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
Section 1135 Waiver Flexibilities
Kansas has received approval from CMS for the 1135 waiver submitted by KDHE. An 1135 waiver is a request to CMS to waiver certain rules and requirements in times of national emergency. This preliminary 1135 waiver was submitted by KDHE last week and received approval on March 24, 2020. Click here for the entire document. The highlights of this initial waver include:
  • Temporarily suspend Medicaid fee-for-service prior authorization requirement
  • Extend pre-existing authorizations for which a beneficiary has previously received through the end of the public health emergency
  • Suspend Pre-Admission Screening and Annual Resident Review (PASRR) Level 1 and Level II for 30 days
  • Provider enrollment – Kansas is authorized to temporarily enroll providers who are enrolled with another SMA (State Medicaid Agency) or Medicare for the duration of the public health emergency
  •  State Fair Hearing Requests and Appeal Timelines

Kansas Health Care Association, LeadingAge Kansas, KACE and the Hospital Association have collaborated on a 21 point document to request additional, more specific waivers for both hospitals and long term care providers.
Please join us for a KHCA/KCAL Update at 11:00 am on Friday, March 27 th
The following topics will be covered by Linda MowBray, President and CEO, Angela Moore, KHCA VP of Facility Standards and Linda Farrar, KHCA Clinical Consultant
 
  • 1135 update
  • Critical Pathways
  • Contingency plan for Staff
  • CMS Checklist
  • FMLA
  • QSO Letter about Surveys
 
Dial in: 800-220-9875
Participant code: 08652779
 
CMS Guidance on Survey Activities
CMS is prioritizing surveys by authorizing modification of timetables and deadlines for the performance of certain required activities, delaying revisit surveys, and generally exercising enforcement discretion for three weeks. During this three-week timeframe, beginning March 20, 2020,  only  the following types of surveys will be prioritized and conducted:
 
•         Complaint/facility-reported incident surveys: State survey agencies (SSAs) will conduct surveys related to complaints and facility-reported incidents (FRIs) that are triaged at the Immediate Jeopardy (IJ) level. A streamlined Infection Control review tool will also be utilized during these surveys, regardless of the Immediate Jeopardy allegation.
 
•         Targeted Infection Control Surveys: Federal CMS and State surveyors will conduct targeted Infection Control surveys of providers identified through collaboration with the Centers for Disease Control and Prevention (CDC) and the HHS Assistant Secretary for Preparedness and Response (ASPR). They will use a streamlined review checklist to minimize the impact on provider activities, while ensuring providers are implementing actions to protect the health and safety of individuals to respond to the COVID-19 pandemic.
 
CMS is disseminating the Targeted Infection Control Survey checklist developed by CMS and CDC so facilities can educate themselves on the latest practices and expectations.  CMS expects facilities to use this new process, in conjunction with the latest guidance from CDC, to perform a voluntary self-assessment of their ability to prevent the transmission of COVID-19.  The checklist is attached to the CMS document.
 
Though the contents of the memo and checklist are provided by CMS, KDADS plans to adhere to the same requirements for all facilities. All facilities should complete the infection control self-assessment.

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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