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COVID-19 Tools & Resources: Other


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
8/11/2020









COVID Caseload Update









While the cumulative COVID caseload passed the 20 million mark globally last week, the US reported fewer than 50,000 new cases for the second day in a row. US caseload now rests at more than 5 million, according to Johns Hopkins. More than 163,000 persons have died from the infection in the US.


8/11/2020






















More on COVID Supplemental Payment Requests to HUD




















HUD has contacted LeadingAge with an update regarding CSP (COVID Supplemental Payment) Requests with the direction to ensure that the form be signed by an individual with legal authority. Line 29 – Owner/Owner Agent – must be signed by a recognized property owner or individual who has previously received legal signature authority. According to LeadingAge, this means for Section 8 Properties, the signer must be able to commit the owner to conditions on owner distributions through July 30, 2021

HUD will accept resubmission of previously submitted forms with a corrected authorized signature until close of business on August 12. Generally, legally authorized agents are designated through board resolution or other legal delegation, unless of course it is an owner.


7/31/2020





















HUD Issues Updates for Multifamily Housing Programs 7/31/2021



















• There is no requirement that an owner or agent is able to require residents to take a health or medical test. If there is local or state law to the contrary, the local HUD Multifamily Office should be contacted about that legal authority. Encouragement but not requirement is allowed.
• Lease terms and rules can be updated in alignment with state/local law but must be within the bounds of common sense. H2012-22 identifies the requirements for notification. Changes to the rules may be sent to the local Multifamily Office or PBCA for review.
• In the event of a confirmed COVID 19 case at a HUD property, HUD encourages owns and agents to provide residents with information on how to care and when to seek medical attention. The guidance includes resources for that education.


7/29/2020













































Provider Relief for Assisted Living Providers












































LeadingAge has received word that relief funds for private-pay assisted living providers are under consideration from the Department of Health and Human Services (HHS). To help facilitate this, HHS has requested assistance in gathering specific information on licensed senior living providers, including assisted living, memory care, and life plan communities/CCRCs who do not accept Medicare and Medicaid. This information will be collected via a survey portal which is still in development by LeadingAge and other Health care associations. The information needs to be submitted rather quickly as the deadline is 5 pm on July 31, 2020. We ask that members prepare for the distribution of the survey by preparing the following information.

• 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 date
• Include licensed assisted living that is part of a life plan community/CCRC—even if the skilled nursing facility associated has already received funding from the Provider Relief Fund

Thank you for your fast action in support of this vital aid to our industry. If you have any questions, please contact leadingage@leadingage.org



7/23/2020





































Testing Turn Around Time





































According to an article in the Washington Post, there is no state that is currently monitoring COVID test response timing. Thomas Frieden, former CDC Chief has participated in a July 21 Report that reviews COVID pandemic related data issues by reviewing state level dashboards for all 50 states and the District of Columbia. Using a standard survey instrument, each state was issued a score based on information collected between June 30 and July 14.

A summary of the findings follows:
• The US does not have standard, national data on the virus and its control
• The US lacks standards for state/county/city level reporting of life and death information
• Only 2% of the essential indicators studied were reported by all states, but 38% of the indicators were reported in some way and 60% of studied indicators were not reported in any way.
• Overall, over 40% of COVID 19 deaths have occurred in long term care facilities including nursing homes.
• Michigan scored 27% in terms of meeting all the indicator requirements and the highest rated state was Minnesota at 43%.

According to the report, all states should report data the same day it is collected. And all states should report new confirmed and probable cases and per capita rates by date using a seven day rolling average.



7/23/2020













HUD Defines Supplemental Funds Process












Today, the US Department of Housing and Urban Development posted guidance for availability of supplemental payments and the application form. Deadline for applying is August 5, 2020.

NOTICE H 20-08: COVID-19 Supplemental Payments for Properties Receiving Project-Based Rental Assistance under the Section 8, Section 202, or Section 811 Programs
Draft COVID-19 Supplemental Payment Request (CSP) Form


6/29/2020







IHI Tool to Promote Psychological Safety






A tool that uses historical prioritization components is applied to psychological safety issues in healthcare. This three step approach links psychological safety and empathy to quality initiatives during and after the COVID pandemic.


6/24/2020








QIO Nursing Home Series 







QIOs have been contracted with CMS to provide assistance and training to address infection control and other issues related to COVID-19 in nursing homes. Their training series can be accessed at https://qioprogram.org/nursing-home-trainings.


5/29/2020












ASPR Tracie Updates Secondary Disaster Guidance










The Technical Resources, Assistance Center, and Information Exchange (TRACIE) provides information and technical assistance to health care providers for public emergency preparedness. Many of their resources have been updated to address COVID-19 and can be reviewed at https://asprtracie.hhs.gov/COVID-19. Newest Guidance for COVID Technical Assistance is now available.



