Suspension of Regulatory Enforcement of Hospital Requirements

AFL 20-26.5 From the California Department of Public Health January 24, 2021 TO: General Acute Care Hospitals SUBJECT: Suspension of Regulatory Enforcement of Hospital Requirements (This AFL supersedes AFL 20-26.4) ​AUTHORITY:     Proclamation of Emergency, Executive Order N-27-20 and Executive Order N-39-20 All Facilities Letter (AFL) Summary This AFL notifies hospitals of a temporary waiver of specified regulatory requirements due to the state of emergency related to the Coronavirus Disease 2019 (COVID-19) outbreak.

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Maintain Efforts to Increase Staffing Levels

AFL 21-07 From the California Department of Public Health January 24, 2021 TO: Skilled Nursing FacilitiesGeneral Acute Care Hospitals SUBJECT: Maintain Efforts to Increase Staffing Levels AUTHORITY:     Proclamation of a State of Emergency (PDF) and Executive Orders N-27-20 (PDF) and N-39-20 (PDF) All Facilities Letter (AFL) Summary This AFL notifies skilled nursing facilities (SNFs) and general acute care hospitals (GACHs) that have a temporary waiver of staffing requirements that they must maintain efforts to increase staffing levels and return to the required staffing levels.

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Editorial: Alameda County stonewalling on COVID nursing home records

By MERCURY NEWS & EAST BAY TIMES EDITORIAL BOARDS, January 23 2021 Judge has told the county to stop trying to hide behind bogus claims that federal laws prevent disclosure Nearly a year into the pandemic, Alameda County continues to stonewall on providing basic data to help families make informed decisions about where to send their elderly loved ones if they need to live in care facilities.

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2020 CHAPTERED LEGISLATION AFFECTING ADULT AND SENIOR CARE FACILITIES: SUMMARY AND IMPLEMENTATION

California Department of Social Services PIN 21-05-ASC January 21, 2021 TO: ALL ADULT AND SENIOR CARE FACILITY LICENSEES Original signed by Ley Arquisola FROM: LEY ARQUISOLA, R.N., M.S.N. Acting Deputy Director Community Care Licensing Division SUBJECT: 2020 CHAPTERED LEGISLATION AFFECTING ADULT AND SENIOR CARE FACILITIES: SUMMARY AND IMPLEMENTATION Provider Information Notice (PIN) Summary PIN 21-05-ASC provides a summary of and implementation information for legislation chaptered in 2020 affecting licensed Adult and Senior Care facilities.

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Vaccination plans for long-term-care facilities mired in confusion

By Erin Durkin, National Journal, January 21 2021 Nursing-home residents in line for the coronavirus vaccine at Harlem Center for Nursing and Rehabilitation in New York on Jan. 15. State and local health officials have been trying to get staff and residents of long-term-care facilities vaccinated rapidly to avoid more deadly outbreaks within nursing homes and other care settings.

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APL 20-021 (REVISED): ACUTE HOSPITAL CARE AT HOME

California Department of Health Care Services TO:                  ALL MEDI-CAL MANAGED CARE HEALTH PLANS SUBJECT:      APL 20-021 (REVISED): ACUTE HOSPITAL CARE AT HOME The Medi-Cal Managed Care area on the DHCS Website now includes the above All Plan Letter (APL). In addition to its posting on the APL webpage at https://www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2020/APL20-021.pdf, the APL is also available on the DHCS COVID-19 Response Page at: https://www.dhcs.ca.gov/Pages/DHCS-COVID%E2%80%9119-Response.aspx.

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Survey on the Use of Interdisciplinary Teams (IDT) for Unrepresented Residents

AFL 21-06 From the California Department of Public Health January 20, 2021 TO: Skilled Nursing Facilities (SNF) Intermediate Care Facilities (ICF) SUBJECT: Survey on the Use of Interdisciplinary Teams (IDT) for Unrepresented Residents AUTHORITY:     Health and Safety Code section 1418.8 ​All Facilities Letter (AFL) Summary This AFL requests SNFs participate in a survey about IDTs and the need for independent patient representatives.

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CMS releases the Medicaid Long-Term Services and Supports (LTSS) Annual Expenditures Report for FFY 2017 and 2018

Today, the Centers for Medicare & Medicaid Services (CMS) released the Medicaid LTSS Annual Expenditures Report for Federal Fiscal Years (FFY) 2017 and 2018. This report discusses the LTSS rebalancing trends and growth in expenditures for home and community based services (HCBS) as compared to institutional spending during these select years. Some of the highlights from this report show: Total Medicaid LTSS spending continues to increase.

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CMS releases the Medicaid Section 1915(c) Waiver Programs Annual Expenditures and Beneficiaries Report, Analysis of CMS 372 Annual Reports for 2015 through 2017

Today, the Centers for Medicare & Medicaid Services (CMS) released the Medicaid Section 1915(c) Waiver Programs Annual Expenditures and Beneficiaries Report, Analysis of CMS 372 Annual Reports for years 2015 through 2017. This report provides summary information from annual CMS Form 372 report submissions and focuses on trends in section 1915(c) home and community based services (HCBS) waiver program participation, service use by HCBS population, and expenditures for 2015 through 2017.

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COVID-19 Vaccinations in Long Term Care Facilities

On January 15th CANHR hosted a Zoom town hall for California residents of long term care and their families, friends, and advocates to discuss the COVID-19 vaccine rollout in nursing homes and other long term care facilities.Speakers included Dr. Jonathan Evans, Mike Dark and KJ Page. Dr. Evans is the former President of the American Medical Directors Association and addressed the clinical side of the vaccine, including safety and effectiveness.

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