The Centers for Medicare and Medicaid Services issued a QSO memo related to Appendix Z, Emergency Preparedness Regulation guidance. The updated guidance applies to the Medicaid Intermediate Care Facilities (ICF) program and did the following:
Expanded surveyor guidance to ensure Life Safety Code and health surveyors communicate/collaborate surrounding potential deficiencies for alternate source energy.
Added new definitions for testing exercises.
Clarified expectations surrounding documentation of the emergency program.
Added additional guidance/considerations for Emerging Infectious Diseases (EIDs) planning stages, including personal protective equipment (PPE).
Added additional guidance on risk assessment considerations, including EIDs.
Included planning considerations for surge and staffing.
Expanded guidance for surge planning- to include recommendations for natural disaster surge planning and EID surge planning.
Included recommendations during PHE’s for facilities to confer with the CDC and other public health agencies, which may issue event-specific guidance and recommendations to healthcare workers.
Clarified existing guidance surrounding the use of portable generators and maintaining temperature controls.
Expanded guidance and added clarifications related to alternate care sites and 1135 Waivers.
Expanded guidance and best practices related to reporting of facility needs, the facility’s ability to provide assistance, and occupancy reporting.
Revised guidance related to training and testing programs and how and when to implement the different drills and exercises.
Provided clarifications related to testing exercise exemptions when a provider/supplier experiences an actual emergency event.
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