COVID-19 Resources

Explore the Links Below

MI COVID Alert: A Free and Anonymous App to aid in contact tracing for Michiganders. 

Michigan 2-1-1: A 24/7/365 service to connect you with help of all kinds, like housing support to financial assistance. Available for phone call, text, and online chat.

Vaccines

COVID-19 Vaccine Updates:

MDHHS COVID-19 Vaccine Provider Guidance and Educational Resources: This webpage houses materials to support COVID-19 Vaccine Providers in successful implementation of the COVID-19 Vaccination Program.

CDC COVID-19 Vaccine Resources for Healthcare Professionals: Find information for COVID-19 vaccination administration, storage and handing, reporting, and patient education for each specific vaccine

CDC Toolkits:

FDA Fact Sheet for Pfizer Vaccine Recipients: This fact sheet must be provided to vaccine recipients upon vaccine administration, along with a record card. 

Medical Management Guidance for managing a Vaccine Reaction:

Other Immunization Resources for Providers during COVID-19:

Centers for Disease Control and Prevention: Interim Guidance for Routine and Influenza Immunization Services During the COVID-19 Pandemic.

Michigan Department of Health and Human Services: Updates to this website are ongoing to support you with resources for vaccinating in the context of COVID-19. 


 

Key Federal Resources

Health and Human Services PPE Preservation Planning Tookit: This toolkit was developed by the COVID-19 Healthcare Resilience Working Group and includes links to a guide that can help users understand types of PPE preservation strategies and calculate how using those strategies can increase the duration of a specified PPE supply.

CDC COVID-19 Home Page

CMS Coronavirus Partner Toolkit - CMS has developed this toolkit to help you stay informed on CMS and HHS materials available on the COVID-19. Please share these materials, bookmark the page, and check back often for the most up-to-date information.

COVID 19 Emergency Declaration Blanket Waivers for Health Care Providers Fact Sheet - Details about the blanket waivers effective March 1st, 2020 through the end of the emergency declaration.

National Rural Health Associaion COVID-19 Updates (NRHA) - A Comprehensive listing of national resources including rural data, rural relevant provider guidance, and advocacy updates.

Rural Health Information Hub (RHI) -A repository of Federal and state agencies, along with national organizations sharing resources and guidelines to help all rural communities and healthcare facilities respond to this issue. Including a comprehensive listing of rural relevant webinars. Tools for success including the Healthcare Surge Readiness tool are also provided.

The Joint Commission - A comprehensive resource related to proper PPE guidelines, including decontamination resources. Specific resources related to Hospitals including preventing transmission and hospital surge capacity.

American Hospital Association (AHA) - Resources related to Protecting & Enabling HealthCare Workers, Coverage and Reimbursment, Organizational Preparedness and Capacity Planning, Telehealth and Virtual Care, and Communication Resources.

Rural Case Studies (AHA) - Lessons learned of how rural hospitals and health systems are working to increase access points, deliver care, improve safety and meet the needs of the residents of their communities.

American Heart Association Resuscitation Quality Improvement (RQI) - Resource includes interim guidance to reducing COVID-19 transmission during resuscitation care.

Federal Office of Rural Health Policy FAQs for COVID-19 (FORHP) - Includes information on COVID-19 funding and telehealth changes.

USDA COVID-19 Federal Rural Resource Guide: This resource matrix organizes funding opportunities identified in the CARES Act and other federal resources that can help support rural America.
Opportunities are categorized by customer and assistance type.

United States Census Bureau: COVID-19 Demographic and Economic Resources - Includes US Demographic and Economic Data at a glance as it relates to COVID-19

Confirmed COVID-19 Cases, Metropolitan and Nonmetropolitan Counties: The RUPRI Center for Rural Health Policy Analysis provides up-to-date data and maps on rural and urban confirmed cases throughout the United States. An animated map shows the progression of cases beginning January 21. 

Center for Optimizing Rural Health COVID-19: ECHO calls featuring Frequently Asked Questions covering a variety of topics, with a focus on telehealth and telehealth billing. Submit a topic or area of need to be addressed in an upcoming call.

New Online Dashboard that visually illustrates COVID-19 risks and trends in Michigan, providing residents with important information about the pandemic status where they live and work.

County Health Rankings: Rankings data are helpful in providing local context on factors that impact health. The Rankings are a call to action about what can be done to improve community conditions so that an inclusive and equitable recovery for all is possible.

HHS Coronavirus Data Hub. The U.S. Department of Health & Human Services (HHS) has launched a website with data on the COVID-19 response at federal, state, and local levels. The hub includes estimated and reported hospital capacity by state, with numbers updated daily.

