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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 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.

 

September 18: CMS Issues Visitation Guidance for Nursing Facilities

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.  The QSO also addresses communal activities and dining, entry of health care workers to facilities other than staff, entry of government agency investigators, and a new CMP grant related to visitation equipment (tents and plexiglass).

continue reading here

 

September 18: New Details on Incentive Payments for Nursing Facilities

On September 17, 2020, the U.S. Department of Health and Human Services (HHS) announced additional details regarding the $2 billion incentive payment structure for nursing facilities from HHS’s Provider Relief Fund (see section “How is the $2 billion incentive payment to skilled nursing facilities and nursing homes being determined?”).

continue reading here

 

 

September 17: CMS Updates County COVID-19 Positivity Data from Sept. 3-9, 2020

On September 17, 2020, the Centers for Medicare and Medicaid Services (CMS) published a new COVID-19 positivity rate data file that is used to determine testing frequency for nursing facility staff (click here for the website to download the file).  This data is for the period September 3-9There are three counties in Indiana that are above 10% positivity in this week’s file.  Facilities in the following counties must begin twice-weekly COVID-19 testing:

  • Delaware
  • Martin
  • Monroe

Please note: CMS will be releasing the county positivity data on a weekly basis which will not always be on the same day. 

continue reading here

 

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

On September 16, 2020, the Indiana State Department of Health (ISDH) renewed all of the Emergency Orders granting Temporary Blanket Waivers (Waivers) for comprehensive care facilities and residential care facilities, effective immediately.  The Waivers will expire no earlier than the withdrawal or expiration of the Governor’s declaration of the public health emergency.  Indiana’s public health emergency declaration currently runs through October 2, 2020.

continue reading here

 

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

By September 18, 2020, the nursing facilities and assisted living communities listed on this spreadsheet are expected to receive Abbott BinaxNOW COVID-19 Ag Cards, a Point of Care (POC) SARS-CoV-2 diagnostic test.  More about the BinaxNOW COVID-19 cards can be found here.

Long-term care providers located in yellow and red counties were prioritized for this shipment.

continue reading here

 

 

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

The Department of Health and Human Services has extended the deadline for assisted living providers to submit their taxpayer ID numbers for validation as part of the application process for the Phase 2 Provider Relief Fund Distribution to September 21.

continue reading here

 

September 14: Long-Term Care Visitation Restrictions by County

Access chart listing visitation restrictions by county

 

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

On September 11, 2020, the U.S. Department of Labor (DOL) issued an update to the temporary rule the DOL issued in April regarding the paid sick leave and emergency family and medical leave expansion act (EFMLEA) requirements under the Families First Coronavirus Response Act.

Under the DOL’s original rule, all employees of a health care provider were not required to be provided paid sick leave.

Continue Reading Here 

 

 

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

On September 8, 2020, the Indiana State Department of Health (ISDH) issued guidance on the reporting of Point of Care (POC) COVID-19 test results, which can be found in full here.  POC testing for COVID-19 includes results obtained via molecular and antigen testing machines.  Although the guidance has been issued by ISDH, the requirement to report POC test results is the result of CMS’s Interim Final Rule and QSO 20-37, which require CLIA-certified laboratories that utilize POC tests to report all negative and positive COVID-19 results.

Continue Reading Here 

 

 

September 8: Nursing Facility COVID-19 Rate Enhancements

Last week, OMPP informed IHCA that the 4.2% temporary rate increase for nursing facilities will be extended to September 30, 2020.  The COVID-Ready 2% add-on and the $115/per day COVID-Unit payment ended 8.31.2020 and will not continue.

Continue Reading Here 

 

September 8: New MDS Assessment Requirements

An official Banner announcement concerning the new requirement (previously communicated to the IHCA Payment Committee) to complete and submit PDPM-related items on the MDS was published last week.

 

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

Two weeks ago,  the interim UPL payment calculations were released by Myers & Stauffer (M&S).  The Medicaid calculations included all three COVID-related add-ons, when applicable (4.2% was added for all and the 2% was added for COVID-Ready facilities).  The interim calculations also included an estimate of days paid for the COVID-Unit add-on.

