{"id":"SEC-04-015","kind":"order","level":"federal","jurisdiction":"United States","state":"","metro":"","industry":"04","agency":"","eco":"","issuer":"Centers for Medicare \u0026 Medicaid Services (section 1135 waiver authority)","authority":"Social Security Act 1135; Proclamation 9994; HHS PHE declaration","instrument":"COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers (LTC facilities, HHAs, hospices, ICF/IIDs)","title":"COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers","dateIssued":"2020-03-30","effective":"2020-03-01 (retroactive)","end":"Waivers narrowed by QSO-21-17-NH (May 10, 2021); remainder ended at the PHE\u0027s end (May 11, 2023)","startDate":"2020-03-01","endDate":"2021-05-10","quarters":["2020Q2","2020Q3","2020Q4","2021Q1","2021Q2","2021Q3"],"types":["HC","EMP","OTHER"],"addressees":["LTC facilities","HHAs","hospices","ICF/IIDs"],"clause":"Home Health Agencies:... CMS is waiving the requirements... at 42 CFR 484.55(a)(2) and 484.55(b)(3)... to allow HHAs to perform initial assessments and determine patients\u0027 homebound status remotely or by record review... 484.80(h)... waiving the requirements... for a nurse to conduct an onsite visit every two weeks [aide supervision]... Long Term Care Facilities: 3-Day Prior Hospitalization... waiving the requirement... Resident Groups... waiving 483.10(f)(5)... Training and Certification of Nurse Aides... waiving 483.35(d)... Physical Environment... waiving 483.90... to allow for a non-SNF building to be temporarily certified... Resident Roommates and Grouping... 483.10(e)(5), (6) and (7)... Hospice:... waiving 418.76(h) [aide supervision]... 418.78(e) [volunteers]... 418.54(d) [comprehensive assessment update timeframes]... (as read from the CMS summary).","enforcement":"Conditions of participation as modified; CMS survey","functions":["SN remote initial assessments and aide supervision","HC","RS room grouping, cohorting, alternate sites, roommate changes without notice","IN 3-day stay waiver altering admissions","HR nurse aide training and certification waiver (temporary nurse aides)","OF"],"notes":"The instrument that changed how every function was performed rather than closing it; each waiver is a governmental modification of the manner of operation.","sourceUrl":"https://www.cms.gov/files/document/summary-covid-19-emergency-declaration-waivers.pdf","snapshot":"","fileExists":true,"fileBytes":520225,"grade":"primary","character":"","description":"","collection":"SEC-04","url":"/library/SEC-04-015","exhibitUrl":"/exhibit/SEC-04-015","citation":"Centers for Medicare \u0026 Medicaid Services (section 1135 waiver authority), COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers (LTC facilities, HHAs, hospices, ICF/IIDs) (Mar. 30, 2020) (Ex. SEC-04-015)","stateName":"","related":["SEC-04-GM-004","SEC-04-GM-014","SEC-04-GM-015"]}