Coronavirus (COVID-19) Guidance And Directives - Iroquois

Transcription

COVID-19 Key State and FederalGuidance and Directives Updated June 8, 2020Quick Links:NYS Healthcare Providers Testing Wadsworth Executive Orders Training DataCDC Healthcare Providers Facilities Labs Training New & Updated DataFDA Emergency Use Authorizations Guidance DocumentsCMS Guidance and Information Waivers & FlexibilitiesGo to Section: Clinical ManagementExposure, Quarantine and IsolationTestingTelehealthHospital OperationsMedicaid and MedicarePPE & Medical SuppliesFederal Declarations & WaiversNon-Acute CareNYS Executive Orders & WaiversDateIssued/UpdatedClinical Management and Infection Prevention & ControlNYSDOH Guidance on Surgeries and ProceduresNYSDOH Resumption of Deferred Surgeries & Procedures in ACS, OBS & DATC Settings5/19NYSDOH Directive on Resumption of Elective Outpatient Surgeries and Procedures4/29NYSDOH Pediatric Clinical GuidanceNYSDOH Childhood Inflammatory Disease Related to COVID-19: Information PageUpdated 6/6NYSDOH Multi-System Inflammatory Syndrome in Children: Webinar5/14NYSDOH Multi-System Inflammatory Syndrome in Children: Case Definition & Reporting5/13NYSDOH Multi-System Inflammatory Syndrome in Children: Health Advisory5/6CDC Pediatric & Neonate Clinical GuidanceCDC Information for Pediatric Healthcare Providers5/29CDC Information for Healthcare Providers about MIS-C5/29CDC Evaluation and Management Considerations for Neonates At Risk for COVID-195/19CDC Multisystem Inflammatory Syndrome in Children (MIS-C): Advisory Webinar5/14CDC Immunization Schedule Changes and Guidance During COVID-194/14NYSDOH Clinical and Infection Control GuidanceNYSDOH Discontinuation of Isolation for Patients in Hospitals and Other Settings4/19NYSDOH Prescriber Education Program: COVID-19 Drug Information3/30NYSDOH Hydroxychloroquine and Azithromycin for Treatment of COVID-193/25NYSDOH Pregnancy and COVID-19 Resources for Health Care Providers3/21NIH Clinical GuidanceNIH COVID-19 Treatment Guidelines5/12CDC Clinical and Infection Control GuidanceCDC Clinical Questions & AnswersUpdated 6/4Page 1 of 28

CDC Clinical Guidance for Management of COVID-19Updated 6/2CDC COVID-19 FAQsUpdated 6/2CDC Healthcare Infection Prevention and Control FAQs5/29CDC Considerations for Inpatient Obstetric Healthcare Settings5/20CDC Infection Prevention & Control Recommendations in Healthcare Settings5/18CDC Framework for Healthcare Systems Providing Non-COVID-19 Clinical Care5/12CDC Evaluating and Testing Persons for COVID-195/3CDC Discontinuation of Transmission-Based Precautions and Discharge4/30CDC Clinical Tips on COVID-19 for Healthcare Providers4/30CDC Considerations for Providing Hemodialysis in Acute Care Settings4/17CDC Guidance for Treating Underlying & High Risk Conditions4/6CDC Use of PPE When Caring for COVID-19 Patients3/31CDC Hand Hygiene for Healthcare Personnel3/18CDC Information About PPE3/14 Back to TopTestingNYSDOH Lab & Testing InformationNYSDOH Clinical Laboratories Approved to Perform COVID-19 Testing in NYSNYSDOH COVID-19 Test Site LocationsNYSDOH Nursing Home and Adult Care Facility Staff Testing per E.O. 202.30NYSDOH Directive: Testing of NH and ACF Personnel Deemed Medically Necessary5/19NYSDOH Updated FAQs: NH and ACF Staff Testing Requirements5/19NYSDOH Laboratory Partner List for NH and ACF Staff Testing5/18NYSDOH NH and ACF Staff Testing Certification of Compliance Clarification5/18NYSDOH NH and ACF Staff Testing Certification of Compliance5/15NYSDOH NH and ACF Staff Testing, and Discharge Requirements per E.O. 202.305/11CDC Nursing Home Testing GuidanceCDC Performing Facility-wide SARS-CoV-2 Testing in Nursing Homes5/19CDC Guidance for Testing Nursing Home Residents and Personnel5/19NYSDOH Testing Orders, Specimen Collection & ReportingNYSDOH Updated Interim Guidance: Protocol for COVID-19 Testing per E.O. 202.195/31NYSDOH Medicaid Billing Guidance for COVID-19 Testing and Specimen Collection5/22NYSDOH Medicaid FFS Policy and Billing Guidance for COVID-19 Testing at Pharmacies5/22NYSDOH Specimen Collection Training for SARS-CoV-2 Diagnostic Testing5/15NYSDOH Specimen Collection Training for Unlicensed Individuals per E.O. 202 & 202.245/15NYSDOH Authorization of Pharmacists to Order COVID-19 Tests per E.O. 202.245/15NYSDOH Health Advisory: COVID-19 Laboratory and Test Reporting Requirements4/30NYSDOH Health Advisory: COVID-19 Serology Testing4/30NYSDOH Guidance for Private Practice Specimen Collection Sites4/19Page 2 of 28

