![NCHCFA [logo]](https://www.nchcfa.org/wp-content/themes/nchcfa/images/logo.png){kind=logo}
Hurricane Florence Waivers
Administrator DHSR list serve issuances re Florence and waivers as of 2:00 PM 9/12/2018
Fwd: [External] Additional Links related to Hurricane
Begin forwarded message:
From: “Smith, Linda D. (CMS/CQISCO)” <Linda.Smith@cms.hhs.gov>
Date: September 12, 2018
Subject: [External] Additional Links related to Hurricane
- Here is the link for accessing the Public health actions taken in 2017 which can be replicated this year for waivers: https://www.phe.gov/newsroom/Pages/healthactions.aspx
- EMTALA information is located in the Provider Survey and Certification Frequently asked Questions link on the first page and Section J:
- EMTALA information is located in Section N Hospital Services of the Consolidated Medicare FFS Emergency Q& As.
Other emergency web sites
Linda D. Smith, MBA, MSN, RN
Associate Regional Administrator
Consortium for Quality Improvement and Survey & Certification Operations
Division of Survey and Certification
Region IV – AL, FL, GA, KY, MS, NC, SC, TN
Centers for Medicare and Medicaid Services
61 Forsyth Street SW Suite 4T20
Atlanta, GA 30303-8909
Office: (404) 562-7469
Cell: (404) 387-8960
Fax (443) 380-7513
Email: Linda.Smith@cms.hhs.gov
INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW:
This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law. If you are the unintended recipient of this information please notify the sender.
FW: [External] Hurricanes Florence, Isaac and Helene
[1135 Waiver] [Emergency Provider Survey and Certification FAQs] [Revised CMS Tracking Spreadsheet 9-5-17]I just received this from CMS. I had sent the documents earlier, but you can see what CMS requires of the state in regards to the emergency situation. Please just let us know your plans if you are evacuating or sheltering in place. THIs is an almost duplicate of what I have already provided you but wanted to send it along anyway. You can send your information to Becky, Beverly or myself.
Cindy
From: Saunders, Adriane (CMS/CQISCO)
Sent: Monday, September 10, 2018 3:50 PM
To Subject: [External] Hurricanes Florence, Isaac and Helene
Importance: High
Good Afternoon,
This is just a friendly reminder to please notify me ASAP of any evacuation orders in your State (if not done so already). In addition, please complete/submit the CMS Tracking Spreadsheet for healthcare facilities impacted by the hurricane as you’re notified (e.g., # of residents/patients/clients impacted, name/address/CCN of facility, etc.). NOTE: This allows me to keep our leadership, Central Office and sister agencies abreast of what’s occurring and allows the Federal Government to be proactive by being on standby.
In preparation for possible disasters, we would also suggest that you share the attached Emergency Provider FAQs and Requesting 1135 Waiver documents with all of your Healthcare Facilities (e.g., Nursing Homes, Hospitals, ICF/IID, etc.) as well as the following links:
For potential waiver requests during an applicable event, it is helpful for requesters to clearly state in any format they choose, information that will address the scope of the issue and the impact of the disaster including the following basic information:
- Provider Name/Type
- Full Address (including county/city/town/state) CCN (Medicare provider number).
- Contact person and his or her contact information for follow-up questions should the Region need additional clarification.
- Brief summary of why the waiver is needed. For example: CAH is sole community provider without reasonable transfer options at this point during the specified emergent event (e.g. flooding, tornado, fires, or flu outbreak). CAH needs a waiver to exceed its bed limit by X number of beds for Y days/weeks (be specific).
- Consideration – Type of relief you are seeking or regulatory requirements or regulatory reference that the requestor is seeking to be waived.
Additional information on 1135s is located on the following websites:
https://asprtracie.hhs.gov/cmsrule
https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/index.html
Please share that all 1135 requests should be submitted to the following email address:
ROATLHSQ@cms.hhs.gov (Atlanta RO): Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, and Tennessee
Adriane J. Saunders
Technical Advisor/Regional Office (RO) Ambassador
Centers for Medicare and Medicaid Services
Region IV Atlanta
61 Forsyth St., SW
Suite 4T20
Atlanta, GA 30303
INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW:
This information has not been publicly disclosed and may be privileged and confidential. It is for internal government use only and must not be disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law. If you are the unintended recipient of this information please notify the sender.
FW: Emergency Preparedness
[Advanced Copy SOM Appendix Z EP IGs] [SC17-29.02. Adv. Copy SOM Appendix Z- IGs EP]Good Afternoon all,
I am sending out the links to the CMS Emergency webpage and the links to the 1135 waiver. Please review this information and please follow your emergency preparedness plan.
As the state we need to please know if you are sheltering in place or if you are evacuating, we will then need to know whey you are able to go back into your building. I have to send to CMS updates about these types of questions here are the questions off the template that I have to complete and send to them.
| CMS Region | KCER Networks involved | CCN Number | Facility Name | Facility Address | City | State | Zip code | Operating Status | Staff and Beneficiaries | Electrical | Facility Assessment | Resident Numbers/Census | Injuries | Fatalities | Re-occupancy Status | Requests /Anticipated Needs 1. Types of Preparedness, Response, Recovery and Mitigation Measures (Including current or anticipated evacuations) 2. If the Facility is closed please provide the reason for closure and anticipated reopening date. 3. If patients were evacuated please provide location they were evacuated to: |
I was asked to send the federal information with the emergency preparedness information including the 1135 Waiver. The 1135 Waiver is something that CMS has to approve and CMS handles these. Here is the CMS Emergency preparedness Website which has all the information including the information including about the 1135 Waiver.
Waiver information: https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertEmergPrep/Downloads/Requesting-an-1135-Waiver-101.pdf
CMS Emergency Prep. Office: https://www.cms.gov/About-CMS/Agency-Information/Emergency/EPRO/EPRO-Home.html
I hope you find this information helpful. If you have questions please let us know and you can just email us with your plans. Please follow our emergency preparedness plan.
Please stay safe.
Cindy
Cindy H. Deporter, MSSW
State Agency Director
Assistant Section Chief Acute Home Care
Quality Evaluative Systems Nursing Home Section
Division of Health Service Regulation
Office Phone: 919 855 4557
Office Cell: 919 – 937- 7112
Cindy.Deporter@dhhs.nc.gov
https://www2.ncdhhs.gov/dhsr/
Lineberger Building | 2712 Mail Service | Raleigh, NC, 27699
[DHSR.NH.Administrators] 1135 Waiver
CMS has advised me that he 1135 Waiver can now be accessed now on the website I provided last night. | Cindy
(dhsr.nh.administrators-bounces@lists.ncmail.net; on behalf of; Deporter, Cindy <cindy.deporter@dhhs.nc.gov>)