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State of Michigan Coronavirus Updates


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

4/6/20

 

 

 

 

 

 

 

 

 

Executive Order 2020-37 Extends Visitation Restrictions to Independent Living

 

 

 

 

 

 

 

On Sunday, Governor Whitmer extended restrictions to certain healthcare facilities; effective immediately and through May 3, 2020. Staff screening and visitor restrictions remain unchanged.  However, for the first time the Governor defined residential settings to include independent living facilities. The question of the ability to limit visitation in independent living had until this time been difficult with strong consideration of resident rights.  Some experts have stated that visitor movement into the facilities could be restricted but not outright visitation. This executive order applies the same restrictions and staff screening guidelines to independent livingRead More.


4/6/20

 

 

 

 

 

Governor Issues New Executive Orders 

 

 

 

 

 

Under Executive Order 2020-36, any and all individuals who test positive for COVID-19 or who display one or more of the principal symptoms – fever, atypical cough and atypical shortness of breath – must remain in their home or place of residence until three days have passed since their symptoms resolved or seven days since symptoms first appeared or were swabbed for a test that came back positive.

 

4/6/20

 

Medicaid Bulletin Suspends All Medicaid Closures

 

 

4/2/20

 



 

 

 

 

 

 

 

 

SNF Infection Control Focused Surveys and Entrance Conference Worksheet 

 

 

 



 

 

 

 

Michigan surveyors initiated their COVID-19 focused surveys in at least two member facilities this week – and to date, no issues were found. There was a sense that surveyors were learning through the process that includes only one or two surveyors, and focuses most review from recent information about infection control issues on that campus with little time spent in the actual facility. Survey teams who approach a facility with active COVID-19 will contact the State Agency, State Health Department, and CMS Regional Office. Follow up actions will depend on CDC guidance about entering the facility or delay. CMS has developed an Entrance Conference Worksheet specifically for these surveys. Remember that although the survey is focused on infection control, surveyors will still cite any issues that appear to rise to the level of immediate jeopardy. To date, exit conferences have been held by phone.

4/2/20


 

 

 

 

Fingerprinting Suspended in Nursing Homes 

 

 



 

Executive Order 2020-30

In accordance with Executive Order 2020-30 of March 29, 2020, the LARA Bureau of Community and Health Systems is issuing the following background check guidance for nursing homes, county medical care facilities, and inpatient psychiatric hospitals and units.

 

4/2/20

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HUD and MSHDA Resources During the Pandemic

 

 

 

 

 

 

 

 

 


 

 

 

 

 

 

 

The US Department of Housing and Human Development has created a webpage addressing the numerous issues facing members.

Additional links to resources:  

 

4/2/20

 


 

MDHHS Relief Hospital and Alternative Setting Guidance

 


This guidance covers the use of Relief Healthcare Facilities including hospitals and nursing homes. The guidance may change as resource availability and demands for healthcare services change.

 

4/2/20

 

 

MDHHS UpdatesPPE Optimization Guidance


 

4/1/20

 

 

 

 

MDLARA HFA/AFC Conference Call Summary

 



 

On April 1, LeadingAge Michigan participated in a conference call with MDLARA Director Jay Calewarts regarding the HFA/AFC Q&A document issued on 3/31/2020. The Department anticipates that the Q&A document will be updated in the near future.



4/1/20

 

 

 

 

 

 

Governor Extends State of Emergency and Announces State of Disaster - Executive Order 2020-33

 

 

 

 

The Governor today declared a state of emergency and disaster across the state which will terminate when conditions have reverted and appropriate programs implemented for recovery. Additionally, she has requested the Legislature to extend the state of emergency by 70 days. This order rescinds EO 2020-04, but other expiration dates in previous executive orders remain.



4/1/20

 

 

Medical Services Administration Bulletin 20-17

 

MDHHS today issued MSA 20-17 to address coding guidance and test coverage for COVID-19.

 

4/1/20



LARA Publishes Q&A for the Pandemic

 


3/30/20


 

 

 

 

 

MDHHS/MDLARA Conference Call - 3/30/20

 




 

 

Late Monday, MDHHS and MDLARA held a conference call with provider associations concerning nursing home challenges with COVID-19 patients. Please note that some of the discussion included a slightly different message when it comes to hospital discharges of COVID-19 patients. The Department is looking at nursing home financial and funding issues every 30 days.

 

3/30/20

 

 

 



LTSS Providers and the MDHHS Transfer Form

 



 

 

Today, MDLARA and MDHHS convened a call to discuss the VOLUNTARY use of an MDHHS approved transfer form to assist in communication with hospital for discharges to nursing facilities. The tool can be found among MDHHS resources (under What Protocols Should I use to Treat a COVID-19 Patient).

