{"id":26525,"date":"2020-03-11T12:40:06","date_gmt":"2020-03-11T12:40:06","guid":{"rendered":"https:\/\/dev.mtelehealth.com\/?p=26525"},"modified":"2020-03-11T12:40:06","modified_gmt":"2020-03-11T12:40:06","slug":"cms-issues-home-health-covid-19-guidance-eases-supplies-standards","status":"publish","type":"post","link":"https:\/\/drmiltie.com\/at-home-testing\/cms-issues-home-health-covid-19-guidance-eases-supplies-standards\/","title":{"rendered":"CMS Issues Home Health COVID-19 Guidance, Eases Supplies Standards"},"content":{"rendered":"\n

After days of issuing updated guidance for skilled nursing operators and other Medicare providers regarding COVID-19, the U.S. Centers for Medicare & Medicaid Services (CMS) is now turning its attention to home health agencies.
<\/p>\n\n\n\n

CMS issued home health guidance <\/a>related to infection control and prevention for COVID-19 \u2014 often referred to as the coronavirus \u2014 on Tuesday night.<\/p>\n\n\n\n

While the guidance is largely nothing home health agencies don\u2019t already know, it stands as a reminder of the severity of the situation, which is worsening by the hour.
<\/p>\n\n\n\n

At least 31 people in the United States have died as a result of the coronavirus, with nearly 1,000 more falling ill. Multiple states have declared a state of emergency to round up additional resources aimed at combating the virus.
<\/p>\n\n\n\n

\u201cWe are arming our providers on the front lines with the information they need to remain safe, while giving quality care to their patients,\u201d CMS Administrator Seema Verma said in a statement. \u201cToday\u2019s guidance will help providers identify patients who may have contracted the disease and minimize further transmission. It will also equip them to get these patients the medical care they need in order to recover.\u201d
<\/p>\n\n\n\n

CMS guidance to home health agencies is meant to reinforce recommendations set forth by the U.S. Centers for Disease Control and Prevention (CDC), with specific considerations of when it is safe to treat patients at home and when patients should be considered for hospitalization.
<\/p>\n\n\n\n

CMS\u2019s guidance also suggests home health providers should take a more assertive role in monitoring family-member exposure when caring for patients with known or suspected COVID-19 cases.
<\/p>\n\n\n\n

\u201cCMS is recommending home health agencies remain vigilant, regularly monitor patients for any symptoms of the virus, and communicate effectively with patients, family members and other caregivers so that the entire care team understands a patient\u2019s individual needs and goals of care,\u201d CMS officials stated.
<\/p>\n\n\n\n

Popular Reports<\/h3>\n\n\n\n

CMS said that the new guidance is meant to answer questions that the agency has received from Medicare and Medicaid in-home care providers related to the COVID-19 outbreak.
<\/p>\n\n\n\n

While there aren\u2019t many reports of home health providers caring for patients with confirmed COVID-19 at the moment, CMS encouraged home health providers to continue treatment at home \u2014 as long as patients could continue isolation protocols and infection-prevention practices.<\/p>\n\n\n\n

Following a logical timeline, home health provider interaction is likely to increase as COVID-19 patients are discharged from the hospital.<\/p>\n\n\n\n

\u201cInitially, symptoms may be mild and not require transfer to a hospital as long as the individual with support of the [home health agency] can follow the infection prevention and control practices recommended by CDC,\u201d CMS noted.
<\/p>\n\n\n\n

Apart from patient and clinician exposure, some home health providers have begun to worry about supply capacity and maintaining existing Medicare standards.<\/p>\n\n\n\n

CMS put some of those concerns to rest.
<\/p>\n\n\n\n

\u201cState and Federal surveyors should not cite home health agencies for not providing certain supplies \u2026 if they are having difficulty obtaining these supplies for reasons outside of their control,\u201d policymakers stated.
<\/p>\n\n\n\n

Those supplies typically include items such as gowns, respirators, surgical masks and alcohol-based hand rubs.<\/p>\n\n\n\n

On Saturday, U.S. Surgeon General Jerome Adams implored Americans to stop buying medical masks, calling attention to ongoing need within the medical community. Throughout the country, masks have widely sold out at stores where available, with price gouging happening online.<\/p>\n\n\n\n

National Association for Home Care & Hospice (NAHC) President William A. Dombi discussed coronavirus concerns with Home Health Care News last week.<\/p>\n\n\n\n

\u201cThis is one of those times when the home health agencies have to figure out where the balance is to be struck between the safety of their staff and caring for the patients that they have,\u201d Dombi said<\/a>. \u201cWhen you have patients who are on service already, they are absolutely the priority for care. One of the things we suggest is that agencies take a look at their ability to meet their current patient census.\u201d<\/p>\n\n\n\n

Tuesday\u2019s guidance from CMS also included dialysis facilities.
<\/p>\n\n\n\n

CMS is urging dialysis facilities to identify high-risk individuals prior to appointments or upon arrival and immediately begin screening for fever or symptoms of a respiratory infection. Typically, those symptoms include cough and sore throat.
<\/p>\n\n\n\n

Generally, CMS urges all Medicare providers to inquire about travel to restricted countries within at least 14 days.
<\/p>\n\n\n\n

The full guidance is available here.<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

After days of issuing updated guidance for skilled nursing operators and other Medicare providers regarding 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