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Coronavirus Update for Monday, June 22

Coronavirus update for Monday, June 22 as of 4:30 p.m.

The following is the latest information from the state and federal government as of 4:30 p.m. on Monday, June 22.

State Update

House Chamber of the State HousePA House Republican Leadership Elections

Following the retirement of House Speaker Mike Turzai earlier this month, the House met today and elected former Majority Leader Bryan Cutler (Lancaster County) as Speaker.  The House Republican caucus also elected as majority leader Kerry Benninghoff (Centre County), who previously was majority whip, and chose Donna Oberlander (Armstrong, Clarion, and Forest counties), previously chair of the caucus’s policy committee, as their new majority whip.  As of this writing, the role of policy committee chair is vacant.

Department of Health

The Department of Health has updated its report on its mitigation activities for long-term-care facilities.

Department of Health – by the numbers

  • New case counts have been higher during the past four days.  The average number of new cases in the past four days was more than 35 percent greater than the average number for the five days before that.  Death totals, on the other hand, have declined significantly.
  • 746 Pennsylvanians are currently hospitalized with COVID-19, with 153 of them on ventilators.  Both of these figures have generally decreased in recent weeks although the hospitalization figure has risen slightly in recent days.
  • 40 percent of Pennsylvania hospitals’ acute-care beds are currently unoccupied, as are 39 percent of their ICU beds, 30 percent of their pediatric ICU beds, and 17 percent of their isolation rooms.  These figures have remained virtually unchanged in recent weeks.

Federal Update

Department of Health and Human Services

HHS has added new questions and answers and modified others in its CARES Act Provider Relief Fund FAQ. Providers should review these changes carefully; they are marked 6/19/2020 and 6/21/2020.

CARES Act Provider Relief Fund – Medicaid and SCHIP-Only Distribution Webcasts

On its Provider Relief Fund web page, HHS has posted the following notice:

HHS expects to distribute $15 billion to eligible Medicaid and CHIP providers through the Provider Relief Fund.  Join our webcast to learn more about the application process.  Please pre-register to reserve a spot on your preferred date:

Tuesday, June 23, 2020 at 2 PM ET

Thursday, June 25, 2020 at 2 PM ET

Centers for Medicare & Medicaid Services

CMS Stakeholder Calls

CMS hosts varied 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, either on your computer or smartphone web browser. Calls recordings and transcripts are posted on the CMS podcast page, which you can find here.

CMS COVID-19 Office Hours Calls

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 health care workforce, and make greater use of telehealth in Medicare.

Tuesday, June 23 at 5:00 – 6:00 PM Eastern

Toll Free Attendee Dial In:  833-614-0820;

Access Passcode:  5775248

Audio Webcast link:  go here.

Home Health and Hospice

Tuesday, June 23 at 3:00 – 3:30 PM Eastern

Toll Free Attendee Dial-In:  833-614-0820;

Access Passcode:  3676539

Audio Webcast Link:  go here.

Nursing Homes

Wednesday, June 24 at 4:30 – 5:00 PM Eastern

Toll Free Attendee Dial-In:  833-614-0820;

Access Passcode:  3089577

Audio Webcast Link:  go here.

Dialysis Organizations

Wednesday, June 24 at 5:30 – 6:00 PM Eastern

Toll Free Attendee Dial-In:  833-614-0820;

Access Passcode:  6494855

Audio Webcast Link:  go here.

Nurses

Thursday, June 25 at 3:00 – 3:30 PM Eastern

Toll Free Attendee Dial-In:  833-614-0820;

Access Passcode:  9496814

Audio Webcast Link: go here.

Food and Drug Administration

  • On Tuesday, June 23 at 12 noon (eastern) the FDA, along with the CDC’s National Institute for Occupational Safety and Health (NIOSH) and the Occupational Safety and Health Administration (OSHA), will host a seminar on importing respirators during the COVID-19 pandemic.
  • The FDA has issued emergency use authorizations (EUAs) for four new commercial COVID-19 diagnostic tests. Find them here, here, here, and here.
  • The FDA has issued an EUA for a new commercial COVID-19 serology test. Find it here.

Centers for Disease Control & Prevention

The CDC has updated its guidance for nursing homes and other long-term-care facilities to take steps to assess and improve their preparedness for responding to 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.)