COVID-19 FAQs and Funding for HRSA Programs. Find all funding and frequently asked questions for programs administered by the Health Resources and Services Administration (HRSA).

COVID-19 Funding Sources Impacting Rural Providers Guide The Technical Assistance and Services Center (TASC), in coordination with the Federal Office of Rural Health Policy (FORHP) have released  this funding resource, intended to support rural health care providers and state and local partners, navigate the availability of federal funds to support the novel coronavirus (COVID-19) pandemic response and recovery efforts.

The National Rural Health Resource Center's COVID-19 Collection This Collection will feature information from only trusted and reliable resources in order to assist in navigating the abundance of circulating information relating to COVID-19.


 

State Resources

April 28th: MCRH & MDHHS Webinar: Monoclonal Antibodies (mAb) Webinar: A recording of the webinar can be found here, and the slides for the presentation are linked here

Michigan Department of Health and Human Services (MDHHS)

Michigan Health & Hospital Association (MHA) 

Headspace: Mental Health and Mindfulness Resources - State of Michigan and Headspace partnership to offer Michiganders meditation, sleep, and movement exercises designed to help keep a strong and healthy mind in the midst of this global health crisis.

Center for Health and Research Transformation COVID-19 Resources

C.S Mott Children's Hospital: Coronavirus (COVID-19) Update for Parents

State Flex Programs

  • Results of a Survey of State Flex Coordinators
    The survey collected information on the impact of COVID-19 on critical access hospitals (CAHs), support requested by CAHs from state Flex programs, how state Flex programs are working to support CAHs during the pandemic, promising strategies developed by state Flex programs to support CAHs, and the technical assistance and resources needed by state Flex programs to support CAHs now and as we emerge from the pandemic.



Rural Health Clinics (RHC)

Updated CMS FAQs - RHC/FQHC

National Association of RHCs (NARHC) webinar (recording from 10/6): Navigating RHC COVID Reporting Requirements.

Rural Health Clinic COVID-19 Testing Program Data Report (RHC CTR)
The Department of Health and Human Services (HHS) announced $225 million for rural health clinics (RHCs) to provide COVID-19 testing as authorized by the Paycheck Protection Program and Health Care Enhancement Act. This program resulted in an amount of $49,461.42 for each eligible RHC. This site allows rural health clinics to report information related to their testing activities as required in the terms and conditions of the RHC COVID-19 Testing Program.

Closing an RHC During COVID-19
Pre-RecordedWebinar: Surviving COVID-19 as a Rural Health Clinic

New and Expanded Flexibilities for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) During the COVID-19 Public Health Emergency (PHE)
COVID-19 Emergency Declaration Blanket Waivers for Healthcare Providers.

  • Rural Health Clinic waiver information starts on page 7 and includes waiver information related to staffing requirements, physician supervision, and temporary expansion locations.

 

Critical Access Hospitals (CAH)

CMS Infection Control Guidance  - Guidance for Infection Control and Prevention of Coronavirus Disease (COVID-19) in Hospitals, Psychiatric Hospitals, and Critical Access Hospitals (CAHs): FAQs, Considerations for Patient Triage, Placement, Limits to Visitation and Availability of 1135 waivers.

Staffing Needs Calculator- Vanderbilt University Medical Center, Michigan Medicine – University of Michigan, and the Procedural Learning and Safety Collaborative (a nonprofit research collaborative) have created a free resource hospitals of any size can use to anticipate their staffing and personal protective equipment (PPE) needs for the potential COVID-19 surge.

COVID-19 Emergency Declaration Blanket Waivers for Healthcare Providers.

  • Critical Access Hospital waiver information on pages 1-6 and includes waiver information related to staffing requirements, physician supervision, and temporary expansion locations.

 

SNF/LTC

CMS Announces New Guidance for Safe Visitation in Nursing Homes During COVID-19 Public Health Emergency:
On September 17, CMS issued revised guidance providing detailed recommendations on ways nursing homes can safely facilitate visitation during the coronavirus disease 2019 (COVID-19) pandemic. After several months of visitor restrictions designed to slow the spread of COVID-19, CMS recognizes that physical separation from family and other loved ones has taken a significant toll on nursing home residents. In light of this, and in combination with increasingly available data to guide policy development, CMS is issuing revised guidance to help nursing homes facilitate visitation in both indoor and outdoor settings and in compassionate care situations. The guidance also outlines certain core principles and best practices to reduce the risk of COVID-19 transmission to adhere to during visitations.

