Coronavirus update for Monday, June 8 as of 2:30 p.m.

Pennsylvania Update

The Wolf Administration

• The Wolf administration announced the launch of an enhanced dashboard with data on COVID-19 in the state. Find the announcement here and the dashboard here.
• The Wolf administration has issued a universal testing order requiring all nursing homes to complete initial baseline testing no later than July 24. It also published updated testing guidance to all long-term-care facilities in the state.  See the announcement here, the nursing home testing order here, and the guidance for long-term-care facilities here.  Also released today as part of this initiative:  requirements for testing of residents and staff in skilled nursing facilities and an FAQ about these requirements.
• The Wolf administration announced that the Public Health Management Corporation will become the state’s health care emergency preparedness vendor as of July 8.

Department of Health – by the numbers

• The weekend’s COVID-19 new case count continued its downward trend while the death count declined significantly.
• More than 5700 health care workers have contracted COVID-19.
• 1174 people are currently hospitalized with COVID-19 and 257 of them are on ventilators.
• The state has seen 20 confirmed cases of multisystem inflammatory syndrome in children (MIS-C). Another 14 possible cases are currently being investigated.

Federal Update

Centers for Medicare & Medicaid Services

CMS has updated its “COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers” document.  Added since the last version are a new section, on page 14, on altered time lines for Medicare’s Comprehensive Care for Joint Replacement Model, along with two modifications:  one on page 10, addressing site-neutral payments for long-term care hospitals, and another on page 13, in support of care for patients in long-term care hospital patients.

CMS – Stakeholder Engagement Calls

CMS hosts recurring stakeholder engagement sessions to share information related to the agency’s response to COVID-19.  These sessions are open to members of the health care community and are intended to provide updates, share best practices among peers, and offer attendees an opportunity to ask questions of CMS and other subject matter experts.  Conference lines are limited so CMS encourages interested parties to join via audio webcast.

Calls recordings and transcripts are posted on the CMS podcast page here.

COVID-19 Office Hours Call

Office Hour Calls provide an opportunity for hospitals, health systems, and providers to ask questions of agency officials regarding CMS’s temporary actions that empower local hospitals and health care systems to increase hospital capacity, expand their workforce, and make greater use of telehealth.

Tuesday, June 9 at 5:00 (eastern)

Toll Free Attendee Dial In:  833-614-0820; Access Passcode: 4892554

Audio Webcast link:  Go here.

COVID Home Health and Hospice Call

Tuesday, June 9 at 3:00 – 3:30 PM (eastern)

Toll Free Attendee Dial-In:  833-614-0820; Access Passcode: 7359947

Audio Webcast Link:  Go here.

COVID Nursing Homes Call

Wednesday, June 10 at 4:30 (eastern)

Toll Free Attendee Dial-In:  833-614-0820; Access Passcode: 9782909

Audio Webcast Link:  Go here.

COVID Dialysis Organizations Call

Wednesday, June 10 at 5:30 (eastern)

Toll Free Attendee Dial-In:  833-614-0820; Access Passcode: 6553907

Audio Webcast Link:  Go here.

COVID Nurses Call

Thursday, June 11 at 3:00 (eastern)

Toll Free Attendee Dial-In:  833-614-0820; Access Passcode: 2863547

Audio Webcast Link: Go here.

Food and Drug Administration

• On Tuesday, June 9 at noon (eastern), the FDA will hold a webinar about emergency use authorizations for respirators, importing respirators, and more. Learn more about the webinar here.
• The FDA is reissuing certain EUAs to specify which respirators are appropriate for decontamination and reuse.
• The FDA has issued EUAs for two new commercial diagnostic tests for COVID-19. Find them here and here.
• The FDA has issued an EUA for a new commercial serology test for COVID-19.
• The FDA has published its temporary policy on prescription drug marketing act requirements for the distribution of drug samples during the COVID-19 emergency.

National Institutes of Health

The NIH has issued a news release describing a study that identifies a potential approach to treating severe respiratory distress in patients with COVID-19.

Congressional Research Service

The Congressional Research Service has published a brief new report called “HIPAA, Telehealth, and COVID-19” that takes a high level look at the interplay among these three considerations from a legal perspective.

