Here are currently commercial COVID tests that have emergency use authorization from FDA.
Here is a link that shows the test kit and gives instructions for collecting a nasopharyngeal and/or throat swab.
Interim Guidelines for Collecting, Handling, and Testing Clinical Specimens from Persons for Coronavirus Disease 2019 (COVID-19)
Here is the replay of the Town Hall meeting with BON, DOH.
The AANP put together a summary of all the benefits and allowances that are now available due the signing of the CARES ACT.
On Wednesday, March 25, 2020, the U.S. Senate unanimously passed, H.R. 748, “The Coronavirus Aid, Relief, and Economic Security Act” (CARES ACT). It is a $2 trillion bipartisan agreement to address the needs of the American people and health care providers confronting the coronavirus pandemic. The House passed the stimulus bill on Friday, March 27, 2020.
The AANP has highlighted areas of specific interest to Naturopathic physicians including:
- Deferment of student loan payments, interest and principle for 6 months
- $377 billion in support to small businesses, including low-interest and forgivable loans and grants for small businesses (less than 500 employees), including physician practices
- Tax credits and assistance for small businesses and physician practices
- Additional telehealth funding and coverage
The governor signed a proclamation today that provides payment parity between health care providers.
In order to serve more patients, Inslee has signed a measure that would increase the parity between those health care providers who deliver in-person care and those who do it through telemedicine. Telemedicine claims must now be reimbursed at the same level as care delivered face-to-face. Telemedicine claims cannot be denied by insurance carriers.
SB 5385, passed by the legislature would do the same thing, although its implementation date was not set until January 2021. The governor’s action will allow this to go into effect immediately to help increase access to care during the COVID-19 outbreak.
BON States Current Telemedicine Guidelines are In Line with the New CMS Guidelines
It is our understanding that the Board of Naturopathy released a statement this week stating that the new CMS rules are in line with the current Telemedicine Guidelines for Naturopathic Physicians.
According the the messaging from the Board of Naturopathy, "Naturopathic physicians may, when appropriate, use telemedicine to treat patients, using those options that best keep their patients and themselves at reduced risk during this outbreak."
KALISH INSTITUTE PRESENTS:
Transition to Telemedicine: Quick Start Course
This free seminar series is for practitioners looking to transition to telemedicine.
- Pre-recorded lectures
- Twice weekly live sessions
The live sessions will provide a forum for you to get answers to specific questions, and to help overcome any barriers you may experience in setting up your telemedicine clinic. They will allow us as a community to come together and share experiences and insights to help you quickly build a vibrant online practice. Your patients need this support right now, more than ever. Starting a telemedicine practice on your own is overwhelming. Joining a group with highly experienced telemedicine practitioners to coach you will allow things to come together quickly.
- Intro to Business Operations: “How to get started” lessons on business operations including
o Equipment required
o Software that is intuitive and inexpensive
o Digital office tools that are essential to running a telemedicine practice.
- Sales & Marketing:How you can “sell to your install base”
o Focus your marketing on existing patients and then expand out from there.
o How to transfer to an online delivery format
- How to design email follow-up systems that can personalize your patients' online experience.
o Building a robust tracking system for labs and supplement sales to ensure patient compliance and the scheduling of follow-up visits
- Personnel Requirements:Finding the right fit for your practice
o Online Health Coach
o Clinical care coordinator
o Administrative assistant positions.
- Legal, Business and Financial Planning Issues
o Removing barriers to launching a telemedicine practice
Information originally provided by Designs for Health
During these ever changing and uncertain times, we are all trying to adapt to keep our practices going. Many are switching to telemedicine based practices in line with the recommendations to "Stay Home, Stay Healthy".
While that is a great solution to be able to continue to provide care for your patients, we recommend that you check with your malpractice carrier.
Please also check with your malpractice carrier should you choose to stay open and seeing patients in person that you also have coverage for any liability that may arise from doing so.
Depending on your malpractice carrier, you may not have malpractice insurance coverage for telemedicine visits.
Please contact your malpractice carrier if you have switched to doing telemedicine visits so that you know your coverage and they know you have switched.
UPDATE - TELEMEDICINE - COVID-19
As the naturopathic community struggles with how to move forward in this unprecedented time in our country, Aegis Insurance Associates and MedPro Group (National Fire & Marine) are committed to serving our clients both in favorable conditions and through challenging times. During this time when the COVID-19 pandemic is generating concerns and questions, we remain steadfast in our mission to support our customers with peace of mind, expertise and choice.
