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We are closely monitoring the news and guidance concerning COVID-19 and are working with the Governor’s office, the Indiana State 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.
On August 6, 2020, the Indiana State Department of Health (ISDH) announced that it will require all nursing facility staff to be tested once again starting in mid-August through early September. On August 7, 2020, ISDH released a LTC Newsletter containing additional details on this second state testing effort, which can be found in full here.
As a reminder, the current schedule for nursing facility testing can be found here, although it is subject to change, and important details of this testing effort are as follows:
On July 31, 2020, the U.S. Department of Health and Humans Services (HHS) announced that the application deadline for the Medicaid Tranche of the CARES Act Provider Relief Fund has been extended to Friday, August 28, 2020 at 11:59 PM ET. The previous extended deadline was Monday, August 3, 2020.
Please note, the deadline for the Medicaid Tranche of the CARES Act Provider Relief Fund is distinct from the request for private-pay assisted living providers to submit data through this Portal by Monday, August 3, 2020 at 5 PM ET, which will potentially lead to a separate Tranche at a later date.
On July 31, 2020, the Centers for Medicare and Medicaid Services (CMS) issued a Final Rule for Fiscal Year (FY) 2021 that updates the skilled nursing facility (SNF) prospective payment system (PPS).
We are pleased to report that the final rule includes a net market basket increase of 2.2%.
The Centers of Medicaid & Medicare Services announced that nursing homes will receive point-of-care COVID-19 antigen test kits and the first round of deliveries started in late July. Facilities across the US will receive one diagnostic test machine and enough test kits for a 6-week supply to test residents and employees.
On July 23, 2020, the Indiana State Department of Health (ISDH) updated its COVID-19 Long-Term Care Facility Infection Control Guidance and Standard Operating Procedure,to include the changes to the CDC’s guidance on Transmission-Based Precautions for residents and Return to Work Criteria for health care personnel For IHCA/INCAL’s summary on the recent updates to the CDC’s Transmission-Based Precautions and Return to Work Criteria, please click here.
The additions to ISDH’s Infection Control Guidance can be found in items #14 and #15 in the document.
On June 18, 2020, the Indiana State Department of Health announced that it has extended all blanket waivers issued for long-term care facilities, including comprehensive care facilities and residential care facilities, for an additional ninety (90) day period. Each blanket waiver is therefore effective through at least mid-September.
As IHCA/INCAL previously reported, the federal Centers for Medicare and Medicaid (CMS) made Civil Monetary Penalty (CMP) Reinvestment funds available to provide nursing facilities with adaptive communicative technologies for virtual social and telehealth visits for residents.
On July 22, 2020, the Indiana State Department of Health (ISDH) announced that the Phase 1 applications for this CMP COVID-19 Communicative Technology Project have been approved, providing funds to a total of 231 nursing facilities.
The Indiana State Department of Health (ISDH) has released the historical long-term care data that was due on July 14, 2020, which includes resident and staff COVID-19 cases and deaths back to March 1, 2020. This initial data release can be found in the following spreadsheet and on the state’s Management and Performance Hub website.
As IHCA/INCAL reported on July 17, 2020, long-term care facilities are not required to offer a mixture of indoor and outdoor visitation four (4) hours each day Monday through Friday and over each weekend if the county in which the facility is located or the local health department has otherwise restricted visitation. If the county or local health department has only restricted indoor visitation, outdoor visitation would still be required under the Indiana State Department of Health’s (ISDH) Visitation Guidelines, unless weather prevents outdoor visitation.
On July 17, 2020, the federal Centers for Disease Control and Prevention (CDC) updated its Return to Work Criteria for health care personnel (HCP) with COVID-19, as follows:
On July 16, 2020, the Indiana State Department of Health (ISDH) announced that the Visitation Guidelines issued on June 29th would not be modified, and per the guidelines, starting Friday, July 17, 2020, long-term care facilities must provide:
On July 11, 2020 the ISDH released this updated guidance concerning the historical reporting of COVID-19 cases and deaths, the new REDCap survey used to capture cases and deaths within 24 hours beginning July 14th, clarification on aggregate facility-level reporting and NSHN submissions, and a request for all long term care facilities to complete a survey regarding their Electronic Health Record system vendor.
