Hurricane Ian Resources
Health Facility Reporting System
Facilities must report status updates by 10:00 a.m. EST Daily or When Situation Changes
HFRS is used to update information regarding census, available beds, utilities, evacuation, generators, damages (related to the storm) and all other reportable event-related information. Facilities in the impact area are encouraged to identify a point of contact for HFRS reporting who would not be affected by power/internet outages.
- Long Term Care Unit: (850) 412-4303 / email@example.com
- Assisted Living Unit: (850) 412-4304 / firstname.lastname@example.org
- AHCA Consumer Information Hotline (after hours HFRS assistance):1-888-419-3456
- AHCA HFRS Website
Daily Email Alerts
- Licensure/Telehealth Waiver Emergency Order, Exceeding Capacity, Billing During Emergencies (10/6/22)
- 4 PM Briefing Today & Thursday (10/4-6), Keep Updating HFRS, Bed Needs & FEMA Resources (10/4/22)
- Final 4 PM Briefing Today, Wellness Checks, Power Outages, Hurricane Relief Fund & More (9/30/22)
- Level 2 Background Screenings Suspended, Facility Re-Entry & More (9/29/22)
- CMS Blanket Waivers, NHA Licensure Renewal Deadline Extended (9/28/22)
- FHCA 4 PM LTC Emergency Prep Partner Briefing, Travel Curfew Ltr & Other Resources (9/27/22)
- Hurricane Ian Long Term Care Emergency Prep Partner Briefings Start 9/26/22)
- Tropical Storm Ian Update: State of Emergency Expanded, Update HFRS by 10 AM Daily (9/25/22)
- Stay Alert Regarding Tropical Depression 9 - State of Emergency Declared in 24 Counties (9/23/22)
Daily LTC Emergency Prep Partner Briefing Recordings
- October 6, 2022
- October 4, 2022
- September 30, 2022
- September 29, 2022
- September 28, 2022
- September 27, 2022
- September 26, 2022
State of Emergency
- Executive Order 22-219, expanding the state of emergency to include all 67 counties in Florida.
- Executive Order 22-218, declaring a state of emergency for 24 counties in the path of Tropical Depression 9
AHCA Hurricane Ian Website
- Click here for health care facilty updates, regulatory information, Medicaid updates and more.
Billing During Emergencies
Pursuant to the Medicaid Nursing Facility Services Handbook, if you evacuated your facility without discharging the resident, the originating facility may continue to bill Medicaid for reimbursement and then pay the receiving facility at a contracted rate for its services.
AHCA Emergency Order 22-001 temporarily suspends 408.809(1) for 30 days for anyone who is unable to obtain a Level 2 Background Screening. Providers must instead use a Level 1 employee screening if the candidate is not already in the Care Provider Background Screening Clearinghouse. Once the EO expires, a Level 2 Background Screening must be obtained for all employees who were hired during this timeframe and only obtained a Level 1.
Overcapacity 408.821(2) Florida Statutes
Centers that are serving as receiving sites for facilities that evacuated are reminded that under 408.821(2) Florida Statutes, Providers who plan to exceed their licensed capacity in accordance with their comprehensive emergency management plan for more than 15 days must request approval from AHCA as noted in s. 408.821(2), Florida Statutes. Requests for approval must be submitted to AHCA’s applicable licensing unit to continue at overcapacity. The request should include:
- The name and license number of the overcapacity facility;
- If applicable, the name of the evacuating facility and reason the evacuated facility cannot be occupied;
- Where the residents over licensed capacity are living in the facility (private room converted to semi-private; dining room; other locations in the building);
- A description of how staffing and supplies are maintained for residents over licensed capacity; and
- The total number of residents that the facility will be caring for over its licensed capacity.
Nursing centers and ALFs that evacuated and want to re-occupy must ensure the facility is undamaged and all critical systems (e.g. electrical, medical gas, ventilation) are functional and staffing is sufficient. If power is not fully restored, even if generators are operational, facilities must receive approval from their county Emergency Management Offices (EMO) prior to re-entry. This ensures local EMOs are aware of your return should resources need to be diverted to support your center.
Facilities should also report to your county EMO all structural damage, no matter how small or large, for determining cost estimates for emergency management and funds distribution. If the nursing center is damaged, contact the AHCA Office of Plans and Construction (AHCA OPC) at 850-412-4477to discuss damage and impact prior to re-occupancy.Visit the Office of Plans and Construction’s webpage for additional instructions under the heading “Hurricane Ian.” ALFs with damage should contact their county EMO.
