{"id":17859,"date":"2021-11-04T19:14:45","date_gmt":"2021-11-04T23:14:45","guid":{"rendered":"https:\/\/www.chiropractic.org\/?p=17859"},"modified":"2023-08-15T10:18:46","modified_gmt":"2023-08-15T14:18:46","slug":"cms-issues-proposed-interim-final-rule-on-presidents-covid-vaccine-mandate","status":"publish","type":"post","link":"https:\/\/www.chiropractic.org\/cms-issues-proposed-interim-final-rule-on-presidents-covid-vaccine-mandate\/","title":{"rendered":"CMS Issues Proposed Interim Final Rule on President’s COVID Vaccine Mandate"},"content":{"rendered":"\n

November 4, 2021 (Falls Church).<\/strong> Today the Center for Medicare and Medicaid (CMS) pre-published on the Federal Register the Interim Final Rule with public comment available. It will be formally published tomorrow morning with a 60 day comment period. ICA will be preparing comments and share them with our members. <\/p>\n\n\n\n

CMS is clear – this interim final rule does not apply to other health care entities such as ‘physician’ office, only to the providers and suppliers listed below. <\/h4>\n\n\n\n

This is an extensive document (over 200 pages). You can read it here in its unofficial posting <\/p>\n\n\n\n

https:\/\/public-inspection.federalregister.gov\/2021-23831.pdf<\/a><\/p>\n\n\n\n

The ICA will be reviewing and providing comments to CMS. We had previously notified membership through a press release of September 13 which provided:<\/p>\n\n\n\n

Updated September 13 at 3:30 pm: CMS provided the following information on background regarding clarification on <\/strong>the mandate rule:<\/strong><\/p>\n\n\n\n

\u201cThis regulation does not directly apply to physician\u2019s offices as these are not regulated under the provider-specific Medicare health and safety regulatory provisions, generally referred to as \u201cConditions of Participation.\u201d<\/strong><\/p>\n\n\n\n

Given that Doctors of Chiropractic are \u2018physicians\u2019 in Medicare, this mandate as currently issued, will not apply to chiropractors in private practice. ICA will keep you posted if this changes.<\/p>\n\n\n\n

Updated September 13 at 1:10 pm: <\/strong>Official Statement from CMS Spokesperson on background, \u201c<\/p>\n\n\n\n

On background and attributable to CMS spokesperson:<\/strong><\/p>\n\n\n\n

CMS anticipates that the staff vaccination requirement would apply to Medicare and Medicaid-certified provider and supplier types that comply with the Medicare health and safety regulatory provisions, known as the Conditions of Participation, which includes, but is not limited to, hospitals, dialysis facilities, ambulatory surgical centers, and home health agencies.\u201d<\/strong><\/p>\n\n\n\n

It would appear the spokesperson was accurate on September 13. <\/strong><\/p>\n\n\n\n

The List of providers and Suppliers included in this interim final rule. <\/h4>\n\n\n\n

\u25cf Ambulatory Surgical Centers (ASCs) (\u00a7 416.51)<\/p>\n\n\n\n

\u25cf Hospices (\u00a7 418.60)<\/p>\n\n\n\n

\u25cf Psychiatric residential treatment facilities (PRTFs) (\u00a7 441.151)<\/p>\n\n\n\n

\u25cf Programs of All-Inclusive Care for the Elderly (PACE) (\u00a7 460.74)<\/p>\n\n\n\n

\u25cf Hospitals (acute care hospitals, psychiatric hospitals, hospital swing beds, long term<\/p>\n\n\n\n

care hospitals, children\u2019s hospitals, transplant centers, cancer hospitals, and rehabilitation<\/p>\n\n\n\n

hospitals\/inpatient rehabilitation facilities) (\u00a7 482.42)<\/p>\n\n\n\n

\u25cf Long Term Care (LTC) Facilities, including Skilled Nursing Facilities (SNFs) and<\/p>\n\n\n\n

Nursing Facilities (NFs), generally referred to as nursing homes (\u00a7 483.80)<\/p>\n\n\n\n

\u25cf Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs-IID) (\u00a7 483.430)<\/p>\n\n\n\n

\u25cf Home Health Agencies (HHAs) (\u00a7 484.70)<\/p>\n\n\n\n

\u25cf Comprehensive Outpatient Rehabilitation Facilities (CORFs) (\u00a7\u00a7 485.58 and 485.70)<\/p>\n\n\n\n

\u25cf Critical Access Hospitals (CAHs) (\u00a7 485.640)<\/p>\n\n\n\n

\u25cf Clinics, rehabilitation agencies, and public health agencies as providers of outpatient<\/p>\n\n\n\n

physical therapy and speech-language pathology services (\u00a7 485.725)<\/p>\n\n\n\n

\u25cf Community Mental Health Centers (CMHCs) (\u00a7 485.904)<\/p>\n\n\n\n

\u25cf Home Infusion Therapy (HIT) suppliers (\u00a7 486.525)<\/p>\n\n\n\n

\u25cf Rural Health Clinics (RHCs)\/Federally Qualified Health Centers (FQHCs) (\u00a7 491.8)<\/p>\n\n\n\n

\u25cf End-Stage Renal Disease (ESRD) Facilities (\u00a7 494.30)<\/p>\n\n\n\n

<\/p>\n\n\n\n

If you are not employed in one of these facilities and thus you are not effected. <\/p>\n\n\n\n

###<\/p>\n\n\n\n

<\/p>\n\n\n\n

Updated Friday morning 8:00 am – Overnight CMS issued the formal announcement with a press release. The link is available here: https:\/\/www.cms.gov\/newsroom\/press-releases\/biden-harris-administration-issues-emergency-regulation-requiring-covid-19-vaccination-health-care<\/a><\/h4>\n\n\n\n

<\/p>\n\n\n\n

FAQ link: https:\/\/www.cms.gov\/files\/document\/cms-omnibus-staff-vax-requirements-2021.pdf<\/a><\/p>\n\n\n\n

Midway through the FAQ page it again reiterates this rule – this vaccine mandate- does not apply to “physician officers” (Doctors of Chiropractic are categorized as physicians in Medicare) – so you and your staff if not in one of the named facilities are not subject to this mandate. <\/h4>\n\n\n\n

###<\/p>\n","protected":false},"excerpt":{"rendered":"

November 4, 2021 (Falls Church). Today the Center for Medicare and Medicaid (CMS) pre-published on the Federal Register the Interim Final Rule with public comment …<\/a><\/p>\n","protected":false},"author":3,"featured_media":17866,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3,85,5,4],"tags":[],"class_list":["post-17859","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-federal-law-or-policy","category-member-notice","category-press-release"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.chiropractic.org\/wp-json\/wp\/v2\/posts\/17859","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.chiropractic.org\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.chiropractic.org\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.chiropractic.org\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.chiropractic.org\/wp-json\/wp\/v2\/comments?post=17859"}],"version-history":[{"count":4,"href":"https:\/\/www.chiropractic.org\/wp-json\/wp\/v2\/posts\/17859\/revisions"}],"predecessor-version":[{"id":17879,"href":"https:\/\/www.chiropractic.org\/wp-json\/wp\/v2\/posts\/17859\/revisions\/17879"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.chiropractic.org\/wp-json\/wp\/v2\/media\/17866"}],"wp:attachment":[{"href":"https:\/\/www.chiropractic.org\/wp-json\/wp\/v2\/media?parent=17859"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.chiropractic.org\/wp-json\/wp\/v2\/categories?post=17859"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.chiropractic.org\/wp-json\/wp\/v2\/tags?post=17859"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}