Continue Reading Here 

 

 

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

In a surprise announcement during a recent phone call,  OMPP has decided to pay a full 21-days at $115/day for any resident that resided in a COVID-19 Ready facility and was in a COVID-unit.  Previous guidance and billing instruction indicated that they would pay up to 21-days and only the specific number of days the resident was in the COVID-unit.

Continue Reading Here 

 

 

September 4: COVID-19 Lab Contacts from ISDH

On September 4, 2020, the Indiana State Department of Health (ISDH) released a list of labs that have excess capacity and are interested in partnering with Indiana’s long-term care (LTC) facilities for resident/employee testing. The ISDH is encouraging LTCs to establish a relationship with a primary and secondary laboratory for COVID-19 testing and is recommending LTCs to have a backup lab in case their primary lab experiences delayed turnaround times.

Continue Reading Here 

 

 

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

Starting next week, the Indiana State Department of Health (ISDH) will begin collecting all positive and negative COVID-19 lab results from the CMS-delivered point-of-care antigen testing machines. This reporting through a second, additional Redcap form will satisfy CLIA reporting requirements, and will ensure that the ISDH captures laboratory information in a timely manner.

Continue Reading Here 

 

 

September 3: CMS Updates County COVID-19 Positivity Data

On September 3, 2020, the Centers for Medicare and Medicaid Services (CMS) published a new COVID-19 positivity rate data file that is used to determine testing frequency for nursing facility staff (click here for the website to download the file).  This newly published file should be used to begin compliance with the CMS testing mandate as the data from today was published on 9/2/2020, the same date the CMS testing mandate became legally effective.  Last week’s data should not be used as it was published before the effective date of the rule.  This analysis has been confirmed with ISDH.

There are seven counties in Indiana that are above 10% positivity in this week’s file.

Continue Reading Here 

 

September 2: Eye Protection Guidance for Long-Term Care Facilities

On September 2, 2020, the Indiana State Department of Health (ISDH) released guidance on the use of eye protection in long-term care facilities, which can be found in full here.  ISDH is recommending the use of eye protection as a standard safety measure to protect long-term care health care personnel (HCP) who provide essential direct care within six (6) feet of a resident, particularly when conducting procedures that may lead to sprays and splashes.

Continue Reading Here

 

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

On of September 1, 2020, the U.S. Department of Health and Human Services (HHS) announced that private pay assisted living/memory care providers are eligible to apply for CARES Act Provider Relief Funds from the Phase 2 General Distribution round of funding.  Further details are as follows:

  • Application:  Private pay assisted living providers are encouraged to start the application process now and should apply through HHS’s Provider Relief Fund Portal.

Continue Reading Here 

 

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

On August 25, 2020, the Centers for Medicare and Medicaid Services (CMS) announced a national nursing home training program for frontline nursing home staff and nursing home management.  The “Targeted COVID-19 Training for Frontline Nursing Home Staff & Management” is available immediately, with five (5) specific modules designed for frontline clinical staff and ten (10) designed for nursing home management.  The training is available on CMS’s Quality, Safety & Education Portal.

Continue Reading Here 

 

 

ACCESS ARCHIVE UPDATES

Testing Guidance & Updates


Latest Updates

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.

 

Archives

access here

ISDH Guidance & Resources


General Guidance

 

Visitation Guidance

 

Data Dashboard

 

Cohorting Guidance

 

 

Reporting

 

Other Updates

September 2: Lab & Electronic Health Record Vendor Survey

 

 

 

Bi-weekly Webinars


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.

