Covid-19 Updates

COVID – 19 WV Governor Executive Orders

2021 Orders

Order Number 7-21

(2/19/21)

Schools grades K-8 can reopen for in-person instruction regardless of color on map. Schools grades 9-12 will not have in-person instruction when their counties are red on the DHHR map. Colleges and universities can resume in-person instruction in accordance with the policies of their governing bodies.

As Part Of The Comeback Plan From The Outbreak Of The Covid-19 Virus, Amending Provisions Of Executive Order 9-20 Regarding Educational Institutions.

Order Number 6-21

(2/20/21)

Restaurant capacity raised from 50% to 75% of seating capacity. Bars must have seating for every patron. Gathering size increased from 25 to 75 people.

As Part Of The Comeback Plan From The Outbreak Of The Covid-19 Virus, Amending And Supplementing Provisions Of Executive Order 9-20 Regarding Gathering Size Restrictions, Indoor Seating Capacity, Persons Indoors At Restaurants And Bars, And Social Gatherings.

Order Number 5-21

(2/17/21)

Rescinding prohibition on live indoor music perfomances as long as vocals and wind instruments are not used.

Amending Section 4 Of Executive Order 9-20 Regarding Live Music Events.

Order Number 4-21

(2/17/21)

Reinstates requirement for ABCC permit renewals and new permits with renewal/application date of March 15, 2021.

Terminating Sections Of Previous Executive Orders Regarding The Deadline To Renew Certain Licenses And Permits From The WV Alcohol Beverage Control Administration

Order Number 3-21

(2/5/21)

Suspends additional state statutes to permit sale of deliquent properties at places other than “courthouse of the county.”

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order, The Suspension Of A Statutory Regulation Regarding Public Auctions For Lands Which Are Subject To Sale Under WV State Code Chapter 11A, Article Three.

Order Number 2-21

(1/11/21)

Sets February 14th as the start date for school sports and March 3rd as the start date for games.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order, That All Sports Teams And Leagues Are Prohibited From Bringing Players And/Or Spectators Together Into A Common Area Within This State For Team Practice Until February 14, 2021 And For Competition Until March 3, 2021; Provided That Team Sports May Safely Continue To Be Conducted By Accredited Higher Education Institutions Within This State.

Order Number 1-21

(1/11/21)

Reopens private and public schools K-8th grade for in person instruction effective January 19th. Grades 9-12 are to reopen for in person instruction if they are not red on the DHHR County Alert Map.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order, Beginning January 19, 2021, That Private And Public Schools May Be Open For In-Person Instruction And/Or Extracurricular Activities Without Regard To The Designations On The DHHR County Alert System, And That High Schools, Grades 9 Through 12, Shall Remain Closed To In-Person Instruction And/Or Extracurricular Activities When A School’s County Is In The Red Designation On The DHHR County Alert System.

2020 Orders

Order Number 83-20

(12/21/2020)

Suspends regulations governing the use of annual leave by state employees directly involved in the pandemic response.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order The Suspension Of A Statutory Regulation Regarding Employees Of State Agencies Who Are Designated As Directly Involved In The Pandemic Response And Are Therefore Unable To Use Some Portion Of Their Annual Leavein Calendar Year 2020 Due To The Emergency Situtation.

Order Number 82-20

(12/4/2020)

Established Joint Interagency Task Force for vaccine distribution. Comprised of 9 entities inside and outside of state government. Led by Major General James Hoyer

Order The Creation Of The Covid-19 Joint Interagency Task Force (The Covid-19 JIATF) To Support All Covid-19 Vaccination Preparedness, Deployment, And Delivery Related Lines Of Effort.

Order Number 81-20

(11/16/2020)

Ends delay of video lottery machine annual fees and makes the fees due on December 15, 2020.

As A Necessary Response To The Outbreak Of The Covid-19 Virus, Declare And Order That Section 15 Of Executive Order 7-20, Providing For The Suspension Of Deadlines For Renewal And Payment Of Annual Fees For Video Lottery Machines, Is Hereby Terminated, And That Such Temporarily Suspended May 1, 2020 Deadline For Such Annual Fee Shall Be December 15, 2020.

Order Number 80-20

(11/13/2020)

Winter school sports and sports leagues delayed until January 11, 2021

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order That All Youth Winter Sports Teams And Leagues, Whether School-Sanctioned Or Otherwise, Are Prohibited From Bringing Players And/Or Spectators Together Into A Common Area Within This State, And That No Practices, Games Or Other Competition Shall Be Held In This State Until, At The Earliest, January 11, 2021.

Order Number 79-20

(11/13/2020)

All staff at nursing homes shall be tested for COVID-19 two times each week.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order That All Doctors, Nurses, Staff And Employees Working At Nursing Homes And Assisted Living Facilities Throughout The State Shall Be Tested For Covid-19 Twice A Week Until The Issuance Of A Subsequent Order Modifying, Amending Or Terminating This Order.

Order Number 78-20

(11/13/2020)

All public and private schools shall have remote learning (no in-person instruction) from Thursday, November 26th through and including Wednesday, December 2nd.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order That Private And Pre-K Through 12 Schools Throughout The State Shall Limit Occupancy Of Their Premises To Prohibit In-Person Instruction Of Or Activities By Students, In Order To Mitigate The Potential For Transmission Of Covid-19 In School Classrooms Following The Thanksgiving Holiday.

Order Number 77-20

(11/14/2020)

Masks must be worn at all times in public buildings by people ages 9 and over. All businesses must post signage that the order is being followed.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order That All Individuals Age 9 And Over Within The State Of WV Shall Wear A Face Covering When In Confined, Indoor Spaces; Requiring Businesses And Organizations To Be Compliant With This Order; Exemptions Are Specified Under Centers For Disease Control And Prevention Guidance; Defining The Term “Face Covering”; Exempting Some Of The Provisions Of WV Code 61-6-22; And Terminating Executive Order 50-20.

Order Number 76-20

(10/16/2020)

Suspends regulations governing the use of annual leave by employees of the West Virginia Military Authority (West Virginia National Guard).

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order, The Suspension Of A Statutory Regulation Regarding The Annual Leave Of Employees Of The WV Military Authority Who Are Directly Involved In The Pandemic Response.

Order Number 75-20

(10/13/2020)

Reopens Monongalia County bars provided that they follow the Supplemental Protocols for Reopening Monongalia County Bars and A Guide to Safely Reopening Bars and Restaurants.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus And As Part Of The Comeback Plan, Declare And Order That The Provisions Of Executive Order 65-20, Prohibiting Bars In Monongalia Co. From Allowing On-Premises Consumption Of Food Or Drink Or Occupancy By The General Public For Purposes Other Than Picking Up Food, Is Hereby Terminated In Its Entirety And Without Further Effect.

Order Number 74-20

(10/6/2020)

Allows live music performances indoors for simulcast with no audience present. Allows indoor/outdoor live music performances that can conform to A Guide for Safely Hosting Live Performances .

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus And Under The Comeback Plan, Declare And Order The Amendment Of The Previously Issued And Amended Executive Orders That Are Listed Regarding Section 4, Prohibited Activities.

Order Number 73-20

(09/30/2020)

Permits the public auctions of delinquent property be held in larger venues by suspending the requirement that the auction be at the front door of the county courthouse.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order The Suspension Of A Statutory Regulation Regarding The Removal Of The Technical Requirement That Public Auctions For Land Delinquent For The Nonpayment Of Taxes Be Held At The Front Door Of The County Courthouse In Which The Property Being Auctioned Sits.

Order Number 72-20

(09/25/2020)

Suspends regulations governing the use of annual leave by Corrections, WVSP and Fire Marshal employees involved with the pandemic response. Makes state IDs issued to released inmates effective for 90 days.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order The Suspension Of The Listed Statutory Regulations Regarding Certain Employees Involved In The Pandemic Response That Are Unable To Use Annual Leave Due To The Emergency Situation; And The Requirement That State-Issued Identification Cards Provided By The Division Of Corrections And Rehabilitation To Released Inmates Shall Be Valid For Only 90 Days After Issuance.

