Information for Healthcare Providers Click here for a searchable list of RIDOH COVID-19 publications for healthcare providers. Monoclonal Antibodies and Other Treatments Monoclonal Antibody Treatment Monoclonal antibody treatments are available for outpatients with mild to moderate COVID-19 who are at high risk for progressing to severe disease and/or hospitalization. Please see below information from each facility regarding specific referral criteria. Treatment Options Bamlanivimab RIDOH Guidance | EUA | EUA Provider Fact Sheet | EUA Patient Fact Sheet | Baseball Card Regeneron (casirivimab and imdevimab) EUA | EUA Provider Fact Sheet | EUA Patient Fact Sheet | Baseball Card Referrals Providers should consider whether patients who test positive for COVID-19 are candidates for monoclonal antibody infusion treatment. Eligible patients can be referred directly to infusion centers or services at the following facilities: Lifespan: COVID-19 Monoclonal Antibody Infusion Centers Care New England: Please download and complete referral forms and fax to 401-889-5035. Community Referral Form Nursing Home Referral Form Chartercare IMAB (bamlanivimab only): Referral Form Landmark Medical Center: Referral Form Coram/CVS Specialty Infusion (bamlanivimab only): Home-based infusion for patients who qualify and live within 75 miles of the dispensing pharmacy in Norwood, MA Referral Form Anaphylaxis Kit Orders Infusion centers and services are using similar referral criteria and treatment processes. The referral criteria for both available treatments are the same and those infusion centers offering both treatments will give either based on the available supply. Discuss treatment options with patients and give them the Early Use Authorization (EUA) patient fact sheets for both treatments. In addition to primary or specialty care provider evaluation and referral, COVID-positive patients who were tested at State testing sites can access same-day telehealth services at the following clinics to evaluate for referral for monoclonal antibody infusion treatment: Atmed Urgent Care Blackstone Valley Community Health Care Center of New England Urgent Care Ocean State Urgent Care South County Express Care Find more information about these particular clinics here. TeleCARE by Brown Emergency Medicine is another option for patient evaluation and referral for MAB treatment. Additional information for patients who do not have or have lost their health insurance can be found here and here. Find all monoclonal antibody treatment locations in Rhode Island here. Resources combatcovid.hhs.gov PHE.gov web pages LONG COVID Treatment Long COVID, also known as "long haul" COVID, has been described as subacute and chronic multi-system post-infectious sequelae of acute COVID-19 infection. It is distinct from Multisystem Inflammatory Syndrome in Children (MIS-C), the inflammatory condition that affects some children younger than 21 who have has COVID-19. Referrals For specialty care of patients with Long COVID, primary care providers can refer their patients to the Infectious Disease and Immunology Clinic at Lifespan. Fax referrals to the Infectious Diseases and Immunology Center at 401-793-7401 Send referrals within Lifespan through LifeChart as "Referral to Infectious Diseases" Treatment Resources Current Treatments for the Coronavirus (COVID-19) CDC, Interim Clinical Guidance for Management of Patients with Confirmed Coronavirus Disease (COVID-19) IDSA, Infectious Diseases Society of America Guidelines on the Treatment and Management of Patients with COVID-19 NIH, COVID-19 Treatment Guidelines Key Resources RIDOH COVID-19 Response Data RIDOH COVID-19 Provider Briefings How You Can Help the Rhode Island COVID-19 Response CDC Information for Healthcare Professionals about COVID-19 Ordering Tests The Rhode Island Department of Health (RIDOH) recommends COVID-19 testing for: People with symptoms of COVID-19 People who may have been exposed to someone with COVID-19 Certain asymptomatic populations. Test Ordering Options Outpatient healthcare providers can order COVID-19 tests for patients in the following ways: Use the online ordering system at schedulecovidtest.ri.gov to order a test for a patient who has symptoms or may have been exposed to someone with COVID-19. The ordering clinician may choose from a list of State-run testing sites located throughout Rhode Island. VIEW STEPS Refer patients to a local respiratory clinic for COVID-19 testing. Primary care providers and