[Upcoming Webinar] ISDH Webinar for Long Term Care

LEARN MORE

 

September 17, 2020

ACCESS WEBINAR HANDOUT

ACCESS WEBINAR RECORDING

 

 

September 10: ISDH Webinar for Long Term Care Facilities

ACCESS WEBINAR RECORDING

ACCESS PRESENTATION HANDOUT

ACCESS ESSENTIAL CAREGIVER HANDOUT

ACCESS ANTIGEN TESTING DIAGRAM HANDOUT

 

August 27, 2020 from 12-1 p.m. EST

ACCESS WEBINAR RECORDING

ACCESS WEBINAR HANDOUT 1

ACCESS WEBINAR HANDOUT 2

 

August 13, 2020 from 12-1:30 p.m. EST

ACCESS WEBINAR RECORDING ACCESS WEBINAR HANDOUT

 

August 6, 2020 from 12-1 p.m. EST

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July 23, 2020 from 12-1 p.m. EST

ACCESS WEBINAR RECORDING

ACCESS WEBINAR HANDOUT 1ACCESS WEBINAR HANDOUT 2

 

July 9, 2020 from 12-1 p.m. EST

ACCESS WEBINAR RECORDING ACCESS WEBINAR HANDOUT

 

July 2, 2020 from 12-1 p.m. EST

ACCESS WEBINAR RECORDING ACCESS WEBINAR HANDOUT

 

June 25: ISDH Webinar For Long Term Care Facilities

ACCESS WEBINAR RECORDING ACCESS WEBINAR HANDOUT

 

June 18: ISDH Webinar For Long Term Care Facilities

ACCESS WEBINAR RECORDING ACCESS WEBINAR HANDOUT

 

June 11: ISDH Webinar For Long Term Care Facilities

ACCESS WEBINAR RECORDING ACCESS WEBINAR HANDOUT

 

June 4: ISDH Webinar For Long Term Care Facilities

ACCESS WEBINAR RECORDING ACCESS WEBINAR HANDOUT

 

May 28: ISDH Webinar For Long Term Care Facilities

ACCESS WEBINAR RECORDING ACCESS WEBINAR HANDOUT

 

May 21: ISDH Webinar For Long Term Care Facilities

ACCESS WEBINAR RECORDING ACCESS WEBINAR HANDOUT

 

May 14: ISDH Webinar For Long Term Care Facilities

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May 7: ISDH Webinar For Long Term Care Facilities

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April 30: ISDH Webinar For Long Term Care Facilities

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April 23: ISDH Webinar For Long Term Care Facilities

ACCESS WEBINAR RECORDING ACCESS WEBINAR HANDOUT

 

April 16:  ISDH Webinar For Long Term Care Facilities

ACCESS WEBINAR RECORDING  ACCESS WEBINAR HANDOUT

 

April 9: ISDH Webinar For Long Term Care Facilities

ACCESS WEBINAR RECORDING   ACCESS WEBINAR HANDOUT

 

Federal & State Waivers


Waivers

CMS Guidance & Resources


LTC Operations

 

Infection Control

 

Payment

 

CMP Communication Technology

 

Resources

 

CDC Guidance & Resources


Return to Work Guidance

 

Infection Control & PPE Conservation Guidance

 

Confirmed Case Management Guidance

 

Reporting Guidance

 

Testing Guidance

 

Resources

Temporary Aide Programs


The ISDH has approved two temporary aide programs for both skilled nursing and residential care facilities to use during the public health emergency:

  • AHCA/NCAL Temporary Nurse Aide
  • Temporary Personal Care Attendant

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.

ACCESS COMPARISON CHART: PCA PROGRAM VS AHCA’S NURSE AIDE PROGRAM

AHCA Temporary Nurse Aide Program


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:

  • AHCA Temporary Nurse Aide Program website
  • AHCA Temporary Nurse Aide competency checklist
    • Note – while ISDH has waived certain part of state regulation for CNA training, state and federal regulations still requires facilities to ensure nurse aides can demonstrate competency (42 CFR 483.35(c).  This checklist must be used and in the TNA’s employee file.  This checklist does not have to be performed by an ISDH-certified Nurse Aide Program Instructor and can be performed by any qualified person (such as an RN or LPN)

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.

ACCESS COMPARISON CHART: PCA PROGRAM VS AHCA’S NURSE AIDE PROGRAM

 

Temporary Personal Care Attendant


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).

