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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Suspension of Regulatory Enforcement of Specified Skilled Nursing Facility Requirements

AFL 20-32 From the California Department of Public Health March 30, 2020 TO: Skilled Nursing Facilities  SUBJECT: Suspension of Regulatory Enforcement of Specified Skilled Nursing Facility Requirements ​AUTHORITY:     Proclamation of a State of Emergency and Executive Orders N-27-20 and N-39-20 All Facilities Letter (AFL) Summary This AFL notifies skilled nursing facilities (SNFs) of a temporary waiver of specified regulatory requirements due to the state of emergency related to the COVID-19 outbreak. 

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Coronavirus Disease (COVID-19) Daily Reporting

AFL 20-31 From the California Department of Public Health March 28, 2020 TO: General Acute Care Hospitals (GACHs) SUBJECT: Coronavirus Disease (COVID-19) Daily Reporting ​AUTHORITY:      Proclamation of Emergency ​All Facilities Letter (AFL) Summary This AFL notifies GACHs of the need to have daily updates on the number and status of COVID-19 patients and equipment availability to ensure California has the information necessary to respond to the COVID-19 outbreak.

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EMERGENCY GUIDANCE FOR MEDI-CAL MANAGED CARE MANAGED CARE HEALTH PLANS IN RESPONSE TO COVID-19

California Department of Health Care Services DATE: March 27, 2020 ALL PLAN LETTER 20-004 TO: ALL MEDI-CAL MANAGED CARE HEALTH PLANS SUBJECT: EMERGENCY GUIDANCE FOR MEDI-CAL MANAGED CAREMANAGED CARE HEALTH PLANS IN RESPONSE TO COVID-19 PURPOSE: The purpose of this All Plan Letter (APL) is to provide information to Medi-Cal managed care health plans (MCPs) on temporary changes to federal requirements as a result of the ongoing global pandemic.

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Notice of Tele-Inspections and Rapid Assistance and Support Team (RAST) Tele-Visits

California Department of Social Services PIN_20-09-ASC PIN 20-09-ASC provides notice that beginning March 26, 2020 Licensing Program Analysts (LPAs) will conduct tele-inspections and Rapid Assistance and Support Team (RAST) tele-visits as part of Community Care Licensing Division’s (CCLD) emergency response to the spread of Coronavirus Disease 2019 (COVID-19).

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