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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. 



KACE, Kansas Healthcare Association, and LeadingAge Kansas Collaborative Efforts 





Letter from KACE, KHCA and LeadingAge Kansas 



KACE, KHCA, LeadingAge Kansas Develop Admission Tool 



KACE, KHCA, LeadingAge Kansas Release Op-Ed to all Kansas Newspapers



KACE, KHCA, LeadingAge Kansas Team Up 
To Create Temporary Nurse Aide Job Description Template Here
Post to KANSASWORKS How To Here
Additional Information about KANSASWORKS Here



KACE, KHCA, and LeadingAge Kansas

Letter to Governor Regarding Hospital Discharges 

(Dated April 8, 2020)



KACE, KHCA, and LeadingAge Kansas - Kansas 1135 Waiver Request 

(Revised Dated Aril 1, 2020)



KACE, KHCA, and LeadingAge Kansas, KHA - CMS 1135 Waiver Request 

(Dated March 27, 2020)



KACE, Kansas Healthcare Association and LeadingAge Kansas 
Joint Press Release in Support of Nursing Homes, Residents, and Staff

(Dated April 22, 2020)


Joint Association Communicate on CARES Act Funds for Kansas ACH

(Dated July 14, 2020)




CMS Actions & Current Guidance 




Coronavirus Commission for Safety and Quality in Nursing Homes Final Report

(Dated September 16, 2020)


On September 16, 2020 the independent Coronavirus Commission for Safety and Quality in Nursing Homes (Commission) provided their final report to CMS. "To help CMS inform immediate and future actions as well as identify opportunities for improvement, the Commission was created to conduct an independent review and comprehensive assessments of confronting COVID-19. The Commission’s report contains best practices that emphasize and reinforce CMS strategies and initiatives to ensure nursing home residents are protected from COVID-19."


To view the full independent Coronavirus Commission for Safety and Quality in Nursing Homes report, visit here:  cms.gov/files/document/covid-final-nh-commission-report.pdf


To view the Trump Administration Response to Commission findings, visit here: cms.gov/files/document/covid-independent-nursing-home-covid-19-federal-response.pdf


To view the COVID-19 Guidance and Updates for Nursing Homes during COVID-19, visit here: cms.gov/files/document/covid-guidance-and-updates-nursing-homes-during-covid-19.pdf




COVID-19 - Nursing Home Data - Test Positivity Rates 

(Data should be updated again on September 21)


CMS has published the county positivity rates at the following URL. It appears they are updating the data every other Monday starting on September 8 (because of labor day).  


Based on this September 8 data Kansas has: 

  • 40 counties in red status (2x weekly staff testing) 
  • 34 counties in yellow status (1x weekly staff testing) 
  • 31 counties in green status (1x monthly staff testing)


For the most recent data click here.  





Trump Administration Issues New

Reporting and Testing Requirements 

(Dated August 27, 2020) 


On a conference call Tuesday afternoon Secretary Verma Seema announced that CMS will require nursing homes to begin testing staff as part of the Medicaid and Medicare Rules of Participation. Few details were shared, but staff testing requirements will be based on forthcoming guidance, and local level of community spread will factor into the guidance. You can read the news release here. More information will be forthcoming as it becomes available by CMS. 


UPDATE - We have our first look at guidance for staff testing. You can read the guidance here.  According to the guidance staff testing will depend on the COVID-19 positivity rate in your county. If it's 5% or lower staff should be tested once monthly, if it's 5-10% staff should be tested weekly, and if it's over 10% staff should be tested bi-weekly. Starting this Friday, August 28, this website will help you determine what the positivity rate is in your county. It's going to be very important to monitor this website on a daily basis. KACE is actively engaging KDADS about how enforcement will work and we will provide further updates as more information becomes available. 




CMS Issues Ref: QSO-20-35-ALL - Full Resumption of Survey Activity 

(Dated August 17, 2020)


Read the QSO here



CMS Announces Plans to End the Blanket Waiver

Requiring Nursing Homes to Submit Staffing Data

(Dated June 25, 2020)


Today, the Centers for Medicare & Medicaid Services (CMS) announced plans to end the emergency blanket waiver requiring all nursing homes to resume submitting staffing data through the Payroll-Based Journal (PBJ) system by August 14, 2020. The memorandum released today also provides updates related to staffing and quality measures used on the Nursing Home Compare website and the Five Star Rating System.

View the memorandum to states and nursing home stakeholders here. 




