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COVID-19 Regulatory Resources

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CDC releases consolidated COVID-19 testing recommendations, including interim testing guidelines for nursing home residents and healthcare personnel, as well as testing strategy options for high-density critical infrastructure workplaces after a COVID-19 case is identified. These recommendations compile and update previous testing guidance. 6/13/20   

CDC updated their suite of guidance for Nursing homes and staff who work in them (Includes guidance on facility wide testing, performing testing and key strategies.) 5/19/20 

CDC Revised Guidance for Testing Priority (reflects updated recommendations for testing, specimen collection, reporting patients and positive test results, and specification of testing priorities) 5/3/20  

CDC Webinars on LTCF COVID-19 Module for Public Health Reporting  CDC hosted two webinars this week offering post-acute providers an overview of the CDC’s new LTCF COVID-19 Module for long term care facilities to report on COVID-19 to the CDC’s National Healthcare Safety Network (NHSN). Reporting to NHSN requires facilities to be actively enrolled with the NHSN to gain secure access to the network. The webinars will be replayed next week. The first, COVID-19 Module Overview for Long Term Care Facilities, will be replayed on Monday, May 4 at 2pm Eastern. Slides from yesterday’s initial run are now available for download.  The second, COVID-19 Enrollment Guidance for Long Term Care Facilities, will be replayed on Tuesday, May 5 at 3pm Eastern. Please visit the CDC webpage for details on accessing upcoming replays.

CDC’s Interim Guidelines for Collecting, Handling, and Testing Clinical Specimens from Persons for Coronavirus Disease 2019 (COVID-19)  5/4/20

CDC’s Evaluating and Testing Persons for Coronavirus Disease 2019 (COVID-19)  CDC Updated recommendations for testing, specimen collection, and reporting patients and reporting positive test results And Specification of testing priorities  5/3/20 



CARES Act Provider Relief Fund Frequently Asked Questions  (Revise FAQs capture modifications to the CARES Act Provider Relief Fund as it relates to SNF distribution.  HHS will distribute $4.9 billion in additional funding to more than 13,000 skilled nursing facilities, ranging in size fro six to 1,389 beds.)  6/1/20

House of Representatives Budget Committee FAQ on Sequester 3/27/20



ASPR Toolkit to Help States Navigate COVID-19 Health Workforce Challenges  4/22/20 (licensure information for many practitioners but not rehab therapists)



CMS has released version 6 of its Toolkit on State Actions to Mitigate COVID-19 Prevalence in Nursing Homes ... Version 6  7/20

CMS Updates Data on COVID-19 Impacts on Medicare Beneficiaries 7-28-20 (First monthly update of data that provides a snapshot of the impact of COVID-19 on the Medicare population, including for the first time American Indian/ Alaskan Native beneficiaries.

CMS released the third version of their  Toolkit on State Actions to Mitigate COVID-19 Prevalence in Nursing Homes ... Version 3.  6/15/20 (Many chapters on various topics like testing that states have taken.  Includes hyperlinks.) 

CMS memo to State Survey Agency Directors Re COVID-19 Survey Activities, CARES Act Funding, Enhanced Enforcement for Infection Control deficiencies, and Quality Improvement Activities in Nursing Homes  (Recommendations for stepped up survey efforts around COVID-19 to include the use of CARES Act funding for state survey activities.)

  • Press Release: Trump Administration Unveils Enhanced Enforcement Actions Based on Nursing Home COVID-19 Data and Inspection Results
  • Related Joint Letter from CMS and CDC to the Nation’s Governors

Training slides and worksheets shared during CMS’ first of eight weekly training session on setting up an infection control and prevention program are available from CMS' Quality Improvement Organization (QIO) Program.  Sign up here to receive information on future installments in the National Nursing Home Training Series.  5/28/20

CMS Announcement re Nursing Home Reporting Requirement 5/15/20

CMS Issues Nursing Homes Best Practices Toolkit to Combat COVID-19  (updated 5/13/20)  (Includes additional resources to aid in the fight against the coronavirus disease 2019 (COVID-19) pandemic within nursing homes)

Letter from Seema Verma to Nursing Home Management and Staff  Administrator Verma expressed gratitude for the unwavering dedication and commitment of nursing home management and staff in keeping residents safe and for continuing to compassionately care for those who rely on them during this unprecedented time. The letter also provides links to previously shared infection control resources.  5/11/20  

Modified COVID-19 Ordering Requirements for Laboratory Billing  4/30/20 

CMS Interim Final Rule with Comment Period Medicare and Medicaid Programs, Basic Health Program, and Exchanges; Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency and Delay of Certain Reporting Requirements for the Skilled Nursing Facility Quality Reporting Program  5/8/20  (directs SNFs and NF) to provide two types of reports about cases of COVID-19 among nursing home residents and staff:  1) public health reporting that shares data with the CDC and 2) facility reporting to inform residents, their representatives & families about any occurrences of COVID-19 within a facility.)



In a Coronavirus FAQ document (See pages 70-71) dated May 27, 2020, CMS announced that it is allowing institutional settings to furnish and bill for outpatient therapy delivered via telehealth during the ongoing COVID-19 Public Health Emergency.  Question: Can outpatient therapy services that are furnished via telehealth and separately paid under Part B be reported on an institutional claim (e.g., UB-04) during the COVID-19 PHE?  Answer: Yes, outpatient therapy services that are furnished via telehealth, and are separately paid and not included as part of a bundled institutional payment, can be reported on institutional claims with the “-95” modifier applied to the service line.

NASL Telehealth Update 3/30/20

Medicare Telehealth Frequently Asked Questions (FAQs)  CMS provided additional details in the form of an FAQ document regarding telehealth waiver provisions and the public health emergency (PHE).  3/17/20


Telehealth Updates for Rehab Providers






FAQs–Application of OIG's Administrative Enforcement Authorities to Arrangements Directly Connected to the Coronavirus Disease 2019 (COVID-19) Public Health Emergency updated 5/14/20