COVID-19

Educational Webinar: Supporting Family Caregivers of Older Adults through Times of Stress and Isolation

Hosted by the Centers for Medicare & Medicaid Services (CMS), Medicare-Medicaid Coordination Office (MMCO) Supporting Family Caregivers of Older Adults through Times of Stress and Isolation Date/Time: Thursday, April 30, 2020, 12:00pm–1:30 pm EDT This webinar will offer strategies for supporting caregivers and their loved ones, up-to-date information on facilitating access to health and social …

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Infection Control FAQs

The Centers for Disease Control & Prevention (CDC) released Frequently Asked Questions (FAQs) on infection control. This page was updated on April 23, 2020 to align with the revised Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings. Who is this for: Healthcare personnel who …

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COVID-19 Update: Additional Blanket Waivers

CMS continues to release additional blanket waivers to the healthcare community in order to provide the flexibilities needed to take care of patients during this public health emergency. Today, CMS is providing additional blanket waivers related to care for patients in Long-Term Care Hospitals (LTCHs), temporary expansion locations of Rural Health Clinics (RHCs) and Federally …

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Optimize PPE Supply

Personal protective equipment (PPE) is used every day by healthcare personnel (HCP) to protect themselves, patients, and others when providing care. PPE helps protect HCP from potentially infectious patients and materials, toxic medications, and other potentially dangerous substances used in healthcare delivery. PPE shortages are currently posing a tremendous challenge to the US healthcare system …

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Administration Champions Reporting of COVID-19 Clinical Trial Data through Quality Payment Program, Announces New Clinical Trials Improvement Activity

Improved availability of data key to driving improvement in patient care and development of innovative practices The Centers for Medicare & Medicaid Services (CMS) is encouraging clinicians who participate in the Quality Payment Program (QPP), such as physicians, physician assistants, nurse practitioners, and others, to contribute to scientific research and evidence to fight the Coronavirus …

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CMS Issues Recommendations to Re-Open Health Care Systems in Areas with Low Incidence of COVID-19

Today, the Centers for Medicare & Medicaid Services issues new recommendations specifically targeted to communities that are in Phase 1 of the Guidelines for President Trump’s Opening Up America Again with low incidence or relatively low and stable incidence of COVID-19 cases. The recommendations update earlier guidance provided by CMS on limiting non-essential surgeries and …

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CMS Approves Additional State Medicaid Waivers and Amendments to Give States Flexibility to Address Coronavirus Pandemic

CMS has approved 52 COVID- related emergency waivers, 31 state amendments, 11 COVID-related Medicaid Disaster Amendments and one CHIP COVID-related Disaster Amendment in record time. States are using a toolkit CMS developed to expedite the application and approval of Medicaid state waivers and State Plan Amendments. CMS recently approved two additional COVID-related emergency Medicaid waivers, …

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CMS Increases Medicare Payment for High-Production Coronavirus Lab Tests

CMS helps expand testing capacity and monitoring for COVID-19 in nursing homes and other settings with high volume testing needs The Centers for Medicare & Medicaid Services (CMS) today announced Medicare will nearly double payment for certain lab tests that use high-throughput technologies to rapidly diagnose large numbers of 2019 Novel Coronavirus (COVID-19) cases. This …

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CDC’s NHSN: Healthcare Worker and Supply Pathways

The Centers for Disease Control and Prevention’s (CDC’s) National Healthcare Safety Network (NHSN) continues to support the nation’s COVID-19 response and has released two additional data collection pathways in the COVID-19 Module found within the Patient Safety Component. In addition to the Patient Impact and Hospital Capacity Pathway, the Healthcare Worker Staffing Pathway and the …

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COVID-19 Long-Term Care Facility (LTC) Transfer Scenarios

CMS is providing supplemental information for transferring or discharging residents between skilled nursing facilities (SNFs) and/or nursing facilities based on COVID-19 status (i.e., positive, negative, unknown/under observation). In general, if two or more certified LTC facilities want to transfer or discharge residents between themselves for the purposes of cohorting, they do not need any additional …

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Dialysis Facilities: Screening Patients for COVID-19

To limit the spread of COVID-19, it is important to promptly identify, separate, and ensure ill patients are wearing a cloth face covering (source control). Recent studies indicate that people who are infected but do not have symptoms likely also play a role in the spread of COVID-19. For this reason, source control measures should …

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Expanded Coverage for Essential Diagnostic Services Amid COVID-19 Public Health Emergency

The Centers for Medicare & Medicaid Services (CMS), together with the Departments of Labor and the Treasury, have issued guidance to ensure Americans with private health insurance have coverage of 2019 Novel Coronavirus (COVID-19) diagnostic testing and certain other related services, including antibody testing, at no cost. As part of the effort to slow the …

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Infection Control Guidance

The Centers for Disease Control and Prevention (CDC) shared interim infection control guidance. This guidance has been updated based on currently available information about COVID-19 and the current situation in the United States, which includes community transmission, infections identified in healthcare personnel (HCP), and shortages of facemasks, N95 filtering facepiece respirators (FFRs) (commonly known as …

