It looks like you have an older browser that is not supported by this site. Please click here to update.

Important Updates and Resources for Long-Term Care Providers

COVID-19

COVID-19 Updates, Preparation and Resources


We are closely monitoring the news and guidance concerning COVID-19 and are working with the Governor’s office, the Indiana Department of Health and AHCA/NCAL, to ensure our member providers receive the necessary guidance to care for the most vulnerable Hoosiers during this public health emergency. Visit this webpage daily to access the latest updates.

 

 

April 12: Civil Money Penalty Project Applications Still Open

First started in the summer of 2020, the Indiana Department of Health (IDH) announced it will still accept applications for Communicative Technology (CT) and In-Person Visitation Aids (VA).  Approximately 430 facilities have been approved for the CT funds and 180 facilities have been approved for VA funds. Below are the instructions and application for these projects.

Communicative Technology Application

In-Person Visitation Aids Application

Email questions or completed applications to Nancy Adams or Lisa Hensley.

 

 

April 12: Long-Term Care Health SurveysResumption

On April 12, 2021, the IDH,  Division of Long-term Care will resume federal and state health surveys for both nursing homes and residential care facilities.

Nursing Home Facilities: All surveyors have been updated with the Long-term Care Survey Process (LTCSP) Procedure Guide that was effective February 6, 2021. Surveyors will review facility information 12 months prior to the survey entrance date, unless there is a need related to complaint or other concerns that would require information past the 12-month time frame.

CMS Information—Nursing Home Surveys

Residential Facilities: A new Residential Survey Procedure Guide will be available soon. The Residential Survey will include an infection control review.

 

 

April 9: Federal Waivers on Transfer Notices, Care Planning, and MDS Assessments to Expire on May 10, 2021

On April 8, 2021, the federal Centers for Medicare & Medicaid Services (CMS) issued QSO 21-17, announcing that it will end the following federal emergency blanket waivers for nursing facilities as of May 10, 2021:

  • Transfer and Discharge Notification Requirements (42 CFR §483.15(e)(4)(ii));
  • Resident Room or Roommate Changes (42 CFR §483.10(e)(6));
  • Care Planning Requirements (§483.21(a)(1)(i), (a)(2)(i), and (b)(2)(i)); and
  • Minimum Data Set Timeframe Requirements (42 CFR §483.20).

Read more

 

 

April 8: Travel Guidance for Health Care Personnel

On April 7, 2021, the Indiana Department of Health (IDH) released updated Travel Guidance for Health Care Personnel based on the CDC’s Travel Guidance.  The CDC defines travel as the use of public transportation (i.e., airplane, bus, train); although not specified in IDH’s Travel Guidance for Health Care Personnel, the activities at the location should also be taken into account even if the individual does not take public transportation to the location.

On April 8, 2021, the Indiana Department of Health clarified during IHCA’s weekly webinar that the term “travel” does not include commuting to work via public transportation.  Accordingly, the below travel guidance for health care personnel does not apply to commuting to work via public transportation.  IDH will be issuing a LTC Newsletter soon stating this clarification in writing.

Read more

 

 

 

April 6: COVID-19 Vaccine Data Reporting to NHSN

For the past several months the National Healthcare Safety Network (NHSN) reporting system has included an optional module for Nursing Facilities to report weekly COVID-19 vaccination data for residents and staff.  The reporting of COVID-19 vaccination data to NSHN by Nursing Facilities is likely to become mandatory in 2021 as a proposed rule is being developed by U.S. Health and Human Services.  Assisted Living facilities may voluntarily report data to NSHN, in all the NHSN LTC modules and not just the COVID-19 vaccine module, though Assisted Living facilities will not be part of the mandate for COVID-19 vaccine reporting.

Read more

 

 

April 1: Indiana Extends Public Health Emergency to April 30, 2021

On March 31, 2021, Governor Eric Holcomb issued Executive Order 21-08, which extends Indiana’s public health emergency until April 30, 2021.  Indiana’s public health emergency was set to expire on March 31, 2021, and can be extended in 30-day increments at a time under state law.   The federal public health emergency has been extended through April 20, 2021, and is expected to be extended beyond that time in the coming days.

