As the U.S. scrambled to confront the COVID-19 pandemic, an unprecedented joint effort developed among federal and state governments, regulators, hospitals, suppliers and health-care providers. Out of necessity, institutions altered how they function—and how they cooperate—to save lives. Although the pandemic exposed flaws and weaknesses in the
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COVID-19 Telehealth Toolkit
The Council of State Governments released COVID-19 RESOURCES FOR STATE LEADERS Executive Orders — By State
COVID-19 Telehealth Program Orders, Public Notices, and Other Releases
- CMS State Medicaid Telehealth Toolkit - State Medicaid & CHIP Telehealth Toolkit Policy Considerations for States Expanding Use of Telehealth COVID-19 Version. April 27, 2020
- Invoicing Guidance for the COVID-19 Telehealth Program - Public Notice, released 04/17/2020
- FCC Approves First Set of COVID-19 Telehealth Program Applications - News Release, released 04/16/2020
- “Strategies for Coping with Isolation and Loneliness During the Coronavirus Pandemic” Posted: Northwestern|Family Institute, Contributors: Dr. Russell Fulmer, Dr. Michele Kerulis, Alexandria Widener, Lauren Brdecka, Ali Haji, Colbertson Kreger, Zemzem Amme, Sue Tao. Describes different types of isolation and includes tips for managing each type. The article also features perspectives from members of the Counseling@Northwestern community on how they are personally managing isolation and social distancing. April 14, 2020
- COVID-19 Telehealth Program Application Launch and Webinar Presentation Information (PDF) - Public Notice, released 04/10/2020
- FCC's COVID-19 Telehealth Program Application Portal Opens Monday, April 13 - News Release, released 04/10/2020
- Guidance on the COVID-19 Telehealth Program Application Process - Public Notice, released 04/08/2020
- States Waiving Licensure Requirements/Renewals in Response to COVID-19 -(FSMB) Federation of State Medical Boards April 3, 2020
- AMA Special coding advice during COVID-19 public health emergency Updated April 3, 2020
- FCC Fights COVID-19 with $200M; Adopts Long-Term Connected Care Study - Order, released 04/02/2020
- AMA Quick Guide to Telemedicine in Practice (**NEW**) Updated April 2, 2020
- Remote Communication Technology Codes: An Analysis of State Medicaid Coverage (slides)- CCHP Releases Report Assessing Medicaid Coverage of Remote Communication Technology Codes (new analysis) March 2020
- Telehealth Coverage Policies and State Actions Updated March 31, 2020
- TELEHEALTH COVERAGE POLICIES IN THE TIME OF COVID-19 Updated: March 31, 2020
- CMS - Long-Term Care Nursing Homes Telehealth and Telemedicine Tool Kits March 27, 2020
- The Coronavirus Aid Relief and Economic Security (CARES) Act
HR 748 (Rep. Courtney) - The $2 trillion relief package included several telehealth items, including allowing FQHCs and RHCs in this emergency period to be a distant site provider for a telehealth service covered by Medicare. However, these services will be paid an amount calculated from the fee-for-service schedule, not the prospective payment system. It also waived requirements for face-to-face encounters for dialysis patients and hospice care, and made modifications to the telehealth resource center grant program. For more detailed information, see CCHP’s full write up on the bill. (Status: 3/27 – Became Law)
- HHS FAQs on Telehealth and HIPAA during the COVID-19 Nationwide Public Health Emergency (PDF) Mar 24, 2020
- COVID-19 Fact Sheet CCHP's TELEHEALTH COVERAGE POLICIES IN THE TIME OF COVID-19 UPDATED: March 19, 2020
- Coronavirus Telehealth Policy Fact Sheet Center for Connected Health Policy released outlines of current telehealth policy during COVID-19. It summarizes what is covered by various public and private payers with information that has been released March 19, 2020.
