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COVID-19 Tools & Resources: HHS/Centers for Medicare and Medicaid Services


LeadingAge Michigan is the convener for policy and advocacy discussions around critical senior issues for not-for-profit and mission based providers. We partner with a broad base of like-minded entities focused on policies that support member ability to serve Michigan seniors. This page is designed to provide a current set of resources that will assist in maintaining a safe and calm environment during the potential pandemic that is now developing.

 



Date


Resource

Description
8/31/20









BD and Quidel Point of Care Testing







Facilities should be receiving their rapid testing supplies and machine soon, if not already. Members should closely review the two manufacturer websites to ensure they understand how to use the machine, how to order supplies for the machine, and routine maintenance. The two websites for this purpose are included below.

Quidel
BD


8/28/20





















CMS Requires Nursing Home Testing 



















This week, HHS issued 42 CFR 483.80(h) that discusses several changes to the nursing home requirements. Primarily, the rule (which is effective immediately) sets the civil money penalties for failing to report to NHSN at $1000 for the first instance, increasing at $500 increments for each subsequent instance and capped at $6500.

Additionally, the rule sets the stage for QSO 20-38-28 which identifies the requirements for nursing home testing based on county level positivity rates. These rates are obtained from the NHSN data reported to the CDC and for Michigan, most counties do not meet the federal requirements for weekly testing. In fact, only one meets the requirement for semi-weekly testing, five for weekly testing, and the remainder for monthly testing. However, members must be aware that the MDHHS mandate for weekly testing continues to be in place.

The rules include the appropriate use of antigen tests, especially for screening in congregate living areas when ongoing testing is continuing and PCR test result turn-around times do not meet the minimum expectation of 48 hours. The CDC has developed a decision-making table for use of the antigen tests.


8/26/20





















Testing Guidance





















Several CDC updates have been issued in the past several days on testing. We discussed some of these in today’s Safe and Calm Webinar. HHS has issued regulation on testing requirements yesterday, but did not define the actual parameters for testing. Today, that guidance was issued through QSO-20-38-NH. Additionally, the guidance also includes a revised COVID 19 focused survey tool. Facilities must designate one or more persons as an infection preventionist responsible for their infection control program.

Non-compliance for new testing requirements will be cited at new tag F886. Facilities can use rapid point of care testing to meet this ongoing testing requirements. This is in alignment with antigen testing information issued by the FDA this week. Facilities must have a CLIA Certificate of Waiver to conduct this type of testing. The testing guidance includes testing requirements for staff and residents with signs or symptoms of COVID as well as when there is an outbreak in the facility. Routine staff testing is based on community transmission with very high transmission areas requirement twice per week.

We will review this guidance issued during our Friday Safe and Calm Webinar in detail along with updates on antigen testing.


8/12/20





HHS Provider Relief Grants




HHS has reopened its portal for Provider Relief Information regarding the next tranche of CARES Act dollars as of 8/10/2020. They will accept additional information until 8/28/2020. An updated FAQ document was issued on Monday.


8/5/20







Point of Care Testing – Next Iteration





Today, CMS issued an updated list of facilities next in line to receive Point of Care Testing equipment and test kits. Of those sixteen facilities, three are LeadingAge Michigan members. We have been contacted by MDHHS to coordinate a call with the Department and these members to work through protocols and reporting issues. We will contact those members directly when we have anything confirmed.


7/30/20






























Urgent Action for Private Pay Assisted Living Providers



























HHS is CONSIDERING a possible distribution of CARES Act Provider Relief Funds to private-pay/Medicaid assisted living or memory care providers that are stand alone or part of a CCRC. There is a private, secure data portal meant to ease potential distribution of application funds. There is no guarantee of funds, but this is the first step toward that consideration. Providers must submit information by Monday, August 3 at 5:00 p.m.

Private-Pay assisted living and memory care providers that are standalone or those part of a CCRCs in the U.S. states and territories are encourage to submit their data. Any HFA, AFC, licensed memory care standing alone or as part of a CCRC.

