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Our Mission

Provider Return to Face to Face (F2F) Services Policy

Objective:
The health and safety of our providers and the children we serve continues to remain our highest priority during the pandemic. By prioritizing such, this policy supports CTP’s mission to provide the highest quality services, utilizing the latest in research to help our clients achieve their fullest potential.

CTP Designated Point of Contact to Assist During the COVID-19 Pandemic
The designated point of contact when CTP resumes F2F services are called the Return to Work (RTW) Coordinator / COVID-19 Representative. They will serve as the providers first point of contact.

Guideline Revisions – Living document
The CDC understanding of COVID-19 and the pandemic in general is continuously evolving. As such new developments and understanding will be continuously incorporated in this policy on an as needed basis.

Return F2F Services Considerations
There are several factors to consider before returning to F2F Services. The key factors include:

  1. Identify those at high risk
  2. Identifying those infected or showing symptoms of COVID-19
  3. Providers with care-taking responsibilities
  4. Providers who are uncomfortable or unwilling to return to provide face to face services

Factors Affecting Return to Face to Face Services

1) Identifying high risk providers
As defined by the CDC, individuals with any of the following mentioned below may be termed high risk

  • 65 and older
  • Chronic lung disease
  • Moderate or higher asthma
  • Immunocompromised
    • Cancer treatment
    • Bone marrow or organ transplant
    • Immune dificiencies
    • Prolonged use of corticosteroids or similar
  • BMI 40 or higher
  • Diabetes
  • Chronic kidney disease undergoing dialysis
  • Liver disease
  • Pregnant
  • Breast feeding
  • Sickle cell disease
  • Type 2 Diabetes Mellitus
  • Children who are medically complex, who have neurologic, genetic, metabolic conditions or who have congenital heart disease

2) Identifying providers infected or showing symptoms or a combinatino of symptoms for COVID-19
Infected with COVID-19 within the past 14 days, are suspected to have COVID-19 within the past 14 days, have been exposed to individuals who are ill with COVID-19 within the past 14 days or symptoms or combination of symptoms as indicated by the CDC:

  • Fever or chills
  • Cough
  • Shortness of breath or difficulty breathing
  • Fatigue
  • Muscle or body aches
  • New loss of taste or smell
  • Sore throat
  • Congestion or runny nose
  • Nausea or vomiting
  • Diarrhea

Steps to follow for those infected or showing symptoms or combined symptoms for 24 hours or more, that may be attributed to having COVID-19:
Provider must stay home for 14 days to monitor the symptoms unless COVID-19 or other contagious infections are ruled out with a doctor’s note.

If the provider tests positive with COVID-19, retesting or a doctor’s note is required to submit to the company before returning to F2F services.

Provider may continue providing virtual services, if applicable, while under quarantine at their supervisor’s discretion and if the school allows virtual services for their specific client(s).

3) Providers with care taking responsibilities.
Providers who must care for child/ren or care for a loved one. Providers who have to care for child/ren, under 18 years of age, whose school or child care provider is closed or unavailable for reasons related to COVID-19 or child/ren 18 years of age or older and incapable of self-care because of a mental or physical disability, may take the following step:

  • Provider may continue to provide virtual services, if applicable, at their supervisor’s discretion and if the school allows virtual services for their specific caseload.

Providers who have to care for an immediate family member or someone who regularly resides in their home or where their relationship creates an expectation that they care for the person in a quarantine situation, and that individual depends on them for care during the quarantine, may take the following step:

  • Provider may continue to provide virtual services, if applicable, at their supervisor’s discretion and if the school allows virtual services for their specific caseload.

4) Providers who are uncomfortable or unwilling to return to provide F2F services
Providers who are uncomfortable or unwilling to return as a provider of F2F services.

  • Each situation will be evaluated on a case by case basis.