Read more

 

 

April 1: IDH Issues Updated COVID-19 LTC Infection Control Guidance Standard Operating Procedure

Please Note: On March 31, 2021, this article was updated to reflect recent changes to the Infection Control Standard Operating Procedure, which now specifies that eye protection (i.e., googles or face shield) is only required in Green Units when the county in which the facility is located is above 5% in its positivity rate or the facility is in an outbreak, although eye protection is still required when within six (6) feet of a resident in a Yellow or Red Unit at all times.

Read more

 

 

March 31: OSHA Releases Respiratory Protection Guidance for LTCFs

The U.S. Occupational Safety and Health Administration (OSHA) has released Respiratory Protection Guidance for the employers of those working in long-term care facilities during the COVID-19 public health emergency.  This resource can be found in full here.

In responding to COVID-19, OSHA recommends long-term care facilities rely on engineering and administrative controls first.

Read more

 

March 21: Maintenance Access to COVID-19 Vaccines for LTCFs

On March 21, 2021, the Indiana Department of Health (IDH) issued Maintenance Access Guidance for long-term care facilities to continue to access the COVID-19 vaccine on an ongoing basis in one of three ways:

  • Federal Option;
  • Local Option; or
  • Direct Enrollment Option.

LTC Pharmacies that are enrolled with the IDH (Local Option) should contact the following in order to request COVID-19 vaccine allocations:

Read more

 

 

VACCINE UPDATES    TESTING UPDATES

COVID-19 Vaccine Distribution Updates


IHCA/INCAL has developed this page to list relevant COVID-19 vaccine resources. As we receive more information, we will continue to update this page with latest information.

Latest Updates

 

Pharmacy Partnerships for LTC Providers

CDC

Walgreens

CVS

Vaccine Guidance & Resources

Indiana Department of Health

CDC

AHCA/NCAL

IHCA/INCAL

American Medical Directors Association

Moderna COVID-19 Vaccine EUA Issued

The Food and Drug Administration issued the Emergency Use Authorization (EUA) for Pfizer’s COVID-19 vaccine on December 18, 2020.  This EUA Fact Sheet is now available and will help you communicate with residents, family and staff regarding the vaccine.

 

Pfizer COVID-19 Vaccine EUA Issued

The Food and Drug Administration issued the Emergency Use Authorization (EUA) for Pfizer’s COVID-19 vaccine on December 12, 2020.  This EUA Fact Sheet is now available and will help you communicate with residents, family and staff regarding the vaccine.

Testing Guidance & Updates


Latest Updates

Regulatory Requirements and Important Resources

Important Contacts

  • Probari Phone number: Please call 317-804-4102 with any questions/issues.
  • ZOTEC Help Desk:  Please call 866-254-4628 with any questions/issues related to registration.
  • Patients Choice Laboratories (PCL): PCL, based in Indianapolis, Indiana, is a leading provider of comprehensive laboratory testing services throughout the United States. For more info, please visit www.pclabsdx.com.

IDH Guidance & Resources


Infection Control

 

Visitation Guidance

 

 

General Guidance

 

Quarantine Guidance

 

 

Signage and Forms

 

 

 

Essential Family Caregiver

 

Reporting and Testing

 

Cohorting Guidance

Weekly Webinars


Weekly Webinar For Long-Term Care Facilities 

 

Upcoming Webinar | April 15, 2021 from 12-1 p.m. EST

As of April 15 the Indiana Department of Health will be unable to participate in the webinars on a weekly basis.  However, IHCA/INCAL staff will continue to host the webinars to answer your questions and provide guidance.  IHCA/INCAL will engage IDOH on issues that cannot be answered during each webinar and also plan with IDOH on the times that they can participate in some of the webinars.

