Covid 19 Toolkit Eng

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] Empowering You: Giving You Tools to Help Your Neighborhood STOP COVID-19 Novel Coronavirus (SARS-CoV-2) Causing Disease Called Coronavirus Disease 2019 (abbreviated COVID-19) Sources from: COVID-19 Preparedness Tool Kit, Pennsylvania 2020 April 28, 2020 by Oralia G. Dominic, Ph.D., M.S., M.A Adjunct Assistant Professor of Public Health Sciences College of Medicine, The Pennsylvania State University Email: [email protected] Telephone: (814) 574-1850 Eugene J. Lengerich, V.M.D., M.S. Professor of Public Health Sciences Director, Office for Cancer Health Equity Associate Director, Health Disparities and Engagement, Penn State Cancer Institute Director, Public Health Preparedness Option Master of Professional Studies in Homeland Security and Graduate Certificate The Pennsylvania State University Email: [email protected] Telephone: (717) 531-6141 1

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] This document is in the public domain and may be used, reprinted, and shared (disseminated) in its entirety without permission. Author's written permission is required for report Social Pledge partially extracted. Citation of the source is appreciated. Suggested citation: Dominic, O., Lengerich E., Conde, M., Snyder J., Rinehart C., Velazquez G., Evans H., Miller-Wilson L., Beyar S., and Goard S. (2020) COVID-19 Preparedness Tool Kit, Pennsylvanian in 2020, Hershey, PA 17033, pages 1-45; April 28, 2020. OD Pub. No. 20-00322 For more information contact Primary Author Dr. Dominic at 814-574-1850 or by email at [email protected] 2

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] ACKNOWLEDGMENTS The authors are pleased to present this COVID-19 Preparedness Tool Kit (referred hereinafter as Tool Kit), a PDF publication of COVID- 19 information and social support-focused tools within Pennsylvania - and across the nation for the general purpose of disease prevention, mitigation, treatment, and control efforts as informed by the Centers for Disease Control (CDC) , the Pennsylvania Department of Health (PA DOH) , and the Office of The Attorney General (OAG) recommendations. The primary goals of this Tool Kit are to provide accurate evidence-based information in real time about COVID-19 prevention, treatment, and control education utilizing a real-time, personalized, human and technologic resource social support-focused tools for individuals, loved ones, and neighbors to protect themselves (and others) from getting it. And spreading the disease at home and in the community if they already have it. The purpose of this Tool Kit is also to help you make decisions about seeking appropriate medical care. This system is not intended for the diagnosis or treatment of disease or other conditions, including COVID-19. This Tool Kit is intended only for people who are currently located in Pennsylvania. All decision-making should be informed by your health provider and in accordance with state- specific policies and guidelines. This work was provided as a public service by the authors and contributing authors with technical assistance from Penn State Cancer Institute Office for Cancer Health Equity (OCHE) and Community Outreach and Engagement. Author’s collaboration with any organization does not imply an endorsement of any one particular service, product, or enterprise. This Tool Kit will also be available via public domain sites like the OCHE, www.wach.org, and other partnered community-based organizations. We hope that you find this information useful in the planning and mitigation efforts necessary to address COVID-19 burden in Pennsylvania now and in the future. Sincerely, Oralia Garcia Dominic, Ph.D., M.S., M.A. Eugene J. Lengerich, V.M.D., M.S. Author Co-author Contributing Authors: Jason Snyder Meghan Zook RD,LDN Regional Director of Strategic Partnerships Community Health and Nutrition Coordinator Mauricio Conde Pinnacle Treatment Centers The Salvation Army Harrisburg Capital City Region Vice President of Business Development and Phone: (724) 480-5165 Phone: (717) 233-6755 Operations Website: pinnacletreatment.com Website:pa.salvationarmy.org/harrisburg-pa TLR Business Solutions Phone: (717) 608-9585 Guillermo Velazquez, MBA, BA, Haven Evans Email: [email protected] Executive Director Director of Training Pittsburgh Hispanic Development Corporation Pennsylvania Family Support Alliance Cheri L. Rinehart 1555 Broadway Avenue, 2nd Floor 2000 Linglestown Rd, Suite 301, Harrisburg, PA 17110 President & CEO Pittsburgh PA 15216 Phone: (800) 448-4906 or (717) 238-0937 Pennsylvania Association of Community Health Phone: (412) 343-0545 Website: pa-fsa.org Centers Website: www.phdcincubator.org 1035 Mumma Rd., Suite 1 Wormleysburg, PA 17043 Shelley Beyar Sarah Goard RDH, PHDHP, BS Phone: (717) 761-6443 Mortgage Professional TLR Business Solutions, Inc. Email: [email protected] “Pennsylvania Mortgage Mom” Registered Dental Hygienist -Hammerlee Dental Care Website: pachc.org NMLS# 418663 Phone: (814) 460-3929 Phone: (717) 608-5626 Email: [email protected] Laval Miller-Wilson Email:[email protected] Executive Director 3 Pennsylvania Health Law Project Spanish Translation Contributor: Harrisburg Philadelphia |Pittsburgh Guillermo Velazquez, MBA, BA Phone: (215) 625-3874 PHLP’s Helpline (800) 274-3258 Website: phlp.org Digital Design Contributor: Dr. Jennifer G. Edwardsen

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] Table of Contents I. Tool Kit: Overview ................................................................................................................................................. 5 II. Tool Kit: Information and Data Sources Provided................................................................................................. 6 Federal and State Recommendations and Guidelines, Plans, Guides, Checklists for you, your loved ones, and neighborhoods; and for educators, workers and businesses Tool Kit: Description of Information Provided ……………………………………………………………………………………………….. 8 Health Access - “Ask A Doctor” available 24/7 by Penn State Health OnDemand How to Get Help Now- Helplines For help, questions, and apply for assistance Communication Infographics (most Accurate Information) Available in English, Spanish and other Languages III. Tool Kit: Description of the Tool Kit’s Three Components ..……………………………………………………..…….…………….… 9 IV. Component 1: Get Help Now Three Easy Steps Tool - One-Pager “Ask A Doctor” 24/7 ……..…….……..…………. 10 V. Component 2: Stay Connected Social Support Pledge Tool ……………………..………..…..…………….………………………11 VI. Component 3: Get Accurate Information Resources and Navigation Tool Guide …………..…….……..……………….12 VII. Tool Kit: COVID-19 and Health Disparities / Social Determinants of Health (SDOH) …………………………...........…19 Food Access & Nutrition 20 Access to Medical Care, Behavioral Health, and Dental Care Regardless of Health Insurance Situation o Federally Qualified Centers (FQHC) 22 o Oral Health 23 o Behavioral Health Accessing & Receiving Addiction Treatment During Health Crisis 25 o Special Populations - Rural Health, Minority Health, LGBT, and Social Stigma Social Support (You’re Not Alone) 27 o Community Empowerment, Faith-based Organizations, Music Therapy 28 o Family Support and Youth Health and Safety Economic Stability (Money) 30 o Financial Budgets, Housing, and Loans 36 o Economic Development Centers and How to Apply for SBA Funding and Loans o Disaster Relief for Individuals, Employees, and Businesses The Law, Avoiding COVID-19 Scams, and COVID-19 Fraud 37 o Pennsylvania Health Law Project o Coverage Services for Seniors (MA) and Children (CHIP) o Consumers VIII. Tool Kit: COVID-19 and Large Community Events & Mass Gatherings …..…………………..……….......................……42 o Before and During an Outbreak IX. Tool Kit: COVID-19 and The “New Normal” ……………………………….…….………………………………………….................. 43 o Stay calm, Stay safe, Stay informed, Stay positive X. Tool Kit: COVID-19 and The Reopening of America, and Reopening of Pennsylvania Approach …................... 44 Thank you for Using this COVID-19 Preparedness Tool Kit! 45 4

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] I. COVID-19 Tool Kit: Overview This Tool Kit is for you, loved ones, and neighbors! A Call is to Community- Communities are interconnected systems. Actions taken in one sector may have a domino effect. It is critical that community plans account for this interconnection during a health crisis and when the country begins a return to normal activity. Our hearts go out to all who have been impacted by the current COVID-19 outbreak. We are grateful to our leadership and countless first responders and health care providers who are working tirelessly to keep all people safe and healthy. Caring for You, Your Loved Ones & Our Community- During both the COVID-19 pandemic and its national state of emergency period, traditional disease prevention and control approaches cannot contain the spread of the pandemic. We recognize that no single entity could do this alone. We need everyone to do their part while supporting each other. From this perspective, Drs. Oralia Dominic and Eugene (Gene) Lengerich, and nine contributing authors designed a social support-focused COVID-19 Preparedness Tool Kit to help you, your loved ones, and your neighborhoods to slow the spreading of COVID-19. This Tool Kit provides step-by-step directions along with useful resources for making your home, work, school, and community safer, more resilient, and better prepared. This Tool Kit can be used to develop a community-based approach to preparedness – bringing together government and community leaders to involve citizen in COVD-I9 health crisis preparedness and resilience. Authors ask you to embrace the personal responsibility to be prepared; to follow Centers for Disease Control (CDC) recommendations, the Pennsylvania Department of Health (PA DOH), and The Office of the Attorney General (OAG) recommendations; to communicate with your healthcare providers; to call available help lines; to use and apply for resources made available, including for patients and employees; and to volunteer to support local medical emergency responders, health crisis relief, and community safety. Bottom line: This is a rapidly changing situation. During a pandemic there is a lot of uncertainty that can cause fear and doubt. One can feel anxious. One can become overwhelmed with so much information being released from different sources like the media, public health officials, musicians and entertainers, colleagues, coworkers, and even friends and family. And under Stay-At-Home orders (and practicing social distancing) one may also feel alone, isolated, and disconnected. We completely understand. We are the United States of America. We are in this together. We are here for you! This Tool Kit points you in the direction for Where and How to get help Now, ask questions, and/or apply for Assistance. See subsequent sections below, and under subheading COVID-19 Resources and Navigation Tool Guide. 5

