DHHR Changes Dashboard To Track Respiratory Illness Season

The Department of Health and Human Resources (DHHR) has replaced its COVID-19 dashboard with a new system to track three respiratory diseases.

The Department of Health and Human Resources (DHHR) has replaced its COVID-19 dashboard with a new system to track three respiratory diseases.

According to a note on the West Virginia DHHR’s website, the COVID-19 dashboard ended on Oct. 11 as part of the DHHR’s transition from the emergency phase of COVID-19 response to sustainable public health practice.

This strategy mirrors that of the Centers For Disease Control and Prevention (CDC)’s approach to respiratory illness season.

The dashboard will still track cases of COVID-19 in West Virginia, in addition to influenza and RSV, the three major respiratory viruses that cause severe respiratory illness.

It will include regular updates on respiratory illness season and focus on data that gives the public the most accurate picture.

Flu symptoms accounted for 2.48 percent of emergency room visits in the state last week, COVID symptoms accounted for 3.19 percent and RSV accounted for .10 percent of the state’s emergency room visits as of Oct. 20, according to the dashboard.

The dashboard currently rates West Virginia’s weekly influenza activity indicator at “Minimal,” with a 1.41 percent decrease from last year in outpatient visits for influenza-like symptoms.

The dashboard also reports there have been 923 new cases of COVID-19 received by the agency since the last update, with .56 percent of weekly hospitalizations attributed to COVID-19 and weekly emergency room visits for COVID-19 symptoms accounting for 3.19 percent of emergency room visits. 

The dashboard is updated every Friday by 10 a.m.

Appalachia Health News is a project of West Virginia Public Broadcasting with support from Charleston Area Medical Center and Marshall Health.

W.Va. DHHR Supervisor Indicted In Federal Fraud Investigation

According to the indictment, the Federal Bureau of Investigation (FBI), the Internal Revenue Service (IRS), the U.S. Postal Service and the West Virginia Commission on Special Investigations began investigating certain vendors to determine if they had provided services for which they had invoiced the state of West Virginia. 

A West Virginia Department of Health and Human Resources supervisor has been indicted in a federal investigation involving COVID-19 tests and supplies. 

Timothy Priddy, who was appointed director of the DHHR’s Center for Threat Preparedness in 2022, is accused of certifying at least 13 vendor invoices totaling $34.1 million in test kits without verifying their accuracy. 

According to the indictment, the Federal Bureau of Investigation (FBI), the Internal Revenue Service (IRS), the U.S. Postal Service and the West Virginia Commission on Special Investigations began investigating certain vendors to determine if they had provided services for which they had invoiced the state of West Virginia. 

The investigation uncovered multiple invoices submitted by one out-of-state vendor not named in the indictment (Company A) totaling approximately $44.7 million for more than 500,000 COVID-19 test kits. But only 50,000 of those test results were reported between October 2020 and March 2022.

The disparity prompted a grand jury investigation, which focused on whether individuals associated with (Company A) had committed wire fraud, theft or money laundering. 

Priddy was subsequently accused of lying during an initial interview at his office with an FBI agent and a U.S. Postal Inspector and making false statements before the grand jury.

During his Thursday briefing, Gov. Jim Justice was asked about Priddy’s indictment, saying the pandemic had created confusion throughout the  country.

“To say it was not a challenging time, I mean for crying out loud, it was tough stuff,” Justice said. “And Tim Priddy is suspended from the DHHR at this time and we will have to let the court decide on his fate, that’s for sure.”

Donnie Haynes is acting as interim director for the DHHR’s Center for Threat Preparedness.

Facing West Virginia’s Child Care Cliff

On a national level, the end of pandemic-era benefits will affect child care costs and access. West Virginia hopes to avoid those shortfalls by relying on individual child care subsidies that date back to the 1960s.

The end of pandemic-era benefits will affect child care costs and access on a national level. West Virginia hopes to avoid those shortfalls by relying on individual child care subsidies that date back to the 1960s.

Sept. 30 marked the official end of federal pandemic-related stabilization money aimed at bolstering child care services in the U.S. Meaning, states had to have spent their allotted funds by that date.

In 2021, $40 billion in funding went to child care centers across the nation from the American Rescue Plan Act (ARPA).

According to the Administration for Children and Families, in West Virginia, 645 child care centers and 925 child care family homes received stabilization payments totaling more than $160 million.

The child care centers used the funds to pay for personnel costs and keep programs staffed. In some cases, child care centers used the funds to keep prices lower for parents struggling to pay for child care. Child care family homes mostly used the money to pay for personal protective equipment to ensure safe environments for children and staff.

