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COVID-19 Resources

 

Official Notices, Updates, and Recommendations

  • Centers for Medicare and Medicaid Services
    • Providers Can Skip 2019 MIPS Reporting Due to Coronavirus Crisis: As part of the federal government’s response to the COVID-19 pandemic, CMS has announced relief measures for providers who are bound to participate in its quality reporting programs, including the Merit-based Incentive Payment System (MIPS).
    • CMS Temporary Waivers for Medicare State Licensure and Enrollment: To prevent gaps in access to care for patients impacted by COVID-19, the Centers for Medicare & Medicaid Services (CMS) has issued temporary waivers to allow non-participating physicians and non-physician practitioners to enroll in the Medicare program. In addition, CMS will also allow licensed health care providers already enrolled in Medicare to provide medical services across state lines.   CMS has provided Frequently Asked Questions (FAQs) on Medicare Provider Enrollment Relief including toll-free hotlines to expedite the enrollment process and answer questions related to COVID-19 enrollment requirements.
    • CMS National Stakeholder Calls on COVID-19: The Centers for Medicare & Medicaid Services (CMS) has been hosting regular calls with a variety of clinicians, hospitals, other facilities and states to keep stakeholders updated on COVID-19 efforts. If you can’t attend the live calls, please access recordings and transcripts he  
  • Healing Arts COVID-19 Waivers: Linked below are the waivers that have been approved as a result of Executive Orders Executive Order 20-02  and Executive Order 20-04. Licensed professionals who wish to come to Missouri to assist with COVID-19 are not required to meet the requirements listed in the table below if their practice is solely related to COVID-19. For professionals seeking licensure in Missouri on a permanent basis all statute, rules and regulations continue to apply. For individuals who hold a retired or inactive license, you may return to practice to assist solely with COVID-19; however, if you wish to practice beyond COVID-19, the following waivers do not apply. Click HERE to learn more.

 

 


Telemedicine

  • Telemedicine, the Physician – Patient Relationship, and Prescribing During COVID-19 Pandemic

MAOPS has received several inquiries regarding prescribing controlled substances during the COVID-19 pandemic since patients are being encouraged to avoid non-essential physician and hospital visits. On March 18, Governor Mike Parson issued Executive Order 20-04. In this order he temporarily suspended the provisions of subsections 1 and 4 of section 334.108, section  191.1146, and 20 CSR 2220-020(11) relating to telemedicine and pharmacology for telemedicine, in order to allow physicians licensed under Chapter 334, RSMo, to decrease the risk of exposure to both healthcare providers and patients.

 

Subsection 1 of 334.108 states: Prior to prescribing a drug, controlled substance or other treatment through telemedicine, as defined in section 191.1145, or the internet, a physician shall establish a valid physician-patient relationship as described in section 191.1146.” Subsection 4 states: No healthcare provider shall prescribe any drug, controlled substance, or other treatment to a patient based solely on an internet request or an internet questionnaire. The Executive Order temporarily suspends these subsections.

 

Section 191.1146 defines how a physician-patient relationship is established. It states that a physician who uses telemedicine shall ensure that a properly established physician-patient relationship exists with the person who received the telemedicine services. It then goes on to describe how a physician-patient relationship may be established, including through telemedicine. The Executive Order temporarily suspends this section.

  • Expanded Medicare Telehealth Services During Pandemic: Fact Sheet and  FAQ on this issue.
  • Multiple Chronic Conditions: Telehealth Guidelines : See the following guidelines provided by Health Recovery Solutions (HRS) on CMS for patients with multiple chronic conditions. (MAOPS has no financial relationship, not agreements to officially endorse the products of HRS.)
  • Free Dialer Access expanded to all US Healthcare Staff: Dialer is a program through the Doximity app that displays the office/hospital name and number on the patient's caller ID when being called from the cell phone of a member of a Physician-led healthcare team. Previously for healthcare providers only, this service is now available to all U.S. healthcare staff to aid in working remotely. Sign up HERE.
  • AOA Telemedicine Guidance for DOs: Barriers to telemedicine are rapidly disappearing in order to treat patients. To assist physicians through this transition, AOA staff has developed a telemedicine page on osteopathic.org,

 


Helpful Resources

  • Mask Up  Missouri: MAOPS joined the Missouri Hospital Association (MHA) and other healthcare groups encouraging Missourians to “Mask Up” in public to limit the spread of COVID-19. The organizations have created a poster that can be used in physician offices and other public places. MAOPS members are encouraged to use this poster in their offices and share it with colleagues.   
  • MHA Resource: Regional COVID-19 Dashboards: The Missouri Hospital Association (MHA) is producing weekly COVID-19 dashboards providing regional trends and models of predicted cases. Use the links below to see what’s going on in your region and around the state.
  • FREE Online PPE Training: This FREE training titled, "Personal Protective Equipment: Increasing Healthcare Worker Saftey" is self-paced and has versions available for clinical and non-clinical personnel and those working in acute care, long term care, medical practices, dental practices, and direct care. Click HERE to learn more.
  • DHSS Online Resources: The Missouri Department of Social Services has provided unlimited access to one of its partner’s online trainings to help healthcare professionals and individuals prepare for and prevent the spread of infection. These include courses on:
  • COVID-19 Show-Me ECHO : COVID-19 ECHO will provide up-to-date information and support for health care stakeholders across Missouri. A multidisciplinary expert team led by Missouri Department of Health and Senior Services Director Randall Williams, MD, will share the latest developments, answer questions, and discuss management of patient cases presented by participants. The COVID-19 ECHO will meet via Zoom videoconferencing every Monday from noon to 1 p.m.  Click here to learn more. 
  • Openxmed Platform for Primary Care Physicians : Openxmed is a medical knowledge platform created by a team of Infectious Disease physicians. It provides current COVID-19 updates, guidelines, and advice and is meant to be a streamlined resource for primary care providers who are on the front lines. Create an account here.
  • Prepare to Care for COVID-19: Get Your Practice Ready This is a resource with practical tools clinicians can use to care for patients with COVID-19, and will be regularly updated to help clinicians adapt as the outbreak "unfolds”. It includes printable signage to hang in the clinic and patient handouts with tips for home care. For more information, click HERE.
  • Free COVID-19 Job Posts to Address Surge Capacity: Doximity is offering a free job posting service to medical facilities to accommodate the increase in COVID-19 related staffing needs. If you are interested in recruiting staff through this service, click here to sign up. Click here to see open positions that have been posted.

Wellness Resources

  • MAOPS Member Assistance Program (MAP):  The MAP is an exclusive member benefit* provided by the Missouri Association of Osteopathic Physicians and Surgeons. In addition to counseling services offered by licensed professionals, it provides an opportunity to learn strategies to better communicate with your family, friends, colleagues, employees and employer. Regardless of the issue, the MAOPS MAP can assist you as you navigate your way to better health in all aspects of your life. It is voluntary and completely confidential. ( Click HERE  to learn more!)
  • Free Online Exercise Resources:

 

 

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