COVID Current Orders

Items linked below are active guidance. All past orders can be found in the HCAM/MCAL Member Update Covid Archives.

MDHHS Epidemic Orders & FAQs Impacting SNFs & LTC Facilities:

Other MDHHS Resources:

Federal Guidance & FAQs:

  • QSO-22-15-NH & NLTC & LSC Blanket Waivers: Nurse Aide Training Competency and Evaluation Requirements – 8/31/22
  • QSO-22-08-NH Weekend Staffing & Turnover – 1/7/22
  • QSO 22 -07 All  COVID Vaccine Mandate 12/28/21 – Attachment A
  • QSO 22-02-ALL COVID Survey Activities
  • QSO-22-10-ALL Federal Surveyor COVID Vaccine Mandate updated 1/25/22
  • CMS Vaccine Mandate FAQs 11/18/21
  • CMS S&C Memo 21-19-NH Interim Final Rule – COVID-19 Vaccine Immunization Requirements for Residents and Staff
  • CMS S&C Memo 20-39-NH Nursing Home Visitation – COVID-19 Initially issued 9/17/20 and updated 11/12/21
  • Visitation FAQs for Revised QSO-20-39 1/6/22
  • CMS S&C Memo 20-38-NH Interim Final Rule (IFC), CMS-3401-IFC, Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency related to Long-Term Care (LTC) Facility Testing Requirements and Revised COVID-19 Focused Survey Tool Initially issued 8/26/20,  updated 4/27/21 and revised 9/10/21
  • CMS S&C Memo 20-35-ALL Enforcement Cases Held during the Prioritization Period and Revised Survey Prioritization
  • CMS S&C Memo 20-33-NH Posting of Nursing Home Inspections
  • CMS S&C Memo 20-31-ALL COVID-19 Survey Activities, CARES Act Funding, Enhanced Enforcement for Infection Control deficiencies, and Quality Improvement Activities in Nursing Homes: Initially issued 3/23/20 and updated 6/1/20
  • CMS S&C Memo 20-30-NH Nursing Home Reopening Recommendations for State and Local Officials
  • CMS S&C Memo 20-29-NH Interim Final Rule Updating Requirements for Notification of Confirmed and Suspected COVID-19 Cases Among Residents and Staff in Nursing Homes
  • CMS S&C Memo 20-28-NH Nursing Home Five Star Quality Rating System updates, Nursing Home Staff Counts, Frequently Asked Questions, and Access to Ombudsman: Initially issued 4/24/20 and revised 7/9/20 and 3/10/21

CDC LTC Guidance:

Infection Prevention & Control
March 24, 2022
Spring Leadership Conference Presentation Followup – Dr. Karen Jones, MD CDC
Choosing a Mask or Respirator for Different Situations and Routine COVID Testing Cadence

We recommend checking the CDC website frequently for updates and new guidance.  The Preparing for COVID-19 in Nursing Homes page contains numerous helpful links to additional guidance related to care & operations in the LTC setting.

Updated August 30, 2022