State of Florida update
Today, Governor DeSantis issued Executive Order 20-85, directing the Department of Management Services (DMS) to ensure all state employees have access to telehealth services through the state’s contracted HMO plans and PPO organization plan without cost sharing, while also ensuring that all cost sharing that would have been applicable to state employees seeking immunization services under this Executive Order for the influenza vaccination be waived.
Actions the state has taken to respond to COVID-19:
DEPARTMENT OF HEALTH
• At the direction of Governor DeSantis, State Surgeon General Dr. Scott Rivkees declared a Public Health Emergency for COVID-19 in Florida.
• Governor DeSantis announced that the State ordered an additional 2,500 test kits to supplement the adequate resources already available to test for COVID-19. These additional test kits will enable the Department of Health, working with Florida health care providers, to test up to an additional 625,000 individuals. The Governor also suspended non-essential in state and all out-of-state travel for state employees for 30 days.
• Established an Incident Management Team to coordinate response operations.
• Defined a high-level phased response strategy for COVID-19.
• Activated a dedicated incident command post for on-site response activities.
• Conducted three public health and health care stakeholder conference calls to provide statewide updates on the current outbreak situation, response actions and guidance for pandemic planning. Over five hundred participants joined the calls.
• Established a public call center for questions regarding COVID-19. The call center launched Monday, March 2 and is open 24/7.
• Developed and distributed COVID-19 presentation materials to County Health Departments (CHD) for use at community meetings.
• Activated the Joint Information Center in coordination with the Division of Emergency Management.
• Developed and implemented protocols for investigation, surveillance and monitoring for COVID-19 to rapidly detect and contain cases.
• Established mechanisms for monitoring and coordination with the Centers for Disease Control and Prevention (CDC) regarding epidemiological activities.
• Distributed CDC Interim Guidance for public health personnel evaluating Persons Under Investigation (PUI) and asymptomatic close contacts of confirmed cases at their home or non-home residential settings to CHDs.
• Approved and disseminated an updated Clinician Screening Tool for identifying COVID-19 PUIs.
• Implemented testing at all three State Public Health Laboratories.
• Distributed updated CDC guidance for schools to CHDs and the Department of Education.
• Distributed updated laboratory guidance regarding implementation of testing at State Public Health Laboratories.
• Developing a laboratory surge plan.
• Identifying and monitoring close contacts of presumptive cases. Any close contacts with symptoms will be tested.
• Implemented private lab testing.
• Developed and disseminated pandemic planning guidance.
• Advised CHDs and HCCs to retain expired personal protective equipment until further until further notice.
• Developing infographics for first responders (fire, law enforcement and EMS) regarding infection control and personal protection for COVID-19.
• At the Governor’s direction, a public-private partnership has been put in place between Memorial Healthcare in Broward and the National Guard to set up a mobile testing unit.
• At the direction of Governor DeSantis hiring additional epidemiologists from university health programs to help with workload.
• Governor DeSantis directed the Agency for Health Care Administration (AHCA) to extend all existing nursing home and assisted living facility licenses for 90 days to remove distraction from patient care.
• Launched an interactive data tracking dashboard on floridahealthcovid19.gov that is updated twice daily.
• Developing protocols for County Health Departments in the protection of their staff and clinic activities through the development of safety and health guidance.
• Continue to have daily hospital calls and began having daily calls with the aging and vulnerable population groups.
• Continue to coordinate efforts for obtaining lab testing supplies.
DIVISION OF EMERGENCY MANAGEMENT
- To support communities responding to COVID-19, Governor DeSantis has directed FDEM Director Jared Moskowitz to expedite the delivery of more than $170 million in Hurricane Irma reimbursements to cities, counties and hospital districts that have now reached the 50-percent auditing threshold to receive funds.
- After conducting a thorough assessment of needs, Director Moskowitz has requested the following supplies through Direct Federal Assistance. Supplies are being delivered on a rolling basis, and inventory is being distributed throughout the state 24 hours a day.
- 5 mobile intensive care units
- 5,000 ventilators
- 5,000 hospital beds
- 50,000 two oz. bottles of hand sanitizer
- 250,000 coveralls
- 500,000 gloves
- 500,000 gowns
- 500,000 collection kits
- 100,000 16 oz. bottles of hand sanitizers
- 150,000 Personal Protective Equipment kits, including coveralls, gowns, and goggles
- 2 million N95 face masks
- Find more information on DEM’s response to COVID-19 here.
AGENCY FOR HEALTH CARE ADMINISTRATION
- AHCA expanded its event on the Emergency Status System (ESS) requesting hospitals to enter information on Personal Protective Equipment and ventilator counts. The ESS continues to track census information, emergency room status updates, isolation beds, and nursing home and assisted living facility bed capacity.
- AHCA and the Department issued guidance for Senior Living Communities (independent living) on COVID-19 best practices, advising facilities to cease communal activities, practice social distancing and restrict community outings.
- AHCA distributed telemedicine guidance to health care providers for behavior analysis services.
- AHCA distributed an overview to iBudget providers of the revised payment methodology that will be used over the next few months to help support providers of adult day training, residential habilitation, life skills development level 1-companion and in-home personal supports. Retention payments will be made to give necessary financial support to providers who would otherwise not receive payment due to current public distancing requirements.
- Secretary Mayhew is working directly with hospitals and large health systems to identify potential vacant wings or buildings to provide additional hospital inpatient capacity should it become necessary.
- On March 16, Florida became the first state to receive CMS approval of its 1135 Medicaid Waiver giving AHCA more flexibility for its COVID-19 response efforts. This federal action lifts Medicaid prior authorization requirements for critical health care services and allows for expedited provider enrollment.
- AHCA will be granting a 90-day extension to all licenses for health care providers and regulated facilities.
- AHCA is distributing information regarding regulatory flexibilities created by waivers from the Centers for Medicare and Medicaid Services (CMS) related to skilled nursing facilities, critical access hospitals, home health agencies, durable medical equipment, provider enrollment, etc.
- Find more information on ACHA’s response to COVID-19