HOW TO JOIN THE WEBINAR

Join on your computer or mobile app

Click here to join the meeting

Or call in (audio only)

+1 463-900-4253,,457235586#   United States, Indianapolis

Phone Conference ID: 457 235 586#

 

 

 

Webinar Recordings and Handouts

April 8, 2021

ACCESS WEBINAR HANDOUT

 

 

April 1, 2021

ACCESS WEBINAR RECORDING

ACCESS WEBINAR HANDOUT 1

ACCESS WEBINAR HANDOUT 2

ACCESS WEBINAR HANDOUT 3

 

 

March 25, 2021

ACCESS WEBINAR RECORDING

ACCESS WEBINAR HANDOUT 1

ACCESS WEBINAR HANDOUT 2

ACCESS eye protection factsheet

 

 

 

March 18, 2021

ACCESS WEBINAR RECORDING

ACCESS WEBINAR HANDOUT

IDH’s RESPONSES TO REMAINING QUESTIONS

 

March 11, 2021

ACCESS WEBINAR HANDOUT

ACCESS WEBINAR RECORDING

 

 

To access archive recordings from 2020, please click here.

 

EMResource


EMResource is a web-based resource management and communication tool used to monitor and notify changes in resources statuses. IDH is asking you to update your PPE supplies daily in this tool so that resources can be distributed efficiently.

Coordinate account registration with your facility administrator.  We recommend designating at least two individuals that can track and input data into EMResource.

ECHO Hub


Project ECHO is actively recruiting nursing homes around the country to join an interactive community of practice to advance improvements in COVID-19 preparedness, safety and infection control. Supported by the federal Agency for Healthcare Research and Quality (AHRQ), and in collaboration with the Institute for Healthcare Improvement (IHI), the AHRQ ECHO National Nursing Home COVID-19 Action Network is open to any nursing home across the country at no cost. Explore Project ECHO’ website and resources here and download an informational flyer here.

Project ECHO Resources

Payment & Reimbursement Resources


General Resources

 

Medicare

 

Medicaid

 

 

 

 

CARES Act Provider Relief Fund


Latest Updates

Federal Reporting Requirements


NHSN Reporting

 

Related Regulatory Requirements

 

Resources

 

Waivers & Emergency Orders


Public Health Emergency

April 1:  Indiana Extends Public Health Emergency to April 30, 2021

Waivers

Personal Protective Equipment (PPE)


EMResource

EMResource is a web-based resource management and communication tool used to monitor and notify changes in resources statuses. IDH is asking you to update your PPE supplies daily in this tool so that resources can be distributed efficiently.

Coordinate account registration with your facility administrator.  We recommend designating at least two individuals that can track and input data into EMResource.

OSHA

Using and Conserving PPE

 

FEMA COVID-19 Pandemic Response: Nursing Home PPE Packages

ACCESS HERE

 

 

Vendors

 

 

 

CMS Guidance & Resources


LTC Operations

 

Infection Control

 

Payment

Resources

 

CDC Guidance & Resources


Post-Vaccine Considerations

 

Return to Work Guidance

 

Infection Control & PPE Conservation Guidance

 

Confirmed Case Management Guidance

 

Testing Guidance

 

Resources

Archive Daily Updates


Please see the daily updates below:

Feb. 25: Hospital to Post-Acute Transfer Assessment and Guidance

December 20: Post COVID-19 Vaccine Considerations for LTC Residents

December 20: Post COVID-19 Vaccine Considerations for Healthcare Personnel

December 11: COVID-19 Vaccine Updates from IHCA/INCAL President Zach Cattell and AHCA President & CEO Mark Parkinson

December 11: CMS Issues Guidance on Visitation in Nursing Facilities & Use of CMP Funds

December 11: IDH Issues Updated Quarantine Guidance for LTC Staff

December 9: LTC Data Dashboard Shows Prolonged COVID-19 Case Increases

December 8: Nursing Home Quality Incentive Program Methodology

December 8: BinaxNOW™ Request Guidance for Long-Term Care Facilities & Assisted Living Memory Care Unit Testing

