Providers, Hospitals and Labs Helpful Links and Resources Vaccination Information for Health Care Providers COVID-19 Vaccine Management System (CVMS) Updated guidance for doctors and clinicians on who should be tested for COVID-19 Steps to Take After COVID-19 Testing People who have COVID-19 should stay home and avoid others until they can say yes to ALL three of the following questions: Has it been at least 10 days since you first had symptoms Has it been at least 24 hours (1 day) since you have had a fever without using fever-reducing medicine? Have your other symptoms improved (such as coughing and shortness of breath)? Using testing to decide when people who have had COVID-19 can be around others is no longer recommended. Employers should not require documentation of a negative test before allowing an employee to return. Resources to Support NC Providers Responding to COVID-19 Providers can receive funds to help cover COVID-19 related primary care services and expenses. Please review the Resources to Support NC Providers Responding to COVID-19 fact sheet and chart for a full overview of supports available. Review this fact sheet and chart. For Medicaid Providers - Information, guidance, policy requirements and billing codes for Medicaid providers to deliver care to beneficiaries. See all guidance for providers and local health departments Hospitals and health care providers All health care providers should: Follow directions related to elective and non-urgent and procedures and surgeries. Review policies and procedures for infection prevention and mitigation and make sure all visitors and employees follow the appropriate steps. Limit visitors to the facility to only those essential for the patient’s physical or emotional well-being and care, for example, care partners. It is important providers consider patient rights under the American with Disabilities Act and the Rehabilitation Act when considering caregiver visitation. Consider using telemedicine, nurse triage lines and other options to prevent people with mild illnesses from coming to clinics and emergency rooms. Ask about travel history for patients presenting with respiratory illnesses and continue working closely with your local health department, NCDHHS and the CDC and follow their guidance. Join in weekly calls with NCDHHS’ Division of Public Health. Behavioral health and self-care Behavioral health providers should follow the guidance for health care professionals provided by NCDHHS and the CDC. Fear, stigma, depression, anxiety, and posttraumatic stress disorder can follow major infectious disease outbreaks, and all health care providers should be prepared for those reactions with the COVID-19 outbreak. The importance of self-care during stressful times cannot be over-estimated and all health providers, including behavioral health providers, are at risk for burnout and secondary trauma. Be aware of the behavioral health crisis services that are available. Resources are available on managing your overall health. Frequently Asked Questions Are there education materials for health care providers available? Get Your Clinic Ready for COVID-19 (pdf) CMS Adult Elective Surgery and Procedures Recommendations (pdf) SAMHSA 42 CFR Part 2 Guidance(pdf) Resources for Long Term Care Providers Statewide Program Infection Control Epidemiology website Environmental Assessment Videos Direct Link to LTC Videos How can providers and pharmacies ensure medications remain available if they are being tested for COVID-19? As more treatments are investigated for COVID-19 treatments, we encourage prescribers to limit prescriptions to drugs consistent with evidence for their use, and in quantities consistent with such. Many of the drugs in evaluation for COVID-19 are FDA approved for other diseases and vital to ongoing patient therapy. We recommend providers issue prescriptions for medications to treat COVID-19 when warranted based on professional judgment and current evidence, and include on the prescription the diagnosis, limit quantities to no more than 14 days, and permit no refills without a follow-up prescription. The NC Board of Pharmacy passed the COVID-19 Drug Preservation Rule on March 24, 2020, which restricts dispensing certain medications to 14 days when used for COVID-19. This helps maintain supplies for medications for patients using them for chronic conditions and severely ill COVID-19 patients. The NC Board of Pharmacy has FAQs on their website.