Order Number 71-20

(09/23/2020)

Permits private schools to hold in-person classes and participate in extracurriculars if they enter into a testing agreement with the State of West Virginia.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order, The Amendment And Restating Of The Effectuating Clause Of Executive Order 68-20 Regarding Private And Public Pre-K Through 12 Schools Are Required To Follow The County Alert System’s Color-Coded System Maintained By The Dhhr, As It Relates To Limitations On Occupancy Of Schools For In-Person Instruction And/Or Athletic And Extracurricular Activities; Provided That Private Schools Which Elect To Enter Into An Agreement With The State Of WV Regarding Testing And Safety Protocols Prior To Resuming In-Person Instruction May Resume Or Continue Operation Of In-Person Instruction And/Or Athletic And Extracurricular Activities In Accordance With The Agreement.

Order Number 70-20

(9/16/2020)

Adds Gold to the color categories on the county alert system map.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order, For Any County That Is In Any Of The “Red,” “Orange,” Or “Gold” Color Categories On The County Alert System, As Covid-19 Case Rates May Change Each County’s Color Category From Time To Time: Adjustment To Provisions.

Order Number 69-20

(9/11/2020)

Suspends regulations governing the use of annual leave by DHHR employees involved with the pandemic response and by employees of local health departments.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order The Suspension Of A Statutory Regulation Regarding Employees Of Local Health Departments And The WV DHHR Who Are Directly Involved Inthe Pandemic Response And Unable To Use Annual Leave Due To The Emergency Situation. Said Leave Shall Not Expire Until The End Of The Calendar Year 2021.

Order Number 68-20

(9/04/2020)

Requires public and private preK-12 schools to follow the color coded DHHR map for Education (instruction and extracurricular) operations.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order That Private And Public Pre-K Through 12 Schools Are Required To Follow The County Alert System’s County-By-County Color-Coded System Maintained By The WV Dhhr, As It Relates To Any Limitations Or Prohibitions On Occupancy Of Such Educational Institutions For In-Person Instruction And/Or Athletic And Extracurricular Activities.

Order Number 67-20

(9/04/2020)

Suspend regulations governing the use of annual leave for Workforce WV employees

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order The Suspension Of Statutory Regulation Regarding Unused Annual Leave For Employees Of Workforce WV.

Order Number 66-20

(9/03/2020)

Lifts $50 million cap on assistance through WVEDA Insurance Fund so state can leverage these funds to access federal broadband funds

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order The Suspension Of A Statutory Regulation Regarding Certain Regulatory Caps On Assistance That May Be Provided Through The WVEDA Insurance Fund.

Order Number 65-20

(9/02/2020)

Closes Monongalia County bars indefinitely

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order That All Bars In Monongalia County Shall Not Allow On-Premises Consumption Of Food Or Drink Or Occupancy By The General Public For Purposes Other Than Picking Up Food And/Or Drink From Such Establishment To Be Taken Away.

Order Number 64-20

(8/25/2020)

Resumes visits to residents of nursing homes using a county-by-county alert system/rating of COVID19 cases to regulate those visits.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, And West Virginia’s Public Health Experts Have Developed A County Alert System To Regulate Visitation At Nursing Homes, Declare And Order That Executive Order 61-20 Is Terminated And Without Further Effect

Order Number 63-20

(8/19/2020)

Allowss retirees to contineu to work for WorkforceWV without suspending their retirement annuity.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order The Suspension Of A Statutory Regulation For The Sole Purpose Of Allowing Certain Individuals Employed By Workforce WV To Be Eligible To Continue In Their Positions Without Suspension Of Retirement Annuity.

Order Number 62-20

(8/19/2020)

Extends Monongalia County bar closures an additional 11 days to August 31, 2020

As Part Of The Comeback Plan From The Outbreak Of The Covid-19 Virus, Declare And Order Thatexecutive Order 60-20 Regarding Bars In Monongalia County Will Remain In Effect Unitl August 31, 2020.

Order Number 61-20

(8/13/2020)

Suspends visits to residents of nursing homes except in very limited circumstances including end of life visits.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order That Visitation By The General Public, Except In Cases Of Compassionate Care Due To End Of Life Or Deteriorating Physical And/Or Mental Health, Shall Be Prohibited In All Nursing Homes Regulated By The Office Of Health Facility Licensure And Certification Under The WV Dept. Of Health And Human Resources.

Order Number 60-20

(8/12/2020)

Extends Monongalia County bar closures an additional 7 days to August 20, 2020

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Extending The Order Regarding Bars In Monongalia County, Superseding Conflicting Provisions In Executive Order 9-20 And Superseding Executive Order 58-20

Order Number 59-20

(8/7/2020)

Allows Department of Education to maintain scheduled payrolls despite delay in school starting date.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order The Suspension Of A Statutory Regulation Regarding The Pay Schedule And Periods For Teachers And Service Personnel Of West Virginia’s Schools.

Order Number 58-20

(8/3/2020)

Extends Monongalia County bar closures an additional 10 days to August 13, 2020

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order That All Bars In Monongalia County Shall Not Allow On-Premises Consumption Of Food Or Drink Or Occupancy By The General Public For Purposes Other Than Picking Up Food And/Or Drink From Such Establishments To Be Taken Away.

Order Number 57-20

(7/31/2020)

Waives the actively seeking work search requirements for extended unemployment benefits.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order That Executive Order 4-20 Is Amended To Include The Actively Seeking Work Requirement For Extended Benefits Program.

Order Number 56-20

(7/24/2020)

Modifying Executive Order 9-20 to allow K-12 schools and higher education institutions to reopen

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order, Amendment Of Executive Order 9-20 Regarding Educational Institutions And Prohibited Activities

Order Number 55-20

(7/24/2020)

Extends Monongalia County bar closures an additional 10 days to August 3, 2020

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order That All Bars In Monongalia County Shall Not Allow On-Premises Consumption Of Food Or Drink Or Occupancy By The General Public For Purposes Other Than Picking Up Food And/Or Drink From Such Establishments To Be Taken Away.

Order Number 54-20

(7/22/2020)

Suspends state Division of Personnel rule which limits part-time professional personnel without administrative duties to working 1,000 hours or less in one year.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order The Suspension Of A Statutory Regulation Regarding The Number Of Hours Part-Time Professional Personnel Can Work In A Year.

Order Number 53-20

(7/15/2020)

Due date for taxes from municipalities in home rule counites extended to September 1, 2020

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order That The Applicable Provisions Of Chapter 8, Article 1, Section 5A, Are Suspended To The Extent That The Payment Of The Annual Assessment Due From Municipalities To The Municipal Home Rule Program Shall Be Extended To September 1, 2020.

Order Number 52-20

(7/14/2020)

Closes bars in Monongalia County for 10 Days

Declare and Order Bars and Bar areas in Monongalia County closed for 10 days from July 14th to July 24th

Order Number 51-20

(7/14/2020)

Gatherings lowered from 100 people to 25 people; fairs, festivals and outdoor concerts closed

Amending Provisions of Executive Order 9-20 to decrease gathering size restriction from 100 people to 25 people; reinstitutes prohibitions of fairs, festivals and like events; reinstitute prohibitions on live music, even in outdoor or open-air settings.

Order Number 50-20

(7/7/2020)

Mandatory wearing of masks indoors for people ages 9 and older when indoors and when social distancing is not possible

Declare And Order the Wearing of Face Coverings Indoors when Social Distancing is Not Possible

Order Number 49-20

(7/1/2020)

Fairs, festivals, amusement parks can resume, but must follow hygiene and social distancing guidelines. Indoor concerts, music halls, adult entertainment venues remain closed.

Declare And Order Provisions Of Previous Executive Orders Are Amended And Supplemented Regarding Fairs, Festivals, Amusement Parks, And Prohibited Activities.

Order Number 48-20

(6/30/2020)

Moving money from state agencies, including $186M in DHHR general revenue funds, to cover budget shortfalls. 

Declare And Order That All Departments, Agencies, Bureaus, Sections, Boards, Commissions And Other Organization Units Within The Executive Branch Of State Government Shall Take Immediate Action To Effect A Spending Reduction Of Their General Revenue Appropriations For Fiscal Year 2020.