Resources to Consult

Pennsylvania Department of Human Services

Main COVID-19 Page

COVID-19 Provider Resources

Press Releases

Pennsylvania Department of Health

Main COVID-19 Page

PA Health Alert Network

Centers for Disease Control and Prevention

Main COVID-19 Page

FAQ

(To receive this daily update directly, sign up for our mailing list at  info@pasafetynet.org.)

Coronavirus update for Friday, June 5 as of 2:30 p.m.

Pennsylvania Update

Department of Health

The Department of Health and Department of Human Services have issued issued guidance for nursing homes, personal care homes, and other long-term and congregate care facilities as counties enter the green phase of reopening.  To prevent further COVID-19 outbreaks within these vulnerable populations, continuing restrictions in long-term and congregate care facilities will remain in place at least 28 days after an individual facility’s county enters the green phase.  Go here to see the Wolf administration’s announcement, here to see the guidance for nursing homes, and here to see the guidance for personal care homes, intermediate care facilities, assisted living residences, and other providers licensed by DHS.

Department of Health – by the numbers

• Yesterday’s new case and death totals were slightly lower than those of the previous day.
• The number of health care workers who have contracted COVID-19 now exceeds 5600.
• 1174 Pennsylvanians are currently hospitalized with COVID-19 and 257 of them are on ventilators – the same figures as the previous day.
• 45 percent of acute-care beds, 38 percent of ICU beds, and 24 percent of pediatric ICU beds are currently unoccupied, as are 53 percent of hospital isolation rooms.

Federal Update

Centers for Medicare & Medicaid Services

In the past week CMS issued six section 1135 waiversto give states greater flexibility to serve their Medicaid beneficiaries during the COVID-19 public health emergency.  It issued waivers to Alaska (two waivers), Arizona, Mississippi, Ohio, and Wisconsin.

Centers for Disease Control and Prevention

• The CDC has updated its guidance on recommendations for people who believe they have been exposed to people with confirmed or suspected COVID-19 when the people to whom they have been exposed are neither health care workers nor critical infrastructure workers – that is, possible community transmission of COVID-19.
• The CDC has updated its FAQ on laboratory biosafety and COVID-19.
• The CDC has updated its guidance for the collection and submission of postmortem specimens from deceased persons under investigation for COVID-19, including recommendations for biosafety and infection control practices during specimen collection and handling, including during autopsy procedures.

Food and Drug Administration

• The FDA approved an abbreviated new drug application for dexmedetomidine hydrochloride in 0.9% sodium chloride injection (ANDA 209307), indicated for sedation of initially intubated and mechanically ventilated patients during treatment in an intensive-care setting.
• The FDA issued a letter to clinical laboratory staff and health care providers about a safety risk with using transport media and SARS-CoV-2 testing platforms that are not compatible. There is a risk of exposure to harmful cyanide gas when certain transport media are used with an incompatible testing platform or laboratory process that uses bleach.
• The FDA has issued an emergency use authorization (EUA) for a new test to assist in identifying severe inflammatory response in patients with confirmed COVID-19 illness to aid in determining the risk of intubation with mechanical ventilation. Find that EUA here and go here for an FDA fact sheet on the known and potential risks and benefits of this test.
• On Tuesday, June 9 at 12:00 p.m. (eastern), the FDA will launch a webinar series on the topic of Respirators for Health Care Personnel Use during COVID-19 Pandemic. The webinar will provide FDA information and answer questions about emergency use authorizations (EUAs) for respirators, importing respirators, and overall FDA actions to help ensure that health care personnel on the front lines have the necessary supplies of respirators to meet the demand. Go here for further information.
• The FDA has updated its enforcement policy for non-invasive remote monitoring devices used to support patient monitoring during the COVID-19 emergency.
• The FDA has posted test performance data from four more serology test kits from its independent performance validation study.
• The FDA has issued an EUA for a new commercial serology test for COVID-19. Find it here.
• The FDA has issued an EUA for a new commercial test to diagnose COVID-19. Find it here.