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Return-to-Work Criteria for Health Care Professionals with Confirmed or Suspected COVID-19

Summary of Recent Changes as of April 13, 2020 Indicates a preference for use of the Test-based strategy to determine when HCP may return to work in healthcare settings Adds return to work criteria for HCP with laboratory-confirmed COVID-19 who have not had any symptoms Aligns with recommendations for universal source control for everyone in a …

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Administration Acts to Ensure U.S. Healthcare Facilities Can Maximize Frontline Workforces to Confront COVID-19 Crisis

At President Trump’s direction, the Centers for Medicare & Medicaid Services (CMS) today temporarily suspended a number of rules so that hospitals, clinics, and other healthcare facilities can boost their frontline medical staffs as they fight to save lives during the 2019 Novel Coronavirus (COVID-19) pandemic. These changes affect doctors, nurses, and other clinicians nationwide, …

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Ending Home Isolation

This website was updated to reflect the updates in the Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings. The changes include: Updated PPE recommendations Based on local and regional situational analysis of PPE supplies, facemasks are an acceptable alternative when the supply chain of …

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CMS Approves Additional State Medicaid Waivers and Amendments to Give States Flexibility to Address Coronavirus Pandemic

CMS continues to deliver urgent regulatory relief to ensure states can quickly and effectively care for their most vulnerable citizens during the COVID-19 crisis. For the first time, CMS has approved a COVID-related Children’s Health Insurance Program (CHIP) Disaster Amendment that brings relief for CHIP-covered children living in Maine. In addition, CMS approved COVID-related Medicaid …

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Helping families cope with COVID-19 outbreaks

The worldwide spread of Coronavirus Disease 2019 (COVID-19) has brought unprecedented challenges. Given the resulting disruptions to daily life, helping children cope with stress can be especially difficult. Implementation of social distancing strategies to prevent illness increases families’ stress levels even further. In an effort to protect the mental health of children and their caregivers, …

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CMS Issues New Wave of Infection Control Guidance Based on CDC Guidelines to Protect Patients and Healthcare Workers from COVID-19

Guidance will aid clinicians in various healthcare settings to prevent and mitigate the spread Under the leadership of President Trump, the Centers for Medicare & Medicaid Services (CMS) has issued a series of updated guidance documents focused on infection control to prevent the spread of the 2019 Novel Coronavirus (COVID-19) in a variety of inpatient …

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CMS Approves Over $51 Billion for Providers with the Accelerated/Advance Payment Program for Medicare Providers in One Week

The Centers for Medicare & Medicaid Services (CMS) has delivered near $34 billion in the past week to the healthcare providers on the frontlines battling the 2019 Novel Coronavirus (COVID-19). The funds have been provided through the expansion of the Accelerated and Advance Payment Program to ensure providers and suppliers have the resources needed to …

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COVID-19 Dear Clinician Letter and Updated Elective Surgery Recommendations

Dear Clinician Letter CMS posted a letter to clinicians that outlines a summary of actions CMS has taken to ensure clinicians have maximum flexibility to reduce unnecessary barriers to providing patient care during the unprecedented outbreak of COVID-19. The summary includes information about telehealth and virtual visits, accelerated and advanced payments, and recent waiver information. …

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Special Open Door Forum Addressing Telehealth in Medicare During COVID-19

CMS invites you to a Special Open Door Forum addressing CMS’ actions to increase access to Telehealth in Medicare during the COVID-19 Public Health Emergency.   This Special Open Door Forum is open to everyone, if you are a member of the Press, you may listen in but please refrain from asking questions during the Q & …

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COVID-19: Telehealth Billing Correction, Nursing Home Recommendations, Billing for Multi-Function Ventilators, New ICD-10-CM Diagnosis Code

SPECIAL EDITION – Friday, April 3, 2020 News Billing for Professional Telehealth Distant Site Services During the Public Health Emergency — Revised Trump Administration Issues Key Recommendations to Nursing Homes, State and Local Governments Billing for Multi-Function Ventilators (HCPCS Code E0467) under the COVID-19 Public Health Emergency and Otherwise New ICD-10-CM diagnosis code, U07.1, for …

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Infection Prevention and Control Considerations for Alternate Care Sites

The Centers for Disease Control and Prevention (CDC) released considerations regarding infection prevention and control for alternative care sites. Establishing alternate care sites will help address surge in the response to COVID-19. Since care will be provided in a non-traditional environment, it is critical to ensure these facilities can support the implementation of recommended infection …

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Trump Administration Issues Key Recommendations to Nursing Homes, State and Local Governments

On April 3, at the direction of President Trump, the Centers for Medicare & Medicaid Services (CMS), in consultation with the Centers for Disease Control and Prevention (CDC), issued critical recommendations to state and local governments, as well as nursing homes, to help mitigate the spread of the 2019 Novel Coronavirus (COVID-19) in nursing homes. …

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Trump Administration Makes Sweeping Regulatory Changes to Help U.S. Healthcare System Address COVID-19 Patient Surge