NYSDOH Health Advisory: Nasal Swab AND Saliva Alternative Specimen Collection4/1NYSDOH E.O. 202.1 and 202.5 - Additional Capacity Guidance3/19NYSDOH Patient Information MaterialNYSDOH SARS-CoV-2 Diagnostic Testing: Questions & Answers5/15NYSDOH Patient Information: COVID-19 Testing Next Steps5/15NYSDOH Patient Information: Contact Tracing Tool for People Being Tested5/14NYSDOH Patient Information: Contact Tracing – Answer the Phone5/14NYSDOH Wadsworth LaboratoryNYSDOH Wadsworth Center’s Assay for SARS-CoV-2 IgG Questions & AnswersNYSDOH Updated Infection Disease Requisition (IDR) Form 4/20Guidance4/9NYSDOH Wadsworth Specimen Collection, Handling and Transport4/1NYSDOH Wadsworth Specimen Packaging & Transport Checklist3/17CDC Lab & Testing InformationCDC Information for Laboratories WebpageCDC Clinical Laboratory COVID-19 Weekly CallsCDC Division of Laboratory Systems AdvisoriesCDC Test Complexity Categorization Information PageCDC Interim Laboratory Biosafety Guidelines for Handling and Processing SpecimensUpdated 6/5CDC Laboratory Biosafety: Questions & AnswersUpdated 6/5CDC Laboratory Reporting Guidance FAQs Additional InformationCDC Guidance for Postmortem PUI Specimen Collection and HandlingNew6/4Updated 6/2CDC Antibody Testing At-A-Glance Recommendations for Healthcare Professionals5/28CDC Interim Guidelines for COVID-19 Antibody Testing5/23CDC How to Get COVID-19 Diagnostic Tests and Tools5/26CDC Real-Time RT-PCR Diagnostic Panel - Alternative Primers and Probes5/23CDC Guidelines for Collecting, Handling and Testing Clinical Specimens for COVID-195/22CDC Laboratory Testing: Questions & Answers5/13CDC Serology Testing for COVID-195/5CDC Evaluating and Testing Persons for COVID-195/3CDC Updated Instructions for Use of CDC Real-Time RT-PCR Diagnostic Panel4/13CDC Guidance for Use of Pneumatic Tube Systems for Transport of Specimens4/6FDA Lab & Testing InformationFDA Antibody Tests Removed From Authorized List Additional InformationFDA Revised Policy for COVID-19 Tests Additional InformationUpdated 6/45/11FDA Serological/Antibody Test Validation and Education-Commissioner’s Statement4/18FDA Information for Healthcare Providers on Use of Serological/Antibody Tests4/17FDA FAQs Self-Test Use of Home Blood Glucose Meters Utilized Within Hospitals4/13FDA SARS-CoV-2 Testing FAQsFDA Testing FAQs: Laboratories and Manufacturers Offering TestsPage 3 of 28Updated 6/5

