The COVID Project
The record
- Jurisdiction
- United States (Medicare and Medicaid long-term care facilities; hospitals and CAHs; CLIA laboratories)
- Level
- Federal
- Authority
- Social Security Act §§ 1819, 1919, 1861(e), 1871; CLIA
- Issued
- 2020-09-02 Sept. 2, 2020
- Effective
- 2020-09-02 ('These regulations are effective on September 2, 2020') (read as 2020-09-02)
- End
- for the duration of the PHE (May 11, 2023) (read as 2023-05-11)
- In force
- Sept. 2, 2020 to May 11, 2023
- Quarters
- 2020 Q32020 Q42021 Q12021 Q22021 Q3
2020 Q22020 Q32020 Q42021 Q12021 Q22021 Q3
- Limitation types
- Health care ordersWorkplace rulesQuarantine and isolation
- Addressees
- every Medicare/Medicaid nursing facility (staff and resident testing, including 'individuals providing services under arrangement and volunteers')
- hospitals and critical access hospitals (daily COVID-19 data reporting as a condition of participation)
- CLIA laboratories (test-result reporting)
- Functions reached
- RS residential care and IC infection control (nursing homes: mandatory routine staff testing keyed to county positivity, FED-168)
- HR/WF of nursing homes and of every contractor, therapist, hospice worker, agency nurse and vendor 'providing services under arrangement' (staffing agencies PL; home health HC; physicians CL)
- IP/ED hospitals (federal daily reporting)
- Collection
- Federal health, safety and transport layer FED-A
Operative words
This interim final rule with comment period (IFC) revises regulations to strengthen CMS' ability to enforce compliance with Medicare and Medicaid long-term care (LTC) facility requirements for reporting information related to coronavirus disease 2019 (COVID-19), establishes a new requirement for LTC facilities for COVID-19 testing of facility residents and staff, establishes new requirements in the hospital and critical access hospital (CAH) Conditions of Participation (CoPs) for tracking the incidence and impact of COVID-19... § 483.80(h): The LTC facility must test residents and facility staff, including individuals providing services under arrangement and volunteers, for COVID-19.
Enforcement
F-tag F886 citations and civil money penalties for LTC facilities; hospital CoP enforcement (42 C.F.R. § 482.42(e)); CLIA sanctions
Notes
In force on every day of 2021Q3; the testing frequency (monthly, weekly, twice weekly by county positivity) is in QSO-20-38-NH (FED-168).