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Ex. SEC-04-010 Order Primary source read

QSO-20-18-HHA

Guidance for Infection Control and Prevention Concerning Coronavirus Disease 2019 (COVID-19) in Home Health Agencies (HHAs)

Centers for Medicare & Medicaid Services, Quality, Safety & Oversight Group · United States (Medicare- and Medicaid-participating home health agencies) (Sector regulator)

The COVID Project

The record

Jurisdiction
United States (Medicare- and Medicaid-participating home health agencies)
Level
Sector regulator
Authority
42 C.F.R. part 484 (HHA conditions of participation; 484.70 infection prevention and control)
Issued
2020-03-10 Mar. 10, 2020
Effective
2020-03-10
End
Not rescinded during 2020-2021 (read as 2021-09-30)
In force
Mar. 10, 2020 to Sept. 30, 2021
Quarters
2020 Q22020 Q32020 Q42021 Q12021 Q22021 Q3
Limitation types
Health care ordersWorkplace rules
Addressees
  • State Survey Agency Directors
  • all Medicare and Medicaid participating HHAs
Functions reached
  • HC pre-entry screening of every patient and household at every visit; source control
  • SN
  • IC
  • HR symptomatic staff removed mid-visit
  • WF
  • CB
Collection
Home Care, Nursing and Senior Living SEC-04

Operative words

HHAs should be monitoring the health status of everyone (patients/residents/visitors/staff/etc.) in the homecare setting for signs or symptoms of COVID-19.... When making a home visit, HHAs should identify patients at risk for having COVID-19 infection before or immediately upon arrival to the home.... For ill patients, implement source control measures... Health care providers (HCP) who have signs and symptoms of a respiratory infection should not report to work. Any staff that develop signs and symptoms of a respiratory infection while on-the-job, should: Immediately stop work, put on a facemask, and self-isolate at home... This guidance applies to both Medicare and Medicaid providers.

Enforcement

Survey under the HHA conditions of participation (42 C.F.R. 484.70); State survey agencies

Notes

The first federal instrument directed specifically at home care; the operative verb is 'should' within a condition-of-participation framework.