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] II. COVID-19 Tool Kit: Information and Data Sources The Tool Kit’s primary source of information is from federal, state, local agencies, specialty societies, scientific evidence-based research, and public health officials across the county. Federal Level- Sources: the White House (WH), Internal Revenue Service (IRS) Economic Impact Payment, Federal Emergency Management Agency(FEMA), National Institutes of Health (NIH), NIH National Institute on Minority Health an d Health Disparities (NIMHD), CDC, Federal Drug Administration (FDA), Centers for Medicare & Medicaid Services (CMS), U.S. Department of The Treasury (Treasury), Veterans Affairs (VA), U.S. Small Business Administration (SBA), USDA US Department of Agriculture (Farmers), USAD Food and Nutrition Services (USDA SNAP), Housing and Urban Development (HUD), The United States Department of Justice (US DOJ), Office of The Attorney General (US OAG). State Level- Sources: the Pennsylvania Department of Health (PA DOH), Unemployment Compensation (UC) in Pennsylvania, Pennsylvania Department of Education (Education), Pennsylvania Insurance Department (PID), Pennsylvania Department of Labor and Industry (PLI), Pennsylvania Department of Aging (Aging), Pennsylvania Department of State (DOS), Pennsylvania Department of Revenue (Revenue), Pennsylvania Department of Transportation (PENNDOT), and the Pennsylvania Office of The Attorney General (PA OAG). Scientific Community Level- Sources: Other sources of information provided in this Tool Kit are scientific published peer-reviewed studies reporting evidence-based strategies aimed at improving overall health outcomes, eliminating health disparities, and addressing social determinants of health. Community Level and Social Support- Sources: Peer-reviewed and published community-based participatory research (CBPR) frameworks, and the use of social support to improve screening behaviors are also highlighted. Strategies highlighted aimed to improve access to health care, nutrition, oral health, behavioral health, underlying conditions and chronic diseases (e.g. diabetes, cancer, and cardiovascular disease), health equity, socioeconomic status (level of education, level of income), minority health, rural health, housing, and Tools (One-pager, Social Pledge, Resources and Navigation Tool Guide and SDOH strategies). Social Determinants of Health- Evidenced-based information on social determinants of health (SDOH) for improving health outcomes as well as help inform intervention strategies, policy, and set priorities are also highlighted. These include: food access & nutrition; access to health care, behavioral health, dental care, oral health, and vulnerable populations; social support, and family and youth health safety; money/economic disaster relief for individuals, workers, and businesses; health equity; housing; health literacy/communication infographics; consumer protection against fraud and scams, and economic development as identified by federal and state recommendations, public health officials, and distinguished local community leaders residing within Pennsylvania. 6

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] This is a rapidly changing situation: Daily updates are provided on the federal, state, and local agencies websites, including the CDC, PA DOH, and PA OAG. To help ensure accurate information in real-time, the Tool Kit includes hypertext links or pointers to information created and maintained by other public and/or private organizations. FEQUENTLY ASKED QUESTIONS What is this Tool Kit For? This Tool Kit is for you, loved ones, and neighbors! Tool Kit provides step-by-step directions (“GO HERE”) along with useful resources and 24/7 Helplines for making your home, work, school, and community safer, more resilient, and better prepared. Don’t feel alone! We are here for you. What if I Need Help Now? This Tool Kit points you in the direction for Where and How to get help, ask questions, and/or apply for Assistance Now. Just pick-up the phone and call o Talk to a provider – “Ask a Doctor” 24/7 Penn State Health OnDemand at 1-833-433-5915 o Get Medical Care, Behavioral Health, Emergency Dental Care Now regardless insurance situation – Call FQHC at 717-761-6443 or 1-866-944-CARE (1-866-944-2273) o Crisis Text Line: Text “PA” to 741-741 or call at 1-877-724-3258 o safe2Say: 1-844-723-2729 o Coverage Services Helpline for Seniors (MA) and Children (CHIP) at 1-800-274-3258 o Veteran Crisis Line: 1-800-273-TALK (8255) o Get Help Now Hotline (for OUD and Substance Use Disorders) at 1-800-662-435 o National Suicide Prevention Lifeline: 1-800-273-TALK (8255); Línea Nacional de Prevención del Suicidio: 1-888-628-9454 o Disaster Distress Helpline: 1-800-985-5990 o Food CSFP at 1-800-468-2433 and Food Bank at Central PA at 717-564-1700, PGH at 412- 460-3663, Philly at 215-339-0900, and online at Food banks o Housing and Homeless Services PIH at 1-800-955-2232 o Social Support Pledge – to stay connected with a trusted Community Leaders at Dr. Oralia at 814-574-1850; Dr. Lengerich at 717-531-6141; Mauricio Conde at LCBC o COVID-19 Scams and Fraud PA OAG at 717-787-3391 or FBI at 866-720-5721 If you experience severe symptoms, medical emergencies or are in immediate danger call 911 Find a copy of the Social Pledge and more Helplines listed in the Tool Kit, under the subheading Pledge, and COVID-19 Resources and Navigation Tool Guide 7

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] II. COVID-19 Tool Kit: Description of Information Provided FEQUENTLY ASKED QUESTIONS Does this Tool Kit have information about stay-at-home and reopening America? Answer: Yes! Provided Stay at home orders, plans, guides, factsheets, and self-checkers are also provided, as are The President’s, White House Plans to Reopening America, and Pennsylvania Governor’s Plan to Reopening Pennsylvania. Does this Tool Kit have information for all 67-Counties in Pennsylvania? Answer: Yes! The COVID-19-focused information provided in this Tool Kit includes: recommendations and guidelines for coronavirus disease (COVID-19) prevention, treatment, and control in all Pennsylvania 67 counties, including in rural and urban areas. Cases, Mortality, and Surveillance Data, too. This includes for infants, children, adolescents, young adults, older adults, elderly, individuals with underlying medical conditions, and vulnerable populations at home, work, school, and in the community. Does this Tool Kit have resources in other languages? Answer: Yes! Tool Kit is available in English and Spanish, as are the selected CDC’s Communication Infographics (print materials) for you, loved ones, neighbors, and community to use. Some Infographics are in multiple languages. See Infographics, under the subheading COVID-19 Resources and Navigation Tool Guide. Can I share this Tool Kit with others? Answer: Yes! This Tool Kit is in the public domain and may be used, reprinted, and shared in its entirety at no cost. Please use the suggested reference found on page 2. 8

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] III. COVID-19 Tool Kit: Has Three Components This Tool Kit points you in the direction for Where and How to get help, ask questions, and/or apply for Assistance (see next sections below, under subheading COVID-19 Resources and Navigation Tool Guide). In response to this pandemic, and for a time for now approach, the newly created COVID-19 Preparedness Tool Kit consists of three evidence-based components: Component 1: COVID-19 One-Pager: Three Easy Steps (Tools) For you to use to protect you, loved ones, and neighborhoods from getting and spreading COVID-19—and “Ask A Doctor” 24/7 Helpline by Penn State Health OnDemand services. It is also personalized with the local Community Leader’s contact information directly on the document. It’s a quick reference guide – you can carry in your pocket. Component 2: COVID-19 Social Pledge For you to use to promote COVID-19 prevention and treatment education in your home, on the job, at social and faith-based organizations, in your neighborhood, as well as to stay connected. connect Neighborhoods love you’re not alone kindness leaders strength Pledgeloved ones together equity informed help inclusion unconditional support empowered faith safe community strength acceptance respect trust values Component 3: COVID-19 Resources and Navigation Tool Guide For you to use to protect yourself, loved ones, and neighborhoods; to stay inform, for questions and/or apply for assistance available. 9

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] Empowering You: Giving You Tools to Help Your Neighborhood STOP COVID-19 We Are Here For You! COVID-19 Preparedness - Three Easy STEPS (Tools) A Call Is To Community. Communities are interconnected systems. Actions taken in one sector may have a domino effect. It is critical that community plans account for this interconnection during a health crisis and when the country begins a return to normal activity. Our hearts go out to all who have been impacted by the current COVID-19 outbreak. We are grateful to our leadership and countless first responders and health care providers who are working tirelessly to keep all people safe and healthy. Caring for You, Your Loved Ones & Our Community. During both the COVID-19 pandemic and its national state of emergency period, traditional disease prevention and control approaches cannot contain the spread of the pandemic. We recognize that no single entity could do this alone. We need everyone to do their part while supporting each other. From this perspective, Drs. Oralia Dominic and Eugene (Gene) Lengerich and partnered contributing authors designed a social support-focused COVID-19 Preparedness Tool Kit to help you, your loved ones, and your neighborhoods to slow the spreading of COVID-19. The COVID-19 Preparedness Tool Kit consists of three easy to use Tools: STEP 1 (Tool 1): Get Prepared o Have a Prevention Plan (now)  For you to use at home, work, school, church, and in the community o Have a Treatment Plan (if sick)  For you to use at home if you (or loved one) are sick o Take Social Pledge (have a “Buddy” support system)  For you to help yourself and neighbors STEP 2 (Tool 2): Ask Your Local Trusted Community Leader o Ask Questions - Pick up the phone and call your local community leader o We are also here for you – Pick up the phone and call  “Ask a Doctor” 24/7 Penn State Health OnDemand at 833-433-5915  Crisis Help Line PA DOH at 1-877-724-3258; Crisis Text Line: Text “PA” to 741-741  Dr. Oralia at 814-574-1850 or email [email protected]  Dr. Gene at 717- 531-6141 or email [email protected]  Your Local Community Leader _______________________ at ____________________ STEP 3 (Tool 3): Empowering a Trusted Community o Do One, Reach One, Help One – Attaining Health Equity by using the Tool Kit, and helping your neighbors with this Tool Kit, and o Spread the message Stay Calm, Stay Safe, Stay Informed, Stay Positive & Stay Connected with Your Local Trusted Community Leader! For a free Tool Kit email [email protected] or call 814-574-1850 Also see Prevention Plan and Treatment Plan found at: https://www.cdc.gov/coronavirus/2019-ncov/downloads/workplace- school-and-home-guidance.pdf 10