March 30, 2020 – At President Trump’s direction, the Centers for Medicare & Medicaid Services (CMS) is issuing an unprecedented array of temporary regulatory waivers and new rules to equip the American healthcare system with maximum flexibility to respond to the 2019 Novel Coronavirus (COVID-19) pandemic. Made possible by President Trump’s recent emergency declaration and …

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Clinical Laboratory Improvement Amendments (CLIA) Laboratory Guidance During COVID-19 Public Health Emergency

CMS is issuing this memorandum to laboratory surveyors to provide important guidance to surveyors and laboratories during the COVID-19 public health emergency, such as: CMS’ Exercise of enforcement discretion to ensure pathologists may review pathology slides remotely if certain defined conditions are met Ensuring that laboratories located in the United States wishing to perform COVID-19testing …

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CMS Announces Findings at Kirkland Nursing Home and New Targeted Plan for Healthcare Facility Inspections in light of COVID-19

March 23 – The Centers for Medicare & Medicaid Services (CMS) announced the preliminary results of a recent inspection of the Life Care Center nursing home in Kirkland, Washington – the epicenter of the 2019 Novel Coronavirus (COVID-19) outbreak in that state. The inspection, which the Agency conducted with the Washington Department of Social & …

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Interim Infection Control Guidance on COVID-19 for Personnel at Blood and Plasma Collection Facilities

Protect the health of staff, volunteers, and donors by reinforcing adherence to routine infection prevention and control measures, including hand hygiene practices, environmental infection control, and PPE. Support and educate staff and volunteers about the symptoms of COVID-19 so that they can evaluate themselves and donors for symptoms and set up the facility to minimize …

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CMS Releases Recommendations on Adult Elective Surgeries, Non-Essential Medical, Surgical, and Dental Procedures During COVID-19 Response

Earlier today at the White House Task Force Press Briefing, the Centers for Medicare & Medicaid Services (CMS) announced that all elective surgeries, non-essential medical, surgical, and dental procedures be delayed during the 2019 Novel Coronavirus (COVID-19) outbreak. As more healthcare providers are increasingly being asked to assist with the COVID-19 response, it is critical …

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CMS issues important waivers, exercising regulatory flexibility to combat COVID-19

The Trump Administration is taking aggressive actions and exercising regulatory flexibilities to help healthcare providers contain the spread of 2019 Novel Coronavirus Disease (COVID-19). CMS is empowered to take proactive steps through 1135 waivers as well as, where applicable, authority granted under section 1812(f) of the Social Security Act (the Act) and rapidly expand the …

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FAQs on Essential Health Benefit Coverage and the Coronavirus (COVID-19)

Today, the Centers for Medicare & Medicaid Services (CMS) is posting Frequently Asked Questions (FAQs) on Essential Health Benefits (EHB) Coverage in response to the 2019 Novel Coronavirus (COVID-19) outbreak.  This action is part of the broader, ongoing effort by the White House Coronavirus Task Force to ensure that all Americans – particularly those at …

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Medicare Administrative Contractor (MAC) COVID-19 Test Pricing

On March 5 and February 13, CMS announced new Healthcare Common Procedure Coding System (HCPCS) codes for healthcare providers and laboratories to test patients for SARS-CoV-2. Starting in April, laboratories performing the test can bill Medicare and other health insurers for services that occurred after February 4, 2020, using the newly created HCPCS code (U0001). …

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CMS Takes Action Nationwide to Aggressively Respond to Coronavirus National Emergency

The Trump Administration today announced aggressive actions and regulatory flexibilities to help healthcare providers and states respond to and contain the spread of 2019 Novel Coronavirus Disease (COVID-19). The Centers for Medicare & Medicaid Services (CMS) is taking these actions following President Trump’s declaration of a national emergency due to COVID-19 earlier today.

COVID-19 Response News Alert: CMS Issues Frequently Asked Questions to Assist Medicare Providers

Today, the Centers for Medicare & Medicaid Services (CMS) issued frequently asked questions and answers (FAQs) for healthcare providers regarding Medicare payment for laboratory tests and other services related to the 2019-Novel Coronavirus (COVID-19). The agency is receiving questions from providers and created this document to be transparent and share answers to some of the …

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CMS Develops Additional Code for Coronavirus Lab Tests

Today, the Centers for Medicare & Medicaid Services (CMS) took additional actions to ensure America’s patients, healthcare facilities and clinical laboratories are prepared to respond to the 2019-Novel Coronavirus (COVID-19).  CMS has developed a second Healthcare Common Procedure Coding System (HCPCS) code that can be used by laboratories to bill for certain COVID-19 diagnostic tests …

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Suspension of Survey Activities

The Centers for Medicare & Medicaid Services (CMS) is committed to taking critical steps to ensure America’s health care facilities are prepared to respond to the threat of the 2019 Novel Coronavirus (COVID-19) and other respiratory illnesses. Specifically, CMS is suspending non-emergency inspections across the country, allowing inspectors to turn their focus on the most …

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