Of that $160 million total, $101 million in ARPA funding was allocated to DHHR’s child care subsidy program in order to increase reimbursement rates. 

Kent Nowviskie, deputy commissioner for Programs and Policy at the Bureau for Family Assistance at the DHHR, said the funding allowed child care providers to be paid on the basis of enrollment in their programs rather than daily attendance.

“We switched to doing something that providers had been asking for for a long time, which was to pay them a monthly rate for each child enrolled in their setting instead of a daily rate that they had to calculate based on the attendance of the child,” Nowviskie said.

While the 2021 ARPA stabilization funds were a source of additional funding, West Virginia has had access to child care subsidies since the Appalachian Regional Development Act.

“We here at the West Virginia Department of Health and Human Resources, or even before it was the Department of Health and Human Resources, we’ve been doing that since 1969,” Nowviskie said. “That is an ongoing thing, it is not going away, those child care subsidies are not going away.”

Nowviskie said it is important to understand that in the child care industry, subsidies refer to the payments that are made to providers for services provided to specific children.

“So it’s an individual payment per child who’s being served in a child care setting,” he said.

Nowviskie said some ARPA funds had dedicated purposes, or places they had to be spent. One of these designations was subsidy payments, so the state increased the rates it paid for each child. 

The DHHR also expanded eligibility to everyone regardless of income who met the definition of essential worker, as outlined in the governor’s March 2020 executive order.

Julie Kashen is the director of women’s economic justice and a senior fellow at The Century Foundation, a progressive think tank in Washington D.C. She said the federal grant structure allowed families of more diverse incomes to qualify nationally.

“One of the differences between the stabilization grants and the supplemental grants is that the stabilization grants were able to reach a wider variety of families because they didn’t have that same income restriction,” Kashen said. “There was much more of a combination of the poorest families, lower income families, middle class families, were able to benefit from that.”

Nowviskie said the DHHR has taken steps to mitigate the loss of ARPA funds but in October 2022, the DHHR restored income eligibility requirements for child care subsidies.

“When we saw that those monies were dwindling, we circled the wagons here to try to figure out what we could do to stretch those out as long as we could,” Nowviskie said. “And we put an income limit back on.”

When this ARPA funding allocated for subsidy assistance was exhausted in May 2023, the DHHR set aside $24 million of Temporary Assistance for Needy Families (TANF) funding to allow providers to continue being paid by enrollment for services rendered through August 2024.

“So until September of next year, services provided through August of next year, then we’ll be able to keep the pay by enrollment going as well as those increased rates,” Nowviskie said.

Nowviskie and other experts agree a long term solution would be the best case scenario.

“We don’t anticipate readjusting rates downward,” Nowviskie said. “But absent an influx of additional funding, we may have to go back to a pay by attendance model, which is not ideal. Child care providers nationally are advocating and trying to move toward the pay by enrollment model. In fact, I think Congress is looking at the issue. So we hope they have some additional funding that will come along with that.”

Bill Franko is an associate professor of political science and director of graduate studies at the WVU Eberly College of Arts and Sciences. He worries that child care settings will struggle to pay their staff at the same rate they have since 2021.

“What’s going to happen is the centers are not going to have the money to pay living wages to the child center workers,” Franko said. “You’re gonna have fewer people who are going to want to enter that industry or stay in that industry. It’s going to be much more temporary, like it was prior to the 2021 influx of the child care stabilization funds.”

Appalachia Health News is a project of West Virginia Public Broadcasting with support from Charleston Area Medical Center and Marshall Health.

Lawmakers Grow Impatient With Lack Of Health Action

Lawmakers questioned West Virginia’s State Health Officer Matthew Christiansen during a meeting of the Joint Committee on Health about the agency’s lack of action.

Commissioner of the Department of Health and Human Resources’ Bureau for Public Health and West Virginia State Health Office, Matthew Christiansen, presented a state health plan to the West Virginia Legislature’s Joint Committee on Health.

However, lawmakers questioned the plan’s similarities to past years and the lack of specific goals.

Del. Mike Pushkin, D-Kanawha, thanked Christiansen for his report but asked if anything the legislature has done has helped improve the state’s health outcomes.

“We’ve been here long enough to see similar reports from other state health officials,” Pushkin said. “Have we seen any movement? Are we still at the bottom of every list or at the top of every rung list when it comes to poor public health outcomes? Has anything we’ve done here, moved the needle at all?”

Christiansen answered that there have been improvements in insurance access and accessibility to health care.