Resources to Consult

Pennsylvania Department of Human Services

Main COVID-19 Page

COVID-19 Provider Resources

Press Releases

Pennsylvania Department of Health

Main COVID-19 Page

PA Health Alert Network

Centers for Disease Control and Prevention

Main COVID-19 Page

FAQ

(To receive this daily update directly, sign up for our mailing list at  info@pasafetynet.org.)

Coronavirus update for Wednesday, June 3 as of 12:00 p.m.

Pennsylvania Update

Department of Health

The Department of Health has announced that nursing homes located in green counties will continue operating under restrictions for 28 days after the beginning of the green phase in those counties. Those facilities should continue to follow the department’s operations guidance updated on May 12.

The Department of Health issued an update to its dental health care guidance removing the prohibition on non-urgent and non-emergent dental procedures.

Department of Health – by the numbers

• Yesterday’s new case and death figures were slightly lower than those of the previous day.
• More than 18,300 long-term-care residents and workers have contracted COVID-19.
• As have more than 5500 health care workers.
• 1302 Pennsylvanians are currently hospitalized for COVID-19, with 257 of them on ventilators.
• 45 percent of state hospitals’ acute-care beds, 38 percent of their ICU beds, and 24 percent of their pediatric ICU beds are currently unoccupied, as are 53 percent of their isolation rooms.

Federal Update

Centers for Medicare & Medicaid Services

• CMS has updated its FAQ on Medicare COVID-19 fee-for-service billing.  All of the changes address national coverage determinations and are clearly marked within the document.  Providers should review them carefully.
• In response to COVID-19, CMS is providing new flexibilities and adjustments to current and future CMMI models to address the emergency.  It has released a chart that outlines the models and the new changes.  CMS also has written a blog post describing additional CMMI model flexibilities.
• CMS has released guidance to states supporting implementation of the Optional COVID-19 Testing (XXIII) Group­­­ established by the Families First Coronavirus Response Act (FFCRA) for uninsured individuals for COVID-19 testing and testing-related services.  This guidance identifies the different requirements associated with implementing the new group (including eligibility and enrollment, claiming, and data reporting) and provides guidance on strategies that states may employ to meet these requirements.

Department of Health and Human Services

• HHS has updated its CARES Act Provider Relief Fund FAQ.  See additions on pages 5, 14, and 20.  Providers should review these additions carefully.
• HHS announced that the next deadline for submitting data to inform the agency’s distribution of its supply of remdesivir is Monday, June 8 at 8 p.m. (eastern).  HHS is requesting the same data as last month’s remdesivir request:  the number of currently hospitalized COVID-19 patients, and of those hospitalized, the number requiring placement in ICUs.  Hospitals should submit the data using the HHS TeleTracking web portal. ​
• HHS has provided $250 million to help health care systems treating patients and responding to the COVID-19 pandemic.  According to an HHS news release, the money will support hospitals and other health care entities to train workers, expand telemedicine and the use of virtual health care, procure supplies and equipment, and coordinate across jurisdictions and facilities.  Most of this money is going to state hospital associations for distribution.

Centers for Disease Control and Prevention

• The CDC has established a new web page with a data set of health care entities that have received federal claims reimbursement for COVID-19 testing of uninsured individuals and/or treatment for uninsured individuals with a COVID-19 diagnosis as of May 26, 2020.
• The CDC has updated its interim clinical guidance for managing patients with COVID-19.
• The CDC has updated its FAQ about COVID-19 and children.

Food and Drug Administration

• The FDA has published guidance, titled Institutional Review Board (IRB) Review of Individual Patient Expanded Access Requests for Investigational Drugs and Biological Products During the COVID-19 Public Health Emergency Guidance for IRBs and Clinical Investigators, that includes recommendations regarding procedures for single IRB member review.  This is in response to physician requests for a waiver from the requirement for full IRB review.
• The FDA has added a second ventilator to its list of authorized ventilators, ventilator tubing connectors, and ventilator accessories that was issued in response to concerns relating to insufficient supply and availability of FDA-cleared ventilators for use in health care settings to treat patients during the COVID-19 pandemic. This new ventilator is tailored to provide respiratory support for COVID-19 patients who are experiencing respiratory failure or insufficiency.
• The FDA has added an emergency resuscitator to its list of authorized ventilators, ventilator tubing connectors, and ventilator accessories.  This commercial resuscitator is a continuous respiratory support system that includes an FDA-cleared manual resuscitator and its design is intended for use in treating patients with COVID-19.
• The FDA and the European Medicines Agency have published procedural assistance for sponsors and applicants that anticipate submitting pediatric product development plans for the treatment and prevention of COVID-19.

