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End of the Public Health Emergency Resources
- Telehealth Specific Resources from the Upper Midwest Telehealth Resource Center. Click here to see a breakdown of the changes to telehealth that the end of the PHE will bring. The breakdown covers waivers and policies ending immediately and taking a closer look at what the temporary extensions of waivers mean for telehealth professionals.
PHE unwinding resources.
The PHE officially ended a week ago on May 11. NRHA is working with the Centers for Medicare and Medicaid Services (CMS) to ensure rural providers aren’t left behind. Please review the following resources and reach out to the NRHA team with any questions:
Key Federal Resources
- CDC - Information for Healthcare Professionals
- CDC - Information for Local Public Health Departments
- CDC - Communication Documents
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.
National Rural Health Association 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.
American Hospital Association (AHA) - Resources related to Protecting & Enabling HealthCare Workers, Coverage and Reimbursement, Organizational Preparedness and Capacity Planning, Telehealth and Virtual Care, and Communication Resources.
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.
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.
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
Michigan Department of Health and Human Services (MDHHS)
- Latest News on COVID-19 in Michigan
- Local Health Department Contact Information
- Regional Healthcare Coalition Contact Information
MI Safe Start Map visually illustrates COVID-19 risks and trends in Michigan, providing residents with important information about the pandemic status where they live and work.
Center for Health and Research Transformation COVID-19 ResourcesRural Health Clinics (RHC)
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.
- If you are interested in receiving the emails sent by FORHP to the RHCs you can subscribe to the RHC COVID-19 Testing Program mailing list, by clicking here
- RHC COVID-19 testing: Reporting Portal
- RHC COVID-19 testing Reporting Process Tool: Assists RHCs with registering on the NARHC reporting portal
- NOSORH web session for SORHs (recording from 10/5): Introduction to the Connections for Community Care Project
- HRSA COVID-19 testing FAQs
- NARHC COVID-19 testing FAQs
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.
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)
- Cumulative COVID-19 Case Data
- Latest News on COVID-19 in Michigan
- Local Health Department Contact Information
- Regional Healthcare Coalition Contact Information
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- What local health departments need to know about CARES Act funding and policy opportunities for COVID-19 response. A list of CARES Act funding opportunities that local public health departments can explore to finance their COVID-19 response and relief efforts. The analysis also covers CARES Act policy flexibilities that may provide opportunities for local health departments to expand services.
C.S Mott Children's Hospital: Coronavirus (COVID-19) Update for Parents
- Return-to-Play After Being COVID-19 Positive: Recommendations for health care professionals
- 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.
EMS Resources
NHTSA COVID-19 Resources
MDHHS EMS 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.
Rural Healthcare Surge Readiness
Battelle CCDS Critical Care Decontamination System: No Fee
Financial/Operational
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
ICD-10-CM Codes for COVID-19: 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. ICD-10-CM Codes for 2022
COVID-19 Frequently Asked Questions (FAQs) on Medicare Fee-for-Service (FFS) Billing
While the guide in its entirety 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 are attributable 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.
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”)
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.
Employer/Job Seeker/Workforce Resources
Michigan Unemployment Insurance Agency
MIBridges
United States Department of Labor
Pure Michigan Talent Connect