Order Number 47-20

(6/30/2020)

Borrowing $68.6 million from the state’s Rainy Day Fund to create cash flow as the new budget year begins. The annual transfer will be paid back within 90

Order The Transfer Of Money From The Revenue Shortfall Reserve Fund To The Current Year Balance Of The General Revenue Fund In Order To Make Timely Payments Of The State’s Obligations.

Order Number 46-20

(6/30/2020)

 Extending the annual payment due for casino’s racetrack table game licenses from July 1 to Oct. 1

As A Necessary Measure In Response To The Outbreak Of The Covid-19 Virus, Declare And Order The Suspension Of Referenced Regulatory Statute To The Extent That The Date By Which Racetrack Table Games License Renewal Fee, Presently By July 1, 2020, Shall Be Due By October 1, 2020.

Order Number 45-20

(6/22/2020)

Permitting school graduations. Opening racetracks.

As Part Of The Comeback Plan For The Outbreak Of The Covid-19 Virus, Declare And Order, The Amendment And Supplement Of Previous Executive Orders Regarding Graduation Ceremonies To Be Held By Educational Institutions, Racetracks, And Prohibited Activities.

Order Number 44-20

(6/10/2020)

Opening private campgrounds and state parks to out of state visitors. Lifting restrictions on golf cart occupancy.

As Part Of The Comeback Plan From The Outbreak Of The Covid-19 Virus, Terminating Or Amending Previous Executive Orders Regarding Campgrounds And Golf Cart Occupancy.

Order Number 43-20

(6/8/2020)

Resumption of low-contact sport practices and band training on 6/2; resumption of low-contact sports competition on 6/22

As Part Of The Comeback Plan From The Outbreak Of The Covid-19 Virus, Declare And Order Amending And Supplementing Previous Executive Orders Regarding Gathering Size, Theaters, Casinos, And Prohibited Activities

Order Number 42-20

(6/05/20)

Increases outdoor gatherings from a maximum of 25 people to 100 people. Opens theaters and casinos.

As Part Of The Comeback Plan From The Outbreak Of The Covid-19 Virus, Declare And Order Amending And Supplementing Previous Executive Orders Regarding Gathering Size, Theaters, Casinos, And Prohibited Activities

Order Number 41-20

(5/29/20)

Reopening spas, massage businesses, pools, indoor amusement, video lottery.

As Part Of The Comeback Plan From The Outbreak Of The Covid-19 Virus, Amending And Supplementing Previous Executive Orders Regarding Spas And Massage Businesses, Pools, Indoor Amusement, Limited Video Lottery Retailers, And Prohibited Activities

Order Number 40-20

(5/26/20)

Reopening museums, zoos and animal shelters. Opens bars serving food at 50% capacity.

As Part Of The Comeback Plan From The Outbreak Of The Covid-19 Virus, Declare And Order The Amendment And Supplement Of Previous Executive Orders Regarding Food, Beverage, And Agriculture; Museums, Zoos, And Prohibited Activities

Order Number 39-20

(5/21/20)

Reopening of indoor malls, Hatfield-McCoy Trail, whitewater rafting, outdoor recreation outfitters and ziplining. Reopening of dine-in restaurant service at 50% capacity. Terminating 14-day quarantine for people entering WV from hot spots.

As Part Of The Comeback Plan From The Outbreak Of The Covid-19 Virus, Declare And Order Amendments And Supplements To Previous Executive Orders Regarding Re-Opening Of Certain Businesses Provided That Safety Measures Are In Place; And Terminating The 14 Day Self-Isolation Period For People Entering WV From Areas With Substantial Community Spread Of Covid-19.

Order Number 38-20

(5/19/20)

Terminating stay at home orders for Berkeley, Harrision, Jefferson, Marion and Monongalia Counties.

As Part Of The Changing Response To The Outbreak Of The Covid-19 Virus, Previous Executive Orders 20-20, 21-20 And 22-20 Regarding Additional Heightened Measures To Be Taken In Certain Counties Of The State Are Terminated In Their Entirety.

Order Number 37-20

(5/18/20)

Reopening gyms, fitness centers, rec centers and similar businesses.

Under The Comeback Plan From The Outbreak Of The Covid-19 Virues, Order Amending Or Rescinding Previous Executive Orders Regarding Fitness Centers, Gymnasiums, Recreation Centers And Similar Businesses

Order Number 36-20

(5/11/20)

Reopening Wellness Centers (for PT/OT/post-op therapy and rehab therapy) and reopening drive-in movie theaters

As Part Of The Comeback Plan In Response To The Outbreak Of The Covid-19 Virus, Declare And Order, The Amendment Of Certain Previous Executive Orders To Allow The Reopening Of Wellness Center Facilities That Offer Exercise Therapy, Physical Therapy, Post-Operative Therapy, And/Or Rehabilitative Therapy Programs To Individuals; And Allowing For The Reopening Of Drive-In Movie Theaters.

Order Number 35-20

(5/6/20)

Mandating testing for Assisted Living Residences/Residential Care Communities and testing of Child Care Center staff

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order, Testing On All Individuals Who Reside Or Work In Assisted Living Residences And Residential Care Communities Licensed By The DHHR; And Testing Of All Individuals Who Work In Child Care Centers Licensed By The DHHR.

Order Number 34-20

(5/5/20)

Rescinding Stay at Home Order Restrictions for Cabell, Wayne and Wood Counties.

Declare And Order That Executive Order 24-20 Is Terminated And Without Further Effect On May 5, 2020.

Order Number 33-20

(5/4/20)

Rescinding Stay at Home Order Restrictions for Jackson, Kanawha and Ohio County.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order Amending Executive Orders 21-20 And 24-20 By Terminating The Provisions That Pertain To Jackson County, Kanawha County, And Ohio County Only.

Order Number 32-20

(5/4/20)

Rescinding Stay at Home Order and Replacing it with Safer at Home Order

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus – Rescinding Certain Provisions of EO 09-20

Order Number 31-20

(4/28/20)

Resumption of elective medical procedures.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order That The Listed Statutory Regulations Are Suspended For The Duration Of The State Of Emergency.

Order Number 30-20

(4/30/20)

Resumption of outpatient care.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Order And Declare That Provisions Of Previous Executive Orders Are Amended Regarding Certain Health Care Providers And Practitioners And Chapter 30 Health Care Boards.

Order Number 29-20

(4/25/20)

Removes the additional stay at home restrictions on Morgan County.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order That The Provisions Of Executive Order 20-20 Are Terminated With Respect To Morgan County Only.

Order Number 28-20

(4/20/20)

Hospitals/clinics may apply to OHFLAC to resume performing elective medical procedures. Hospitals must certify that they have 14 day supply of PPE. Resumption of procedures cannot occur before 4/28/20.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Order And Declare An Amendment To EO 16-20, Outlining A Procedure To Allow More Urgent Elective Medical Procedures To Be Resumed At A Hospital Or Amubulatory Surgical Center That Is Regulated By OHFLAC.

Order Number 27-20

(4/17/20)

Directs DHHR with the assistance of the WVNG to test all individuals who reside or work in nursing homes.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order Testing Of All Individuals Who Reside Or Work In The Nursing Homes Throughout The State.

Order Number 26-20

(4/13/20)

Permits non-resident speech-language pathologists to practice in WV.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order That The Listed Statutory Regulations Are Suspended For The Duration Of The State Of Emergency.

Order Number 25-20

(4/14/20)

Adding additional stay at home restrictions to Jackson County

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order, For Jackson County, The Listed Provisions Of Executive Order 9-20 Are Amended

Order Number 24-20

(4/10/20)

Adding additional stay at home restrictions to Cabell, Ohio, Wayne and Wood Counties

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order For The Counties Of Cabell, Ohio, Wayne, And Wood, Listed Provisions Of Executive Order 9-20 Are Amended.