Aegis Insurance and MedPro Group have always provided telemedicine coverage with no additional premium, whether it be part of your practice now or if your telemedicine services will be increased because of the pandemic.
We encourage you to visit the attached link from MedPro Group for updated information on the crisis as new data becomes available from the CDC and other governmental agencies. This information can change day to day and is subject to revision as circumstances evolve.
Medpro Group has put together a list of FAQ’s to address the most common concerns you may have during this time. Visit: https://www.medpro.com/covid-19-information-and-resources
MedPro Group has been providing medical malpractice insurance since 1899 and currently insures more than 200,000 healthcare providers nationwide. With assets in excess of $6.4 billion dollars, they are financially prepared to stand behind their insureds.
As a reminder, Sprague Israel Giles and our carrier partner are proud to provide coverage for telemedicine services for NDs providing services to patients in both ND-licensed and ND-pre-licensed States.
Great news! Generally, our carrier charges additional costs if a practitioner’s services via telemedicine are over 49% of their total operations, but in light of the recent COVID-19 crisis, we have seen a large increase in doctors who have moved to a primarily-telemedicine model at this time. So, for the foreseeable future, we’re proud to announce that upon our request, our carrier partner has agreed to waive any and all additional costs for coverage incurred as a result of a provider having a majority telemedicine operations during this crisis.
In regards to restrictions on telemedicine across state line for medical providers, we are monitoring the situation closely and will be following the guidance of State ND Associations and the AANP, which is working on defining the guidelines as set forth in recent White House announcements on the subject.
Our carrier partner is proud to be flexible, and will be working with NDs in regards to compliance and coverage as regulations change, whether temporarily or permanently. We are glad to be able to help support the ND community at this time.
Inslee sent Stay Home, Stay Healthy order 3/23/2020
Tonight, Gov. Jay Inslee spoke directly to Washingtonians to announce he will sign a statewide order that requires everyone in the state to stay home. The order will last for two weeks and could be extended.
This Stay Home, Stay Healthy order is similar to orders that other governors, in places such as California and New York, issued last week.
This proclamation will:
- Require every Washingtonian to stay home unless they need to pursue an essential activity.
- Ban all gatherings for social, spiritual and recreational purposes.
- Close all businesses except essential businesses.
“The less time we spend in public, the more lives we will save,” Inslee said.
The proclamation states it’s still safe for people to go outside as long as they remain at least six feet from each other. Grocery stores, doctor’s offices and other essential businesses will remain open. People can still participate in activities such as bike rides, gardening, and dog walking — as long as they follow social distancing rules.
Read the rest of the story on the governor's Medium page.
We are currently trying to gain clarity for how COVID-19 will impact the new CEU rules for NDs in Washington State. Please check back for updates as we work hard to obtain the most up-to-date information for you.
Here is the latest for the Board of Naturopathy:
The Board of Naturopathy (board) is aware that COVID-19 response measures have resulted in widespread cancellation of many continuing education (CE) offerings which are having impacts to the board’s licensees. Any actions or modifications regarding CE requirements would require official board action at an open public meeting with a quorum of the board present. The board is scheduling a special business meeting for April 3, 2020. The board will address this challenge at that meeting and potential approaches may include the granting of waivers or extensions, or possible modifications to acceptable CME such as allowing an increase in online options.
The board would also like to reassure those licensees whose renewal and CME declaration is imminent and will occur prior to the April 3, 2020, special meeting that the impacts of the COVID-19 response measures will be taken into consideration.
Please continue to monitor the board’s website for updated guidance. Additional information and resources on the current outbreak is available on the Department of Health's COVID-19 webpage. Thank you
Here is a list of testing facilities we have compiled for you for King and Snohomish counties.
