility batching process to assure payer coverage is validated 3 days prior to scheduled services to minimize surprises. The AHA/HFMA have requested clarification on this issue from CMS and will provide an update once we have additional information.</span></span></span></span></span></li> </ol> <p class="MsoBodyText"> </p> <p class="MsoBodyText"> </p> <p><span><span><span><span><b><i><span><span>DISCLAIMER: </span></span></i></b><i><span><span>To help address basic questions regarding the No Surprises Act, implementing regulations and guidance, the AHA has prepared several member resources found at </span></span></i><a href="/surprise-billing"><i><span><span><span>Surprise Billing | AHA</span></span></span></i></a><i><span><span>. These resources, including these FAQs, summarize and answer basic questions about the implementing regulations and </span></span></i></span></span></span></span><span><span><span><i><span><span>guidance. These resources are not intended as legal advice from AHA. Hospitals should consult with their own counsel for their individual organization's needs.</span></span></i></span></span></span></p> </div> <p> </p> <p> </p> Sun, 19 Dec 2021 14:53:52 -0600 Frequently Asked Questions (FAQs) /center/project-firstline/call-for-applicants Tue, 16 Nov 2021 11:01:13 -0600 Frequently Asked Questions (FAQs) /frequently-asked-questions-faqs/2021-10-26-affirmation-patient-billing-guidelines-frequently-asked <div class="container"> <div class="row"> <div class="col-md-8"> <div class="col-md-12 cc_tabs"> /* reset */ .cc_tabs ul.a-container { margin: 0; padding: 0; list-style: none; } .cc_tabs input[type=checkbox] { display: none; } /* style */ .cc_tabs .a-container { width: 100%; margin: 20px auto; } .cc_tabs .a-container label { display: block; position: relative; cursor: pointer; font-size: 18px; font-weight: bold; padding: 10px 20px; color: #63666a; background-color: #eee; border-bottom: 1px solid #ddd; -webkit-transition: all .2s ease; -moz-transition: all .2s ease; -ms-transition: all .2s ease; -o-transition: all .2s ease; transition: all .2s ease; margin-bottom:15px } .cc_tabs .a-container label:after { content: ""; width: 0; height: 0; border-top: 8px solid #aaa; border-right: 6px solid transparent; border-bottom: 8px solid transparent; border-left: 6px solid transparent; position: absolute; right: 10px; top: 16px; } .cc_tabs .a-container input:checked + label, .cc_tabs .a-container label:hover { background-color: #003087; color: #fff; } .cc_tabs .a-container input:checked + label:after { border-top: 8px solid transparent; border-right: 6px solid transparent; border-bottom: 8px solid #fff; border-left: 6px solid transparent; top: 6px; } .cc_tabs .a-content { padding: 0 20px 20px; display: none; height:auto; max-height: 40vh; overflow: auto } .cc_tabs .a-container input:checked ~ .a-content { display: block; } .red { color: #9d2235; } .cc_tabs ul.b-container { margin: 0; padding: 0; list-style: none; } .cc_tabs input[type=checkbox] { display: none; } /* style */ .cc_tabs .b-container { width: 100%; margin: 20px auto; } .cc_tabs .b-container label { display: block; position: relative; cursor: pointer; font-size: 18px; font-weight: bold; padding: 10px 20px; color: #63666a; background-color: #eee; border-bottom: 1px solid #ddd; -webkit-transition: all .2s ease; -moz-transition: all .2s ease; -ms-transition: all .2s ease; -o-transition: all .2s ease; transition: all .2s ease; margin-bottom:15px } .cc_tabs .b-container label:after { content: ""; width: 0; height: 0; border-top: 8px solid #aaa; border-right: 6px solid transparent; border-bottom: 8px solid transparent; border-left: 6px solid transparent; position: absolute; right: 10px; top: 16px; } .cc_tabs .b-container input:checked + label, .cc_tabs .b-container label:hover { background-color: #003087; color: #fff; } .cc_tabs .b-container input:checked + label:after { border-top: 8px solid transparent; border-right: 6px solid transparent; border-bottom: 8px solid #fff; border-left: 6px solid transparent; top: 6px; } .cc_tabs .b-content { padding: 0 20px 20px; display: none; height:auto; max-height: 40vh; overflow: auto } .cc_tabs .b-container input:checked ~ .b-content { display: block; } .red { color: #9d2235; } /* Style the tab */ .cc_tabs .tab { background-color: #fff; width: auto; height: auto; overflow: auto; } /* Style the buttons inside the tab */ .cc_tabs .tab button { display: block; background-color: lightgry; color: #003087; padding: 10px 16px 10px 20px; width: calc(50% - 30px); border: solid 1px lightgray; outline: none; text-align: center; cursor: pointer; transition: 0.3s; font-size: 20px; float: left; overflow: auto; margin: 0px 15px; -webkit-border-top-left-radius: 15px; -webkit-border-top-right-radius: 15px; -moz-border-radius-topleft: 15px; -moz-border-radius-topright: 15px; border-top-left-radius: 15px; border-top-right-radius: 15px; font-weight: 700; } @media (max-width:452px){ .cc_tabs .tab button{ padding: 10px 5px 10px 5px; width: calc(50% - 4px); font-size: 17px; margin: 0px 2px; } } /* Change background color of buttons on hover */ .cc_tabs .tab button:hover { background-color: #003087; color:#fff } /* Create an active/current "tab button" class */ .cc_tabs .tab button.active { background-color: #003087; color: #ffffff } /* Style the tab content */ .cc_tabs .tab .tabcontent { float: left; padding: 15px 12px; border: 1px solid #ccc; width: 100%; height: auto; } .cc_tabs .tablinks:after { content: '\2610'; color: #777; font-weight: bold; float: right; margin-left: 5px; } .cc_tabs .tablinks.active:after { content: "\2611"; } <div class="tab">FAQs <div class="tabcontent" id="faqs"> <ul class="a-container"> <li class="a-items"> What is the Affirmation? <div class="a-content"> <p>The AHA has been actively engaged in identifying and promoting best practices in patient billing, including adopting and updating guidelines for the field in 2003, 2006, 2012 and 2020. The next step in this important work is for all hospitals and health systems to publicly affirm their commitment to the guidelines. The AHA is inviting every hospital and health system to join the Affirmation effort. This action will reinforce our field’s commitment to patients from the bedside to the billing office.</p> </div> </li> <li class="a-items"> Where can I find the AHA Patient Billing Guidelines? <div class="a-content"> <h3 class="red">Fact:</h3> <p>The guidelines are available here on <a href="/patient-billing-guidelines-affirmation">AHA’s website</a>.</p> </div> </li> <li class="a-items"> How did the AHA develop these guidelines? <div class="a-content"> <p>The AHA relied on input from our Board of Trustees, as well as hospital leaders through AHA’s various committees, task forces and policy boards, as well as leaders from state, regional and metropolitan hospital associations. In addition, these guidelines were shared with outside groups, such as the Healthcare Financial Management Association (HFMA). The process started in 2019 and concluded with the AHA Board’s approval in April 2020.</p> <p>This process evaluated past AHA guidelines on patient billing and was committed from the outset to aligning with the following principles:</p> <ol> <li>Treating all people equitably, with dignity, respect and compassion;</li> <li>Serving the emergency health care needs of all, regardless of a patient’s ability to pay; and</li> <li>Assisting patients who cannot pay for part or all of the care they receive.