Order Number 23-20

(4/9/20)

Permits non-resident marriage/family therapists and LPCs to practice in WV. Extends deadline for ABC licenses and permits. Permits municipalities to delay scheduled elections until June 9th. Requires social distancing at golf courses.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order The Listed Statutory Regulations And Provisions Are Suspended; And, Declare And Order, Effective April 10, 2020, Procedures For All Public And Private Golf Courses; And Allowance For Municipality’s To Hold Elections On Primary Elections Day, June 9, 2020.

Order Number 22-20

(4/8/20)

Adding additional stay at home restrictions to Marion County.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order, For Marion County Certain Provisions Of EO No. 9-20 Are Amended

Order Number 21-20

(4/5/20)

Adding additional stay at home restrictions to Harrison, Kanawha and Monongalia Counties.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order, For The Counties Of Harrison, Kanawha, And Monongalia, Certain Provisions Of Executive Order 9-20 And Other Executive Orders Are Amended As Listed.

Order Number 20-20

(4/4/20)

Adding additional stay at home restrictions to Berkeley, Jefferson and Morgan Counties

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order, For The Counties Of Berkeley, Jefferson And Morgan, Certain Provisions Of Executive Order 9-20 And Other Executive Orders Are Amended As Listed.

Order Number 19-20

(4/1/20)

Extending date for redeeming properties purchased via tax lien from 3/31 to 4/15. Delays delinquent tax publication from 5/1 to 6/1.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order That The Listed Regulatory Statutes Are Suspended For The Duration Of The State Of Emergency

Order Number 18-20

(4/1/20)

Moves primary election from May 12th to June 9th

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order That The Primary Election That Was Scheduled To Be Held On May 12, 2020 Shall Be Moved To June 9, 2020.

Order Number 17-20

(3/31/20)

CRNA supervision, APRN Rx authority, suspends requirement for in person exam every 90 days for Schedule II opioid Rx for chronic pain.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order That The Listed Statutory Regulations Are To Be Suspended For The Duration Of The State Of Emergency.

Order Number 16-20

(4/1/20)

Prohibits elective medical procedures which are medical procedures not immediately necessary to preserve life or long-term health. Excludes religiously mandated procedures.

Prohibits elective medical procedures which are medical procedures not immediately necessary to preserve life or long-term health. Excludes religiously mandated procedures.

Order Number 15-20

(4/1/20)

Closes private campgrounds to new out-of-state arrivals. Does not apply to essential workers or commercial activity.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order, That All Private Campgrounds Shall Be Closed To Any New Arrivals To Such Private Campgrounds Who Have Traveled From Outside Of West Virginia, With Listed Exceptions

Order Number 14-20

(3/30/20)

Closes state park campgrounds. Requires people entering WV from LA, NY, NY, CT, Italy and China to self-isolate for 14 days. State police to monitor travelers/visitors. Failure to self-isolate = misdemeanor obstruction = fine of $50-$500 and up to 1 year in jail.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order, Effective March 31, 2020, All State Park Campgrounds Shall Be Closed; That All Individuals Who Are Traveling From Areas With Substantial Spread Of Covid-19 Are Required To Isolate For 14 Days Upon Entry To WV; To The Extent Permitted By Law, The WV State Police May Monitor The State Roads And Highways For Travel From Those Areas; An Individual Who Fails To Comply With This Order Shall Be Guilty Of A Misdemeanor

Order Number 13-20

(3/26/20)

Extends due date for personal and business taxes due 4/15 to 7/15. Extends property tax due date from 4/1 to 5/1.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Declare And Order The Suspension Of Listed Statutory Regulations Regarding Taxes.

Order Number 12-20

(3/26/20)

Reinstates CNRA supervision and reinstates APRN prescriptive authority

As A Necessary Measure To Repsond To The Outbreak Of The Covid-19 Virus, Declare And Order That The Listed Statutory Regulations Are To Be Reinstated Immediately.

Order Number 11-20

(3/25/20)

Respiratory therapists, notary publics, no fishing license required 3/26-4/24, clarifies that political subdivisions/agencies can hold hearings by phone

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Order And Declare The Listed Statutory Regulations Are To Be Suspended For The Duration Of The State Of Emergency; And To Amend Paragraph 5 Of Executive Order No. 7-20

Order Number 10-20

(3/23/20)

Clarification of EO 7-20. Reinstates CRNA supervision, addresses RN/APRN, additional election policy relaxations, allows political subdivisions/agencies to delay hearings or hold by phone

As A Necessary Measure To Respond To The Covid-19 Virus, Declare And Order That The Listed Statutory Regulations Are To Be Suspended For The Duration Of The State Of Emergency; And Declare And Order The Listed Paragraphs Of Executive Order No. 7-20 Are Amended

Order Number 9-20

(3/24/20)

Stay at home order

As A Necessary Measure To Respond To The Covid-19 Virus, Declare And Order: 1. Stay At Home Or Your Place Of Residence; 2. Non-Essential Businesses And Operations Must Temporarily Cease Operations; 3. Essential Businesses And Operations Shall Continue To Operate; 4. Prohibited Activities; 5. Avoid Social Gatherings; 6. Explanation Of Intent Of The Order; 7. Enforcement; 8. Duration

Order Number 8-20

(3/20/20)

Closed state park lodges and Hatfield McCoy Trail.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Order That Effective March 21, 2020, All WV State Park Lodges Throughout The 55 Counties Of WV And The Hatfield Mccoy Trail Shall Not Allow Occupancy By The General Public.

Order Number 7-20

(3/19/20)

MD/DO licensing, CRNA supervision, Telemedicine licensing/expansion, Poll worker training, Satellite precincts, Absentee ballots

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Order That Specified Statutory Regulations Are To Be Suspended For The Duration Of The State Of Emergency

Order Number 6-20

(3/19/20)

Closed barber shops, nail salons and hair salons.

As A Necessary Measure To Respond To The Outbreak Of Covid-19, Declare And Order That, Effective March 20, 2020, All Barber Shops, Nail Salons And Hair Salons Throughout The 55 Counties Of WV Shall Not Allow Occupancy By The General Public.

Order Number 5-20

(3/19/20)

Gives counties authority to adjust courthouse services and staffing.

As A Necessary Measure To Respond To The Outbreak Of Covid-19, Declare That Counties Have Authority And Flexibility To Evaluate Courthouse Services And Staffing And To Make Decisions That Are In The Best Interest Of Each Respective County.

Order Number 4-20

(3/19/20)

Waived: 1-week waiting period for unemployment benefits, able and available for work requirements, work search requirements and actively seeking work requirements.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Direct That Individuals Who, Due To A Documented Condition Or Due To Communicable Disease Control Measures Related To Covid-19, Are Separated From Employment, Shall Be Eligible For Unemployment Benefits; Allowing Flexibility In Waiving Certain Requirements Of Unemployment Benefits; And Order To Postpone All Mandatory In-Person Contact With Individuals Seeking Unemployment Benefits, As Long As The State Of Emergency For Covid-19 Remains In Effect.

Order Number 3-20

(3/18/20)

Closed fitness centers, gyms, rec centers and any other entities where the public congregates for leisure activities.  

As A Necessary Measure To Respond To The Covid-19 Virus, Order, Effective March 19, 2020, All Fitness Centers, Gymnasiums, Recreation Centers, And Similar Businesses Or Entities Where The Public Tends To Congregate For Recreation, Sport, Or Similar Leisure Activities Throughout The 55 Counties Of WV Shall Not Allow Occupancy By The General Public.

Order Number 2-20

(3/18/20)

Closed casinos. Closed restaurants except for take out orders.

As A Necessary Measure To Respond To The Outbreak Of The Covid-19 Virus, Direct That Individuals Who, Due To A Documented Condition Or Due To Communicable Disease Control Measures Related To Covid-19, Are Separated From Employment, Shall Be Eligible For Unemployment Benefits; Allowing Flexibility In Waiving Certain Requirements Of Unemployment Benefits; And Order To Postpone All Mandatory In-Person Contact With Individuals Seeking Unemployment Benefits, As Long As The State Of Emergency For Covid-19 Remains In Effect.

