COVID-19 Updates For Members | Delaware Health Care Association

LTC Reopening Plans and DPH Order: Reopening Plan for LTC

Delaware Coronavirus Main Page www.de.gov/coronavirus

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

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

Governor’s Executive Orders
- ExecOrder29_Pandemic Resurgence Advisory Committee
  - Delaware-PRAC-Interim-Report_vS-compressed
- Governor Carney’s 11th modification issues stricter requirements for LTC to protect residents and workers
- Public-Health-Emergency-Order-03.23.20 and DEMA-and-DPH-Order-3.23.20
  Governor Carney’s 5th modification gives DEMA and DPH authorization to relax regulations to allow for additional healthcare workers not currently licensed in Delaware to be hired during the pandemic. The DEM/DPH order outlines the specifics.
- Governor Carney issues Stay-at-Home order in 4th modication of his public health emergency declaration
  - Non- essential work ban starting Tuesday, March 24 at 8 am. Travel only to and from work or for a limited purposes (grocery store, doctor office, walk outside)
  - Public Health has committed to DHCFA that long term care providers are included in the essential personnel category and they will work with DEMA to be sure both SNF and ALF staff would be able to travel to work sites in Delaware. Recommend that facilities provide on letterhead a document declaring an employee as essential to the operation of the facility. The employee should carry it along with a picture id, while they travel to and from work. DE Code Title 2 Transportation 1101 Driving Restrictions
  - Going outside for a walk or a run is approved, because getting exercise is good for our mental and physical health. Avoid other people and keep 6-8 feet away.
  - Questions to 302-577-8477 or email Covidfaq@delaware.gov
- 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

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/

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

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
Smart Glasses for Telemedicine Links:

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

To aid members with managing the array of federal grants and loans, AHCA/NCAL has develop a basic primer for organizing oversight and day to day management of these emergency resources. The guidance includes federal cost reporting guidelines as well as AHCA/NCAL member recommended financial management approaches. As noted above, this document is the Association’s first version of the guidance. Updates will be developed as the federal government and states release new or updated information. Also, available is a COVID-Related Loss and Cost Calculator. The purpose of this excel workbook is to offer a basic tool for members to assess allowable costs already reimbursed by pre-COVID payers, such as Medicare and Medicaid, and compare such reimbursement to shortfalls where grants and loans fill funding gaps. This tool will be particularly useful with reporting on and documenting use of the CARES Act Provider Relief Fund grants.

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-In COVID-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
- 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

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