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Ex. SEC-04-015 Order Primary source read

COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers (LTC facilities, HHAs, hospices, ICF/IIDs)

COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers

Centers for Medicare & Medicaid Services (section 1135 waiver authority) · United States (Federal)

The COVID Project

The record

Jurisdiction
United States
Level
Federal
Authority
Social Security Act 1135; Proclamation 9994; HHS PHE declaration
Issued
2020-03-30 Mar. 30, 2020
Effective
2020-03-01 (retroactive) (read as 2020-03-01)
End
Waivers narrowed by QSO-21-17-NH (May 10, 2021); remainder ended at the PHE's end (May 11, 2023) (read as 2021-05-10)
In force
Mar. 1, 2020 to May 10, 2021
Quarters
2020 Q22020 Q32020 Q42021 Q12021 Q22021 Q3
Limitation types
Health care ordersWorkplace rulesOther
Addressees
  • LTC facilities
  • HHAs
  • hospices
  • ICF/IIDs
Functions reached
  • 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
Collection
Home Care, Nursing and Senior Living SEC-04

Operative words

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' 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

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.

Retrieval note

The live copy is CMS's final consolidated summary; waiver start dates are stated in the text.