COVID-19 Updates For Members

Delaware Coronavirus Main Page      https://coronavirus.delaware.gov/

Governor John Carney’s Main Page:  https://governor.delaware.gov/ 

Governor Carney — Newsroom: https://governor.delaware.gov/newsroom

• Governor’s Executive Orders
  • Executive Order 27, updated 2.12.21
    • See Section K for Long-Term Care and Older Adults
    • See Section L for Public Health
      • All hospitals, nursing and residential facilities, ambulatory health care services, home health agencies, and personal assistance service agencies in Delaware, as categorized by the Division of Small Business, shall comply with the Public Health Authority’s guidance for the optimal use of Personal Protective Equipment.
      • The requirement that long term care facilities provide documentation to the Division of Health Care Quality as to the of the amount of direct care time that was provided in an emergency by a Director of Nursing, Assistant Director of Nursing, or registered nurse assessment coordinator as required in 16 Del. C. § 1161(e) is hereby suspended.
      • Long term care facilities must continue to provide 3.28 hours of direct care per resident per day. However, the staffing ratios required in 16 Del. C. § 1162 are hereby suspended.
  • ExecOrder29_Pandemic Resurgence Advisory Committee
    • Delaware-PRAC-Interim-Report_vS-compressed
  • Exec Order 43 – Rapid Workforce Training and Redeployment Initiative

Delaware Division of Public Health

Call Center for Questions about COVID-19 in Delaware: 1-866-408-1899, TTY at 1-800-232-5460 or email dphcall@delaware.gov 

LTC Reopening Plans and DPH Order: 4-15-21-LTC-Reopening-Plan

LTC Visitation Guidance Updated 032621

COVID-19 Mandatory Testing

• DPH LTC COVID-19 Testing Guidance 10.12.20
• Mandatory Recurring Staff Testing for LTC Facilities
• SHOC Resource Request Form LTC mandatory testing
• Designation of Primary Testing Facility for Mandatory Recurring Staff Testing at Long
• Mandatory Staff Testing Tracking Log
• Mandatory Testing by Curative presentation
• Staff members must watch a 2-minute training video before self-administering the test. The Curative training video is available in English, Spanish and Creole and can be found at the following links:
  • English: de.gov/testing
  • Spanish: de.gov/pruebas
  • Haitian Creole: de.gov/tes
• LTC Surveillance FAQ_6.3.20
• Resident Testing Plan Fact Sheet

Dedicated COVID-19 webpage for long-term care providers: https://coronavirus.delaware.gov/long-term-care-facilities/

• • REQUIRED DPH Infection Control covid training 04082020
  • Signature Attestation_4.20.20 for required training
  • Cloth Mask Guidance 04.06.2020
  • DE Long Term Care Waiver Order 04.09.20
  • DPH-DEMA-CMS Healthcare Waivers 4_9_2020
  • Delaware Medical Assistance Portal Document Repository  
  • Delaware Information for Vulnerable Populations
  • Disposition of COVID-19 LTC or Assisted Living Patients_4.15.20
  • Essential-Services-Screening-Policy_03.31.20
  • Guidance_For-Certifying_Deaths_COVID-19
  • SHOC Guidance Memo 3.31.20
  • 5.19.20 Updated PAC Discharge Guidance
  • 7.21.20-Discontinuation-of-COVID-19-Precautions-for-Long-Term-Care-Facilities (1)
  • 7.27.20-Return-to-Work_RTW_Guidance-final (1)
  • COVID-19_In-Person Visitation Application Template_20200918
  • Application to be a State of Delaware Vendor: How to become a new vendor

• Delaware Health Alerts Network
  • Delaware Health Advisory_Guidance fo Suspected COVID-19 Exposure, Isolation, and Working
  • DPH Isolation Discontinue and Return to Work

• Delaware Division of Professional Regulations
  • Procedure to Hire Out-of-State and License-lapsed Nurses, Nursing Students
    • Medical Personnel Request Form (1) (2) (2) (3)
    • DE Nursing Schools_Refreshers
  • LLAM Training Renewals Extended

