Alabama’s top law enforcement officer on Friday warned against nursing homes intercepting federal stimulus payments to long-term care residents who are Medicaid recipients, but the state’s Nursing Home Association says it’s not aware that is happening, and it hasn’t been contacted by the Alabama Attorney General’s Office over the matter.
Alabama Attorney General Steve Marshall in a press release Friday said that federal stimulus checks from the CARES Act cannot be seized by nursing homes to pay for care.
“We are now beginning to receive a few reports of concern that some Alabama nursing homes may be attempting to take stimulus checks from residents who are Medicaid recipients. If this is happening, it needs to stop now,” Marshall said in a statement. “These stimulus checks are rightfully and legally the property of the residents and must be returned. Confiscation of these checks is unlawful and should be reported to my office.”
Mike Lewis, spokesman for the state Attorney General’s Office, in a message to APR on Friday said that all concerns reported to the office will be reviewed and investigated.
“There have been four such reports thus far,” Lewis said in the message.
Alabama Nursing Home Association President Brandon Farmer in a separate press release Friday said that since the federal government’s announcement of the stimulus payment, the association advised members that any stimulus payment deposited to the accounts of nursing home residents was not to be used to reimburse the facility “and is the sole property of the residents.”
“We urge Attorney General Steve Marshall to let us know if he has any reports of diversion of residents’ stimulus payments so that we may clarify any misunderstanding that may exist,” Farmer said. “At this time, we are unaware of any facility where such diversion is occurring.
Farmer said the association has encouraged Marshall to contact them any time he has a concern about nursing homes, or has information he wants to pass along to our members.
“As we have done throughout this pandemic, we stand ready to work with local, state and federal leaders to support Alabama’s nursing home residents and employees,” Farmer said.
Ivey urges Alabamians to complete census or risk losing federal funding, seat in Congress
Gov. Kay Ivey urged all Alabama residents to complete the 2020 census before the Sept. 30 deadline in a 30-second video released on Friday.
In the video, Ivey said, “Complete your 2020 Census today. We only have until Sept. 30th. Without you, Alabama stands to lose billions in funding, a seat in Congress and economic development opportunities.
“It only takes minutes to complete. Go to my2020census.gov or participate by phone or mail. Be counted – if not for you, for those in Alabama who depend on you for a brighter tomorrow.”
Governor’s chief of staff self-quarantining after wife tests positive for COVID-19
Gov. Kay Ivey’s chief of staff is self-quarantining after his wife tested positive for COVID-19 earlier this week, but the governor was not exposed this week to either her chief of staff, Jo Bonner, or his wife, Ivey’s office said Friday.
“After attending a visitation with some friends in Mobile last Friday, Jo Bonner’s wife, Janee, was notified Monday morning that a number of the attendees had tested positive for COVID-19,” said Ivey’s press secretary, Gina Maiola, in a statement to APR on Friday.
“While asymptomatic and out of an abundance of caution, Janee was tested and received a positive result. Upon hearing this early Monday morning, Jo Bonner immediately self-quarantined and worked from home. He was not with the governor this week, and Janee has not been around the governor in several months. Jo is continuing to work from home and will not be back in the office until the normal CDC protocols for exposure have run,” Maiola said.
AARP Alabama asks for details on $50 million federal COVID-19 aid to nursing homes
The Alabama chapter of AARP is asking the state to ensure federal coronavirus relief funds are spent wisely and in the open. Gov. Kay Ivey on Friday announced $50 million in grants would go to state nursing homes to aid in the fight against COVID-19.
Candi Williams, AARP’s Alabama state director, told APR on Monday that the organization, which advocates for the elderly, wants a better understanding of how that money will be spent and to ensure some is spent for ongoing COVID-19 testing.
A spokesman for the Alabama Nursing Home Association says details on how the money can be spent is already publicly available, however, and Ivey in early June announced the award of $18.27 million in federal CARES Act funds to be spent toward regular nursing home COVID-19 testing.
