COVID-19 UPDATE #76
September 4, 2020
CLIA REQUIREMENTS FOR SNFs CONDUCTING COVID POINT-OF-CARE ANTIGEN TESTING
As outlined in CMS QSO 20-38, facilities conducting tests under a CLIA certificate of waiver are subject to regulations that require laboratories to report data for all COVID point-of-care antigen testing completed, for each individual tested, every time they are tested. This includes all staff and residents for which the facility is conducting COVID testing with the point-of-care antigen testing devices in house under their Washington DOH Medical Test Site/CLIA Waiver. All positive and negative test results must be reported.

Currently, reporting mechanisms are not in place for facilities to meet this CLIA reporting requirement in Washington State. There is a three-week grace period to allow systems to be determined/developed within each state. DSHS is working with DOH this week to work out the reporting process. 

In the interim, each facility must maintain a facility log or spreadsheet that contains all the reporting information within the HHS Lab Reporting Guidelines. This data must be reported within 24 hours of test completion, daily, to the appropriate state or local public health department, based on the individual’s residence. Providers need to record this information within the time frames for facility records until the reporting methodology is established. Until a reporting system is determined from DOH/DSHS, you must maintain the reporting data onsite in the facility conducting the testing and have it readily available. WHCA has created a template spreadsheet that includes the data reporting elements outlined in CMS requirements.

In addition to reporting in accordance with CLIA requirements, facilities must continue to report outbreaks to the Department CRU hotline, ALTSA reporting portal, and CDC NHSN. Continue to notify the LHJ of any COVID-19 outbreak.

For additional information on reporting requirements and WHCA Reporting Spreadsheet, see:
HHS ANNOUNCES $2 BILLION QUALITY INCENTIVE PROGRAM FOR NURSING HOMES
The Department of Health and Human Services (HHS) announced its $2 billion quality incentive program for nursing homes as part of the $5 billion tranche announced on August 7 of CARES Act funding for COVID relief. Each month, starting in September and through December, $500 million will be distributed to nursing homes according to performance on COVID-19 case rates and risk adjusted COVID-19 death rates. Performance will be determined from NHSN data submissions and audits relative to county per-capita rates. No further details have been released at this time. The HHS press release may be found here
AHCA TO OFFER WEBINAR ON CMS COVID-19 PERFORMANCE PAYMENT PROGRAM | SEPTEMBER 8
On September 3, HHS announced its $2 billion quality incentive program for nursing homes as part of the $5 billion tranche announced on August 7 of CARES Act funding for COVID relief.

The American Health Care Association (AHCA) is hosting a webinar on Tuesday, September 8, from 10 – 12:30 PST. CEO Mark Parkinson and CMO David Gifford will review the new rule, answer questions, and discuss resources available to help members with this program.

How to register:
  • Members will need to log in using their existing AHCA/NCAL username and password first. 
  • Once you are logged in to the website you will be able to pre-register
  • If you have forgotten your password, click here
  • If you are new to the site you can create an account here. After doing so, you will be able to register for the webinar. Please note, all new account holders must add their member facility to their account at the time of account creation.

Please use Google Chrome to avoid technical problems. The webinar will be recorded and made available to members on ahcancalED.
ADDITIONAL RESOURCES
WHCA continues to post resources and information as it becomes available on our website. If you have questions or need additional information, please call the WHCA office at (800) 562-6170.