Summary of COVID-19 Regulatory Updates Between July 29-Aug 4 Can't see this email? View online.

August 5, 2020

Welcome to the Verisys Weekly Newsletter highlighting the COVID-19 regulatory updates between July 29 - Aug 4, 2020.  

Verisys' Compliance Team gathers information from a variety of state and federal sources and updates our COVID-19 Resource Page daily with those updates. We have compiled the most recent updates from the past week in this email to assist your organization in serving patients during the pandemic and maintaining compliance as you bring additional providers on board to serve on the frontlines.

FEDERAL  
 
1135 waivers: The following state(s) submitted an additional 1135 waiver request to CMS. The approved waivers have been published by the Centers for Medicare and Medicaid Services. Unless otherwise stated, all waivers are retroactively effective March 1, 2020.  
 
Pennsylvania (approved 07/29/2020)  
• Temporarily allow services to be provided in settings that have not been determined to meet the home and community-based settings criteria.  
• Temporarily waive written consent required under home and community based service programs and permit documented verbal consent as an alternate.  
 
Missouri (approved 07/30/2020)  
• A face-to-face encounter does not need to be completed before the start of Home Health services can occur.  
• The state may modify the deadline for conducting an annual monitoring visit, this visit may be postponed for up to one year.  
• Private Duty Nursing services may be delivered by a graduate registered nurse and/or graduate licensed practical nurse.  
 
Maryland (approved 07/31/2020)  
• The timeframe for completion of the annual monitoring activity may be postponed up to one year.  
 
New York (approved 08/04/2020)  
• The initial determination of level of care does not need to be completed before the start of services and the annual level of care determinations that exceeds the 12-month authorization period will remain in place and services will continue until the assessment can occur.  
• The state may temporarily authorize reimbursement for home and community based services provided by an entity that also provides case management services and/or is responsible for the development of the person-centered service plan (conflict of interest requirements). • Temporarily waive written consent required under home and community based service programs and permit documented verbal consent as an alternate.  
 

STATE BOARD REGULATIONS
 
Board of Pharmacy  
 
Kentucky  
07/29/2020: The directive placing restrictions on prescriptions for chloroquine, hydroxychloroquine, mefloquine, or azithromycin was repealed at the July 29, 2020 Kentucky Board of Pharmacy meeting. The program for Temporary license/registration for pharmacists and technicians is in Inactive Status effective June 30, 2020 – can be reactivated should the need arise.  
Source: Revised Directives  
 
Ohio  
07/30/2020: Prohibitions on the prescribing of chloroquine and hydroxychloroquine in Ohio for the treatment of COVID-19 will not take effect at this time.  
Source: Requirements Update  
 
Texas  
08/03/2020: The board has ended their blanket extensions for providers. Licensees can apply for license extensions if they are not able to meet the exam, continuing education, or fingerprinting requirements. The board is working to update their website with this information.  
 
Washington  
07/30/2020: The following proclamations have been extended until September 1, 2020: 20-59.2: Waive and suspend portions of the licensing and administrative statutes and rules relating to the issuance of Temporary Practice Permits (TPP) for healthcare workers who have recently graduated from professional health care programs such as pharmacy. (20-59.1)  
Source: Inslee extends 25 proclamations relating to COVID-19  
 
Board of Medicine  
 
Oklahoma  
07/30/2020: All occupational licenses issued by any agency, board, or commission of the State of Oklahoma that expire during this emergency shall be extended until 09/12/2020.  
Source: Executive Order 2020-20  
 
Oregon  
07/30/2020: Guidance on Resumption and Continued Provision of Non-Emergent and Elective Procedures at Ambulatory Surgical Centers  
Source: OHA 2322T Guidance  
07/30/2020: Guidance on Resumption and Continued Provision of Non-Emergent and Elective Procedures at Hospitals  
Source: OHA 2322U Guidance  
07/31/2020: Guidance on Resumption and Continued Provision of Non-Emergent and Elective Procedures in Medical and Dental Offices, and Other Health Care Settings  
Source: OHA 2322S Guidance  
 
Washington  
Please see the Washington Board of Nursing section below.  
 
Board of Nursing  
 
Oklahoma  
07/30/2020: All occupational licenses issued by any agency, board, or commission of the State of Oklahoma that expire during this emergency shall be extended until 09/12/2020.  
Source: Executive Order 2020-20  
 
Pennsylvania  
07/29/2020: Registered Nurse, Clinical Nurse Specialist, Certified Registered Nurse Practitioner and Prescriptive Authority license renewal deadlines will be extended from April 30, 2020, to August 28, 2020.  
Source: Renewal Update  
 
Washington  
07/30/2020: The following proclamations have been extended until September 1, 2020:  
 
• 20-29.6: Providing health care provider payment parity in providing telemedicine services to prevent further spread of the virus and related prohibitions (20-29.5)  
• 20-32.6: Waiving certain licensing and ongoing education requirements for Health Care Workers (20-32.5)  
• 20-36.4: Allowed production of hand sanitizer to increase the availability of health care facilities and hand sanitizer, and imposing certain prohibitions. (20-36.3)  
• 20-37.6: Temporarily waive and suspend statutes and regulations requiring completion of nursing assistant training and testing to become certified nursing assistants within four months of nursing home employment. (20-37.5)  
• 20-38.6: Waiving and suspending statutes and rules necessary to increase the availability of long-term care facility beds to meet the demands of the COVID-19 pandemic. (20-38.5)  
• 20-44.5: Waiving and suspending statutes and rules relating to the administrative requirements relating to nursing home transfers and discharges. (20-44.4)  
 
Source: Inslee extends 25 proclamations relating to COVID-19  
 
 
Disclaimer:  
This information has been gathered from a variety of sources. Although Verisys has made every effort to provide complete, accurate and up-to-date information, Verisys makes no warranties, express or implied, or representations as to the accuracy or reliability of this information. The information is fluid and evolving. Verisys assumes no liability or responsibility for any errors or omissions in the information contained in this resource.  
 
The information contained in this newsletter comprises all the information that we have found during those dates. It may not constitute a complete list of every regulation instituted by every board during the last week.

Stay well,  
The Verisys Team  
1-888-VERISYS (837-4797)
customerservice@verisys.com

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