FDA Testing FAQs: Antibody Tests Removed From Authorized ListUpdated 6/4FDA Testing FAQs: General5/29FDA Testing FAQs: SuppliesUpdated 6/5FDA Testing FAQs: 3D Printed SwabsNew6/4FDA Testing FAQs: Test Validation5/29FDA Testing FAQs: Test Data & Reporting5/27FDA Testing FAQs: Clinical Laboratory Diagnostic Test5/11FDA Testing FAQs: Test Kit Manufacturer Diagnostic Test5/4FDA Testing FAQs: Serology/Antibody Test5/30FDA Testing: Emergency Use Authorizations (EUA)FDA In Vitro Diagnostic Test Kit EUAs5/29FDA EUA Authorized Serology Test PerformanceUpdated 6/4CMS Lab & Testing InformationCMS Laboratory Testing Clarification and Comparison Memorandum5/21CMS Medicare Payment for COVID-19 Diagnostic Tests: Guidance5/19CMS Price Transparency Requirements for COVID-19 Diagnostic Testing5/12CMS Clinical Laboratory Improvement Amendments (CLIA) Laboratory Guidance3/26CMS Clinical Laboratory Improvement Amendments (CLIA) COVID-19 FAQs3/26 Back to TopHospital OperationsNYSDOH Hospital VisitationNYSDOH Health Advisory: Updated COVID-19 Guidance for Hospital Visitation5/20NYSDOH Informational Message: COVID-19 Pilot Hospital Visitation Program5/20NYSDOH Hospital Visitation Pilot Program Information Page5/20NYSDOH Urgent and Deferred Healthcare ServicesNYSDOH Resumption of Deferred Surgeries & Procedures in ACS, OBS & DATC Settings5/19NYSDOH Ensuring Access to Health Care Services During COVID-195/19NYSDOH Directive on Resumption of Elective Outpatient Surgeries and Procedures4/29NYSDOH Advisory: Organ Transplantation During COVID-19 State of Emergency4/17NYSDOH Treatment of Sexual Assault Patients in Hospital EDs4/7NYSDOH Guidance on Sexual and Reproductive Health Services4/7CMS Urgent and Deferred Healthcare ServicesCMS Recommendations for Re-opening Facilities to Provide Non-Emergent Care: Phase I4/19CMS Non-Emergent, Elective Medical Services and Treatment Recommendations4/7CMS Adult Elective Surgery and Procedures Recommendations4/7NYSDOH Hospital Capacity, Admission and DischargeNYSDOH NH and ACF Staff Testing, and Discharge Requirements per E.O. 202.30NYSDOH Advisory on Hospital Discharges and Admissions to ACFsPage 4 of 285/114/7

NYSDOH Additional Capacity Guidance Pursuant to EO 202.1 and 202.53/19NYSDOH GuidanceNYSDOH Guidance for Employees Returning to Work After COVID-19 Infection/Exposure5/31NYSDOH Guidance for Managing Decedent Personal Effects in Healthcare Facilities4/19NYSDOH Guidance on E.O. 202.17 - 202.18: Requiring Face Coverings in Public4/17NYSDOH Guidance on E.O. 202.16: Employee Face Covering Requirement4/14NYSDOH Hospital Volunteer and Staffing Waivers per E.O. 202.1 (DHDTC DAL 20-09)4/11HHS GuidanceHHS Civil Rights, HIPPA and COVID-19 Bulletin3/28HHS COVID-19 Healthcare Workforce Toolkit4/22CDC GuidanceCDC Healthcare Personnel with Potential Exposure to COVID-195/29CDC Resuming Business Toolkit5/26CDC COVID-19 Surge Estimator Tool5/22CDC Return to Work Criteria for HCP With Confirmed or Suspected COVID-194/30CDC Strategies to Mitigate Healthcare Staffing Shortages4/30CDC Alternative Care Site Guidance4/23CDC Phone Advice Line Guidelines3/30CDC Hospital Preparedness Checklist for COVID-193/25CMS EMTALACMS EMTALA Requirements and Implications Related to COVID-19 - FAQs4/30CMS EMTALA Requirements and Implications Related to COVID-19 - Memorandum3/30OSHA Enforcement PoliciesOSHA Updated Interim Enforcement Response Plan for COVID-195/19OSHA Revised Enforcement Guidance for Recording Cases of COVID-195/19OSHA Enforcement Discretion: Considering Good Faith Efforts During COVID-194/16 Back to TopPPE, Medical Equipment, Supplies & MedicationNYSDOH PPE & Resource RequestsNYSDOH PPE Shortage Guidance4/2NYSDOH Process for Requesting State Resources2/6CDC PPE Supply & GuidanceCDC Considerations for Use of Stockpiled N95s PPE Beyond Shelf-Life5/22CDC Factors to Consider in Purchasing Respirators from Another Country5/11CDC PPE Burn Rate Calculator Mobile App Version5/4CDC Decontamination and Reuse of N95 Respirators4/29CDC Guidance on Extended Use and Limited Reuse of N95s3/24CDC PPE Questions & Answers3/14Page 5 of 28