See the full text of this excerpted CMS Press Release (issued September 17).

COVID-19 Emergency Declaration Blanket Waivers for Healthcare Providers.

  • SNF/LTC waiver information on pages 9-12 and includes waiver information related to staffing requirements, physician supervision, and temporary expansion locations.  

 

EMS Resources

NHTSA COVID-19 Resources
MDHHS EMS COVID-19 Resources
NAEMT COVID-19 Resources

PWW EMS Law COVID-19 Resources

COVID 19 Literature and Research Resources for Emergency Medical Services -An overview of information sources available to EMS personnel for peer-reviewed, scientific research articles and other sources related to COVID-19.

Battelle Critical Care Decontamination System for Covid19-Fee free service for N-95 mask decontamination. 


 

Provider Wellbeing

Conversation and Action Guide to Support Staff Wellbeing and Joy in Work

Caregivers: Supporting Emotional Health of the Healthcare Workforce
Intended to support the emotional well-being of frontline caregivers experiencing increased levels of anxiety, stress, depression and insomnia amidst the COVID-19 outbreak, this toolkit combines resources from many state and national organizations including tips to stay healthy, ways to identify and manage heightened stress levels, and knowing when to take a break

Caregivers: Behavioral Health Guidance for Clinicians
To better support the emotional needs of patients during the COVID-19 outbreak, new guidance for clinicians has been released which will assist providers in completing a workup of patients’ emotional needs and provide strategies for mitigation.

Patients: Addressing Emotional Needs
Supporting patients as they cope with increased stress related to the COVID-19 outbreak is critical to the wellbeing of those within the community. This document can be provided to patients to help recognize signs of stress and learn ways to appropriately manage it.

MDHHS has also established a COVID-19 Crisis Hotline as an anonymous way for healthcare providers to seek emotional support. The COVID-19 Crisis Hotline for Healthcare Professionals can be reached at 1-888-910-1636 and is staffed Monday through Saturday, from 5:00 AM to 9:00 PM by professionally licensed social workers, psychiatric/mental health nurses, and psychologists.

This hotline will offer emotional support for frontline caregivers working under extremely stressful conditions including working through experiences of intense grief, ethical dilemmas, and fears about the well-being of themselves and their family.


 

Financial/Operational

CARES Act Provider Relief Fund-Phase 3 Funding: HHS has made $24.5 billion in new funding available for Phase 3 General Distribution allocation. Providers that have already received Provider Relief Fund payments will are invited to apply for additional funding that considers financial losses and changes in operating expenses caused by the coronavirus. Previously ineligible providers, such as those who began practicing in 2020 will also be invited to apply, and an expanded group of behavioral health providers will also be eligible for relief payments.

Provider Relief Fund – Post-Payment Notice of Reporting Requirements 9/19/2020

  • CMS Clarifies that Provider Relief Funds & Paycheck Protection Program Loans will NOT Offset Expenses on Medicare Cost Report

New ICD-10-CM Codes for COVID-19 Available January 1, 2021Announced on December 3, 2020, there will be six new International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) codes to better capture the disease process of COVID-19. The codes will be available January 1, 2021, for reporting purposes.

COVID-19 Frequently Asked Questions (FAQs) on Medicare Fee-for-Service (FFS) Billing
While the guide in its entireity is useful, please note that specifically pages 98-100 may be most applicable.

Question: Should PRF payments offset expenses on the Medicare cost report? 
Answer: No, providers should not adjust the expenses on the Medicare cost report based on PRF payments received. However, providers must adhere to HRSA’s guidance regarding appropriate uses of PRF payments, in order to ensure that the money is used for permissible purposes (namely, to prevent, prepare for, or respond to coronavirus, and for health care related expenses or lost revenues that are attributable to coronavirus) and that the uses of the PRF payments do not violate the prohibition on using PRF money to reimburse expenses or losses that have been reimbursed from other sources or that other sources are obligated to reimburse.

Recipients may find additional information on the terms and conditions of the PRF Here 
Questions regarding use of the funds, pursuant to the Fund Terms and Conditions and any questions about overpayments should be directed to HRSA.

Question: Should SBA loan forgiveness [PPP] amounts offset expenses on the Medicare cost report?
Answer: No. Do not offset SBA Loan Forgiveness amounts against expenses unless those amounts areattributable to specific claims such as payments for the uninsured. The Paycheck Protection Program loan administered by the SBA is a loan designed to provide a direct incentive for small businesses to keep their workers on the payroll. The terms and conditions of the SBA loan forgiveness, overseen by the SBA, include employee retention criteria, and the funds must be used for eligible expenses.