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] Empowering You: Giving You Tools to Help Your Neighborhood STOP COVID-19 Supporting Each Other! COVID-19 Preparedness- Take a Social Pledge I __________________________________, pledge to promote COVID-19 prevention and treatment education in my home, on the job, as well as in my neighborhood. My family and friends love me and I have to take care of myself because they need me. We are here for each other. Recognizing that I must lead by example, I will pledge to make the following change, if I am not currently practicing them:  Be prepared by having a Prevention Plan (now); Treatment Plan use at home (if sick, or loved one is sick); and Take a Social Pledge (have a “Buddy” support system)  Ask questions to our Local Trusted Community Leader – pick up the phone and call o “Ask a Doctor” 24/7 Penn State Health OnDemand at 833-433-5915 o Crisis Help Line PA DOH at 1-877-724-3258; Crisis Text Line: Text “PA” to 741-741 o Dr. Oralia at 814-574-1850 or email [email protected] o Dr. Gene at 717- 531-6141 or email [email protected] o Mauricio Conde at LCBC o Your Local Community Leader _______________________ at ____________________  Empowering A Trusted Community by spreading the message, doing the COVID-19 Preparedness Tool Kit’s approach of “Do One, Reach One, Help One” – Attaining Health Equity  Follow Centers for Disease Control (CDC) Recommendations (see attached fact sheets)  Be Aware of the warning signs of COVID-19  If experiences severe symptoms call 911  Stay in contact with my doctor, healthcare provider  Stay calm, stay safe, stay informed, stay positive & stay connected with our local trusted community leader! I will carry the COVID-19 Preparedness Tool Kit ¡Neighborhood! education message to family and others that through education, prevention, and treatment, lives can be saved. I agree to follow CDC recommendations to protect myself, loved ones, neighbors from getting COVID-19, and spreading it, if sick. I agree to remind my buddy and neighbors to do the same. I also agree to a weekly follow up contact by phone from both my buddy and community leader to share my progress and / or challenges in promoting COVID-19 prevention, treatment and education. Signed (electronically or verbal):___________________________ Contact Phone Number*:_____________________ Or Email: _______________________________ Name of my Buddy (social support):__________________________ *Your phone number and email will only be used for this purpose of social support; will not be shared with others. Thank You for Using Our COVID-19 Preparedness Tool Kit! 11

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] VI. Tool Kit: COVID-19 Resources and Navigation Tool Guide Below are COVID-19 resources and information for you to use. How do I use this Resources and Navigation Tool Guide? One Easy Step! The information is right here at your fingertips. Just Click on the individual hyperlinks below to directly access and navigate through the recommendations for each topic listed. GO HERE to get information about: COVID-19 and You o How to protect yourself and others COVID-19 and Patients - What to do if you are sick COVID-19 and People with Underlying Medical Conditions o How to take extra precautions for older adults and People with serious underlying medical conditions: Heart Disease (AHA), Diabetes (ADA), Asthma, Lung Disease (ALA); Cancer (ACS) (PA DOH 2019-2023 PA Cancer Control Plan; PACC COVID-19 and Cancer; During Pandemic) COVID-19 and Self-Treatment at Home o Caring for someone at home or a loved one who gets sick with COVID-19 and have only mild illness and should recover at home COVID-19 and Stress o Daily life and coping to learn how you can plan, prepare, and cope with stress before, during a COVID- 19 outbreak COVID-19 and Testing o Symptoms & Testing o a Self-checker guide to help you make decisions and seek appropriate medical care COVID-19 and Communities, Schools, and Workplaces o How to Protect Communities, Schools & Workplaces o Homeless Services Homeless service provider action and resource guide o Hunger and Food Banks Food banks o Disaster assistance and Emergency relief for individuals and businesses COVID-19 and Education – Guidance to plan, prepare, and respond to COVID-19 o Staff, Students, Educators, Caregivers, and Communities o Schools Guidance for Institutes of Higher Education COVID-19 and Businesses and Employees o Resources for Businesses and Employers o Interim Guidance for Businesses and Employers to Plan and Respond to COVID-19 o Scenarios & Benefits Available o Prepare your Small Business and Employees for the Effects of COVID-19 o Businesses and tax-exempt entities Stay Calm, Stay Safe, Stay Informed & Stay Connected with Your Local Trusted Community Leader! 12

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] VI. Tool Kit: COVID-19 Resources and Navigation Tool Guide GO HERE to get information about CONTINUED One Easy Step! Just Click on the individual hyperlinks below to directly access and navigate through the recommendations for each topic listed. COVD-19 and Safety Practices for Workers o Workers who may have been Exposed Implementing Safety Practices for Critical Infrastructures Workers Who May have had Exposure to a Person with Suspected or Confirmed COVIDE-19 o Cleaning Facilities Cleaning and Disinfecting Your Facility for when and how to clean and disinfect soft surfaces, electronics, laundry o Cleaning Transport Vehicles Cleaning and Disinfecting for Non-emergency Transport Vehicles COVID-19 and Health Care Professionals and Health Care Workers o Information for Health Care Professionals o Strategies to Optimize the Supply of PPE and Equipment o Use of Personal Protective Equipment (PPE); Preserve Supplies; and PPE Burn Rate Calculator o How to Care for Patients regarding Evaluating and Testing o Clinical Care Guidance o Hand Hygiene COVID-19 and Pharmacists board of pharmacy for pharmacists COVID-19 and Infection Control o How to Protect Patients and Workers Infection Control o How to Access CDC’s Laboratory Outreach Communication System (LOCS) designed to provide updates and answer questions from clinical laboratories through coordination with professional organizations, CDC programs, and state public health laboratories as well as provide information and updates sent to clinical laboratories through professional organizations o Meat and Poultry Processing Workers and Employers Occupational Safety Guidance COVID-19 and Travel o COVID-19 travel recommendations by country o Travel in the United States o Travelers prohibited from entry to the United States COVID-19 and Health Insurance o Get Coverage Health.gov o Common Coverage Question Using your health Insurance Coverage o Coronavirus Tax Relief for Health Plans and Retirement health plans and retirement plans COVID-19 and Cases, Data & Surveillance o Cases in U.S. and Cases in Pennsylvania by age range, sex, region, hospitalization, county, Nursing Homes and Personal Care Homes, case and death counts by race/ethnicity o Hospital preparedness data (patients hospitalized, patients on ventilators, total counts of available beds and percent of beds, patients on ECMO, and total ventilators in use) o Predictive Modeling – Estimations, Hospital Forecasting (COVID-19 Health Data) 13

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] VI. Tool Kit: COVID-19 Resources and Navigation Tool GO HERE to get information about: CONTINUED One Easy Step! Just Click on the individual hyperlinks below to directly access and navigate through the recommendations for each topic listed. COVID-19 and Pennsylvania o Licensing Waived and suspended licensing regulations o Driver and Vehicle Services o Workers Compensation o IRS Filing Individuals and Families o Voting & Elections o PA Census o Donations and Giving Business & Charities o Notary electronic/remote notarization o Wills registers of wills COVID-19 and NIH National Institute of Minority Health and Health Disparities o Active & Healthy Bingo Challenge o COVID-Minority Health and Health Disparities (NIH NIMHD) COVID-19 and Special Populations in Pennsylvania and Health Equity o PA Department of Health Office of Health Equity (The State of Health Equity in PA) o PA Governor’s Advisory Commission on African American Affairs (GACAAA) o PA Governor’s Advisory Commission on Asian Pacific American Affairs (GACAPAA) o PA Governor’s Advisory Commission on Latino Affairs (GACLA) o PA Governor’s Advisory Commission for Women (GACFW) o PA Governor’s Advisory Commission on LGBTQ Affairs (GACLGBTQ), COVID-19 and Veterans VA response plan COVID-19 and Deaf Community CSD, American Sign Language (ASL) COVID-19 and Rural Federal Rural Resource Guide COVID-19 and FDA – Medical Countermeasures o Emergency Use Authorization (EUA), (eIND), and Research (Clinical Trials)  List of all current EUAs; Investigational COVID-19 Convalescent Plasma  Recommendations for health care providers; and Guidance for Industry o Diagnostic updates o Personal Protective Equipment updates o Vaccine updates o Therapeutics updates o For Product Developers updates, and for more information call 1-800-835-4709 COVID-19 and Scams and Fraud o How to Avoid Scams and report COVID-19 Fraud in America, and in Pennsylvania (PA OAG) o How to Health Fraud of COVID-19 Products to the FDA Health Fraud COVID-19 and Reopening America; and Reopening Pennsylvania o White House Coronavirus Guidelines for America (for America 30 Days to Slow the Spread) o White House Guidelines for Opening Up American Again (Criteria and a Three-Phased Approach to Reopen America) o Pennsylvania Guidelines for Opening Up Pennsylvania (Process to Reopen Pennsylvania) 14

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] VI. Tool Kit: COVID-19 Resources and Navigation Tool Guide GO HERE to get information about and for Helplines CONTINUED One Easy Step! Just pick up the phone and call or Click on the hyperlinks below. HELPLINES are available if you need support: “Ask a Doctor” 24/7 Penn State Health American Heart Association American Cancer Society OnDemand Customer Service 24-hour helpline at 1-833-433-5915 or online at at 1-800-242-8721 at 1-800-227-2345 www.pennstatehealthondemand.com American Diabetes Association at 1-800-342-2383 Pennsylvania Department of Health American Lung Association at 1-877-PA-HEALTH (724-3258) or at 1-800-586-4872 or Disaster Distress Helpline Crisis Text Line: Text “PA” to 741-741; [email protected] at 1-800-985-5990 Safe2Day at 1-844-723-2729 or www.safe2saypa.gov National Suicide Prevention Lifeline at 1-800-272-TALK (8255) Pennsylvania Licensing Behavioral Health Board Contact Get Help Now Hotline (for OUD at 1-833-367-2762 and Substance Use Disorders) at 1-800-662-4357 Health Insurance Pinnacle Treatment Centers at 1-800-318-2596 or use Health.gov at 724- 480-5165 Veteran Crisis Line at 1-800-273-TALK (*255) Federally Qualified Health Centers Workers Compensation (WC) Homeless Services at 717-761-6443, 1-866-944-CARE (1- Claims at 1-800-482-2383; PIH at 1-800-955-2232 866-944-2273) or use www.PACHC.org WC Employer at 717-772-4447 IRS COVID-19 Economic Impact Disaster Fraud (NCDF) for For the list of all Food Bank use online Payment use Check on the status of reporting hoarding & price at Food banks payment gouging at 866-720-5721 or Central PA at 717-564-1700 IRS Individuals at 1-800-829-1040 [email protected] PGH at 412-460-3663 Businesses at 800-829-4933 Philly at 215-339-0900 Non-profit taxes at 877-829-5500 The Law Project (PHLP) for MA Callers who are hearing impaired and CHIP at (800) 274-3258 PA Dept. of Agriculture Food TTY/TDD at 800-829-4059 Assistance at 1-800-468-2433 Overseas callers Use International FBI to report COVID-19 Scams Services and Fraud at 866-720-5721 Children and Families use www.acf.hhs.gov/node/69955 Office of Attorney General PA OAG at 717-787-3391 Small Business Association (SBA) Use online at Emergency relief FDA’s EUA or For Product Developers Economic Injury Disaster Loan for individuals and businesses at 1-800-835-4709 at 800-659-2955 or TTY 1-800-877-8339 Financial Budgets & Mortgages Social and Faith-based Resources at Health Centers FQHC at (717) 761-6443 or pachc.org at (717) 608-5626 PA Churches, LCBC, ERCCOG, TSA, For severe symptoms, or if you are in immediate danger, call 911 15