CMS Releases Nursing Home Covid-19 Data here

(Dated June 4, 2020)



Enhanced Enforcement for Infection Control Deficiencies and Guidance For Resuming Routine Surveys - Read CMS QSO - 20-31-All here

(Dated June 1, 2020)



Medicare Billing - Clarification for Using the "CR" Modifier and "DR" Condition Code Can be Found Here

(Dated June 1, 2020)




Trump Administration Issues Guidance to Ensure States Have a Plan in Place to Safely Reopen Nursing Homes 

(Dated May 18, 2020)


Please note: CMS has issued guidance for re-opening nursing homes, but the re-opening plan will be created by the State. KACE and the other long-term care associations are engaging KDADS to provide more details regarding their planning. Please contact KACE with questions and concerns. 


Press Release

Guidance  

Frequently Asked Questions



Trump Administration Issues New

Reporting and Testing Requirements 


(Dated August 26, 2020 Updated no August 27, 2020) 


On a conference call Tuesday afternoon Secretary Verma Seema announced that CMS will require nursing homes to begin testing staff as part of the Medicaid and Medicare Rules of Participation. Few details were shared, but staff testing requirements will be based on forthcoming guidance, and local level of community spread will factor into the guidance. You can read the news release here. More information will be forthcoming as it becomes available by CMS. 


UPDATE - We have our first look at guidance for staff testing. You can read the guidance here.  According to the guidance staff testing will depend on the COVID-19 positivity rate in your county. If it's 5% or lower staff should be tested once monthly, if it's 5-10% staff should be tested weekly, and if it's over 10% staff should be tested bi-weekly. Starting this Friday, August 28, this website will help you determine what the positivity rate is in your county. It's going to be very important to monitor this website on a daily basis. KACE is actively engaging KDADS about how enforcement will work and we will provide further updates as more information becomes available. 




CMS Issues Nursing Homes Best Practices Toolkit to Combat COVID-19 here


(Dated May 12, 2020)



Updates to Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) to Correct the Adjustment Process here

(Dated May 8, 2020)


CR 11727 contains updates to Medicare’s claims processing systems to make corrections to processing of adjustments and other billing issues for SNF Patient Driven Payment Model (PDPM) claims. Make sure your billing staffs are aware of these updates.




CMS Releases Interim Final Rule 


(Dated May 8, 2020 - it is available to review now)


The Centers for Medicare & Medicaid Services (CMS) recently released an Interim Final Rule with Comment Period (IFC) building on the agency’s efforts to give the American healthcare system maximum flexibility to respond to the coronavirus disease 2019 (COVID-19) pandemic. Below is a summary of resources and information available on the rule. View the full rule here.


Section Y.  Requirement for Facilities to Report Nursing Home Residents and Staff Infections, Potential - is of particular interest and can be found here. 




Interim Final Rule Updating Requirements for Notification of Confirmed and Suspected COVID-19 Cases Among Residents and Staff in Nursing Homes Ref: QSO-20-29-NH 


(Dated May 6, 2020)


  • NHSN start date pushed back to May 17, 2020 
  • Failure to report by June 7 will result in CMP of $1,000.00 



Nursing Home Five Star Quality Rating System updates, Nursing Home Staff Counts, and Frequently Asked Questions - QSO-20-28-NH 


(Dated April 24, 2020)


CMS will be publish a list of the average number of staff members onsite at facilities each day. The information might be used to direct adequate PPE and testing to nursing homes at the state level. The CMS  memo also communicates a pause to the nursing homes’ current star ratings on the Nursing Home Compare website following the suspension of certain survey inspections during the coronavirus pandemic. 



Administration Announces New Nursing Homes COVID-19 Transparency Effort   

QSO-20-26-NH

(Dated April 19, 2020)


Today, under the leadership of President Trump, the Centers for Medicare & Medicaid Services (CMS) announced new regulatory requirements that will require nursing homes to inform residents, their families and representatives of COVID-19 cases in their facilities. In addition, as part of President Trump’s Opening Up America, CMS will now require nursing homes to report cases of COVID-19 directly to the Centers for Disease Control and Prevention (CDC). 





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”)



CMS Frequently Asked Questions on Essential Health Benefit Coverage here. 


CMS Frequently Asked Questions on Catastrophic Plan Coverage here. 