respiratory clinics performing in-office specimen collection and sending tests to a lab for processing should order tests according to the office’s or lab’s protocol. Additional testing options for pediatric patients are noted below. RIDOH encourages facilities that have the capacity to conduct point-of-care testing to contact test kit manufacturers directly to place an order. RIDOH has a limited supply of BinaxNOW rapid antigen test kits that are available to some clinics. To see if your facility qualifies to receive some of these tests, email [email protected]. Health care workers who are not able to get tested through their employers can use the testing options above. Connecticut and Massachusetts healthcare providers caring for Rhode Island residents can gain access to Rhode Island’s online ordering portal by emailing [email protected]. Rhode Island providers seeing Massachusetts patients can refer those patients to testing through a Respiratory Clinic or in their home state as needed. All Rhode Islanders can also self-schedule a COVID-19 test on portal.ri.gov, regardless of whether they have symptoms or if they have been identified as a close contact of someone with COVID-19. For more information about COVID-19 testing in Rhode Island, including an up-to-date list of testing sites and guidance about testing for different populations, visit health.ri.gov/covid/testing. Pediatric Patient Testing Providers may use the online ordering system at schedulecovidtest.ri.gov to schedule a COVID-19 test for a pediatric patient. The parent or caregiver may be asked to swab children younger than age 12 with coaching from the staff at the testing site. This page has information about clinics that offer COVID-19 testing for children. Note that some locations have restrictions on the age groups that can be tested. Parents can also schedule a COVID-19 test for a child enrolled in a K-12 public or private school by calling the K-12 test scheduling service at 844-857-1814. This program is reserved for K-12 students and staff members who are symptomatic or have been identified as a close contact of a positive case. Pre K students and staff must be part of a Pre K program that is associated with an elementary school to be eligible for this testing program. MORE INFORMATION Obtaining Test Results If a patient was scheduled for testing through schedulecovidtest.ri.gov, the ordering clinician will receive lab results directly from the commercial lab. Please communicate these results to your patient. Note: To ensure proper processing of test results, it is important that a provider’s National Provider Identifier (NPI) and fax number are correctly entered. Anyone tested for COVID-19 in the State of Rhode Island can access an official record of their test result on portal.ri.gov/results. All test results reported to RIDOH are available at this site. This step-by-step guide explains how to use the online result portal. If a patient was tested for COVID-19 at a community-based testing location, the patient may have to follow that clinic’s instructions for obtaining their test results. RIDOH encourages coordination between primary care providers and respiratory clinics in providing and obtaining patient test results. Positive Test Results If a patient tests positive for COVID-19, inform them that they need to isolate immediately. Anyone who tests positive should also inform their close contacts to quarantine and possibly get tested. A representative from RIDOH will also contact the patient directly for follow up. MORE Reporting Cases Any positive cases of COVID-19 should be reported to RIDOH immediately. For reporting positive results from testing you have ordered and sent out through a laboratory system: Report positive results only. Please include the patient’s name, DOB, testing date, and testing site. You may report by either of the following methods. We strongly encourage you to send by secure email if possible, as our fax machine can get backed up. For the time being, we do not recommend calling 401-222-8022 with positive results due to phone waiting times. Email using secure email. Send the test result to [email protected] with the subject: LAB POSITIVE. Attach the result report to the email or copy and paste the report into the body of the email. Fax to 401-222-2488. Include a cover letter (re: LAB POSITIVE). For reporting point-of-care/rapid test performed at your site: Report all positive and negative results. Email Chris Jenkins for