Department of Labor

The Department of Labor has issued an alert with information about how to keep stockroom and loading dock workers safe during the COVID-19 pandemic.  See an announcement about the alert and the alert itself.

Resources to Consult

Pennsylvania Department of Human Services

Main COVID-19 Page

COVID-19 Provider Resources

Press Releases

Pennsylvania Department of Health

Main COVID-19 Page

PA Health Alert Network

Centers for Disease Control and Prevention

Main COVID-19 Page

FAQ

(To receive this daily update directly, sign up for our mailing list at  info@pasafetynet.org.)

Coronavirus update for Monday, June 2 as of 2:45 p.m.

The following is the latest information from the state and federal governments as of 3:00 p.m. on Tuesday, June 2.

Pennsylvania Update

Department of Health

The Department of Health has updated its guidance on risk assessment and work restrictions for health care personnel that it originally issued in early March.  This update simplifies the determination of risk exposures warranting work restriction.

Department of Health – by the numbers

• Yesterday’s new case count was higher than the previous day and the death count soared.
• More than 18,300 long-term-care residents and workers have contracted COVID-19.
• As have more than 5500 health care workers.
• 1302 Pennsylvanians are currently hospitalized for COVID-19, with 270 of them on ventilators.
• 45 percent of state hospitals’ acute-care beds, 38 percent of their ICU beds, and 24 percent of their pediatric ICU beds are currently unoccupied, as are 53 percent of their isolation rooms.

Federal Update

Centers for Medicare & Medicaid Services

• The Quality, Safety & Oversight Group of CMS’s Center for Clinical Standards and Quality has written to state Medicaid agencies about COVID-19 survey activities, CARES Act funding, and enhanced enforcement for infection control deficiencies and quality improvement activities in nursing homes. The memo calls on states to do a more complete job of inspecting nursing homes for their infection control efforts, proposes penalties for states that fail to do so, and explains that CMS will allocate CARES Act funding based on performance-based metrics.  See CMS’s detailed news release about this new policy.
• CMS has updated its toolkit to help states mitigate the prevalence of COVID-19 in nursing homes.

Food and Drug Administration

• On Wednesday, June 3, the FDA will host a virtual town hall for clinical laboratories and commercial manufacturers that are developing or have developed diagnostic tests for COVID-19. The purpose of this town hall is to help answer technical questions about the development and validation of COVID-19 tests.  For more information about the town hall, go here.
• The FDA has issued emergency use authorization for a specific commercial device for use in hospitals to provide temporary right ventricular support for up to 14 days for critical care patients suffering from acute right heart failure or decompensation caused by complications related to COVID-19.

The Joint Commission

The Joint Commission has announced that it will resume regular surveys and reviews in this month, with its methodology modified in some respects to reflect the need to practice social distancing.

Resources to Consult

Pennsylvania Department of Human Services

Main COVID-19 Page

COVID-19 Provider Resources

Press Releases

Pennsylvania Department of Health

Main COVID-19 Page

PA Health Alert Network

Centers for Disease Control and Prevention

Main COVID-19 Page

FAQ

(To receive this daily update directly, sign up for our mailing list at  info@pasafetynet.org.)

Coronavirus update for Monday, June 1 as of 3:00 p.m.

Pennsylvania Update

Department of Health

The Department of Health issued updated guidance on testing in long-term-care facilities, including nursing homes, assisted living, and personal care homes. This guidance supersedes the universal testing guidance released on May 12, which applied only to nursing homes.

The department released frequently asked questions about reporting requirements for skilled nursing facilities.