</li> </ol> </div> </li> <li class="a-items"> What resources are available to help hospitals and health systems improve their patient billing experience? <div class="a-content"> <p>To help hospitals and health systems improve their patient billing the AHA offers a variety of resources, such as an issue brief examining ways to enhance patient billing, case studies, podcasts with hospitals that have improved their billing processes and links to other leaders in patient billing. Visit <a href="/patient-billing-guidelines-affirmation">AHA’s webpage</a> for the resources.</p> </div> </li> <li class="a-items"> Are non-AHA members permitted to join the Affirmation campaign? <div class="a-content"> <p>Yes. Non-AHA member hospitals are encouraged to participate in the Affirmation campaign.</p> </div> </li> <li class="a-items"> How does my organization sign on to the Affirmation? <div class="a-content"> <p>Please check your email box. AHA October 28 emailed a dedicated link to the CEOs/Primary contacts for hospitals and health systems.</p> </div> </li> <li class="a-items"> What do I do if I can’t find the email with the dedicated link? <div class="a-content"> <p>AHA Survey Support can assist with re-sending a dedicated link. Please email <a href="mailto:surveysupport@aha.org?subject=Help with Affirmation of Patient Billing Guidelines">surveysupport@aha.org</a> and include your organization’s name, city and state.</p> </div> </li> <li class="a-items"> When is the deadline to sign on to the Affirmation? <div class="a-content"> <p>We encourage organizations to join the Affirmation by Dec. 31, 2021, but hospitals can sign up at any time.</p> </div> </li> <li class="a-items"> Will the names of the hospitals and health systems joining the Affirmation be public? <div class="a-content"> <p>The AHA intends to share the names of participating organizations on our website in 2022.</p> </div> </li> </ul> </div> </div> function openCity(evt, cityName) { var i, tabcontent, tablinks; tabcontent = document.getElementsByClassName("tabcontent"); for (i = 0; i < tabcontent.length; i++) { tabcontent[i].style.display = "none"; } tablinks = document.getElementsByClassName("tablinks"); for (i = 0; i < tablinks.length; i++) { tablinks[i].className = tablinks[i].className.replace(" active", ""); } document.getElementById(cityName).style.display = "block"; evt.currentTarget.className += " active"; } // Get the element with id="defaultOpen" and click on it document.getElementById("defaultOpen").click(); </div> </div> <div class="col-md-4"> <div class="external-link spacer"><a class="btn btn-wide btn-primary" href="/patient-billing-guidelines-affirmation" target="_blank">Patient Billing Guidelines Affirmation</a></div> </div> </div> </div> Tue, 26 Oct 2021 10:03:15 -0500 Frequently Asked Questions (FAQs) /vaccine <div class="raw-html-embed"><div>   </div> #revive a { color: #003087; text-decoration: underline; } #revive #page_nav { list-style-type: none; margin-left: 0; padding: 1rem 0; } #revive #page_nav li { display: inline-block; padding-right: 4rem; } #revive #page_nav a { text-decoration: none; color: #333333; font-weight: 600; } #revive #page_nav a:hover, #revive #page_nav a:active, #revive #page_nav a.active { border-top: .4rem solid #333333; padding-top: .5rem; } #list_no_icons { list-style-type: none; 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} #revive .footnote_anchor { font-size: 11px; color: #00244B; text-decoration: none; font-style: italic; } #revive .footnote_anchor:hover { font-weight: 300; } #revive .list_nav_container { background-color: #F9FBFF; border: 2px solid #307FE2; padding: 1rem; } #revive .find_container { display: grid; grid-template-columns: 100%; grid-template-rows: auto auto; background-color: #00244B; color: white; padding: 1rem 4rem .5rem 4rem; margin-bottom: 6rem; } #revive .find_form { display: grid; grid-template-columns: 50% 50%; grid-template-rows: 1; padding: -1rem 2rem 0 2rem; } #revive .find_form.long_width { grid-template-columns: auto; } #revive .find_form label { font-size: 18px; } #revive .number_cirlce { /* display: inline-block; */ background-color: #307FE2; border-radius: 50%; width: 3rem; height: 3rem; padding-left: 1rem; padding-top: .15rem; margin-right: .5rem; } #revive .control-label { margin: 2rem 0; } #revive .form-group { padding: 2rem; } #revive .find_select select { font-weight: 400; height: 6.1rem; font-size: 18px; border-radius: 0; margin: 0; -webkit-box-sizing: border-box; -moz-box-sizing: border-box; box-sizing: border-box; -webkit-appearance: none; -moz-appearance: none; background: white; background-image: url(/sites/default/files/2021-07/rh_dropdown_arrow.png); background-repeat: no-repeat; background-position-x: 95%; background-position-y: 2.5rem; border: 1px solid #333; margin-right: 2rem; padding: 1.3rem; padding-left: 1.5rem; } #revive .find_input a#placeurl { background-color: #307FE2; border-color: #307FE2; color: white; font-weight: 600; font-size: 18px; border-radius: 4px; padding: 1.8rem 1.5rem; width: 100%; text-decoration: none; text-align: center; display: block; } #revive .find_input a#placeurl::after { content: ""; background-image: url(/sites/default/files/2021-07/rh_white_link_arrow.png); background-size: contain; display: inline-block; width: 1.6rem; height: 1.6rem; position: relative; top: 0.1rem; margin-left: 0.75rem; white-space: nowrap; } #revive label.control-label { display: grid; grid-template-columns: 5rem auto; grid-template-rows: 100%; } #revive .hide_vac_link { display: none; } #go { color: #333333; } #go { color: #333333; } #revive p.link_group { line-height: 1.0; } #url { width: 100%; color: #333333; } #revive .social_share_container { color: white; display: grid; grid-template-columns: 60% 40%; grid-template-rows: 1; } #revive .social_share__left { padding: 3.5rem 3rem; background-color: #00244B; } #revive .social_share__right { padding: 2rem; background-color: #307FE2; display: grid; grid-template-columns: 1fr 1fr 1fr; grid-template-rows: 1; } #revive .social_share__icons { place-self: center; } #revive hr { display: block; margin-left: auto; margin-right: auto; border: .3rem solid #00244B; width: 6rem; } #video_container { display: grid; grid-template-columns: auto; grid-template rows: 2; margin: 5rem 0 3rem 0; color: #333; } .ind_video_container { display: grid; grid-template-columns: auto; grid-template rows: 1; 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} #revive .social_share_container { grid-template-columns: 100%; grid-template-rows: auto auto; } #revive .social_share__left { padding: 1rem; } #revive .social_share__right { padding-bottom: 4rem; background-color: #00244B; } .footnote_container { padding-left: 1rem; padding-right: 1rem; } .ind_video_container { grid-template-columns: 1fr; grid-template-rows: auto auto auto; justify-content: stretch; row-gap: 2rem; } .video-gallery { display: none; } .targetDiv.div1, .targetDiv.div2, .targetDiv.div3, .targetDiv.div4 { display: block !important; } } <article class="node-general-information-page" id="revive" role="article"> <header class="jumbotron" id="revive_jumbotron"> <div class="container" id="hero_image__container"> <article> <div id="hero_image"> <img class="rh_image_desktop" src="/sites/default/files/2021-07/rh_desktop_hero.jpg" alt="A doctor talking to a patient" width="1440" height="460"><img class="rh_image_mobile" src="/sites/default/files/2021-07/rh_mobile_hero_0.jpg" alt="A doctor talking to a patient" width="375" height="460"> </div> <div class="row"> <div class="col-md-10 col-md-offset-2 col-sm-10"> <div class="content" id="revive_content"> <h1> We understand.<br> Vaccination is not an easy decision.<br> <strong>But it's easier with reliable information.