For Previous CMS Resources visit the KACE Coronavirus CMS Page 





Centers for Disease Control and Prevention Actions and Current Guidance 



CDC Releases Guidance on Rapid Antigen Testing 

(Dated August 16, 2020)


Nursing homes across the nation are beginning to receive testing kits that were originally announced back in July. Kits began arriving to the first wave of nursing homes a couple of weeks ago, with second wave distributions arriving this past week. CMS has categorized the expected single-shipment deliveries by facility size:

  • Small facilities: 150 tests, 1 instrument
  • Small-to-medium facilities: 240-250 tests,* 1 instrument  
  • Medium facilities: 325-330 tests,* 1 instrument  
  • Large facilities: 600 tests, 1 instrument  
  • Major outlier facilities: 900+ tests, 2 instruments 

You can review the CDC guidance here. 




NHSN Guide to Reporting Through CDC Here

Access NHSN/CDC Here


CDC Reporting Requirement Training Webinars 


Evaluating and Testing Persons for Coronavirus COVID-19 here. 


Interim Clinical Guidance for Management of Patients with Confirmed COVID-19 here.


Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed COVID-19 here 



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)





CDC Resources 



Infection Preventionist Training


CDC Updates on a Variety of Topics Here 

 

CDC FAQ for COVID-19




For Previous CDC Guidance visit the KACE CDC Page 




State, KDADS, KDHE, and OSFM Actions and Current Guidance 



Bulletin from KDADS on PPE on Behalf of KDEM 

(Dated September 11, 2020)


Due to the timing of the Strengthening People and Revitalizing Kansas (SPARK) Task Force meeting and approval from the State Finance Council (SFC), the Kansas Division of Emergency Management (KDEM) will be extending an additional opportunity to Kansas Department on Aging and Disabilities (KDADS) licensed adult care homes to apply for Personal Protective Equipment (PPE).


Requests will be accepted from September 12 through September 20.  Quantities are dependent on the number of staff providing direct care for an estimated 21-day supply.  Duplicate requests will not be accepted.


Requests may be made for the following:

  • N95 masks

  • KN95 masks

  • 3 ply masks

  • Disposable gowns

  • Cloth gowns

  • Face shields


Interested facilities can apply at:  kdem.kansasgis.org/ppesurvey




Bulletin from KDADS 

(Dated 8.21.20) 


Effective August 21, 2020 KDADS will be extending the suspension of the Pre-admission Screening and Resident Review (PASRR) process for an additional 30 days. The suspension includes CARE Level I screens, special admissions (columns A & B on the CARE form) and PASRR Level II evaluations. You can find the bulletin here, and you can find additional notes regarding the bulletin here. You can find the Kansas Area Agencies on Aging phone list here



Bulletin from KDADS 

(Dated July 22, 2020)


PASSR requirements are extended for another 30 days. Read the KDADS bulletin here. 



KDADS Releases FAQ on Reopening Plan Guidance for Nursing Facilities and Assisted Living Facilities

(Dated June 25, 2020)


You will find the reopening plan guidance and the FAQ here. 

You will find the FAQ here. 


Bulletin from KDADS

(Dated June 24, 2020)


Pursuant to EO-20-19/EO-39 regarding renewal deadlines for occupational or professional license/certification/registration shall be extended with no expiration date established at this time. KACE will continue to monitor the extension of professional license extensions, and will provide updates as they become available. 




KDADS Bulletin - Suspension of PASRR for additional 30 Days

(Dated June 22, 2020) 


Read the KDADS bulletin here. 




KDADS Issues Reopening Guidance for Assisted Living Facilities

(Dated June 17, 2020) 



You can read the reopening guidance here. 


Listen to the KDADS Reopening Guidance For State Licensed Facilities Webinar here.



KDADS Issues Reopening Guidance for Nursing Facilities 

(Dated June 12, 2020) 



You can find more information on the guidance here.

You can read the reopening guidance here. 


Listen to the KDADS Reopening Guidance for Nursing Facilities Webinar #1 recorded on

June 15 here. 

Listen to the KDADS Reopening Guidance for Nursing Facilities Webinar #2 recorded on

June 16 here.



Bulletin from KDADS

(Dated June 8, 2020)


KDADS has confirmed that 100% of nursing facilities in Kansas must receive the focused infection control survey before July 31, 2020. As of June 1st 148 facilities in Kansas had received one. The remaining 183 facilities will receive one before July 31. You can find additional Covid-19 Kansas specific nursing home related data here. 


Bulletin from the Fire Marshal

Regarding Large Quantities of Hand Sanitizer here

(Dated June 22, 2020)


Bulletin from The Fire Marshal here

(Dated May 12, 2020)



Governor Laura Kelly Executive Order 20-26 

(Dated April 22, 2020) 


Temporary relief from certain restrictions and requirements governing the provision of medical services. Read the full EO here. 



