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Coronavirus COVID-19 Resources 



CMS, the CDC, KDHE, KDADS, OSFM, and the Long-Term Care Ombudsman's Office are providing updates and resources regarding action being taken to address the spread of the Coronavirus. Below are links to those resources and updates that are being provided daily. Please confirm that you are operating under the most recent guidance from all regulatory and healthcare organizations that govern and support the long-term care industry. If you have any questions please don't hesitate to contact the KACE office. 


Letter from KACE, KHCA and LeadingAge Kansas 


CMS Actions & Current Guidance 



Kansas Receives Approval on 1135 Waiver Requests 


  • Temporarily suspend Medicaid fee-for-service prior authorization requirements.  Section 1135(b)(1)(C) allows for a waiver or modification of pre-approval requirements, including prior authorization processes required under the State Plan for particular benefits.
  • Extend pre-existing authorizations for which a beneficiary has previously received prior authorization through the end of the public health emergency.
  • Suspend Pre-Admission Screening and Annual Resident Review (PASRR) Level I and Level II Assessments for 30 days.
  • Provider Enrollment 
  • State Fair Hearing Requests and Appeal Timelines

Infection Control Self Assessment Tool

(Dated March 23, 2020)


Kirkland Washington Inspection Results Create New Focus for Surveys 

(Dated March 23, 2020)

Federal Inspection Survey Focus Document 

(Dated March 23, 2020)


Prioritization of Survey Activities Ref: QSO-20-20-All

(Dated March 23, 2020)


CMS Provides Relief for Medicare Quality Reporting Programs

(Dated March 22, 2020)


CMS Creates Virtual Toolkit for CMS and HHS Coronavirus Materials 

(Dated March 17, 2020)


CMS Waives 3 Day Stay Requirement 

(Dated March 17, 2020)


The waiver comes as part of the national state of emergency issued by the Trump administration to combat and spread the Coronavirus. CMS will now provide coverage of skilled nursing facility services without a qualifying hospital stay. 



CMS Announces New Measures to Protect Nursing Home Residents from COVID-19

Revised Ref: QSO-20-14-NH Dated March 13, 2020

(Dated March 13, 2020)


The new measures CMS announced today, which supersede prior CMS guidance, constitute the agency’s most aggressive and decisive recommendations with respect to nursing home safety in the face of the spread of COVID-19. They include:

  • Restricting all visitors, effective immediately, with exceptions for compassionate care, such as end-of-life situations;
  • Restricting all volunteers and nonessential health care personnel and other personnel (i.e. barbers);
  • Cancelling all group activities and communal dining; and
  • Implementing active screening of residents and health care personnel for fever and respiratory symptoms. 


CMS Takes Actions to Address Coronavirus 

(Dated March 13, 2020)


COVID-19 Emergency Declaration Healthcare Providers Fact Sheet

(Dated March 13, 2020)




Previous Guidance

You will find more information regarding CMS actions here, and below are the main points summarized as of March 4, 2020.


CMS is suspending non-emergency inspections across the country, allowing inspectors to turn their focus on the most serious health and safety threats like infectious diseases and abuse.

 

Effective immediately, survey activity is limited to the following (in Priority Order):

  • All immediate jeopardy complaints (cases that represents a situation in which entity noncompliance has placed the health and safety of recipients in its care at risk for serious injury, serious harm, serious impairment or death or harm) and allegations of abuse and neglect;
  • Find more information on survey activity you can review QSO-20-12 (dated March 4, 2020) here
  • Complaints alleging infection control concerns, including facilities with potential COVID-19 or other respiratory illnesses;
  • Find more information on infection control practices, including monitoring and restricting visitors, for nursing homes you can review QSO-20-14-NH (revised on March 13, 2020) here. 
  • Statutorily required re-certification surveys (Nursing Home, Home Health, Hospice, and ICF/IID facilities);
  • Any re-visits necessary to resolve current enforcement actions;
  • Initial certifications;
  • Surveys of facilities/hospitals that have a history of infection control deficiencies at the immediate jeopardy level in the last three years;
  • Surveys of facilities/hospitals/dialysis centers that have a history of infection control deficiencies at lower levels than immediate jeopardy. 



CMS Resources:


Long term care facility – Infection control self-assessment worksheet

 

Infection control toolkit for bedside licensed nurses and nurse aides (“Head to Toe Infection Prevention (H2T) Toolkit”)


Infection Control and Prevention regulations and guidance: 42 CFR 483.80, Appendix PP of the State Operations Manual. See F-tag 880



Guidance for Infection Control and Prevention Concerning Coronavirus Disease 2019 (COVID-19) in Home Health Agencies (HHAs) (QSO-20-18-HHA Dated March 10, 2020)


Guidance for Infection Control and Prevention Concerning Coronavirus Disease 2019 (COVID-19) in Home Health Agencies (HHAs) QSO-20-18-HHA Dated March 10, 2020)


Guidance for use of Certain Industrial Industrial Respirators by Health Care Personnel Ref: (QSO-20-17-ALL Dated March 10, 2020)


CMS posted a fact sheet with information relating to the pricing of both the Centers for Disease Control and Prevention (CDC) and non-CDC tests dated March 12, 2020.