information on how to send POC results: [email protected] Do not send results to Christine Jenkins. It's no longer necessary to report Patients Under Investigation (PUIs). Do not use the PUI form to report positive results to RIDOH. For reporting possible cases of Multi-Inflammatory Disease in Children (MIS-C), please call the RIDOH Center for Acute Infectious Disease Epidemiology at 401-222-2577 Monday-Friday 8:30 a.m-4:30 p.m. (401-276-8046 after-hours). Quarantine and Isolation Patient Resources When do I need to Isolate or Quarantine for COVID-19? (web page) Eng | Esp | Port Close Contact Quarantine Requirements (handout) Eng | Esp | Port | Cape Verdean Creole Close Contact Quarantine FAQ (handout) Eng | Esp | Port Close Contact Quarantine Calculator (Excel file) Eng | Esp | Port RIDOH Letter Requests: Rhode Islanders who need to provide verification of their quarantine status, isolation status, or test results may request a letter by submitting this online form. Letters will be sent by email and are usually ready in 72 hours. Instructions Types of Letters Provider Resources The following resources and tools help providers assess whether a staff member or patient who tests positive for COVID-19 may have exposed others in the practice. RIDOH encourages practices to use these tools to identify and inform staff and patients who are close contacts and should quarantine, and to instruct them to self-monitor for symptoms for 14 days from exposure. Quarantine and Isolation by Population COVID-19 Close Contact Determination in Patient Care Settings COVID-19 Isolation and Quarantine Calculator Quarantine and Isolation Facilities There is a quarantine and isolation facility for the homeless and others with unstable housing at the Wyndham Hotel at 1850 Post Road in Warwick. Please see this welcome letter for more information about the site. The facility accepts referrals for people who: Have tested positive but do not have a safe place to isolate. Have been exposed to someone with COVID-19 and ordered to quarantine but do not have a safe place to quarantine. COVID-19 testing is offered every Wednesday for quarantining residents. The intake form can be filled out by the patient or someone completing it on their behalf, such as a social worker, physician, or case manager. For patients unable to fill out the form who do not have someone to help them, staff will perform the intake with them by phone at 401-250-8987. The intake form is HIPAA secure. It is deposited directly into the Microsoft Teams software being used by the facility to coordinate care. Once the form has been submitted, a nurse will review the referral and follow up with the referring person within three hours. Intakes and new admissions take place from 8 a.m. – 5 p.m. daily. Voicemails left on the intake hotline after hours will be returned the next day. Vaccination Find resources to help healthcare providers prepare to receive, administer, and recommend COVID-19 vaccines here. Conserving PPE Personal protective equipment (PPE), including respirators (like N95s), facemasks (such as surgical masks), face shields and other eye protection, gowns, and gloves, are in short supply in Rhode Island and across the United States. At this time, we are exploring every opportunity available to obtain additional PPE. However, until the time that appropriate PPE is available, we provide guidance on the prioritization and conservation of PPE. Educational videos on PPE produced by the Rhode Island Disaster Medical Assistance Team (RI-DMAT): Safe Re-use of the N-95 Mask Wearing and Removing Personal Protective Equipment in a COVID-19 Environment Optimizing PPE Use in Rhode Island Guidance for Conserving PPE Insurance Information OHIC Resources Rhode Island Office of the Health Insurance Commissioner (OHIC) COVID-19 Information Guidance regarding Coverage for COVID-19 PCR and Antigen Testing Reinstatement of Temporary Emergency Measures Regarding Benefit Determination Review and Network Plans and Health Care Accessibility and Quality Assurance TeleMedicine Effective March 18, 2020, the Governor signed an executive order directing health insurers to follow previously announced instructions to cover visits conducted over the phone and online during this crisis. This order for an expansion of Telemedicine coverage will apply to primary and specialty care, as well as mental and behavioral health care. Insurance plans are updating policies to coincide with the Executive Order and this Telemedicine