We will be keeping you up to date on information about COVID-19 both in WV and around the world with a focus on rural health in WV

Addiction and COVID-19: A Conversation with Dr. Anthony Fauci and Dr. Nora Volkow

Addiction and COVID-19: A Conversation with Dr. Anthony Fauci and Dr. Nora Volkow

Addiction Policy Forum invites you to a webinar with Dr. Anthony Fauci, Director of the National Institute of Allergy and Infectious Diseases (NIAID), and Dr. Nora Volkow, Director of the National Institute on Drug Abuse (NIDA), about the intersection of the disease...

read more
What is telemedicine?

What is telemedicine?

What is telemedicine?  Fact checkedReviewed by: Richard Albrecht Updated: February 19, 2021 Telemedicine is the remote delivery of health care services using communication technology. Since the start of the COVID-19 pandemic, there has been a rapid increase in the use...

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Call for COVID-19 innovations

Call for COVID-19 innovations

Call for Innovations   Share Your Community's COVID-19 Innovations Addressing Vaccine Hesitancy RHIhub has received requests for examples of how rural communities and healthcare providers are addressing vaccine hesitancy and distribution. Please consider sharing...

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WV Center on Budget & Policy News Letter 4-10-20 ( Highlights SNAP BENEFITS)

What You Need to Know: Accessing the Safety Net During COVID-19

 We are tracking policy changes and flexibilities that impact the ability of West Virginians to utilize the safety net during the COVID-19 crisis. Kelly and Seth’s blog post highlights changes to Medicaid, SNAP (food stamps) and TANF, as well as additional flexibilities in state and federal law that West Virginia should utilize to improve access to these important safety net resources.

 Read their blog post here on what you need to know about Medicaid, SNAP, and TANF benefits during these uncertain times. 

 Who Are West Virginia’s Frontline Workers?

 Before the COVID-19 pandemic, nearly 186,000 workers in West Virginia were employed in six broad industries that are now considered the frontlines of the response. Nurses, janitors, grocery clerks, child care staff, bus and truck drivers, these are the essential workers in our state and our economy, and the current crisis has done little to change that. Instead it has shown just how vital these workers are.

 More than 66 percent of all frontline workers in West Virginia are women, including 83 percent in the social services and 78 percent in health care.

 People of color are also over represented in West Virginia’s frontline industries, particularly in the building cleaning, health care, and social services industries. 

 Read more in Sean’s blog post

 Making the Most of Federal Assistance

 Food For All is a broad and diverse coalition of individuals and organizations across West Virginia who believe no West Virginian should ever go without access to adequate, nutritious food. Here is a letter we sent to Governor Jim Justice with recommendations on how to maximize the federal food assistance dollars coming to the state as part of the COVID-19 relief package.

In Case You Missed It!

 Miss us? You can see us on Facebook Live! 

 Yesterday, Kelly and Seth hosted a discussion on the safety net and how COVID-19 is impacting Medicaid, TANF, and SNAP benefits.

 Last Friday, Sean and Kelly talked about navigating West Virginia’s unemployment program and how federal benefits will impact it.

 Here is more from Sean about West Virginia’s unemployment claims, how the state is responding, and what those waiting for benefits can expect in articles from the Ohio Valley Resource and the Charleston Gazette-Mail.

 Stay Informed!

 For a complete list of our COVID-19 resources, please visit our special website page.

 WV Food ER

 WV Food ER is raising funds to help our neighbors around the state. If you can spare a couple of dollars, please consider donating. The project has delivered food and needed items to West Virginia families for the past few weeks all over West Virginia thanks to some amazing volunteers and neighbors. You can donate and learn more here

  We Are Hiring!

The West Virginia Center on Budget and Policy is currently seeking an operations and communications manager. The operations and communications manager is responsible for a variety of duties including special event planning, communications, and office management. This position supports work that advances public policies that improve the quality of life for all West Virginians and includes media relations, public campaigns, publication design, and website and database management. Interested candidates are encouraged to forward their resumes to info@wvpolicy.org.

This position has the flexibility to be part or full time depending on the applicant and the WVCBP’s needs. The WVCBP is an equal opportunity employer. We encourage applications from all qualified individuals without regard to race, color, religion, gender, sexual orientation, gender identity or expression, age, or national origin.

Read full job announcement here.

Deadline Extended to May 15: 2020 Summer Policy Institute

Registration is open for this year’s Summer Policy Institute! Join us at Fairmont State University this July for a great weekend of policy discussion and networking!

Note: We are closely monitoring public health best practices around COVID 19. For now, we plan to host the Summer Policy Institute in-person in July, so please do register if you are interested in attending. As the situation develops and evolves, we will keep you posted and reevaluate, if needed.

CMS- News letter April 9, 2020

Thursday, April 9, 2020

News

Claims, Pricers & Codes

Events

MLN Matters® Articles

Publications

View this edition as PDF (PDF)

News

CMS Approves Approximately $34 Billion for Providers with the Accelerated/Advance Payment Program for Medicare Providers in One Week

The Centers for Medicare & Medicaid Services (CMS) has delivered nearly $34 billion in the past week to the health care 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 combat the pandemic.

“Health care providers are making massive financial sacrifices to care for the influx of coronavirus patients,” said CMS Administrator Seema Verma. “Many are rightly complying with federal recommendations to delay non-essential elective surgeries to preserve capacity and personal protective equipment. They shouldn’t be penalized for doing the right thing. Amid a public health storm of unprecedented fury, these payments are helping providers and suppliers – so critical to defeating this terrible virus – stay afloat.”

The streamlined process implemented by CMS for COVID-19 has reduced processing times for a request of an accelerated or advance payment to between four to six days, down from the previous timeframe of three to four weeks. In a little over a week, CMS has received over 25,000 requests from health care providers and suppliers for accelerated and advance payments and have already approved over 17,000 of those requests in the last week. Prior to COVID-19, CMS had approved just over 100 total requests in the past five years, with most being tied to natural disasters such as hurricanes.

The payments are available to Part A providers, including hospitals, and Part B suppliers, including doctors, non-physician practitioners, and durable medical equipment (DME) suppliers. While most of these providers and suppliers can receive three months of their Medicare reimbursements, certain providers can receive up to six months.

The CMS Accelerated and Advance Payment Program is funded from the Hospital Insurance (Part A) and Supplementary Medical Insurance (Part B) trust funds, which are the same funds used to pay out Medicare claims each day. The advance and accelerated payments are a loan that providers must pay back. CMS will begin to apply claims payments to offset the accelerated/advance payments 120 days after disbursement. The majority of hospitals including inpatient acute care hospitals, children’s hospitals, certain cancer hospitals, and critical access hospitals will have up to one year from the date the accelerated payment was made to repay the balance. All other Part A providers and Part B suppliers will have up to 210 days to complete repayment of accelerated and advance payments, respectively.

It is important to note, this funding is separate from the $100 billion provided in the Coronavirus Aid, Relief, and Economic Security (CARES) Act. The CARES Act appropriation is a payment that does not need to be repaid. The Department of Health and Human Services (HHS) will be providing additional information on how health care providers and suppliers can access CARES Act funds in the coming weeks.

The fact sheet on the accelerated/advance payment process and how to submit a request can be found here: Fact Sheet (PDF). Providers can also contact their Medicare Administrative Contractor for any questions.

This action, and earlier CMS actions in response to COVID-19, are part of the ongoing White House Coronavirus Task Force efforts. To keep up with the important work the Task Force is doing in response to COVID-19, visit www.coronavirus.gov. For a complete and updated list of CMS actions, and other information specific to CMS, please visit the Current Emergencies Website.

COVID-19: 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.
Letter (PDF)


COVID-19: Non-Emergent, Elective Medical Services and Treatment Recommendations

CMS recently updated recommendations to postpone non-essential surgeries and other procedures to conserve critical health care resources and limit exposure of patients and staff to COVID-19. Developed in collaboration with medical societies and associations, the recommendations outline a tiered approach for state and local officials, clinicians, and delivery systems to consider to prioritize services and care to those who require emergent or urgent attention to save a life, manage severe disease, or avoid further harms from an underlying condition.
Recommendations 


Quality Payment Program: MIPS Extreme and Uncontrollable Circumstances Policy in Response to COVID-19

CMS is offering multiple flexibilities to provide relief to clinicians responding to the 2019 Novel Coronavirus (COVID-19) pandemic. In addition to extending the 2019 Merit-based Incentive Payment System (MIPS) data submission deadline to April 30 at 8 pm ET, the MIPS automatic extreme and uncontrollable circumstances policy will apply to MIPS eligible clinicians who do not submit their MIPS data by the April 30 deadline.

