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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.

 

October 25: IDH Issues Certified Nurse Aide Training Program Orders

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.

Read more

 

 

October 23: CMS Issues Guidance on Visitation in Nursing Facilities & Use of CMP Funds

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.

Read more

 

October 22: Mandatory Reporting of POC Test Results via NHSN

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).

Read more

 

October 22: Updated Reporting Requirements to the Provider Relief Fund

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.

Key Takeaways:

  • HHS is returning to its previous definition of lost revenue, a decrease from 2019 revenue, rather than using the September 19 version which would have capped funds to a facility’s 2019 net revenue.

Read more

October 21: Long-Term Care Data Dashboard Shows Continued COVID-19 Uptick

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.

Read more

 

 

 

October 21: ISDH Issues PPE Request Guidance

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 isdhdeplogistics@isdh.in.gov.  ISDH can only fill a request once a facility’s current stock reaches 72 hours or fewer.

Read more

 

 

October 21: PPE Vendors and Assistance

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:

  1. Ensure that you reach out to your existing PPE vendors and document all efforts to obtain adequate supplies of isolation gowns, N95 (or approved KN95) masks, surgical masks, and gloves.  Keep all communications, invoices, and other related paperwork for regulatory compliance and survey investigations.

 

Read more

 

 

October 20: IDOH Issues Updated COVID-19 LTC Infection Control Guidance Standard Operating Procedure

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 ToolkitEye Protection Guidance, and Visitation Guidelines have been updated accordingly.

Read more

 

 

October 20: IDH Issues Updated Visitation Guidelines for Long-Term Care Facilities

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.

Read more

 

 

October 19: Indiana Health Care Reserve Workforce

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.

Read more

 

October 16: White House Announces Vaccination Distribution Program for LTC Residents

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.

Read more

 

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

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

Read more

 

 

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

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.

Read more

 

October 5: Long-Term Care Visitation Restrictions by County

Access chart listing visitation restrictions by county

 

 

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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.

 

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ISDH Guidance & Resources


General Guidance

 

Visitation Guidance

 

Data Dashboard

 

Cohorting Guidance

 

 

Reporting

 

 

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

How To Join

[UPCOMING WEBINAR] October 22 , 2020: ISDH Webinar for Long Term Care Facilities

ACCESS WEBINAR HANDOUT    ACCESS WEBINAR RECORDING

 

October 8, 2020: ISDH Webinar for Long Term Care Facilities

ACCESS WEBINAR HANDOUT 1

ACCESS WEBINAR HANDOUT 2

ACCESS WEBINAR RECORDING

 

 

September 24, 2020: ISDH Webinar for Long Term Care Facilities

ACCESS WEBINAR HANDOUT

ACCESS INFECTION PREVENTION HANDOUT

ACCESS WEBINAR RECORDING

 

 

September 17, 2020: ISDH Webinar for Long Term Care Facilities

ACCESS WEBINAR HANDOUT

ACCESS WEBINAR RECORDING

 

 

September 10: ISDH Webinar for Long Term Care Facilities

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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

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

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

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

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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

ACCESS WEBINAR RECORDING ACCESS WEBINAR HANDOUT

 

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

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April 16:  ISDH Webinar For Long Term Care Facilities

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April 9: ISDH Webinar For Long Term Care Facilities

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CARES Act Provider Relief Fund


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CMS Guidance & Resources


LTC Operations

 

Infection Control

 

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CMP Communication Technology

 

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CDC Guidance & Resources


Return to Work Guidance

 

Infection Control & PPE Conservation Guidance

 

Confirmed Case Management Guidance

 

Reporting Guidance

 

Testing Guidance

 

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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

 

 

Archive Daily Updates


Please see the daily updates below:

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: POC Antigen Test and PCR Test Decision Tree

October 2: Important: ISDH Notice on COVID-19 Case Uptick

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: CMP COVID-19 Communicative Technology Application Approvals

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 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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