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] VI. Tool Kit: COVID-19 Resources & Navigation Tool Guide GO HERE for Communication INFOGRAPHICS. One Easy Step! Just Click on the hyperlinks to access the PDF. Below are CDC’s Communication Infographics (print materials) in multiple languages for you, loved ones, neighbors, and community to use. Prevention Plan Languages: What every American and community can do now to decrease the spread of the English coronavirus (at home, school, work, and in community guide) CDC_workplace-scho What you need to know ol-and-home-guidance.pdf Coronavirus disease 2019 is a new disease that causes respiratory illness in Languages: people and can spread from person to person. This virus was first identified English Spanish during an investigation into an outbreak in Wuhan, China. Simplified Chinese How to Stop the spread of germs Languages: English Spanish French Help prevent the spread of respiratory diseases, like coronavirus disease 2019 Simplified Chinese Arabic by avoiding close contact with people who are sick; covering cough and sneeze; Dari Farsi Russian Swahili avoiding touching eyes, nose and mouth; and washing your hands with soap Ukrainian Vietnamese Korean and water. Amharic Nepali Haitian Creole Pashto Stay Healthy Wash Your Hands Somali Tigryna Burmese Languages: Follow these steps for proper handwashing to prevent the spread of germs. English Spanish French Arabic Wash your hands with soap and water for at least 20 seconds. Bengali Chinese Portuguese Urdu Haitian Creole Germs are all around you Languages: English Spanish Stay healthy by washing your hands often with soap and water for at least 20 seconds. If soap and water are not readily available, use an alcohol-based hand sanitizer with at least 60% alcohol. Always wash hands with soap and water if hands are visibly dirty. Stay Calm, Stay Safe, Stay Informed, Stay Positive & Stay Connected with Your Local Trusted Community Leader! 16

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] VI. Tool Kit: COVID-19 Resources and Navigation Tool Guide GO HERE for Communication INFOGRAPHICS CONTINUED One Easy Step! Just Click on the hyperlinks to access the PDF. Below are CDC’s Communication Infographics (print materials) in multiple languages for you, loved ones, neighbors, and community to use. Treatment Plan Languages: English Spanish French Simplified What to do if you are sick Chinese Arabic Dari Farsi Russian Swahili Ukrainian Vietnamese If you are sick with coronavirus disease 2019, or suspected of being Amharic Nepali Haitian Creole infected with it, follow the steps in this fact sheet to help prevent Pashto Somali Tigryna Burmese spreading it to people in your home and community. Stay home when you are sick! Languages: English Spanish If you feel unwell or have the following symptoms, fever, cough, or shortness of breath, stay home and do not go to work. Languages: 10 Things to Manage Respiratory Symptoms at Home English If you have fever, cough, or shortness of breath, call your healthcare ENG_10Things to provider. They may tell you to manage your care from home. Follow manage respiratory symptoms at home_.pdf these 10 tips. Monitor Your COVID-19 Symptoms Languages: English Spanish Simplified What are the Symptoms of Coronavirus Disease (COVID-19) Chinese Korean Vietnamese Haitian Creole Patients with COVID-19 have experienced mild to severe respiratory illness. Symptoms can include fever, cough and shortness of breath. Languages: Symptoms may appear 2-14 days after exposure. English Spanish Simplified Chinese Factsheet (avoid myths/rumors) Share Facts About COVID-19 Know the facts about coronavirus disease 2019 (COVID-19) and help stop the spread of rumors. Stay Calm, Stay Safe, Stay Informed & Stay Connected with Your Local Trusted Community Leader! 17

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] VI. Tool Kit: COVID-19 Resources & Navigation Tool Guide GO HERE for Communication INFOGRAPHICS CONTINUED One Easy Step! Just Click on the hyperlinks to access the PDF. Below are CDC’s Communication Infographics (print materials) in multiple languages for you, loved ones, neighbors, and community to use. Infection Control Languages: CERC in an Infectious Disease Outbreak English Crisis and Emergency Risk Communication fact sheet. Be first, be right, be Languages: credible, express empathy, promote action, and show respect. English Spanish Chinese Kor ean Vietnamese How to Protect and Prepares Communities Languages: English Learn how CDC is aggressively responding to the global outbreak of COVID-19 and preparing for the potential of community spread in the U.S. Guidance for Meat and Poultry Processing Workers and Employers Meat and Poultry Processing Workers and Employers Sign Language Sign Language: Information for the Deaf Community about COVID-19/Coronavirus. https://www.youtube.com/pla ylist?list=PLvrp9iOILTQatwnqm 61jqFrsfUB4RKh6J https://deafcovid19.info/ 30 Days to Slow the Spread: The USA President’s COVID-19 Guidelines Languages: for Americans English Spanish Simplified Chinese Vietnamese Korean 30 Days to Slow the Spread Languages: COVID-19 Videos Over 60 Videos Available at: https://www.youtube.com/pla COVID-19 and Managing Anxiety and Stress ylist?list=PLvrp9iOILTQaJa78zF Q0QgvShQ2HEwHxP COVID-19 Caring for Someone with COVID-19 at Home Update for Rural Partners and Communities on the Coronavirus Disease 2019 (COVID-19) Response Demonstration of Donning (Putting On) Personal Protective Equipment (PPE) Stay Calm, Stay Safe, Stay Informed & Stay Connected with Your Local Trusted Community Leader! 18

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] VIII. Tool Kit: COVID-19 Health Disparities / Social Determinants of Health DID YOU KNOW? That Social Determinants of Health (SDOH) affects health? To achieve health equity, eliminate disparities, and improve the health of all groups is one of the four overarching goals for the decade. Addressing SDOH is a key to achieving this goal. Government, agencies, public health officials, and researchers are working extra hard to find ways to address SDOH, including in Pennsylvania. Definition: What is SDOH? SDOH are conditions in the environments in which people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks. The Healthy People 2020 (HP2020) developed a “placed-based” organizing framework, reflecting five key area (determinants) of SDOH. These are: o Economic Stability o Education o Social and Community Context o Health and Health Care o Neighborhood and Build Environment GO HERE to HP2020 for more information about SDOH. The next section for information on Where to get help and How to address reported SDOH areas during Pandemic in Pennsylvania (PA) as informed by federal and state recommendations, public health officials, and distinguished local community leaders residing in PA. PA SDOH Areas: o Food Access & Nutrition o Access to Medical Care, Behavioral Health, and Dental Care Regardless of Health Insurance Situation o Social Support and Community Empowerment o Money - Financial Budgets, Economic Disaster Relief for Employees, and Businesses ........................... o The Health Law, Avoiding COVID-19 Scams, and COVID-19 Fraud o Large Community Events & Mass Gathering – During and After an Outbreak o The “New Normal” o The Reopening of America, and Reopening Pennsylvania Approaches 19

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] VII. Tool Kit: COVID-19 Health Disparities / SDOH FOOD ACCESS AND NUTRITON Contributing Author: Meghan Zook GO HERE to this section for information about Where to go and apply for Food Access and Nutrition Assistance Accessing Food During COVID-19 Economic Hardship: Find your local food pantry. If you need access to food and have experienced a recent job loss you are likely eligible for free food at your local food pantry. Follow this link to learn more about free food and how to find your nearest food pantry. Go to: https://www.agriculture.pa.gov/FoodForThought/Pages/Article.aspx?post=71 Increase your food purchasing power. Your dollars can go further with help from The Supplemental Food Assistance Program (SNAP), Women Infants and Children (WIC) or The Commodity Supplemental Food Program (CSFP). Follow the details below for more about eligibility and enrollment. o SNAP: Call your County Assistance Office for more information or enroll online through Compass. County Offices: https://www.dhs.pa.gov/Services/Assistance/Pages/CAO-Contact.aspx Compass: www.compass.state.pa.us o WIC: www.pawic.com o CSFP: Call 800-468-2433 According to the CDC: Frequent handwashing, social distancing, covering your face with a cloth when among others, covering coughs and sneezes, and cleaning & disinfecting are the only current ways to prevent exposure to COVID-19. Key Points for Nutrition Support Your Overall Health o A healthy and varied diet is important. This is the best way to support your overall health, energy needs, and provide recommended vitamins and minerals.* o Focus on fruits and vegetables, low-fat dairy, lean protein, and whole grains. o Model your plate like MyPlate. Make half your plate fruits and veggies, one quarter whole grains, one quarter lean protein and add a glass of low-fat milk on the side. www.choosemyplate.gov o Practice proper hydration. Individual fluid needs vary but generally aim for 8 glasses of water each day. o Wash your hands with soap and water. Before prepping and eating food. o Healthy and affordable recipes: www.foodhero.org 20

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] COVID-19 and Food Access & Nutrition CONTINUED Shop Smarter and Safer o Purchase fresh fruits and vegetables that last multiple weeks. These include cabbage, carrots, celery, grape or cherry tomatoes, apples, citrus fruits and more. Purchase whatever is on sale that week! Stores still have plenty of this fresh produce! o Purchase canned vegetables, fruit and meats. Try finding low sodium veggies and fruits that are canned in natural juices and not syrup. Purchase canned meat (tuna, chicken, etc.) canned with water, not oil. o Purchase frozen foods. Try frozen ground turkey, frozen chicken breast, frozen fruits and vegetables. o Shop less frequently or during off-hours. If you are a senior, call your store and ask about senior-shopping times. Try grocery delivery services to avoid crowded stores. Try making a list for 2 weeks’ worth of food for you and your household to avoid going to the store every week. o Social distance at the store. Follow all other CDC recommended practices while you shop. o Wash your hands after returning home from the store. You do not need to wash or sanitize packages. Wash your produce as you normally would, with clean water before eating. There is no evidence of transfer of the virus through food and food packaging. o More Food Safety Tips: Food Products & Food Facilities What to do if you are sick  Follow CDC recommendations (see above).  Eat a healthy diet and continue to stay hydrated (see above).  Get help from a friend. Ask a friend or family member to pick up your groceries or visit the food pantry for you (this is allowed by the USDA). Have them leave the food outside your door. Control the spread in your community  Encourage others to be healthy. Share these tips through social media and other forms of technology.  Help others. Volunteer to visit a food pantry or store for a sick neighbor. Practice proper social distancing and hygiene on store visits and leave collected foods outside your neighbor’s door when dropping off.  Make a virtual recipe club. Share favorite healthy recipes and recipe sources electronically with your community. Make a virtual recipe club group that has themed meal nights, recipe contests (judged through photos only) and more! * Children, pregnant and lactating women, older adults and adults with absorptive issues may need to take a supplement. Please consult your doctor for more information about supplement recommendations. 21

