• a summary of CMS reporting requirements in QSO-20-29-NH including a template for notifications and links to updated survey tools;
• details on the extension of the attestation period for CARES Act Provider Relief Funds; and
• social media tips for the FEMA PPE shipments, Mother’s Day, and NSNCW.

1. Welcome | Novel Martin | Chairman of the Board
2. Update from VHCA-VCAL | Keith Hare | President and CEO
3. VDH Update
4. Hot Topic Review | April Payne | Vice President of Quality Improvement and Director of VCAL

• requirements for notifying residents, representatives, and families of COVID cases, 
• NHSN reporting requirements, and 
• survey and enforcement of these new requirements. 

• Additional Funding is Available to Targeted and General Allocations. This point has been a notable point of confusion. HHS now states, “Any provider who has already received a payment from the Provider Relief Fund … should apply for additional funding.”
• General Fund Allocation Updates. SNFs are eligible for general fund awards. Below is a list of new or updated: 
• Higher Payment Than Expected. HHS describes what a provider should do if they believe payment is greater than expected or received in error; 
• Description of Recoupment. HHS notes that in general the department “does not intend to recoup funds as long as a provider’s lost revenue and increased expenses exceed the amount of Provider Relief funding a provider has received. Additionally, in the General Allocation portion of the website, HHS has added text bolstering this point and noting “there will be significant anti-fraud and auditing work done by HHS, including the work of the Office of the Inspector General.”
• Expenditure of Funds on Individuals with Possible, Presumptive, and Actual Cases of COVID-19. HHS notes that Provider Relief Funds may be used for possible, presumptive, and actual COVID-positive patients and discusses each term. 
• Terms and Conditions Updates. HHS offers additional details on how it will monitor adherence to the Terms and Conditions and offers detail on certain provisions. The majority of the updates focus on the Targeted Allocations such as High Impact and Rural Allocations. 
• Rejecting Funds. HHS notes that “providers may return their General Distribution payment by going into the attestation portal indicate they are rejecting the funds. The CARES Act Provider Relief Fund Payment Attestation Portal will guide providers through the attestation process to reject the funds.” AHCA/NCAL assumes HHS’ intent is within 45 days but will seek clarification. 
• Reporting Requirements. The department notes it will be posting specific reporting requirements in the coming weeks. 

• PPE shipments from FEMA
• Positive stories
• Recovery stories
• Positive coverage of AHCA/NCAL, your state affiliate, or member company
• Retweet/share AHCA/NCAL content

• DO have a tasteful cover photo/profile photo (e.g., nurses in PPE, photos from a positive event)
• DO proofread posts
• DO tag @ahcancal in positive stories
• DO include images and video, when applicable
• DON’T “feed the trolls”
• DON’T engage with negative comments
• DON’T get off message (i.e., no politically extreme language, personal opinions, etc.)

• Take pictures of the PPE being delivered or staff using it and include them in posts.
• Tag any organizations that helped distribute the PPE (National Guard, state law enforcement, etc.).
• Tag AHCA/NCAL and use hashtags like #CareNotCOVID and #LTCHeroes so AHCA/NCAL can amplify these stories.

• Share pictures or videos of the creative ways you are helping residents and families celebrate.
• Use the #MothersDay hashtag to take advantage of organic social traffic for the holiday.

• Share pictures of activities.
• Celebrate the hard work of skilled nursing staff with the hashtag #NSNCW.
• Tag AHCA/NCAL and use hashtags like #CareNotCOVID and #LTCHeroes  AHCA/NCAL can amplify these stories.