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Ex. FED-092 Order Primary source read

CMS-3401-IFC, 85 Fed. Reg. 54820 (Sept. 2, 2020) (42 C.F.R. 483.80(h) testing; 482.42(e) hospital reporting) and QSO-20-38-NH (Aug. 26, 2020; revised through Sept. 23, 2022)

Medicare and Medicaid Programs, Clinical Laboratory Improvement Amendments (CLIA), and Patient Protection and Affordable Care Act; Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency, 85 Fed. Reg. 54820 (Sept. 2, 2020)

Centers for Medicare & Medicaid Services, HHS · United States (Medicare and Medicaid long-term care facilities; hospitals and CAHs; CLIA laboratories) (Federal)

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
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).