What data must be submitted?
• Name of licensed/registered/certified assisted living and/or memory care community
• Name of entity that holds the license/registration/certification
• Address
• Community license/registration/certification number (some states may not provide a number)
• Corresponding Tax Identification Number (TIN)
• Taxpayer ID Number for the filing company
• Contact information for the person submitting data
• Include licensed assisted living that is part of a CCRC or a skilled nursing facility (SNF), even if the SNF has already received funding from the Provider Relief Fund.

Click here for a link to the portal
Click here for FAQs

 

7/29/20










LeadingAge Questions HHS on Rapid Testing








Today, LeadingAge sent a letter to HHS Assistant Secretary Brett Giroir over concerns about the use of antigen testing proposed for nursing homes. Tests have a 20% false negative history, and manufacturers suggest retesting using PCR methodology. It is unclear what the HHS position will be on the need for retesting. LeadingAge communicated ongoing member concerns about cost of ongoing testing including staff time to draw samples. They also note that some states do not accept these tests, that large numbers of staff cannot be tested quickly when the test result time takes 15 minutes, along with concerns about coverage and reporting.


7/23/20






















Administration Announces New Initiatives for Nursing Homes



















$5 billion of the CARES ACT dollars will be devoted to provider relief for Medicare certified facilities and veteran’s homes to enhance the COVID response and infection control. Monies can be used for staff, infection control mentorship programs, increased testing, and technology. This funding follows $4.9 billion provided earlier to offset revenue losses and increased costs.
Point of Care Testing: 600 facilities will receive point of care equipment and testing kits within the next two weeks, with the plan to eventually provide antigen testing capability to all nursing homes who hold CLIA waivers. Members are encouraged to obtain CLIA waivers if they do not already.
• Eighteen facilities with recent sharp spikes in caseload will be the target for the federal Task Force Strike Teams. None of the facilities are in Michigan. The teams will assist facilities to determine what actions are needed to reduce spread. Additionally a 23 module training course is being developed as a requirement for any nursing home receiving monies from the Provider Relief fund.
CMS will be releasing a list of nursing homes with increased cases based on the CDC NHSN data. This list will be sent to each state weekly to help focus support on high risk nursing homes.



7/22/20








Who Must Pay for Tests







Interpreting guidance has never been particularly easy, but even more challenging during the pandemic since there is so much of it. In June, the Administration issued an FAQ to provide additional direction as to the coverage of COVID testing. Requirements are that the test be medically appropriate as determined by the attending healthcare provider. However, testing for surveillance is not required to be covered nor screening for general workplace health and safety, such as return to work programs.


7/22/20










Point of Care Testing










Today, CMS provided some details regarding its Point of Care Testing for Nursing Homes. Six hundred facilities have been prioritized for receiving the POC equipment and number of test kits based on size of facility. Criteria for determining need include current CLIA waiver and three or more positive cases in the past seven days, or one or more new cases with zero previous cases in the past seven days, inadequate access to testing, a resident death from COVID in the past seven days, or a staff members suspected or confirmed to have COVID in the past seven days. After the initial supply of testing kits has been exhausted, providers will obtain more through working through the respective manufacturer. Training plans are being developed.


7/22/20







CMS Reminders for Nursing Home Reporting






CMS today reminded facilities that they have revised the NHSN system and have provided a dashboard that allows providers to review their data. They suggest that the data be reviewed before submitting in order to improve accuracy. Additionally, the posted data that is downloadable or can be viewed will identify whether facilities passed the CMS and CDC quality assurance edits. A common error for facilities is to input cumulative numbers for current caseload numbers.


7/20/20




Medicaid Provider Relief Funds



The application deadline for Medicaid Programs who had not yet received payments through the General Distribution, has been extended to August 3. The application process is included in the fact sheet.


7/13/20





HHS Releases Summary of State Testing Plans



COVID testing plans were required by the Administration to define each state’ response to the surge cases and to ensure identification of persons who may be affected by the disease, and in particular persons at high risk. A summary of these plans is available from HHS.


7/13/20




CMS Updates QSO 20-28 NH




On July 9, CMS issued QSO 20-28-NH Revised to add reminders that resident access to ombudsman is required. If in-person access is restricted, the facility must facilitate communication with the LTC Ombudsman as defined in the regulations and in the CARES Act.