December 2: Infection Prevention FAQs on Close Contacts, Exposure, & More

December 1: COVID-19 Guidance for NEMT Drivers Transporting Nursing Facility Residents

December 1: HHS Publishes Facility-Specific List of COVID Quality Incentive Payments

December 1: Indiana’s PHE Extended until December 31, 2020

November 30: Opportunity to Participate in a Free One-Time PCR Testing

November 24: Important: Essential Family Caregiver Program Reminder

November 23: Criminal History and Fingerprinting Requirements during the PHE

November 22: NHSN Reporting Changes Effective Nov. 23rd

November 20: PPE Shipments & Outbreak Testing for ALs

November 20: Students Step Up 2 Serve Initiative

November 20: IDH COVID Clinical Checklist

November 19: Three new roles approved for Guard Members: Indiana National Guard Assistance for Nursing Facilities

November 18: IDH & CMS Issues Holiday Guidance for LTCF Residents

November 17: CARES Act Quality Incentive Payment Program

November 17: NHSN To Update Reporting Pathways

November 17: OSHA Releases Frequently Cited Standards Related to COVID-19 Inspections

November 16: Mass Adjustment for Certain $115 Add-on Claims

November 15: Marion County to Require Negative COVID-19 Tests Prior to Indoor Visitation Starting November 25th

November 13: Governor Holcomb Issues Executive Order 20-48 – LTCFs Should Continue to Adhere to CMS & IDH Visitation Guidelines

November 13: COVID-19 Vaccine – LTC Prioritized – Survey Coming

November 13: IDH Issues Updated Visitation Guidelines – 14-Day Quarantine Required for All Excursions

November 10: New Update: HHS NHSN Reporting Requirements

November 9: OSHA Releases Respiratory Protection Guidance for LTCFs

November 9: Bed Changes, Relocations, Use of Unlicensed Space – COVID-19 Facility Emergencies

November 6: IDH Issues Certified Nurse Aide Training Program Orders

November 2: Summary of COVID-19 Emergency Orders and Waivers for Comprehensive Care Facilities from ISDH

November 2: Summary of COVID-19 Waivers, Guidance, and Emergency Orders for Residential Care Facilities from ISDH

October 29: Important: IDH Updates COVID-19 Data Submission Guidelines

October 29: POC Antigen Test and PCR Test Decision Tree

October 27: New Infection Prevention and Control Tools from IDH

October 25: Indiana Department of Health Provides PPE Shipment Details for the Week of October 25

October 22: Updated Reporting Requirements to the Provider Relief Fund

October 21: PPE Vendors and Assistance

October 20: IDH Issues Updated Visitation Guidance

October 19: Indiana Health Care Reserve Workforce

October 16: New Pathway to Report POC Test Results through Electronic Lab Reporting Process

October 9: Continuing Appropriations Act Modifies Accelerated Payment Program & CMS Issues Corresponding Guidance

October 5: Federal Public Health Emergency Extended until January 22, 2021

October 5: Important: Phase 3 General Distribution from the HHS Provider Relief Fund – All Providers Encouraged to Apply

October 2: CMS Issues Guidance on Exemption from Conducting Full-Scale Emergency Preparedness Testing Exercises

October 1: [UPDATED] CMS Issues Guidance on COVID-19 Testing of NF Staff & Residents

September 30: Extension of Temporary Health Care Licenses

September 25: 4.2% Medicaid Nursing Facility Rate Increase Extended

September 25: ISDH Provides Antigen Testing Guidance

September 24: Indiana’s Public Health Emergency Extended until November 1, 2020

September 23: HHS Releases Provider Relief Fund Reporting Guidance

September 23: CMS Updates County COVID-19 Positivity Data | Sept. 3-16, 2020

September 22: Reporting False Positives in COVID-19 Testing

September 18: CMS Issues Visitation Guidance for Nursing Facilities

September 18: New Details on Incentive Payments for Nursing Facilities

September 17: ISDH Renews Blanket Waivers for Comprehensive and Residential Care Facilities