Department of Health – by the numbers

• Yesterday’s new COVID-19 case count was the state’s lowest since March 24 and the death count remains low for the third day in a row.
• More than 18,000 residents and employees of long-term-care facilities have tested positive for COVID-19 and the number of facilities with infected residents or staff has increased by four, to 608, since last Friday.
• More than 5400 health care workers have tested positive for COVID-19.
• 1302 Pennsylvanians are currently hospitalized with COVID-19.
• 277 of them are on ventilators.
• 38 percent of state hospitals’ acute-care beds, 45 percent of their ICU beds, and 24 percent of their pediatric ICU beds are currently unoccupied, as are 53 percent of their isolation beds.

Department of Education

The Department of Education has offered guidance for medical, nursing, and allied health training programs on when and how to resume training for health care practitioners and allied health practitioners as the state reopens.

Independent Fiscal Office

The state’s Independent Fiscal Office published its May 2020 revenue update, which reports a $502.6 million revenue shortfall in collections compared to August projections.  The report attributes 100 percent of the shortfall to fallout from the COVID-19 outbreak.

Federal Update

Department of Health and Human Services

HHS has added to and modified its CARES Act Provider Relief Fund FAQ.  Find additions on pages 2, 4, 5, 8, 23, 24, and 25 and modifications on pages 8, 9, and 19.  The latest changes are identified as added or modified on 5/26 or 5/29.  Providers should review these changes carefully.

Centers for Medicare & Medicaid Services

CMS has issued new guidance to clarify when providers must use modifier CR (catastrophe/disaster-related) and/or condition code DR (disaster-related) when submitting claims to Medicare.  The guidance applies to short-term hospitals, long-term hospitals, inpatient rehabilitation facilities, and others.

Centers for Medicare & Medicaid Services – Stakeholder Calls

CMS hosts recurring stakeholder engagement sessions to share information related to the agency’s response to COVID-19.  These sessions are open to members of the health care community and are intended to provide updates, share best practices among peers, and offer attendees an opportunity to ask questions of CMS and other subject matter experts.  Call details are below.  Conference lines are limited so CMS encourages interested parties to join via audio webcast.  Calls recordings and transcripts also are posted on the CMS podcast page here.

CMS COVID-19 Office Hours Calls (Tuesdays at 5:00 – 6:00 PM eastern)

Office Hour Calls provide an opportunity for hospitals, health systems, and providers to ask questions of agency officials regarding CMS’s temporary actions that empower local hospitals and healthcare systems to increase hospital capacity, expand their health care workforce, and promote greater use of telehealth in Medicare.

Toll Free Attendee Dial In: 833-614-0820; Access Passcode: 4474407

Audio Webcast link:  go here.

Lessons from the Front Lines: COVID-19 (Fridays at 12:30 – 2:00 PM eastern)

Lessons from the Front Lines calls are a joint effort between CMS Administrator Seema Verma, FDA Commissioner Stephen Hahn, MD, and the White House Coronavirus Task Force.  Physicians and other clinicians are invited to share their experience, ideas, strategies, and insights with one another related to their COVID-19 response. There is an opportunity to ask questions of presenters.

Toll Free Attendee Dial-In: 833-614-0820; Access Code: 6583696

Web Link:  go here.

Centers for Disease Control and Prevention

• The CDC has updated its FAQ on infection prevention and control in health care settings.

• The CDC has posted an illustrated guide on the use of personal protective equipment when caring for patients with confirmed or suspected COVID-19.
• The CDC has published interim guidance on discontinuing isolation for people with COVID-19 who are not in health care settings.
• The CDC has published guidance to assist with the assessment of risk, monitoring, and work restriction decisions for health care providers with potential exposure to COVID-19.
• The CDC has updated its web page on ways for institutions of higher education to protect students and employees from COVID-19.

Food and Drug Administration

• The FDA is making its previously developed FDA MyStudies app available to investigators as a free platform to securely obtain patients’ informed consent for eligible clinical trials when face-to-face contact is not possible or practical due to COVID-19 control measures. FDA MyStudies is now referred to as COVID MyStudies in the Apple App store and in the Google Play store.
• The FDA has approved emergency use authorization for a new commercial home diagnostic test for COVID-19.
• The FDA has approved emergency use authorizations for three new commercial laboratory serology tests for COVID-19. Find those authorizations here, here, and here.