If you are a MIPS eligible clinician and do not submit any MIPS data by April 30, you will not need to take any additional action to qualify for the automatic extreme and uncontrollable circumstances policy. You will be automatically identified and will receive a neutral payment adjustment for the 2021 MIPS payment year. Note: We updated the Participation Status Tool, so you can see if the policy is automatically applied.

We are also reopening the MIPS extreme and uncontrollable circumstances application for individuals, groups, and virtual groups. An application submitted by April 30, citing COVID-19 will override any previous data submission.

For More Information:


Multi-Factor Authentication Requirement Delayed for PECOS, I&A, and NPPES

In an effort to reduce provider burden, CMS delayed Multi-Factor Authentication (MFA) requirements for the following systems:

  • Provider Enrollment, Chain, and Ownership System (PECOS):  MFA is delayed until further notice.
  • Identity and Access Management System (I&A): You have a 360-day grace period to set up MFA after your first login. By September 30, 2021, you are required to use MFA to successfully access the system. Set up the appropriate surrogacy and employer connections to ensure access.
  • National Plan and Provider Enumeration System (NPPES): You have a 360-day grace period to set up MFA after your first login. By September 30, 2021, you are required to use MFA to successfully access the system.


Open Payments: Pre-Publication Review and Dispute through May 15

Open Payments Pre-Publication Review and Dispute is available through May 15. During this time, covered recipients can review and if necessary dispute their attributed data prior to the annual Open Payments data publication:

Review and dispute actions can be completed within the Open Payments system through December 31, 2020:

  • Disputes initiated by the May 15 deadline will be reflected in the June 2020 data publication
  • Disputes initiated after the pre-publication review and dispute period will be reflected in a later system data refresh

Open Payments COVID-19 Update:

  • CMS cannot extend the pre-publication review and dispute period, but covered recipient review and dispute actions can be completed within the Open Payments system throughout the calendar year.
  • We understand the health care community is working tirelessly to respond to the COVID-19 pandemic and appreciate the dedication of health care providers during this time. We remain committed to ensuring covered recipients are aware of and take advantage of their opportunity to review their data and dispute it if needed.
  • Read the Open Payments Pre-Publication Review and Dispute COVID-19 Announcement.


Claims, Pricers & Codes


Pneumococcal Pneumonia Vaccination: Eligibility Transactions Includes DOS Starting April 13

Starting April 13, CMS beneficiary eligibility transactions will return the Pneumococcal Pneumonia Vaccination (PPV) Date(s) of Service (DOS) for HCPCS codes 90670 and 90732 when a beneficiary has already received the service. Eligibility transactions will also return the related National Provider Identifier (NPI): Institutional NPI for Part A or rendering NPI for Part B to help you better coordinate care. See the MLN Matters Article (PDF) for more information.


Events


Ground Ambulance Organizations: Data Collection for Medicare Providers Call — May 7

Thursday, May 7 from 2 to 3 pm ET

Register for Medicare Learning Network events.

During this call, learn how to allocate costs, collect data, and report data for the new Ground Ambulance Data Collection System.

A question and answer session follows the presentation; however, you may email questions in advance to AmbulanceDataCollection@cms.hhs.gov with “May 7 Call” in the subject line. These questions may be addressed during the call or used for other materials following the call. For more information, including ground ambulance organizations selected for the first round of reporting, see the Ambulances Services Center webpage, CY 2020 Physician Fee Schedule final rule, and Bipartisan Budget Act of 2018.

Target Audience: Ground ambulance organizations that are Medicare providers, including hospitals, critical access hospitals, skilled nursing facilities, home health agencies, comprehensive outpatient rehabilitation facilities, and hospices.

MLN Matters® Articles


Supplier Education on Use of Upgrades for Multi-Function Ventilators

A new MLN Matters Special Edition Article SE20012 on Supplier Education on Use of Upgrades for Multi-Function Ventilators (PDF) is available. Find out how you can bill for multi-function ventilators described by code E0467 as an upgrade in situations where beneficiaries only meet the coverage criteria for a ventilator.

Second Update to CR 11152 Implementation of the Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) — Revised

A revised MLN Matters Article MM11632 on Second Update to CR 11152 Implementation of the Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) (PDF) is available. Learn about corrected edits to allow proper adherence to Medicare’s interrupted stay policy.


Publications


Civil Rights, HIPAA, and COVID-19

HHS published a bulletin on Civil Rights, HIPAA, and the Coronavirus Disease 2019 (COVID-19) to ensure that entities covered by civil rights authorities keep in mind their obligations under laws and regulations that prohibit discrimination on the basis of race, color, national origin, disability, age, sex, and exercise of conscience and religion in HHS-funded programs.

Medicare Advance Written Notices of Noncoverage — Revised

A revised Medicare Advance Written Notices of Noncoverage Medicare Learning Network Booklet is available. Learn how to:

  • Complete the forms
  • Collect payment

Medicare Preventive Services — Revised

A revised Medicare Preventive Services Medicare Learning Network Educational Tool is available. Learn about:

  • Coding
  • Coverage
  • Copayment/coinsurance and deductible

Medicare Preventive Services Poster — Revised

A revised Medicare Preventive Services Poster (PDF) Medicare Learning Network Educational Tool is available. Get quick-reference information for your billing office.

 

CMS news letter link

CMS Office Hours on COVID-19: April 9th

You are invited to CMS “Office Hours” on COVID-19, Thursday, April 9th from 5:00 – 6:00 PM EST, the next in a series of opportunities for hospitals, health systems, and providers to ask questions of agency officials regarding CMS’s temporary actions that empower local hospitals and healthcare systems to:

  • Increase Hospital Capacity – CMS Hospitals Without Walls;
  • Rapidly Expand the Healthcare Workforce;
  • Put Patients Over Paperwork; and
  • Further Promote Telehealth in Medicare

We encourage you to submit questions in advance to partnership@cms.hhs.gov, including “Office Hours” in the subject line. There will also be live Q&A.

Dial-in details below. Conference lines are limited, so we highly encourage you to join via audio webcast, either on your computer or smartphone web browser. You are welcome to share this invitation with your colleagues and membership.

Toll-Free Attendee Dial In: 833-614-0820

Event Plus Passcode: 1881716

Audio Webcast link: https://protect2.fireeye.com/url?k=af5fe56e-f30aecbe-af5fd451-0cc47a6a52de-3f7683676ccf874e&u=https://protect2.fireeye.com/url?k=4a26f334-1672da1f-4a26c20b-0cc47a6d17cc-b5718dd23455dde2&u=https://protect2.fireeye.com/url?k=9e078944-c2528094-9e07b87b-0cc47a6a52de-a5e1651cc58bcffb&u=https://engage.vevent.com/rt/cms2/index.jsp?seid=1851

You can find a copy of the full press release and related materials here:  https://www.cms.gov/newsroom/press-releases/trump-administration-makes-sweeping-regulatory-changes-help-us-healthcare-system-address-covid-19

To keep up with the important work the White House Task Force is doing in response to COVID-19, please click here: www.coronavirus.gov. For information specific to CMS, please visit the Current Emergencies Website.

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 and outpatient care settings. The guidance, based on Centers for Disease Control and Prevention (CDC) guidelines, will help ensure infection control in the context of patient triage, screening and treatment, the use of alternate testing and treatment sites and telehealth, drive-through screenings, limiting visitations, cleaning and disinfection guidelines, staffing, and more.