</strong> </h1> </div> </div> </div> </article> </div> </header> <div> <section class="page-maincontent"> <div class="container spacer"> <div class="field_lead"> <div class="body"> <div class="container"> <div class="row"> <div class="col-md-8 col-md-offset-2 col-sm-12"> <p> We're the ���������� Association (AHA), a national organization of hospitals, health systems and care providers. We help patients and people understand important health issues, addressing vaccine concerns and questions, together. Routine vaccination rates for children remain historically low, putting more people at risk for preventable diseases and illnesses. </p> <div class="intro_h3"> <h3> You have important concerns. Let's address them. </h3> <hr> </div> </div> </div> </div> <div class="container"> <div class="row"> <div class="col-md-10 col-md-offset-1 col-sm-12"> <div class="find_container"> <div class="find_title"> <h3 class="white"> Find a vaccine site near you. </h3> </div> <div class="find_select form-group"> <span class="number_cirlce">1</span> <span>Choose your state:</span> Select StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming </div> <div class="find_input form-group hide_vac_link" id="vaccineLink"> <span class="number_cirlce">2</span> <span>Visit your state's vaccination website:</span> <a class="ck-anchor" id="placeurl"></a> </div> </div> <hr> <div id="heartbroken"> <a href="/system/files/media/file/2021/12/AHA-Ad-12-22-2021.pdf" target="_blank" title="Click here to download a PDF of this ad."><img src="/sites/default/files/inline-images/AHA-Ad-12-22-2021.png" data-entity-uuid="22054dbc-2fed-4bc3-84eb-b7a3c74ade57" data-entity-type="file" alt="We're heartbroken. We're overwhelmed. — Open Letter from Minnesota Hospitals. Those words are repeated over and over again in America's hospitals. COVID is killing our patients and overwhelming our hospitals. Unvaccinated people are 14 times more likely to die from COVID-19. Thousands of people on their deathbeds repeat a simple line: "I wish I had gotten vaccinated." Get vaccinated. Get a booster. Follow the public health guidelines. Remember this ad. Before you are desperately sick in a hospital bed." width="3612" height="6321"></a> <h4> <a href="/advocacy/2021-12-22-aha-ad-urges-americans-get-vaccinated-and-boosted-omicron-cases-rise" target="_blank" title="Click here to download the full AHA Ad Urges Americans to Get Vaccinated and Boosted as Omicron Cases Rise Significantly PDF.">AHA Ad Urges Americans to Get Vaccinated and Boosted as Omicron Cases Rise Significantly</a> </h4> </div> <hr> <h3> Related Video </h3> <hr> <div id="video_container"> <div class="ind_video_container" id="player"> <p> </p> <h5> Just The Facts </h5> </div> --> <div class="targetDiv div3"> <p> </p> <h5> I Am a Provider </h5> </div> <div class="targetDiv div2"> <p> </p> <h5> On the Fence </h5> </div> <div class="targetDiv div1"> <p> </p> <h5> A Serious Decision </h5> </div> </div> <div class="video-gallery" id="video_selection"> <img src="/sites/default/files/2022-06/Just-The-Facts-Sized_2.png" alt="Video 4" width="283" height="159"><br> <span>Just The Facts</span> </div> --> <div class="showSingle active_vid" data-target="3" id="player_action3"> <img src="https://i.ytimg.com/vi/75zR2YMb2jE/maxresdefault.jpg" alt="Video 3" width="1280" height="720"><br> <span>I Am a Provider</span> </div> <div class="showSingle" data-target="2" id="player_action2"> <img src="https://i.ytimg.com/vi/4sc0buHgWpo/maxresdefault.jpg" alt="Video 2" width="1280" height="720"><br> <span>On the Fence</span> </div> <div class="showSingle" data-target="1" id="player_action1"> <img src="https://i.ytimg.com/vi/O89uH8ZI24I/hqdefault.jpg?sqp=-oaymwEXCNACELwBSFryq4qpAwkIARUAAIhCGAE=&rs=AOn4CLBVGz2M_u0BdBWa0DEO2ffWGqSS0g" alt="Video 1" width="336" height="188"><br> <span>A Serious Decision</span> </div> </div> </div> <div class="social_share_container"> <div class="social_share__left"> <h3 class="white"> Share with friends and family </h3> </div> <div class="social_share__right"> <a class="social_share__icons" href="http://www.facebook.com/share.php?u=/vaccine&title=We-understand.