Health Care Professionals
Click here for the latest health advisories, guidance and alerts for health care providers
Information for Missouri Health Care Providers
- MIS-C Case Reporting Instructions
- MIS-C Case Report Form-Fillable
- MIS-C Case Report Form-Non Fillable
- CDC Guidance
Primary CDC page with resources for providers - Missouri PCR Testing Update for Providers NEW
- Serological Testing Quick Facts for Providers NEW
- Cheat Sheet: Strategies to Optimize PPE and Equipment
Overview and strategies for PPE optimization based on CDC’s new guidelines following PPE shortages due to COVID-19 - CMS Guidance for Use of Respirators
Guidance for use of certain industrial respirators by health care personnel - Department of Mental Health Pandemic Communications Guidebook
Response and recovery planning for public leaders and spokespersons. - Health Update: New Criteria to Guide Evaluation and Laboratory Testing for COVID-19 at the Missouri State Public Health Laboratory (Issued April 22, 2020)
- Healthcare Respiratory Protection Annual Fit-Testing for N95 Filtering Facepieces During the COVID-19 Outbreak
Occupational Safety and Health Administration (OSHA) Temporary Enforcement Guidance - Healthcare Respiratory Protection Annual Fit-Testing for N95 Filtering Facepieces During the COVID-19 Outbreak - Interim Clinical Guidance for Management of Patients with Confirmed Coronavirus Disease (COVID-19)
From the CDC, for Health Care Professionals Preparing for Possible Management and Treatment of Confirmed Cases - Missouri Interim Guidance on Crisis Capacity Strategies for PPE
Missouri Interim Guidance on Crisis Capacity Strategies for PPE for Employees Working with Patients/Clients in Congregate Living Environments or in One-on-One or Small Group Settings - COVID-19: Tackling the N95 Shortage with Novel Decontamination
Article from the American Medical Association in collaboration with the University of Nebraska Medical Center on PPE decontamination methods - Novel Coronavirus Information Call for Missouri Health Care Providers - 2.19.2020
Audio Recording of the Call - Novel Coronavirus Information Call for Missouri Health Care Providers - 1.30.2020
Audio Recording of the Call - OSHA Guidance
Steps all employers can take to reduce workers’ risk of exposure - Testing and Packaging of COVID-19 Samples: DHSS
Video with guidance from the State Public Health Laboratory
Dental Professionals
- COVID Prevention Tips from MDA
- COVID-19 Dental Office Breakroom Tips from MDA
- COVID-19 "What If" Scenarios – Updated 9/1/20
- Protocols to Follow if a Staff or Household Member is COVID-19 (ADA)
- OSAP/DentaQuest - Best Practices for Infection Control in Dental Clinics During The COVID-19 Pandemic
- CDC – Interim Infection Prevention and Control guidance for Dental settings During the COVID-19 Response
- Guidance for Dentistry Workers and Employers
- Dental Practice Recovery
Guidance from the Missouri COVID-19 Dental Task Force - ADA Coronavirus Resource Center for Dentists
Guidance and recommendations from the American Dental Association - ADA COVID-19 Coding and Billing Interim Guidance
Interim guidance from the ADA regarding coding and billing - ADA Guidance on Ethics of Continuing to See Patients
Guidance from the ADA regarding how dentists ethically continue to see patients during the COVID-19 pandemic - ADA Interim Mask and Face Shield Guidelines
Interim guidelines from the ADA regarding mask and face shields - Aerosols and Infection Risk in the Dental Operatory
Quick review of literature around dental office aerosols and infection risk - COVID-19 and Challenges for Dental and Oral Medicine
Coronavirus Disease 2019 (COVID-19): Emerging and Future Challenges for Dental and Oral Medicine, Article from the Journal of Dental Research
Home Health
- Guidance for Home Health Agencies
Guidance from CMS for Infection Control and Prevention Concerning Coronavirus Disease 2019 (COVID-19) in Home Health Agencies (HHAs)
Hospice
- DHSS Guidance on Hospice Care in Long-Term Care Facilities
Guidance from DHSS about providing hospice care in long-term care facilities - Guidance for Hospice Agencies
Guidance from CMS for Infection Control and Prevention Concerning Coronavirus Disease 2019 (COVID-19) in Home Health Agencies (HHAs)- Supporting Coronavirus Prevention
Specialized information from the National Long-Term Care Ombudsman Resource Center for protecting long-term care consumers, family members and staff
- Supporting Coronavirus Prevention
Information for Long-Term Care Facilities
- Long-Term Care Facility Staff: Answering Common Questions About COVID-19 Vaccines
- Long-Term Care Residents and Loved Ones: Answering Common Questions About COVID-19 Vaccines
- Guidance for Long-Term Care Facilities During the Holidays
- Guidance for Beauty and Barber Shop Services
- CMS Memo: Holiday Leave
- Guidance for Long Term Care Facilities to Establish Essential Caregiver Programs and to Allow Visits NEW!