CMS Frequently Asked Questions on Essential Health Benefit Coverage here. 


CMS Frequently Asked Questions on Catastrophic Plan Coverage here. 



Centers for Disease Control and Prevention Resources 



CDC Launches Personal Protective Equipment (PPE) Burn Rate Calculator 


CDC Strategies for Maximizing PPE 


CDC Webinar for Long-Term Care Providers 

(Dated March 17, 2020)



Strategies to Prevent the Spread of COVID-19 in Long-Term Care Facilities (LTCF) here


Infection preventionist training


CDC Resources for Health Care Facilities


CDC Updates on a Variety of Topics Here 

 

CDC FAQ for COVID-19



KDHE Resources 


Attached is the initial update from March 4, 2020 on current COVID-19 activity in the State of Kansas.


The KDHE Phone Bank is up during business hours, 8 a.m. – 5 p.m. through March 13. The phone number is 1-866-534-3463 (1-866-KDHEINF).


KDHE has launched an online resource center with guidance and FAQs.


KMAP Guidance on Billing for Services Related to COVID-19.


KDHE issues new recommendations for quarantine and isolation of travelers, close contacts and those being tested (dated March 15, 2020).


KanCare Eligibility Group Notification 
(Dated March 16, 2020)

  • As previously reported, walk-In in person consultation are no longer accepted until further notice. School closings and potential quarantine measures may impact our staffing levels.
  • Due to quarantine measures as well as those considered at risk, staffing levels have been impacted. Due to this, KDHE eligibility workers will no longer be answering the inbound phone calls made directly to the Units phone numbers.  Supervisor, myself, and/or eligibility workers will continue to return voicemail’s as quickly as we can with limiting interruptions with completing eligibility determinations. 
  • We ask for your patience as we process and prioritize requests based on urgency and the received date of the request.
  • We appreciate your cooperation by limiting phone calls, emails, and spreadsheet concerns to those that have been pending for a determination for more than 45 days. Please refrain from inquiring on cases where information was recently submitted this would include checking for a status update for HCBS or NF coding when the consumer was recently screened or recently admitted to the facility.



Kansas Healthcare Coalitions 


Kansas Healthcare Coalition PPE Request Process 



KDHE - Kansas COVID-19 Update for Local Partners Webinar Series


To register for these webinars, click the following links. All webinars start at 10am CST:



Register here: April 2, 2020


Register here: April 9, 2020


Register here: April 16, 2020


Register here: April 23, 2020


Register here: April 30, 2020


Register here: May 7, 2020


Register here: May 14, 2020


Register here: May 21, 2020



KDADS Updates


Bulletin from KDADS 

(Dated March 24, 2020)


KDADS is temporarily modifying the requirements for Certified Nurse Aides (CNA) training to allow hours worked as a Trainee II to satisfy the requirement for clinical instruction.  KDADS also is extending the 4 month time limit on Trainee II work experience by 2 months. The guidance document is attached and being sent to CNA course administrators and facilities today. The guidance document also is available here, at the KDADS COVID-19 resource pagehttps://www.kdads.ks.gov/covid-19




Bulletin from KDADS for State Licensed Facilities 

(Dated March 23, 2020)



On March 13, 2020 the Centers for Medicare and Medicaid Services issued guidance to nursing homes on infection control and prevention of Coronavirus Disease 2019 (COVID-19).  This document can be found at https://www.cms.gov/files/document/qso-20-14-nh-revised.pdf.  The document provides guidance in a number of areas about limiting the transmission of COVID-19 in institutional settings including:

·       Recommending restricting visitation of all visitors and non-essential health care personnel, except in certain end of life situations.

·       Notifying visitor or potential visitors about the limitations and deferring visitation until further notice.

·       Cancelling communal dining and group activities.

·       Reminding residents and staff about social distancing and hand hygiene.

·       Screening staff and residents for fever and respiratory symptoms.

·       Making alternative means available for visitors including virtual communication, phone lines, and regular communication from the facility to families.

 

The State of Kansas recommends that state licensed facilities including assisted living facilities, continuing care retirement communities, home plus, board and care homes, residential care facility,  group home arrangements, residential providers for persons with intellectual or developmental disability, intermediate care facilities, and other settings regulated by KDADS follow the same guidelines to reduce infection risk issued by CMS.  