-Vaccination-is-not-an-easy-decision.-But-it%2Cs-easier-with-reliable-information.&hashtag=#vaccineconfidence" target="_blank"><img src="/sites/default/files/2021-07/rh_fb.png" alt="Share Page on Facebook" width="58" height="58" rel="noopener noreferrer"></a> <a class="social_share__icons" href="https://twitter.com/intent/tweet?url=https%3A%2F%2Fwww.aha.org/vaccine%2F&text=We+understand.+Vaccination+is+not+an+easy+decision.+But+it%27s+easier+with+reliable+information%2E&hashtags=vaccineconfidence" target="_blank"><img src="/sites/default/files/2021-07/rh_tw.png" alt="Share Page on Twitter" width="58" height="58" rel="noopener noreferrer"></a> <a class="social_share__icons" href="mailto:?subject=We%20understand.%20Vaccination%20is%20not%20an%20easy%20decision.%20&body=/vaccine" target="_blank" title="email share" aria-label="Email this" data-tracking-content-headline="Vaccination is not an easy decision. Get Answers!"><img src="/sites/default/files/2021-07/rh_email.png" alt="Email" width="58" height="58"></a> </div> </div> </div> </div> </div> <div class="container"> <div class="row"> <div class="col-md-8 col-md-offset-2 col-sm-12"> <div class="footnote_container"> <p> <a href="/vaccineconfidence" target="_blank">Resources for Hospitals and Health Systems</a> </p> <p class="footnote"> This content was funded in part by a cooperative agreement with the Centers for Disease Control and Prevention (grant number CK20-2003). The Centers for Disease Control and Prevention is an agency within the Department of Health and Human Services (HHS). The contents of this resource do not necessarily represent the policy of CDC or HHS, and should not be considered an endorsement by the Federal Government. </p> <p class="footnote"> Disclaimer: The information provided on this page is based on guidance from the Centers for Disease Control (CDC) and is not intended to be a substitute for professional medical diagnosis or treatment. Always seek the advice of your physician or other qualified health provider with questions regarding a medical condition. </p> </div> </div> </div> </div> </div> </div> </div> </section> </div> </article> function gotosite() { window.location = document.getElementById("state").value; }; function populateUrl() { //Getting Value var selObj = document.getElementById("state"); var placeurl = document.getElementById("placeurl"); var selValue = selObj.options[selObj.selectedIndex].value; //Setting Value placeurl.href = selValue; placeurl.textContent = "Visit " + placeurl.hostname; } // START event listener document.addEventListener("DOMContentLoaded", function () { jQuery(function () { jQuery('.select_state').change(function () { var state = jQuery('#vaccineLink'); var form = jQuery('.find_form'); state.removeClass('hide_vac_link'); form.removeClass('long_width'); }); }); jQuery(function () { jQuery('.showSingle').click(function () { var target = jQuery(this).data('target'); var parent = jQuery(this).closest('#video_container'); var current = jQuery(this); current.addClass('active_vid').siblings('.showSingle').removeClass('active_vid'); parent.find('.targetDiv').hide(); parent.find('.div' + target).show(); parent.find('.ind_vid')[0].contentWindow.postMessage('{"event":"command","func":"' + 'pauseVideo' + '","args":""}', '*'); parent.find('.ind_vid2')[0].contentWindow.postMessage('{"event":"command","func":"' + 'pauseVideo' + '","args":""}', '*'); parent.find('.ind_vid3')[0].contentWindow.postMessage('{"event":"command","func":"' + 'pauseVideo' + '","args":""}', '*'); // parent.find('.ind_vid4')[0].contentWindow.postMessage('{"event":"command","func":"' + 'pauseVideo' + '","args":""}', '*');// }); }); // END event listener }); </div> Tue, 20 Jul 2021 07:00:00 -0500 Frequently Asked Questions (FAQs)