Governor Tom Wolf announced that the Pennsylvania Department of Health reached its testing goals in May with more than 283,000 COVID-19 diagnostic test results reported to the department. The department achieved its 2 percent testing goal for the month by more than 11 percent.

In addition, beginning Friday, June 5, various Walmart and Quest Diagnostics drive-thru testing locations across the state will provide testing for residents living in areas with fewer testing sites. No COVID-19 testing will take place inside Walmart stores or Quest Diagnostics Patient Service Centers.

“We appreciate the hard work done by health systems, pharmacies, FQHCs, medical clinics and other entities that are providing testing for COVID-19 across Pennsylvania,” Gov. Wolf said. “This goal is just one step in ramping up the state’s testing capabilities and it demonstrates the tremendous progress made to ensure all Pennsylvanians who need to be tested are.”

Secretary of Health Dr. Rachel Levine said, “When we established our testing strategy, we wanted testing to be accessible, available and adaptable and we are working to meet that challenge. Anyone who believes they have symptoms of COVID-19 can get tested today in Pennsylvania.”

A soft launch of five drive-thru testing sites will begin on June 5. These sites will be open on Monday, Wednesday and Friday from 7:00 AM to 9:00 AM to test up to 50 registered patients. Registration is required one day in advance. The testing sites that will open on Wednesday include:

• Walmart Supercenter parking lot, 63 Perkins Rd, Clarion, PA
• Walmart Supercenter parking lot, 2711 Elm Street, Erie, PA
• Walmart Supercenter parking lot, 1015 N Loyalsock Ave, Montoursville, PA
• Walmart Supercenter parking lot, 100 Supercenter Drive, Clearfield, PA
• Walmart Supercenter parking lot, 1275 N Hermitage Rd, Hermitage, PA

Additional testing sites will be announced in upcoming days and will be listed on the department’s website.

“After testing, you are required to return home and self-isolate,” Dr. Levine said. “If your symptoms worsen while you are waiting for your test results, talk to your doctor. If you experience a medical emergency, please seek immediate care.”

The Department of Health is partnering with Quest Diagnostics to process the tests. At this time, the tests are being provided at no cost to Pennsylvanians. Patients will create an account on Quest’s patient portal and answer some eligibility questions to determine if they meet the criteria to get tested. The site will be available for appointment scheduling at 6:00 PM this evening.

If the patient is eligible, they will be notified of a testing location within a 50-mile radius of them with available appointment times. The patient will schedule an appointment time, print a voucher and bring the voucher to the location with them to their appointment. Patients will receive an email with their test results within 24 to 48 hours, and physicians will call any patient who has a positive test result.

Through the work of a number of entities, testing is accessible for Pennsylvanians. As entities such as Rite Aid, CVS, Patient First and Walmart offer testing regardless of symptoms, more Pennsylvanians can get tested close to home. Adding these locations to those already offered by hospitals, health systems, FQHCs, health clinics and other locations has expanded the testing network in the state.

With increased testing supplies through state and federal partners and Pennsylvania businesses, testing has become more available in Pennsylvania. This has helped ensure that the swabs and medium are available to conduct testing, and to also roll out universal testing at long-term care facilities.

The department’s testing plan remains adaptable. This includes ensuring everyone in a long-term care facility can be tested, providing all counties with at least one testing location, and other efforts based on the latest data and science surrounding COVID-19.

Symptoms of COVID-19 include:

• Fever
• Cough
• Shortness of breath or difficulty breathing
• Diarrhea
• Chills
• Repeating shaking with chills
• Muscle pain
• Headache
• Sore throat
• New loss of taste or smell

Symptoms may appear in as few as two days or as long as 14 days after exposure. Reported illnesses have ranged from people with little to no symptoms to people being severely ill and dying.

For the latest information for individuals, families, businesses and schools, visit “Responding to COVID-19” on pa.gov.

The Wolf Administration stresses the role Pennsylvanians play in helping to reduce the spread of COVID-19:

• Wash your hands with soap and water for at least 20 seconds or use hand sanitizer if soap and water are not available.
• Cover any coughs or sneezes with your elbow, not your hands.
• Clean surfaces frequently.
• Stay home to avoid spreading COVID-19, especially if you are unwell.
• If you must go out for a life-sustaining reason, please wear a mask.