The IHCA/INCAL has received the registration link for the state’s COVID-19 testing effort of nursing facility staff: https://lhi.care/covidtesting. Important dates and frequently asked questions regarding this testing effort throughout the month of June can be found here. Employees must be registered through this registration link in advance of the date that the nursing facility will receive testing kits or onsite testing is conducted.
The IHCA/INCAL has compiled a Sustainable COVID-19 Planning for Long-Term Care Facilities document that addresses a wide-range of COVID-19 operational and policy topics. This document has been shared with the Indiana State Department of Health and other state officials, as well as our colleagues at LeadingAge Indiana, Hoosier Owners and Providers for the Elderly, and the Indiana Assisted Living Association.
The document discusses the future of resident care, family visitation, and facility operations sustained through a continued battle with COVID-19 in long-term care facilities.
On June 10, 2020, the U.S. Department of Health and Human Services (HHS) announced $15 billion from the Provider Relief Fund will be dedicated to Medicaid and Children’s Health Insurance Program (CHIP) providers who have lost revenue or experienced increased expenses as a result of COVID-19, including Medicaid-only nursing facilities, assisted living communities, intermediate care facilities, and other home and community-based service providers.
June 1: Contact Tracing Calls
May 10: COVID-19 Testing Strategies
April 29: Indiana COVID-19 Testing Sites
April 18: ISDH Issues Additional CNA Flexibilities
April 13: ISDH Issues PPE Request Guidance
April 2: ISDH COVID-19 LTC Facility Infection Control Guidance and SOP (UPDATED VERSION)
March 23, 2020: Commissioner Box Letter Updating Mask Guidance, PPE and Testing
March 22, 2020: ISDH Issues Guidance on Volunatry Leaves of Absence
March 20, 2020: ISDH Requests LTC Workers Use Masks
March 20, 2020: ISDH Changes Certain TB Testing Requirements
March 19, 2020: ISDH Addresses “LTC Strike Teams” in lie of Regulatory Surveys
March 19, 2020: ISDH Strategies for Optimizing N95 Supply
March 18, 2020: ISDH COVID-19 Checklist for Healthcare Professionals
March 17, 2020: ISDH Guidance for Out-Of-Hospital Mitigation Strategies
March 17, 2020: Area Agencies on Aging Guidance from Division of Aging
March 14, 2020: ISDH Issues Revised Guidance for Visitation
ISDH Webinar For Long Term Care Facilities
Join representatives from ISDH for this bi-weekly webinar where their team will share latest information on COVID-19 and provide important updates for long term care providers. These webinars are also a great platform for member providers to offer feedback and ask questions to the ISDH. These webinars are complimentary and are available to all long term care providers of Indiana.
When: Every other Thursday from 12- 1 p.m. EST
Please Note: Moving forward, these webinars will be held on a bi-weekly basis.
August 6, 2020 from 12-1 p.m. EST
July 23, 2020 from 12-1 p.m. EST
July 9, 2020 from 12-1 p.m. EST
July 2, 2020 from 12-1 p.m. EST
June 25: ISDH Webinar For Long Term Care Facilities
June 18: ISDH Webinar For Long Term Care Facilities
June 11: ISDH Webinar For Long Term Care Facilities
June 4: ISDH Webinar For Long Term Care Facilities
May 28: ISDH Webinar For Long Term Care Facilities
May 21: ISDH Webinar For Long Term Care Facilities
May 14: ISDH Webinar For Long Term Care Facilities
May 7: ISDH Webinar For Long Term Care Facilities
April 30: ISDH Webinar For Long Term Care Facilities
April 23: ISDH Webinar For Long Term Care Facilities
April 16: ISDH Webinar For Long Term Care Facilities
April 9: ISDH Webinar For Long Term Care Facilities
EMResource is a web-based resource management and communication tool used to monitor and notify changes in resources statuses. ISDH is asking you to update your PPE supplies daily in this tool so that resources can be distributed efficiently.
ISDH will be adding all the statewide skilled nursing facilities to their EMResource database. Once added, each facility will provide a daily upload of their current PPE stores. The ISDH is asking long term care facilities to register to use EMResource.
Focused COVID-19 Infection Control Survey Tool: Federal and state surveyors will conduct targeted infection control surveys of providers identified together with CDC and the HHS Assistant Secretary for Preparedness and Response (ASPR). They will use this survey tool to review infection prevention and control practices.