 

3/30/20

 

 

 

 

 

 

 

 

 

Trump Approves Michigan Disaster Request

 



 

 

 

 

 

 

The Trump Administration approved the request for federal assistance to Michigan on Friday by declaring that a major disaster exists in our state. The state has received over 100,000 N95 masks on Saturday morning. Federal funding will be available for crisis counseling for affected persons, and support for emergency protective measures such as transporting and positioning equipment, medical supplies, medical care and transport, and child care. The Governor’s request for hazard mitigation assistance to help provide relief during planning for recovery is still under review by the administration.

 

3/30/20




 

 

 

 

 

 

 

Governor Whitmer Signs Supplemental Bills



 

 

 

 

 

 

 

Today the Governor signed to supplemental appropriations bills for $125 million to help the state respond to the pandemic. She also struck down $80 million (leaving over $312 million in additional funding for state programs) in a second supplemental through line item vetoes to prioritize spending on the impact of COVID-19. Many of the vetoes were for small funded projects and agencies; additional funding for Medicaid Home Health care, a senior community health grant, federal qualified health care transitions, and positions for independent living were the only LTSS related vetoes. Pure Michigan again was unfunded with a $16 million line item veto.

 

3/30/20

 





 

Whitmer Suspends Scope of Practice Laws - Executive Order 2020-30

 




 

On Sunday, Governor Whitmer temporarily suspended Michigan scope of practice laws, a move designed to allow licensed, registered and certified health care professions to support the facility response to the pandemic as appropriate to their license and background and in consultation with facility medical leadership.

 

3/29/20

 

 




 

 

 

 

 

Bureau of Fire Safety Inspections Postponed

 



 

 

 

 

 

 

The Bureau of Fire Safety (BFS) has temporarily postponed routine inspections of Homes for the Aged and Adult Foster Care Facilities (licensed for 7 or more) but will be investigating complaints of serious nature. When asked for clarity, BFS agreed that postponing sprinkler and alarm testing by vendors at this time would be a wise choice. Currently, there is a 60-day suspension for now and BFS will reassess if the crisis extends beyond that.

This communication assumes members will continue to immediately address any issues with their fire equipment and panel.

 

3/26/20

 

 

Governor Whitmer Declares Michigan a Major Disaster Area

 

More information to come

 

 

3/26/20

 

 

 

 

 

MDHHS Issues Recommendations for Caregivers of Older Adults

 

 

 

 

With the recent issuance of Executive Order 2020-21 that requires 'sheltering in place' for Michigan residents, MDHHS has provided the following recommendations for caregivers. "Actions for Caregivers of Older Adults During COVID-19" includes safeguards for direct caregivers in order to contain further spread of COVID-19.

 

3/26/20

 

 

 

 

 

 

2023-NF-P

 

 

 

 

 

 

Yesterday, MDHHS issued its proposed policy for nursing home beds intended to address access issues during the viral outbreak. 2023-NF-P is intended to provide facility flexibility in order to better meet emergent needs. The policy does not allow for providers to exceed their licensed bed limits, however MDLARA is working on streamlining the process to add beds should they be needed.

 

3/26/20

 



 

 

 

MDLARA Issues Notice of Temporary Registration

 

 




 

In alignment with Executive Order 2020-13, MDLARA has issued a document that can serve as a notice of temporary registration. This document will be posted on the BCHS website and will cover anyone who meets the criteria. Members will have to keep a log of persons covered under this temporary registration.



3/26/20

 

 




 

 

Governor Whitmer signs Executive Order 2020-25

 

 

 



 

Executive Order 2020-25 provides for emergency prescription refills for up to 60 days for non-controlled substances and allows pharmacists to substitute therapeutic equivalents without prescriber approval for drug shortages. Prescribers must be notified in writing of any refill dispensed under this order. This flexibility is effective through April 22, 2020.



3/26/20

 



 

Governor Whitmer signs Executive Order 2020-24





Executive Order 2020-24 allows persons seeking unemployment benefits to request a registration and search waiver from employers and extends benefits for up to six weeks for those with active unemployment claims.

 

3/26/20

 

 

Governor Whitmer signs Executive Order 2020-23



Temporarily allows administrative hearings to be held by video conference or telephone, in place of in-person hearings

 

3/25/20

 

Governor Whitmer signs Executive Order 2020-22

 

Extends the deadline to complete the canvass of the March 10 primary to April 24

 

3/25/20

 



 

 

MDHHS Letter to Personal Care Services Providers

 

 



The Governor’s Executive Order 2020-21 directs all businesses to temporarily suspend in person operations that are not necessary to sustain or protect life. MDHHS has issues a letter to further explain the role of personal care workers as critical infrastructure workers.