|Facility||Address||County||Who can go?||Drive-thru or on-site|
|Downtown Seattle- King County||4th and Blanchard||King||Symptomatic patients, expedited if have a prescription for testing||Drive-thru|
|University of Washington Medicine||10330 Meridian Ave. N., Seattle||King County||UW Medicine patients only||Drive-thru|
|Kaiser Permanente Washington||13451 S.E. 36th St., Bellevue||King County||Kaiser Permanente patients only||Drive-thru|
|Kaiser Permanente Washington||140 S.W. 146th St., Burien||King County||Kaiser Permanente patients only||Drive-thru|
|Kaiser Permanente Washington||20200 54th Ave. W., Lynwood||Snohomish County||Kaiser Permanente patients only||Drive-thru|
|Kaiser Permanente Washington||201 16th Ave. E., Seattle||King County||Kaiser Permanente patients only||Drive-thru|
|Swedish Hospital||751 N.E. Blakely Drive, Issaquah||King County||Swedish patients and employees||Drive-thru in parking garage|
|Swedish Hospital||515 Minor Ave., Seattle||King County||Swedish employees||Drive-thru|
|Swedish Hospital||515 Minor Ave., Suite 170, Seattle||King County||Swedish patients and employees||On-site|
|Swedish Hospital||21601 76th Ave. W., Edmonds||Snohomish County||Swedish patients and employees||Drive-thru in parking garage|
|Pacific Medical Centers||1200 12th Ave. S., Seattle||King County||Patients who are 60 and older, showing symptoms, with underlying condtions. Pregnant people.||Drive-thru on the 2nd floor of the parking garage|
|Pacific Medical Centers||10416 5th Ave. N.E. Seattle||King County||Patients who are 60 and older, showing symptoms, with underlying condtions. Pregnant people.||Drive-thru|
|Pacific Medical Centers||601 S. Carr Road, Renton||King County||Patients who are 60 and older, showing symptoms, with underlying condtions. Pregnant people.||Drive-thru|
|Providence Medical Group||16708 Bothell Everett Hwy. Suite 201, Mill Creek||Snohomish County||Providence patients use the drive-thru and clinic visits are open to the anyone meeting CDC testing guidelines||Drive-thru and on-site|
|Providence Regional Medical Center||1700 13th St., Everett||Snohomish County||Providence employees||Drive-thru|
|The Everett Clinic||3927 Rucker Ave
Everett, WA 98201
|Snohomish County||Walk In with Sympoms||On site|
|The Everett Clinic||2901 174th St NE
Marysville, WA 98271
|Snohomish County||Walk In with Sympoms||On site|
|The Everett Clinic||1201 N 175th St
Shoreline, WA 98133
|King County||Walk In with Sympoms||On site|
|The Everett Clinic||9924 NE 185th Street, Suite 215
Bothell, WA 98011
|King/Snohomish County||Walk In with Sympoms||On site|
|The Everett Clinic||4410 106th St SW
Mukilteo, WA 98275
|Snohomish County||Walk In with Sympoms||On site|
|Facility||Address||County||Who Can Go?||Drive-Thru or on-site|
|Physician's Plaza at Capital Medical Center||3900 Capital Mall Dr SW, Olympia, WA 98502||Thurston||Pre-screened patients or with an order from referring doctor||On-site by facility appointment|
|Kaiser Permanente||700 Lilly Rd NE, Olympia, WA 98506||Thurston||Kaiser Permanente patients only||Drive thru and on-site|
|Providence St Pete's West Olympia Walk in clinic||1620 Cooper Point Rd SW, Olympia, WA 98502||Thurston||Providence Patients or with pre-screening/referral from doctor||on-site by facility appointment|
|Sea Mar Thurston County Walk-In Clinic||3622A Ensign Rd NE, Olympia, WA 98506||Thurston||pre-screened patients of the clinic or with doctor referral||On site by facility appointment|
|Mary’s Corner Medical Clinic||4254 Jackson Hwy, Chehalis WA, 98532||Lewis||pre-screened patients of the clinic or with doctor referral||Drive-Thru only|
|Arbor Health Morton Hospital||521 Adams Ave, Morton, WA 98356||Lewis||pre-screened patients of the clinic or with doctor referral||Drive-thru and on-site|
|Valley View Health Center-Chehalis||2690 NE Kresky Ave, Chehalis, WA 98532||Lewis||pre-screened patients of the clinic or with doctor referral||On site by facility appointment|
|Valley View Health Center Walk-In Clinic-Centralia||1800 Cooks Hill Rd suite g, Centralia, WA 98531||Lewis||pre-screened patients of the clinic or with doctor referral||On site by facility appointment|
|Valley View Health Center-Winlock||100 Cedar Crest Dr, Winlock, WA 98596||Lewis||pre-screened patients of the clinic or with doctor referral||On site by facility appointment|
|Valley View Health Center-Centralia||2428 W Reynolds Ave, Centralia, WA 98531||Lewis||pre-screened patients of the clinic or with doctor referral||On site by facility appointment|
|Valley View Health Center-Onalaska||9636 1810, WA-508, Onalaska, WA 98570||Lewis||pre-screened patients of the clinic or with doctor referral||On site by facility appointment|
|Valley View Health Center-Pe Ell||402 N Main St, Pe Ell, WA 98572||Lewis||pre-screened patients of the clinic or with doctor referral||On site by facility appointment|
|Mason General Hospital, Mason Clinic, Primary Care||1701 N 13th St, Shelton, WA 98584||Mason||Pre-screening appointment required||On site by facility appointment|
|Mason General Hospital, Mason Clinic, Walk-in Clinic||1701 N 13th St, Shelton, WA 98584||Mason||Pre-screening appointment required||On site by facility appointment|
|Mason General Hospital||901 Mountain View Drive, Shelton, WA 98584||Mason||Pre-screening appointment required||On site by facility appointment|
New ICD-10 Code--Effective April 1, 2020
- Is the patient care that I am providing urgent or emergent in nature, or could it wait?