The guidance is designed to empower local hospitals and healthcare systems, helping them to rapidly expand their capacity to isolate and treat patients infected with COVID-19 from those who are not. Critically, the guidance released today includes new instructions for dialysis facilities as they work to protect patients with End-Stage Renal Disease (ESRD), who, because of their immunocompromised state and frequent trips to health care settings, are some of the most vulnerable Americans to complications arising from COVID-19. The guidance is part of the unprecedented array of temporary regulatory waivers and new policies CMS issued on March 30, 2020 that gives the nation’s healthcare system maximum flexibility to respond to the COVID-19 pandemic.

“CMS is helping the healthcare system fight back and keep patients safe by equipping providers and clinicians with clear guidance based on CDC recommendations that reemphasizes and reinforces longstanding infection control requirements,” said CMS Administrator Seema Verma.

The guidance is particularly timely for dialysis facilities. Dialysis facilities care for immunocompromised Americans who require regular dialysis treatments and are therefore particularly susceptible to complications from the virus. Today’s updated guidance has multiple facets, including the option of providing Home Dialysis Training and Support services – to help some dialysis patients stay home during this challenging time – and establishment of Special Purpose Renal Dialysis Facilities (SPRDFs), which can allow dialysis facilities to isolate vulnerable or infected patients. These temporary changes allow for the establishment of facilities to treat those patients who tested positive for COVID-19 to be treated in separate locations.

In addition to dialysis facilities, the infection control guidance affects a broad range of settings including hospitals, Critical Access Hospitals (CAHs), psychiatric hospitals, Ambulatory Surgical Centers (ASCs), Community Mental Health Centers (CMHCs), Comprehensive Outpatient Rehabilitation Facilities (CORFs), Outpatient Physical Therapy or Speech Pathology Services (OPTs), Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IIDs) and Psychiatric Residential Treatment Facilities (PRTFs).

For hospitals, psychiatric hospitals and CAHs, the revised guidance, for example, provides expanded recommendations on screening and visitation restrictions, discharge to subsequent care locations for patients with COVID-19, recommendations related to staff screening and testing, and return-to-work policies.

Similarly, for hospitals and CAHs, the revised guidance on the Emergency Medical Labor and Treatment Act (EMTALA) includes a detailed discussion of: patient triage, appropriate medical screening and treatment; the use of alternate testing sites; telehealth; and appropriate medical screening examinations performed at alternate screening locations, which are not subject to EMTALA, as long as the national emergency remains in force. This step will allow hospitals and CAHs to screen patients at a location offsite from the hospital’s campus to prevent the spread of COVID-19.

For outpatient clinical settings, such as ASCs, FQHCs, and others, guidance discusses recommendations to mitigate transmission including screening, restricting visitors, cleaning and disinfection, and closures, and addresses issues related to supply scarcity, and Federal Drug Administration (FDA) recommendations. In addition, CMS encourages ASCs and other outpatient settings to partner with others in their community to conserve and share critical resources during this national emergency.

Updated guidance for ICF/IIDs, and PRTFs include practices related to screening of visitors and outside health care service providers, community activities, staffing, and more.

CMS will continue to monitor and review the impact of the COVID-19 pandemic on the clinicians, providers, facilities and programs, and will update regulations and guidance as needed.

To view the latest updates to these CMS guidance documents on infection control, go to: https://www.cms.gov/About-CMS/Agency-Information/Emergency/EPRO/Current-Emergencies/Current-Emergencies-page

For information on the COVID-19 waivers and guidance, and the Interim Final Rule, released on March 30, please go to the CMS COVID-19 flexibilities webpage: https://www.cms.gov/about-cms/emergency-preparedness-response-operations/current-emergencies/coronavirus-waivers

These actions, and earlier CMS actions in response to COVID-19, are part of the ongoing White House Coronavirus Task Force efforts. To keep up with the important work the Task Force is doing in response to COVID-19, visit www.coronavirus.gov.  For a complete and updated list of CMS actions, and other information specific to CMS, please visit the Current Emergencies Website.

Recordings for CMS National Stakeholder Calls on COVID-19

CMS has been hosting regular calls with a variety of clinicians, hospitals, and other facilities in an effort to keep stakeholders updated on our COVID-19 efforts.  As we know not everyone is available to attend the calls live, we are happy to share that you can access recordings of the calls along with transcripts on the following link: https://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/PodcastAndTranscripts. We will continue to host calls and share information through our list serves and media. 

To keep up with the important work of the White House Coronavirus Task Force in response to COVID-19, visit https:/www.coronavirus.gov.  For a complete and updated list of CMS actions, and other information specific to CMS, please visit the Current Emergencies Website.

April 2, 2020 Update WV Bureau for Behavioral Health
DHHR_Logo_for_MC.jpg
The WV Bureau for Behavior Health  would like to share the following information from ASAM (American Society of Addiction Medicine) regarding COVID-19 in residential facilities:

Infection Control and Mitigation Strategies in Residential Treatment Facilities

Purpose of the document

This document provides guidance to residential addiction treatment programs (ASAM Levels 3.1, 3.3, 3.5 and 3.7), supporting the development of infection control and mitigation procedures to address the COVID-19 pandemic. Although focused on ASAM Level 3 treatment programs with 24-hour clinical staffing, portions of the document may be useful for community living programs such as sober housing.

As community housing programs respond to the epidemic, it is recommended that they consider the overall considerations for residential treatment programs throughout this document. As always, when a person living in the community becomes ill, they should seek medical care.

COVID-19 – INFECTION MITIGATION IN RESIDENTIAL TREATMENT FACILITIES

April 1, 2020 Update from WV Bureau for Behavioral Health
DHHR_Logo_for_MC.jpg

Resources from Mental Health Technology Transfer Center (MHTTC)
MHTTC main page:
 https://mhttcnetwork.org/centers/global-mhttc/responding-covid-19
Responding to COVID-19: highlight products and resources can be useful when coping with the effects of widespread public health crises such as:

  1. Psychosocial Impacts of Disasters: Assisting Community Leaders
  2. Supportive Practices for Mental Health Professionals During Pandemic-Related Social Distancing

 
Recorded Webinars:
Substance Use Disorder Services in the Days of a Pandemic: You Need A Bigger Boat! – 
https://youtu.be/bRGZO7LaAqo

Upcoming webinars:
Changing the Conversation about Mental Health to Support Students During a Pandemic – April 9, 2020

https://wiche.zoom.us/meeting/register/v5csf-2gpjIuZPbtD8qPghOaNNqgvLyOjQ

Changing the Conversation About Mental Health – How do we Come Back to the New Normal? – April 13, 2020  https://wiche.zoom.us/meeting/register/uJYlcu2oqzwuXiNmGW8gO2vy5y4ovyjkOQ

Resources from Addiction Technology Transfer Center (ATTC) Resources:
Opioid Treatment Programs (OTP) Questions Regarding Sustaining Operations During the Uncertain and Turbulent Times
The American Association for the Treatment of Opioid Dependence (AATOD), American Academy of Addiction Psychiatry (AAAP) and the ATTCs are collecting questions from Opioid Treatment Programs related to sustaining care, providing support and maintaining a safe work environment for staff during these turbulent and uncertain times. We will compile all questions, work with field experts to determine responses, and develop and disseminate a “FAQ” document.
 https://attcnetwork.org/centers/global-attc/otp-questions-during-challenging-times-form

Compassion Fatigue and the Behavioral Health Workforce Curriculum Infusion Package This 5-part Curriculum Infusion Package (CIP) on Compassion Fatigue and the Behavioral Health Workforce was developed in 2020 by the Pacific Southwest Addiction Technology Transfer Center (PSATTC). Part 1 provides a brief overview of the behavioral health workforce and associated shortages, and introduces the demands on the workforce. Part 2 focuses on compassion fatigue and secondary traumatic stress. Part 3 provides a brief overview of how organizations can help individuals avoid experiencing burnout. Part 4 focuses on actions that behavioral health professionals can take to prevent compassion fatigue. And Part 5 focuses on self-care as an ethical duty in order to manage compassion fatigue.
https://attcnetwork.org/centers/pacific-southwest-attc/news/compassion-fatigue-and-behavioral-health-workforce-curriculum

Resources from Serious Mental Illness (SMI) Adviser
SMI Adviser Coronavirus Resources:
 https://smiadviser.org/about/covid

  1. Resources on COVID-19 and Serious Mental Illness
  2. Education Activities about COVID-19
  3. COVID-19 Resources

 Recorded Webinars

  1. Managing the Mental Health Effects of COVID-19 – https://education.psychiatry.org/Users/ProductDetails.aspx?ActivityID=7256&utm_source=SMI_Adviser_COVID19_Email&utm_medium=March2020
  2. Telepsychiatry in the Era of COVID-19 – https://education.smiadviser.org/Users/ProductDetails.aspx?ActivityID=7257&utm_source=Email&utm_medium=WebinarEmail  

Providers Clinical Support System Resources
Live Clinical Roundtables

  1. Cognitive Dysfunction Related to Methamphetamine Use with Josh Blum, MD – Thurs, April 2 – 2:00 PM-3:00 PM https://attendee.gotowebinar.com/register/5331432233149900300
  2. Other clinical roundtables are in development. Contact jane@aaap.org to be added to the news distribution list  

Tip Sheet
Click
 here to download Telehealth Tip Sheet.
 