CDC Strategies to Optimize the Supply of Elastomeric Respirators4/20CDC Strategies to Optimize the Supply of Powered Air Purifying Respirators4/19CDC Strategies to Optimize the Supply of Facemasks4/17CDC Strategies to Optimize the Supply of N95 Respirators4/2CDC Strategies to Optimize the Supply of Ventilators3/20CDC Strategies to Optimize the Supply of Eye Protection3/17CDC Strategies to Optimize the Supply of Isolation Gowns3/17CDC Strategies to Optimize the Supply of Gloves3/17HHS MedicationsHHS CHEMPACK Medications for ICU and Ventilator Care4/2NIOSH PPE StandardsNIOSH National Personal Protective Technology Laboratory (NPPTL) HomepageUpdated 6/8NIOSH Approved N95 Respirators5/12NIOSH Approved Respirator Standards4/15NIOSH Respirator AssessmentsNIOSH Respirator Assessment Results Assessment RequestUpdated 6/5NIOSH Decontaminated Respirator Assessment ResultsUpdated 6/4 NIOSH Beyond Shelf Life Respirator Assessment ResultsAssessment Request Assessment RequestUpdated 6/2NIOSH Healthcare Respiratory Protection ResourcesNIOSH Respiratory Protection Program: Hazard Evaluation and Respirator Selection5/8NIOSH Respiratory Protection Program: Training5/8NIOSH Respiratory Protection Program: Fit Testing5/7NIOSH Respiratory Protection Program: Policies and Procedures5/5NIOSH Respiratory Protection Program: Evaluation5/5NIOSH Respiratory Protection Program: Recordkeeping5/5NIOSH Respiratory Protection Program: Medical Evaluation for Respirator Wearers5/5NIOSH Respiratory Protection Program: Proper Use, Maintenance, Repair, Disposal5/5FDA FAQs & InformationFDA MedWatch: Safety Alerts and Reporting Adverse EventsUpdated 6/7FDA FAQs on Shortages of Surgical Masks and GownsUpdated 6/7FDA Thermal Imaging Systems and COVID-195/13FDA Updated Information for Blood Establishments Regarding COVID-19 Outbreak5/11FDA Medical Glove Conservation Strategies4/27FDA Ventilator FAQs4/27FDA FAQs on 3D Printing of Medical Devices, Accessories, Components, and Parts4/5FDA Temporary Enforcement Policies and GuidanceFDA Policy for Preparation of Alcohol-Based Hand Sanitizer ProductsUpdated 6/1FDA Recent Medical Device Guidance Documents and Enforcement PoliciesUpdated 6/5FDA Policy for Face Masks and Respirators5/26Page 6 of 28