 

2020-06-23T06:00:19+00:00June 23rd, 2020|Coronavirus, COVID-19|Comments Off on Coronavirus Update for Monday, June 22

COVID-19 Update: Friday, June 19

Coronavirus update for Friday, June 19 as of 3:00 p.m.

A Note About SNAP’s COVID-19 Updates

Beginning the week of June 15, SNAP will prepare COVID-19 updates on Mondays, Wednesdays, and Fridays, with additional updates as needed on subjects that are especially timely or important.  SNAP members and update subscribers will continue to receive their updates near the close of the business day and those updates will continue to be posted in this space the morning of the following business day.

Pennsylvania Update

The Wolf Administration

  • On Thursday Governor Wolf issued a news release reminding Pennsylvanians that mask-wearing is required when entering any business in all counties in the state in both the yellow and green phases of reopening.  The mask requirement is part of Secretary of Health Levine’s order “Directing Public Health Safety Measures for Businesses Permitted to Maintain In-person Operations.”  See the governor’s new release here and Secretary Levine’s order here.
  • On Thursday Governor Wolf and Secretary of Health Levine signed orders for eight counties to move to the green phase at 12:01 a.m. on Friday, June 19.  The affected counties are Dauphin, Franklin, Huntingdon, Luzerne, Monroe, Perry, Pike, and Schuylkill.  With these orders, on Friday there will be 54 counties in green and 13 counties in yellow.  See the governor’s news release here, the governor’s amended order here, and Secretary Levine’s amended order here.
  • On Friday Governor Wolf announced that 12 more counties will move to the green phase of reopening from the COVID-19 pandemic at 12:01 a.m. on Friday, June 26.  The affected counties are Berks, Bucks, Chester, Delaware, Erie, Lackawanna, Lancaster, Lehigh, Montgomery, Northampton, Philadelphia, and Susquehanna.  See the governor’s news release about this announcement here.

Department of Health

  • The Department of Health distributed 4788 doses of remdesivir to hospitals to treat patients hospitalized with COVID-19.  Go here to see the department’s announcement about this shipment and here to see a list of the 82 hospitals.
  • The department announced that more than 4000 close contacts of COVID-19 cases have been identified and monitored to date through the contact tracing efforts of 500 trained contact tracers throughout the state, including 130 state health nurses.  These efforts include support from six county health departments and four municipal health departments that have primary responsibility for all efforts inside their jurisdiction.  Go here for a news release about the contact tracing effort.
  • The department’s message board on Friday, June 19 included the following notice:

The Pennsylvania Department of Health and Pennsylvania Emergency Management Agency are pleased to announce a partnership with CVS Health to offer COVID-19 testing services to skilled nursing facilities to assist with compliance to the Secretary’s Order related to universal testing issued June 9, 2020. Using a number of data sources including current outbreak status, historic outbreak status, geography, and facility-reported testing data, the Department is providing a three-tiered priority list to CVS Health to begin making contacts to offer testing services free of charge to the facility (residents and employees).

The CVS Health Onsite Swab & Send solution includes:

  • All necessary logistic services, including scheduling, records administration, test orders, and communication of results
  • All specimen collection and Personal Protective Equipment (PPE) for CVS Health clinician testers
  • Transmission to an FDA-approved reference laboratory for testing
  • Responsibility for communication of test results back to skilled nursing administration

CVS Health is currently onboard to conduct 50,000 individual tests for skilled nursing residents and staff members. Testing is anticipated to begin the week of June 29 with CVS Health beginning outreach calls as early as June 22.  Please anticipate an email outreach and phone call from CVS Health, and they will confirm the necessary steps to schedule your onsite testing clinic.

If you have questions regarding this initiative, universal testing in general, or to request assistance, please contact RA-DHCOVIDTESTING@pa.gov.     

Department of Health – by the numbers

  • Case counts and death totals remain generally down but the new case count for Thursday was the highest in the past week.  On Thursday the total number of Pennsylvanians who have contracted COVID-19 rose above the 80,000 mark.  Ninety-seven percent of those cases were confirmed by tests and the rest are considered “probable.”
  • 728 Pennsylvanians are currently hospitalized with COVID-19, with 162 of them on ventilators.  Both of these figures have been declining in recent weeks.
  • 40 percent of Pennsylvania hospitals’ acute-care beds are currently unoccupied, as are 39 percent of their ICU beds, 30 percent of their pediatric ICU beds, and 17 percent of their isolation rooms.  These figures have remained virtually unchanged in recent weeks.