Recipients may find additional information Here 

Cornavirus Relief Options through the SBA via the CARES Act.

The Payment Protection Program-Best Practices for Documentation - Best Practices to help your business run efficiently, ease employee stress and track how you spend PPP funds.

The Paycheck Protection Program- Next Steps & Lessons Learned - Slide presentation by Eide Bailly focusing on guidance for organizations after receiving funding from the PPP.

  • Interim Final Rule dated 4/24 states that governmental entities, otherwise eligible to receive PPP, are eligible “if the hospital receives less than 50% of its funding from state or local governmental sources, exclusive of Medicaid”

Stroudwater Resources for Hospital Cash Flow Planning

  • Emergency Cash Flow Planning - This resource, developed by Stroudwater, is brief overview of management approaches to addressing short-term cash flow imperatives during the COVID-19 pandemic
  • 26-Week Cash Flow Model-This resource, developed by Stroudwater, is a planning document to prepare cash projections and identify resources during COVID-19.
  • COVID-19 Resources and Past Webinars-The resources, developed by Stroudwater, contains links to Stroudwater COVID-19 webinars and various resources from CDC, CMS, OSHA and more.

COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers

  • Pg. 20: ATTACHMENT A: Blanket Waivers of Sanctions under the Physician Self- Referral Law (also known as the “Stark Law”) 
MDHHS Bed Capacity Changes

Webinar Recap – Emergency Cash Flow Planning Update with CEO Roundtable Response

HHS Launches COVID-19 Uninsured Program Portal.

The U.S. Department of Health & Human Services (HHS) through the Health Resources and Services Administration (HRSA), launched a new COVID-19 Uninsured Program Portal, allowing health care providers who have conducted COVID-19 testing or provided treatment for uninsured COVID-19 individuals on or after February 4, 2020 to submit claims for reimbursement. Providers can access the portal at COVIDUninsuredClaim.HRSA.gov.

FCC Funding

  • Federal Communications Commission (FCC) announced a COVID-19 Telehealth Program that will provide $200 million in funding as part of the Coronavirus Aid, Relief and Economic Security (CARES) Act.
  • Will provide immediate support to eligible healthcare providers responding to the COVID-19 pandemic by fully funding their telecommunications services, information services and devices necessary to provide critical connected care services until the program’s funds have been expended or the COVID-19 pandemic has ended. Interested hospitals should reference the FCC FAQ and register for an FCC Registration Number (FRN) in the Commission’s Registration System (CORES) before submitting an application.
    • You can submit your program application online after you receive your FRN. FCC staff and the FCC’s Connect2Health Task Force will evaluate and select the applicants for funding. To receive payment, applicants must register with the System of Award Management (SAM). Applicants can register with SAM before they receive a funding decision.
  • Frequently Asked Questions (FAQs) about the application and the program

New ICD-10-CM Codes for COVID-19 Available January 1, 2021: The CDC has introduced six ICD-10-CM codes to better capture the disease process of COVID-19, available January 1, 2021, for reporting purposes. Read on for an overview of the new codes, as well as previous COVID-19 coding changes, to help your organization safeguard reimbursement and compliance.


 

Employer/Job Seeker/Workforce Resources

Michigan Unemployment Insurance Agency
MIBridges
United States Department of Labor
NACHC COVID-19 FQHC Employment Issues/Human Resource Guidance
Pure Michigan Talent Connect
National Rural Recruitment and Retention Network (3RNet)

Department of Labor and Economic Opportunity: Michigan Occupational Safety and Health Administration: Emergency Rules for COVID-19

COVID-19 Workforce Virtual Toolkit: Resources for Healthcare Decision-Makers Responding to COVID-19 Workforce Concerns

COVID-19 Emergency Declaration Blanket Waivers for Healthcare ProvidersCMS is temporarily waiving the requirement of providers needing to be licensed in the state where they are practicing under certain conditions. See pg. 17 for complete guidance.

Guide for Posting Jobs on Pure Michigan Talent Connect (PMTC)

  •  NEW EMPLOYERS: If this is your first time posting on Pure Michigan Talent Connect, please complete the COVID-19 On-Demand Hiring Intake Form to post your immediate openings:

    • Once approved, the job will automatically post to Pure Michigan Talent Connect and will be promoted on our Michigan Talent Connect COVID-19 Health Care Job Portal page.

  • RETURNING EMPLOYERS:If you have an existing Pure Michigan Talent Connect employer profile, please follow the instructions below:

    • Log into your PMTC account and follow the current post-a-job process.

