COVID-19 Guidance for Community Providers - Community Care
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COVID-19 Guidance for Community Providers

VA is pleased to offer guidance and support for providers across the nation to manage the COVID-19 public health emergency, particularly rural providers.

Guidance, support, and resources related to COVID-19 is provided on this page for any provider in the United States serving the public, as part of VA’s fourth mission to support the Nation during times of national crisis.

Specific guidance is also provided for community providers who provide health care services to Veterans on behalf of VA.

Dr. Kameron Matthews, VHA Deputy Under Secretary for Health for Community Care, provides an update and thanks community providers who are serving Veterans during this pandemic.

VA announces ‘Fourth Mission,’ actions to help America respond to COVID-19

Training for Clinical Staff (COVID-19)

This critical COVID-19 training is offered through VA and other sources without the need to create an account or login. All training is free, and some have associated accreditation.

Training for clinical staff are aligned to the following topic areas:

Clinical Crisis
Skills Training
Intensive Care Unit (ICU) Clinical crisis skills training for clinical staff assigned to ICUs. Clinical Staff
Wards Clinical crisis skills training for clinical staff assigned to wards. Clinical Staff
Emergency Department Clinical crisis skills training for clinical staff assigned to emergency departments. Clinical Staff
Community Living Center Clinical crisis skills training for clinical staff assigned to community living centers. Clinical Staff
Mental Health Clinical crisis skills training for clinical staff assigned to mental health. Clinical Staff
Clinical Strong Practices
Clinical Crisis
Skills Training
Rapid Sequence Intubation Practical guidance for how to safely intubate a patient with COVID-19. Providers, Respiratory Therapists
Remote Consultation Flow Sheet A step-by-step guide from the British Medical Journal for how to remotely assess a patient for COVID-19 symptoms. Providers, Nurses
Tele-Urgent Care Resources for how to establish a tele-urgent care model to reduce potentially unnecessary emergency department visits. Providers, Nurses
Masks in a Health Care Setting A simple guide describing the types of respiratory protection available to providers and the appropriate setting for their use. Providers, Nurses
Guidance for Community Providers Serving Veterans on Behalf of VA

Community providers providing health care services to Veterans through a formal relationship with VA (e.g. as a network provider or through a contract) should follow the below guidance during the COVID-19 public health emergency.

Convert Routine In-Person Appointments to Telehealth

  • Continue to implement physical distancing and take action to ensure the safety of our Veterans and your staff. Until this guidance is lifted, where possible convert all routine visits to telehealth, to include referrals/authorizations already in place.
  • Please ensure Veterans do not attend routine appointments in-person except where the urgency of in‑person treatment clinically outweighs the risk of contracting COVID-19.
  • Enhanced telehealth encounters are an effective means to care for Veterans with routine needs, as clinically appropriate, and limits Veteran and staff risk for COVID-19.

Follow CMS, CDC, and State/Local Guidance on Screening, Testing, Case Reporting, and Personal Protective Equipment

  • Ensure health care professionals are conducting appropriate screening at the entrances of inpatient and long-term care facilities, test patients for COVID-19 as appropriate, and report results to appropriate authorities.
  • Ensure all relevant personnel are trained in how to properly don, use, and remove personal protective equipment (PPE) by referring to the information provided by the CDC.

    CDC Strategies to Optimize the Supply of PPE and Equipment

Plan for Increased High Acuity Demand

  • Ensure planning is in place to support an increased demand for high acuity care, including medical supplies, ventilators and related equipment, and staffing.

Communicate With Your Local VA Medical Center (VAMC)

  • Notify your local VAMC or clinic regarding any Veteran cases or exposure to COVID-19 and any cancellations or closures of services.
  • In the event visits or services cannot be provided to a Veteran in your care due to COVID‑19, please ensure next steps in care are jointly coordinated with the Veteran's VA care team. We understand this is a rapidly changing situation across the country, your state, and your locality. Deliberate care coordination will ensure the best possible outcomes for our Veteran population.

    Find Your Local VAMC

Episodes of Care Extension Guidance

This extension replaces the previously communicated 60-day extension guidance and will allow adequate time to complete all the services associated with each episode of care.

All community care referrals in HealthShare Referral Manager (HSRM), except for those in a cancelled or Episode of Care (EoC) complete status that have an expiration date between March 1, 2020, to July 31, 2020, will be extended to September 30, 2020, except for the following episodes of care:

  • Emergency Care
  • Unauthorized Emergency Care
  • Inpatient
  • Transportation
  • Adult Day Health Care
  • Homemaker-Home Health Aide
  • In-Home Respite Care

Work with TriWest or Optum to Expand Enrollment

Work with the regional administrator (TriWest or Optum) to continue to expand enrollment in VA’s network. This will allow VA to continue to enhance partnerships and build a robust network of compassionate and dedicated providers for Veterans.

Guidance for Veterans

  • Veterans have been advised to reach out to you directly to confirm their appointments.
  • If your office is affected by closures, limited services, quarantining, or social distancing based on CDC and local health department guidelines, try to transition the appointment to telehealth, or work with the Veteran to reschedule the appointment if possible.
  • If a Veteran must be seen in person, please communicate in advance about any screening procedures at your office, so they can prepare.
  • You may also refer Veterans in your care to the following resources for any questions they may have about accessing their VA or community care health benefits during the COVID-19 outbreak.