{"id":"FED-159","kind":"order","level":"federal","jurisdiction":"United States","state":"","metro":"","industry":"","agency":"","eco":"","issuer":"Centers for Medicare \u0026 Medicaid Services, HHS","authority":"Recommendations under the White House Guidelines for Opening Up America Again (FED-192)","instrument":"CMS Recommendations, Re-opening Facilities to Provide Non-emergent Non-COVID-19 Healthcare: Phase I (Apr. 19, 2020)","title":"Opening Up America Again: Centers for Medicare \u0026 Medicaid Services (CMS) Recommendations Re-opening Facilities to Provide Non-emergent Non-COVID-19 Healthcare: Phase I","dateIssued":"2020-04-19","effective":"2020-04-19 (for States that had passed the Apr. 16, 2020 Gating Criteria)","end":"succeeded by Phase II recommendations (June 8, 2020; not saved)","startDate":"2020-04-19","endDate":"2020-06-08","quarters":["2020Q2"],"types":["HC","CAP","EMP"],"addressees":["healthcare systems and facilities resuming in-person non-COVID care"],"clause":"To expand capacity to care for these patients and to conserve adequate staff and supplies, especially personal protective equipment (PPE), on March 18 the Centers for Medicare \u0026 Medicaid Services (CMS) recommended limiting non-essential care and expanding surge capacity into ambulatory surgical centers and other areas.... Therefore, if states or regions have passed the Gating Criteria (symptoms, cases, and hospitals) announced on April 16, 2020, then they may proceed to Phase I.... Maximum use of all telehealth modalities is strongly encouraged. However, for care that cannot be accomplished virtually, these recommendations -- the first in a series of recommendations -- may guide healthcare systems and facilities as they consider resuming in-person care of non-COVID-19 patients in regions with low incidence of COVID-19 disease.","enforcement":"Recommendations; conditions adopted by State reopening orders for health care","functions":["SX/PR resumption conditions (screening, PPE, testing, facility zoning, visitor limits, distancing in waiting rooms)","OC outpatient","CB"],"notes":"Fixes, from CMS itself, the federal recommendation of March 18, 2020 to limit non-essential care, and the conditions under which care resumed (screening, masking, PPE, \u0027non-COVID Care zones\u0027, limited visitors): the manner-of-operation changes that continued through 2021.","sourceUrl":"https://www.cms.gov/files/document/covid-flexibility-reopen-essential-non-covid-services.pdf","snapshot":"","fileExists":true,"fileBytes":213385,"grade":"primary","character":"","description":"","collection":"FED-A","url":"/library/FED-159","exhibitUrl":"/exhibit/FED-159","citation":"Centers for Medicare \u0026 Medicaid Services, HHS, CMS Recommendations, Re-opening Facilities to Provide Non-emergent Non-COVID-19 Healthcare: Phase I (Apr. 19, 2020) (Ex. FED-159)","stateName":"","related":["FED-158","FED-192","FED-191","FED-090","FED-091","FED-160"]}