FDA Policy on Pharmacy Drug Compounding for Hospitalized Patients5/21FDA Policy for Certain Drug Compounding for Hospitalized Patients5/21FDA Policy for Imaging Systems4/23FDA Policy for Non-Invasive Fetal and Maternal Monitoring Devices4/23FDA Policy on Pharmacy Repackaging Propofol for Hospitals4/22FDA Policy for Telethermographic Systems4/16FDA Enforcement Policy for Infusion Pumps and Accessories4/5FDA Policy for Gowns, Other Apparel, and Gloves3/30FDA Policy for Ventilators and Accessories and Other Respiratory Devices3/22FDA PPE Emergency Use Authorizations (EUA)FDA PPE EUA Information Page5/27FDA EUA: Stryker VHP Decontamination SystemFactsheet Instructions A B 5/27FDA EUA: Gowns and Other ApparelFDA EUA: STERIS Steam Sterilizers5/22 Factsheet Instructions A BFDA EUA: CAMIC Airway Management 5/21Factsheet A B Instructions A BFDA EAU: Non-NIOSH-Approved Respirators Made in ChinaFDA EUA: Duke Decontamination SystemFDA EUA: Protective Barrier EnclosuresFact Sheet AFDA EUA: Sterilucent Sterilization System FAQs5/7Fact Sheet Instructions A B C List Letter 5/19B 5/1Fact Sheet Instructions A FDA EUA: Stryker STERIZONE N95 Decontamination 5/7Factsheet B4/20Instructions A B4/15FDA EUA: Use of Certain Faceshields4/13FDA EUA: ASP STERRAD for N95 Decontamination FDA EUA: STERIS System for N95 DecontaminationFDA EUA: Battelle Decontamination System Factsheet FactsheetInstructionsInstructions A Instructions AB 4/11B4/9Fact Sheet 3/29FDA EAU: Imported, Non-NIOSH-Approved Respirators3/28FDA EAU: NIOSH-Approved Air Purifying Respirators for in Health Care Settings3/28FDA Ventilator & Medical Device Emergency Use Authorizations (EUA)FDA Ventilator & Medical Device EUA Information PageFDA EUA: Abiomed Right Ventricular Assist CatheterFDA EUA: CLEWICU Predictive Screening SystemFDA EUA: Baxter Prismaflex ST Set CRRTFDA EUA: G. Medical VSMS ECG Patch Factsheet AFactsheet A BInstructions Factsheet AFDA EUA: Eko ECG Low Ejection Fraction ToolFDA EUA: teleCARE IP Nurse Call System FDA EUA: Patient Isolation Transport Unit (PITU) B InstructionsInstructionsB B B 5/205/145/13InstructionsInstructions A B 5/11B5/11Instructions AInstructions A5/295/26Appendix AFactsheet AFactsheet A BFactsheet A BFactsheet AFactsheet A Factsheet A BInstructions A BFDA EUA: Infusion Pumps and AccessoriesFDA EUA: PhysiolGuard ECG-QT Monitor 5/29 B BC5/85/5FDA EUA: List of Ventilators, Tubing & Accessories Authorized per 3/24 EUA5/1FDA EUA: VentFree Respiratory Muscle Stimulator Factsheet A B Instructions A B5/1FDA EUA: Fresenius multiFiltratePRO CRRT Factsheet A B Instructions A B C D EPage 7 of 284/30

FDA EUA: VitalPatch Remote Patient MonitorFDA EUA: Non-Surgical Face Masks Fact Sheet AFDA EUA: Lungpacer DPTS 4/264/24FDA EUA: Hemolung Respiratory Assist DeviceFDA EUA: ExThera EBP DeviceInstructions FAQsFDA EUA: Baxter Healthcare Corporation EBP DeviceFDA EUA: IntelliVue Patient MonitorsB Fact Sheet AFact Sheet A Fact Sheet AFact Sheet A B B B B InstructionsInstructions AInstructions A BBInstructions FDA EUA: B. Braun Space and Outlook PumpsAdditional Info Additional Info4/134/11Additional Info4/10FDA EUA: Terumo BCT and Marker Therapeutics AG EBP DevicesFDA EUA Ventilators, Tubing & Accessories 4/214/14FDA EUA: Synapse Biomedical TransAeris DPTS 4/224/17Additional InfoFDA EUA: CytoSorbents EBP Device4/22Factsheet A B Additional InfoAppendix A Appendix B4/93/24FDA Therapeutics Emergency Use Authorizations (EUA)FDA Therapeutics EUA Information PageFDA EUA: Fresenius Kabi Propoven 2%FDA EUA: Remdesivir EAU Letter 5/28 Factsheet AFact Sheet A B C5/8B5/1FDA EUA: Remdesivir FAQs5/29FDA EUA: Chloroquine and Hydroxychloroquine Factsheet A B C DFDA Drug Safety Communication on the Use of Hydroxychloroquine or ChloroquineFDA Chloroquine and Hydroxychloroquine FAQs4/274/304/8OSHA PPE GuidanceOSHA Enforcement Guidance on Decontamination of Filtering Facepiece RespiratorsOSHA Expanded Temporary Guidance on N95 Fit TestingOSHA Temporary Guidance on N95 Fit Testing4/244/83/14 Back to TopNon-Acute CareNYSDOH Outpatient & Ambulatory Surgery & ProceduresNYSDOH Resumption of Deferred Surgeries & Procedures in ACS, OBS & DATC Settings5/19CDC Outpatient & Ambulatory CareCDC Guidance for Outpatient and Ambulatory Care Settings5/26NYSDOH Nursing Home and Adult Care Facility Staff Testing per E.O. 202.30NYSDOH Directive: Testing of NH and ACF Personnel Deemed Medically Necessary5/19NYSDOH Updated FAQs: NH and ACF Staff Testing Requirements5/19NYSDOH Laboratory Partner List for NH and ACF Staff Testing5/18NYSDOH NH and ACF Staff Testing Certification of Compliance Clarification5/18NYSDOH NH and ACF Staff Testing Certification of Compliance5/15NYSDOH NH and ACF Staff Testing, and Discharge Requirements per E.O. 202.305/11Page 8 of 28