5/29/2020













Paycheck Protection Flexibility Act passes House












As the eight week deadline for borrowers to use PPP funds is approaching for early participants, the US House passed legislation yesterday allowing healthcare providers more flexibility in how they can use the funds. This new legislation allows 24 rather than 8 months to use the funds, allows the delay for payroll taxes, and requires spending 60% of loan expenses on payroll costs rather than 75%. Loans still are open only to businesses with 500 or fewer employees.



5/27/2020








Statewide Nursing Home Testing 







Today, MDHHS identified the next tier of counties who will receive support for COVID testing of staff and residents. These counties include: Montcalm, Lapeer, Shiawassee, Isabella, Tuscola, Huron, Newaygo, Hillsdale, Barry, Alpena, Midland, and Allegan.


5/26/2020









Proposal to Increase Funding for HCBS








US Representative Debbie Dingell and Senator Bob Casey have introduced coordinated bills (HR 6305 and S3544 to increase funding for home and community based services during and after the COVID – 19 Pandemic. A Brief issued by Brandeis University explains the bills.



5/22/2020









GAO Reports on Infection Control in Nursing Homes








Most nursing homes had infection control issues prior to the COVID-19 pandemic; half of these had persistent problems. Those are the findings of the Government Accountability Office report on infection control in nursing homes, using survey data from 2013-2017.



5/22/2020



















CARES ACT Grants for SNFs


















Today, Plante and Moran informed us that CMS will be announcing today a dedicated CARES Act distribution of $5 Billion for SNFs. All SNFs should receive letters today based on current tax identification numbers. Each facility will receive $50,000 each and the remainder of the funding ($4.2 billion) will be provided to facilities based on number of beds. Their calculations estimate that facilities will receive an additional $2500 per bed.

Note that Provider Relief Fund Grants carry requirements, and facilities must attest that they will meet those requirements by June 3, 2020. For more information, go to the CARES Act Website.



5/13/2020





Small Business Administration PPP FAQs




 
Today, the SBA has issued an updated set of frequently asked questions for Paycheck Protection Program Loans. And resources related to the PPP Interim final rules can be accessed here.


5/13/2020







HEROES Act 







The Health and Economic Recovery Omnibus Emergency Solutions Act is currently being debated in Congress. The current text for this set of further emergency supplement appropriations is 1815 pages long and we will be able to provide a summary of essential pieces soon.


5/7/2020






Small Business Administration Issues FAQs for PPP




On May 6, the Small Business Administration with the Department of Treasury, issued FAQs to address issues concerning the Paycheck Protection Program.


5/4/2020







Kaiser Family Foundation (KFF) Reports on COVID in California Nursing Homes




Citing that nursing homes have emerged as one of the places that COVID-19 spreads most aggressively, KFF reports that California nursing homes with infections tend to be rated as lower quality as determined by Nursing Home Compare.


4/25/20

 

 

 

 

 

 

 

 

Terms and Conditions for Provider Relief Funds

 



 

 

 

 

 

Currently there are two different sets of terms and conditions for the General Distribution Dollars – those that are A) based on Medicare FFS revenue during 2019 ($30 billion) and B) those that are based on net patient revenue from cost reports ($20 billion). However these terms only minimally vary in terms of reporting based on the allocation method (Medicare revenues versus net patient revenue from cost reports). Note that providers must submit an attestation for each fund distribution and each TIN number.

 

4/21/20

 



 

AHRQ Issues Primer on COVID-19 Challenges in Nursing Homes

 

 

Nursing home residents are at increased risk for transmission of COVID-19 and AHRQ has developed a primer that identifies federal guidelines for healthcare provider teams at PSNet primer.

 

4/21/20

 

 

 

 

 

 

Congress Moves Next COVID-19 Support Package

 

 

 

 

Congressional leaders and the administration have agreed to provide additional grants to providers, expand testing capacity, and replenish small business assistance programs – the amount of funding is still under consideration. The Senate is expected to take up the Paycheck Protection Program and Health Care Enhancement Act this week.

 

4/14/20

 

 

 

 

 

 

 

 

 

 

 

National Fair Housing Alliance Issues COVID Update

 

 

 

 

 

 

 

 

 

 

Persons with COVID and those perceived as having the virus may be protected from housing discrimination under the Fair Housing Act. Since the Fair Housing Act has never been limited to persons with permanent disabilities, if an individual experiences an impairment that substantially limits a major life activity may qualify. Landlords may unlawfully seek to evict or refuse housing to a healthcare worker because of unsubstantiated fears that they may have been exposed. However, housing need not be made available to those who would constitute a direct threat to health or safety of others. The entire recommendation can be reviewed here.

  

4/13/20

 

 

Aging Network Coronavirus Response



The Aging and Adult Services Administration has issued a set of resources for Michigan seniors.

 

4/7/20

 

 

 

Dykema Offers Resources on Telemedicine Changes



 

A powerpoint and webinar link are available for member review, and include information on prescribing via telemedicine and overall reimbursement.



4/3/20

 

 

HUD Updates Q&A

 

 

More information about recertifications, construction, rehab, and RAD conversions is included.