Governor Laura Kelly Executive Order 20-23


(Dated April 15, 2020)


Licensure, Certification, and Registration for persons and Licensure of "Adult Care Homes" during public health emergency. Read the full EO here




Governor Issues Executive Order to Extend Professional Licenses 

(Dated April 9, 2020)


All state agencies shall extend renewal deadlines for any occupational or professional license, certificate, permit, or registration issued by a state agency or any board, commission, division, or other licensing authority within a state agency to any individual, business, or organization, that was in good standing as of March 12, 2020, and that has expired or will expire during the State of Disaster Emergency, and such licenses, certificates, permits, and registrations shall remain valid until 90 days following the termination of the State of Disaster Emergency.






KDHE Resources 



KDHE Launches New Covid-19 Online Reporting PortalFor Healthcare Providers Here 


User Manual Here


(Dated May 4, 2020)




LTCF COVID Readiness Self Assessment Tool




KDHE Updates Website and Covid-19 Page



KDHE Covid-19 Resource Center. 





PPE Request Form

Submit to local emergency manager


Kansas Healthcare Coalitions 


Kansas Healthcare Coalition PPE Request Process 





KDADS Updates



KDADS Revises Reporting Guidance to Align with CMS here

(Dated May 18, 2020)



KDADS Issue New Guidance on Clinicals for CNA/CMA here

(Dated May 19, 2020) 




Bulletin from KDADS Regarding Guidance for State Licensed Facilities

(Assisted Living, Home Plus, Adult Day Care)  


(Dated May 8, 2020)



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

 

The agency will continue to publish additional guidance and clarifications as the situation progresses. The attached guidance can be found on the KDADS website https://www.kdads.ks.gov/covid-19





CMP Grant Funding for Long-Term Care 

Technology Initiative in Response to COVID-19



CMP Application for Communicative Technology Template here

CMP Application for Communicative Technology FAQ here 

Send Completed Application to covid.cmp@ks.gov




KDADS Releases Reporting Requirements

(Dated April 29, 2020) 

Please direct questions to Scott Brunner scott.brunner@ks.gov




KDADS CARE Program Guidance 

(Dated April 22, 2020)



KDADS Executive Order 20-23 Guidance 

(Dated April 17, 2020)




Temporary License for Alternate Care Sites or Designated Facility/Units

(Dated April 23, 2020)


If you haven’t already been contacted by KDADS to apply for a temporary license as you establish Alternate Care Sites or Designated Facility/Units to care for Covid-19 residents you can fill out the attached Covid-19 check list and return it to COVIDchecklist@ks.gov. In addition to filling out the check list please send KDADS a brief plan of your Covid-19 efforts. 


Please note designating a room(s), hallway, or wing that are already licensed does not required a temporary license. Please contact COVIDchecklist@ks.gov if you have any questions regarding the temporary license. I would also be happy to help.


Notes from KDADS regarding the process or obtaining a temporary license:

  • If you could return the attached Checklist document to us, along with a brief, concise COVID 19 Plan, we’ll review it quickly.   
  • Once your plan is reviewed and approved, we’ll issue a Temporary License/Authorization for COVID 19 Response Efforts document.
  • By doing so, we’ll be better positioned to coordinate our COVID 19 efforts, statewide, with our health care partners.    



KDADS Covid-19 Temporary Nurse Aide Training Program 

(Dated April 17, 2020)



KDADS Bulletin 

(Dated June 1, 2020)


KDADS has released revised guidance for preventing the spread of COVID-19 for participants in the Home and Community Based Services (HCBS) waiver programs.

 

The agency encourages providers impacted by this guidance to communicate their reopening plans with all concerned parties. The agency will continue to publish additional guidance and clarifications as the situation progresses. The attached guidance can be found on the KDADS website https://www.kdads.ks.gov/covid-19





Office of the State Fire Marshal Updates 




Bulletin from the Office of the State Fire Marshal 

(Dated April 8, 2020)


The Fire Marshal has revised their statement and letter from yesterday to clarify that the virtual inspections will not include nursing homes at this time.


Virtual inspections will NOT be used for Hospitals and Nursing Homes.


State licensed facility inspections will be conducted virtually and documentation will be required electronically. For more details read the attached letter from OSFM. 


If you have questions or concerns please contact Fire Prevention Public Education officer Ashley Rogers at ashley.rogers@ks.gov and copy Bill Tofflemire.






For Previous State Guidance visit the KACE State Resources Page 







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