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] VII. Tool Kit: COVID-19 Health Disparities / SDOH ACCESS TO HEALTH CARE Contributing Author: Cheri Rinehart GO HERE to this section for information about Where to go and apply for Access to Health Care at a Federally Qualified Health Centers (FQHC) Get Health Care Now on the Phone, Video, or In-Person. The Coronavirus pandemic has everyone on edge. But don’t let the current crisis keep you from getting the health care you need…now! Pennsylvania’s Community Health Centers (also known as FQHCs) can provide the care you need or answer your questions safely. You can visit with your doctor either on the phone, by video or in-person. Medical Care, Behavioral Health, Emergency Dental Care Available. More than 300 Community Health Center locations in Pennsylvania are providing medical care, behavioral health and emergency dental care to their communities during this COVID- 19 crisis. We are here to help you manage your chronic diseases like diabetes or high blood pressure and provide care for wellness needs, mental health or dental emergencies. FQHC Are Open to All – Regardless of Your Insurance Situation. Our centers are open to all regardless of what insurance you have or if you have no insurance. Looking for complete health care at a price you can afford, where everyone is welcome? Go to www.PACHC.org and click on “Find a Health Center” at the right side of the page to find the FQHC site nearest you! Please call first so the health center can discuss the care options and you can choose what’s right for you. Additional Resources: 2019 PA FQHC Informational Brochure - Reduced File Size.pdf Pennsylvania Association of Community Health Centers (PACHC) PACHC Clinical Quality Special Populations PACHC Advocacy State Issues PACHC Clinical Quality Patient Centered Medical Home PACHC Informational Brochure with Contact Numbers PACHC Emergency Preparedness 22

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] VII. Tool Kit: COVID-19 Health Disparities / SDOH ORAL HEALTH GO HERE to this section for information about oral hygiene and Where to go and accessing Oral Health Care During Pandemic Contributing Author: Sarah Goard Health Benefits of Good Oral Health. The work of dental healthcare providers can certainly be categorized as beneficial and essential to both oral and overall health. During such unprecedented times the safety of both the public and dental healthcare providers is of utmost importance. Therefore, to minimize exposure and prevent the spread of Covid-19, elective and non-urgent procedures, including cleanings and most restorative work, are postponed until further notice. In the meantime, what should you do? Continue to Seek Emergency Care If you are experiencing dental pain, uncontrolled tissue bleeding or swelling please contact your local dental office. They will determine the necessary steps to help alleviate your issue. If it is determined that you need to go into the office, be prepared to answer a few questions about your current respiratory health status (e.g., fever, cough, shortness of breath.) In addition to following proper protective guidelines, this allows your dental healthcare provider to coordinate the best approach for each situation. If you are presenting symptoms or have been positively confirmed for Covid-19, you are entitled to emergency care after completing an at home-isolation clearance. This is defined by the CDC as:  At least 3 days (72 hours) have passed since recovery (resolution of fever without the use of fever-reducing medications and improvement in respiratory symptoms, e.g., cough, shortness of breath), and at least 7 days have passed since symptoms first occurred.  For individuals with laboratory-confirmed COVID-19 who have not had any symptoms, at least 7 days have passed since the date of the first positive COVID-19 diagnostic test and have had no subsequent illness Updates can be found at the PA Department of Health website, the CDC website, ADA website, or the ADHA website. Practice Good Oral Hygiene. Now, more than ever, it is helpful to establish or continue an already established oral hygiene routine. Brushing two times per day and using floss before bed is a great way to do that! Maintaining or perfecting your oral hygiene will also help to ensure overall health. For instructions on proper brushing and flossing please refer to the following links: Proper Brushing, Proper Flossing. More information on children’s dental health can be found here: Children's Oral Health. 23

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] COVID-19 and Oral Health Continued Manage Your Stress and Oral Habits. Stress can lead to muscle tension in the jaw, grinding or clenching of the teeth. The current situation may add to these stressors. Night guards or moist heat can be used to help alleviate symptoms. Other oral habits such as nail biting and ice chewing should be minimized as they put undue wear on teeth. If you exhibit increased heart burn or acid indigestion, rinse your mouth with baking soda and water or use a toothpaste designed to protect against erosion. After an acid exposure results, it is also important to avoid immediate and aggressive brushing as this can weaken enamel further. Keep in Mind, Nutrition Affects Your Teeth Too. In some ways, Covid-19 has brought food to the forefront. Shelves are bare at many grocery stores as families and individuals “stocked up,” in preparation for the worst. This leaves some with an abundance which they will turn to in boredom or for comfort. Those who have not done the same or who lack the financial resources to allow similar spending, may be without important dietary resources. If you find yourself with an abundance, please consider donating to neighbors or sharing, from a safe distance. A diet of nutrient-rich choices from all food groups is important for everyone. Eating well promotes both overall and oral health alike. Foods high in protein, calcium, and phosphorus help to protect the teeth and rebuild enamel. Vitamins A, C, and K are essential for your teeth and surrounding tissues and can be found in leafy greens, citrus fruits, and sweet potatoes. Crunchy vegetables and fruits help to stimulate the saliva, which provides a natural protection for your teeth. Minimize grazing or frequent snacking throughout the day. Be especially careful to avoid sticky or sugary foods and beverages. Fluoridated water is the most tooth- friendly choice and should be consumed throughout the day. For a comprehensive look at how nutrition effects your teeth and surrounding tissues please refer to: Colgate.com References: Healthy Nutrition for Healthy Teeth Nutrition, What You Eat Affects Your Teeth Oral Health Through the Ages Nutrition and Oral Health ADA CDC 24

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] VII. Tool Kit: COVID-19 Health Disparities / SDOH ACCESS TO BEHAVIORAL HEALTH GO HERE to this section for information about Where to go and Accessing and Receiving Addiction Treatment During Coronavirus Crisis Contributing Author: Jason Snyder Addiction treatment is essential. The federal government has deemed addiction treatment providers “essential”; therefore you can still access treatment for a substance use disorder, whether it be alcohol or any other drug, during this public health crisis. How do I find help? Every county in Pennsylvania has a drug and alcohol office. Known as Single County Authorities, they can help you navigate the addiction treatment system, from helping you determine what type of treatment is right for you, to finding a treatment facility that can help you, to helping you get funding for treatment. Visit http://www.pacdaa.org/Pages/PACDAADirectory.aspx for a list of Single County Authorities across Pennsylvania. The Pennsylvania Department of Drug and Alcohol Programs offers a 24 hour a day, seven day a week “Get Help Now” hotline for anyone who thinks they need treatment for a substance use disorder. That number – 800-662-HELP – along with other information and resources for those currently in or seeking treatment can be found at www.ddap.pa.gov. Regulations have changed to ensure access to uninterrupted care. The federal government, along with the Commonwealth of Pennsylvania, has made several temporary changes to regulations around addiction treatment to ensure your safety and continuity of care during this pandemic. Many of those changes are aimed at making sure the people who take medication to assist in their treatment continue to have access to it. Additionally, steps have been taken to ensure that those who need to begin treatment during this crisis can do so in a safe, efficient way. Those changes include:  Telehealth, which includes the use of technology to provide patient care, is being used to provide behavioral health counseling on an outpatient basis as a safe alternative to in-person interactions between patients and counselors.  Patients for whom buprenorphine (e.g., Suboxone) is an appropriate treatment are able to begin treatment following a virtual appointment with an appropriate doctor as opposed to an in-person appointment. 25

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] COVID-19 and Behavioral Health CONTINUED Regulations have changed to ensure access to uninterrupted care.  Follow-up medical visits for those using medication (i.e., buprenorphine, methadone) can be done through telehealth.  When clinically and medically appropriate, clinics that provide methadone (i.e., narcotic treatment programs), which are highly regulated by the federal and state government, can provide more daily doses of medication for patients to take home than they were allowed to provide prior to the current health crisis. In addition, clinics are able to deliver medication or make alternative arrangements for medication pick-up for those patients who are quarantined at home. For more resources and information about addiction treatment during the coronavirus crisis, visit the Substance Abuse and Mental Health Services Administration at https://www.samhsa.gov/coronavirus. How do I know I’ll be safe? For patient and employee safety, outpatient addiction treatment centers should be following these protocols:  Proper social distancing among staff and patients;  Patients and employees who exhibit symptoms should quarantine themselves at home until medically cleared. Quarantined patients should still be able to receive their treatment;  Clinics should be regularly and effectively sanitized and provide hand sanitizer if possible; and  Staff should wear masks if available. If patients have their own masks, they should wear them in the facility. Be sure to ask your treatment provider what protocols they are following. What mental health resources are available? The Commonwealth of Pennsylvania recently launched a statewide Support & Referral Helpline staffed by skilled and compassionate caseworkers who are available 24 hours a day, seven days a week, to counsel Pennsylvanians struggling with anxiety and other challenging emotions due to the COVID-19 emergency and refer them to community- based resources that can further help to meet individual needs. The number to call is 1-855-284-2494. For TTY, dial 724-631-5600. Many other resources also remain available to Pennsylvanians in need of support, including: o National Suicide Prevention Lifeline: 1-800-273-TALK (8255) o Línea Nacional de Prevención del Suicidio: 1-888-628-9454 o Crisis Text Line: Text “PA” to 741-741 o Safe2Say: 1-844-723-2729 or www.safe2saypa.org o Veteran Crisis Line: 1-800-273-TALK (8255) o Disaster Distress Helpline: 1-800-985-5990 26

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] VII. Tool Kit: COVID-19 Health Disparities / SDOH COMMUNITY AND SOCIAL SUPPORT GO HERE to this section for information about Where to go and Accessing Community and Faith-based Building, Inspirational Music as Therapy During and After Coronavirus Crisis Contributing Author: Mauricio Conde Staying connected is important. The current social distancing and physical separation from our friends and loved ones - along with the constant negative news from mainstream media - can be enough to have a negative impact on our physical and psychological health. While there is nothing wrong with being informed, it is best to go directly to the government sites (CDC) where you can get the straight facts. Mind, Body, and Spirit -- Strategies for Managing Stress. Anxiety and fear are natural responses to the circumstances in our lives that affects all of us in different forms. The impact of the Coronavirus (COVID-19) has affected all of us. Most countries have closed borders, non-essential businesses and schools. Churches have not been spared from the impact and have made the painful, yet wise decision to also close their doors. It takes the same level of energy to pray than to panic. These unfortunate circumstances can also provide an opportunity to truly connect with family, friends and neighbors to lean into relationships in a meaningful way and evaluate the things that matter most. Technology allow us all to stay connected even from far away through our mobile devices, laptops and tablets. Check up on family, friends and neighbors and if possible be that helpful hand. Times like these can also have a positive impact on our society by the acts of kindness. There are many opportunities to attend church services online and access social services. Music and Healing. Another way to alleviate anxiety and stress is music. Music is used to treat illnesses and provide harmony in mind and body. Research shows that music can help to reduce anxiety, pain, relieve depression, improve mood, and reduce stress. References and helpful links: Panic and Anxiety Hotlines CCIH Org Resources COVID-19 Central PA Food Bank PA Churches PA LCBC Church ERCCOG PA Church Advocacy Love Comfort Resources Music and Inspirational Links: Radio Tunes Soft Rock AccuRadio Radio Tunes Soft Rock Guitar Jazz Radio- Smooth Jazz Today’s Christian Music Family Radio Other populations need extra precautions: CDC’s People At Higher Risk 27