NYSDOH Nursing HomesNYSDOH Nursing Home Cohorting FAQs5/13NYSDOH Nursing Home Assistance and Coordination Center: DAL5/10NYSDOH E.O. 202.18 and 202.19 - NH and ACF Communication Requirements4/19NYSDOH E.O. 202.18 -and 202.19 - Managing NH Resident Deaths4/19NYSDOH Guidance for Managing Decedent Personal Effects in Healthcare Facilities4/19NYSDOH LTCF Infection Prevention and Control Preparedness Checklist4/10NYSDOH Advisory on 1135 Waivers for Nursing Home Feeding Assistants4/7NYSDOH Advisory on 1135 Waivers for Nursing Home Staffing4/4NYSDOH Guidance for Adult Care Facilities and Nursing Homes4/4NYSDOH Guidance on Skilled Nursing Facilities Use of Home Hemodialysis3/21NYSDOH Recommendations to Protect Nursing Home Residents3/20CDC Nursing HomesCDC Key COVID-19 Preparedness Strategies for Long-term Care Facilities5/21CDC Preparing for COVID-19 in NHs: Infection Prevention and Control Guidance5/19CDC Performing Facility-wide SARS-CoV-2 Testing in Nursing Homes5/19CDC Guidance for Testing Nursing Home Residents and Personnel5/19CDC Considerations for Memory Care Units in Long-term Care Facilities5/12CDC Infection Prevention and Control Assessment Tool for Nursing Homes5/8CDC Responding to COVID-19 in Nursing Homes4/30CMS Nursing HomesCMS Nursing Home Reopening Recommendations for State and Local Officials FAQsCMS Letter to Nursing Home Facility Management & Staff5/11CMS Guidance on LTCF Notification Requirements for Suspected/Confirmed COVID-19CMS LTCF Notification Requirements for Suspected/Confirmed COVID-19 CasesCMS LTCF Guidance for Transferring or Discharging ResidentsCMS LTCF Guidance5/18 Memo5/64/194/134/2OSHA Nursing HomesOSHA Nursing Home Worker Safety Alert5/14NYSDOH Adult Care Facilities (ACF)NYSDOH E.O. 202.18 and 202.19 - NH and ACF Communication Requirements4/19NYSDOH ACF Infection Prevention and Control Guidance4/17NYSDOH ACF Infection Prevention and Control Preparedness Checklist4/17NYSDOH Advisory on Hospital Discharges and Admissions to ACFs4/7NYSDOH Guidance for Adult Care Facilities and Nursing Homes4/4NYSDOH Guidance Regarding ACF Operations3/22NYSDOH Home CareNYSDOH Regulatory Relief Home Care Providers4/10NYSDOH Guidance for Home Health Aide Training Programs4/10Page 9 of 28

NYSDOH Guidance for Home Health Care and Hospice3/22NYSDOH DialysisNYSDOH Advisory: COVID-19 Guidance for Dialysis TreatmentNYSDOH Guidance on Skilled Nursing Facilities Use of Home Hemodialysis4/73/21CDC DialysisCDC Special Considerations for Patients on Home Dialysis5/13CDC Interim Guidance for Outpatient Hemodialysis Facilities5/12CDC Outpatient Dialysis Facility Preparedness Assessment Tool4/19CDC Other Providers and SettingsCDC Infection Control Guidance for Blood and Plasma Collection Facilities3/21CDC Guidance for EMS and 911 PSAPs3/10CDC Guidance for Home Care of People Not Requiring Hospitalization for COVID-192/12CMS Other Providers and SettingsCMS Guidance for Infection Control and Prevention in HHAs and RNHCIs4/23CMS Guidance for Infection Control and Prevention in Outpatient Settings3/30CMS Guidance for ASCs Temporarily Enrolling as HospitalsCMS Guidance for Infection Control and Prevention in Dialysis Facilities (Revised)4/33/30 Back to TopExposure, Quarantine and IsolationNYSDOH Guidance for Employees Returning to Work After COVID-19 Infection/Exposure5/31NYSDOH Symptom-Based Strategy to Discontinue Home Isolation for COVID-195/30NYSDOH Contact Tracing Tool for People Being Tested for COVID-195/14NYSDOH Contact Investigation Update for Local Health Departments4/8NYSDOH Mitigation Strategies for Local Health Departments4/7NYSDOH Interim Containment Guidance: Precautionary/Mandatory Quarantine, and Isolation4/1NYSDOH Protocols for Essential Personnel to Return to Work3/31NYSDOH Close or Proximate Contact Guidance3/20NYSDOH Emergency Regulations: Isolation and Quarantine3/9CDC Discontinuation of Home Isolation5/29CDC Healthcare Personnel with Potential Exposure to COVID-195/29CDC Symptom-Based Strategy to Discontinue Isolation for Persons with COVID-195/3CDC Return to Work Criteria for HCP with Confirmed or Suspected COVID-194/30CDC Managing People with COVID-19 in Home Care and Isolation Who Have Pets4/23CDC Evaluating PUIs and Asymptomatic Close Contacts of Confirmed Cases4/10CDC Ending Home Isolation for Immunocompromised Persons with COVID-193/16CDC Guidance for Home Care of People Not Requiring Hospitalization for COVID-192/12 Back to TopPage 10 of 28

