5/6/2020 Ma May 6, 6, 2020 2020 COV COVID ‐ 19 19 Upda Update Sponsored by Kansas Pharmacists Association 1 Agenda • Introduction • Update on State Re ‐ opening Plan • Testing Update • Emergency Use Authorizations • Other Federal Actions • Questions ‐ Moderated • Open Discussion ‐ Moderated 2 1
5/6/2020 State and Federal Resources • Please visit our website https://kansaspharmacistsassociation.wildapricot.org/COVID ‐ 19/ to view a list of resources and the latest information from: • KDHE • The CDC • US Department of Labor • The White House • OSHA • World Health Organization • US Food and Drug Administration • CMS • National Institutes of Health • National Institute of Allergies and Infectious Disease • USP 3 State Re ‐ Opening Plan • 4 phases • May 4 • May 19 • June 2 • June 16 • Based on metrics • Counties can be more, but not less, restrictive • Available at covid.ks.gov Graphic from Rep. Jeff Pittman, altered 4 2
5/6/2020 State Re ‐ Opening Plan • Metrics include: • State recommends that local governments monitor the same criteria as they move through stages of re ‐ opening locally • The state will not force communities to reopen Graphic from Rep. Jeff Pittman, altered 5 State Re ‐ Opening Plan • Phase one business guidelines: • Maintain at least six feet between consumers • Fundamental cleaning practices • Must avoid any instances in which groups of more than 10 are in one location and are unable to maintain six ‐ foot separation • Recommended pharmacy specific guidelines can be found at: • https://www.cdc.gov/coronavirus/2019 ‐ ncov/hcp/pharmacies.html • https://pharmacy.ks.gov/docs/default ‐ source/default ‐ document ‐ library/covid ‐ 19 ‐ kbop ‐ memo.pdf?sfvrsn=fcabab01_28 Graphic from Rep. Jeff Pittman, altered 6 3
5/6/2020 State Update • Legislative Coordinating Council meeting right now to decide how the end of session looks • Do they come back? • What do they consider when they come back? • How do they conduct their business if they come back? • Still no indication on when delivery fee answer will be coming from CMS Graphic from Rep. Jeff Pittman, altered 7 Testing • Emergency Use Authorizations (EUA) • No new point of care tests provided EUA since Abbott Lab ID Now test on March 27, 2020 • Three tests for point of care are all molecular tests that require specific test beds for processing outside of the clinical lab setting: • Abbott ID Now COVID ‐ 19 • Mesa Biotech Accula SARS ‐ CoV ‐ 2 Test • Cephid Xpert Xpress SARS ‐ CoV ‐ 2 Test Graphic from Rep. Jeff Pittman, altered 8 4
5/6/2020 Testing – Preparing to Test • Fill out your CLIA Waiver Application CMS ‐ 116: https://www.cms.gov/Medicare/CMS ‐ Forms/CMS ‐ Forms/Downloads/CMS116.pdf • Verify or enroll in Medicare Part B, if appropriate: https://pecos.cms.hhs.gov/pecos/login.do#headingLv1 • Become familiar with the COVID ‐ 19 Uninsured Program Portal through HRSA: https://www.hrsa.gov/coviduninsuredclaim • Enroll with and become familiar with the KS COVID ‐ 19 Online Reporting Portal: https://www.communitycareks.org/wp ‐ content/uploads/2020/05/COVID ‐ Reporting ‐ Portal ‐ User ‐ Guide.pdf Graphic from Rep. Jeff Pittman, altered 9 Testing – Preparing to Test • Fill out your CLIA Waiver Application CMS ‐ 116 • Make sure to identify specific COVID ‐ 19 tests you will be performing a • Include estimated number of tests to administer • Medicare Part B • 855A for sole proprietorships • 855B for anyone else • Right now fees are being waived under the 1135 waiver and days to process are at under 7 days, as compared to average of 3 months before Graphic from Rep. Jeff Pittman, altered 10 5
5/6/2020 Testing – Preparing to Test • COVID ‐ 19 Uninsured Program Portal • HHS providing claims reimbursement to health care providers for testing uninsured • Good for testing provided after February 4, 2020 • Limited to available funding • Steps include: • Enrolling • Checking patient eligibility • Submitting patient info • Submitting claims • Receiving payment via direct deposit Graphic from Rep. Jeff Pittman, altered 11 Testing – Preparing to Test • COVID ‐ 19 Uninsured Program Portal • To participate you must attest: • You have verified patient’s uninsured status • You will accept defined program reimbursement as payment in full • You will not balance bill the patient • You agree to terms and conditions and may be subject to audit review • What’s covered • Specimen collection, diagnostic and antibody testing • Testing related visits • Treatment • FDA ‐ approved vaccine, when available Graphic from Rep. Jeff Pittman, altered 12 6
5/6/2020 Testing – Preparing to Test • PPE • BIOKANSAS has created a webpage listing regional companies that are currently taking orders for critical supplies. • https://www.biokansas.org/page/COVIDSuppliers • In addition to traditional supplier channels check with your local health department or emergency management office to see if you can access any local allocations of PPE Graphic from Rep. Jeff Pittman, altered 13 QUESTIONS 14 7
5/6/2020 DISCUSSION 15 8
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