“Health care services and insurance coverage is one that we are consistently in the top 10 or so in the nation,” Christiansen said. “And so we do a good job at that; however, we still struggle with transportation issues, as you and I have discussed in the past, and accessibility of that health care access.”

Pushkin responded that the legislature expanded Medicaid for West Virginia residents years ago.

Starting Jan. 1, 2014, West Virginia expanded Medicaid under the Affordable Care Act. Under the expanded eligibility guidelines, adults aged 19 to 64 are eligible for Medicaid with a household income up to 138 percent of the poverty level.

For a single adult in 2023, that amounts to $20,120 in total annual income.

“I guess what I’m getting at, we’ve heard for years about the determinants of poor public health outcomes, whether it was in regards to children with adverse childhood experiences, or with other socio-economic factors that leads to these outcomes,” Pushkin said. “There have been a lot of plans and I’d hoped that this body, that the legislature is able to actually address it at some point, or we’re going to continue to be at the bottom of every list that we don’t want to be on.”

Del. Amy Summers, R-Taylor, said she and other members of the joint committee on health grew frustrated at the inaction.

“Where I think we reach frustration is that we never get past the planning stage. And we want to be where we get three to six measurable goals, and what will they be? And how are we going to measure them, and okay, we achieve these things, and let’s move to the next thing,” Summers said. “But we never seem to get to that point. And I think that’s just all of our desire, yours as well, is to change some things.”

Christiansen said the current state health plan will be the one implemented, but it will take time.

“This will be that,” Christiansen said. “The State Health Improvement Plan will be that plan that will have a clear set of priorities, a big part of our assessment and survey processes around that stakeholder engagement piece to make sure that we’re bringing other people to the table, acknowledging that we again can’t do those things alone as the Bureau for Public Health but that we need all of our other public health and health care partners at the table.”

Troubled Teens Sent Out-Of-State, CPS Shortages Falling But Still Present

Legislators learned Monday there are more than 300 teens in out-of-state facilities because there’s no place to house them in West Virginia and there are approximately 83 vacancies in the state’s Child and Adult Protective Services 

Legislators learned Monday there are more than 300 teens in out-of-state facilities because there’s no place to house them in West Virginia, and there are approximately 83 vacancies in the state’s Child and Adult Protective Services. 

Facilities For Violent Teens

The West Virginia Legislature’s Joint Committee on the Judiciary heard testimony Monday from Judge Steve Redding from the 23rd Judicial Court in Berkeley County. He told the committee one of the biggest problems he faces as a judge is there is no in-state facility to handle violent or out of control teens in West Virginia. 

This creates an untenable situation where it’s too dangerous to leave the child in the community, but no in-state facility will accept them,” he said. “This creates an unnecessary delay in obtaining permanency for the children in our care. And studies have demonstrated that the longer it takes to obtain permanent permanency, the more difficult it becomes for that child to become a stable, functioning adult.”

Redding explained that sending children to out-of-state facilities is the last and final option. 

“The court in almost every case begins by ordering wraparound community services in the home,” he said. “If that’s unsuccessful, and the child continues to commit offenses, use drugs or otherwise places his or herself and others in danger, we look to the least restrictive in-state placement.”

He explained that some children exhibit behaviors that are so out of control and dangerous that no in-state facility will accept them. He said the courts waste time requiring the department to exhaust all in-state possibilities prior to ordering that out-of-state referrals be made when they already know there are no in-state providers that can accept these children. 

“These are typically children that are violent, or committed sexual offenses,” Redding said. “For a child 14 years or older, who is competent, we have the ability to place that child in detention until a bed is available in order to keep the child’s family and the community safe. For those children under the age of 14, or those 14 and over that are intellectually delayed, on the spectrum or are suffering from significant mental health issues, they are deemed incompetent to stand trial.”

Redding said the law prohibits the court from placing those youth in detention. 

Jeffrey Pack, the commissioner for the Bureau for Social Services, confirmed there are 320 violent West Virginia teens in out-of-state facilities. 

Both men agreed that the state legislature should look into establishing an in-state facility to work with these troubled youths.

Ongoing Staffing Shortages

Pack also gave the legislators an update on where things stand with the staffing issues with Child and Adult Protective Services. 

During the last regular session, the legislature passed Senate Bill 273 that reallocated Child Protective Services workers based on county population as well as established pay raises and incentives for CPS and Adult Protective Services workers to stay on the job. That included pay raises as well as retention bonuses for employees who stay on the job. The five percent raises take effect at two, four, six and eight years. 

Additionally, the starting salary for CPS workers in the Eastern Panhandle was raised to $50,000 to compete with neighboring states.