7/9/20
















MDHHS Publishes Transmission Risk Chart














Through the COVID pandemic, it has become more and more evident that masks are a very effective way to inhibit transmission. MDHHS has published the following risk chart.



7/9/20





CMS- ‘Five Things about Nursing Homes during COVID 19’


Today, CMS shared a video describing the broad requirements and CMS support for nursing homes during the pandemic. The program, “Five Things About Nursing Homes During COVID-19,” is part of an ongoing series by the U.S. Department of Health and Human Services.


7/6/20




Paycheck Protection Program has Reopened

This program resumed accepting applications today, July 6 as part of the Paycheck Protection Extension Act. The new deadline to apply is August 8, 2020. More information can be found here.


7/1/20

















MIHAN/ MSP Communications
















During this pandemic emergency, MDHHS has been sending out many of its updates through MIHAN – the Michigan Health Alert Network. This is a web-based communication system established by MDHHS and other entities to alert key public health, healthcare and public safety personnel to situational awareness and important, but non-emergency health related information.

We have recently noted that some members may not be familiar with or registered with MIHAN; and some have found the registration process difficulty and lengthy. We are working with MDHHS to determine how best to assist members in registering and will provide updates as we receive information.

Many communications have also been issued via the Michigan State Police – as part of the pandemic response. The first messages about the Visitation Guidance were received through that mechanisms. Members who wish to receive their alerts can sign up here.


7/1/20






















Nursing Home Testing Guidance – UPDATED TODAY!!



















MDHHS has posted an updated Nursing Home COVID-19 Testing Financial Guidance to Nursing Home COVID-19 Plan. Please note in particular the following change in submission email below and important reminder about submission of confidential or sensitive data:

  • Effective July 6th, all Nursing homes should begin submitting their testing reimbursement forms to the Bureau of Audit at: MDHHS-SNF-Testing-Financial@michigan.gov.
  • Please submit the testing reimbursement forms only. Please do NOT send any confidential information or beneficiary specific data to the above email.

Documents attached include:

Please note that the email for submitting testing reimbursement forms has changed to the above.

6/30/20










HHS Renews Public Health Emergency








The US Department of Health and Human Services has announced that it will extend the public emergency by another 90 days. This allows continuation of a set of policies that support health care providers through the crisis. Some of these flexibilities include:

• A 20% add on payment for inpatient COVID care
• Increased federal proportion of Medicaid funding
• Insurance coverage for COVID testing without co-pays or deductibles
• Blanket Section 1135 and state waivers


6/30/20




CMS Nursing Home Training/QIO



On Thursday, July 2, CMS and the QIO program is presenting a training on Transparency: Resident and Family Notification. This training is part of the Nursing Home Training Series. Members can register here, and get information on training updates and previous recordings.


6/29/20



















Blanket Waiver for Extended Benefit Periods

















On 6/26, CMS issued its guidance for billing COVID related care during the public health emergency. Within that guidance (see narrative starting on page 9), they clarified use of the extended benefit period waiver as appropriate for emergency related issues only.

Using the authority under Section 1812(f) of the Act, CMS is waiving the requirement for a 3-day prior hospitalization for coverage of a SNF stay, which provides temporary emergency coverage of SNF services without a qualifying hospital stay, for those people who experience dislocations, or are otherwise affected by COVID-19. In addition, for certain beneficiaries who exhausted their SNF benefits, it authorizes renewed SNF coverage without first having to start a new benefit period (this waiver will apply only for those beneficiaries who have been delayed or prevented by the emergency itself from commencing or completing the process of ending their current benefit period and renewing their SNF benefits that would have occurred under normal circumstances).

Note that the waiver for qualifying hospital stays applies to all Medicare beneficiaries.

6/24/20









CMS Issues FAQs on Nursing Home Visitation







Yesterday, CMS issued a FAQ document based on guidance issued in QSO 20-30-NH. They provide clarifications about compassionate care situations that might be outside the definition of end of life care as well as use of outside visits during phases for reopening. There are some activities that may be able to be started before Phase 3 – but the state will be issuing final guidance and orders. It can be viewed at https://www.cms.gov/files/document/covid-visitation-nursing-home-residents.pdf.