Updated Coronavirus Links: Press Releases, State Lab Photos, Graphics

• Daily COVID-19 Report
• Press releases regarding coronavirus
• Latest information on the coronavirus
• Photos of the state’s lab in Exton (for download and use)
• Coronavirus and preparedness graphics (located at the bottom of the page)
• Community preparedness and procedures materials
• Map with the number of COVID-19 cases

All Pennsylvania residents are encouraged to sign up for AlertPA, a text notification system for health, weather, and other important alerts like COVID-19 updates from commonwealth agencies. Residents can sign up online at www.ready.pa.gov/BeInformed/Signup-For-Alerts.

MEDIA CONTACT:  Lyndsay Kensinger, ra-gvgovpress@pa.gov or  Nate Wardle, Health, 717-787-1783 or ra-dhpressoffice@pa.gov

New CMS Payment Model Flexibilities For COVID-19

The coronavirus has taken a devastating toll on Americans across the country, in lives lost and economic impacts. The health care system has been impacted along with many other aspects of American life. Providers have been greatly affected as they strive to do the right thing by delaying elective surgeries; they have faced disruption in critical revenue streams, and simultaneously experienced increased costs for Personal Protective Equipment. That’s why President Trump signed legislation providing $175 billion for the health care system, in addition to $100 billion in advance and accelerated payments to Medicare providers.

That’s why, in response to COVID-19, CMS is providing new flexibilities and adjustments to current and future CMMI models to address the emergency. We’re releasing a chart today that outlines the models and the new changes.

To read the full Health Affairs blog, go to: https://protect2.fireeye.com/url?k=8b32cb01-d767c2d1-8b32fa3e-0cc47a6a52de-9c90d78754c08b6a&u=https://www.healthaffairs.org/do/10.1377/hblog20200602.80889/full/

The CDC and the Department of Labor jointly developed and released new interim COVID-19 guidance for agricultural workers and employers.  It is available at https://www.cdc.gov/coronavirus/2019-ncov/community/guidance-agricultural-workers.html.

This guidance provides a template of action to protect agriculture workers from coronavirus disease 2019 (COVID-19).  Agricultural employers can adapt these recommendations to protect workers at their particular work sites or in specific work operations.

Questions concerning this guidance may be directed to ruralhealth@cdc.gov.

Amid a surge in mail-in ballots, the COVID-19 public health emergency and civil disturbances in six counties, Governor Tom Wolf today signed an executive order extending the deadline for county election offices in Allegheny, Dauphin, Delaware, Erie, Montgomery and Philadelphia counties to receive absentee or mail-in ballots by mail to 5 p.m. June 9, 2020. The ballot must be postmarked no later than Tuesday, June 2, 2020. The deadline to hand deliver absentee or mail-in ballots remains 8 p.m. June 2, 2020.

The six counties included in today’s executive order are part of a disaster emergency declaration the governor signed Saturday in response to civil unrest to provide all necessary assistance to the municipalities.

While the vast majority of counties have been able to process their applications and mail their ballots, the volume of applications in the six counties caused by the COVID-19 crisis combined with the recent civil disturbance make it necessary to extend the deadline for the counties to receive completed civilian absentee and mail-in ballots. Curfews, travel restrictions and other unforeseen circumstances have made returning ballots more difficult in these counties. The extension will help to ensure that voters in those counties are not disenfranchised through no fault of their own.

With fear of COVID-19 keeping many routine visitors away, rural hospitals have too few patients to stay afloat financially, and virtual medicine isn’t saving them.

Read in National Geographic: https://apple.news/AicA2t8yaSHqtw9hnTN0vWw

By April Simpson

While the federal government has taken steps to support small businesses, some advocates say rural enterprises have been left out.

Read more

By Liz Carey

Research shows that with stress and anxiety caused by the epidemic the number of people suffering from mental disorders, suicide could rise, and even more so in rural America.

Read more

By Tim Marema and Bill Bishop

Large swaths of rural America had no Covid-19 infections during the month of May. But other parts of rural America were among the hardest hit and deadliest.

Read more

The ECHO Model for health professions training uses interactive video technology to connect remote providers with specialists at centers of excellence in real-time collaborative sessions.  The Stanford Center for Continuing Medical Education is providing credits for this series of free webinars using the ECHO model to support primary care providers and their patients with diabetes during and after the COVID-19 pandemic.  Read more here.

On May 19, The Centers for Medicare & Medicaid Services (CMS) added two new emergency declaration waivers providing the health care community with flexibilities needed to care for patients during the COVID-19 public health emergency.  First, CMS is waiving certain physical environment requirements under the Medicare conditions of participation for surge capacity and patient quarantine at hospitals, psychiatric hospitals, and critical access hospitals (CAHs) (page 4).  Second, CMS is modifying the data collection and reporting periods for rural and urban organizations selected to participate in the Ground Ambulance Data Collection System (page 29).