• Essential Childcare Information 
  Information about registration for childcare at the YMCA’s throughout our state for children (5-12). Bear/Glasgow, Brandywine and Sussex locations at this time, but that may expand. The Central and Walnut Streets YMCA’s in Wilmington will provide childcare for all ready enrolled families of essential personnel.
• CARES Act Summary for Nonprofits from Spur Impact: 2020-04-03+A+Summary+of+the+CARES+Act+for+Delaware+Nonprofits
• COVID-19-EmergencyTips_LongTermCommunityBasedDementiaCare_AlzheimersAssociation
• Emergency Regulations for Skilled and Immediate Care Nursing Facilities
• Emergency Regulartions for Assisted Living Facilities
• Emergency Regulations for Rest (Residential) Home Regulations

Post-Federal Pharmacy Program: LTC providers MUST have a plan to vaccinate residents and staff. Options:

• DelVAX
• LTC pharmacy provider
• Retail pharmacy partners
• Walgreens or Rite Aid for staff

Vaccine Cultural Hesitancy Resources:

• These newly available vaccine PSAs from the Divine 9 – Alumnae members of historically black sororities and fraternities in Delaware —  feel free to download and share on your social channels https://www.dropbox.com/sh/l2lrmkxm9n2c2o2/AAD-c9JB4ib8QxN13dRIO0Kha?dl=0
• COVID 19 Vaccine Real Talk with Two Delaware African American Doctors United Way Delaware and West End Neighborhood House Featuring Dr. Velma Scantlebury (America’s first African-American female transplant surgeon) and Dr. Joan Coker an Ear, Nose and Throat specialist with 28 years’ experience
• Black America’s Vaccine Hesitancy | BlackDoctor.org – Where Wellness & Culture Connect
• Vaccine Hesitancy in Communities of Color.

DELVAX

Vaccinating providers must be enrolled as COVID-19 providers in DelVAX and VaccineFinder

• Update to DelVAX Instructions Link
• Email COVIDVaccine@delaware.gov with questions

CDC.gov

• Ensuring Access to COVID-19 Vaccine in Long-Term Care Facilities
• CDC guidance for 65+
• Tell Me More – Vaccine Safety Video 
• CDC COVID-19 Vaccines Page 
• CDC’s tips on How to Protect Yourself and Others
• CDC COVID-19 Vaccination Communication Toolkit
• CDC Long-Term Care Facility Toolkit
• CDC/ACIP Recommendations 

HHS.gov

• HHS Combat COVID website 
• COVID-19 Vaccine Education Effort: Content for Healthcare Providers video series 

Medicare.gov

• Medicare & Coronavirus page
• Medicare coverage page on COVID-19 vaccines
• Medicare Coverage page on COVID-19 monoclonal antibody treatments
• Medicare fraud page

CMS.gov

• COVID-19 Vaccine Policies & Guidance
• COVID-19 Partner Resources Page

Hematology.org

• https://www.hematology.org/covid-19/ash-astct-covid-19-and-vaccines

Email Resources:

• General Public – Vaccine@delaware.gov
• Vaccine enrollment: COVIDVaccine@delaware.gov
• Businesses/organizations – VaccinePlanning@delaware.gov
• Provider enrollment questions – COVIDVaccine@delaware.gov

• PowerPoint:  Guidance_For-Certifying_Deaths_COVID-19
• Power P0int from Dr. Morgan Katz: Testing for COVID-19 in long-term care SL
• CDC Training:Guidance for Certifying Deaths 
• Guidance on Certifying Deaths Article
• Copy of DMOST User Log Remote ACP for Delaware
• PowerPoint:  DMOST Registry_guided usage for COVID
• remote DMOST creation_4 14 20202 (2)
• VitalTalk Communication for COVID for Doctors and Nurses
• 5.19.20 Updated PAC Discharge Guidance
• Curative Saliva Testing
  • EUA-CKorva-CoV-EUAsum
  • EUA-CKorva-CoV-hcp
  • EUA-CKorva-CoV-patient
• Smart Glasses for Telemedicine Links:
  • https://www.vuzix.com/solutions/telemedicine
  • https://www.youtube.com/watch?v=PASjjePsQiM
  • https://louisville.edu/medicine/news/delivering-health-care-through-a-new-lens-smart-glasses

• AHCA/NCAL Grant & Loan Management Primer Version 1 & COVID-Related Loss and Cost Calculator

To view the Primer, click here.
To view the Calculator, click here.

