HHS is distributing up to $20 billion to healthcare providers under a Phase 3 General Distribution through the Provider Relief Fund (PRF).  Applications will be considered regardless of whether an organization was previously eligible for, applied for, received, accepted, or rejected prior PRF payments. For this new phase, funding will be allocated to providers based on assessed financial losses and changes in operating expenses caused by COVID-19.

Providers have until Friday, November 6, 2020 to initiate their application for Phase 3 General Distribution funding.

Apply here.

HHS is also hosting an informational webcast on Monday, November 2 at 3 p.m. EDT for providers to learn more about eligibility, the application process, and the payment methodology.

To learn more about this opportunity:

• Review the Phase 3 General Distribution Fact Sheet
• Visit the Provider Relief Fund Webpage
• Watch a recording of the October 15 webcast

Read through the Provider Relief Fund Frequently Asked Questions

The Pennsylvania Liquor Control Board (PLCB) today approved, by a vote of 2-1, the forgiveness of an estimated $27.7 million in license fees in 2021 for retail licensees most impacted by the pandemic, including holders of restaurant, retail dispenser, club, catering club, and hotel licenses.

“Following the Governor’s request last week to waive license fees and provide some relief to struggling businesses, the PLCB did its due diligence in evaluating our authority to waive fees authorized by various state laws, as well as the fiscal impact of doing so,” said Board Chairman Tim Holden. “We believe it’s the right thing to do in support of our restaurants, bars, and gathering places, so we’re glad next year to ease the financial burden to some extent for these local businesses.”

License and permit fees being waived for these retail licensees next year include the following, which vary from $30 to $700 per fee: filing fee, license fee, renewal fee, validation fee, renewal/validation surcharge, amusement permit fee, Sunday sales permit fee, and extended hours food license fee. Safekeeping extension fees, which start at $5,000 or $10,000 per year depending on the county where a license is located and allow a license to preserve an inactive license beyond two years, will also be waived in 2021. While these license fees will be waived through 2021, licensees will still be required to timely file validation and renewal applications to keep licensees current and to avoid late-filing fees.

“I absolutely support efforts to provide relief to our bars and restaurants, but I don’t believe the PLCB has the authority to waive statutorily established fees,” said Board Member Mike Negra, explaining his dissenting vote. “This fee waiver is the equivalent of the PLCB legislating, rather than administering current law, and legislating is the role of the Pennsylvania Senate, House and Governor.”

Based on permit and fee collections in FY 2019-20, licensees may save an estimated $27.7 million in license and permit fees associated with renewals and validations, while the PLCB’s operating income will decrease about $23.8 million, split over two fiscal years. The difference between the licensee savings and the operating income decrease for the PLCB is about $4 million in fees paid by licensees but returned by the PLCB to local municipalities hosting those licensees.

In the interest of fairness and in light of the fact that less than 1,000 licensees have not renewed/validated their licenses in 2020 as compared to about 16,000 that have done so and paid the associated fees, the PLCB will require all licensees to file all documents and pay all fees necessary to bring their license up to date for 2020 by Dec. 31, 2020. Additionally, licensees not actively using their licenses must put their licenses in safekeeping by Dec. 1, 2020 (there are no fees associated with putting a license in safekeeping), but licenses already in safekeeping don’t need to extend their safekeeping periods.

License fees that will continue to be collected in 2021 include, for example, those associated with wine expanded permit applications and renewals, direct wine shipper licenses, change of ownership and/or location of a license, application fees for new licenses, fees associated with a licensee’s change of officers/managers and extension of licensed premises. Manufacturers, beer distributors and transporters for hire – businesses less impacted by COVID-19 restrictions, will be required to pay license fees in 2021.

Licensees are encouraged to review the PLCB’s revised Advisory Notice 27 for details on the fee waivers.

As a result of the COVID-19 public health crisis and its impact on licensees, the PLCB, beginning last March, established certain waivers and fee deferrals that continue today.  Not only are safekeeping requirements waived for licensees no longer able to use their liquor license, but late-filing fees were waived and licensing fees continue to be deferred. Further, the PLCB continues to expedite applications for temporary extensions of license premises to include outside service areas.

The PLCB regulates the distribution of beverage alcohol in Pennsylvania, operates 600 wine and spirits stores statewide, and licenses 20,000 alcohol producers, retailers, and handlers. The PLCB also works to reduce and prevent dangerous and underage drinking through partnerships with schools, community groups, and licensees. Taxes and store profits – totaling nearly $17.9 billion since the agency’s inception – are returned to Pennsylvania’s General Fund, which finances Pennsylvania’s schools, health and human services programs, law enforcement, and public safety initiatives, among other important public services. The PLCB also provides financial support for the Pennsylvania State Police Bureau of Liquor Control Enforcement, the Department of Drug and Alcohol Programs, other state agencies, and local municipalities across the state. For more information about the PLCB, visit lcb.pa.gov.

