Medicare Compliance & Reimbursement

If you expected the Centers for Medicare & Medicaid Services (CMS) to offer providers a break on the COVID-19 vaccination mandate, think again.

“Now is the time to make sure health care workers are vaccinated,” CMS Administrator Chiquita Brooks-LaSure says in a Feb. 1 letter to Medicare and Medicaid providers. “We are moving full speed ahead on implementing our vaccination rule in the District of Columbia, the territories, and all 50 states.”

The letter briefly recaps the outcome of the legal challenges to the rule, and notes “the Omnibus Health Care Staff Vaccination rule is now in effect nationwide. This will enable us to act to protect patients.”

In the letter, Brooks-LaSure responds to providers’ concerns about losing staff due to the mandate. “We have seen that health care systems that implement vaccine requirements are not experiencing dramatic staff losses. Vaccinated staff are instead more available to work since they are less likely to get sick,” she maintains. “Increasing the uptake of COVID-19 vaccines, including the booster shot, is the most important tool you have against staffing shortages. As COVID-19’s Omicron variant causes your capacity to be stretched to its limit yet again, the best thing you can do is immediately implement policies and procedures to ensure vaccination of your employees,” she insists.

“And you can tell front-line heroes the truth: that vaccination is the best defense against this virus, and their patients need them to be healthy now more than ever,” Brooks-LaSure adds. “CMS stands ready to support you as you engage in this important work. Please act today so we can finally defeat COVID-19 together,” she urges in the one-page letter at http://www.cms.gov/files/document/health-care-facility-administrator-covid-19-vaccine-letter.pdf.

Reminder: There are three different compliance dates depending on which state you operate in.

Phase 1: All staff must have their first dose of the COVID-19 vaccine or have a pending or granted exemption request; related vaccination policies and procedures also must be developed and implemented by these dates: Jan. 27 (passed); Feb. 14 (passed); and Feb. 22.

Phase 2: All staff must have completed their vaccine series, i.e. second dose, or have a granted exemption request by these dates: Feb. 28; March 15; and March 21.

Find the deadlines listed by state at www.cms.gov/files/document/health-care-staff-vaccination-rule-implementation-timeline.pdf.