Long-Term Care Nursing Homes Telehealth and Telemedicine Tool Kit: CMS has broadened access to Medicare telehealth services so that beneficiaries can receive a wider range of services from their doctors without having to travel to a healthcare facility. This document contains electronic links to reliable sources of information regarding telehealth and telemedicine, including the significant changes made by CMS in response to the National Health Emergency. Most of the information is directed towards providers who may want to establish a permanent telemedicine program, but there is information here that will help in the temporary deployment of a telemedicine program as well.
The ISDH has approved two temporary aide programs for both skilled nursing and residential care facilities to use during the public health emergency:
Both programs are active and both can be used. Details about each individual course and related training providers are noted in the sidebar at left.
On April 18, 2020, the Indiana State Department of Health (ISDH) issued a Sixth Emergency Order for Comprehensive Care Facilities that adds the AHCA Temporary Nurse Aide program as an option for training individuals to assist with patient care during the public health emergency. This is additive to the currently approved Personal Care Attendant program.
The AHCA program is an 8-hour fully online program and resources for this program are:
This approval is additive to the Personal Care Attendant program previously approved, but contains some key differences. Both programs are active and both can be used.
The COVID-19 Personal Care Attendant (PCA) Course permits comprehensive care facilities (nursing homes) to employ a trained Personal Care Attendant to perform defined resident care procedures that do not require the skill or training required for a Certified Nurse Aide (CNA).
As part of the newly launched Indiana’s Caring Heroes Program, IHCA/INCAL has updated its Indiana.carefortheaging.org platform to assist members with the recruitment of the Temporary Personal Care Attendant (PCA) and Temporary Nurse Aide (TNA) roles.
The Indiana State Department of Health has shared information regarding a FEMA program that will distribute masks, gloves, eye protection and gowns to Medicare/Medicaid certified nursing facilities across the country. The shipments are from first week of May to mid-June and done in order of COVID hot spots.
IHCA/INCAL Contact: Deeksha Kapoor | email@example.com
Early preparations, speed and accuracy of information is essential to managing an urgent situation. Refer to these resources and put together a communications plan for all stakeholders including employees, clinical staff, residents, families etc.
This has been a challenging time for everyone: staff, residents and their loved ones. We know many of you are going to extraordinary lengths to keep your residents safe from this virus, as well as help keep them engaged while they’re unable to visit with family members, volunteers, and even each other due to social distancing. With many individuals now staying home, we thought this would be a good opportunity for members of the public to send some messages of support to our residents.
AHCA/NCAL has released www.carenotcovid.com to make it easy for anyone to send a video message to our seniors and individuals with disabilities. They are collecting stories from around the internet, so everyone can feel uplifted and inspired to chip in where they can. Whether it’s encouraging donations of hand sanitizer to your local facility, or asking children (who are at home while schools are closed) to create a homemade card, we hope you’ll show your residents www.carenotcovid.com every day to let them know that we’re all thinking about them.
IHCA/INCAL Contact: Elizabeth Eichhorn | firstname.lastname@example.org.
The Office of Medicaid Policy and Planning (OMPP) has asked IHCA to remind nursing facilities that when requesting non-emergency medical transport (NEMT) for members, to indicate if your resident is confirmed COVID positive, has had direct exposure, or is symptomatic. This notification allows transportation providers to send the appropriate vehicle and for its drivers to have the appropriate PPE to keep everyone safe. OMPP reports some recent cases where transportation providers were not informed of a COVID positive resident. The drives arrived without the proper protection and were exposed to the virus. In these situations, the drivers must self-isolate for 14 days and cannot transport. If drivers continue to be put at risk, the network capacity will diminish, and it will be difficult to find transportation for residents. You can find instructions from SET on COVID positive transport here
In order to incentivize Emergency Medical Services (EMS) providers to transport COVID positive individuals, OMPP published this Bulletin, which states that EMS providers will be reimbursed at a minimum basic life support (BLS) rate when transporting members that are COVID-19 positive or symptomatic. The effective date of this rate change is March 1, 2020 and continues until the end of the national emergency.
April 2, 2020: MDS Isolation Coding Guidance Remains Unchanged
Members have been asking if CMS has made any changes to the MDS coding guidance associated with item O0100M – Isolation for active infectious disease (does not include standard precautions) located in Chapter 3 of the MDS 3.0 RAI Manual v 1.17.1 October 2019 . Below is an excerpt from the current coding requirements describing the four specific conditions that must be met to check the O0100M item box for the presence of isolation for active infectious disease.