“What we’re looking for is specifics on how it will be used, and we want those specifics to be made publicly available,” Williams said.
Ivey on Friday said the money is to be administered by the Alabama Nursing Home Association Education Foundation. The Alabama Hospital Association is to administer up to $50 million in grants to state hospitals through another program.
“This allocation of up to $50 million will be for operational costs that are COVID-19 related, such as PPE, cleaning, personnel costs and other costs incurred related to the pandemic,” Ivey’s office said in a press release Friday.
“In partnership with the state of Alabama, the Alabama Nursing Home Association Education Foundation will administer the funds fairly and impartially on behalf of the people of Alabama, for all of Alabama’s nursing home facilities,” the statement goes on to say.
Williams said the public deserves to know how the federal funds will be used, and said Ivey’s office hasn’t yet signaled whether those details will be made public.
Ivey’s office, through a spokeswoman, declined to comment, and referred a reporter to the Alabama Nursing Home Association.
John Matson, communications director for the Alabama Nursing Home Association, told APR that AARP Alabama need only read the memorandum of understanding published along with Ivey’s announcement about the grants on Friday to see how the money must be spent.
According to the memorandum, the Alabama Nursing Home Association Education Foundation can only disburse the funds to nursing homes “for the purposes of responding to or mitigating the COVID-19 public health emergency” and details what facilities must do to receive the money.
Among the requirements, nursing homes in their applications must provide supporting documentation, which can include invoices, purchase orders, payroll records and financial records, according to the memorandum. The foundation must also provide the Alabama Finance Director’s Office with a detailed report on the 15th of each month noting how the money was spent, according to the document.
“I think it would be helpful for them to read that,” Matson said, referring to AARP Alabama and the memorandum of understanding.
AARP Alabama is also asking that the money be used for ongoing and methodical testing of all residents and staff in the state’s long-term care facilities.
“We’ve seen across the country that testing can be hit or miss, and testing frequency can vary,” Williams said. “We’ve seen in other states where that has helped curb the loss of life and helps protect residents.”
Matson noted that Ivey in early June also announced a separate $18.27 million in federal CARES Act funds to be spent toward regular nursing home COVID-19 testing and “proactive surveillance” through the end of the calendar year, which is also being administered by the Alabama Nursing Home Association Education Foundation.
Alabama’s long-term care ombudsmen, who are tasked with protecting residents’ rights and investigating health and safety concerns, have been largely banned from entering Alabama’s long-term care facilities since early on in the pandemic when the facilities ended visitations to help prevent the spread of the virus.
Williams said AARP would also like to see the safe reentry of ombudsmen into state facilities and for those details to be included in a publicly-released plan.
“We also have been advocating for transparency and real-time data about the COVID cases and death in Alabama nursing homes and long-term care facilities. That continues to be a struggle,” Williams said.
The Centers for Medicare and Medicaid Services is collecting that state data, but it’s weeks old by the time it’s published on the federal agency’s website, Williams said.
“Having that information would help us protect the residents, staff and surrounding communities, but also making sure families have that information,” Williams said.
The Alabama Department of Public Health has declined to release county-level or facility-level details on coronavirus in long-term care facilities and nursing homes, citing privacy concerns. Many other states do release that information, however.
According to CMS, there have been 3,841 confirmed COVID-19 cases and 562 deaths among residents in Alabama nursing homes as of July 26. AARP Alabama said COVID-19 deaths of nursing home residents make up approximately 42 percent of the state’s total coronavirus deaths.
Governor issues call to action on mask wearing: “We are at war with an invisible enemy”
Gov. Kay Ivey on Friday issued a new call to action for all Alabamians to wear a mask to prevent the spread of the coronavirus.
Today we are at war with an invisible enemy.
Not that long ago, families across Alabama helped America turn the tide in World War II. Some joined the front lines in combat, while others led the fight on the home front.
Those sacrifices helped our nation win the war and go on to define the Greatest Generation. Now, we must answer today’s call. By comparison, our sacrifice is small.
But each of us can do our part. Mask up Alabama!