6/22/20









Medicare Coverage of COVID Testing 







CMS issued notice to Medicare Advantage Plans to cover coronavirus testing for nursing home residents and patients. The instruction aligns with the CDC recent update of nursing home testing guidelines for COVID. Medicare Advantage plans must continue not to charge any cost-sharing. The memo to Medicare Advantage Plans, dated June 19, specifically includes instructions to cover testing for asymptomatic individuals as part of public health surveillance. These changes are effective July 6, 2020



6/16/20










Nursing Home Testing Requirements 








Yesterday, MDHHS issued its requirements for ongoing testing for nursing homes. This guidance is very similar to that issued on 6/10 for all healthcare providers – although testing is now required for nursing homes only. The epidemic order, detailed guidance, and plan template are included below.

 

6/15/20































SNF Testing Guidance Issued
 





























MDHHS issued its directives for SNF COVID testing this afternoon. Generally, the guidance mirrors what we have discussed with some distinctions. An additional protocol has been included as highlighted below:

• Initial testing of all residents and staff
• Testing of all new or returning residents during intake and routine quarantine of new residents (unless testing done within past 72 hours)
• Testing any resident or staff with symptoms or exposure
• Weekly testing of all residents and staff with any positive cases among residents or staff until 14 days after the last new positive
Testing of all staff in Regions 1 though 5, and testing al all staff in Region 7, at least once between the date of this order and July 3, 2020
• Weekly testing of staff in regions of medium risk or higher on the MI Safe Start Map

Note that these provisions apply to hospice facilities as well. Facilities must complete a plan by June 22 for how to conduct testing in compliance with the guidance. Residents have the right to refuse if they choose. Resource information is included.

Additionally, we are hearing that new data elements will be added to EMResource for SNF reporting. And a new website is being launched regarding the nursing home strategy. As of 6/14/2020:

Resident confirmed cases: 7163
Residents Recovered or Recovering: 4919
Resident COVID 19 Deaths: 1947
Staff confirmed cases: 3133
Staff COVID 19 deaths: 20




6/11/20








MDHHS Issues Testing Recommendations






 

After a long wait, MDHHS has issued its recommendations for ongoing testing for health care providers. There were early indications that these directions would be mandatory, however current guidance appears to be a recommendation only. LeadingAge Michigan will review these guidelines during tomorrow’s Safe and Calm Webinar at 11:00 a.m. Members can register here if they are not already signed up for the webinar series.

6/1/20














CMS Increases Infection Control Penalties for Nursing Homes











Today, CMS announced increased civil money penalties for nursing homes who demonstrate a pattern of issues surrounding infection control. States will also have to submit a corrective action plan if they have not completed focused infection control surveys on all nursing homes by July 31. Based on preliminary data from the CDC nursing home reporting system (NHSN), 25% of facilities had at least one COVID infection, and 20% had at least one death.

Early analysis shows that One Star facilities were more likely to have large numbers of COVID – 19 cases than those with a five star rating. CMS will start posting COVID data on the Nursing Home Compare site on Thursday, June 4.



5/28/20





















Kaiser Family Foundation Reviews Payment for Testing


















The Family First Coronavirus Response Act (FFRCA) passed on March 18, 2020 provided that all forms of public and private insurance, including self-funded plans must cover testing and costs associated with testing with no cost sharing. This included high deductible plans as well. Medicare will also cover antibody testing. Additionally, FFRCA provided an option to states to cover testing for the uninsured through Medicaid under 100% federal Medicaid funding. Michigan is not currently listed as a state participating.

CMS has announced that Medicare will reimburse providers up to $100 per test, depending on the test. Some newer tests are more expensive. The CARES Act also provides that private plans must all fully cover out of network test costs. But it does not prohibit out-of-network providers from billing patients directly for the test. This could deter some persons from getting tested.