- Guidance on Reopening of Long-Term Care Facilities
- Guidance Considerations for Communal Dining and Group Activities
- Mutual Aid Agreement Template
The COVID-19 response has resulted in many healthcare providers experiencing staffing shortages in their provision of care. As one option to assist with these short-term staffing shortfalls in the long-term care industry, the Missouri Health Care Association, Missouri Hospital Association and the Missouri Department of Health and Senior Services have developed a mutual aid agreement template. This template may be used by any long-term care facility and a partnering healthcare provider of any type to voluntarily and independently assist the long-term care facility with short-term staffing shortfalls.
The agreeing parties may modify the template as needed. It is not necessary that the agreeing parties notify any entity of their use of the mutual aid agreement template to address staffing shortfalls. However, technical assistance regarding the template is available through Missouri Health Care Association at MHCA@mohealthcare.com
- Residential Care Facility II waivers
SLCR has issued guidance for the implementation of state waivers related to homes who are licensed as Residential Care Facilities (II) and comply with Administrative, Personnel and Resident Care Requirements under 19CSR30-86.043. Read through this important guidance. Questions related to these waivers can be emailed to RegulationUnit@health.mo.gov.
- State Waivers For Residential Care Facilities
SLCR has issued guidance for the implementation of state waivers related to residential care facilities. Read through this important guidance. Questions regarding these waivers should be directed to RegulationUnit@health.mo.gov
- State Waiver for Intermediate Care and Skilled Nursing Facilities
- SLCR has issued guidance for the implementation of state waivers related to tuberculosis testing for employees and staff. Read through this important guidance.
Questions regarding these waivers should be directed to RegulationUnit@health.mo.gov.
- State Waivers for Fire Safety and Emergency Preparedness Standards for Residential Care and Assisted Living Facilities
- SLCR has issued guidance for the implementation of state waivers related to Fire Safety and Emergency Preparedness Standards for Residential Care and Assisted Living Facilities. Read through this important guidance.
Questions regarding these waivers should be directed to RegulationUnit@health.mo.gov.
- The Department of Health and Senior Services has issued waivers related to:
- Physical Plant Requirements for all levels of care regarding the two year electrical certification. This waiver allows the required written certification by a qualified electrician to be delayed. Facilities have until two (2) months after the state of emergency has concluded to be current with the required maintenance of electrical systems.
Questions regarding these waivers should be directed to RegulationUnit@health.mo.gov.
- The Department of Health and Senior Services has issued waivers related to current exceptions and second business approvals:
- Existing exceptions to state regulations for all levels of care will continue beyond the time specified in the approval notice. Facilities shall have until two (2) months after the state emergency has ended to submit renewal requests to the department.
- Existing second business approvals to continue beyond the time specified in the approval notice. Facilities shall have until two (2) months after the state emergency has ended to submit renewal requests.
Questions regarding these waivers should be directed to RegulationUnit@health.mo.gov.
- State Waivers for Adult Day Care Programs
SLCR has issued guidance for the implementation of state waivers related to adult day care programs. Read through this important guidance. Questions regarding these waivers should be directed to RegulationUnit@health.mo.gov.
- IMPORTANT INFORMATION REGARDING STATE WAIVER IMPLEMENTATION FOR THE LEVEL I MEDICATION AIDE TRAINING PROGRAM: SLCR has issued guidance for the implementation of state waivers related to the Level I Medication Aide training program. Read through this important guidance. Questions regarding these waivers should be directed to CNARegistry@health.mo.gov.