    • Use the check box in Step 3 to indicate you have an immediate job opening to promote on the COVID-19 Health Care Job Portal page.


 

Testing Resources

Based Precautions and Disposition of Patients with COVID-19 in Healthcare Settings (Interim Guidance)

Return to Work Criteria for Healthcare Providers: Criteria for Personnel with SARS-CoV-2 Infection (Interim Guidance)

Duration of Isolation and Precaution for Adults with COVID-19

Disposition of Non-Hospitalized Patients with COVID-19 Not in Healthcare Settings Ending Home Isolation

State Issued Guidance on Testing Cadence and Available Capacity: Regarding repeated COVID-19 testing for high-risk populations and/or settings, assuming an ideal scenario where sufficient testing supplies and capacity are available. 

No Cost Testing Sites

Labrotories with Testing Supplies

LynxDx, a biotechnology startup, has focused our diagnostic laboratory to provide testing at-scale, particularly for our most vulnerable and high-risk populations.

Executive Order 2020-104 expands the types of medical personnel (such as nurses, pharmacists and physician assistants) that can order a COVID-19 test and creating a new category of community testing sites.

Michiganders eligible for testing at these sites include someone who:

  • Exhibits any symptom of COVID-19, including mild symptoms
  • Has been exposed to a person with COVID-19
  • Has been working outside their home for at least 10 days
  • Resides in any congregate setting, such as a long-term care facility, prison or jail, homeless shelter, or migrant camp

The order also outlines required procedures and protocols for community testing sites. Testing site locations are available by calling the Michigan Coronavirus hotline at 1-888-535-6136 or www.michigan.gov/coronavirustest.

The Michigan Department of Health and Human Services (MDHHS) issued a memo officially expanding testing priorities, echoing some of the testing EO outlined above. These new categories include:

  • Asymptomatic patients in preparation for surgical procedures, as deemed necessary by the treating clinician
  • Asymptomatic people with known exposure to a person with COVID-19, or symptoms of COVID-19
  • Asymptomatic people who work in a profession that puts them at high risk of exposure
  • Testing to increase rates per million per day in communities facing inequity in access (i.e., areas with higher proportion of racial/ethnic minorities, rural communities)
  • Testing is also permissible for persons without symptoms who are prioritized by local health departments or clinicians, for any reason

MDHHS COVID-19 Updated Test Priorities - 

  • Asymptomatic patients in preparation for surgical procedures, as deemed necessary by the treating clinician
  • Asymptomatic people with known exposure to a person with COVID-19, or symptoms of COVID-19
  • Asymptomatic people who work in a profession that puts them at high risk of exposure
  • Testing to increase rates per million per day in communities facing inequity in access (i.e., areas with higher proportion of racial/ethnic minorities, rural communities)

Fact Sheet on Swabs for SARS-CoV-2 Diagnostics 
Quest Diagnostics
LabCorp
Interpreting Viral Respiratory Panel Test Results
FDA Information on COVID-19 Diagnostics and Emergency Authorizations
MDHHS: COVID-19 Testing Capacity

Castlight

The State is utilizing "Castlight" on the publishing of COVID-19 test sites. Information can be found at www.michigan.gov/coronavirus 

The state’s Community Health Emergency Coordination Center (CHECC) reviews the information on the site, confirms requests submitted by the public before they go live and submits updates/corrections daily.

The CHECC sends updates to Castlight at noon every day and will include any new site information we receive before noon. If there are any public testing sites that should be added to the test site finder, or if there are corrections that need to be made, email byrnek1@michigan.gov and puskark1@michigan.gov with the following information:

  • Name of testing facility

  • Address of testing site

  • Phone number

  • Brief description of the site’s testing procedure and requirements (i.e. is a doctor’s order required, do they need to make an appointment, do they have a screening hotline, etc.)

Hospitals that are in need of swabs and transport media should report their needs to the Bureau of Laboratories (BOL), according to the guidance shared earlier this week.

  • Please note, all requests should be based on what your organization is capable of using immediately. For example, organizations are encouraged to consider the following questions as they send their requests to the BOL:
    • How many specimen collection kits (swabs and media) does your organization need on a daily/weekly/monthly basis to collect samples from the symptomatic populations included in the state of Michigan’s COVID-19 testing criteria?
    • If swabs were made available, would you be willing to serve as a specimen collection site for the asymptomatic at-risk or vulnerable populations? If yes, please provide a rough estimate of the number of samples that could be collected by your organization each week.