There has been no comprehensive federal legislation that limits cost sharing for COVID treatment, however providers who receive grants through the CARES Act are prohibited from balance billing for all care provided to patients with presumptive or confirmed cases.



5/19/20








CMS Issues SNF Reopening Recommendations





 
CMS issued QSO 20-30-NH for state and local officials to consider in mitigating risks for vulnerable residents in nursing homes. States may utilize a phased-in approach and should consider: community transmission; facility transmission; adequate staffing; and access to adequate testing. These recommendations are communicated with all survey and certification staff.




5/13/20







CMS Issues Resources for States and Nursing Homes 




Today, CMS released a toolkit that is a rather lengthy list of state responses to COVID needs - organized by categories such as infection control practices, testing, and staffing. Additionally, CMS has announced that Quality Improvement Organizations (QIOs) are reaching out to provide virtual technical assistance based on individual nursing home history of infection control citations.


5/13/20











CMS Required Reporting to CDC/NHSN for SNFs








The NHSN LTCF team will be hosting an additional Enrollment webinar on Friday May 15, 2020 from 3:00-4:00 ET. This webinar will be an abbreviated version of the earlier enrollment webinar, with a focus on commonly asked questions and tips for completing the final stage of NHSN enrollment for the LTCF COVID-19 reporting module. The webinar will be in a listen-only platform, however participants will have an opportunity to submit questions, and subject matter experts (SMEs) will respond during the session. Members can register at https://cdc.zoomgov.com/webinar/register/WN_SljMDQx2TD6ZL4wRzvzNLg



5/11/20




HHS Updates Blanket Waivers for Nursing Homes 


CMS has updated several provisions pertinent to nursing homes within its 1135 Blanket Waivers. 




5/7/20







CMS Updated Nursing Home Flexilbilities






Long Term Care Facilities (Skilled Nursing Facilities and/or Nursing Facilities): CMS Flexibilities to Fight COVID-19







5/6/20






















CMS 20-29-NH





















 
Today, CMS issued 20-29 NH to provide guidance related to the interim final rule for SNF reporting that was available on May 1. Please note that the final rule is not expected to be released until 5/8 and is effective on that date. The first set of data must be reported no later than Sunday, May 17, 2020. The minimum period for reporting is every seven days, although they request that data be submitted on the same day of the weak consistently. The guidance is attached and updates several areas of guidance for nursing homes, including changes to the focused survey, reporting requirements for residents and their families, posting facility level COVID situation data. The infection control requirements for nursing homes have been updated to include when and to whom possible incidents of communicable disease or infections should be reported.











5/4/20












CMS Issues Proposed Rule for Nursing Home Reporting










Late Friday, CMS listed an interim final rule for Nursing Home COVID Reporting to the CDC effective May 1 with the first week reporting anticipated for May 8. Members will have to submit through a dedicated portal using National Health Safety Network. Please note that although this is a proposed rule, it is in effect as of May 1. Facilities who have not started the enrollment process for reporting should do so immediately.








4/28/20 






Paycheck Protection Program




The US Small Business Administration has updated its website to include a list of participating lenders for the Paycheck Protection Program.





4/25/20



 

 

 

 

 

 

QSO 20-28-NH - Issued 4/24/2020

 

 

 

 

 

 

 

CMS is extending its limitations on survey activities until further notice. Because health care inspections have been suspended temporarily, CMS will post them on the Nursing Home Compare Website but not include them in the Star Ratings for inspections on or after 3/4/2020. Quality Measure and PBJ reporting will be included in the scheduled 4/29/2020 update, but this may change for later updates as PBJ reporting deadlines have been temporarily postponed.




 

4/22/20

 

 

 

 

 

CMS Issues Toolkit to Help States with Workforce Challenges

 

 

 

Using ASPR TRACIE (ASPR Technical Resources, Assistance Center, and Information Exchange), CMS has issued a COVID-19 Healthcare Workforce Toolkit to assist state decision-makers and coalitions dealing with staffing issues.  The tool kit can be reviewed here.  



