Harmony Healthcare International (HHI) Blog

Vaccination COVID-19 Interim Final Rule: Top 6 Things to Know

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On November 4, 2021, the Centers for Medicare & Medicaid Services (CMS) released an Interim Final Rule requiring direct care workers in Medicare and Medicaid certified health care settings to be vaccinated against COVID-19.

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The Top 6 Things you need to know:

 

  • December 6th, 2021 First Dose

 

Staff at these health care facilities must receive the first dose of a 2-dose COVID-19 vaccine or a one-dose COVID-19 vaccine by December 6, 2021. All eligible staff must be fully vaccinated by January 4, 2022.

 

  • Vaccination Policy

 

Facilities covered by this regulation must establish a policy ensuring all eligible staff have received the first dose of a two-dose COVID-19 vaccine or a one-dose COVID-19 vaccine prior to providing any care, treatment, or other services by December 6, 2021.

 

  • January 4th, 2022 Fully Vaccinated

 

All eligible staff must have received the necessary shots to be fully vaccinated – either two doses of Pfizer or Moderna or one dose of Johnson & Johnson – by January 4, 2022. The regulation also provides for exemptions based on recognized medical conditions or religious beliefs, observances, or practices. Facilities must develop a similar process or plan for permitting exemptions in alignment with federal law. (I see there is not a weekly testing option for covered health care employees …)

 

  • Enforcement

 

CMS will ensure compliance with these requirements through established survey and enforcement processes. If a provider or supplier does not meet the requirements, it will be cited by a surveyor as being non-compliance and have an opportunity to return to compliance before additional actions occur.

 

  • Applies

 

Applies to 16 Medicare and Medicaid provider types, not Physician offices.

 

Including:

 

  • Ambulatory Surgical Centers,
  • Hospices,
  • Programs of All-Inclusive Care for the Elderly Hospitals,
  • Long-Term Care facilities.
  • Psychiatric Residential Treatment Facilities,
  • Intermediate Care Facilities for Individuals with Intellectual Disabilities.
  • Home Health Agencies.
  • Comprehensive Outpatient Rehabilitation Facilities,
  • Critical Access Hospitals,
  • Clinics
  • Rehabilitation agencies, and
  • Public health agencies as providers of outpatient Physical Therapy and
  • Speech-Language Pathology services.
  • Community Mental Health Centers,
  • Home Infusion Therapy suppliers,
  • Rural Health Clinics/Federally Qualified Health Centers, and
  • End-Stage Renal Disease Facilities.

 

  • The OSHA ETS rule for companies with 100 or more employees:

 

  • Deadline is January 4th for vaccination or workers must produce a negative COVID test at least once a week.
  • Employers do not need to pay for testing.
  • Workers must have time off to get vaccinated.
  • Unvaccinated workers must wear masks.
  • Religious and medical exemptions allowed.

 

Download CMS Omnibus Staff Vax Requirements - External FAQ (508 Compliant) Below

HH Click Here-jpg-Sep-30-2021-03-25-49-35-PM

Download FINAL - Staff Vax National Stakeholder Slides (508 Compliant) Below

HH Click Here-jpg-Sep-30-2021-03-25-49-35-PM

 

Download Vaccination Final Rule 11.5.2021 Below

HH Click Here-jpg-Sep-30-2021-03-25-49-35-PM

Download Vaccine Mandate P and P template 11.6.2021Below

HH Click Here-jpg-Sep-30-2021-03-25-49-35-PM

 

Topics: Regulatory, COVID-19, Vaccine


Kris Mastrangelo, OTR/L, LNHA, MBA

WRITTEN BY

Kris Mastrangelo, OTR/L, LNHA, MBA
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