Johnson & Johnson Vaccine Pause The Rhode Island Department of Health (RIDOH) is announcing that Rhode Island is pausing administration of the Janssen (Johnson & Johnson) COVID-19 vaccine as federal partners continue gathering more information. No Janssen appointments had been scheduled for release today. RIDOH is directing vaccinators that had made Janssen vaccination appointments to not administer those doses. Additional information will be shared shortly regarding people who had already made appointments for Janssen vaccine. No information reported to RIDOH has indicated that Janssen vaccine represents a health or safety concern. However, RIDOH is taking this step in alignment with federal partners.
Vaccine eligibility for ages 16 and older People ages 16 and older who live, work, or go to school in Rhode Island are now eligible for COVID-19 vaccine. If you are eligible, you can schedule an appointment at a State-run vaccination site by visiting www.vaccinateRI.org starting April 19. People ages 16 – 17 must sign up for Pfizer-BioNTech vaccine. For help, call 844-930-1779 or 211. Visit C19vaccineri.org for more information.
Information for Healthcare Providers Click here for a searchable list of RIDOH COVID-19 publications for healthcare providers. Monoclonal Antibodies (MABS) and Other Treatments Monoclonal Antibody (MABS) Treatment MABS treatments are available for outpatients with mild to moderate COVID-19 who are at high risk for progressing to severe disease and/or hospitalization. Specific referral criteria for each treatment facility follows. Treatment Options Bamlanivimab and etesevimab EUA | EUA Provider Fact Sheet | EUA Patient Fact Sheet | Baseball Card (RIDOH no longer recommends the administration of bamlanivimab alone) Casirivimab and imdevimab (Regeneron) EUA | EUA Provider Fact Sheet | EUA Patient Fact Sheet | Baseball Card Referrals The Rhode Island Department of Health (RIDOH) recognizes that MABS, when administered to appropriate patients, are a safe and effective treatment for COVID-19. RIDOH therefore recommends MABS treatment be considered for any COVID-19 positive patient at the discretion of the attending physician and in accordance with the FDA EAU. Healthcare providers should evaluate any patient who is COVID-19 positive for the appropriate use of MABS, recognizing the risks and benefits of this treatment. RIDOH guidance Encourage patients to get tested as soon as they have COVID-19 symptoms so eligible patients can start treatment as early as possible to maximize treatment effectiveness. Refer eligible patients directly to the these infusion centers or services. 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. Free patient transport is available to and from treatment. 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 MABS treatment: Blackstone Valley Community Health Care Ocean State Urgent Care South County Express Care Thundermist Health Center Find more information about these particular clinics. TeleCARE by Brown Emergency Medicine is another option for patient evaluation and referral for MABS treatment. For patients who do not have or have lost their health insurance, learn about other urgent care and health centers and accessing healthcare and support services. Find all MABS treatment locations in Rhode Island. Resources Videos of Rhode Island doctors promoting MABS combatcovid.hhs.gov PHE.gov web pages 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 Report any positive cases of COVID-19 to RIDOH within 24 hours, including reinfection and vaccination breakthrough cases. The ordering provider should direct anyone with a positive test result to isolate, whether from rapid antigen or PCR testing. 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. For reinfection and vaccination breakthrough cases, include the initial infection date and/or the patient's vaccine product and injection dates. 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 and rapid test results 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. COVID-Associated Conditions The Centers for Disease Control and Prevention (CDC) now recommends reporting of MIS-C and MIS-A. Clinical criteria for each condition follows. Report cases to Rhode Island’s Center for Acute Infectious Disease Epidemiology by calling 401-222-2577 Monday through Friday from 8:30 a.m. to 4:30 p.m. If after hours, please call RIDOH’s answering service at 401-276-8046 to connect with the medical staff on call. Multi-System Inflammatory Syndrome in Children (MIS-C) MIS-C is a condition associated with infection from COVID-19. Clinical criteria for MIS-C diagnosis include: Younger than age 21 and Fever, laboratory evidence of inflammation, severe illness requiring hospitalization, multisystem organ involvement and No alternative plausible diagnosis and Positive for current or recent COVID-19 infection by RT-PCR, serology, or antigen test or exposure to a suspected or confirmed COVID-19 case within the four weeks before symptoms started Click here for clinical information from Hasbro Children's Hospital and additional resources on MIS-C. Multi-System Inflammatory Syndrome in Adults (MIS-A) MIS-A is a condition similar to MIS-C, but in adults. For the MIS-A case definition, providers can use either the same definition for MIS-C or the definition used in the Morbidity and Mortality Weekly Report (MMWR) series. The MIS-A case definition used in the report includes the following five criteria: Severe illness requiring hospitalization in a person age 21 or older and Positive test result for current or previous COVID-19 infection (nucleic acid, antigen, or antibody) during admission or in the previous 12 weeks and Severe dysfunction of one or more extrapulmonary organ systems (e.g., hypotension or shock, cardiac dysfunction, arterial or venous thrombosis or thromboembolism, or acute liver injury) and Laboratory evidence of severe inflammation (e.g., elevated CRP, ferritin, D-dimer, or interleukin-6) and Absence of severe respiratory illness (to exclude patients in which inflammation and organ dysfunction might be attributable simply to tissue hypoxia) Long COVID 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 MIS-C and MIS-A. 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" 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 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 Flyers English Patient Transport for Treatment with Monoclonal Antibodies (MABS) PDF file Forms English Atmed Urgent Care MAI Referral 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 Referral Requisition Form for COVID-19 Monoclonal Antibody Therapy PDF file Rhode Island COVID-19 Quarantine Calculator Excel file RIDOH State health Laboratories Test Requisition PDF file Thundermist MAB Intake Referral PDF file Spanish Calculadora cuarentena Rhode Island 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 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 Monoclonal Antibody Treatment PDF file COVID-19 Quarantine and Isolation Guidance by Population PDF file COVID-19 Talking Points 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 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 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 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 Rhode Island Quarantine Requirements 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? 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Guidance for Healthcare Facilities Caring for Nursing Home Residents for Medically Necessary Visits PDF file
Interim Infection Prevention and Control Guidance for Dental Settings During the COVID-19 Response Web page
¿QUIÉN puede vacunarse en la FASE 1 del programa de vacunación contra el COVID-19 de Rhode Island? PDF file
WHO can get vaccinated in PHASE 1 of Rhode Island’s COVID-19 Vaccination Program? (Portuguese) 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