- CMS Medicare Telemedicine Healthcare Provider Fact Sheet - COVID-19 (**NEW**) March 17, 2020
- Notification of Enforcement Discretion for telehealth remote communications during the COVID-19 nationwide public health emergency Reviewed on March 17, 2020
- COVID-19 FAQs March 5, 2020
- Medicaid and CHIP Coverage and Benefits Related to COVID-19 March 5, 2020
- Medicare Coverage and Payment Related to COVID-19 March 5, 2020
Updated April 8, 2020 Federal Government Response to COVID-19 - with the help and guidance from the (CDC) Centers for Disease Control and Prevention provides information for public and health care professionals and facilities on the best practices related to COVID-19. (CDC Guidance for COVID-19)
April 2, 2020 CMS Informational Bulletin on Telehealth Medicaid Flexibilities & Use for SUD Treatment CMS released an Informational Bulletin to address two main topics: (1) Rural Health Care and Medicaid Telehealth Flexibilities; and (2) Medicaid Substance Use Disorder Treatment via Telehealth. The guidance was required by the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act passed in 2018. The introduction to the document notes that although the information in the report is focused on expanding access to telehealth generally and for substance use disorder treatment, it does include information that will be useful for states in light of the ongoing response to the COVID-19 pandemic.
Published: April 2, 2020 Posted on Oxford Academic - Electronic Personal Protective Equipment: A Strategy to Protect Emergency Department Providers in the Age of COVID-19 (PDF) By:Robert W Turer, MD, MSE , Ian Jones, MD, S Trent Rosenbloom, MD, MPH, Corey Slovis, MD, Michael J Ward, MD, PhD (ABSTRACT- Emergent policy changes related to telemedicine and the Emergency Medical Treatment and Labor Act (EMTALA) during the novel coronavirus pandemic (COVID-19) have created opportunities for technology-based clinical evaluation, which serves to conserve personal protective equipment (PPE) and protect emergency providers. We define electronic personal protective equipment (ePPE) as an approach using telemedicine tools to perform electronic medical screening exams while satisfying EMTALA. We discuss the safety, legal, and technical factors necessary for implementing such a pathway. This approach has the potential to conserve PPE and protect providers while maintaining safe standards for medical screening exams in the ED for low risk patients in whom COVID-19 is suspected.)
Mar 31, 2020 DEA decision tree that they have for controlled substances (PDF) sheet - This chart only addresses prescribing controlled substances and does not ... Part I: Evaluating the Patient ... This decision tree merely summarizes the policies for quick reference and ... details are on DEA's COVID-19 websitePrescribing via telehealth
Released March 2020 SAMHSA Releases Taking Care of Your Behavioral Health Fact Sheet: Tips For Social Distancing, Quarantine, and Isolation during an Infectious Disease Outbreak.
US Centers for Disease Control and Prevention (CDC): CDC Symptoms and Testing
Federation of State Medical Boards (FSMB): FSMB COVID-19 Resources
US Department of Health and Human Services (HHS): HHS OCR Notification of Enforcement Discretion for Telehealth Remote Communications
World Health Organization https://www.who.int/
Centers for Disease Control https://www.cdc.gov/
The National Consortium of Telehealth Resource Centers website here.
US Centers for Disease Control and Prevention (CDC): CDC Symptoms and Testing
Using Telehealth to Care for Patients During the COVID-19 Pandemic
Telemedicine and virtual care have quickly become important tools in caring for your patients while keeping yourself and your staff safe as the COVID-19 pandemic quickly evolves. Here is what you need to know when providing telehealth services.
How Do I Quickly Implement Telemedicine in My Practice?
- Download the CMS General Telemedicine Toolkit(6 page PDF).
- Review this AMA Telemedicine Quick Set-up Guide(www.ama-assn.org) in response to the COVID-19 national emergency.
Expansion of Telehealth and Licensing Waivers During the COVID-19 Pandemic
How Do I Get Reimbursed?The Centers of Medicare & Medicaid Services (CMS) has loosened the regulations for telemedicine in response to the COVID-19 pandemic. Telehealth services may now be delivered to Medicare beneficiaries by phone as long as video capability is available.
- Read the CMS fact sheet(www.cms.gov) to understand how Medicare will cover and reimburse virtual services.
- Review the CMS FAQs(edit.cms.gov) to get answers to your questions about telehealth coverage and reimbursement.
- Get guidance on Medicaid coverage(www.medicaid.gov) for telehealth services.
- Need help with telehealth coding?(1 page PDF) Access this guide to give you at-a-glance coding information for telehealth visits.