TelehealthNYSDOH Medicaid Coverage and Reimbursement Update Webpage5/29NYSDOH Medicaid Comprehensive Telehealth Guidance5/29NYSDOH Telehealth Services During COVID-19 Emergency - FAQs5/1NYSDOH Telephonic and Telehealth Guidance for ADHC Programs3/28NYSDOH Medicaid Coverage and Reimbursement for COVID-19 Services3/27NYSDOH Telehealth Guidance for NHTD/TBI 1915(c) Medicaid Services3/20NYSWCB COVID-19 Telemedicine Emergency Regulations4/20HHS Policy Changes During the COVID-19 Public Health Emergency4/10HHS Telehealth and HIPAA Guidance4/2CMS Telehealth Services Payable under Medicare Physician Fee Schedule4/30CMS Medicare Telehealth Flexibilities4/29CMS Long-Term Care Facility Telehealth and Telemedicine Tool Kit3/27CMS FAQs on Telehealth Services through Private Insurance3/24CMS Telemedicine Toolkit3/20CMS Expanded Telemedicine Fact Sheet - FAQs3/17CMS Medicaid Fee-for-Service Payments for Telehealth State Guidance3/17 Back to TopMedicaid and MedicareNYSDOH COVID-19 Guidance for Medicaid Providers5/29NYSDOH COVID-19 Guidance for Voluntary Plan of Care Schedule Change4/23NYSDOH Medicaid Online Medicaid Provider Enrollment During COVID-194/20NYSDOH Guidance for Medicaid Pharmacies4/6NYSDOH Suspended Health Plan Utilization Review Requirements4/3NYSDOH Medicaid Durable Medical Equipment and Supplies Policy3/28NYSDOH Medicaid Private Duty Nursing Policy3/28NYSDOH Medicaid Coverage and Reimbursement for COVID-19 Services3/27NYSDOH Guidance for Medicaid Transportation Managers and Brokers3/21NYSDOH Guidance for Facilitated Enrollment of the Aged, Blind and Disabled3/21CMS Medicare Fee-for-Service Billing FAQsUpdated 6/2CMS Quality Payment Program Flexibilities5/29CMS Payment for Hospital Alternate Care Sites: Factsheet5/26CMS Medicare Payment for COVID-19 Diagnostic Tests: Guidance5/19CMS Lab Tests Which Medicare Does Not Require a Practitioner Order During the PHE5/12CMS Letter to Clinicians Participating in MIPS4/28CMS CARES ACT Reimbursement Waivers and Implementation Guidance4/27CMS Accelerated and Advanced Payments Fact Sheet4/26CMS Medicaid & CHIP FAQs on CARES ACT Enhanced Federal Funding4/13Page 11 of 28