 

4/20/20

 

 

 

 

 

 

 

 

 

 

 

 

CMS Issues QSO 20-26-NH - Nursing Home Transparency Rules

 

 

 

 

 

 

 

 

 

 

 

CMS has issued announced new regulatory requirements that require nursing homes to report COVID-19 cases to the CDC as well as to local and state health departments. (Note that EO 2020-50 also requires reporting to MDHHS.) The process for this reporting, including the required format and frequency, will be issued in later rulemaking. Additionally, CMS will require that nursing facilities notify residents/representatives of every single confirmed infection within 12 hours of occurrence when the new rules are published. Facilities must also report whenever three or more residents or staff exhibit new onset of respiratory symptoms within 72 hours. Facilities must inform residents and families their plan and actions taken to mitigate risk. Failure to comply with these rules may result in enforcement actions.










 

4/20/20

 

 

 

 

 

 

 

CMS Issues Recommendations for Communities with Low/Stable COVID Incidence

 

 

 

 

 

The Centers for Medicare and Medicaid Services has issued new recommendations for facilities with low and stable COVID incidence, moving toward a gradual transition to increase in-person care. These guidelines work to encourage health care providers to coordinate with local public health officials, review the availability of PPE, workforce issues, testing availability, and facility readiness to safely serve the population should a surge recur. New recommendations can be found here.




 

4/13/20

 

 

 

 

CMS QSO-20-25-NH Long Term Care Facility Transfer Scenarios

 

 

 

This memo clarifies guidance for residents who will need to be transferred within the facility, to another long term care facility, or to other non-certified locations approved by the state. As covered under CMS 1135 Blanket Waivers for COVID-19

  

4/9/20

 

 

 

 

 

 

COVID-19 Stimulus Bills - Family First COVID Response Act and Coronavirus Aid, Relief, and Economic Security Act: Medicare and SBA Opportunities. New FAQs Available for Member Review

 

 

4/8/20

 

 

 

 

 

 

 

$34 Billion Sent to Providers in Medicare Advanced Payments

 

 

 

 

 

 

CMS reported it will be distributing $30 billion of $100 billion in CARES grants for emergency provider relief this week. Second round of funding will come shortly and prioritize children’s hospitals, pediatricians, and nursing homes. Funds are allocated on the amount of Medicare Revenue – which might penalize hospitals with high uninsured care. Hospital groups in general have been opposed to use of the money to cover COVID care for the uninsured.

 

4/8/20

 

 

 

 

 

 

 

More CMS Guidance on Infection Control

 

 

 

 

 

 

Today, CMS issued new guidance designed to help ensure local hospitals can rapidly expand their capacity to isolate and treat patients infected with COIVD-19. The guidance includes: (1) New instructions for dialysis facilities and (2) Revised guidance for hospitals that expands recommendations on screening and visitation restrictions, discharge to subsequent care locations, staff screening, testing, and return to work practices.

 

4/8/20

 

 

 

 

 

CMS Issues Recommendations for Non-Emergent and Elective Services

 

 

 

This document provides recommendations to limit those medical services that could be deferred using a tiered framework that will help prioritize care and services. Decisions are to remain the responsibility of local healthcare delivery systems and includes state and local health officials. Each clinical situation must be assessed to ensure conservation of resources

 

4/7/20

 

 

 

 

PBJ Data Submission Temporarily Suspended

 



 

CMS has already suspended PBJ submissions and the next quarter data submission due date was May 15. Even if the waiver is removed before then, CMS has confirmed that the May 15 data submission will not be required.

 

4/3/20

 

 

 

 

 

CMS April 2, 2020 Updated Guidance for Long Term Care 

 

 

 

 

Nursing homes must immediately ensure that they are currently complying with infection control guidance especially hand hygiene, utilize the infection control self- assessment, and follow CDC guidance for nursing homes and conservation of PPE. Additionally, symptom screening must be conducted for all you are entering the facility.

  

4/2/20

 

CMS COVID-19 Blanket Waivers

 

 

3/29/20

 

 

 



 

 

 

CMS Expands the Accelerated and Advanced Payment Program

 

 

 

 

 

 

In order to increase cash flow to providers of services and suppliers impacted by the 2019 Novel Coronavirus (COVID-19) pandemic, the Centers for Medicare & Medicaid Services (CMS) has expanded our current Accelerated and Advanced Payment Program to a broader group of Medicare Part A providers and Part B suppliers. The expansion of this program is only for the duration of the public health emergency. Interested members can review a CMS fact sheet.

