HPP Pa%ent Movement Emergency Declara-on Licensing Waiver Process - PowerPoint PPT Presentation

HPP Pa%ent Movement Emergency Declara-on Licensing Waiver Process azdhs.gov Health and Wellness for all Arizonans

Objective s • Review of State Licensing Process – Based on Exercise feedback • Providers • ADHS Leadership and Staff • Local and County AuthoriGes – Efficiency gains: • Provider • County • Arizona Department of Health Services (ADHS) azdhs.gov Health and Wellness for all Arizonans

Waiver Authori-es • Arizona State Licensing • Centers for Medicare and Medicaid Services azdhs.gov Health and Wellness for all Arizonans

Protocol for Reques.ng State Waiver Requirements to request a state waiver include the following: Director of the Arizona Department of Health Services can approve waiver for specific rule(s) only aCer the Governor has signed a State of Emergency Declara.on. azdhs.gov Health and Wellness for all Arizonans

Protocol for Reques.ng State Waiver State waiver is limited to: • Geographic Area • County • State • Loca.on of emergency- domino effect • Specific Events • H1N1 • Natural disaster • Flooding • Winter storm azdhs.gov Health and Wellness for all Arizonans

Protocol for Reques.ng State Waiver Reques.ng Facility Must: Communicate the following to the Arizona Department of Health Services (ADHS)-Division of Licensing (DLS): • Describe why the e mergency w aiver is being requested. • Iden.fy what rule(s) are being requested to be waived. • Provide an.cipated .meframe for which the facility is reques.ng the waiver. • Each rule waiver will be .me limited and the Healthcare Ins.tu.on will need to return to compliance at the termina.on .me or • Each facility will need to submit an addi.onal request for the rule and new .meframe azdhs.gov Health and Wellness for all Arizonans

Waiver Documents • One Page Request Form – Documents the type of waiver request • Immediate 48 hour waiver – 48 hours begin at the Bme and date of the Emergency DeclaraBon by the Govenor of Arizona • Post 48 hour waiver – Request Process uBlized 48 hours post the Emergency DeclaraBon azdhs.gov Health and Wellness for all Arizonans

Steps to Ini+ate Waiver in a Licensed Healthcare Facility • Be located in an affected area that does not allow you to con+nue to provide services while maintaining compliance with the Rules and Regula+ons • No+fy the Arizona Department of Health Services Health Emergency Opera+ons Center via email at licensingwaivers@azdhs.gov • Provider to complete the ADHS request form provided on the ADHS web site • Once ADHS EOC is no+fied the request will be reviewed and facility no+fied of approval or other recommenda+ons • At +me of this no+fica+on the ADHS EOC will provide the facility with the correct spreadsheet for the provider to prepare for addi+onal waivers post 48 hours azdhs.gov Health and Wellness for all Arizonans

STATE LICENSING WAIVER REQUEST FORM azdhs.gov Health and Wellness for all Arizonans

FACILITY REQUEST FOR STATUTE AND RULES WAIVER DURING A DECLARED EMERGENCY BY THE GOVERNOR Requestor Signature: Name of Licensed Facility _ License Number _ _ Date Waiver Request _ Contact email: Type of Waiver Contact _ Immediate 1st 48 hrs Number: Requested Phone State Licensing Request Form Specific rule - ATach Rule set with identifie rule(s) d requeste Post 48 hrs of d declaration Other: idenXfied Comments: azdhs.gov Health and Wellness for all Arizonans

ARIZONA DEPARTMENT OF HEALTH SERVICES APPROVAL FOR STATUTE AND RULE WAIVER DURING A DECLARED DISASTER ADHS Approval Date and Time received by ADHS HEOC Signature: Date and Time Processed by ADHS HEOC Contact email: Contact Phone Number: Type of Waiver Approved Immediate 1st 48 Other: hrs Specific rule - Post 48 APach Rule hrs of set with azdhs.gov Health and Wellness for all Arizonans declaraR idenRfied on rule(s) approved

State Waiver Facility -1 Facility -2 Facility -3 Reques0ng waiver for: Reques0ng waiver for: Reques0ng waiver for: Rule-1 Rule-1 Rule-1 Rule-2 Rule-3 Rule-2 Rule-3 Rule-2 Rule-3 Approval by the Facility EOC State Declaration ADHS HEOC azdhs.gov Health and Wellness for all Arizonans

CMS Waiver Process Condi1ons of Par1cipa1on or Condi1ons for Coverage h6ps://www.cms.gov/Medicare/Provider-Enrollment- and-Cer1fica1on/SurveyCertEmergPrep/1135-Waivers azdhs.gov Health and Wellness for all Arizonans

Protocol for Reques.ng Centers for Medicare and Medicaid Services (CMS) Waiver Waiver or Modifica.on of Regulatory Requirements based on Sec.on 1135(b) of the Social Security Act are as follows: 1. Presiden.al declared state of emergency under Stafford Act or Na.onal Emergency Act; and 2. A waiver or modifica.on is invoked by the Secretary of the Department of Health and Human Services. azdhs.gov Health and Wellness for all Arizonans

CMS Waiver or Modifica/on The Secretary of State will Invoke when the Emergency • Poses a risk that sufficient healthcare items and services may not be available to meet the needs of individuals enrolled in Medicare, Medicaid and CHIP programs. • Providers are unable to comply with one or more of these requirements as a result of the emergency situa/on. azdhs.gov Health and Wellness for all Arizonans

Question s Thoughts Thank you for your continued Collaboration with the Department azdhs.gov Health and Wellness for all Arizonans 24