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] VII. Tool Kit: COVID-19 Health Disparities / SDOH COMMUNITY AND SOCIAL SUPPORT GO HERE to this section for information about Where to go and Accessing Family and Child Health Services During Coronavirus Crisis Contributing Author: Haven Evans Tips for Parents/Guardians/Grandparents to Keep Kids Safe Stress affects both you and the children you care for. Children and teens react to what is happening around them and take cues from their parents/guardians/grandparents on how to react. By identifying and reducing stress, you help both yourself and the children you care for cope and stay safe. Here are some tips to help reduce stress: o Take care of yourself – get enough sleep, eat healthy, exercise and take healthy breaks that involve things you enjoy. o Try to maintain a regular routine – one that includes a balance between work and fun is best o Realize that changes in your children’s behaviors, especially increased negative behaviors, are due to the recent changes in their life. o Be in-tune to your own behaviors and emotions resulting from the recent changes in your life. o Realize it is ok to ask for and accept help from others – we are all in this together. o Don’t feel bad if you need resources like food or need another parent to talk to for support. This is a judgement-free time and we all need help and support at times. o Contact PFSA at [email protected] to find out how to get connected with a community-based agency. o Seek help if you feel like harming yourself or the children you care for by calling 911 or your local crisis intervention. o Learn about ways to prepare your family to deal with the coronavirus Here are additional resources to help you prepare and deal with the coronavirus as a family and remain safe: CDC Coronavirus Coping with Daily Life CDC Get Your Household Ready for COVID-19 CDC Talking with Children about Coronavirus Community, Schools and Childcare 28

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] COVID-19 and Family and Child Health CONTINUED Community Role in Protecting Children from Abuse and Neglect Child abuse and neglect happens everywhere and does not take a break with social distancing. In fact, increased stress on caregivers and reduced family supports will increase the likelihood of abuse and neglect on children. As a community, we need to support families with children and, if needed, report suspected abuse and neglect so they can receive the help needed to keep their children safe. Support families by asking them what they need and be creative on how you assist. For example:  Drop off groceries at the front door, without social interaction.  Find fun activities that are age-appropriate for the children and can be done at home.  Chat with the kids and caregivers through a virtual platform (like Zoom, Facebook or Skype) where you can see each other and interact in positive ways to encourage them.  Connect them with community resources - email PFSA at [email protected] to find community-based agencies in the area. Learn the warning signs of child abuse and neglect and how to report concerns so you are prepared. Anyone can make a report of suspected child abuse or neglect by calling ChildLine at 800-932-0313. Resources to learn more: www.pa-fsa.org (includes free virtual training for mandated reporters) www.keepkidssafe.gov 29

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] VII. Tool Kit: COVID-19 Health Disparities / SDOH FINANCIAL STABILITY- MONEY GO HERE to this section for information about Financial Stability and Where to go and Accessing and Receiving Assistance During Coronavirus Crisis Contributing Author: Shelley Beyar Financial Wellbeing is important. In a time of economic upheaval it’s difficult to know what to do next. Often times our immediate response is to do anything and everything to ‘try’ to save whatever it is that we think we may lose. It’s hard not to be driven by fear when it feels as though our world is no longer on solid ground. Many people will react in ways that may not, in the long run, benefit their personal and or financial wellbeing.  This is a time to create a plan and stand strong. Historically we know that the United States has had many economic down-turns and as a country we have always recovered. Don’t put your head in the sand and pretend that nothing is going on around you.  Do what is necessary to keep yourself and your family safe. Take time to look at your current financial picture.  Has your income changed since the catastrophe started? If your situation has changed, get a handle on your new reality. No matter where you stand, this is the right time to take a look. ESSENTIAL / NON-ESSENTIAL ITEMS Start by listing your expenditures. Pull out your bank statements, credit card statements and any other logs that show your monthly expenditures. Write down everything you spend. Once you have done this, you must decide what is essential and what is non-essential. If your income has been reduced, it’s time for the non-essential items to go. What are some of the things you can eliminate or put on hold? For me there are items such as; housecleaning, yard maintenance, cable, eating out, junk food? Being honest isn’t always easy and giving up things we enjoy isn’t always fun, however, right now it may be necessary. This is a time for us to dig deep and decide what is truly essential.  What are your essentials?  What are your non-essentials? Let’s put the non-essentials off the table for now. Remember, when your income returns, if you wish, you can add back the non-essentials 30

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] COVID-19 and Money CONTINUED GOVERNMENT PROGRAMS AVAILABLE UNDER THE CARES Act: There are many government programs available that may help your situation. However, in most instances, they are not automatic. You must initiate the program by completing an online form or by calling the creditor and setting the program into action on your personal account. Below are a few highlights that may be useful for personal use: o The CARES ACT has additional benefits for businesses. o FEDERAL STUDENT LOANS. No interest charged till September 30, 2020. Payments may be held based on need. Borrowers must call for relief. o PRIVATE STUDENT LOAN AND CREDIT CARDS. Lenders have programs in place. Borrowers must call creditors for relief. o MORTAGE FORBEARANCE: Mortgage payments can be held for up to 180 days and potentially extended for an additional180 days. If you can make your payment, do so, as it will save accruing interest. This program is designed for those who are unable to make their payments. NOTE: If you go into forbearance, your mortgage is still due and interest continues to accrue. The amount of the forbearance will either be charged at the end of the forbearance term as a lump sum, negotiated to be paid over the next 12 months (as an additional monthly payment), structured as an additional loan, or added to the end of the loan. Not all lenders offer the same options. When you call your lender, be sure you understand what they are offering and how it will impact your future. Remember... You are still responsible, and you must be in touch with your lender for relief. o FORECLOSEURE: If you are in the midst of a foreclosure, this will be put on hold until the end of May, 2020. o RENTAL RELIEF: Renters cannot be evicted for 120 days. UNEMPLOYMENT: The current rules for unemployment have been enhanced. Even people who are self-employed can now file. In addition, the minimum amount received monthly has been increased and the length of time you are eligible to receive unemployment has been extended. If you have lost income due to the Coronavirus call your unemployment office and see what benefits you are eligible to receive. Workers Compensation Claims at 1-800-482-2383 Workers Compensation Employer at 717-772-4447 CREDIT CARDS: Call the credit card holder for relief or check the creditor’s web site. Many companies are holding interest on the balances and offering delayed payments. Credit Card companies are establishing their own relief programs. 31

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] COVID-19 and Money CONTINUED MONEY SMART FOR OLDER ADULTS: This is a resource guide and course filled with information useful not only to the mature population but to all adults. It talks about money resources, avoiding identity theft and how to avoid and report scams. Beware of scams during a crisis. People often prey on the vulnerable. If you have an immediate need, please report a scam and fraud to proper authorities. CREDIT COUNSELING: If you are having financial issues, Credit Counseling may be the right option for you.  Credit Counseling will negotiate your payments based on your cash flow and in most instances the interest on your loans is negotiated away. The payments are reduced to one manageable monthly payment and the counseling agency disburses the funds to pay off your debts. All you have to do, is get the agreed upon money to the agency on time monthly.  If you choose credit counseling: o Make sure you are using a non-profit credit counseling agency. o Do not sign anything unless you are 100% sure you understand. o Don’t EVER agree to stop paying your debts so the principal can be negotiated away. This will ruin your credit profile. With legitimate credit counseling, you are usually 100% responsible for the principal due. I strongly recommend Credit Counseling before exploring bankruptcy. o To find a non-profit Credit Counseling Agency, call Financial Counseling Association of America at 1- 800- 450-1794 CONSUMER FINANCE INFORMATION: This site goes into detail with the different programs and what is being offered. This is a comprehensive resource provided to you by the government. Use www.consumerfinance.gov REVIEWING YOUR CREDIT:  www.annualcreditreport.com is a government site that gives you a free copy of your credit report, from each of the three credit repositories, each year. It gives you a tool to easily check for inaccuracies and fraud. People often pull a report from one repository every three months.  myEquifax: Free account provides up to 6 free credit reports through 12/2026 For set up call: 866-349-5191 Website: https://www.equifax.com/personal/credit-report-services/free- credit-reports/ NOTE: When you pay for credit scores on-line, they usually are not accurate. You are paying for an educational report. Reports from your bank are usually accurate for lending. 32

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] COVID-19 and Money CONTINUED FREE LEGAL SERVICES: The Legal Services Corporation keeps a list of Legal Aid offices that are available throughout the United States. You can go to: www.lawhelp.org or www.LCS.org, to find a Legal Aid office near you. SEEKING PAYMENT RELIEF Call your creditor directly. Creditors are not forgiving payments. Your payments are your responsibility. You have a contract with the creditor to satisfy the payment obligation, however, during this time, there are programs that may provide immediate relief. Some lenders will delay your payments three months at a time. Some creditors are actually offering assistance up to 12 months, depending on your personal situation. NOTE: Some creditors are delaying or forgiving interest. In most situations the interest on your credit obligations will continue to accrue even if the payment has been delayed. PAY YOUR CREDITORS ON TIME: NOTE: Credit is reviewed when you secure housing, seek employment, purchase items that are needed such as a home, a car, furniture etc. Once your credit is compromised, it can be a real challenge recovering. Late payments stay on your credit report for 7 years. And, if you have a bankruptcy, it remains on your report for 10 years. Do your best to pay on time. Partial payments are not accepted by lenders, unless agreed upon. CALL YOUR CREDITORS / STAY ON HOLD If you must miss a payment, the first thing to do is go online and see what the creditor has published. If there are forms to fill in, and you feel comfortable doing so, complete the forms and send them back the creditor. Be sure you read the forms completely and make sure you understand what is required and what is being offered. o Forms must be 100% complete to be accepted. Also, they must be received. Review your forms before sending and make sure you have done everything it requested. o If supporting documentation is required, make sure you have provided. When you have completed and sent the form and the supporting documentation, be SURE it was received by the creditor. Document everything and keep your records. o Expect that you will need them in the future. Many people choose to send by certified mail, so they know who signed for the documents. If you are faxing or emailing, be sure to keep evidence. If there is nothing online, or, if what is online is vague, call the creditor to see what options are available. Have your personal paperwork ready when you call. The creditor will ask why you are asking for help and you will need to tell them what has happened. The creditor may ask for copies of your pay stubs and bank statements. Make sure you have this documentation with you when you call. 33