Recorded Webinars

  1. Telepsychiatry’s Role in Medication Assisted Treatment: https://pcssnow.org/event/telepsychiatrys-role-in-medication-assisted-treatment/
  2. Use of Buprenorphine in the Management of Opioid Dependence in Underserved Communities: https://pcssnow.org/event/use-of-buprenorphine-in-the-management-of-opioid-dependence-in-underserved-communities/  

Online Trainings

  1. Supporting Providers After Overdose Death: https://learning.pcssnow.org/p/SupportingProviders
  2. Grief and Managing an Overdose Death: https://pcssnow.org/event/grief-and-managing-an-overdose-death/ • Related resource document: https://pcssnow.org/resource/grief-and-overdose-death-2/
  3. Young adult seeking treatment after overdosing: https://pcssnow.org/education-training/training-courses/teenager-seeking-treatment-after-overdosing-part-1/
  4. Partnering with Pharmacists: Naloxone Prescribing and Dispensing to Prevent Overdose Deaths: https://pcssnow.org/event/partnering-with-pharmacists-naloxone-prescribing-and-dispensing-to-prevent-overdose-deaths-aoaam/
  5. Stress, Relaxation, and Mindful Breathing: A Primer: https://pcssnow.org/education-training/training-courses/9-stress-relaxation-mindful-breathing-primer/

 Initial Patient Contact about Buprenorphine Checklist
https://opioidresponsenetwork.org/ResourceMaterials/Sample-Initial-Patient-Contact-about-Buprenorphine.pdf 

American Osteopathic Academy of Addiction Medicine webinar titled Telemedicine:
Getting Started, Regulations and Privacy Issues.

https://education.aoaam.org/products/telemedicine-getting-started-regulations-and-privacy-issues-3272020#tab-product_tab_overview

Compassionate Fatigue and Self Care Recorded Webinar
Compassionate Fatigue and Self Care: For Helping Professionals Working with Opioid Related Disorders 
https://opioidresponsenetwork.org/admin/ResourceDetails.aspx?resourceID=9338

Care of Homeless Patients with Opioid Use Disorders – Manual
Adapting Your Practice: Recommendations for the Care of Homeless Patients with Opioid Use Disorders – 
https://opioidresponsenetwork.org/admin/ResourceDetails.aspx?resourceID=4162

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

Apr 02, 2020  Press release – CMS – Nursing facilities

Today, 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. The recommendations build on and strengthen recent guidance from CMS and CDC related to effective implementation of longstanding infection control procedures.

Nursing homes (also known as “skilled nursing facilities” under the Medicare program and “nursing facilities” under Medicaid; or “long-term care facilities”) have become an accelerator for the virus because residents, who are generally vulnerable to complications from the virus, are even more so in an enclosed environment like a nursing home. In one Maryland nursing home, COVID-19 cases grew from one confirmed case one day to 64 confirmed cases the next. Hundreds of facilities across the country are experiencing increased numbers of cases among residents. To address this spread, CMS, which inspects Medicare-participating facilities to ensure compliance with Federal safety rules, has worked hand-in-hand with CDC to provide nursing homes with clear guidance on how they can keep their residents safe. Most recently, on March 13, CMS issued guidance that advised nursing homes to restrict visitors, helping prevent introduction of the virus into these facilities.

Additionally, on March 23, CMS announced new, focused infection control surveys intended to assess facilities’ compliance with infection control requirements to ensure they are prepared to address the COVID-19 threat. In the initial wave of surveys during the week of March 30, CMS found that 36 percent of facilities inspected in recent days did not follow proper hand washing guidelines and 25 percent failed to demonstrate proper use of personal protective equipment (PPE). Both of these are longstanding infection control measures that all nursing homes are expected to follow per Federal regulation. CMS is continuing to conduct targeted infection control inspections to ensure nursing homes are prepared to confront COVID-19 and keep their residents safe.  Finally, Medicare is now covering COVID-19 testing when furnished to eligible beneficiaries by certified laboratories. These laboratories may also choose to enter facilities to conduct COVID-19 testing.

The recommendations announced today include:

  • Nursing homes should immediately ensure that they are complying with all CMS and CDC guidance related to infection control.
  • As nursing homes are a critical part of the healthcare system, and because of the ease of spread in long term care facilities and the severity of illness that occurs in residents with COVID-19, CMS/CDC urges State and local leaders to consider the needs of long term care facilities with respect to supplies of PPE and COVID-19 tests.
  • Nursing homes should immediately implement symptom screening for all staff, residents, and visitors – including temperature checks.
  • Nursing homes should ensure all staff are using appropriate PPE when they are interacting with patients and residents, to the extent PPE is available and per CDC guidance on conservation of PPE.
  • To avoid transmission within nursing homes, facilities should use separate staffing teams for residents to the best of their ability, and, as President Trump announced at the White House today, the administration urges nursing homes to work with State and local leaders to designate separate facilities or units within a facility to separate COVID-19 negative residents from COVID-19 positive residents and individuals with unknown COVID-19 status.

“The Trump Administration is calling on the nursing home industry and state and local leaders to join us by taking action now to ensure the safety of their residents, who are among our most vulnerable citizens. The Administration urges them to carefully review our recommendations, and implement them immediately,” said CMS Administrator Seema Verma.

Today’s recommendations will help State and local governments, and nursing homes, as they consider creative ways to stop the spread of the virus, such as designating units within facilities – or entire facilities – solely for residents with confirmed COVID-19. An example of such an arrangement is in Wilmington, Massachusetts, in which a 142-bed facility has been designated as a solely COVID-19-positive facility. Residents across the region who are infected with COVID-19 can be moved to this facility to receive appropriate care and avoid transmitting the virus within their facilities. This approach also eases the challenges of preventing transmission, like extensive PPE usage and isolation practices, for individual facilities. The Massachusetts arrangement, developed in coordination with the state’s government, is a prime example of the arrangements envisioned in the recommendations announced today.

The recommendations also speak to enhanced screening and transmission prevention practices. Previous CMS guidance, developed with CDC and issued in mid-March, advised nursing homes to restrict all but the most urgent visitors and staff. Today’s guidance builds on this by recommending temperature screenings for all visitors and that all staff utilize adequate PPE when interacting with patients, to the extent PPE is available.

Nursing homes are unique in the healthcare system because, unlike other healthcare facilities, they are full-time homes as well as settings of care. Importantly, nursing home residents, given their advanced age and corresponding health issues, are at particular risk of complications arising from COVID-19. Because they are large concentrations of particularly vulnerable individuals, nursing homes have been a major focus for the Trump Administration in its aggressive efforts to combat the virus.

This action, and earlier CMS actions in response to COVID-19, are part of the ongoing White House Coronavirus Task Force efforts. To keep up with the important work the Task Force is doing in response to COVID-19, visit www.coronavirus.gov.  For a complete and updated list of CMS actions, and other information specific to CMS, please visit the Current Emergencies Website.

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Get CMS news at cms.gov/newsroom, sign up for CMS news via email and follow CMS on Twitter CMS Administrator @SeemaCMS, @CMSgov, and @CMSgovPress.

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