Bulletin from KDADS 

(Dated March, 21 2020)


 

Our leadership team and program managers have spent time this week determining which staff and program services must continue and require we keep open a direct line of communication. While we will not be at full capacity, we are confident we can fulfill our duties with little interruption or delay. We have identified these essential employees as contacts for our commissions and departments, effective Monday, March 23rd – Friday, April 3rd:

 

  • The KDADS Adult Care Home Complaint hotline will maintain regular function with onsite staffing.
  • Our Public Information Officer will be available to ensure critical communications about COVID-19 and other important issues are shared via social media, website and press release as necessary. Contact Cara Sloan-Ramos with any requests or questions.
  • SCCC surveyors for Adult Care Home and other agency facilities will be available to address any critical needs, including but not limited to, I/J complaints. Your contact for information for issues or questions that may develop is Deputy Director for Hospital and Facilities Scott Brunner.
  • HCBS Crisis Requests and ICF Gatekeeping Processing will function onsite with minimal staffing. You can continue to contact the program manager as you normally do and ADCSP Commissioner Amy Penrod for other questions or concerns that may come up.
  • CARE staff will be onsite with minimal staffing to ensure timely processing of nursing facility eligibility, so please continue to contact staff as you usually do. Aging Services Director Christina Orton will be available for other issues as well.
  • Aging Services staff will be available to ensure critical functions are conducted. Contact ADCSP Commissioner Amy Penrod or Aging Services Director Christina Orton for assistance.
  • Human Resources and Legal staff will be available to ensure critical functions are supported for KDADS and state hospitals. For legal assistance, contact Interim Chief Counsel Sherry Diel and for humans resources questions contact Interim HR Director Sheila Denny.
  • Housing, Homeless and Benefits coordination activities will be supported. Contact:
  • Behavioral Health Services issues or questions can be directed to Commissioner Andy Brown.
  • Deputy Secretary Janis DeBoer will be available to address any overall agency issues or questions you may have and Financial and Information Services Commissioner/Deputy Director Brad Ridley will be available to address  question or issues with regard to facility operations.
(Kansas Department for Aging and Disability Services (KDADS) has determined that the criminal record check team is essential- meaning we will be processing records during this time). 




Bulletin from KDADS and DCF 

(Dated March 20, 2020)


The Aging & Disability Community Services and Programs Commission (ADCSP) of the Kansas Department for Aging and Disability Services (KDADS) has released the attached guidance for preventing the spread of COVID-19 for participants in the Home and Community Based Services (HCBS) waiver programs.

 

Given the emergency, the HCBS team can better respond to requests received via email. Please send your comments and suggestions regarding the COVID-19 HCBS Guidance to KDADS ADCSP Commission through brutus.segun@ks.gov with the subject line COVID-19 HCBS GuidanceWe will be considering any information that you provide to us through the email as we move forward.

 

The agency will continue to publish additional guidance and clarifications as the situation progresses. The attached guidance can be found on the KDADS website under the commission’s webpage https://kdads.ks.gov/commissions/home-community-based-services-(hcbs)




KDADS Coronavirus Presentation for Nursing Facilities 

Presentation For Nursing Facilities Video 

(Dated March 18, 2020) 




Press Release from Governor Laura Kelly On Nursing Home Visitation Guidelines

(Dated March 16, 2020)



HCBS Final Rule Weekly Update


As of March 16, 2020 KDADS is cancelling all travel until May 1. The Secretary will be re-evaluating this situation as we move forward. Please cancel this tour and we will reschedule at a to be determined date. There will be upcoming Remediation Training opportunities conducted via Webinar. New training dates, times and attendance information will be announced over the next few weeks.



Office of the State Fire Marshal Updates 


Annual Fire Marshal inspections are being conducted as normal as of this time. 

(Dated 3/11/20). 


Bulletin from The Office of the State Fire Marshal

(Dated March 18, 2020)


We have been notified by Governor Laura Kelly that all State Offices will be closed for business starting March 23rd, 2020 through April 3rd, 2020. On April 6, 2020 we will reopen for business.  We will still monitor for complaints.

 



Long Term Care Ombudsman Updates


The State LTC Ombudsmen has enacted a virtual visitation policy for all LTC Ombudsmen, effective immediately and until further notification. You can read the memorandum here (dated 3.14.20).



Pathway Health Resources 

 

For nearly two decades, post-acute health care leaders have partnered with Pathway Health, in order to obtain the right education and training. The skills gained are critical to overall operational success—ultimately leading to improved quality and compliance outcomes. We work closely with numerous professional associations and innovative service partners to develop leading training and tools. 


Download - NEW! Pandemic Plan for Post-Acute Care Facilities

This interim Pandemic Plan for post-acute care facilities provides a resource for facilities in preparation for their Pandemic Plan that can be used in conjunction with their Emergency Preparedness planning. Includes

COVID-19 resources.

Download - NEW! Pandemic Plan for Assisted Living Facilities

This interim Pandemic Plan for Assisted Living facilities provides a resource for facilities in preparation for their Pandemic Plan that can be used in conjunction with their Emergency Preparedness planning.Includes COVID-19 resources.

Download a FREE UPDATED Resource Due to CMS Revised Guidance Issued 3/10/20. Includes:

·       Interim policy and procedure

·       Implementation checklist designed for leaders

·       Resource list to assist post-acute care leaders in COVID-19 preparation


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