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] COVID-19 and Money CONTINUED Talk to a real person. I don’t care how many hours you need to hold, it will be far less than the time and money you will spend trying to get your issues resolved in the future. Log the Conversation. Once you reach someone, make sure you log the conversation. Write down the date and time of the call, the name of the person, exactly what you requested, exactly what they asked for and exactly what was agreed upon. Repeat the information to the creditor to make sure you fully understand. CREATING A CREDIT LOG: I guarantee the person answering the phone is overwhelmed by the hundreds maybe thousands of calls coming through their system. During times of stress, mistakes happen. Protect yourself. To eliminate future issues, create a special credit folder. Each time you speak with a representative keep a log. Write down the following information for your records: o Name and number of the creditor called. o Documentation requested and provided for review. o What did you request? o What did the creditor offer? o What is the name and position of the person who made the offer? o Date offer was made? o Was your acceptance written, or verbal? (ask for a written confirmation) o Additional items requested by the creditor? o Date additional items were provided to the creditor? o Date agreed upon for future communication with the creditor? o What is your expected outcome? 34

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] COVID-19 and Money CONTINUED REFINANCING: Remember, if you have a job that can be verified, and you have decent credit, catastrophic times usually bring lower interest rates. Catastrophic times are usually good times to explore refinancing options. REFINANCING DURING CRISIS: During an economic downturn, oftentimes interest rates fall. If you still have a steady income, this may be a great time to look into refinancing your mortgage or student loans. Refinancing your debt may help long term and may be the key to improving your current situation, especially if your household income has been reduced. If you own a home, and you need additional money you may be able to pull funds out of your home with a cash-out refinance. This may help two fold. It can potentially free up money to help off-set income loss, and it can potentially reduce your monthly payments. If you are in a situation where you have verifiable income, refinancing may allow you to shorten your term and save a tremendous amount of money over the life of the loan. If you are sitting with a loan with a rate above the current market, call a local lender and explore your options. Currently, if you have a rate at 4% or above, it is worth calling. It’s important to understand that lending rules don’t loosen during economic down-turns, in fact, they will frequently tighten. Lenders are looking at losses during economic downturns, and their underwriting guidelines will reflect their need for solid loans. RETIREMENT FUNDS: It is strongly recommended that, if you currently have a retirement fund, leave it! There is tremendous volatility in the market and we all know how scary it is when we see the money we thought we had, suddenly drop by thousands of dollars overnight. Reality is, the stock market is a representation of the solvency of our country and right now, our country is in trouble. You will see your money moving up and down over the next year or so, and in this situation, patience is going to be your key to long term success. We can look at the history of the stock market and know that if we stay, recovery will ensue. If we cash in, not only will we pay tax on the money withdrawn, which will leave us with less, the money will be gone forever. Using your retirement funds for daily living is not prudent. Let your retirement funds sit. If by chance you have extra assets, this may be the right time to invest. Speak to a financial counselor for advice on how you may be able to earn money during down times. Please, however, be careful. We have no idea where we are headed and speculating can certainly back-fire. 35

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] VII. Tool Kit: COVID-19 Health Disparities / SDOH MONEY – ECONOMIC DEVELOPMENT CENTER GO HERE to this section for information about Financial Stability and Where to go and Applying for Assistance for Employer and Business Economic Disaster Relief Caused by Coronavirus Impact Contributing Author: Guillermo Velazquez Financial Resources Are Available For help, to ask questions, or Apply for assistance, click on the boxes below: Also, visit the IRS website or call IRS COVID-19: Economic Impact Payment use Check on the status of payment IRS Individuals at 1-800-829-1040 Businesses at 800-829-4933 Non-profit taxes at 877-829-5500 Callers who are hearing impaired TTY/TDD at 800-829-4059 Overseas callers Use International Services page Community Economic Center Go to resources: Recommendations for entrepreneurs, small business CARES ACT – RELIEF FUND RESOURCES: owners, community ---- for Coronavirus (COVID-19): Small Business Guidance & Loan Resources Prevention, and if sick, and/or in https://www.sba.gov/page/coronavirus-covid-19-small-business-guidance-loan-resources#section- treatment: header-2 - Special populations PNC Coronavirus (COVID-19) Payment Deferment Hardship Request https://www.pnc.com/en/customer-service/hardship-request.html - Housing, Transportation Applications for waivers to non-essential business: https://expressforms.pa.gov/apps/pa/DCED/Waiver-process-keeping-physical-locations-open - Applications for SBA loans Federal Emergency Management Agency FEMA Public Assistance Program: COVID-19 Response - Essential Business The Governor’s Order https://www.pa.gov/guides/responding-to-covid-19/ - Non-essential Business Pittsburgh Financial Empowerment Center is Open for Free One-on-One Financial Counseling by Phone or Video - Stay Home Orders https://pittsburghpa.gov/press-releases/press-releases/3833 Unemployment Compensation Filing - Work from Home https://www.uc.pa.gov/Pages/covid19.aspx 24 Best Work From Home Jobs for 2020 https://www.dollarsprout.com/work-from-home-jobs/ CDC COVID-19 Community Guidance-Business-Response https://www.cdc.gov/coronavirus/2019-ncov/community/guidance-business-response.html https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/other-at-risk-populations.html https://www.cdc.gov/coronavirus/2019-ncov/downloads/considerations-for-school-closure.pdf https://www.osha.gov/Publications/OSHA3990.pdf 36

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] VII. Tool Kit: COVID-19 Health Disparities / SDOH PENNSYLVANIA HEALTH LAW GO HERE to this section for information about The Law and Where to Go for Pennsylvania Seniors (MA) and Children (CHIP) Coverage Services During and After Pandemic Contributing Author: Laval Miller-Wilson Contributions from PA Health Law Project As COVID-19 spreads, the Pennsylvania Health Law Project (PHLP) is committed to making sure those with Medical Assistance (MA) and Children’s Health Insurance Program (CHIP) coverage have services, and to securing insurance coverage for the uninsured. PHLP staff are working remotely through the crisis and are available to counsel and represent Pennsylvanians throughout the state. Our toll-free Helpline (1-800-274-3258) remains open every Monday, Wednesday, and Friday from 8 AM to 8 PM. We can also be reached at [email protected]. Here Are Answers to Frequently Asked Questions About the COVID Crisis: DOES MEDICAID AND CHIP PAY FOR COVID TESTING & TREATMENT? MA & CHIP Coverage of Testing Both MA and CHIP will cover testing for COVID-19 when your doctor or health care professional determines it necessary. There is no co-pay for testing, so consumers pay nothing for the test. No prior authorization (permission) from your insurer is required to get tested. The Pennsylvania Department of Health has released a fact sheet with information about how to get tested for COVID- 19. Testing had been prioritized for people who are severely sick, people in facilities, people in contact with known cases of COVID-19, and health care providers; however, testing kits are becoming more widespread and available. If you are having symptoms and want to get tested, call your doctor, health insurance company, local health department, or the PA Department of Health at 1-877-PA-HEALTH (1-877-724-2584). MA Coverage of Services to Treat COVID-19 Symptoms There is no specific antiviral treatment for COVID-19, but MA covers a broad range of services that treat and/or relieve COVID-19 symptoms, including: o Imaging (e.g., CT Scans, X-Rays) and Diagnostic Testing; o Hospital Care (Inpatient & Outpatient); o Emergency Ambulance Transportation; o Non-Emergency Transportation to MA Covered Appointments (where telehealth is not an option); Home Health Services; o Nursing Facility Care; and o Prescription Drugs, including over-the-counter medications for fever relief and other medications related to the treatment of virus symptoms - e.g. counter cough and cold preparations. Over-the-counter medications must be prescribed by your doctor or health care practitioner. To ensure you have a 30-day supply of prescriptions, refills may be covered before the refill date. 37

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] COVID-19 and Pennsylvania Health Law CONTINUED Testing with Medicare Coverage: Medicare also covers COVID-19-related laboratory testing when ordered by a physician without any co-insurance or deductible. The standard Part B deductible ($198 in 2020) applies to other COVID-19-related outpatient Medicare services, besides laboratory tests. CMS released a fact sheet addressing Medicare Coverage and Payment Related to COVID-19. CAN MY HEALTH INSURANCE COVERAGE END DURING THE CRISIS? No! MA, CHIP, and Waiver coverage should not end during the emergency period; this is a condition for the state’s receipt of enhanced federal match funds passed as part of the Families First Corona Virus Response Act. Pennsylvanians who have coverage on or after March 18, 2020 cannot lose that coverage until the end of the public health emergency, except in cases where the person voluntarily withdraws, is no longer a state resident, or is deceased. ARE PENNSYLVANIA’S COUNTY ASSISTANCE OFFICES OPEN TO HELP ME APPLY FOR MEDICAID AND CHIP COVERAGE? All County Assistance Offices (CAOs) across Pennsylvania are closed to the public effective March 17, but are still processing MA applications and requests for other public benefits. Even though CAOs are closed to the public, you can still apply and renew MA and CHIP online at www.COMPASS.state.pa.us. Applicants can download the MyCompassPA app to their Apple and Android devices. Applicants can also complete a paper MA application (available here) and either mail the application to the CAO, or dropping it off at the CAO’s secure drop box. Note that there is no way to obtain a receipt for dropping off application paperwork right now; thus, we recommend submitting applications and other documentation online through COMPASS wherever possible. Uninsured individuals with COVID-19 who apply for MA coverage can get a faster decision on their MA application. To do this, mention COVID-19 as the reason for the application in the comment section of the COMPASS application or, on paper applications, in the section asking about medical conditions that affect ability to work. The state has instructed caseworkers to accept self-attestation for all MA eligibility criteria (e.g., income) when documentation is not available, except verification of citizenship and immigration status. Changes impacting benefits (e.g., new address, change in household size) can and should still be reported through the Statewide Customer Service Center at 1-877-395-8930. 38

