Greetings!

This message includes:
  • information on the CMS announcement on NHSN data and guidance on COVID-19-related survey activity and a link to our press statement;
  • information on the June 3 attestation, which applies only to Medicare FFS Provider Relief Payment;
  • a PPE vendor list provided by the Virginia Department of General Services; and
  • a link to the Timeline for COVID-19 Guidance and Regulations – June 1, 2020 REVISION.
 
In addition, we’ve linked to additional updates from AHCA/NCAL including:
  • a fact sheet on supporting loved ones in a long term care facility;
  • SNF therapy telehealth waivers and other COVID-19 billing FAQ updates;
  • updated CMS guidance on proper use of COVID-19 waivers claim codes; and
  • details on Hilton’s frontline medical professionals room program.

Sincerely,

April Payne, LNHA
Vice President of Quality Improvement | Director of VCAL
Virginia Health Care Association | Virginia Center for Assisted Living 
CMS Announcement on NHSN Data and Guidance on
COVID-19-Related Survey Activity
 
On June 1, CMS released a memo, QSO-20-31-ALL addressing National Healthcare Safety Network (NHSN) data, COVID-19 survey activities, enhanced enforcement, and engagement of Quality Improvement Organizations (QIOs).

This guidance is effective immediately and will cease to be in effect when the Secretary of Health and Human Resources determines there is no longer a public health emergency due to COVID-19. At that time, CMS will send public notice that this guidance has ceased to be effective via its website.

CMS released a  state-by-state report  on COVID-19 cases for residents and staff along with numbers of infection control focused surveys completed. VHCA-VCAL issued a statement in response from President and CEO Keith Hare noting that “This new data reaffirms the ongoing and urgent need to support long term care.”

CMS will post the underlying CDC-collected data on a link on Nursing Home Compare later this week. The data will be broken down by state, number of residents and number of staff. The data will be searchable by facility name and will be downloadable so researchers and other stakeholders can perform their own in-depth analysis. CMS will update the data weekly.

Reminder to members: Ensure systems and processes are in place to report at least weekly to NHSN per CMS requirements. If you have difficulty reporting or accessing NHSN, keep documentation of all efforts made to be in compliance. Read more
June 3 Attestation Deadline Applies Only
to Medicare FFS Provider Relief Payment 

This morning (June 2) the US Department of Health and Human Services (HHS) clarified that the June 3 deadline for providers to submit revenue data:
  • is only for providers who received a Tranche 1 allocation and would like to submit financial information to receive additional Tranche 1 funding. 
  • providers would still be required to ensure that their General Distribution payment is the lesser of 2 percent of their provider net revenue or the sum of incurred losses for March and April.

Below is the relevant HHS webpage text:

ALERT: Providers need to take action by June 3, 2020

Providers must submit revenue information to the  General Distribution Portal by June 3, 2020  to be considered for an additional payment from the Provider Relief Fund $20 billion General Distribution. Once providers submit their revenue information by June 3, 2020, if deemed qualified for additional payment, providers will then have 90 days from receipt of payment of the additional General Distribution funds to agree to the program Terms and Conditions.

AHCA/NCAL recognizes how challenging the lack of guidance is for members. The Association is working with HHS to secure additional information.
All other questions about the fund should be directed to HHS Hotline at (866) 569-3522. HHS reported on May 22 that the call center now has access to additional data and new HHS guidance to better answer questions.
 
Tranche by Tranche Questions

Tranche 1: HHS as provided the formula and allocation process in its FAQs. The data source for the award amounts was 2019 Medicare Part A Fee-For-Service (FFS) net revenue.

Tranche 2: As above, HHS has provided the formula for Tranche 2 in its  FAQs. Of note, HHS explains why a provider who received a Tranche 1 award may not have received a Tranche 2 award. The data source for Tranche 2 was 2018 Medicare Cost Report.

Tranche 3 (SNF-Only): All SNFs with Medicare-certified beds should have received an allocation on May 22. If the SNF did not receive an allocation this could be because:
  • it is a Medicaid-only or private pay only facility; or
  • errors in HHS’ data source (April 2020 CASPER Report).

If the SNF believes they should have received a Tranche 3 award or received the incorrect amount, they should contact the Hotline (above) and have the following information ready:
  • Tax Identification Number(s) (TINs)
  • CMS Certification Number(s)
  • Dollar amount in question by building 

Also, for Tranche 3, the SNF Allocation, have the number of SNF certified beds (Medicare, Medicaid or both), the amount they received and the amount they believe they should have received.

At this point, the above information is all HHS has shared. AHCA/NCAL continues to request clarification on Change in Ownership, TINs and reporting window information.
COVID-19 Emergency Vendor List

The Virginia Department of General Services (DGS) has provided a link to an emergency vendor list, which includes vendors that provide personal protective equipment. DMAS and DGS do not endorse nor suggest any vendor appearing on the emergency vendor list. Providers are required to conduct their own due diligence prior to procuring from any vendor listed.

To assist members, AHCA/NCAL has also developed a list of  PPE suppliers that have recently served long term care providers. The list is not an endorsement or seal of approval of any particular PPE supplier, but can be used as a resource when PPE is not available through their ordinary supply chains. Knowing whether a PPE supplier is reliable is challenging these days with all the pop-up PPE suppliers and  PPE scams.
Other COVID-19 Updates

Supporting Your Loved One in a Long Term Care Facility: CDC released a fact sheet on Supporting Loved Ones in a Long-Term Care Facility, which providers can share with residents’ families. The fact sheet includes ideas on how to keep in touch and ways providers are supporting communication between residents and their families. Read More

SNF Therapy Telehealth Waivers and other Updated COVID-19 Billing FAQ Updates: CMS provided important updates to coverage and billing guidance impacting SNF related to COVID-19 1135 waivers. AHCA/NCAL has developed therapy telehealth waivers FAQs that address questions that SNF and AL members may have regarding applying these waivers to improve resident mobility care needs. Read More

CMS Updates Guidance on Proper Use of COVID-19 Waivers Claim Codes: On June 1, CMS issued updated guidance clarifications for using the “DR” Condition Code and “CR” modifier on Medicare fee-for-service claims for services furnished under COVID-19 Section 1135 waivers such as the SNF-specific 3-day stay and spell-of-illness waivers. Read More

Hilton’s Frontline Medical Professionals Room Program: Following on Hilton’s effort with American Express to donate up to a million rooms to frontline medical professionals, Hilton is offering healthcare heroes rooms at a significant discount through June 30th. They are bookable today via AHCA/NCAL’s dedicated booking platform (member login required). Read More
Quick Links
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