Code for “single room isolation” only when all of the following conditions are met:
In a recent email received from CMS the Agency indicates that providers should continue to code residents for the O0100M isolation item per current MDS-RAI manual instructions
We recognize that many providers have applied recent CMS and CDC guidance and 1135 waivers during the COVID-19 emergency and have sometimes cohorted beneficiaries in the same isolation room when the residents have tested positive for COVID-19 or are presumed to be positive. We also recognize that with respect to payment models including PDPM, State case-mix, and Medicare Advantage, the current inability to code for isolation in situations where residents were required to be cohorted into the same room may result in a lower payment rate. CMS is aware of this concern. AHCA will share updates as they become available.
April 2, 2020: CMS Updates PDPM ICD-10 Mappings for New COVID-19 Diagnosis Code
CMS has responded to member concerns that the ICD-10-CM diagnosis codes identified by the CDC as appropriate to code for COVID-19 were not compatible with the Medicare Part A SNF PPS PDPM payment model. Specifically, none of the CDC identified codes could be used to represent the Primary Reason for SNF Stay on the MDS assessment Item I0020B.
On March 31, CMS posted an updated FY 2020 PDPM ICD-10 Mappings file (.zip) which adds the ICD-10-CMS code ‘U07.1 – 2019-nCoV acute respiratory disease’ as an appropriate code to enter in the MDS I0020B Primary reason for SNF stay item field. If entered, this code will map to the PDPM ‘Pulmonary’ default clinical category used for the PT, OT, and SLP components. This new code does not impact the PDPM Nursing or NTA component classifications at present.
This new code U07.1 is ONLY in effect for assessments with target date April 1, 2020 and later. For assessments with an assessment reference date March 31, 2019 or earlier, providers will need to enter the most appropriate ICD-10 code available that is not listed as a ‘return to provider’ code in the MDS I0020B item field.
Additional files related to coding specifications necessary for software companies to implement this change are located on the MDS 3.0 Technical Information webpage. Providers do not need to review these files but should check with their MDS software vendors to confirm when these updated have been applied or you will see a ‘return to provider’ error in your MDS software
April 2, 2020: CMS Suspends Most Medicare Dee-For-Service Medical Review
CMS released a COVID-19 Provider Burden Relief FAQ document that states that the Agency has suspended most Medicare Part A and Part B Fee-For-Service (FFS) medical review during the emergency period due to the COVID-19 pandemic. This includes pre-payment medical reviews conducted by Medicare Administrative Contractors (MACs) under the Targeted Probe and Educate program, and post-payment reviews conducted by the MACs, Supplemental Medical Review Contractor (SMRC) reviews and Recovery Audit Contractor (RAC). No additional documentation requests will be issued for the duration of the PHE for the COVID-19 pandemic. Targeted Probe and Educate reviews that are in process will be suspended and claims will be released and paid. Current postpayment MAC, SMRC, and RAC reviews will be suspended and released from review.
This suspension of medical review activities is for the duration of the PHE. However, CMS may conduct medical reviews during or after the PHE if there is an indication of potential fraud. Other topics in the FAQ are related to proof of delivery beneficiary signature waivers for drugs and DME, and for pausing non-emergent ambulance and home health review choice demonstrations Providers should contact their Medicare review contractor if there are questions.
As some of the LTC providers may have experienced, there have been Medicaid processing issues recently due to closure of local DFR offices as well as with faxing issues and obtaining required documentation. We have heard that Medicaid members are getting termination notices as well during the emergency, which we assume are pre-programmed. The IHCA/INCAL worked with the NAELA (elder law attorneys) chapter to develop certain requests of OMPP during and due to the emergency. The requests and OMPP’s responses are available here.
The Division of Aging has developed guidance to address the PASRR Level 1 and Level 11 assessment section of the 1135 waiver.
CMS recently issued an electronic toolkit regarding telehealth and telemedicine for Long Term Care Nursing Home Facilities. CMS has broadened access to Medicare telehealth services so that beneficiaries can receive a wider range of services from their doctors without having to travel to a healthcare facility.
This document contains electronic links to reliable sources of information regarding telehealth and telemedicine, including the significant changes made by CMS in response to the National Health Emergency. Most of the information is directed towards providers who may want to establish a permanent telemedicine program, but there is information here that will help in the temporary deployment of a telemedicine program as well.