 

3/29/20

 

 

 

 

 

 

Trump Administration Provides Financial Relief For Medicare Providers

 

 

 

 

 

On Saturday, CMS released notice that they have approved a streamlined accelerate advanced payment process for all Medicare providers. Attached is the fact sheet referenced as well as several MACs request forms (Request for Accelerated Payment Form, Form Approved Form, NGS Request Form). We will be confirming the process to obtain advance payments with various MACs shortly.

 

3/26/20



CMS Beneficiary Notice Delivery Guidance

 

CMS Beneficiary Notice Delivery Guidance provides flexibilities for delivering notices.

 

3/26/20

 



Enhanced Medicaid Funding

 

 

CMS has released FAQs regarding the increase in the amount of federal assistance to states for Medicaid.

 

3/24/20

 



 

Resources for State Agencies for Medicaid Home and Community Based Services



LeadingAge has issued an article on CMS COVID-19 Resources for state agencies related to home and community based services.


 

3/24/20

 

 

 



 

CMS Announces Focused Surveys for Acute and Continuing Care Providers

 

 

 



All non-nursing home providers are also encouraged to review this guidance that includes survey requirements for certified Medicare/Medicaid providers and also applies a template for other residential settings. Members can access QSO-20-20-ALL and the LeadingAge Michigan Summary for Acute and Continuing Care Providers.

 

3/24/20

 

 

 




CMS Announces Focused Survey Process for Nursing Homes






CMS has created a focused but also enhanced survey process, including a member self-assessment tool for use during the viral outbreak. Members can access QSO-20-20-ALL and the LeadingAge Michigan Summary for Nursing Homes and a streamlined version of the Infection Control Tool here

 

3/18/20

 

CMS PACE Guidance

 

 

3/18/20

 

 

Medicare Payment Amounts for COVID-19 Testing

 

 

3/16/20

 

 

CMS 1135 Waivers and Nursing Home Visitation Guidance under CMS

 

 

3/11/20

 



QSO 20-18-HHA

 


CMS updated guidance includes information for home health workers about assessing risk before entering homes or shortly thereafter.

 

3/10/20

 

QSO 20-14-NH Revised

 

LeadingAge Michigan Summary

 

3/9/20



 

QSO-20-15 Hospital/EMTALA

 

 

Emergency Medical Treatment and Labor Act (EMTALA) Requirements and Implications Related to Coronavirus Disease 2019 (COVID-19)

 

3/9/20



 

QSO-20-16 Hospice

 



Guidance for Infection Control and Prevention Concerning Coronavirus Disease 2019 (COVID-19) by Hospice Agencies

 

3/9/20

 

 

QSO – 20-14-NH Revised

 

 

Guidance for Infection Control and Prevention of Coronavirus Disease 2019 (COVID-19) in nursing homes (REVISED)

 

3/4/20

 

 

QSO – 20-14-NH

 

 

Guidance for Infection Control and Prevention of Coronavirus Disease 2019 (COVID-19) in nursing homes

 

3/4/20




 

QSO – 20-13 Hospitals

 




Guidance for Infection Control and Prevention Concerning Coronavirus Disease (COVID-19): FAQs and Considerations for Patient Triage, Placement and Hospital Discharge

 

3/4/20

 

QSO-20-12-ALL

 

Suspension of Survey Activities

 

2/6/20

 

 

 

QSO 20-10 CLIA

 

 

 

Notification to Surveyors of the Authorization for Emergency Use of the CDC 2019-Novel Coronavirus (2019-nCoV) Real-Time RT-PCR Diagnostic Panel Assay and Guidance for Authorized Laboratories

 

2/6/20

 

 

QSO 20-09-ALL

 

 

Information for Healthcare Facilities Concerning 2019 Novel Coronavirus Illness (2019-nCoV)

 

   

 

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