- Am I putting myself, employees, patients or office staff at risk for exposure?
- Am I helping to flatten the curve to protect those at risk?
- Do I have the ability to practice tele-health during a pandemic for non-urgent concerns?
- If I am swabbing for COVID-19, do I have a way to keep others and myself safe while doing so?
This link provides clinical resources as well as patient education resources and videos.
Symptoms remain to be cough, fever and shortness of breath and may appear 2-14 days after exposure. For more information and to access a symptom self checker for your patients, visit:
The Board of Naturopathy sent out this update from the Governor this morning:
The MTSL Group has developed a Telemedicine Fact Sheet for practitioners in Washington and Oregon Please view it here: COVID-19 Telemedicine Fact Sheet
Regarding the recent announcement from the White House that all medical personnel may now practice across state lines, the WANP and AANP are working to find out if this includes licensed NDs. Please refrain from announcing to patients or on social media that this includes NDs until we are able to establish factual details.
As concerns about the spread of coronavirus and efforts to contain it mount, the AANP has launched a comprehensive resource page.
Visit the CDC tor updates on COVID-19 at https://www.cdc.gov/coronavirus/2019-ncov/index.html
Rolling updates from the World Health Organization at https://www.who.int/emergencies/diseases/novel-coronavirus-2019/events-as-they-happen
- Medicare will allow beneficiaries to receive telehealth services in all parts of the country and in all locations, including homes. Previously telehealth was limited to specific beneficiaries in specific locations, i.e. a rural medical facility.
- Established Relationship Requirement is TEMPORARILY waived. It is imperative during this public health emergency that patients avoid travel, when possible, to physicians’ offices, clinics, hospitals, or other health care facilities where they could risk their own or others’ exposure to further illness.
- Providers can TEMPORARILY use non-HIPAA compliant video conferencing platforms. Effective immediately, the HHS Office for Civil Rights (OCR) will exercise enforcement discretion and waive penalties for HIPAA violations against health care providers that serve patients in good faith through everyday communications technologies, such as FaceTime or Skype, during the COVID-19 nationwide public health emergency. However, public-facing platforms for communication like Facebook Live, Twitch and TikTok may NOT be used. See HHS for more information about COVID-19 and HIPAA.
- There are 101 CPT codes designated as eligible for telehealth payments. Find out more on tomorrow’s webinar HERE.
- Medicare pays the same amount for telehealth services as it would if the service were performed in person. We hope insurers will too!
- These Telehealth guidelines are available to ALL patients, not just those with COVID-19.
This page shows Regence Blue Shield's current telemedicine guidelines, codes that will be covered, modifiers to be used, E&M codes that can be used and much more related to billing Regence for Telemedicine visits. Click the link to learn more: https://www.regence.com/provider/library/policies-guidelines/reimbursement-policy/virtual-care
Here is a list of CE classes regarding COVID-19. Always make sure to confirm with your state that these credits qualify.
We will continue to update this information as it changes.
The WANP is doing its best to stay up to date with the most current information. However, the information that we are receiving surrounding COVID-19 is constantly changing. Please check with the WA state Dept. of Health for state specific information and please consult your attorney for legal advice.
We are here to support you!