Department of Human Services

  • DHS’s COVID-19 update, published on Wednesday, includes the following notice about its Regional Response Health Collaboration Program.
  • In last week’s written update, we mentioned that a Request for Applications was posted for the Regional Response Health Collaboration Program (RRHCP). The RRHCP will assume the Education Support and Clinical Coaching Program’s role in providing operational, managerial, administrative, and clinical support for long-term care facilities as they protect their residents and staff from COVID-19. Responses to this RFA are due by June 25, and the RFA is posted on eMarketplace.

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.)

2020-06-22T06:00:26+00:00June 22nd, 2020|Coronavirus, COVID-19|Comments Off on COVID-19 Update: Friday, June 19

COVID-19 Update: Wednesday, June 17, 2020

Coronavirus update for Wednesday, June 17 as of 4:00 p.m.

A Note About SNAP’s COVID-19 Updates

Beginning the week of June 15, SNAP will prepare COVID-19 updates on Mondays, Wednesdays, and Fridays, with additional updates as needed on subjects that are especially timely or important.  SNAP members and update subscribers will continue to receive their updates near the close of the business day and those updates will continue to be posted in this space the following morning.

Pennsylvania Update

The Courts

The Pennsylvania Supreme Court agreed today to hear a lawsuit filed by Senate Republicans against  Governor Wolf seeking to enforce a resolution adopted by the General Assembly last week requiring the governor to end the COVID-19 disaster emergency proclamation that he enacted in March and extended for another ninety days on June 1.  The suit was originally filed in Commonwealth Court.

Department of Health

In communication circulated via message board but not posted on any department web site, the Department of Health explained the following:

The Department has received questions and is concerned that there are laboratories marketing their ability to run tests who are not certified in Pennsylvania.

Per the Order of the Secretary of the Pennsylvania Department of Health Directing Testing at Skilled Nursing Facilities, issued June 8, 2020, Skilled Nursing Facilities (SNFs) are required to complete a baseline universal test for SARS-CoV-2 of all residents and staff no later than July 24, 2020. In order to be compliant with this Order, a facility needs to enter into a contract with a commercial laboratory to meet testing needs of the facility. A laboratory must have a current Pennsylvania laboratory permit and be approved to perform COVID-19 testing.

A list of laboratories that have a CLIA permit in Pennsylvania can be found here.

Department of Health – by the numbers

  • Case counts and death totals remain generally down and declining
  • 788 Pennsylvanians are currently hospitalized with COVID-19, with 169 of them on ventilators.
  • 40 percent of Pennsylvania hospitals’ acute-care beds are currently unoccupied, as are 39 percent of their ICU beds, 30 percent of their pediatric ICU beds, and 17 percent of their isolation rooms.

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.)

2020-09-01T18:36:14+00:00June 18th, 2020|Coronavirus, COVID-19|Comments Off on COVID-19 Update: Wednesday, June 17, 2020

COVID-19 Update: Monday, June 15

Coronavirus update for Monday, June 15 as of 4:30 p.m.

A Note About SNAP’s COVID-19 Updates

Beginning the week of June 15, SNAP will prepare COVID-19 updates on Mondays, Wednesdays, and Fridays, with additional updates as needed on subjects that are especially timely or important.  SNAP members and update subscribers will continue to receive their updates near the close of the business day and those updates will continue to be posted in this space the following morning.

Pennsylvania Update

The Wolf Administration

Governor Wolf announced today that beginning Wednesday, June 17, nine more COVID-19 drive-thru testing sites will open in Walmart parking lots across the state, and another testing site has also been added in Venango County, which previously had only one site, bringing the total of new testing sites to 10.

Department of Health

The Department of Health announced a partnership with General Healthcare Resources to assist with the COVID-19 response.  General Healthcare Resources will be deploying on-site assessment teams to assist with infection control practices, staffing, and PPE training needs.  It also will assist with specimen collection and urgent staffing needs.  The department will be funding 41 individuals who will be deployed for one year.

