Interim Guidance for Transfer of Residents with Suspected or Confirmed Coronavirus Disease (COVID-19) (This AFL supersedes AFL 20-33)

AFL 20-33.1 From the California Department of Public Health April 24, 2020 TO: Skilled Nursing Facilities SUBJECT: Interim Guidance for Transfer of Residents with Suspected or Confirmed Coronavirus Disease (COVID-19)(This AFL supersedes AFL 20-33) All Facilities Letter (AFL) Summary This AFL clarifies California Department of Public Health (CDPH) expectations and provides interim guidance for skilled nursing facilities (SNF) for transfer and continuity of care of residents with suspected or confirmed COVID-19 infection, including admission of COVID-19 positive residents following hospitalization who still require transmission-based precautions.This AFL clarifies that the guidance applies when residents are transferred from an alternate care site and that SNFs must accept the return of a resident from a hospital or alternate care site.This AFL also informs SNFs that residents may be transferred between facilities for the purposes of cohorting COVID-19 patients.

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Requests for Urgent Staffing Resources for COVID-19

AFL 20-46 From the California Department of Public Health April 21, 2020 TO: All Facilities SUBJECT: Requests for Urgent Staffing Resources for COVID-19 All Facilities Letter (AFL) Summary This AFL clarifies the process for requesting staffing resources for healthcare facilities and alternate care sites during COVID-19. Urgent Staffing Requests for Healthcare Facilities Healthcare facilities that experience a sudden spike in staff absenteeism or attrition, creating an urgent staffing shortage, must report these issues as an unusual occurrence to the local California Department of Public Health (CDPH) Licensing and Certification District Office.

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Expanding Access to Testing: Updated Interim Guidance on Prioritization for COVID-19 Laboratory Testing

California Department of Health April 19, 2020 TO: Public Health Departments, Health Care Providers, and COVID-19 Testing Laboratories SUBJECT: Expanding Access to Testing: Updated Interim Guidance on Prioritization for COVID-19 Laboratory Testing ​Testing for Coronavirus Disease 2019 (COVID-19), both PCR and serology, is becoming more readily available at hospital, academic, commercial, and public health laboratories across California.

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Coronavirus Disease (COVID-19) Daily Reporting

AFL 20-31.1 From the California Department of Public Health April 18, 2020 TO: General Acute Care Hospitals (GACHs) SUBJECT: Coronavirus Disease (COVID-19) Daily Reporting(This AFL supersedes AFL 20-31) ​AUTHORITY:      Proclamation of Emergency (PDF) All Facilities Letter (AFL) Summary This AFL supersedes AFL 20-31 and modifies previous daily reporting information.This AFL notifies GACHs of the need to have daily updates on the number and status of 2019 Novel Coronavirus (COVID-19) patients, bed capacity, and personal protective equipment availability to ensure California has the information necessary to respond to the COVID-19 pandemic. This AFL also notifies GACHs that the California Department of Public Health (CDPH) will submit data on behalf of hospitals through the National Healthcare Safety Network (NHSN) COVID-19 module per the Center for Disease Control and Prevention’s (CDC) instructions.

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Guidance for Decontamination and Reuse of N95 Filtering Facepiece Respirators (This AFL supersedes guidance provided in AFL 20-36)

AFL 20-36.1 From the California Department of Public Health April 11, 2020 TO: General Acute Care Hospitals SUBJECT: Guidance for Decontamination and Reuse of N95 Filtering Facepiece Respirators (This AFL supersedes guidance provided in AFL 20-36) All Facilities Letter (AFL) Summary This AFL provides guidance for the handling of used N95 filtering facepiece respirators so they can be decontaminated and reused as respirator supplies are depleted during the Coronavirus Disease 2019 (COVID-19) pandemic.This AFL revises the instructions on how to collect the used N95 filtering facepiece respirators.

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Visitor Limitations Guidance

AFL 20-38 From the California Department of Public Health April 10, 2020 TO: All Facilities SUBJECT: Visitor Limitations Guidance All Facilities Letter (AFL) Summary This AFL notifies all facilities of new visitor limitation guidelines for pediatric patients, patients in labor and delivery, and patients at end-of-life. Due to the community spread of coronavirus 2019 (COVID-19), considerations must be made for the safety of health facility staff and patients resulting in many health care facilities suspending visitation, except when medically necessary or essential to the care of the patient.

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Suspension of Professional Certification Requirements for Certified Nurse Assistants (CNAs)

AFL 20-35 From the California Department of Public Health April 5, 2020 TO: All Facilities SUBJECT: Suspension of Professional Certification Requirements for Certified Nurse Assistants (CNAs) ​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 all facilities of a temporary waiver of specified statutory and regulatory requirements for CNAs due to the state of emergency related to the COVID-19 outbreak.

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Suspension of Regulatory Enforcement of Specified ADHC Requirements

AFL 20-34 From the California Department of Public Health April 2, 2020 TO: Adult Day Health Care Centers (ADHCs) SUBJECT: Suspension of Regulatory Enforcement of Specified ADHC Requirements ​AUTHORITY:     Executive Order N-35-20 ​All Facilities Letter (AFL) Summary This AFL notifies ADHCs 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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​Interim Guidance for Transfer of Residents with Suspected or Confirmed Coronavirus Disease (COVID-19)

AFL 20-33 From the California Department of Public Health April 1, 2020 TO: Skilled Nursing Facilities SUBJECT: Interim Guidance for Transfer of Residents with Suspected or Confirmed Coronavirus Disease (COVID-19) All Facilities Letter (AFL) Summary This AFL clarifies California Department of Public Health (CDPH) expectations and provides interim guidance for skilled nursing facilities (SNF) for transfer and continuity of care of residents with suspected or confirmed COVID-19 infection, including admission of COVID-19 positive residents following hospitalization who still require transmission-based precautions.

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POLICY GUIDANCE FOR COMMUNITY-BASED ADULT SERVICES IN RESPONSE TO COVID-19 PUBLIC HEALTH EMERGENCY

California Department of Health Care Services ALL PLAN LETTER 20-007 TO: ALL MEDI-CAL MANAGED CARE HEALTH PLANS SUBJECT: POLICY GUIDANCE FOR COMMUNITY-BASED ADULT SERVICES IN RESPONSE TO COVID-19 PUBLIC HEALTH EMERGENCY PURPOSE: The purpose of this All Plan Letter (APL) is to provide Medi-Cal managed care health plans (MCPs) with policy guidance regarding the temporary authorization of Community-Based Adult Services (CBAS) provided telephonically, in members’ homes, and individually in centers, in lieu of congregate services provided at CBAS centers, during the period of this current public health emergency.

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