MiCTA National Healthcare Connect Fund Program

MiCTA National Healthcare Connect Fund Program

Program History2000 MiCTA develops (with its vendor partners) dial-up digitally compressed interactive video2000 01 MiCTA establishes video network sites with several College and Rural Health Care members in Michigan 2002 MiCTA sends email to Director of the USF Rural Health Care Program regarding questions related to program rules2005 - MiCTA meets with USF Rural Health Care Director regarding rules process and procedures2005 - MiCTA provides training on the USF Rural Health Care Program to its Michigan Rural Health Care members 2

2Program History (contd)2006-2009 MiCTA meets with several USAC Program Admin regarding rules changes to the program2010 FCC releases NPRM relative to Rural Health Care Program rules changes2010 MiCTA has follow-up meeting with USAC Admin regarding additional rules changes2010-2011 MiCTA has several conference calls with FCC Staff regarding rules changes

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Program History (contd)January 2011 MiCTA files request with FCC for listed rules changes to Rural Health Care ProgramOctober 2011 MiCTA files second expanded request with FCC for rules changes to RHC Program including expansion of Eligible ServicesJune 2012 MiCTA files response with FCC regarding FCCs Public Notice DA 12-1166 Final Comments4

FCC Order 12-150December 12, 2012 the FCC passes Order 12-150 creating the Healthcare Connect Fund Creates new course for USF Health Care FundingOrder includes MiCTA requests for: Upfront funding for Consortium multi-year funding requests (Must still file 462 annually)MiCTA E-Rate Evergreen MSAs are allowed to be used in new Fund (members can avoid bid process) Initially 3 Maximum request funded can extend up to 5 year maximum without bidding Must be memorialized in the Evergreen Contract 5

MiCTA Requests in FCC Order (contd)Expansion of Eligible Services Mobile Health /Telemedicine/Emergency Medical TreatmentFlat rate discount on all servicesAllowance of Urban HCP participation in Rural HCP Consortium (Must have majority Rural HCPs)HCP requirement to investigate available MSAs to Lease facilities for network connectivity before asking for funding to build HCP constructed and owned facilities

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Who Is Eligible to ParticipatePublic or Non-Profit Hospitals, Rural Health Clinics, Community Health Centers, Health Centers Serving Migrants, Community Mental Health Centers, Local Health Departments or Agencies, Post-Secondary Educational Institutions/Teaching Hospitals/Medical Schools or Consortia of the above.Non-Rural HCPs May Participate if They Belong to a Consortium (Must Be a Majority of Rural HCPs)

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Who Is Eligible (contd)Largest Non-Rural HCPs (400 +patient beds) Support Capped if Non-Rural ($30,000 annually for recurring services/$70,000 maximum over 5 year period for non-recurring Charges)Rural For-Profit HCPs can Participate in a Consortium of Majority Rural HCPs They Will Not Be Eligible for HCCF Funding But Can Take Advantage of Consortium Pricing

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Key FeaturesCovers Broadband Services Wireline/Wireless and HCP Owned Infrastructure (If most cost effective)Connections to Off-Site Admin Offices and Data Centers CoveredMulti-Year Funding Commitments Available to ConsortiaConsortia members can be made up of participants from anywhere in the countryFlat rate 65% discount fundingFunding begins January 1, 2014

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What is SupportedBroadband ServicesReasonable And Customary Installation ChargesEquipment Necessary to Make Service FunctionalConnections to Off-Site Admin Offices/Data CentersConnections to Research/Education Networks10

Skilled Nursing Facilities Pilot ProgramTest relative to how to support broadband connections for skilled nursing facilitiesPilot will begin in 2014Three year studyFunding up to $50 millionFCC will solicit input regarding design of the pilot programParticipants will be required to collect data and submit reports11

Application Process for MiCTA Health Care MembersBy FCC Commission ruling MiCTA Health Care Members Are Allowed to Avoid The Form 461 (Bidding Process)In The Process of Filing your 462(s) (request for funding) You Must Provide The Following:A Certified Copy of Your Approved MiCTA Membership (If You Didnt Save Your Confirmation E-Mailed to You Contact The MiCTA Office if you need a copy sent)Documentation That The MiCTA Vendor Agreement You Have Signed References a MiCTA Approved Contract Under E-Rate12

Application Process (contd)For Documentation Certifying MiCTA E-Rate Approved Vendors members should:Go To http:///www.mictatech.orgSelect Resources On The Left Side of the page Click On Universal Service Fund in drop-down box On lower left side of page click on USAC in the white boxAll participating MiCTA E-Rate Vendors are listed with corresponding 470s on bottom of new page 13

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MiCTA MembershipAny Non-Profit/Public HCP In The Country Can Join MiCTANo Cost for 1st Year Membership FeeJoin MiCTA at www.mictatech.orgCurse Over to Membership Box On Left Click on Join MiCTAIndicate You Are a New Health Care MemberReceive Email ConfirmationSave confirmation for HCCF filing 14

Contact InformationMiCTA Office Help Desk 888-964-2227Gary Green MiCTA RHC Consultant 231-881-6612USAC/Health Care Connect Help Desk 800-229-5476 15