Michigan law imposes on the Michigan Department of Health and Human Services (MDHHS) a duty to continually and diligently endeavor to “prevent disease, prolong life, and promote public health,” and gives the Department “general supervision of the interests of health and life of people of this state.” MCL 333.2221. Pursuant to the responsibility to protect vulnerable individuals and ensure the health care system can provide care for all health issues, MDHHS issued iterative emergency orders to continue mitigation techniques to restrict gatherings and require procedures in order to reduce the spread of the virus within Michigan’s residential care facilities.
The current emergency order dated May 21, 2021 provides criteria for permitting idoor visitiation within nursing homes and other residential facilities in Michigan. MDHHS provides additional guidance through resources linked below to support facilities in implementing procedures to be followed during the COVID-19 epidemic to insure continuation of essential public health services and enforcement of health laws.
Residential Care Facilities May 21, 2021 Order Guidance – Updated 5/23/2022
Long Term Care Visitation Statement
QSO-20-39-NH REVISED (cms.gov)
On May 21, 2020 the Michigan Department of Health and Human Services (MDHHS) released guidance detailing Federal and State COVID-19 reporting requirements for Skilled Nursing Facilities. Data received as part of this requirement has ensured that MDHHS has had the information necessary to respond to the COVID-19 outbreak, providing an understanding of the impact on residents and facilities, and identified resource needs and supported prioritization of public health action.
Following the recommendations from Governor Whitmer’s appointed Nursing Home COVID-19 Preparedness Task Force, MDHHS issued updated guidance to maintain effective reporting on an ongoing basis. Effective October 28, 2020, all skilled nursing facilities, home for the aged and adult foster care facilities licensed for 13 or more individuals are required to report weekly COVID-19 surveillance data to the state, including information on resident and staff cases and deaths. To enhance the quality of this reporting, MDHHS conducts ongoing data validation in collaboration with the Michigan State University Institute for Health Policy and other partners. Data and more information on this project are located on the MDHHS Coronavirus Long-Term Care Data web page.
Please see the following resources for more details and guidance on reporting requirements and implementation:
Skilled Nursing Facilities
- Provider Letter L 21-33 dated 04/29/21
- EMResource NHSN Module Quick Guide
- SNF Data Validation Error Guide – NEW
- SNF Annual 2022 Data Audit
- Audit Activity Overview
- NHSN Data Correction Instruction Guide
- EMResource/Historical Data Corrections Worksheet
- Attestation Survey
- Data Audit Overview slides, SNF Office Hours, 6.9.22
Home for the Aged and Adult Foster Care Facilities
- Joint Letter dated 04/29/21
- Reporting Instructions – Qualtrics Survey Guide
Skilled Nursing Facility EMResource Office Hour Sessions
MDHHS hosts regular office hour sessions for skilled nursing facilities and state partners to review technical components of the required COVID-19 surveillance reporting process and platform. Recordings of recent sessions are provided below:
- 07/07/22 – NHSN Changes and Annual Data Audit
- 5/26/2022 – NHSN Changes and Annual Data Audit
- 3/31/22 – Updates on the CDC’s Community Transmission Maps, EMResource 4.0 Updates
- 3/17/2022 – General Reminders: POC Result Reporting, IPRAT; JUVARE 4.0
- 3/03/2022 – CRF Update, COVID-19 Community Levels vs. Transmission Rates (Testing), EMResource 4.0
- 2/17/2022 – Infection Control, NHSN Rules and Updates, Testing Supplies Update
- 1/20/2022 – Data Validation and LARA Updates
- 01/06/2022 – HCW Isolation Guidance and CRF Policy
- 11/18/2021 – CRF Reminders, POC Federal Submission and Bulk Upload Process
- 08/26/2021 – COVID-19 Booster & 3rd Doses, Monoclonal Antibodies, EMResource Enhancements
- 07/29/2021 – New CDC Masking Recommendations & Reminder on Data Pass Through
- 07/15/2021 – EMResource Audit Process and Upcoming NHSN Changes
- 7/01/2021 – Annual COVID-19 Surveillance Data Audit Phase I & II Review
- 06/17/2021 – NHSN Vaccine Module Reports
- 06/03/2021 – Overview of Supply Board and NHSN Vaccine Status
Health Care Recruitment, Retention, and Training Fund
Skilled Nursing Facilities (with CMS-certification) are eligible to receive funding to cover expenditures that are responding to the public health needs and negative economic impacts of the pandemic in support of recruitment, retention and training of staff. To be considered for this funding, facilities must submit a proposal as detailed in the memo, to MDHHS-PA-009-SEC-306@MICHIGAN.GOV by 5:00 PM EST on August, 31, 2022.
Health Care Recruitment, Retention and Training Fund Memo
Direct Care Workforce
The direct care workforce serving Michigan’s aging population has been on the frontlines of the COVID-19 pandemic, ensuring health, safety, and well-being of the most vulnerable. In recognition of the critical care direct care workers (DCW) provide in long-term care settings and in the community, Governor Whitmer, alongside the Michigan legislature supported several appropriations over the course of state fiscal years, 2020, 2021 and 2022 to provide increased reimbursement to these essential workers. The funds appropriated to the Michigan Department of Health and Human Services are available to qualifying DCW staff through direct reimbursement to qualifying employers. The supporting policies, frequently asked questions, and reimbursement resources are catalogued below.
