News Updates

COVID-19 Resources from ADA, MDA, State of Missouri

Links to recent COVID-19 updates and resource documents for your practice.

CDC Guidance

The CDC continues to update its guidance regarding COVID-19. Visit CDC COVID website for the most current information. 

COVID-19 Mitigation Strategies

Newly updated document to assist you in your practice: COVID-19 Mitigation Strategies for Healthcare Providers. The guidance within it has been written by Dr. Guy Deyton, State Dental Director, and reviewed by Dr. George Turabelidze, State Epidemiologist. It includes information on screening, protection and testing. 

Dr. Deyton also has written Conducting Comfortable Vaccine Discussions – 4 Easy Steps to assist members in effectively communicating with patients about vaccines.

N95 Masks & Other PPE Free from State

We want to remind members about the State of Missouri PPE order form to request N95 masks and other PPE items for free. When using the form, select “Dentist” as the facility license type, and the Honeywell DC365 N95 becomes visible to be requested. There is no cost for the PPE items or shipping; orders (in case amounts) will be filled if supply is available. The State does ask all healthcare providers attempt to obtain supplies through their normal vendors but understands there have been numerous times when certain items have been in short supply or vendor orders have been delayed.

Recent ADA Updates

When the ADA updates any of its documents or provides new ones, they are posted at ADA.org/Virus. Highlighted below are recent updates. 

Missouri Resources

OSHA Releases ETS Standard

On November 4, OSHA released its emergency temporary standard (ETS) requiring employers with more than 100 employees to ensure their employees are vaccinated against COVID-19—or are at least masked regularly and tested weekly. It also requires covered employers to extend paid leave for workers to get vaccinated, and for those who require leave due to work-related COVID-19 exposure.

CMS issued a corresponding rule that applies to workers at health care facilities participating in Medicare or Medicaid. This applies regardless of whether their positions are clinical or non-clinical and to students, trainees, and volunteers. There is no masking/testing option in lieu of vaccination for health care providers.

The ADA has alerted state executive directors that it is still reviewing the details of both rules to ascertain whether and how they might affect dentists. At this time, the ADA thinks the OSHA standard will not impact dental practices with fewer than 100 employees (across all locations). They believe the CMS rule would apply only to dentists working in the following facilities that accept Medicaid:

  • Ambulatory Surgical Centers (ASCs)
  • Hospices
  • Psychiatric residential treatment facilities (PRTFs)
  • Programs of All-Inclusive Care for the Elderly (PACE)
  • Hospitals (acute care hospitals, psychiatric hospitals, hospital swing beds, long term care hospitals, children’s hospitals, transplant centers, cancer hospitals, and rehabilitation hospitals/inpatient rehabilitation facilities)
  • Long Term Care (LTC) Facilities, including Skilled Nursing Facilities (SNFs) and Nursing Facilities (NFs), generally referred to as nursing homes
  • Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs-IID)
  • Home Health Agencies (HHAs)
  • Comprehensive Outpatient Rehabilitation Facilities (CORFs)
  • Critical Access Hospitals (CAHs)
  • Clinics, rehabilitation agencies, and public health agencies as providers of outpatient physical therapy and speech-language pathology services
  • Community Mental Health Centers (CMHCs)
  • Home Infusion Therapy (HIT) suppliers
  • Rural Health Clinics (RHCs)/Federally Qualified Health Centers (FQHCs)
  • End-Stage Renal Disease (ESRD) Facilities

The ADA is continuing to review the rules and intends to share information with members as soon as possible. In the meantime, you can access OSHA and CMS documents at the following links: OSHA Press Release, FAQ, Rule and CMS Press Release, FAQ, Rule.

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