There are specific documents identified that will be useful in choosing telemedicine vendors, equipment, and software, initiating a telemedicine program, monitoring patients remotely, and developing documentation tools. There is also information that will be useful for providers who intend to care for patients through electronic virtual services that may be temporarily used during the COVID-19 pandemic.
Southeastrans Pandemic Response Plan
March 17, 2020: CMS Issues 3-Day Stay Detailed Billing Guidance
March 17, 2020: Area Agencies on Aging Guidance from Division of Aging
IHCA/INCAL Contact: Katie Niehoff | email@example.com.
Trainings for nursing home and long-term care facility staff to protect residents from COVID-19
CDC has launched a new mini webinar training series for frontline long-term care and nursing home staff. This series of 5 short webinars reviews basic infection prevention steps including proper use of personal protective equipment (PPE) and facemasks, how and when to perform hand hygiene, how and when to clean surfaces, and the need to check residents and staff daily for symptoms of COVID-19. Learn more about your role in protecting residents and keeping COVID-19 out of your facility.
Becky Dorner & Associates is offering COVID-19 resources and webinars for Food and Nutrition Professionals. Click HERE for details. Use code CV19 to receive a 20% discount (expires 5/31/20)
Despite rapid changes in our daily operations during the Coronavirus (COVID-19) Public Health Emergency (PHE), the RAI User’s Manual remains the driver for accuracy of MDS assessments. This session will focus on MDS items likely impacted by the suspected or confirmed presence of COVID-19 infection. Attendees will gain insight for best practices for accurate coding to support the conditions and services delivered to residents, and apply best practices for supportive documentation based on RAI guidelines. Also included in this session are real case studies of coding opportunities with reimbursement implications and examples of effective supporting documentation for MDS coding.
COVID-19 makes it more important than ever that we talk with residents and families about goals and treatment preferences. Advance Care Planning During a Crisis is a FREE 12-minute webinar that addresses issues specific to COVID-19. This video was developed by experts at Indiana University to support nursing facility staff in advance care planning. Additional resources include a resident and family handout, a discussion guide, and links to other helpful websites. There are also slides and recommendations about Symptom Management in the Nursing Home During COVID-19 to help support residents with possible or confirmed COVID-19 who are treated in the facility. For more information, please click on this link:
The Division of Aging recognizes the need to balance health protection and social connectivity for those within nursing facilities, especially given the recent visitation restrictions due to the COVID-19 pandemic. To help encourage nursing facilities and families to stay connected, here are some general ideas for continued social connectivity.
The Indiana Family and Social Services Administration, in partnership with the American Red Cross Indiana, has made available a series of trainings in Psychological First Aid for Hoosier health care and social services professionals. Psychological First Aid is an approach to helping people who have been exposed to a disaster or traumatic event, in this case the COVID-19 pandemic. Many of you have registered for this training, and many more have been placed on a wait list due to the incredible demand for this resource.
While new instructors are in the process of being certified in order to increase capacity to offer additional trainings, interested individuals can opt to take a web-based, on-demand version of this training through the American Red Cross by going here. Once you register you can search for “Psychological First Aid” and click on the blue square for the online learning. If you experience difficulty accessing the course, please email firstname.lastname@example.org for assistance.
The Novel Coronavirus 2019 (COVID-19) has challenged all long-term care facilities to make modifications to their day-to-day care and services to achieve compliance with all of the Infection Control restrictions being mandated by Federal, State, and local governments. This pandemic will have a significant impact on the psychosocial well-being of residents and staff due to the limitations on movement within the facility environment, a moratorium on visitation, and a shrinking caregiving staff as the virus continues to spread exponentially. Learn more about the newly launched
three-part webinar series
Due to the CDC restriction on all group activities, Enrichment On Demand is offering as a community service 8 hours of continuous digital engagement available daily on YouTube.
Enrichment on Demand is offering senior communities interested in experiencing CONNECTIONS, a two week free trial subscription. If interested, please contact Paula Stokes McDowell at email@example.com or (480) 223-8114
What Does This Make Possible? Surviving and Thriving in Tough Times by Dennis McIntee, CEO, Leadership Development Group.
Access a free cluster programming planning tool designed to give you a foundation as a start point for planning for long term safety and well being of residents in assisted living, memory care, long term and dementia care neighborhoods in skilled nursing during this time.