 

4/2/20

 

 

 

Small Business Association (SBA) Issues Application for Disaster Loan Assistance

 

 

3/30/20

 



 

 

 

 

 

Trump Extends Voluntary National Shutdown

 

 

 

 

 

 

 

On Sunday March 30, Present Trump extended the initial 15 day of social distancing that was recommended by the federal government to address the spread of COVID-19. Many state governments have far more strict ‘sheltering in place’ requirements than the federal recommendation which is now in effect until April 30. Federal experts are concerned that the nation could experience more than 100,000 deaths among the many potentially infected persons.

 

3/30/20

 

 

 

Care Planning for Nursing Home Residents 

 



A webinar on advance care planning and setting and re-setting of goals has been shared by Consumer Voice for Thursday, April 2 at 2:00 ET. Members can REGISTER here.

 

3/29/20





 

 

 

 

Families First Coronavirus Response Act: Q&A

 

 

 

 

 

 

The Department of Labor recently published a detailed list of Questions and Answers to address any issues related to the FFCRA. Of particular interest to members is that ‘health care providers’ can be exempted from Families First in the same way as under the Family Medical Leave Act. We encourage members to tune in to our upcoming SafeandCalm Topical Webinar Series for more information about this confusing definition.

 

3/26/20

 

 

 

 

 

 

 

 

 

Coronavirus Aid, Relief, and Economic Security Act CARES Highlights

 

 

 

 

 

 

 

 

The Senate passed this legislation on Wednesday and the ‘stimulus package’ now goes to the House for a possible vote on Friday, 3/27/2020. The bill provides $500 billion for struggling industries and financial support for families. Small business loans, expanded unemployment benefits, and support for health systems also included. Supports for the health system include money for buying medical supplies for the Strategic National Stockpile and money for purchases under the Defense Production Act. Hospitals would receive higher payments for serving COVID-19 patients.



3/26/20

 

 

 

 

 

 

 

 

 

 

 

Revised HUD Guidance

 

 

 

 

 

 

 

 

 

 

 

On March 24, the HUD Office of Multifamily Housing has issued a revised Q&A document that summarizes limited regulatory flexibility to help senior housing providers respond to COVID-19. LeadingAge continues to communicate the urgency regarding access to masks and other supplies and support for funding. The Q/A includes activities that housing providers need to take during the outbreak, such as communications with local health departments to monitor the spread in their community, developing communications plans, protocols for entering resident units, and protocols for cleaning. HUD has also extended deadlines for audited financial reports as well as addressing increased operating expenses.

 

3/25/20

 





 

Summary of the new Paid Sick Leave & Expanded Medical Leave Act

 



 

The US Department of Labor has issued a summary of the new paid sick leave and expanded family medical leave act for review. Included is a frequent asked questions document that may help members. Additional rules will be forthcoming.


  

3/24/20

 

 

 

 

Kaiser Health News and Testing Decisions

 

 



Kaiser Health News yesterday released an article on how government decisions in the early days of the nation’s coronavirus outbreak have already impacted the magnitude of the pandemic and may affect the country for months to come.


  

3/20/20

 

 

Infectious Disease Society of America Offers Testing Recommendations

 

 

3/20/20



Families First Coronavirus Response Act

 

LeadingAge Michigan Overview of Act

 

3/19/20

 

 



 

Families First Coronavirus Response Act was signed into law 

 




This act provides food assistance support, funding for virus testing, emergency paid sick leave, expansion of the Emergency Family and Medical Leave, tax credits for paid Sick and paid Family and Medical Leave and Unemployment Insurance Stabilization.  

 

3/18/20

 

 

Pathways Updated COVID-19 Complimentary Policy and Procedures

 

 

3/16/20

 

 

Updates from Jay Calewarts for Assisted Living

 

 

3/16/20

 

SEIU COVID-19 

 

 

3/16/20





OSHA Releases Temporary Enforcement Guidance

 

 

OSHA has issued Temporary Guidance – Healthcare Respiratory Protection Annual Fit-Testing for N95 Filtering Facepieces During COVID-19.

 

3/16/20 

 

 

 

 

Family First Coronavirus Response Act - Moves to Senate

 

 

 

This legislation supports families by providing free testing, increases for anticipated Medicaid caseload, paid emergency sick leave, enhanced unemployment insurance, and enhancements to food programs.

 

3/12/20

 

 

 



Pathway COVID-19 Resources posted 3/12/2020

 

 

 

As CMS has updated its guidance, Pathway has updated their complimentary resources (download now) to reflect those changes and hope that you download this latest version of the product for use in your organization.



3/10/20

 



 

Potential Legal and Regulatory Issues Related to COVID-19 for all Providers



Updates from LeadingAge, LeadingAge Michigan, and Bradley

 

 

Ongoing

 

 

World Health Organization Coronavirus Disease Outbreak

 

 

2/28/20




New York Times Interactive Outbreak Overview

 

 

1/29/20

 

 

HUD Exchange January 2020 Update on Infectious Disease Preparedness


 
 
 

 

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