  • The Indiana State Department of Health’s March 21, 2020 “Emergency Order Authorizing Temporary Personal Care Attendant Positions and Training for Nursing Homes” (“First PCA Order”) is AMENDED as follows:
    • Effective March 16, 2020 through May 1, 2020, minors age 16 and 17 are also eligible for training and work as Personal Care Attendants (“PCAs”). 
  • Please note that ANY NATCEP training waiver prohibition of training is being waived for this course, so if your facility is currently not able to provide formal CNA training, that facility CAN train this temporary PCA role, but as this is currently written, the trainer must be a nurse who has completed an ISDH-approved training program as outlined in the NATCEP administrative standards.
  • Access the related COVID-19 Personal Care Attendant Simulation/Competency Check-Off 
  • Access the PCA PROCEDURE CARD developed by ISDH to assist the PCA and other staff in identifying the procedures the PCA is trained to perform.
  • The ISDH Division of Long Term Care and the Nurse Aide Registry is requesting that following the successful completion of PCA training, the spreadsheet linked below to be used to submit the new PCAs name to the registry.  The spreadsheet should then be emailed to: aides@isdh.in.gov  To access the spreadsheet, please click here and look for Personal Care Attendant section.
  • The temporary PCA role is available to both nursing facilities and residential care facilities (March 23).

External PCA Training Options

  • Associate member Senior1Care, under their Legacy CNA training arm, is also providing two in-person PCA training programs at their Mishawaka and Noblesville locations. Details here.

 

Indiana's Caring Heroes PCA Recruitment Program


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.

ACCESS MEMBER TOOLKIT

DOWNLOAD PROMOTIONAL VIDEO

 

Communication Resources


IHCA/INCAL Contact: Deeksha Kapoor | dkapoor@ihca.org

Communication Templates and Guidance

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.

CARENOTCOVID.COM

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.

Education & Programming


Tools, Webinars, Trainings and Resources

Enrichment On Demand

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 paula@enrichmentondemand.com or (480) 223-8114

Informative Read

 

 

Workforce Resources


IHCA/INCAL Contact: Zach Cattell| zcatell@ihca.org

 

General Information and Resources

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

August 20: Influenza Vaccinations as a Condition of Employment

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

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

July 1: Extension of Temporary Health Care Licenses

 

Marriott Community Caregiver Rate

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.

April 20, 2020: AHCA Updates

Please read the summarized detail circulated by AHCA/NCAL related to the following:

  • Occupational Safety and Health Administration Notices on Respirators, PPE, and Reporting
  • PBJ Waiver Reminder and Update

 

Department of Labor Guidance on New Leave Benefits Excludes Health Facility Employees – UPDATED 3.29.2020

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.

Additionally, the Department of Labor has posted an Employer Fact Sheet and an Employer Notice Requirements FAQ.

 

Governor’s “Stay At Home” Order

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.

 

Staffing Emergencies

  • IHCA/INCAL hosted an all-member call on 3/26 on Operationalizing CMS’s Infection Control Protocol. That webinar is recorded and available here, and slides are posted here. During the webinar, IHCA/INCAL shared guidance on preparing for a staffing emergency in your facility (see page 10, slide 29 of the “IC Protocol Webinar PPT” document, shared roughly 75 minutes into the webinar recording).
  • AHCA/NCAL (4.27.20) has created a resource document Addressing Workforce Shortages Due to COVID-19.

 

Personal Screening and Return to Work Screening

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.

 

Child Care Resources

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:

  1. The OECOSL can work with employers to establish “pop-up” child care for any facility, in partnership with Early Learning Indiana and resources in your local area.  This opportunity may permit employers to pay for all of the child care facility directly for use by employees and children or partner to establish new child care options for employees to access with their own resources.  Daycare options can be set up rapidly – within days to a week.
  2. Another option offered by the OECOSL is by engaging their team to scout out open slots at existing daycare centers in areas of need to then generate a list of availability that employer can provide to employees.

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.

 

 

Hiring and On Boarding

Indiana Health Care Workforce Needs Request Form

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.

 

TB Testing Requirements

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:

  • Changes the TB testing requirements for new hires to be completed within 90 days of employment;
  • Suspends the required diagnostic chest X-ray for residents; and
  • Changes the TB testing requirement for new admissions to be completed within 90 days of admission.