Resources to Consult

Pennsylvania Department of Human Services

Main COVID-19 Page

COVID-19 Provider Resources

Press Releases

Pennsylvania Department of Health

Main COVID-19 Page

PA Health Alert Network

Centers for Disease Control and Prevention

Main COVID-19 Page

FAQ

(To receive this daily update directly, sign up for our mailing list at  info@pasafetynet.org.)

Coronavirus update for Friday, May 29 as of 2:30 p.m.

Pennsylvania Update

Wolf Administration

• The Wolf administration announced that 16 more counties will move to the green phase next Friday, June 5. This includes Allegheny County.
• Today, eight counties moved from red to yellow, joining 49 others already in the yellow phase, and 18 went from yellow to green.
• All counties currently in the red phase are still scheduled to move to the yellow phase next Friday.

Department of Health – by the numbers

• Friday’s new COVID-19 case and death counts are similar to Thursday’s.
• Three more long-term-care facilities now report cases of COVID-19 among patients or staff.
• Nearly 5300 health care workers have tested positive for COVID-19.
• 604 people have now tested positive on serology tests.
• 1445 Pennsylvanians are hospitalized because of COVID-19.
• 298 of them are on ventilators.
• 45 percent of acute-care beds, 38 percent of adult ICU beds, and 24 percent of pediatric beds are currently unoccupied, as are 53 percent of Pennsylvania hospitals’ isolation rooms.

Friday’s Daily Briefing

• Governor Wolf and Secretary Levine took questions from reporters.
• Governor Wolf said Pennsylvania has more testing sites (318) than any other state.
• But the state still does not have enough testing materials.
• Secretary Levine said Pennsylvania’s testing sites are now performing up to 13,000 tests a day.
• She noted that the numbers decline significantly on weekends.
• And the state is still working to expand its testing capacity.
• She said she hoped there might eventually be point-of-care tests that can be administered by non-health care professionals and provide accurate results in 15-20 minutes.
• She explained that the value of antibody testing is still not known.
• Governor Wolf observed that the state is nowhere near being able to perform surveillance testing and that is far off in the future.
• He explained that as the state gets more data and learns more about COVID-19, the standard of no more than 50 cases per 100,000 population over 14 days has become less relevant to decisions about counties moving from one phase to another.
• He said schools will reopen in September but did not commit to all children returning to the classroom in the traditional manner.
• He said he wants to do everything possible to avoid another shelter-in-place situation if the pandemic surges again in the fall or winter.
• Secretary Levine said the state hopes to have several thousand people across Pennsylvania working on contact tracing.

Federal Update

Centers for Medicare & Medicaid Services

In the past week CMS issued five section 1135 waiversto give states greater flexibility to serve their Medicaid beneficiaries during the COVID-19 public health emergency.  It issued waivers to Alaska, Maine, New Hampshire, Ohio, and Vermont.

Centers for Disease Control and Prevention

• The CDC has issued emergency use authorizations (EUAs) for two specific commercial diagnostic tests for COVID-19 intended for self-collection in the home or in health care settings. Find them here and here.
• The CDC has published information on considerations when preparing for COVID-19 in assisted living facilities.

Resources to Consult

Pennsylvania Department of Human Services

Main COVID-19 Page

COVID-19 Provider Resources

Press Releases

Pennsylvania Department of Health

Main COVID-19 Page

PA Health Alert Network

Centers for Disease Control and Prevention

Main COVID-19 Page

FAQ

(To receive this daily update directly, sign up for our mailing list at  info@pasafetynet.org.)

Coronavirus update for Wednesday, May 27 as of 2:30 p.m.

Pennsylvania Update

State Budget

The General Assembly is working on a five-month stop-gap budget bill to fund the state’s government through November.  This proposal, HB 2387, uses the enacted state FY 2020 budget as its foundation and makes a 58 percent cut across the board, funding most budget line-items at 42 percent of their enacted FY 2020 level.  The exceptions to this cut are education and the state’s pension obligations, which would be funded in full.  The legislature would need to return to Harrisburg in the fall to fund the remainder of the 2021 fiscal year.  HB 2387 passed in the House on Tuesday evening and is moving through the Senate, where it is expected to pass on Thursday and head to the governor.

