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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 Saturday, October 24, 2020 the Indiana Department of Health (IDH) issued two emergency orders addressing the Certified Nurse Aide (CNA) training program. Both orders are authorized for the duration of the public health emergency and some components are likely to be made permanent after the public health emergency ends.
The two orders address how PCAs and TNAs can become CNAs, and also amend the current CNA program for those that go right to CNA coursework without being a PCA or TNA first. Of note, the overall CNA training hours required is being reduced to the federal minimum of 75 hours under both orders.
The CMP Funds section of this article was updated on October 23, 2020, to reflect the clarifications issued by CMS on the use of CMP funds to assist with conducting in-person visitation. As stated below, nursing facilities may submit a revised application for CMP funds for in-person visitation aids.
On September 17, 2020, the Centers for Medicare and Medicaid Services issued QSO 20-39, a memorandum detailing guidance for visitation in nursing facilities during the public health emergency.
IHCA has learned that earlier this week, without proper notice from CMS, that it has been mandated that POC test results be reported via NHSN effective immediately. All prior communication from CDC and CMS indicated that the NHSN module was an option – it is not. This June 4th memo in laboratory testing was updated earlier this week that states POC test results shall be reported via NHSN (see page 2).
Today (Thursday, October 22), the U.S. Department of Health and Human Services (HHS), announced changes to the reporting requirements and expanded the types of providers who could apply for Provider Relief Funds.
As we recently reported, on October 2, 2020, Indiana State Department of Health (ISDH) leadership alerted IHCA/INCAL and leaders of the other long-term care associations of a recent uptick in COVID-19 cases among long-term care residents and staff.
On October 21, 2020, the state’s Long-Term Care Data Dashboard was updated with the most recent resident and staff cases and death numbers. This week, the Long-Term Care Data Dashboard reported 506 new resident positive cases (for the period of 9/26/2020 – 10/19/2020) and 92 new residents deaths (for the period of 8/17/2020 – 10/19/2020). 434 new staff positive cases (for the period of 9/15/2020 – 10/17/2020) were also reported this week.
The Indiana State Department of Health (ISDH) issued a process and corresponding guidance to provide personal protective equipment (PPE) to local health departments and long-term care facilities.
Long-term care facilities in need of PPE should first contact the facility’s local health department. If the local health department does not have supplies to meet the request, or the local health department is unreachable, long-term care facilities should complete a ICS 213 RR form and email the form to email@example.com. ISDH can only fill a request once a facility’s current stock reaches 72 hours or fewer.
Due to IDH’s issuance of updated Infection Control Standard Operating Procedures increased demand for isolation gowns, N95 (or approved KN95) masks, surgical masks, and gloves is likely. IHCA has the following recommendations and resources:
On October 20, 2020, the Indiana Department of Health (IDH) updated its COVID-19 LTC Infection Control Guidance Standard Operating Procedure, which can be found here. The Infection Control Guidance applies to all long-term care facilities, including nursing facilities and residential care facilities (licensed assisted living communities). Based on the updated Infection Control Guidance, IDH’s LTC Toolkit, Eye Protection Guidance, and Visitation Guidelines have been updated accordingly.
On October 20, 2020, the Indiana Department of Health (IDH) updated its Visitation Guidelines for Long-Term Care Facilities, which can be found here. The Visitation Guidelines apply to all long-term care facilities, including nursing facilities and residential care facilities (licensed assisted living communities).
The majority of the updates to the Visitation Guidelines are to the “Continued Infection Prevention” section and incorporate the guidelines from IDH’s updated Infection Control Guidance Standard Operating Procedure. For IHCA/INCAL’s full summary on IDH’s updated Infection Control Guidance, please click here.
The Indiana State Department of Health has developed health workforce related resources that are available to all long term care providers should an urgent or emergency need for additional workers arise.
On Friday, October 16, the White House announced the Pharmacy Partnership for Long-Term Care Program—a national vaccine distribution program for long term care residents.
The Indiana State Department of Health (ISDH) has finalized a process by which interested facilities can compile point of care (POC) test results in a spreadsheet and send them to ISDH in a .CSV file format, known as an electronic lab reporting process. This process is an optional alternative to replace a facility’s need to report POC test results individually through the REDCaps Survey. However, until a facility’s transition to the electronic lab reporting process is complete, the facility should continue reporting POC test results through the REDCaps Survey
On October 1, 2020, President Trump signed into law H.R.8337: Continuing Appropriations Act, 2021 and Other Extensions Act. The Continuing Appropriations Act provides continued Fiscal Year 2021 appropriations to federal agencies through December 11, 2020, essentially extending the current budget through the December 11th date. Of particular interest to nursing facilities, the Continuing Appropriations Act also modified the Accelerated and Advance Payment Programs under Medicare Parts A and B that were implemented as a result of the public health emergency.
Then on October 8, 2020, the federal Centers for Medicare and Medicaid Services (CMS) issued guidance on the changes made to the Accelerated and Advance Payment Programs by the Continuing Appropriations Act. CMS’s guidance can be found here and a corresponding FAQ document can be found here.
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
[UPCOMING WEBINAR] October 22 , 2020: ISDH Webinar for Long Term Care Facilities
October 8, 2020: ISDH Webinar for Long Term Care Facilities
September 24, 2020: ISDH Webinar for Long Term Care Facilities
September 17, 2020: ISDH Webinar for Long Term Care Facilities
September 10: ISDH Webinar for Long Term Care Facilities
August 27, 2020 from 12-1 p.m. EST
August 13, 2020 from 12-1:30 p.m. EST
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
IHCA/INCAL Contact: Zach Cattell| firstname.lastname@example.org
October 19: Indiana Health Care Reserve Workforce
September 30: Extension of Temporary Health Care Licenses
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. Learn more. 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
October 2: POC Antigen Test and PCR Test Decision Tree
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 23: HHS Releases Provider Relief Fund Reporting Guidance
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 16: BinaxNOW COVID-19 Cards – REDCaps Reporting Required
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 2: Antigen Tests for Assisted Living Communities
August 27: Return to Work Decision Tree
August 12: New NHSN Data Elements on Testing
August 10: HHS Opens CHOW Portal
July 23: Initial Long-Term Care Data Released
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