Steps to Address the Factors Affecting Return to F2F Services

  • If a provider belonging to a high-risk group as defined by the CDC, CTP will reach out to respective provider on the condition that they are equipped with proper training and virtual cases are available during that time.
  • If a provider belongs to a high-risk group (#1 above) willingly wants to resume F2F services, knowing of their condition, then they will sign a document to acknowledge the risk and will not hold CTP accountable for health-related outcomes.
  • If a provider has been infected with COVID-19, are suspected to have COVID-19, have been exposed to individuals who are ill with COVID-19 or shows the COVID-19 symptoms for 24 hours or more, they should immediately contact the RTW Coordinators/ CTP- COVID-19 Representatives and follow the 14 days quarantine as instructed by CDC to monitor the symptoms unless COVID-19 or other contagious infections are ruled out with a doctor’s note.
  • If a provider tested positive for COVID-19, CTP would require retesting or a doctor’s note before returning to F2F services.
  • If the provider is uncomfortable or unwilling to provide F2F services during the pandemic, their current case (s) may be transitioned to virtual (if appropriate and with school’s permission) or will be re-staffed.

Additional Considerations Related to F2F Services
We are monitoring Federal, CDC, State, Local and Department of Education guidelines in consideration of providing F2F Services. If a school requires sessions to be held virtually despite the return to work color coding system, CTP will follow the school guidelines.

The status of services is subject to change. CTP will follow the directive as mandated by the State and Pennsylvania Department of Education and the respective school.

If a family refuses face to face sessions, the provider will communicate the refusal to CTP and a CTP representative will immediately contact the respective school.

For any other concerns related to COVID-19 and the health and well-being of the provider in the F2F environment, reach out to the CTP RTW Coordinator/ COVID-19 Representative.

Prior to and During each F2F Session

  1. The day before every appointment, the provider will send an email or call the family reminding them of the appointment and discuss the following below with the family:
    • After self-evaluation and no COVID-19 like symptoms are identified, the provider will let the family know they are symptom free and are able to provide service. Provider will inquire if the client or other people in the F2F environment are showing any signs of COVID-19 or have been in contact with anyone who is showing signs or confirmed to be infected or not.
    • Provider will also follow any state (see below in travel section) and school specific guidelines.
  2. Providers should evaluate themselves regularly and an hour before providing services to determine if they are experiencing any COVID-19 symptoms and use temperature checks to make sure they do not have a temperature of 100.4 or higher, without using any fever reducing medication.
    Note:
    ➢ Do not have face mask on 15 minutes before temperature check.
    ➢ An hour before seeing a client, you must have a temperature below 100.4 degrees (not aided by fever reducing medications).
    ➢ Temperature checks are subject to CTP video confirmation at random times.
    ➢ Temperature monitoring will be reported to CTP as designated.
    ➢ CTP will also check for confirmation of no combined COVID-19 like symptoms.
  3. If the provider is experiencing any COVID-19 symptoms or if they are otherwise sick, they should do the following:
    • Notify CTP RTW Coordinator/ COVID-19 Representative as soon as possible.
    • Complete the CTP Incident Report form.
    • Cancel the appointment(s) with the client(s).
    • Communication will then be sent to respective school.
    • Follow Steps to Address the Factors Affecting Return to F2F Services above.
  4. If client or other people in the F2F environment confirms they are showing signs and symptoms and/or infected with COVID-19, the provider should do the following:
    • Notify CTP RTW Coordinator/ COVID-19 Representative as soon as possible.
    • Complete the CTP Incident Report form.
    • Cancel the appointment(s) with the client(s).
    • Communication will then be sent to respective school.
    • Follow Steps to Address the Factors Affecting Return to F2F Services above.

Expectation of F2F Environment from the CDC

  • Prior to each session, verification that the client’s and other people in the F2F environment’s temperatures are below 100.4 degrees and they are not displaying COVID-19 like symptoms.
  • Environment for F2F service should follow the CDC guideline regarding using Personal Protective Equipment (PPE). Client and other people in the F2F environment should use PPE. *
  • Face coverings must be worn by all people in the F2F environment as required by the order signed by the PA Department of Health, with some exception. ** Masks can be removed to eat or drink.
  • Work areas are sanitized.
  • Social distancing (maintain a six feet distance) practices are followed by all persons in the F2F environment while providing services.
  • Frequent handwashing and/or use of hand sanitizer should be utilized at the start of each sessions and as needed

*If a student’s disability or anyone in the F2F environment is unable to follow environmental expectations, a meeting should be held and an individual plan with all parties in agreement should be developed.

