Health Care Professionals

• 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

• 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

• Guidance for Home Health Agencies
  Guidance from CMS for Infection Control and Prevention Concerning Coronavirus Disease 2019 (COVID-19) in Home Health Agencies (HHAs)
  • CMS QSO -18-HHA

• 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

• 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.
    • Intermediate Care and Skilled Nursing Facilities - Testing for Tuberculosis
    • 85.042-27 - TB testing

  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.
    • Residential Care and Assisted Living Facilities
    • 86.022 Waiver Implementation 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.
    • Physical Plan Requirements for Intermediate Care, Skilled Nursing, Residential Care and Assisted Living Facilities

  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.

  • Long Term Care Facilities Exception to Licensure Requirements and Second Business Waiver
  • Residential Care and Assisted Living Facilities - Second Business Approvals

• 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.
  • Adult Day Care Requirements
  • ADC Waiver Implementation Guidance

• 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.
  • LIMA Waiver Implementation
  • Level I Medication Aide

• 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.
  • Certified Medication Technician Training Program
  • CMT waiver implementation

• 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
  • Insulin Administration Training Program
  • Insulin Administration Program Waiver Implementation
• 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.
  • 19 CSR 30-85 SNF-ICF Waiver Implementation
  • Intermediate Care and Skilled Nursing
  • Intermediate Care and Skilled Nursing Facilities
  • Intermediate Care and Skilled Nursing Facilities (2)
  • Intermediate Care and Skilled Nursing Facilities (3)
• 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 from the Missouri Board of Pharmacy
  Specific information and guidance for pharmacists in Missouri for work during the COVID-19 pandemic, including related waivers

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.

• CDC Guidance on Obtaining Postmortem Specimens

• CDC Outpatient Dialysis Facilities Preparedness
  CDC Outpatient Dialysis Facility preparedness assessment tool