The Pennsylvania Department of Human Services (DHS) is warning of a possible scam concerning Pandemic EBT (P-EBT) benefits and reminding Pennsylvanians to be skeptical of unsolicited or random calls or text messages about public-assistance programs – especially when the calls or text messages solicit personal information, such as Social Security numbers.

“We are all living through difficult times, and unfortunately, there are people who will try to take advantage of others who may need help meeting essential needs. Be mindful, stay aware, and if you think something looks off, it probably is,” DHS Secretary Teresa Miller said.

DHS is investigating a report of individuals receiving calls with pre-recorded messages advising them to expedite their P-EBT benefits issuance by providing their Social Security number and case record number. In the message, the speaker claims to be from a County Assistance Office (CAO).

DHS and other government agencies do not ask for information about P-EBT, SNAP or any other public-assistance programs via unsolicited or random calls or texts, and Pennsylvanians should not reply to such a call or text or share any personal information if they are contacted in this way. If you or anyone you work with receive unsolicited or random calls or text messages telling you that you qualify for assistance and then asking for personal information, it is most likely a scam. Do not respond. Delete the message so you do not get caught in an identity theft scam.

Pennsylvanians who have questions about whether a call, text, letter, or other communication is legitimate should contact DHS’ Office of Income Maintenance. Clients in Philadelphia should call the Philadelphia Customer Service Center at 215-560-7226. Clients in all other counties can call the Statewide Customer Service Center at 1-877-395-8930.

The federal government authorized P-EBT in the spring to allow states to assist families with school-age children who qualified for free-and-reduced price meals through the National School Lunch Program – and who lost their easy access to breakfast and lunch at school as a result of the school closures related to COVID-19 earlier this year.

DHS began distributing P-EBT benefits to Pennsylvania families in late May. To date, more than $360 million has been distributed to about 680,000 households to help families feed nearly 1 million children.  Families received about $370 per child.

DHS administered this program in collaboration with the Pennsylvania Department of Education and schools across the commonwealth. The program was recently reauthorized by the federal government for the 2020-2021 school year. Pennsylvania and other states are currently awaiting guidance from the United States Department of Agriculture to begin the program for the current school year.

Additional information about Pennsylvania’s P-EBT can be found here.

If Pennsylvanians need help purchasing or affording food for themselves and their families, help may also be available through the Supplemental Nutrition Assistance Program (SNAP). SNAP helps nearly 1.9 million Pennsylvanians by providing assistance each month for groceries, helping households purchase enough food to avoid going hungry. SNAP is our country’s most important and most impactful anti-hunger program. For every meal provided by a Feeding Pennsylvania food bank, SNAP provides nine. While SNAP is intended to be a supplemental program, during a pandemic and historic unemployment, resources are strained, particularly for our lowest income Pennsylvanians.

Applications for the SNAP and other public assistance programs can be submitted online at www.compass.state.pa.us. All Pennsylvanians experiencing financial hardships due to the pandemic, a lost job, or a change in income are strongly encouraged to apply and see if they qualify for assistance with food, health care, and other essential needs.

For more information about food assistance resources for people around Pennsylvania impacted by COVID-19 and the accompanying economic insecurity, visit the Department of Agriculture’s food security guide.

Trump Administration Acts to Ensure Coverage of Life-Saving COVID-19 Vaccines & Therapeutics

The Centers for Medicare & Medicaid Services (CMS) is taking steps to ensure all Americans, including the nation’s seniors, have access to the coronavirus disease 2019 (COVID-19) vaccine at no cost when it becomes available. Today, the agency released a comprehensive plan with proactive measures to remove regulatory barriers and ensure consistent coverage and payment for the administration of an eventual vaccine for millions of Americans. CMS released a set of toolkits for providers, states and insurers to help the health care system prepare to swiftly administer the vaccine once it is available.  These resources are designed to increase the number of providers that can administer the vaccine, ensure adequate reimbursement for administering the vaccine in Medicare, while making it clear to private insurers and Medicaid programs their responsibility to cover the vaccine at no charge to beneficiaries. In addition, CMS is taking action to increase reimbursement for any new COVID-19 treatments that are approved or authorized by the FDA.

Full press release

The Veterans Health Administration Employee Education System (EES) is a program office of the Department of Veterans Affairs.  They provide timely, reliable and essential educational offerings to VA employees and community providers in a variety of easily accessible and cutting-edge formats, much of which offer continuing education credits.