The Department of Health clarified that for the purpose of the universal testing ordered by the Secretary last week it intends “staff” to include those who do not provide direct care.  It advised hospitals to follow the definition of health care personnel provided in PA-HAN-509, which includes but is not limited to emergency medical service personnel, nurses, nursing assistants, physicians, technicians, therapists, phlebotomists, pharmacists, students and trainees, other staff providing direct care, contractual staff not employed by the facility, and persons not directly involved in patient care but who could be exposed to infectious agents that can be transmitted in the health care setting (e.g., clerical, dietary, environmental services, laundry, security, engineering and facilities management, administrative, billing and volunteer personnel).

Department of Health – by the numbers

  • Case counts and death totals remain generally down.  Saturday’s total of just four deaths was the lowest in more than two months.
  • Nearly 20,000 residents and employees of 642 long-term-care facilities in 47 counties have contracted COVID-19.
  • 842 Pennsylvanians are currently hospitalized with COVID-19, with 169 of them on ventilators.

Department of State

The Department of State is extending license renewal deadlines for chiropractors, dietician-nutritionists, and pharmacists.  License renewal deadlines falling between September 1, 2020 through October 1, 2020 will be extended for 90 days.

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.)

2020-06-16T06:00:25+00:00June 16th, 2020|COVID-19, DSH hospitals|Comments Off on COVID-19 Update: Monday, June 15

COVID-19 Update: June 12, 2020

Coronavirus update for Friday, June 12 as of 4:00 p.m.

A Note About SNAP’s COVID-19 Updates

Beginning the week of June 15, SNAP will prepare COVID-19 updates on Mondays, Wednesdays, and Fridays, with additional updates as needed on subjects that are especially timely or important.  SNAP members and update subscribers will continue to receive their updates near the close of the business day and those updates will continue to be posted in this space the following morning.

Pennsylvania Update

The Wolf Administration

Governor Wolf and Secretary of Health Levine signed amended green phase orders for 12 counties to move to the green phase of reopening at 12:01 a.m. on June 12.  With these orders taking effect, there will be 46 counties in green and 21 counties in yellow.

In addition, eight more counties will move to the green phase of reopening at 12:01 a.m. on Friday, June 19.

Department of Human Services

DHS has published a Medical Assistance Bulletin advising providers that they may not charge Medical Assistance beneficiaries for personal protective equipment used in connection with medical or dental services.

Department of Health – by the numbers

  • Today’s COVID-19 death count is comparable to what it has been in recent days but the new case count is up slightly.
  • 901 Pennsylvanians are currently hospitalized for COVID-19 and 195 of them are on ventilators – both figures much lower than yesterday’s.
  • 40 percent of state hospitals’ acute-care beds, 40 percent of their ICU beds, 57 percent of their pediatric beds, and 30 percent of their pediatric ICU beds are currently unoccupied.

State Legislature

The Senate has canceled its session for next week.  The House is scheduled to return to session on June 22.

Federal Update

Department of Health and Human Services

  • As we reported previously, HHS will be distributing $10 billion in CARES Act Provider Relief Fund grants to hospitals that have served especially large numbers of COVID-19 patients. To apply for these grants, hospitals must submit data to HHS via its teletracking web site.  See below for:

Hospitals must submit their data no later than 9:00 pm (eastern) on Monday, June 15.

  • HHS’s Office for Civil Rights (OCR) issued guidance on how the Health Insurance Portability and Accountability Act of 1996 (HIPAA) privacy rule permits covered health care providers to contact their patients who have recovered from COVID-19 to inform them about how they can donate their blood and plasma containing antibodies to help other patients with COVID-19. See the announcement here and the guidance here.

Centers for Medicare & Medicaid Services

In the past week CMS issued five section 1135 waivers to give states greater flexibility to serve their Medicaid beneficiaries during the COVID-19 public health emergency.  It issued waivers to Delaware, Oklahoma, Pennsylvania, Tennessee, and Wisconsin.

Food and Drug Administration

National Institutes of Health

NIH’s National Institute on Minority Health and Health Disparities is accepting applications for research to evaluate interventions that might lessen the impact of COVID-19 on populations that suffer from health disparities or other vulnerabilities to the virus.  Learn more 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.)

