{"id":"SEC-04-010","kind":"order","level":"sector-regulator","jurisdiction":"United States (Medicare- and Medicaid-participating home health agencies)","state":"","metro":"","industry":"04","agency":"","eco":"","issuer":"Centers for Medicare \u0026 Medicaid Services, Quality, Safety \u0026 Oversight Group","authority":"42 C.F.R. part 484 (HHA conditions of participation; 484.70 infection prevention and control)","instrument":"QSO-20-18-HHA","title":"Guidance for Infection Control and Prevention Concerning Coronavirus Disease 2019 (COVID-19) in Home Health Agencies (HHAs)","dateIssued":"2020-03-10","effective":"2020-03-10","end":"Not rescinded during 2020-2021","startDate":"2020-03-10","endDate":"2021-09-30","quarters":["2020Q2","2020Q3","2020Q4","2021Q1","2021Q2","2021Q3"],"types":["HC","EMP"],"addressees":["State Survey Agency Directors","all Medicare and Medicaid participating HHAs"],"clause":"HHAs should be monitoring the health status of everyone (patients/residents/visitors/staff/etc.) in the homecare setting for signs or symptoms of COVID-19.... When making a home visit, HHAs should identify patients at risk for having COVID-19 infection before or immediately upon arrival to the home.... For ill patients, implement source control measures... Health care providers (HCP) who have signs and symptoms of a respiratory infection should not report to work. Any staff that develop signs and symptoms of a respiratory infection while on-the-job, should: Immediately stop work, put on a facemask, and self-isolate at home... This guidance applies to both Medicare and Medicaid providers.","enforcement":"Survey under the HHA conditions of participation (42 C.F.R. 484.70); State survey agencies","functions":["HC pre-entry screening of every patient and household at every visit; source control","SN","IC","HR symptomatic staff removed mid-visit","WF","CB"],"notes":"The first federal instrument directed specifically at home care; the operative verb is \u0027should\u0027 within a condition-of-participation framework.","sourceUrl":"https://www.cms.gov/files/document/qso-20-18-hha.pdf","snapshot":"","fileExists":true,"fileBytes":179459,"grade":"primary","character":"","description":"","collection":"SEC-04","url":"/library/SEC-04-010","exhibitUrl":"/exhibit/SEC-04-010","citation":"Centers for Medicare \u0026 Medicaid Services, Quality, Safety \u0026 Oversight Group, QSO-20-18-HHA (Mar. 10, 2020) (Ex. SEC-04-010)","stateName":"","related":["SEC-04-001"]}