A host of materials have been developed that describe the free training that the VA provides to the public, including:

• A catalog of our current TRAIN educational offerings, which is updated monthly.
  • These programs can be accessed anytime through VHA TRAIN
• A subscriber page where learners can sign up by health care topic to get email announcements when courses on a specific topic are added
• VHA TRAIN data sheet, which is a single page PDF of key TRAIN information and can be distributed digitally or printed for local use

The agency has created a COVID-19 training website where any learner can take free COVID-19 specific training. Materials on the site are all available through publicly accessible devices, such as personal cell phones and tablets so they can be taken anytime, anywhere. Here is a data sheet that describes its capabilities.

CMS COVID-19 Stakeholder Engagement Calls – October

CMS hosts varied recurring stakeholder engagement sessions to share information related to the agency’s response to COVID-19. These sessions are open to members of the healthcare community and are intended to provide updates, share best practices among peers, and offer attendees an opportunity to ask questions of CMS and other subject matter experts.

Call details are below. Conference lines are limited so we highly encourage you to join via audio webcast, either on your computer or smartphone web browser. You are welcome to share this invitation with your colleagues and professional networks. These calls are not intended for the press.

Calls recordings and transcripts are posted on the CMS podcast page at: https://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/PodcastAndTranscripts

CMS COVID-19 Office Hours Calls (twice a month on Tuesday at 5:00 – 6:00 PM Eastern)

Office Hour Calls provide an opportunity for hospitals, health systems, and providers to ask questions of agency officials regarding CMS’s temporary actions that empower local hospitals and healthcare systems to:

• Increase Hospital Capacity – CMS Hospitals Without Walls;
• Rapidly Expand the Healthcare Workforce;
• Put Patients Over Paperwork; and
• Further Promote Telehealth in Medicare

Next Office Hours:

Tuesday, October 27^th at 5:00 – 6:00 PM Eastern

Toll Free Attendee Dial In: 833-614-0820; Access Passcode: 2394789

Audio Webcast link: https://engage.vevent.com/rt/cms2/index.jsp?seid=2612

Weekly COVID-19 Care Site-Specific Calls

CMS hosts calls for certain types of organizations on an intermittent basis to provide targeted updates on the agency’s latest COVID-19 guidance. One to two leaders in the field also share best practices with their peers. There is an opportunity to ask questions of presenters if time allows.

Next Nursing Homes

Wednesday, October 28^th at 4:30 – 5:00 PM Eastern

Toll Free Attendee Dial-In: 833-614-0820; Access Passcode: 5587022 Audio Webcast Link: https://engage.vevent.com/rt/cms2/index.jsp?seid=2627

For the most current information including call schedule changes, please click here

To keep up with the important work the White House Task Force is doing in response to COVID-19 click here: https://protect2.fireeye.com/url?k=36fa2226-6aae0b0d-36fa1319-0cc47a6d17cc-2d06c219f858d641&u=http://www.coronavirus.gov/. For information specific to CMS, please visit the Current Emergencies Website.

Pennsylvania State Veterinarian Dr. Kevin Brightbill announced that Pennsylvania has confirmed its first COVID-19 positive cat.

The 16-year old Cumberland County cat, who lived in a household with multiple individuals who had previously been diagnosed with COVID-19, presented in early October with mild respiratory illness. Unfortunately, as a result of respiratory distress, the cat was humanely euthanized. The case is still under investigation, and a primary cause of death has not yet been confirmed.

The Pennsylvania cat is one of a handful of COVID-19 positive pets from across the United States that died or were euthanized while infected. All pets infected had known prolonged exposure to COVID-19 individuals and none to date appear to have died from COVID-19. Instead, other serious underlying illnesses are attributable to cause of death.

“As Pennsylvanians have spent more time at home throughout the pandemic, our companion animals have undoubtedly been the recipients of extra love and attention,” said Dr. Brightbill. “If you or a loved one becomes diagnosed with COVID-19, take steps to keep your pet healthy, just as you would your family.”

Many of the same recommendations for protecting people apply to animals. To help protect Pennsylvania pets, households with COVID-19 positive individuals should adhere to the following guidelines:

• Avoid contact with pets and other animals, as you would other people.
• Arrange for another household member to care for your pet(s) while you or family members are in isolation.
• Avoid contact such as petting, holding, snuggling, facial contact, and sleeping in the same bed.
• Wear a mask and wash your hands before feeding or tending to your pet if you are unable to find alternative care for them.

Symptoms of COVID-19 in pets includes fever, coughing, difficulty breathing or shortness of breath, lethargy, sneezing, nose or eye discharge, vomiting, or diarrhea. If your pet exhibits symptoms after contact with a person positive for COVID-19, contact your private veterinarian.