• Tip Sheet for Successfully Applying for Provider Relief Fund Payment Portal for Non-SNF Medicaid Providers:  Tips-HHS-Medicaid-Portal
• AHCA/NCAL  Coronavirus Updates
• AHCA Update 5.19.20 Reimbursement Issues and Legal Issues-COVID-19
• AHCA/NCAL COVID Update 40: Recommendations for When a Resident Wants to Leave the Building, CARES Act FAQ, Medicare FAQ, etc
• AHCA_NCAL_COVID-19 – Update 26 : Summary of CMS Blanket 1135 Waivers for Long-Term Care
• AHCA/NCAL Video Series: What To Do if Staff or Residents are Potentially COVID-19 Positive and if You’re PPE is Dwindling
  • When-COVID-Gets-InCOVID-19 Infection Control Action-Brief-Surveys
• Hospice-Guidance AHCA_NCAL
• Nebulizer Guidance
• Notifications-Confirmed-Cases
• Tips to Provide Staff with Emotional Support
• Tips for Successful Application Submission to the Provider Relief Payment Portal for non-SNF Medicaid Providers: Tips-HHS-Medicaid-Portal
• Every Interaction is a Risk: Limiting-Interactions
• Temporary Nurse Aide Training

• CMS Updates  

  • Interim Final Rule (IFC), CMS-3401-IFC, Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency related to Long-Term Care (LTC) Facility Testing Requirements and Revised COVID-19 Focused Survey Tool

  • NHSN COVID Vaccination Module update was also released on May 6.  Summary from AHCA:  CDC Updating and Simplifying NHSN Module
  • Updated Visitation Guidance 4.27.21 QSO 20-39-NH Visitation REVISED
  • Update to Emergency Regulatory Waivers Issued in Response to COVID-19 QSO-21-17-NH
  • Visitation and Use of CMP Funds Nursing Home Visitation – COVID-19v2 QSO-20-39-NH
  • CMS Testing Requirments: QSO-20-35-ALL
  • CMS COVID-19 Reporting Requirements Summary  Summary-CMS-Reporting-Requirements
  • Centers for Medicare and Medicaid Services Memos
  • CMS Nursing Home Reopening Guidance 5.17.20
  • CMS_Guidance on Discharging Residents_Cohorting_Based on COVID19 Status
  • CMA Upcoming Requirements for Notification of Confirmed COVID-19
  • COVID-CAREs Survey and Enforcement Memo-FINAL CLEAN
  • Coronavirus (COVID-19) Partner Toolkit
  • 4.2.20 COVID19 Nursing Home Guidance
  • Covid19-Blanket-Waivers-508C- 2-final 040320_0
  • IFC2 Long Term Care Facilities-Additional Blanket Waivers 5.5
  • Interim Infection Prevention and Control for Patients COVID+ or PUI in Healhtcare Settings
  • Fact Sheet ACCELERATED and ADVANCE PAYMENT Final update_0
  • CMS Current Emergencies: Coronavirus
  • CMS Survey Prioritization Guidance Update
  • CMS Survey Priorization 3.20.20
  • COVID-19 Self Assessment
  • Medicare Telehealth Coverage
    • https://www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-sheet’
    • https://edit.cms.gov/files/document/medicare-telehealth-frequently-asked-questions-faqs-31720.pdf
    • Nursing Home Telehealth Toolkit 3.25.2020 v6-508
  • Summary of Emergency Declaration Blanket Waivers for Health Care Providers
    • Summary-covid-19-emergency-declaration-waivers 05142020_CLEAN 925pm-8 508[1]_0