CMS Final Rule: Policy and Regulatory Revisions in Response to COVID-19 PHE4/6CMS Medicare Provider Enrollment Relief FAQs3/28CMS Exceptions and Extensions for Quality Reporting Requirements3/27CMS Medicare Coverage and Payment Related to COVID-19: Factsheet3/23CMS Exceptions for Quality Measure Reporting3/22 Back to TopFederal Declarations & WaiversHHS Declaration of a Public Health Emergency - Renewal Effective 4/26/204/21HHS Waiver or Modification of Requirements Under §1135 of the Social Security Act3/13HHS Declaration of a Public Health Emergency Effective 1/27/201/31CMS COVID-19 Waivers HomepageUpdated6/5CMS Blanket Waivers for Health Care ProvidersUpdated6/5CMS Blanket Swing Bed Waiver: FAQs5/20CMS Flexibilities for Hospitals5/15CMS Flexibilities for Long Term Care Facilities5/15CMS COVID-19 Regulations & Waivers To Enable Health System Expansion5/4CMS Flexibilities for Physicians and Other Clinicians4/29CMS Flexibilities for Laboratories4/29CMS Burden Relief FAQs for Providers4/23CMS Guidance: Blanket Waivers Under Physician Self-Referral Law (§1877-g)4/21CMS Letter to Clinicians Outlining Regulatory Flexibilities4/7CMS Guidance for Ambulatory Surgical Centers Enrolling as Hospitals4/3CMS Blanket Waivers Under Physician Self-Referral Law (§1877-g)3/30CMS Guidance and 1135 Waivers for Hospitals, CAHs and Psychiatric Hospitals3/30CMS Medicare Provider Enrollment Relief FAQs3/28CMS 1135 Waivers Approved for New York3/26 Back to TopNYS Executive Orders and WaiversExecutive Order 202.36Ed. Law 6530Effective 6/2 - 7/2To allow a questionnaire administered through an asynchronous electronic interfaceor electronic mail that is approved by a physician licensed in the State of New York tobe sufficient to establish a practitioner-patient relationship for purposes of ordering aclinical laboratory test. Back to TopExecutive Order 202.32Extends E.O. 202.23 202.27 until 6/20Effective 5/21 - 6/20Continues suspensions and modifications of laws and directives, not superseded by asubsequent directive, made by E.O. 202.23 through 202.27, for thirty days.Page 12 of 28

NH and ACF Staff TestingIn furtherance of E.O. 202.30 and any extensions thereof, allow clinical laboratoriesto accept and examine specimens for COVID-19 testing, from personnel of nursingPHL 576-b(1); 10 NYCRR 58homes and adult care facilities, as such personnel are defined in E.O. 202.30, without1.8a prescription or order from an authorized ordering source, and to report the resultsof such tests to the appropriate operators and administrators of the nursing home oradult care facility for which the person for whom the test was performed providesservices; provided that, to ensure appropriate follow-up with patients who testpositive for COVID-19, the facility administrator shall contact the local healthdepartment to ensure all facility personnel who test positive are provided appropriateclinical guidance as well as appropriate isolation orders;Physician Testing OrdersEd. Law 6530To allow physicians to order COVID-19 tests, authorized by the FDA for self-collection,without otherwise having an initial physician-patient relationship with the patient. Back to TopExtended Until 6/20 per E.O. 202.32Executive Order 202.31Removes NY On PAUSERestrictions for Phase IIndustries in theFollowing Regions: Finger LakesCentral New YorkMohawk ValleySouthern TierNorth CountryProvisions of E.O. 202.31apply to regions whichsubsequently meetcriteria.Extends All Other of NYOn PAUSE Restrictionsthrough 5/28Effective 5/14 - 6/13E.O. 202.28, which extended the provisions of E.O. 202.3, 202.4, 202.5, 202.6, 202.7,202.8, 202.10, 202.11, 202.13, and 202.14 which each closed or otherwise restrictedpublic or private businesses or places of public accommodation, and which requiredpostponement or cancellation of all non-essential gatherings of individuals of any sizefor any reason (e.g. parties, celebrations, games, meetings or other social events),which together constitute New York On PAUSE, is hereby continued until 11:59 p.m.on May 28, 2020, unless later amended or extended by a future E.O.Provided, however, that effective at 12:01 a.m. on May 15, 2020 that the reductionsand restrictions on the in-person workforce at non-essential businesses or otherentities shall no longer apply to Phase One industries: Construction, Agriculture, Forestry, Fishing and Hunting, Retail (Limited to curbsideor in-store pickup/drop off); Manufacturing and Wholesale Trade; Such businesses or enti

CDC Nursing Home Testing Guidance CDC Performing Facility-wide SARS-CoV-2 Testing in Nursing Homes 5/19 CDC Guidance for Testing Nursing Home Residents and Personnel 5/19 NYSDOH Testing Orders, Specimen Collection & Reporting NYSDOH Updated Interim Guidance: Protocol for COVID-19 Testing per E.O. 202.19 5/31