Insurer Grid reflects compliance with the current order. RIDOH is grateful to the volunteers who compiled it. Please note: This grid is not an official RIDOH document, but a compilation by volunteers designed to be a helpful reference. For official payer policy contact the specific payer. COVID19 Telemedicine Insurer Grid Excel file, less than 1mbmegabytes Advisories View advisory archive More CDC webpage on COVID-19 RI DOH COVID-19 FAQ (PDF) Publications and resources Outreach English Vaccine Outreach: Community Partner Activation PDF file Spanish Alcance de las Vacunas: Movilización de Socios Comunitarios PDF file Directories English Mental and Behavioral Health Resources PDF file Spanish Recursos Para la Salud Mental y de Comportamiento PDF file Educational English Webcast: Conference on Retroviruses and Opportunistic Infections 2020: COVID-19 Update Web page Factsheets English 10 things you can do to manage your health at home PDF file Congregate Settings Dispatch Service PDF file Congregate Settings Support Team PDF file Get Your Clinic Ready For COVID-19 PDF file Multisystem Inflammatory Syndrome in Children (MIS-C) PDF file Forms English Close Contact Quaarantine Calculator Excel file COVID East Side Clinical Lab, FAX PDF file COVID East Side Clinical Lab, FILLABLE PDF file COVID-19 Case Reporting Line List for Healthcare Practice Excel file COVID-19 Isolation and Quarantine Calculator Excel file COVID-19 Vaccination Consent Form PDF file Death Certificate PDF file Homebound Test Request Form PDF file Person Under Investigation (PUI) for COVID-19 PDF file RIDOH State health Laboratories Test Requisition PDF file Spanish Calculadora Excel file Formulario de consentimiento de vacunación contra la COVID-19 PDF file Portuguese, Portugal COVID-19 Vaccination Consent (Portuguese) PDF file Frequently Asked Questions English COVID-19 Health Benefit Changes PDF file Frequently Asked Questions About Dental Care During COVID-19 PDF file v-Safe; after vaccination health checker PDF file Guidelines English Administration of COVID-19 Vaccine for Patients Who Cannot Provide Informed Consent PDF file Clarifications and Updates for Long-Term Care Facilities PDF file Close Contact Quarantine Requirements PDF file Conservation of Personal Protective Equipment (PPE) PDF file COVID-19 BHDDH and DCYF Congregate Care Settings Phase2 PDF file COVID-19 Close Contact Determination in Patient Care Settings PDF file COVID-19 Drug Treatments PDF file COVID-19 Quarantine and Isolation Guidance by Population PDF file Crisis Standards of Care PDF file Decedent Removal and Transport from Nursing Homes PDF file Decedent Removal from Assisted Living Residences PDF file Decision Algorithm for Return to Direct Patient Care For Healthcare Worker who Tested Positive for COVID-19 PDF file Determining COVID-19 Associated and Completing Death Certificates PDF file Endoscopy Services PDF file Guidance for 12-Step Groups and Structured Support Groups PDF file Guidance for Ambulatory Care Settings for Infection Prevention with COVID PDF file Guidance for Barber and Hairdresser Services Nursing Homes and Assisted Living Facilities PDF file Guidance for Emergency Shelters PDF file Guidance for Essential Critical Infrastructure Workers Quarantined for Exposure to COVID-19 PDF file Guidance for Healthcare Facilities Caring for Nursing Home Residents for Medically Necessary Visits PDF file Guidance for Home-Based Health & Human Services PDF file Guidance of Essential Critical Infrastructure Workers during COVID-19 Response (CISA) Web page Guidance on Hospital Discharges to Long-Term Care Facilities, Home Isolation, and Quarantine Facilities to Prevent the Spread of COVID-19 PDF file Guidance on Triage and Response for Potential Exposures Web page Guidelines for Home-Based Health and Human Services PDF file Heating, Ventilation, and Air Conditioning (HVAC) Systems During the COVID-19 PDF file Hospital Visitation Guidance Transitioning from Level 2 To Level 3 PDF file Identifying Essential Critical Infrastructure Workers PDF file Interim Infection Prevention and Control Guidance for Dental Settings During the COVID-19 Response Web page Nursing Home and assisted Living Residences Visitation Guidance PDF file Optimizing PPE Use in Rhode Island PDF file Ordering COVID-19 Testing Prior to Dental Procedures PDF file OSHA COVID-19 technical page on dental worker precautions Web page Pediatric Multi-System Inflammatory Syndrome (PMIS) Temporally Associated with COVID-19 