Adult Foster Care & Home For the Aged Facilities
- Frequently Asked Questions
- AFC/HFA Provider DCW Wage Increase FAQ
- Reimbursement Forms
- AFC/HFA Provider DCW Pass-Through Reimbursement Form FY2021
- AFC/HFA Provider DCW Pass-Through Reimbursement Form FY2022
Home Help, MI Choice Waiver, MI Health Link, & Behavioral Health Service Providers
- 2021: L 21-60 L 21-39 | L 21-30 | L 21-28 | L 21-27 | L 21-03 | L 21-02
- 2020: L 20-67 | L 20-66 | L 20-45 | L 20-42 | L 20-28 | L 20-27
- Other Resources
Skilled Nursing Facilities
- 2021: L21-29 | L 21-08
- 2020: L 20-52
- Frequently Asked Questions
- SNF Provider DCW Wage Increase FAQ
- Reimbursement Forms
- SNF Provider DCW Pass-Through Reimbursement Form FY2021
- SNF Provider DCW Pass-Through Reimbursement Form FY2022
A collaboration between the Michigan Department of Health and Human Services and the Centers for Disease Control and Prevention to provide infection prevention education and technical assistance. The series includes educational topic specific videos and live question and answer sessions where infection prevention experts will discuss virus basics and answer questions. For more information visit the Project Firstline webpage.
MDHHS Infection Prevention Resource and Assessment Team
The MDHHS Infection Prevention Resource and Assessment Team (IPRAT) is providing both remote and onsite technical assistance, education and training to long-term care facilities and other congregate care settings. Facilities or local health departments can request assistance at firstname.lastname@example.org. Additionally, Michigan.gov/iprat contains guidance and information for LTC facilities. The IPRAT team, in partnership with local health departments, has been using the CDC Infection Control and Assessment Response (ICAR) Tool to assist congregate care settings in mitigating the risk of infection from COVID-19 and other special pathogens.
Monoclonal Antibody Therapy – Long Term Care Facilities
Monoclonal Antibody Therapy – Skilled Nursing Facilities
Skilled Nursing Facility Infection Control Grant Program
MDHHS has opened a grant opportunity to licensed skilled nursing facilities to support expenses associated with structural adaptations to support infection prevention and control during the period of March 3, 2021 through September 30, 2023. Facilities must complete an application process, with a submission deadline of 5:00 PM ET September 12, 2022. For additional details, eligibility requirements, and application information see the requests for applications below. Additional questions about the application process or eligible use of grant funds should be submitted to MDHHS-ICGRANTS@michigan.gov in advance of the submission deadline.
- Skilled Nursing Facility Infection Control Request for Applications
CHRT NH COVID Response Presentation
In April, MDHHS launched the COVID-19 Regional Hub strategy. These facilities are dedicated to caring for COVID-affected long-term care facility residents who no longer need hospitalization, or to individuals who have not been hospitalized and cannot be safely isolated or cared for in the nursing facility where they live. More information about Regional Hubs is located on the Nursing Facilities page.
Through this strategy, MDHHS created partnerships with nursing facilities that had the capacity to contribute to local need for services, proximity to acute care facilities experiencing high COVID-19-related demand and ability to effectively quarantine COVID-19-affected residents. To facilitate these partnerships, MDHHS worked alongside Licensing and Regulatory Affairs to ensure all facilities had adequate physical space planning, and met safety and infection control protocols to perform in this enhanced role.
MDHHS has enhanced Regional Hub reporting requirements in alignment with national nursing facility reporting efforts. Additionally, to augment self-reported data from facilities, MDHHS has prioritized Regional Hub facilities for review and support with the Infection Prevention Resource and Assessment Team (IPRAT). This effort ensures Hub facilities have all resources and necessary support to maintain infection control protocols as they continue operations. Regional Hubs are also subject to weekly monitoring and oversight audits conducted by MDHHS staff.
The information gathered from these efforts is used to inform how MDHHS identifies the changing landscape, the need for new Regional Hub locations and when to begin reducing capacity in areas where the need no longer exists. MDHHS has established a process for facilities to begin decommissioning some Regional Hub space in light of the reduced regional needs at this time.
Past Meetings & Resources
Thursday, July 23, 2020
Thursday, July 30, 2020
Thursday, August 13, 2020
Thursday, August 20, 2020
Thursday, August 27, 2020
Please note that these recommendations are being further developed and revised by workgroups. Everything on this list may not appear in the final recommendation report to the governor.
We want to make sure you have access to important communication resources as you work to educate your communities about the safe and effective COVID-19 vaccine. This toolkit includes graphics, videos and handouts that are ready to share with your networks in newsletters and on social media. New content will be added frequently. For more information about vaccines for long term care residents, visit: COVID-19 Vaccines for Long-Term Care Residents.
Within this folder, there are two very important infographics. One explains how MrNA works. The other talks about how a new vaccine is developed, approved and manufactured. These are translated in Arabic, Spanish and Chinese. Print, include in a presentation or email as an attachment.
This folder will be continuously updated with quick facts on the COVID vaccine. It’s an easier way for people to get their questions answered without looking through a full FAQ. These are sized to fit in a Facebook post but they can also be printed or put into a presentation. Each fact card will be translated in Spanish, Arabic and Chinese. More translations coming soon!
You can place these files on your website. Once placed, make sure that when someone clicks on the file, it will link to Michigan.gov/COVIDvaccine. The website is the best place for members of our community to find the most up-to-date information.
Print or posters
This folder has print ads that can be shared with local publications, printed out as handouts or a poster or included in a presentation. The ads are translated in Arabic, Spanish and Korean.
This Frequently Asked Questions document can be emailed, printed or you can cut pieces of it that are relevant to include in a presentation. These are translated into Arabic, Spanish and Chinese.
Social media videos (TV spots)
This folder has all the produced TV spots. They are ready to be shared on social media through Facebook or Twitter.
Six news articles being shared on social media feature a scary suggestion: that the health problems they mention were caused by COVID-19 vaccines. "Don’t worry, it’s all just a big coincidence," reads text above images of the articles. "Clearly has nothing to do with the experimental jab that was forced...