 

Physicals

  • Waives the requirement that a pre-employment physical examination of employees be completed 1-mohth prior to employment (410 IAC 16.2-3.1-14(t).
  • The current order applies only to nursing facilities (March 23).

 

Background Checks

  • Limited Criminal History checks are still available and providing an instantaneous response via the ISP website. If you are experiencing delays on LCH background checks via your 3rd party vendors, the fastest way to meet your statutory LCH background check requirement is to have your facility or HR staff directly enter applicant info to the site. We are aware that fingerprinting for follow ups on inconclusive results is currently unavailable. Please refer to the details below from March 28 guidance issued by ISDH.
    • On-Boarding Employees Fingerprinting – Clarifying Guidance for Comprehensive Care Facilities  – Health care facility includes residential care facility (even though the ISDH newsletter announcement only referenced comprehensive care facilities.)
      • ?C § 16-28-13-4(a) (“Criminal History of Nurse Aides and Other Unlicensed Employees”) provides:
        (a)   Except as provided in subsection (b), a person who:
        (1)   operates or administers a health care facility; or
        (2)   operates an entity in the business of contracting to provide nurse aides or other unlicensed employees for a health care facility; shall apply within three (3) business days from the date a person is employed as nurse aide or other unlicensed employee for a copy of the person’s state nurse aide registry report from the state department and a limited criminal history from the Indiana central repository for criminal history information under IC 10-13-3 or another source allowed by law.This statute requires that the facility owner or staffing agency “apply” for the limited criminal history, but not that the requested report actually be obtained. All ISDH requires as proof of compliance is documentation that a facility has applied for either the limited criminal history or the more extensive fingerprint-based history available through the Indiana State Police.This guidance does not affect or relax the requirements of IC 16-28-13-3 (“Crimes barring employment at certain health care facilities”) or 42 CFR §483.12(a) (“Freedom from abuse, neglect, and exploitation”).
      • This statute requires that the facility owner or staffing agency “apply” for the limited criminal history, but not that the requested report actually be obtained. All ISDH requires as proof of compliance is documentation that a facility has applied for either the limited criminal history or the more extensive fingerprint-based history available through the Indiana State Police.This guidance does not affect or relax the requirements of IC 16-28-13-3 (“Crimes barring employment at certain health care facilities”) or 42 CFR §483.12(a) (“Freedom from abuse, neglect, and exploitation”).
  • Fingerprinting: IHCA/INCAL been working closely with the Indiana Department of Administration, who administers the third-party fingerprint vendor contract for the state, and they have listed to our recommendation to allow our mission critical LTC sector to continue signing up for fingerprints.
    • LTC facilities may now schedule the fingerprinting online using the unique “COVID-19 Criminal Record Review” option from the dropdown menu. Please note that many of the former fingerprinting sites are still unavailable, which may mean that you have to send your prospective employees further away to get fingerprinted. The ISDH guidance regarding background checks still stands, but know that you do now have availability of some fingerprinting options and we encourage you to use them, as well as the MyCase check and/or your third party vendor to make sure you are protecting your company and residents.
    • As of 4.10.20 minors are NOW ABLE to complete the fingerprint scheduling using the COVID-19 Criminal Record Review designation via the Indiana State Police fingerprinting registration portal. Please contact Zach Cattell at zcattell@ihca.org if you experience any issues with this functionality..

 

Workforce update: Bureau of Child Labor

Indiana DOL has add several updates to its website related to youth employment:

  • Effective March 16, 2020 UNTIL FURTHER NOTICE: In conjunction with Governor Holcomb’s mandated school closing, the Indiana Department of Labor is suspending enforcement of the requirement for employers to have on-file work permits for minor employees.
  • As of April 1, 2020, various updates have taken effect in the newly-titled Youth Employment division for the state of Indiana. Please download this training document to see and learn all new laws involving employing minors.

 

SnapShyft Dynamic Recruitment Intro Webinar

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

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

RestUp Contacts: Clifton Dennis, CEO and Founder, clifton@restup.today, or Heather Soots, COO and CoFounder, heather@restup.today

 

 

Licensed and Certified Positions

 

Temporary Aide Programs

Click here to view details related to the Personal Care Attendant (PCA) and Temporary Nurse Aide (TNA) programs.