PDF file Phone Advise Guidelines for Possible COVID-19 Patients Web page Providing Care and Services for Undocumented Immigrants PDF file Quarantine and Isolation Facility Guidelines PDF file Responding to Students or Staff in Child Care or Camp with COVID-19 Symptom PDF file Shared Isolation and Quarantine Guidance for Behavioral Health Hospitals and Units PDF file Standard of Care for Nursing Home Residents Diagnosed with COVID-19 PDF file Statement on Antibody-Based COVID-19 Testing PDF file WHO can get vaccinated in PHASE 1 of Rhode Island’s COVID-19 Vaccination Program? PDF file Portuguese, Portugal Close Contact Quarantine Requirements (Portuguese) PDF file WHO can get vaccinated in PHASE 1 of Rhode Island’s COVID-19 Vaccination Program? (Portuguese) PDF file Spanish Oficina para la Cuarentena y el Aislamiento PDF file Requisitos para realizar la cuarentena PDF file ¿QUIÉN puede vacunarse en la FASE 1 del programa de vacunación contra el COVID-19 de Rhode Island? PDF file Instructions English COVID Ordering Instructions PDF file Directions for Clinician Access to Online Ordering System for COVID-19 Tests PDF file How to Obtain a COVID-19 Test for Your Patient PDF file How to Obtain A COVID-19 Test Result For Your Patient PDF file Prevention Steps for People Being Tested for COVID-19 PDF file RI Office of the Health Insurance Commissioner & Medicaid Program Instructions COVID-19 State of Emergency PDF file Specimen Collection Kit Instructions for 2019 Novel Coronavirus (COVID-19) PDF file Spanish PASOS DE PREVENCIÓN PARA LAS PERSONAS QUE SE ESTÁN HACIENDO LA PRUEBA PARA LA ENFERMEDAD CORONAVIRUS 2019 (COVID-19) PDF file Issue briefs English COVID-19 Hospitalizations PDF file Letters English Dental practice potential patient exposure letter Word file Medical practice potential patient exposure letter Word file Spanish Le escribimos para notificarle (Dental) Word file Le escribimos para notificarle (medical) Word file Lists English Pharmacies Offering Delivery of Medications PDF file Providing Care and Services for Undocumented Immigrants, Annotated Resource List PDF file Respiratory Care Clinics Web page Other Languages Chinese, Simplified Stop the Spread of Germs (Chinese) PDF file Periodical English Morbidity and Mortality Weekly Reports (MMWR) Web page New England Journal of Medicine Web page The Lancet COVID-19 Resource Centre Web page Plans English COVID-19 Vaccination Plan (Interim Draft) PDF file Policies English Guidance Regarding the Practice of Telemedicine by Physicians not Licensed in Rhode Island for Patients Located in Rhode Island PDF file Posters English All Patients Must Wear Masks PDF file Stop the Spread of Germs PDF file Viruses Don't Discriminate PDF file Visitor Restrictions Are In Place PDF file Summaries English All Provider Conference Call PDF file COVID-19 All Provider Conference Call Web page Video English Safe Re-use of the N-95 Mask Web page Wearing and Removing Personal Protective Equipment in a Covid-19 Environment Web page Web Pages English 2019 Novel Coronavirus Information for Healthcare Providers Web page Clinician Outreach and Communication Activity (COCA) Web page Clinician Outreach and Communication Activity (COCA) Web page Coronavirus 2019 Information: National LGBT Cancer Network Web page COVID-19 Global Cases Map Web page PreventOverDoseRI COVID-19 Resources Web page Workbooks English COVID19 Telemedicine Insurer Grid Excel file
Decision Algorithm for Return to Direct Patient Care For Healthcare Worker who Tested Positive for COVID-19 PDF file
Guidance for Healthcare Facilities Caring for Nursing Home Residents for Medically Necessary Visits PDF file
Guidance on Hospital Discharges to Long-Term Care Facilities, Home Isolation, and Quarantine Facilities to Prevent the Spread of COVID-19 PDF file
Interim Infection Prevention and Control Guidance for Dental Settings During the COVID-19 Response Web page
WHO can get vaccinated in PHASE 1 of Rhode Island’s COVID-19 Vaccination Program? (Portuguese) PDF file
¿QUIÉN puede vacunarse en la FASE 1 del programa de vacunación contra el COVID-19 de Rhode Island? PDF file
RI Office of the Health Insurance Commissioner & Medicaid Program Instructions COVID-19 State of Emergency PDF file
PASOS DE PREVENCIÓN PARA LAS PERSONAS QUE SE ESTÁN HACIENDO LA PRUEBA PARA LA ENFERMEDAD CORONAVIRUS 2019 (COVID-19) PDF file
Guidance Regarding the Practice of Telemedicine by Physicians not Licensed in Rhode Island for Patients Located in Rhode Island PDF file