2020-06-15T06:00:06+00:00June 15th, 2020|Coronavirus, COVID-19|Comments Off on COVID-19 Update: June 12, 2020

SNAP Warns State About Use of COVID-19 Survey Data

Safety-Net Association of Pennsylvania logoOn Thursday SNAP wrote to Pennsylvania Department of Human Services Secretary Teresa Miller to point out challenges that arise in the potential use and interpretation of the data hospitals have reported to DHS in that agency’s survey of hospitals’ financial condition as a result of the COVID-19 pandemic.  In the letter, SNAP cautioned against possibly inappropriate interpretations of some of this data and offered to work with DHS officials to address these concerns. 

See SNAP’s letter here.

2020-06-12T16:33:21+00:00June 12th, 2020|Coronavirus, COVID-19, Safety-Net Association of Pennsylvania|Comments Off on SNAP Warns State About Use of COVID-19 Survey Data

COVID-19 Update: June 11, 2020

Coronavirus update for Thursday, June 11 as of 4:00 p.m.

Safety-Net Association of Pennsylvania logoSNAP Advocacy

SNAP wrote to Department of Human Services Secretary Teresa Miller to point out challenges that arise in the potential use and interpretation of data hospitals have reported in DHS’s survey of hospitals’ financial condition as a result of the COVID-19 pandemic.  SNAP cautioned against possibly erroneous interpretations of some of this data and offered to work with DHS officials to address these concerns.  See SNAP’s letter here.

Department of Human Services

DHS has published a report on its most recent stakeholder meeting.  Two passages in that report are of particular interest and relevance:

CARES Funding Update

Work continues to prepare for distribution of funds for providers from the Coronavirus Aid, Relief, and Economic Security (CARES) Act. At this point, we are on pace to begin distributing one-time gross adjustment funds to intellectual disability and autism service providers beginning next week through July 1. Payments to nursing facilities and other long-term care facilities like personal care homes will begin in early July.

It is important to note that Act 24 of 2020 requires these funds to be expended by November 30, 2020 or returned to the commonwealth. Additionally, these funds must be used for COVID-19 related expenses. Providers will need to keep documentation to prove that these funds were used for their response to the COVID-19 pandemic in case of an audit. Further information about reporting requirements for these funds will be sent to providers in the coming weeks.

Regional Response Health Collaborative (RRHCP)

As we mentioned last week, Act 24 of 2020 establishes a Regional Response Health Collaborative (RRHCP), which essentially formalizes the existing Education Support and Clinical Coaching Program DHS established in partnership with the Jewish Healthcare Foundation and seven health systems to provide support to personal care homes, assisted living residences, and nursing facilities as they protect residents and staff from COVID-19.

The new RRHCP will be very similar but will operate under grant agreements, not a voluntary basis. The General Assembly allocated $175 million to be awarded among selected grantees for that purpose. In addition to this, funding from the CDC will also be available to the collaboratives to support testing in long-term care facilities to include asymptomatic staff and residents in facilities to bolster public health surveillance. Specifically, the collaborative will provide operations, management, and administrative support to protect residents in facilities from COVID-19. The collaboratives will promote health and stabilize the economy of the region by directly supporting COVID-19 readiness and response in facilities and improve the quality of care related to infection prevention and other priority health care conditions common to facilities. The network will also help long-term care facilities implement best practices in infection control, implement contact tracing programs in facilities, support clinical care through on-site and telemedicine services, provide remote monitoring and consultation with physicians, and enhance testing capability at facilities. Additionally, the collaboratives will provide alternate care arrangements for patients no longer requiring acute care but who are not ready to return to long-term care facilities.

We are close to issuing a Request for Applications to determine which health systems will be part of this partnership. This solicitation is available through eMarketplace, and applications are due by June 25, 2020.

Find the entire DHS meeting summary here.

Department of Health – by the numbers

  • Today’s new COVID-19 case and death counts are comparable to what they have been in recent days.
  • More than 19,000 residents and employees of long-term-care facilities have contracted COVID-19.
  • And residents of long-term-care facilities account for 69 percent of the 6113 COVID-19 deaths in Pennsylvania to date.
  • 950 Pennsylvanians are currently hospitalized for COVID-19 and 208 of them are on ventilators.
  • 40 percent of state hospitals’ acute-care beds, 39 percent of their ICU beds, 57 percent of their pediatric beds, and 30 percent of their pediatric ICU beds are currently unoccupied.

