Providers must use COVID-19 Staff Vaccination Matrix or provide the same information to prepare for surveys Health facilities that are certified by the Centers for Medicare and Medicaid Services (CMS) are required to have all staff fully vaccinated against COVID-19 (with the exception of those that have been granted exemptions or for whom vaccination must be temporarily delayed, as recommended by the Centers for Disease Control and Prevention).
CMS has created a matrix (linked below) to calculate staff vaccination, which facilities can either use or provide a list containing the same information required in the matrix. Having the matrix or list completed in advance will help the facility’s survey go more quickly. Surveyors from the Nevada Department of Health and Human Services’ Bureau of Health Care Quality and Compliance will review the facility’s completed form/list and compare the calculation of staff vaccination rate against data from the National Health Care Safety Network (NHSN). Surveyors also will look for facility plans to vaccinate all eligible staff to meet the thresholds for vaccination, to provide accommodations for staff who are exempt from COVID-19 vaccination and to track/document staff vaccinations. Facilities that are out of compliance will be subject to citations based on severity of the deficiency; facilities that do not come into compliance will be at risk for additional enforcement actions, including loss of Medicare/Medicaid payment. Click here to download a Zip file containing the COVID-19 Staff Vaccination Matrix. Extract the files and look for the document titled, “Staff Matrix for F888.” Refer back to this link to obtain updates to the matrix from CMS directly. Click here for a flyer that summarizes the CMS COVID-19 vaccination requirement for health care workers.
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AuthorThe Bureau of Health Care Quality and Compliance (HCQC) licenses medical and other health facilities, child care facilities and personnel, and medical laboratories and personnel in Nevada. HCQC also conducts compliance surveys and takes complaints. Archives
October 2023
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