IHCA/INCAL Contact: Zach Cattell| firstname.lastname@example.org
Last updated July 24, 2020
Marriott International has established a “Community Caregivers Rate” has been established to expedite the booking process for healthcare and relief professionals and support staff. This rate will be available from March 26, 2020 through June 30, 2020 at participating hotels. Learn more.
Please read the summarized detail circulated by AHCA/NCAL related to the following:
April 20, 2020: AHCA Updates 4
In response to AHCA/NCAL’s advocacy to include nursing home, assisted living, and ID/DD staff in their definition of “health care provider,” the Department of Labor has published guidance to address exemptions and employer requirements to the expanded Family Medical Leave Act and sick leave benefits included in the recently passed Families First Coronavirus Response Act.
Of note, the Department’s exemptions FAQ (see #56) states that the “health care provider” exemption to these new leave requirements applies to “anyone employed at any… nursing facility, retirement facility, nursing home, home health care provider… This includes any permanent or temporary institution, facility, location, or site where medical services are provided that are similar to such institutions.” The exemption also applies to employees of contractors with the above institutions who “provide services or to maintain the operation of the facility.” Employers with over 500 employees are also exempted. Please review this FAQ closely.
To minimize the spread of the virus associated with COVID-19, the Department encourages employers to be judicious when using this definition to exempt health care providers from the provisions of the FFCRA.
IHCA/INCAL has developed this Essential Healthcare Personnel form for you to place your facility logo on and provide to each of your staff members so that they can have this with them while they travel for work during the Stay at Home Order issued by Governor Holcomb.
During the COVID-19 pandemic, the Centers for Medicare and Medicaid Services (CMS) and the Centers for Disease Control and Prevention
(CDC) are directing facilities to screen healthcare personnel (HCP) prior to allowing them to work or provide services in the facility. AANAC, AAPACN, and AADNS have created a screening questionnaire for health care professionals, as well as screening questions for HCP’ returning to work. Access the questionnaire here.
IHCA/INCAL engaged the Indiana Family and Social Services Administration Office of Early Childhood and Out of School Learning (OECOSL) regarding available child care options and supports for our workforce and their children. There are two main options:
For assistance with either of these options contact Nicole Norvell, Director, Office of Early Childhood and Out of School Learning, 317.234.3313 or Nicole.Norvell@fssa.IN.gov.
The Indiana State Department of Health (ISDH) now has an online request form for health care facilities, including long-term care facilities, with workforce needs to request assistance from those health care professionals who have volunteered or who are otherwise available to assist during this public health emergency, including health care professionals previously assigned to elective surgeries and those who have received a temporary license to practice, such as retired health care professionals and recent graduates of accredited medical, nursing, physician assistant, and respiratory care programs.
The Health Care Workforce Needs Request Form can be found here.
ISDH, in partnership with the Bowen Center, will then distribute information about employment opportunities within your facility to individuals who indicated willingness to serve and meet the specified criteria/need as outlined in your request.
The Indiana State Department of Health issues two orders that had been requested by the IHCA. Seperate orders apply to nursing facilities (March 20) and residential care facilities (March 20). The orders do the following:
Indiana DOL has add several updates to its website related to youth employment:
LTC providers can learn how to recruit and hire hospitality and food service workers who may be looking for temporary work. Leaders from SnapShyft will walk through the SnapShyft process, with a brief demo of the desktop software and mobile app, and provide and opportunity for Q&A. Visit the SnapShyft website, or access their intro flyer.
SnapShyft Contact: Thor Wood, Founder/CEO, Thor@snapshyft.com
RestUp is an app and website that healthcare facilities use to find RNs, LPNs, QMA’s, CNAs, HHAs and now PCA’s for open shifts that need to be filled immediately or within the next few days/weeks. Simply put, RestUp is like the Uber/Lyft of staffing for facilities. We have a licensed HFA as our COO who completes all the credentialing of our caregivers to ensure compliance with your regulations. There is no minimum use requirement. You just use it when you need it and only pay for what you use. http://www.restup.today
Click here to view details related to the Personal Care Attendant (PCA) and Temporary Nurse Aide (TNA) programs.
June 1: Contact Tracing Calls
May 26: NHSN Reporting Update and FAQs
May 26: Revised OSHA COVID-19 Policies
May 10: COVID-19 Testing Strategies
April 29: Indiana COVID-19 Testing Sites
April 18: ISDH Issues Additional CNA Flexibilities