September 16: BinaxNOW COVID-19 Cards – REDCaps Reporting Required

September 15: Assisted Living Funding Allocation Deadline Extended to Sept. 21

September 14: Update to Paid Leave Requirements of the Families First Coronavirus Response Act

September 9: HHS Announces $2 Billion Quality Incentive Program for Nursing Homes

September 8: Point of Care COVID-19 Test Reporting Guidance

September 8: UPL Q4 Interim Payment and COVID-19 add-ons

September 8: Nursing Facility COVID-19 Rate Enhancements

September 8: New COVID-19 Positive $115 Add-on Billing Instructions

September 4: POC test results tracking form and update on ISDH’s reporting mechanism for lab results

September 2: Provider Relief Fund Allocation for Private Pay Assisted Living

September 2: Antigen Tests for Assisted Living Communities

September 2: Updates to NHSN LTCF COVID-19 Module Resident Impact and Facility Capacity Pathway

August 31: Urgent: CMS Issues Guidance on COVID-19 Testing of NF Staff & Residents – Routine Testing to Start September 2,  2020

August 27: Return to Work Decision Tree

August 27: Important: County Positivity Data for NF Staff Testing Now Available

August 27: Requirements of Reporting by CLIA Laboratories

August 25: Important: CMS Issues Interim Final Rule on COVID-19 Testing of NF Staff & Residents – Additional Guidance to Come Before Implementation (Updated August 26, 2020)

August 25: Targeted COVID-19 Training for Frontline Nursing Home Staff & Management

August 17: Important Updates from ISDH on COVID-19 Testing for Nursing Facility Staff

August 13: Updated CDC Guidance on Return to Work Criteria and Discontinuation of Transmission-Based Precautions

August 12: New NHSN Data Elements on Testing

August 12: Changes to Medicaid Tranche Eligibility – Applications Due August 28, 2020

August 12: OSHA Increases Scrutiny on Long-Term Care Facilities

August 10: HHS Opens CHOW Portal

August 7: AHCA Update on HHS CARES Distribution to Nursing Facilities

August 7: Updated – COVID-19 Testing of Nursing Facility Staff Required in August/September

July 31: Deadline Extended: Medicaid Applications for Provider Relief Fund Due August 28, 2020

July 31: CMS Issues FY 2021 SNF Final Payment Rule

July 30: Point-of-Care COVID-19 Antigen Test Kits

July 24: State and Federal Government Extend Waivers for Long-Term Care Facilities

July 24: Updated ISDH COVID-19 LTC Facility Infection Control Guidance and SOP

July 23: ISDH Issues Clarifications on Resident Excursions

July 23: Initial Long-Term Care Data Released

July 17: Four Hours of Visitation Required Starting July 17, 2020

July 11: Update: Long-Term Care COVID-19 Data Reporting and EHR Survey

July 2: Urgent: Long-Term Care Data Required by July 14, 2020, 6PM EDT

July 1: NHSN Reporting Problems, Tags, and Penalties

July 1: Nursing Licensure Compact – Effective July 1, 2020

June 30: ISDH Issues Updated “Back on Track” Guidelines – Outdoor Visitation Required & Indoor Visitation Permitted July 4, 2020

Sustainable COVID-19 Planning for Long-term Care Facilities

June 26: Updated CARES Act Funding for Waiver Assisted Living Providers

June 26: Updated Visitation Guidance Expected – Outdoor Visitation Required and Indoor Visitation Permitted on July 4, 2020

June 26: CMS Ends Blanket Waiver on Staffing Data – Q2 Staffing Data Due August 14, 2020

June 19: ISDH Guidance on Environmental Steps to Reduce Indoor COVID-19 Transmission

June 18: Announcement Regarding Upcoming Medicaid Cost Report

June 18: Nursing Facility Staff Testing Portal to View Results and Report Tests

June 18: HHS Offers Medicaid Allocation Application Tutorials

June 15: ISDH FAQs – Outdoor Family Visitation at LTCFs

June 15: Updated COVID-19 Specimen Collection and Submission Guidelines

June 11: NHSN Reporting Compliance Tips – Avoid CMPs and Nursing Home Compare Points