The legislature also continues to discuss the distribution of federal and state funding in response to the COVID-19 pandemic.  Thus far, legislative efforts focus on using federal funds for long-term care.  This funding is being outlined in a fiscal code bill that would distribute federal CARES money to various health care providers and programs.  The bill’s sponsor, House Speaker Mike Turzai, proposes creating regional collaboratives to support efforts to address COVID-19 in long-term living facilities.  SNAP expects a second fiscal code bill to focus on the distribution of state funds.

The Wolf Administration

The Wolf administration has added information to its “Plan for Pennsylvania” for the phased reopening of the state with new information about recovery steps for the state, for businesses, and for the health care industry.

Late this afternoon, Governor Wolf issued a news release elaborating on the reopening process for green phase counties and providing guidance on outdoor dining in yellow counties, dining in green counties, and professional sports in yellow counties.  See the news release here.

Department of Health – by the numbers

• Both the COVID-19 new case and new death counts were up yesterday, the latter significantly so.
• More than 17,500 residents and employees of long-term-care facilities have tested positive for COVID-19.
• As have more than 5200 health care workers.
• 1493 Pennsylvanians are currently hospitalized because they have COVID-19.
• 334 of them are on ventilators.
• As of today, 45 percent of state hospitals’ acute-care beds, 38 percent of their ICU beds, and 24 percent of their pediatric ICU beds are unoccupied, as are 53 percent of their isolation rooms.
• The state currently has 11 children who have been diagnosed with multisystem inflammatory syndrome in children (MIS–C), a condition associated with COVID-19 in children. Ten more possible cases are under investigation.
• As of today, the state has sent to various health care providers and other entities five million N95 masks, 300,000 hospital gowns, 1.6 million masks, two million sets of gloves, 180,000 face shields, and 300 bottles of hand sanitizers.

Department of Human Services

DHS has issued a Medical Assistance Bulletin to advise providers of changes it has made to Medicaid pharmacy services to ensure that beneficiaries maintain access to needed services during the COVID-19 emergency.  It applies to all licensed pharmacies and prescribers enrolled in the state’s Medicaid program (fee for service, Physical health HealthChoices, and Community HealthChoices).

DHS has posted a memo to all Medicaid physical health HealthChoices managed care organizations notifying them that prescriptions for Sublocade (buprenorphine extended release) injections to treat opioid dependence no longer require prior authorization if they do not exceed the quantity limit.

Federal Update

Centers for Medicare & Medicaid Services

CMS has published a fact sheet for state and local governments on how to seek payments from CMS programs such as Medicare, Medicaid, and CHIP for outpatient services and acute inpatient care provided at alternative care sites established in response to the COVID-19 crisis.

Department of Health and Human Services

ASPR TRACIE, sponsored by HHS’s Office of the Assistant Secretary for Preparedness and Response (ASPR) to provide Technical Resources, Assistance Center, and Information Exchange (TRACIE) services, in collaboration with the HHS/FEMA COVID-19 Healthcare Resilience Task Force, is hosting the webinar “Ensuring Healthcare Safety Throughout the COVID-19 Pandemic” to share experiences and lessons learned from innovators in the field. Learn more here.

Centers for Disease Control and Prevention

• The CDC has posted interim guidance with suggested goals and strategies for outpatient and ambulatory care settings in response to the COVID-19 emergency.
• The CDC has updated a number of its contact tracing web pages, including one on contact tracing for COVID-19 and another on investigating COVID-19 cases.

Food and Drug Administration

• The FDA has issued an emergency use authorization for a specific commercial software product for use in intensive care units for the computation of proprietary patient status indices that assist with the early identification of patients who are likely to be diagnosed with respiratory failure or hemodynamic instability as complications from COVID-19.

Resources to Consult

Pennsylvania Department of Human Services

Main COVID-19 Page

COVID-19 Provider Resources

Press Releases

Pennsylvania Department of Health

Main COVID-19 Page

PA Health Alert Network

Centers for Disease Control and Prevention

Main COVID-19 Page

FAQ

(To receive this daily update directly, sign up for our mailing list at  info@pasafetynet.org.)