- IMPORTANT INFORMATION REGARDING STATE WAIVER IMPLEMENTATION FOR THE CERTIFIED MEDICATION TECHNICIAN TRAINING PROGRAM: SLCR has issued guidance for the implementation of state waivers related to the certified medication technician training program. Read through this important guidance.
- CDC Guidance
Strategies to prevent spread - CMS Memo: COVID-19 Long-Term Care Facility Transfer Scenarios
Guidance providing supplemental information related to transferring or discharging residents between facilities for the purpose of cohorting residents based on COVID-19 status - COVID-19 Emergency Declaration from CMS
Health Care Providers Fact Sheet from CMS about the COVID-19 Emergency Declaration and blanket waivers available - DHSS Guidance on Hospice Care in Long-Term Care Facilities
Guidance from DHSS about providing hospice care in long-term care facilities - DHSS Interim Recommendations for PPE Sterilization, Re-Use and Extended Use
Guidance with details regarding sterilization, re-use and extended use of personal protective equipment
- DHSS LTC Regions Map
Map of DHSS Long-Term Care regions. - Guidance from DHSS Regarding Residents Leaving Facility
Guidance memo for long term care facilities on residents leaving the facility - Hospital to Facility Transfer
- Information for Nurse Assistant Training Program Waiver Implementation
Information from DHSS about the state and federal waivers related to the training and certification of nurse aides - Insulin Administration Training Program Waivers
SLCR has issued guidance for the implementation of state waivers related to the certified medication technician training program. Please read through this important guidance. Questions regarding these waivers should be directed to CNARegistry@health.mo.gov - Memo from DHSS to All Missouri Long-Term Care Facilities
Memo from Director Randall Williams, MD, regarding COVID-19 response in facilities and visitor restrictions - Memo from the Missouri Board of Nursing Home Administrators
Guidance from the Missouri Board of Nursing Home Administrators on flexibility of completing required continuing education clock hours
- Missouri LPHA Directory
Locate or learn about local health departments in Missouri - Medicare Fee-for-Service Response Bulletin
Bulletin from MLN Matters for providers and suppliers who bill Medicare Fee-for-Service - Post-Acute Care and Behavioral Health to Hospital Transfer
- State Waivers For Assisted Living Facilities
SLCR has issued guidance for the implementation of state waivers related to assisted living facilities. Read through this important guidance. Questions regarding these waivers should be directed to RegulationUnit@health.mo.gov. - Assisted Living Facilities Requirements
- Assisted Living Facilities Requirements (2)
- Assisted Living Waiver 86.047 Implementation Guide
- State Waivers For Skilled Nursing Facilities and Intermediate Care Facilities
SLCR has issued guidance for the implementation of state waivers related to skilled and intermediate care facilities. Read through this important guidance. Questions regarding these waivers should be directed to RegulationUnit@health.mo.gov. - Supporting Coronavirus Prevention in LTC Facilities
Specialized information from the National Long-Term Care Ombudsman Resource Center for protecting long-term care consumers, family members and staff - Updated CMS Guidance Document
Updated memo to include visitation guidance - Waiver Implementation for Pre-Admission Screening and Resident Review
Notice from DHSS regarding a Waiver to suspend pre-admission screening and annual resident review
Information for Pharmacists
- Information from the Missouri Board of Pharmacy
Specific information and guidance for pharmacists in Missouri for work during the COVID-19 pandemic, including related waivers
Information for Coroners and Medical Examiners
Unless COVID-19 was clinically suspected, there is no reason to test. In such a scenario, the reason to test a deceased body is to determine cause of death when testing was not done pre-mortem and manage exposed contacts that occurred prior to the death. In order to receive testing approval through the MO State Public Health Laboratory, the coroner or medical examiner would need to follow the same protocol utilized by other healthcare providers in order to receive approval for testing. The clinical information or contact exposure information that makes the person eligible for testing by the MO State Public Health Lab would still apply. Without having this information, the person is not eligible for testing through the Missouri State Public Health Lab.
Information for Outpatient Dialysis Facilities
- CDC Outpatient Dialysis Facilities Preparedness
CDC Outpatient Dialysis Facility preparedness assessment tool