At this time, there is no evidence that animals play a significant role in spreading COVID-19 to people. COVID-19 is mainly spread through person-to-person contact.

Pennsylvania Governor Tom Wolf announced a plan to waive liquor license fees to provide financial relief to restaurants and bars, which have faced significant financial impacts during the COVID-19 public health crisis.

“As we enter the anticipated fall resurgence of COVID-19 cases, the very contagious nature of this virus makes gathering indoors publicly at full capacity dangerous. Still, we know that restaurant and bar owners in Pennsylvania are committed to keeping their employees and customers safe and the vast majority of these businesses have followed safety precautions and invested in new procedures and supplies, but COVID continues to hurt this industry,” Gov. Wolf said. “My administration continues to look for innovative ways that we can support the bar and restaurant industry. Eliminating liquor license fees is an important step toward helping bars and restaurants retain the capital they need to weather the storm of COVID-19.”

Governor Wolf is working with the Pennsylvania Liquor Control Board to waive standard licensing fees through 2021 starting January 1, 2021. More than 16,000 Pennsylvania restaurants and bars, clubs, catering clubs and hotels would see $20 million in relief.

The governor was joined by state Representatives Dan Deasy (D-Allegheny), Ed Gainey (D-Allegheny) and Jake Wheatley (D-Allegheny), and Senator Wayne Fontana (D-Allegheny) at LeMont Restaurant in Pittsburgh.

“I’m glad I could work with Governor Wolf to bring help to our bars, restaurants, taverns and social clubs right now. I know this isn’t a solution to the big problems this pandemic presents, and more help is needed,” said Rep. Deasy. “I’m working hard to enact additional measures that can help keep these vital employers in business.”

“This terrible public health crisis has also stricken our economy and our path to recovery will need to be a well thought out and effective one on several fronts. While the COVID-19 pandemic has affected just about every industry, restaurants and bars have been hit particularly hard and we need to provide relief to these small businesses at the heart of our communities,” said Sen. Fontana. “Over the summer, Senate Democrats introduced a comprehensive proposal to provide emergency relief to Pennsylvania’s restaurants and taverns, which have seen significant financial loss due to the COVID-19 pandemic and the resulting shutdown. Under our plan, license renewal and permit fees that are paid by restaurants and taverns would be waived for one year along with other administrative changes to help financially benefit these struggling businesses. I’m pleased that the governor is taking steps to implement some of our goals and am encouraged that this will provide meaningful assistance to so many of these establishments that are struggling.”

As part of his fall legislative agenda, Governor Wolf has called on the General Assembly to provide an additional $225 million in federal Coronavirus Aid, Relief and Economic Security (CARES) Act funding in the form of forgivable loans and grants to small businesses in Pennsylvania through the COVID-19 Relief Statewide Small Business Assistance Program. In addition, the governor proposed $100 million in forgivable loans and grants for the hospitality, leisure and service industries, including restaurants and bars, salons and barber shops.

The governor also supports the federal Real Economic Support That Acknowledges Unique Restaurant Assistance Needed to Survive (RESTAURANTS) Act. The bipartisan bill in Congress provides $120 billion to help independent restaurants with the economic challenges created by the COVID-19 pandemic.

The Technical Assistance and Services Center (TASC), in coordination with the Federal Office of Rural Health Policy (FORHP), are pleased to provide an update of the COVID-19 Funding Sources Impacting Rural Providers guide. This funding resource is intended to support rural health care providers, along with their state and local partners, navigate the availability of federal funds to support the novel coronavirus (COVID-19) pandemic response and recovery efforts. This guide is updated regularly to capture changes in funding sources.

Seven tables, or matrices, are provided for quick reference at the beginning of this resource. The tables can be used to check eligibility of participation in funding sources by provider types: rural prospective payment system (PPS) and critical access hospitals (CAH), rural health clinics (RHC), federally qualified health centers (FQHC), long-term care (LTC) or skilled nursing facilities (SNF), tribal facilities, and emergency medical services (EMS). The tables also provide an at-a-glance view for each provider type sharing the different types of funds that may be accessed from various funding sources dependent on their participation eligibility. Each funding source is described in its own section of this resource with an executive summary followed by further detail on the use of funds, reporting requirements, hyperlinks to the legislation and detailed information.

The guide can be found in COVID-19 Collection located on The National Rural Health Resource Center’s website. This collection consists of trusted and reliable resources, such as the COVID-19 Funding Sources Impacting Rural Providers Guide, along with standing links to additional organizations’ COVID-19 resources, FAQs, webinars, tools, and trainings. The Center aims to help direct the most up-to-date and relevant tools and resources to rural hospitals, clinics, and their communities. This Collection will be updated regularly to help assist with the abundance of circulating information relating to COVID-19.