 

Certified Nurse Aides

  • Status of Testing – As of March 24, Ivy Tech Community College still had testers available to schedule CNA testing at facilities and third-party training sites.
  • CNA Instruction and Testing Extensions (March 21, 2020) ISDH issued a temporary waiver extending the testing and instruction window for CNAs.
    • CNA employment prior to completion of training and testing is expanded to eight (8) months rather than four (4) months.
    • CNA required completion of classroom instruction from date of employment is expanded to two hundred forty (240) days rather than one hundred twenty (120) days
  • Lapsed CNAs – The Sixth Emergency Order for Comprehensive Care Facilities issued by ISDH on April 18, 2020, waives or modifies the following:
    • Permits former CNAs with expired or lapsed certifications to be temporarily employed by facilities when:
      • The expiration or lapse was when the CNA was in good standing with no findings in the nurse aide registry on abuse, neglect, or misappropriation
      • The expiration or lapse occurred after January 1, 2019
      • The CNA worked at least 40 hours in the 1 year prior to the expiration or lapse
      • The facility ensures the former CNA provides competent services required by 410 IAC 16.2-3.1-1-14(b)(1)
    • Facilities may request use of CNAs that do not meet the above criteria on a case by cases basis so long as competency can be demonstrated. To request a case by case approval, email Jan Kulik at jkulik@isdh.IN.gov

Dining Assistant Training

  • Dining Assistants training is waived and is waived and modified as follows (410 IAC 16.2-3.1-53).  Read the formal language and guidance for nursing facilities (March 21) and residential facilities (March 23).

 

Executive Orders related to LTC workforce licensure and practice flexibility

  • Executive Order 20-09 (signed 3/23/2020) – Extends all State Issued Licenses until Friday, May 22nd. Applies to occupational, professional, and firearms licenses.
  • Executive Order 20-05 (signed 3/19/2020)
    • Suspends telehealth restrictions and requirements for face-to-face encounters
    • FSSA may modify or suspend provider staffing requirements for FSSA providers/facilities
    • Suspension of the requirement that a health care provider hold an Indiana license if he or she: (1) has an equivalent license from another State, and (2) is not suspended or barred from practice in that State or any State.
    • Mental health professionals are permitted to practice via telemedicine.
    • Advanced Practice Registered Nurses are permitted to provide services in multiple locations while under a single written collaboration agreement.
  • Executive Order 20-13 (signed 3/30/2020)
  • COVID-19 Temporary Health Care Provider Registry In response to Executive Order 20-13, which expanded those who are able to provide health care services in Indiana in response to the public health emergency, the Indiana Public Licensing Agency (“IPLA”) has created a registry for individuals who do not hold a valid license to practice in Indiana but can be mobilized to help fight COVID-19 through temporary permits to practice.  The registry is open to out-of-state health care providers, retired health care professionals, and recent graduates of accredited medical, nursing, physician assistant, and respiratory care programs.An individual who utilizes the registry may obtain temporary authorization to provide health care services in Indiana for an initial period of 90 days, which may then be renewed for 30-day increments.  Once the public health emergency expires or is otherwise withdrawn, the temporary licenses issued will expire.IPLA’s COVID-19 Temporary Health Care Provider Registry can be found here and will be updated each day at 7:45 AM EST. To access the full summary, please click here.

 

Archive Daily Updates


Please see the daily updates below:

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

September 2: Antigen Tests for Assisted Living Communities

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: CMP COVID-19 Communicative Technology Application Approvals

July 23: ISDH Issues Clarifications on Resident Excursions

July 23: Initial Long-Term Care Data Released

July 22: Long-Term Care Visitation Restrictions by County

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: Extension of Temporary Health Care Licenses

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 8: ISDH Communication Guidelines to Inform Residents & Designated Representatives of COVID-19 Info & Compliance with CMS Reporting Regulations

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: CDC Webinar Trainings for LTCF COVID-19 Module: New Mandatory Reporting

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

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