April 22, 2020
KHCA/KCAL is committed to providing our members with important updates. Below is a list of the most recent COVID-19 updates. Please visit our website for a list of complete updates.  www.khca.org
Joint press release calling for support for nursing homes and assisted housing
Kansas Health Care Association/Kansas Center for Assisted Living, LeadingAge Kansas and the Kansas Adult Care Executives – KACE have issued a joint press release calling for support for nursing homes and assisted housing.
CARE requirement suspension is extended for new admissions
CARE requirement suspension is extended for new admissions, however  for the next 30 days, the CARE Level I assessment and the special admissions are being suspended and do not need to be completed, prior to admission to a Kansas nursing facility. As such, a CARE Certificate is not required, upon admission.  That said, the nursing facilities will need to contact the local Area Agency on Aging (AAA) to conduct a  CARE Level I assessment if the resident will still reside in the nursing facility before the 30 day suspension is over. Please note you will still need to process the 2126 to be sent in to the clearinghouse for admissions and discharges as this guidance does not exclude that.
Providers looking to create special care units, wings or off site facilities
Providers looking to create special care units, wings or off site facilities are asked to complete the following  checklist  and submit your request to KDADS at  COVIDchecklist@ks.gov
New Child Care Subsidy Program for front line staff - Hero Relief Program
The Hero Relief Program
The “Hero Relief Program” expands DCF’s child care assistance subsidies for families and provides financial support directly to child care providers. The new program specifically targets health care workers, first responders and other essential workers.
Beginning Monday, April 20, child care subsidies will be available to essential workers who financially qualify. The list includes:
  •  Health care workers (including long-term care workers, RNs, other medical professionals and health care support workers, hospital and laboratory staff)
  • First responders (including law enforcement, fire and rescue, corrections and other public safety workers)
  • Food and agriculture workers
  • Judicial branch (essential services)
  • National Guard
  • Child and adult protective service specialists
  • Child care providers caring for children of eligible workers listed above
In order to qualify, families must have countable gross income at or below 250% of the federal poverty level. For an average family of four that equals a monthly income of $5,458. Families will receive the full DCF subsidy amount based on their family size, with no family-share deduction.
The Hero Relief Program also supports child care providers by providing a menu of stipends and grants to assist during the pandemic.
Grants may include:
  •  Sustainability stipends for all KDHE-Licensed child care and relative providers to help pay for ongoing expenses like food, supplies, labor and rent/mortgage.
  •  Revenue replacement subsidies for DCF enrolled child care providers
  •  Supply grants to assist with pandemic related expenses like gloves, disinfectants, soap and other necessary items.
  •  Emergency worker support bonuses – a one-time bonus to providers who care for children of health care workers and first responders.
For more information and for instructions on how to apply, visit   www.ksherorelief.com
KMAP Web Update 4/22/20
The  KMAP  website has been updated with the following updates:
  • Updated General Bulletin 20068 regarding addition telemedicine coverage for BI waiver services during the COVID-19 emergency
  • Updated General Bulletin 20076 regarding wheelchair seating assessment codes allowed by telemedicine during the COVID-19 emergency
  • General Bulletin 20073 regarding the expansion of telemedicine services for therapy services during the COVID-19 emergency
A standard global message has been added to alert providers. The following special global message and associated documentation have also been added.
An RA banner message will appear on those available the week of April 27 and May 4. Let me know if you have any questions regarding these updates.
Update on Pending Requirement for National Healthcare Safety Network (NHSN) Reporting
As announced in  CMS memo  earlier this week, CMS will be issuing a new requirement for nursing homes to report to CDC’s National Healthcare Safety Network which is the nation’s most widely used healthcare-associated infection tracking system. AHCA along with other stakeholders met with staff from CDC NHSN to seek more information about accessing NHSN and the reporting requirements. Key takeaways providers should be aware of are:
  1. There will be an option for an expedited registration and credentialing process for new users of NHSN. It is estimated to take one hour via email communication to complete this process.
  2. Reporting to NHSN will likely be required weekly. 
  3. There will be a probable grace period from enforcement to allow for rollout of this new requirement. CMS will determine the length of time of that grace period which is not known at this point.
The goal of reporting to NHSN is to:
  • Augment case reporting to understand facility specific impact
  • Identify resource needs and prioritize public health action
NHSN will be providing training and support such as office hours and a user support desk in the coming weeks. We will share more information as it becomes available from CDC NHSN and when CMS issues the rule for these requirements.
ASPR Webinar - Protecting Our Frontline Health Facilities from Evolving Security Threats during COVID-19
On Friday, April 24, at 1:00 pm EDT, the Department of Health and Human Services (HHS) is partnering with the Department of Homeland Security (DHS) and InfraGardNCR on a webinar series to inform the private sector, state and local government first responders, and public healthcare professionals of potential increased threats to HPH facilities.

Register for the webinar here . You must register in advance to attend the webinar. After you register, you'll receive connection details from GoToWebinar. Send any questions to  infragardncr@fbi.gov .
Help wanted? Post your jobs with KHCA/KCAL
We have had multiple calls from individuals not currently in the health care field asking how they can become a basic care aide and start a career in long term care. We want to send these candidates to you. On April 16, 2020 Governor Laura Kelly announced a new category of temporary aide workers to ease the staffing shortages in adult care home settings across the state. An example of this training would be the free  8 hour online training course  made possible by the American Health Care Association, and was requested jointly by Kansas Health Care Association, LeadingAge Kansas and KACE.
Kansas Health Care Association and the Kansas Center for Assisted Living
1100 SW Gage Blvd Topeka, KS 66604
PH: 785-267-6003 FAX: 785-267-0833