Centers for Medicare & Medicaid Services

CMS issued a news release explaining that nursing homes may not seize their residents’ economic impact payments (stimulus checks) authorized under the federal CARES Act.  This practice is prohibited and nursing homes that seize these payments from residents could be subject to federal enforcement actions, including potential termination from participation in Medicare and Medicaid.

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.)

2020-06-12T06:00:30+00:00June 12th, 2020|Coronavirus, COVID-19, Safety-Net Association of Pennsylvania|Comments Off on COVID-19 Update: June 11, 2020

COVID-19 Update: June 10, 2020

Coronavirus update for Wednesday, June 10 as of 3:00 p.m.

Pennsylvania Update

General Assembly

Harrisburg, PA capital buildingThis week the General Assembly passed a concurrent resolution that seeks to end the governor’s COVID-19 emergency disaster declaration; on June 4 the governor extended that declaration for an additional 90 days.  During a press conference today, Governor Wolf said he will defend in court his right to veto the resolution.  The measure’s proponents believe the resolution, having passed both chambers, is effective and does not require the governor’s consideration.

Department of Health

The Department of Health has issued an order requiring hospitals to implement measures to protect their staff and patients.  The policies and procedures must, at a minimum, include distribution of respirators to hospital staff providing direct patient care to COVID-19-positive and suspected cases and hospital staff assigned to provide direct patient care in COVID-19 units.  Respirator distribution must occur prior to the beginning of the hospital staff member’s shift and respirators must be replaced as soon as practical if the hospital is notified by a staff member that their mask has become soiled, damaged, or otherwise ineffective.  The policies and procedures also must include access to testing upon request for staff members who have been exposed to patients with or suspected of having COVID-19, measures for notifying staff members who have been in contact with such patients, and a requirement that all hospital visitors over the age of two wear masks.  See a news release summarizing the order here.

Department of Health – by the numbers

  • Today’s new COVID-19 case and death counts are comparable to what they have been in recent days.
  • More than 5800 Pennsylvania health care workers have contracted COVID-19.
  • 986 Pennsylvanians are currently hospitalized for COVID-19 and 206 of them are on ventilators.
  • 40 percent of state hospitals’ acute-care beds, 39 percent of their ICU beds, 57 percent of their pediatric beds, and 30 percent of their pediatric ICU beds are currently unoccupied.

Department of Human Services

CMS has approved a section 1135 waiver request from DHS’s Office of Medical Assistance Programs.  The waiver permits the state to temporarily allow payments for section 1905(a) personal care services to be rendered by legally responsible individuals and gives the state the ability to modify deadlines for face-to-face encounters required for home health services.  These waivers will remain in effect until the official end of the current public health emergency.

DHS’s Office of Medical Assistance Programs has written to local education agencies participating in its School-Based ACCESS Program to inform them of temporary flexibilities in the program’s usual practices and requirements that it has authorized in response to the COVID-19 emergency.

DHS’s Office of Developmental Programs has published an announcement that provides additional guidance to individual support planning teams on the criteria for requesting a cap exception for the Person/Family Directed Support and Community Living Waivers.  It also has posted a  template for applying for such waivers.

Federal Update

Department of Health and Human Services

On Tuesday HHS announced that it will be distributing $15 billion to clinicians and facilities that participate in state Medicaid and CHIP programs and/or Medicaid and CHIP managed care organizations that have not yet received any general distribution grants from the Provider Relief Fund.

This funding is intended to supply relief to Medicaid and CHIP providers experiencing lost revenues or increased expenses due to COVID-19.  Examples of providers serving Medicaid/CHIP beneficiaries that may be eligible for this funding include pediatricians, obstetrician-gynecologists, dentists, opioid treatment and behavioral health providers, assisted living facilities, and other home and community-based services providers.

Providers that believe they may be eligible for this funding may submit their annual patient revenue information to a new provider relief portal to seek a distribution equal to at least two percent of their reported gross revenues from patient care; that portal is supposed to be established today but was not up at the time this update was written.

Learn more from:

Centers for Medicare & Medicaid Services

Food and Drug Administration

Centers for Disease Control and Prevention

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.)

2020-06-11T06:00:55+00:00June 11th, 2020|Coronavirus, COVID-19|Comments Off on COVID-19 Update: June 10, 2020

COVID-19 Update: June 9, 2020

Coronavirus update for Tuesday, June 9 as of 4:30 p.m.