 

3/24/20

 

 

 

 

 

MDHHS Temporary Changes for Prior Authorization

 





The Department has initiated changes to prior authorization processes for 30 days during the viral outbreak. Effective immediately, we ask that you submit your requests electronically through the CHAMPS system to help minimize delays in authorization.



3/23/20



Governor Whitmer signs Executive Order 2020-21

 

Shelter in Place for Michigan and LeadingAge Michigan's Summary

 

3/23/20

 

 

 

 

MDHHS Plans Temporary Changes to Medicaid Bed Use

 

 



The Department is currently working on provider letters that delineate new temporary flexibilities in order to enhance bed availability. As of today, the letter is scheduled to go out later this week and this link provides a summary of possible options.



3/23/20




 

MDHHS Nursing Home Provider Conference Call



 

The Department held a provider conference call on Friday that delineated plans for survey and certification as well as testing and other updates.



3/23/20

 


 

 

MDLARA Issues Guidance for Healthcare Workers




 

 

The Department of Licensing and Regulatory Affairs today issued two sets of guidance for healthcare workers. As the spread of the outbreak continues, it is important to closely review these requirements and implement in ways that work.


  

3/23/20



Governor Whitmer signs Executive Order 2020-20

 

Temporary restrictions on the use of places of public accommodation

 

3/23/20



 

Governor Whitmer signs Executive Order 2020-19

 

 

Provides a temporary prohibition against entry to premises for the purpose of removing or excluding a tenant or mobile homeowner from their home

 

3/23/20



Governor Whitmer signs Executive Order 2020-18

 

Enhances restrictions on price gouging



3/20/20

 

MDHHS Proposes Medicaid Telehealth Policy

 

 

3/20/20

 

Governor Whitmer signs Executive Order 2020-17

 

Temporary restrictions on non-essential medical and dental procedures

 

3/19/20

 

 

Governor Whitmer signs Executive Order 2020-14



Temporary extension of deadline to redeem property for nonpayment of delinquent property taxes

 

3/19/20

 



Governor Whitmer signs Executive Order 2020-15

 

 

Temporary authorization of remote participation in public meetings and hearings and temporary relief from monthly meeting requirements for school boards

 

3/19/20



Governor Whitmer signs Executive Order 2020-16

 

Expanding childcare access during the COVID-19 emergency

 

3/19/20



 

 

BCHS Call Summary

 



 

The Bureau of Community Health Systems has announced changes to nursing home survey and other licensed setting requirements during a conference call this morning (3/19). A summary has been provided for your review.

 

3/19/20



Medicaid Bulletin MSA 20-12 and Announcement

 

Discusses COVID-19 Response: Relaxing Face-to-Face Requirement 

 

3/18/20

 

 

Michigan Senate passes HB 4729



Michigan Senate passes HB4729 with $125 Million to assist with COVID-19. It will now go to the House.

 

3/18/20



Governor Whitmer signs Executive Order 2020-13

 

 

3/18/20

 

MDHHS L Letter 20-16

 

 

3/18/20

 

LTC Ombudsman Virtual Visit Memo

 

 

3/17/20

 

 

Governor Whitmer signs Executive Order 2020-07

 

 

Temporary restrictions on entry into health care facilities, residential care facilities, congregate care facilities, and juvenile justice facilities Rescission of Executive Order 2020-6

 

3/17/20



Governor Whitmer signs Executive Order 2020-08

 

Enhanced restrictions on price gauging



3/17/20



Governor Whitmer signs Executive Order 2020-09

 

Temporary restrictions on the use of places of public accommodation

 

3/17/20



Governor Whitmer signs Executive Order 2020-10

 

Temporary expansions in unemployment eligibility and cost-sharing

 

3/16/20


 

Governor Whitmer signs Executive Order 2020-11



Temporary prohibition on large assemblages and events, along with temporary school closures

 

3/17/20



Governor Whitmer signs Executive Order 2020-12

 

Enhanced support for deliveries



3/16/20

 

Governor Whitmer signs Executive Order 2020-04

 

Declaration of a State of Emergency

 

Ongoing


 

 

 

 

 

State of Michigan Coronavirus Updates

 


 



 

This state website is based on that of the CDC and provides many links to that document. Most helpful for members might include Michigan’s activities to date accessed through the banner. Health professionals can access reporting forms, interim guidance for health care facilities, and most importantly Strategies to prevent the spread in long term care facilities.



3/11/20



 

MDHHS Interim Recommendations for communities and health care

 

 
 
   

 

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