Emergency Patient Lookup System
AHCA has activated E-PLUS and 25 county special needs shelters are able to utilize the system to retrieve patient medical records. E-PLUS is also available to assist medical providers and emergency response personnel with locating missing or displaced persons after the storm. Staff are available to assist with questions or to provide additional information on E-PLUS via email at: E-PLUS@ahca.myflorida.com.
CMS Hurricane Ian PHE Resources
Blanket Waivers for Skilled Nursing Facilities: (3-day Prior Hospitalization, For beneficiaries who exhausted their SNF benefits, renewed SNF coverage without first having to start a new period, Timeframe for MDS assessments and transmissions)
- CMS Hurricane Ian Web page
- Public Health Emergency (Effective 9/23/22)
- Presidential Action Approving Florida Emergency Declaration (9/24/22)
- CMS Emergency Preparedness Requirements All Hazards Exercise Planning & After Action Report Templates (scroll down to “Drills”)
Department of Health Updates
- Emergency Order 22-005 Extending Licensure Renewal Deadline to 11/30/22 for mental health counselors, clinical social workers, psychologists/school psychologies and marriage and family therapists and allowing for telehealth services
- Emergency Order 22-003 Extending NHA Licensure Renewal Deadline to October 31, 2022
- Healthcare Personnel Curfew Travel Letter: State Surgeon General Letter for use by essential healthcare personnel when traveling outside established curfew (9/26/22)
- Executive Order 22-219 (State of Emergency for Hurricane Ian) alters Florida Statutes that apply to prescribing and dispensing medications.Read the Florida Department of Health press release for more information.
- Licensed Health Care Practioners Needed to Support Hurricane Ian Recovery Efforts
Office of Insurance Regulation Hurricane Ian Emergency Order
- The Florida Office of Insurance Regulation has issued an Emergency Order for Hurricane Ian regarding the extension of grace periods, limitations on cancellations and nonrenewals, deemers and limitations on “use and file” filings, along with other miscellaneous provisions. This Emergency Order is issued to protect the public health, safety and welfare of all Florida policyholders.
- Hurricane Ian Emergency Order 300997-22-EO
- Florida is part of the Nurse Licensure Compact. The Compact allows a nurse to have one multistate license in the primary state of residence and practice in other Compact states, while subject to each state's practice laws and discipline. Employers can confirm a nurse's license and receive a Licensure QuickConfirm report at http://www.nursys.com.
- Facility Rebuild in Response to Hurricane Ian - Best Practices from Experienced Provider
- Trauma Informed Care - Resources & Requirements to Support Your Residents Post Storm (FHCA Pulse: Deborah Franklin)
- Florida Division of Emergency Management
- FEMA Assistance
- Operation Blue Roof Program
Utility Partners/Power Updates
Communicating with Florida’s utility providers during an emergency or during construction projects can be facilitated through online portals.
Call to Report
App and Text services
|LTC Provider Point of Contact|
Text OUT to 35069 or UPDATE to 35069 to receive messages
|JEA||Online here||(904) 665-6000.|
- Dialysis Patient Placement Contact List Post Storm
- ESRD Network: 800-826-3773
- Kidney Community Emergency Response (KCER)
- KEPRO Hurricane Info for Medicare beneficiaries and providers
- FHCA Tools & Resources
- LTC Facility Hurricane Planning Checklist
- Plant Operations Hurricane Planning Checklist
- All Hazards Exercise Planning & After Action Report (PDF version)
- All Hazards Exercise Planning & After Action Report (MS Word version)
- Road Monitoring (FL511)
- Traffic Updates from FloridaDisaster.org
- Re-Entry Procedures from FloridaDisaster.biz
- Waze - Real-time traffic help from other drivers
- Gas Buddy - Find local stations with gas
County Emergency Management
- County Emergency Managers
- County Preparedness Planners
- Disaster Preparedness Maps - Evacuation Zones and Routes
State Emergency Operations Center
If you are unable to get through to your Local Emergency Operations Center (EOC), the following numbers are operational during emergency events
- State Assistance Information Line (SAIL): 1-800-342-3557
- Emergency Support Function-8 Planning Desk at the State Emergency Operations Center: 1-850-815-4851
National Hurricane Center
FHCA Key Contacts
- Emmett Reed (850) 251-1051
- Tom Parker (850) 590-0968
- Kristen Knapp (850) 510-4389
- Deborah Franklin (813) 679-7533
Hurricane Relief Fund
FHCA has established a Hurricane Relief Fund that will benefit employees of member centers who were affected by Hurricane Ian. All donations will go directly to those in need.