Pennsylvania Update

The Wolf Administration

The Wolf administration announced that the Department of Health, working with Quest Diagnostics, will open five new COVID-19 testing sites in Walmart parking lots in areas of the state with limited access to testing.  See the announcement here.

Department of Human Services

DHS’s Office of Developmental Programs has posted an announcement providing guidance to community and life-sharing home providers about how to apply the Department of Health’s new COVID-19 testing guidance.

Department of Health – by the numbers

  • The new COVID-19 case count remains in the general vicinity of where it has been for the past week but the death count, which had declined significantly in recent days, has returned to last week’s higher level.
  • With these latest deaths the state death total since the start of the pandemic has now climbed over 6000.
  • Nearly 5800 health care workers have now contracted COVID-19.
  • 1032 Pennsylvania’s are currently hospitalized with COVID-19; 224 of them are on ventilators.
  • 40 percent of state hospitals’ acute-care beds are currently unoccupied, as are 57 percent of pediatric beds, 39 percent of adult ICU beds, and 30 percent of pediatric ICU beds.  In addition, 66 percent of hospitals’ isolation rooms are unoccupied.

Department of State

The Department of State announced that it will count telemedicine services provided during the COVID-19 emergency toward the clinical experience requirements for licensure as a behavior specialist.

Federal Update

On Tuesday morning the Department of Health and Human Services announced that it will distribute $10 billion to hospitals located in COVID-19 hotspots that have cared for especially large numbers of COVID-19 patients.  It also will distribute $25 billion in CARES Act Provider Relief Fund money to safety-net providers, including $10 billion specifically for safety-net hospitals.  (Some of the language in this memo is taken directly from HHS’s news release.)

The $10 Billion Distribution to COVID-19 Hotspot Hospitals

On Monday HHS sent messages to all hospitals asking them to update information on their COVID-19 positive-inpatient admissions for the period January 1, 2020, through June 10, 2020.  This information will be used to determine a second round of funding to hospitals in COVID-19 hotspots and is due to HHS through its teletracking portal no later than 9:00 pm (eastern) on Monday, June 15.

The data reporting is similar to what hospitals previously submitted from the start of the pandemic to April 10.  The data to be reported will be cumulative, through June 10.  At this point, HHS has not decided what the threshold will be to receive payments; it will make this decision after it receives the data.

There is one major difference between the next distribution and the previous one:  this time, HHS wants data submitted, and will make distributions based on, individual facilities and not Medicare provider numbers or tax identification numbers.  HHS has updated its Provider Relief Fund web page to reflect today’s developments; find that page here.  HHS also has made extensive changes in the Provider Relief Fund’s FAQ to reflect the planned distribution of funds to COVID-19 hotspot hospitals; those changes are identified within the FAQ, which you can find here.

The $10 Billion Allocation for Safety-Net Hospitals

HHS will distribute $10 billion in Provider Relief Funds to safety-net hospitals that serve vulnerable patients in recognition of “the incredibly thin margins these hospitals operate on.”  This payment is being sent directly to these hospitals via direct deposit.

These payments will be made to hospitals that serve a disproportionate number of Medicaid patients or provide large amounts of uncompensated care.  Qualifying hospitals will have:

  • A Medicare disproportionate payment percentage of 20.2 percent or greater.
  • Average uncompensated care of $25,000 per bed or more.  For example, a hospital with 100 beds would need to provide $2.5 million in uncompensated care in a year to meet this requirement.
  • Profitability of three percent or less, as reported to CMS in its most recently filed cost report.

Recipients will receive a minimum distribution of $5 million and a maximum distribution of $50 million.

If your hospital meets the criteria for safety-net hospital payments you will receive them through direct deposit.  If you wish to receive hotspot payments, however, you must submit relevant data through HHS’s teletracking portal; the deadline for data submission is June 15 at 9:00 pm (eastern).

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.)

2020-06-10T06:00:15+00:00June 10th, 2020|Coronavirus, COVID-19|Comments Off on COVID-19 Update: June 9, 2020

COVID-19 Update: June 8, 2020

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

Pennsylvania Update

The Wolf Administration

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

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.)

2020-06-09T06:00:45+00:00June 9th, 2020|Coronavirus, COVID-19|Comments Off on COVID-19 Update: June 8, 2020
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