June 11: OIG Audit of Nursing Facilities for Infection Control and Emergency Preparedness

June 8: Indiana Medicaid Clarifies How to “De-Attest” COVID-Ready Status

June 8: Nursing Facility Staff COVID-19 Testing Registration

June 2: COVID-19 Survey Activities and Enhanced Enforcement for Infection Control Deficiencies

June 2: June 3 Attestation Deadline Applies Only to Medicare FFS Provider Relief Payment

June 1: Contact Tracing Calls

May 29: IHCA/INCAL Guidelines for Resident Voting at a Public Polling Site During COVID-19 Pandemic

May 29: IHCA/INCAl’s Letter to ISDH on Nursing Facility Staff Testing Effort

May 26: NHSN Reporting Update and FAQs

May 26: Revised OSHA COVID-19 Policies

May 26: CARES Attestation Window Extended

May 19: CMS Nursing Home Reopening Recommendations and AHCA Memorandum on COVID-19 Testing in LTCFs

May 18: Updated COVID-19 Specimen Collection and Submission Guidelines

May 18: Updated ISDH Strategies for Memory Care Units

May 18: Equal Employment Opportunity Commission COVID-19 Testing Guidance

May 18: ISDH Asks Nursing Homes for Feedback on Testing of Staff

May 15: New Temporary Rate Increases for COVID-19 Ready Units and COVID-19 Positive Residents in Nursing Facilities

May 13: APIC Indiana Long-Term Care COVID-19 Networking and Open Forum Sessions

May 11: Additional COVID-19 Emergency Declaration Waivers for Nursing Facilities

May 11: Hospital to Post-Acute Care Transfer COVID-19 Assessment Form

May 11: NHSN: Accurately Report Staffing & PPE Shortages

May 10: COVID-19 Testing Strategies

May 10: Required IOSHA COVID-19 Safety Plans

May 8: Fire Safety Considerations for Hand Sanitizers

May 6: COVID-19 Waivers, Guidance, and Emergency Orders for Residential Care Facilities from ISDH

May 6: COVID-19 Emergency Orders and Waivers for Comprehensive Care Facilities from ISDH

May 6: CMS Releases Memo on Interim Final Rule Updating Requirements for Reporting and Notification of Confirmed and Suspected COVID-19 Cases Among Residents and Staff in Nursing Homes

May 3: CMS Issues Additional Blanket Regulatory Waivers

May 3: Effective Date of CMS Interim Final Rule on COVID-19 Reporting for Nursing Homes

May 3: CMS Issues Additional Blanket Regulatory Waivers

May 1: CMS Issues Interim Final Rule with New Requirements for COVID-19 Reporting for Long-Term Care Facilities

April 29: Indiana COVID-19 Testing Sites

April 27: AHCA/NCAL Grant & Loan Management Resource Guide

April 27: COVID-19 Related Loss and Cost Calculator

April 27: Updated – Accelerated and Advance Payments FAQs

April 25: Five Star Updates, Nursing Home Staff Counts, and FAQs

April 25: CMS Updates COVID-19 FAQs on Medicare FFS Billing

April 24: CMS Releases CMP Reinvestment Application for Communication Technologies

April 23: Available “Quickinar” on Best Practices for Transition of Care between Nursing Facilities and Dialysis Centers

April 20: IHCA/INCAL Summary on Fifth Blanket Waiver for Residential Care Facilities and Additional Temporary Nurse Aide Guidance

April 20: Reminder: New RedCap Survey for COVID-19 Reporting – Effective Monday, April 20, 2020

April 20: Stay-at-Home Order Extended until May 1, 2020

April 18: ISDH Issues Additional CNA Flexibilities

April 17: Updated CDC Guidance for Return to Work Criteria and Source Control

this is a test

dasds