Pack explained even though the changes are already in place, the agency hasn’t necessarily seen the benefits yet as it takes time to hire, train and prepare new employees to do their job. 

Each new employee must complete 240 hours of training, spread out across 11 weeks and then they go through eight weeks of slowly stepped up caseloads covering two to three cases per week before taking on a full caseload. Pack said it will take about a year from the implementation of the new initiatives to see the positive effect.

Vacancies are being filled, however. 

Over the summer, Pack said the bureau’s vacancy rate had been reduced from 31 percent in January to 19 percent as of June 2023. Monday he reported that the agency has a 16 percent vacancy rate. Of the agency’s 518 staffers, that leaves approximately 83 openings to be filled. 

DHHR To Distribute Federal Funding For Mental Health And Substance Use Services

In a release, the DHHR outlined seven grant programs that will support various health initiatives across the state.

More than $33 million in federal funding was awarded to the Bureau for Behavioral Health (BBH) to enhance mental health and substance use prevention services for West Virginians.

Federal funding from the Substance Abuse and Mental Health Services Administration (SAMHSA) will support prevention, early intervention, treatment and recovery services across the state.

“BBH and its partners are seizing every opportunity to meet our state’s behavioral health needs,” said Dawn Cottingham-Frohna, commissioner for the West Virginia Department of Health and Human Resources’ (DHHR) Bureau for Behavioral Health. “With this funding, we are not only addressing the immediate needs of our communities but also investing in the long-term well-being of West Virginians.”

In a release, the DHHR outlined seven grant programs that will support various initiatives:

  • The Screening and Treatment for Maternal Mental Health and Substance Use Disorders program will provide $750,000 annually for five years from the Health Resources and Services Administration to expand health care provider’s capacity to screen, assess, treat and refer pregnant and postpartum women for maternal mental health and Substance Use Disorder (SUD). BBH is partnering with the West Virginia Perinatal Partnership’s Drug Free Moms and Babies Project to implement the program.
  • The Children’s Mental Health Initiative will provide $3,000,000 annually for four years to provide resources to improve the mental health outcomes for children and youth up to age 21, who are at risk for, or have serious emotional disturbance or serious mental illness and their families with connection to mobile crisis response and stabilization teams and other community-based behavioral health services through the 24/7 Children’s Crisis and Referral Line (844-HELP4WV).
  • The First Responders – Comprehensive Addiction and Recovery Act Grant will provide $800,000 annually for four years to build upon the Police and Peers program implemented by DHHR’s Office of Drug Control Policy. The activities will be administered by the Bluefield Police Department, Fayetteville Police Department, and the Logan County Sheriff’s Office in collaboration with Southern Highlands Community Mental Health Center, Fayette County Health Department and Logan County Health Department.
  • The Projects for Assistance in Transition from Homelessness grant will distribute $300,000 annually for two years to support the system of care for adults in West Virginia and promote access to permanent housing and referral to mental health, substance abuse treatment and health care services. Grantees are located in areas of the state with the most need, based on the population of individuals experiencing homelessness, including the Greater Wheeling Coalition for the Homeless, Prestera Center, Raleigh County Community Action, the West Virginia Coalition to End Homelessness and Westbrook Health Services.
  • The Promoting the Integration of Primary and Behavioral Health Care grant will provide $1,678,044 annually over five years to serve adults with serious mental illness who have co-occurring physical health conditions or chronic diseases and adults with SUD. Three provider partner agencies have been identified to work on this project including Seneca Health Services Inc., Southern Highlands Community Behavioral Health Center and United Summit Center, covering 16 counties in the state.
  • The Cooperative Agreements for States and Territories to Improve Local 988 Capacity will provide $1,251,440 annually for three years to enhance the capacity of West Virginia’s single 988 Suicide & Crisis Lifeline center, which is funded by BBH and operated by First Choice Services, to answer calls, chats and texts initiated in the state. In addition to this award, First Choice Services received $500,000 from Cooperative Agreements for 988 Suicide and Crisis Lifeline Crisis Center Follow-Up Programs and a National Chat and Text Backup Center award from Vibrant Emotional Health to help answer overflow chats and texts from more than 200 local 988 centers nationwide.
  • The Behavioral Health Partnership for Early Diversion of Adults and Youth will provide $330,000 annually for five years to establish or expand programs that divert youth and young adults up to age 25 with mental illness or a co-occurring disorder from the criminal or juvenile justice system to community-based mental health and SUD services.

Appalachia Health News is a project of West Virginia Public Broadcasting with support from Charleston Area Medical Center and Marshall Health.

Exit mobile version