Combating the Novel Coronavirus (COVID-19): Week of Oct. 4

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MHA Monday Report logoThe number of Michiganders hospitalized with COVID-19 has continued to rise, with 1,811 adults and 35 children confirmed as inpatients Oct. 8. An additional 119 adults and six children were hospitalized with illnesses suspected to be COVID-19. Of that number, 485 adults were in intensive care units and 250 were ventilated.

The MHA continues to keep members apprised of pandemic-related developments affecting hospitals through email updates and the MHA Coronavirus webpage. Important updates are outlined below.

Pfizer Requests Emergency Use Authorization of COVID-19 Vaccine for Children Ages 5-11

Pfizer and BioNTech announced Oct. 7 that they have submitted a request to the U.S. Food and Drug Administration (FDA) for emergency use authorization in children ages 5-11. The FDA will review the evidence to determine whether the shots are safe and effective for this age group, and an independent expert panel will publicly debate the evidence Oct. 26. From that point, advisers to the Centers for Disease Control and Prevention (CDC) will make their recommendation, and the CDC will make a final decision. If regulators agree, shots could be available to the 5-11 age group within a matter of weeks.

The MHA will keep members informed as new details emerge. Those with vaccine questions may contact Ruthanne Sudderth at the MHA.

Nursing Care and Recovery Center Applications Re-opened

The Michigan Department of Health and Human Services (MDHHS) recently released a new policy bulletin to update regulations from November 2020 that allow COVID Relief Facilities and eligible nursing facilities to retain COVID-19-positive residents. Public Act (PA) 231 of 2020 established criteria under which nursing facilities could care for COVID-19-positive residents, with the statute put into effect through MSA Bulletins 20-73 and 20-78. Facilities designated as Care and Recovery Centers or COVID Relief Facilities will need to apply for that designation on a yearly basis.

Nursing facilities that had not applied for either designation before the Dec. 1, 2020, deadline may now apply if they wish to seek accreditation. Like the previous policy, nursing facilities that have applied for COVID Relief Facility designation but have not yet received approval/denial for participation may continue to care for individuals who have tested positive for COVID-19. Members with questions may contact Adam Carlson at the MHA.

Funding Available for Nursing Home Patients Awaiting Transfer

The MDHHS released a template in June to collect information from hospitals about the number of COVID-19-positive nursing facility patients who were retained by hospitals and had less than 72 hours remaining in their isolation period. The MDHHS will provide additional payment to hospitals for qualifying inpatient stays between Jan. 1 and Sept. 30, 2021.

The additional funding was a result of the MHA’s 2020 year-end advocacy efforts that totaled $3.3 million in gross funding for hospitals through Public Act 231 of 2020. The MDHHS will pay hospitals for each qualifying day until the funds are spent and will notify hospitals if the allotted funds for the additional payment are spent prior to the expected eligibility end date. The MHA encourages hospitals to complete and submit the template through the MDHHS File Transfer portal per the department’s instructions to receive the enhanced payment. Although the application period has been open for several months, a significant portion of funding remains available. Members that need a copy of the template may contact Jason Jorkasky at the MHA.

Additional information on the COVID-19 pandemic is available to members on the MHA Community Site and the MHA COVID-19 webpage. Questions on COVID-19 and infectious disease response strategies may be directed to the MDHHS Community Health Emergency Coordination Center (CHECC).

Member Input Sought to Enhance May 13 Cost Reporting Webinar

The MHA, in collaboration with Michigan Department of Health and Human Services (MDHHS), will host a webinar via Zoom from 9 to 10 a.m. EDT May 13 to discuss Medicaid cost report completion, submission, acceptance and settlement under the new Community Health Automated Medicaid Processing System Facility Settlement subsystem. This session will provide hospital staff an opportunity to meet the MDHHS cost report staff and leadership team, learn how to address potential issues presented by the changes, and engage in a question-and-answer session to improve the cost report life cycle under the new system.

Hospitals are encouraged to participate in this webinar, which is targeted to hospital staff who complete and submit the cost report and consulting or accounting firms hospitals use to assist with cost reports. The webinar is offered free of charge and no registration is required.

To enhance the value of the session, the MHA is seeking input by May 11 from member hospital staff regarding topics they would like the webinar to cover, including questions on the completion, submission and acceptance process for the cost report. The MHA will share this information with the MDHHS in advance so the identified issues can be addressed during the event. Members with questions should contact Jason Jorkasky at the MHA.