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] COVID-19 and Pennsylvania Health Law CONTINUED DO ECONOMIC STIMULUS PAYMENTS COUNT AS INCOME FOR MEDICAID AND OTHER INCOME-BASED HEALTH INSURANCE COVERAGE PROGRAMS? No. Stimulus payments to households through the CARES Act do not count as income for Medicaid, CHIP, Medicaid Long Term Care (Nursing Home and Home & Community Based Services Waiver), and other important public health benefits. As a reminder, under the CARES Act most folks will receive $1,200 per adult ($2,400 for a married couple) and $500 per dependent, including children age 17 or younger. Importantly, the fair consideration rules that normally apply when determining eligibility for Medicaid long term care benefits either in a nursing home or home and community-based services will not apply to these payments. These payments will also not impact the patient pay amount for someone on Medicaid in a nursing home. Note that individuals should still report their receipt of the stimulus money through COMPASS or by calling the Statewide Customer Service Center at 1-877-395-8930, just as they are typically required to do with other changes related to benefits. However, again, the money should not be counted as income or a resource! HOW DOES COVID-19 IMPACT IMMIGRANTS? In Pennsylvania, no one should be denied MA for COVID-19 testing, diagnosis or treatment because of their immigration status. COVID-19 is a recognized Emergency Medical Condition, therefore Emergency Medical Assistance (EMA) will be available for coverage of COVID-19 testing, diagnosis, and treatment for those who otherwise qualify for EMA. Moreover, using MA for COVID-19 testing, diagnosis and treatment creates no public charge risk. As has always been the case under the new public charge rule, the very large majority of people who are eligible for MA can receive and use benefits without any public charge risk. In addition, US Citizen and Immigration Services recently announced that COVID-19 testing, diagnosis and treatment will not be considered during public charge tests, even if MA is used to access these services. 39

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] COVID-19 and Pennsylvania Health Law CONTINUED WHAT IF I NEED LONG-TERM CARE? The state continues to process applications for MA funded long-term care for older adults and individuals with disabilities served through providers licensed by the Office of Long-Term Living, including personal care homes and in- home care. The Independent Enrollment Broker (IEB) is still processing applications. To apply for waiver services, call the PA Independent Enrollment Broker (PA IEB) at 1-877-550-4227. It has been reported to PHLP that functional eligibility determinations (FED) which assess whether applicants meet the clinical standards to qualify for in-home services, may be conducted remotely using phone or video conferencing; the face-to-face requirement has been temporarily waived. The Office of Long Term Living (OLTL) is suspending long-term care clinical eligibility redeterminations during the COVID-19 emergency. The Office of Developmental Programs (ODP) has extended eligibility redeterminations to 18 months, so participants in ODP’s programs will also not lose services during this period. CAN I SEE MY DOCTOR AND OTHER HEALTH PROVIDERS DURING THE CRISIS? In many cases, yes. Medical Assistance (MA) MCOs are making sure their provider networks can handle an increase in health care services related to COVID-19. If an MA MCO does not have enough health care providers in its network with the appropriate training and experience to meet the needs of its members, the MCO must cover services by providers who are out-of-network. Consumers should call their MCO’s Member Services line (listed below) with any difficulty obtaining services. Consumers in the MA Fee-for-Service Program should call the Recipient Service Center at 1-800-537-8862 if they are having difficulty obtaining services. Limiting Non-Essential Elective Services In accordance with CMS recommendations, DHS recently released a Managed Care Operations Memo directing MA insurers to restrict non-essential elective surgery and medical procedures, including dental, until after the public health emergency subsides. Expanded Use of Telehealth Because COVID-19 is a communicable disease, you may prefer to receive health care services using telehealth instead of in-person. Telehealth is two-way, real time interactive communication between you and your doctor or other provider. The state has strongly encouraged the use of telehealth visits for all MA consumers in Fee-for-Service and MCOs. Additionally, all MCOs offer a 24/7 nurse phone line available for consumers to consult with various health-related questions. The Office of Long-Term Living has also encouraged providers to use telehealth and telemedicine broadly, including for assessments which otherwise take place in-person at an individual’s home. 40

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] COVID-19 and Pennsylvania Health Law CONTINUED The Office of Mental Health and Substance Abuse services (OMHSAS) has issued guidance expanded existing mental and behavioral telehealth services to include treatment provided by a number of providers including:  Certified Registered Nurse Practitioners (CRNPs);  Physician Assistants (PAs) certified in mental health;  Licensed Clinical Social Workers (LCSWs);  Licensed Professional Counselors (LPCs); and  Licensed Marriage and Family Therapists (LMFTs). Previously, only Psychiatrists and licensed Psychologists could provide behavioral health via telehealth services. Additionally, individuals may now use telehealth directly with their providers by way of smart phones and other electronic devices. CAN I STILL GET TRANSPORTATION ASSISTANCE FROM MEDICAID FOR MEDICAL APPOINTMENTS? The Medical Assistance Transportation Program (MATP) continues to operate in every county in Pennsylvania. However, during the COVID-19 emergency, consumers should be prepared for more limited availability of transportation services, and should be prepared to wear PPE like face masks during any MATP rides. DHS has released guidance on use of MATP during the COVID-19 crisis; indicating that telehealth should be used instead of in-person visits where possible, and that only certain types of face-to-face visits should be prioritized by MATP providers. These visits include dialysis, chemotherapy, radiation, IV therapies that cannot be done at home, high-risk pregnancy care, urgent clinical visits, trips to the pharmacy, and medication assisted treatment (methadone, buprenorphine, and naltrexone). Additionally, DHS increased the mileage reimbursement rate temporarily for the duration of the emergency, from $.12 cents per mile to $.25 cents per mile. To arrange for transportation using MATP, call your local county MATP provider. You will be asked if you or anyone in your household has experienced any COVID-19 symptoms or a diagnosis, and you will need to wear a face mask during the ride. CAN I STILL GET MEDICATIONS DURING THE CRISIS? Yes. In fact, your access to prescriptions should improve. The state notified MA MCOs that they must allow their members to obtain early refills of all prescriptions at the pharmacy during the COVID-19 emergency period. This includes early refills for opioids for pain management and medication-assisted treatment for opioid use disorder. The prior authorization requirement based on day supply for short-acting opioids remains in effect. MCOs can authorize prescriptions for longer than normal durations when medically necessary during the COVID-19 pandemic. 41

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] VIII. Tool Kit: COVID-19 and Large Community Events & Mass Gatherings GO HERE for accurate information in real-time This is a rapidly changing situation. Daily updates are provided on the CDC, PA DOH, and PA OAG. CDC guidance for gatherings, and considerations about when to cancel an event are available. Large gathering can contribute to the spread of COVID-19 in the United States via travelers who attend these events and introduce the virus to new communities. Examples of large and mass gatherings include conferences, festivals, parades, concerts, sporting events, weddings, and other types of assemblies. These events can be planned not only by organizations and communities but also by individuals. At all times… 1. Encourage your staff or community members to protect their personal health. 2. Post the signs and symptoms of COVID-19: fever, cough, shortness of breath. 3. Clean surfaces that are frequently touched – things such as shared desks, countertops, kitchen areas, electronics, and doorknobs. 4. Limit events and meetings that require close contact. 5. Stay up to date on developments in your community. 6. Create an emergency plan for possible outbreak. 7. Assess if community members are at higher risk and plan accordingly. During an outbreak in your area 1. If you identify a case, inform people who might have been exposed. 2. Continue to safely clean and disinfect the person's area. 3. Connect with your local health department. 4. Cancel large meetings or events. 5. Put your infectious disease outbreak plan into action. Recommendations for schools, institutes of higher learning, or businesses are available. Use the links below: K-12 schools and child care programs Colleges and universities Businesses and workplaces Gatherings and community events Community and faith-based organizations Parks and recreational facilities Tribal communities 42

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] IX. Tool Kit: COVID-19 and “The New Normal” GO HERE for accurate information in real-time COVID-19 has changed everyone’s way of life at home, work, school, church, and in the community. It is a new day in America, and for our global neighbors, too. The “New Normal” encourages you, your loved ones, and your neighborhoods to slow the spreading of COVID-19. We all realized that no single entity could do this alone. We need everyone to do their part while supporting each other.  Stay calm, Stay safe, Stay informed, Stay positive, Stay Connected  Take Precautionary Measures – follow CDC recommendations at all times  Stay in touch with your doctor – by phone, video, or in-person  Be a role model. Take breaks, get plenty of sleep, exercise, and eat well  Avoid COVID-19 Scams and Fraud.  Use new technology. To connect while securing your data and content  Keep Important Documents in a Safe Place.  Use the Tool Kit – for help, to ask questions, or Apply for assistance Three easy Steps: o STEP 1 (Tool 1): Get Prepared o STEP 2 (Tool 2): Ask A Doctor, Your Local Trusted Community Leader, Helplines o STEP 3 (Tool 3): Empowering A Trusted Community - Attaining Health Equity  Remember, you are not alone – we are here for you! Together, we can continue make our home, work, school, and community safer, more resilient, and better prepared. This is a rapidly changing situation. Daily updates are provided on the CDC, PA DOH, and PA OAG. More resources: o Household Checklist o Stress and Coping o Visiting Parks and Recreational Facilities o Protect Yourself When Running Errands o Caring for Children 43

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] X. Tool Kit: The Reopening of America Again, and Reopening Approach of Pennsylvania GO HERE for accurate information in real-time Data-driven guidelines for transitioning from a Pandemic COVID-19 shutdown to the reopening of America is available. The criteria and three-phased approach can be found at below: (Click each box, or use the hyperlink) o White House Guidelines for Opening Up American Again (Criteria and a Three-Phased Approach to Reopen America) o Pennsylvania Guidelines for Opening Up Pennsylvania (Process to Reopen Pennsylvania) Data & surveillance can be accessed here, click on each of the boxes below: World Map and Globe Map Assessing COVID-19 Risk Factors More resources: o People Who Are at Higher Risk for Severe Illness o Frequently Asked Questions for People at Higher Risk o Clinical Questions about COVID-19: Questions and Answers o Hospitalization Rates and Characteristics of Patients Hospitalized with Laboratory-Confirmed Coronavirus Disease 2019 — COVID-NET, 14 States, March 1–30, 2020 o Severe Outcomes Among Patients with Coronavirus Disease 2019 (COVID-19) — United States, February 12– March 16, 2020 o COVID-19 Cases, Data, and Surveillance 44

COVID-19 Preparedness Tool Kit [DOCUMENT TITLE] Thank You for Using Our COVID-19 Preparedness Tool Kit! 45