Greetings!

This update includes:
  • information on CNA training from the Department of Health Professions;
  • new OSHA resources on PPE applicable to all providers;
  • the latest CMS memo on cohorting, which is consistent with AHCA/NCAL’s guidance;
  • details on the CMS office hours call on COVID-19 today at 5:00 pm;
  • information on National Health Care Decisions Day, which is Thursday;
  • access to a webinar on healthcare workers and masks from NETEC; and
  • a link to the revised CMS FAQ on FFS billing.
 
Sincerely,

April Payne, LNHA
Vice President of Quality Improvement | Director of VCAL
Virginia Health Care Association | Virginia Center for Assisted Living 
CNA Training

The Department of Health Professions (DHP) clarified that nurse aides who have completed their training have two years to complete the exam.
 
We sought clarification from DHP after CMS issued the blanket CMS 1135 waiver. Under the blanket waiver, CMS was waiving the requirement that a facility may not employ anyone for longer than four months unless they met certain training and certification requirements under § 483.35(d). CMS is waiving these requirements to assist in potential staffing shortages seen with the COVID-19 pandemic. That waiver item does not address state testing requirements which is as follows:
 
18VAC90-25-71. Certification by examination.
 
B. An applicant who fails to take the board-approved skills and written portions of the state examination within two years of completion of the training or who has failed the examination in three attempts shall reenroll and successfully complete another approved nurse aide training program before reapplying.
 
The Board of Nursing also wanted us to share that if there are any unique situations with nurse aides regarding testing, to please have that individual reach out to the board at (804) 367-4400.
 
The testing date is from the date of completion, not from the date they receive a message from Pearson Vue.
New OSHA Resources:
Low/Unavailable PPE and Reporting Staff Cases

AHCA/NCAL released four new resources on guidance from the Occupational Safety and Health Administration (OSHA) and the CDC on critically low or unavailable PPE. These new resources are applicable to all long term care providers.
 
  • A form letter providers can fill in when responding to OSHA inquiries due to complaints regarding limited or unavailable PPE. 
  • A document on OSHA guidance when PPE is critically low or unavailable including steps providers can follow. 
  • An explanation of OSHA and CDC guidance on N95 respirators that are critically low or unavailable. This resource provides five options with guidance on what to do for a limited supply of N95 or other respirators to no N95 or other respirators available. 
  • A document with updated guidance from OSHA on employer recording and reporting requirements for COVID-19. 
New CMS Cohorting Guidance

CMS has released deta iled guidance on long term care facility transfers . This matches the cohorting guidance that AHCA/NCAL shared with you previously.
 
All nursing homes and assisted living communities should make plans for cohorting residents even before COVID-19 enters the building. Cohorting is imperative to help control the spread of the virus. If possible, nursing homes and assisted living communities should also begin preparing wings, units or floors as “isolation units”. Isolation unit should be a separate, well-ventilated area, ideally with a separate entrance.
CMS Office Hours on COVID-19 Tomorrow

CMS is hosting a call for providers to ask questions of agency officials regarding CMS’s temporary actions that empower local hospitals and healthcare systems to: 
  • increase hospital capacity; 
  • rapidly expand the healthcare workforce; 
  • put patients over paperwork; and 
  • further promote telehealth in Medicare.
 
Conference lines are limited, so CMS highly encourages you to join via audio webcast, either on your computer or smartphone web browser.
 
April 14, 2020 | 5:00 – 6:00 pm
Toll-Free Attendee Dial In : (833) 614-0820
Event Plus Passcode : 2395745
National Healthcare Decisions Day

April 16 is the annual National Healthcare Decisions Day , which exists to inspire, educate, and empower the public and providers about the importance of advance care planning. Although this issue has always been important, the COVID-19 pandemic has vividly demonstrated the need advance care planning in the event of a health crisis. 
 
The goal is as simple as it is huge: ensure that all adults name an agent, discuss their choices, and document the agent and choices in an advance directive. Please help spread the word to the public and please be sure that all healthcare providers lead by example with their own advance care planning. Free resources are available at www.nhdd.org and Virginia-specific resources are available on the Virginia State Bar Health Care Decisions Day webpage . 
National Emerging Special Pathogens Training and Education Center (NETEC) COVID-19 Webinar Series

In this webinar series, NETEC is providing facilities with the tools to educate health care workers and share preparedness best practices. NETEC will highlight subject matter experts who have been immersed in the many challenges and topics around COVID-19.
 
April 17, 2020 | 11:00 am CDT
The what, how, and why of masks for healthcare workers caring
for patients during the COVID-19 outbreak.
 
All previous recordings and upcoming events can be found on the NETEC website .
Update: CMS Revises COVID-19 FAQs on FFS Billing

CMS posted an updated version of the COVID-19 Frequently Asked Questions (FAQs) on Medicare Fee-for-Service (FFS) Billing document . A change date is provided below each answer to indicate new and updated answers. The document is largely a repackaging of existing CMS guidance.
Quick Links
www.vhca.org | (804) 353-9101 | Calendar of Events