**Exceptions to face covering requirement: Individuals who cannot wear a mask due to a medical condition including those with respiratory issues that impede breathing mental health condition or disability; Individuals who will be unable to remove a mask without assistance; Individuals who are under two years of age; Individuals who are communicating or seeking to communicate with someone who is hearing impaired or had another disability where the ability to see the mouth is essential for communication.

Reasons Leading to Cancellation of Sessions

  • Failure to obtain confirmation of temperature below 100.4 degrees and/or absence of COVID-19 like symptoms of the client’s or persons who would come in contact with the provider prior to the start of services may lead to a cancellation of session.
  • If a person in the F2F environment who would come in contact with the provider, has a fever of 100.4 after temperature has been taken and/or other COVID-19 like symptoms, the session should be cancelled.
  • Failure of F2F environment to follow CDC guidelines, (see above Expectation of F2F Environment from the CDC) may result in the cancellation of the session.

Providers should complete the CTP Incident Report form and contact CTP RTW Coordinator/ COVID-19 Representative

CTP will provide reported information to the respective school.

Personal Protection Equipment (PPE)
All providers are required to perform the following and utilize the following when providing F2F services and follow school specific guidelines.

  • Temperature Checks
  • Face Coverings
    ➢ if using face mask, a new mask must be worn before each F2F session
    ➢ if using a face shield, wipe mask with disinfectant wipes before each F2F session
  • Hand sanitizer
  • Disinfectant wipes
  • When applicable, gloves

*Note: Some schools may require the use of both a face mask and face shield. Please check the school’s applicable Health and Safety Plan for the specifics.

Travel
All providers must report personal travel to a Hot Spot State or to any international travel to the CTP COVID-19 Representative. Currently, the CDC recommends that travelers avoid all nonessential international travel. The CDC is still advising people to self-quarantine for 14 days after any international travel. Providers who travel to a hotspot state or internationally will not be able to provide F2F services for 14 days after their return.

To check for updates on restricted countries as identified by the CDC, go to:
https://www.cdc.gov/coronavirus/2019-ncov/travelers/map-and-travel-notices.html#travel-1

Providers are required to follow personal hygiene and social distancing measures:

  • Wear face covering during face to face sessions as required by the CDC.
  • Carry along hand sanitizer for use in F2F environment and keep in a safe location to ensure client’s safety.
  • Discourage handshaking and encourage the use of other noncontact methods of greeting.

Anti-discrimination and harassment
It is an unfortunate part of our hyper politicized environment, that bad behavior is at times evident. CTP will not tolerate discriminatory or harassment behavior towards our clients or providers. Any such behavior should be immediately reported to the RTW Coordinator/ COVID-19 Representative.

Simultaneously, if CTP receives a report of such behavior on the part of our providers, that behavior will also be immediately communicated, and action will be taken.

Frequent Communication, Updates
This pandemic is an evolving environment. New findings and new guidance are reported frequently. As such, this policy will be updated frequently. To the extent that this policy is changed, a communication will go out referencing the changes to all affected persons.

Mental Health
As noted by CDC officials, mental health has been a concern from the beginning of the pandemic. That concern has grown now that lockdown continues to be extended. Many of us are exhibiting effects of the shutdown as we encounter such pressures as home schooling, shortened school sessions, working from home, not being able to exercise, limited human contact, and loss of friends and family members due to COVID-19, just to name a few.

If you are experiencing any issues that may affect your performance in providing services to clients, contact the CTP RTW Coordinators/COVID-19 Representatives for support and guidance.

Additional Information
In addition to the steps outlined above we recommend all employees review all CDC guidelines and local and state requirements/regulations/recommendations. Below are some links to the CDC website and Pennsylvania state government. Please also look at your county specific guidelines for details regarding your local government.