• CDC Coronavirus Main Page
• CDC Updated Healthcare Infection Prevention and Control Recommendations in Response to COVID-19 Vaccination
• Ensuring Access to COVID-19 Vaccine in Long-Term Care Facilities
• Interim Clinical Considerations for Use of mRNA COVID-19 Vaccines | CDC
• CDC COVID-19 Information for Healthcare Professionals
• CDC COVID-19 Information for Health Care Facilities
  • Guidance for Retirement Communities and Independent Living Facilities to Prepare For COVID-19
    • Guidance for Retirement Communities and Independent Living
    • Preventing the Spread of COVID-19 in Retirement Communities and Independent Living Facilities (Interim Guidance)
  • Coronavirus disease 2019 (COVID-19) Checklist: Older Persons
  • Coronavirus Preparedness Checklist for LTC
  • Hand Hygiene Guidance
  • Healthcare Infection Prevention and Contol FAQs for COVID-19
  • Nursing Home Infection Prevetionist Training Course
  • Resources to Prepare for Patients With Suspected or Confirmed COVID-19
  • ReturntoWorkCriteriaforHCWorkers_CDC03172020
  • Preparing for COVID-19_Long-term Care Facilities, Nursing Homes
  • Strategies to Optimize the Supply of PPE and Equipment
• CDC Clinician Outreach and Communication Activity (COCA)
  • Sign up for COCA Updates
  • COCA Programs and Services
• PPE Burn Rate Calculator and Instructions
  • PPE-Burn-Rate-Calculator-03152020v12

• Visitor Guidance and Exceptions, Hospice, etal
• Therapy-Personnel-Guidance-COVID19
• coronavirus_attention_visitors_poster
• Screening tool COVID-19
• Notice to Families Restricting Visitors

• CMS: Guidance to Ensure States Have Plan to Safely Reopen Nursing Homes
• CMS: Nursing Home Reopening Recommendations for State and Local Officials
  • QSO-20-30-NH Reopening 5-17-2020 
  • Nursing Home Reopening Recommendations FAQs-508
• Delaware Universal Testing for Long-term Care Facilities Implementation
  • 5.7_Universal LTC Testing Plan_Updated
  • Universal Testing presentation
  • Universal Testing at LTC Facilities
  • COVID-19 Testing Decision Tree
  • Universal Testing Tracking Sheet

• REQUIRED DPH Infection Control covid training 04082020
• AMDA TELEHEALTH- Public Policy-FINAL
• coronavirus_attention_visitors_poster
• COVID assessment and management guidance
• Covid 19 HotTopics.Geeta Sood MD ScM
• COVID-19 Medical Personnel Form
• COVID 19 Naive Flowchart
• COVID 19 Outbreak Flowchart
• CDC  COVID PREVENTION: MINI WEBINAR SERIES FOR LONG-TERM CARE STAFF
  • Sparkling Surfaces
  • Clean Hands
  • Closely Monitor
  • Keep COVID-19 OUT!
  • PPE Lessons
• CDC PPE Instruction Flyer
• Disposition of COVID-19 LTC or Assisted Living Patients_4.15.20
• eBright Task Force Resources DHSS_Lab_testing_Form
• Exigent Circumstances Reporting Form Rvsd_2020-0303 (002)
• FCC Telehealth COVID-19 Grants
• Infection Control Focused Survey Preparation
• Infections and IC (1)Dr. Susan Levy 3.5.2020
• MEDICAL DIRECTOR COVID PREP
• Medical Personnel Request Form (1) (2) (2) (3)
• MED REDUCTION FOR COVID
• PAC facilities testing procedure
• PPE-Burn-Rate-Calculator-03152020v12
• PPE Request Policy and Procedure 2020.3.10 Update
• Screening tool COVID-19
• SHOC Resource Request Form
• SHOC Status Form Updated 4-6-20
• Temporary Nurse Aide Training