HPP Pa%ent Movement Emergency Declara-on Licensing Waiver Process - - PowerPoint PPT Presentation

HPP Pa%ent Movement

Emergency Declara-on Licensing Waiver Process

azdhs.gov

Health and Wellness for all Arizonans

Objective s

• Review of State Licensing Process

– Based on Exercise feedback

• Providers
• ADHS Leadership and Staff
• Local and County AuthoriGes

– Efficiency gains:

• Provider
• County
• Arizona Department of Health Services

(ADHS)

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Health and Wellness for all Arizonans

Waiver Authori-es

• Arizona State

Licensing

• Centers for Medicare

and Medicaid Services

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Health and Wellness for all Arizonans

Protocol for Reques.ng State Waiver

Requirements to request a state waiver include the following: Director of the Arizona Department of Health Services can approve waiver for specific rule(s) only aCer the Governor has signed a State of Emergency Declara.on.

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Health and Wellness for all Arizonans

Protocol for Reques.ng State Waiver

State waiver is limited to:

• Geographic Area
• County
• State
• Loca.on of emergency- domino effect
• Specific Events
• H1N1
• Natural disaster
• Flooding
• Winter storm

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Health and Wellness for all Arizonans

Protocol for Reques.ng State Waiver

Reques.ng Facility Must:

Communicate the following to the Arizona Department of Health Services (ADHS)-Division of Licensing (DLS):

• Describe why the emergency waiver is being requested.
• Iden.fy what rule(s) are being requested to be waived.
• Provide an.cipated .meframe for which the facility is reques.ng the

waiver.

• Each rule waiver will be .me limited and the Healthcare Ins.tu.on

will need to return to compliance at the termina.on .me

• r
• Each facility will need to submit an addi.onal request for the rule

and new .meframe

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Health and Wellness for all Arizonans

Waiver Documents

• One Page Request Form

– Documents the type of waiver request

• Immediate 48 hour waiver

– 48 hours begin at the Bme and date of the Emergency DeclaraBon by the Govenor of Arizona

• Post 48 hour waiver

– Request Process uBlized 48 hours post the Emergency DeclaraBon

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Health and Wellness for all Arizonans

Steps to Ini+ate Waiver in a Licensed Healthcare Facility

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Health and Wellness for all Arizonans

• Be located in an affected area that does not allow you to

con+nue to provide services while maintaining compliance with the Rules and Regula+ons

• No+fy the Arizona Department of Health Services Health

Emergency Opera+ons Center via email at licensingwaivers@azdhs.gov

• Provider to complete the ADHS request form provided on

the ADHS web site

• Once ADHS EOC is no+fied the request will be reviewed

and facility no+fied of approval or other recommenda+ons

• At +me of this no+fica+on the ADHS EOC will provide the

facility with the correct spreadsheet for the provider to prepare for addi+onal waivers post 48 hours

STATE LICENSING WAIVER REQUEST FORM

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State Licensing Request Form

FACILITY REQUEST FOR STATUTE AND RULES WAIVER DURING A DECLARED EMERGENCY BY THE GOVERNOR

Name of Licensed Facility Requestor Signature: _ License Number _ Date Waiver Request _ _ Type of Waiver Requested Contact email: Contact Phone Immediate 1st 48 hrs Number: _ Specific rule - ATach Rule set with identifie d rule(s) requeste d idenXfied Post 48 hrs of declaration Other: Comments:

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Health and Wellness for all Arizonans

ARIZONA DEPARTMENT OF HEALTH SERVICES APPROVAL FOR STATUTE AND RULE WAIVER DURING A DECLARED DISASTER

Date and Time received by ADHS HEOC ADHS Approval Signature: Date and Time Processed by ADHS HEOC Contact email: Contact Phone Number: Type of Waiver Approved Immediate 1st 48 hrs Other: Specific rule - APach Rule set with idenRfied rule(s) approved Post 48 hrs of declaraR

• n

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Approval by the Facility EOC

Facility -1

Reques0ng waiver for: Rule-1 Rule-2 Rule-3

Facility -2

Reques0ng waiver for: Rule-1 Rule-2 Rule-3

Facility -3

Reques0ng waiver for: Rule-1 Rule-2 Rule-3

State Declaration

ADHS HEOC

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Health and Wellness for all Arizonans

State Waiver

CMS Waiver Process Condi1ons of Par1cipa1on or Condi1ons for Coverage

h6ps://www.cms.gov/Medicare/Provider-Enrollment- and-Cer1fica1on/SurveyCertEmergPrep/1135-Waivers

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Health and Wellness for all Arizonans

Protocol for Reques.ng Centers for Medicare and Medicaid Services (CMS) Waiver

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Health and Wellness for all Arizonans

Waiver or Modifica.on of Regulatory Requirements based on Sec.on 1135(b) of the Social Security Act are as follows: 1. Presiden.al declared state of emergency under Stafford Act or Na.onal Emergency Act; and 2. A waiver or modifica.on is invoked by the Secretary of the Department of Health and Human Services.

CMS Waiver or Modifica/on

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Health and Wellness for all Arizonans

The Secretary of State will Invoke when the Emergency

• Poses a risk that sufficient healthcare items and services may not

be available to meet the needs of individuals enrolled in Medicare, Medicaid and CHIP programs.

• Providers are unable to comply with one or more of these

requirements as a result of the emergency situa/on.

Health and Wellness for all Arizonans

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Question s Thoughts

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Thank you for your continued Collaboration with the Department