The Louisiana Dental Association (LDA), along with the American Dental Association (ADA), is actively monitoring the outbreak of COVID-19 and will keep members updated on any new developments and recommendations to support the health and safety of Louisiana dentistry patients and dental health personnel. The LDA is closely monitoring this situation and updates from the CDC, the World Health Organization, the Louisiana Department of Health, the Louisiana Board of Dentistry and the Governor’s Office.LDH Directive on 30-Day Office Closures for all but Emergent Cases: In case you did not receive the directive of the LA Department of Health (LDH) through the LSBD: Louisiana dentists received the attached notice. It is vital you review this directive ASAP, if you have not already done so.
UDPATE: Additional Guidance Relating to LDH Healthcare Directive, Notice #2020 - Dental Provider - COVID-19 - 004
Representatives of the LDA’s Emerging Health Issues Rapid Response Task Force and of the LSBD have been engaged in discussions with LDH officials seeking clarification and additional information pertaining to the Dental Provider Directive released by LDH on Tuesday, March 17, 2020. CLICK HERE: The discussions with LDH led to the development by LDA and LSBD of the attached additional guidance for dentists. This document has been approved by LDH as a means of providing information to Louisiana dentists to assist them in interpreting, and complying with, the LDH directive.
Gov. Edwards Stay At Home Order - announced 3/22/20
Health care associated infections/sign up for emails from CDC: https://www.cdc.gov/hai/index.htmlThe LDA Board of Directors' intent is to support our member dentists in their efforts to cope with this situation. Along with the ADA, we will be actively exploring all possible options to mitigate the impact on members of the pandemic response. We are also reaching out to LDH in an effort to ensure there is ongoing dialogue in regard to any further guidance relating to this order or any other action the department may contemplate.
Continue to watch for emails, text messages and Facebook posts from the LDA as developments change or decisions are made.
If you are not signed up, here’s how to do so:
Text messages: Sign up at http://myrapidcast.com/signup/lda.aspxFacebook: https://www.facebook.com/LDA1878/ or @LDA1878
The ADA has put together an excellent source of information at www.ada.org/virus. There is also a link to Coronavirus Frequently Asked Questions that was developed as a result of questions from dentists/members. The main virus link also contains a downloadable version of the website that can be printed to hand to staff and other employees.
CDC issued supplemental guidance for dental settings during COVID-19 on March 26, 2020. Interim Infection Prevention and Control Guidance for Dental Settings During the COVID-19 Response: https://www.cdc.gov/coronavirus/2019-ncov/hcp/dental-settings.html. It supplements, but does not replace the the general infection prevention and control (IPC) recommendations for COVID-19.World Health Organization COVID-19 Information
The LA Department of Health Coronavirus information link is also being updated frequently with numbers of presumptive and confirmed cases and parishes they are located. LDH has also compiled a wealth of information for the public, as well as updates for Medicaid providers.
There is also a Coronavirus general information line at 1-855-523-2652 from 8 a.m. – 4:30 p.m., Monday through Friday.https://www.jdsupra.com/legalnews/cyber-criminals-find-opportunity-in-76448/
CDC videos for patients: https://www.youtube.com/results?search_query=cdc+brief+COVID-19
Patient info from ADA before visiting the dental office: https://www.mouthhealthy.org/en/az-topics/i/infection-control
Mouth Health Info on Dental Appointments and COVID-19: https://www.mouthhealthy.org/en/dental-care-concerns/covid-19?utm_source=Societies&utm_medium=QuickLinks&utm_conent=covid-19-mh&utm_campaign=covid-19
Patient info from CDC: https://www.cdc.gov/hai/patientsafety/patient-safety.html
The United States Environmental Protection Agency (EPA) is also working diligently to provide the public with up-to-date guidance and resources, including information and FAQs regarding disinfectants. https://www.epa.gov/coronavirus
FAQs - Employer Obligations and Personnel Issues
U.S. Senate Committee on Small Business & Entrepreneurship Paycheck Protection Program FAQs for Small Businesses
ADA Guidance on CARES Act
Senate Small Business Committee “Small Business Owners Guide to the CARES Act”
List of SBA 7(a) Lenders
The U.S. Chamber of Commerce has also offered guidance on small business loans offered through the CARES Act. Access a helpful Small Business Emergency Loans Guide and Checklist HERE.
SBA Provides Low-Interest Disaster Loans: The SBA will work directly with state Governors to provide targeted, low-interest loans to small businesses and non-profits that have been severely impacted by the Coronavirus (COVID-19). The SBA’s Economic Injury Disaster Loan program provides small businesses with working capital loans of up to $2 million that can provide vital economic support to small businesses to help overcome the temporary loss of revenue they are experiencing. Find more information on the SBA’s Economic Injury Disaster Loans at: SBA.gov/Disaster.
NOTE: SBA Loan Application Link Errors
Likely due to enormous demand, the link to the SBA site is working sporadically. The ADA has found a possible workaround. Go to https://disasterloan.sba.gov/ and hit the middle circle that says apply online. This appears to allow applicants through.
Coronavirus Tax Relief from the IRS:
The IRS has established a special section focused on steps to help taxpayers, businesses and others affected by the coronavirus. This page will be updated as new information is available. The U.S. Treasury Department and Internal Revenue Service (IRS) issued guidance allowing all individual and other non-corporate tax filers to defer up to $1 million of federal income tax (including self-employment tax) payments due on April 15, 2020, until July 15, 2020, without penalties or interest. https://home.treasury.gov/news/press-releases/sm948
Louisiana Tax Relief: the filing and payment deadline for income and franchise tax returns has been administratively extended to July 15, 2020.
Brown & Brown Insurance to Offer HR and Other Business Resources: https://www.bbgulfstates.com/covid-19-resources/
The LDA is gathering information on free online C.E. opportunities for dental professionals and will post links at http://www.ladental.org/free-ce-resources.
Fortress Professional Liability
COVID-19 Coding and Billing Interim Guidance
(Put together by the ADA and will be updated as necessary.)
The following information was gathered by the ADA and will be updated as necessary. This is evolving guidance and will be modified as more information becomes available. Upon consulting the LSBD for clarification, the LDA was told that a dentist in Louisiana can practice via teledentistry as long as they have a Louisiana license. Also posted at www.ada.org/virus.
VERSION: March 23, 2020
Coronavirus and Business Income Losses
(Submitted by LDA endorsed marketing agency, Brown & Brown)
Our agency is getting many inquiries regarding the insurance implications of this virus, and the most common question relates to business income, specifically: “Is there business income coverage if a governmental authority (civil authority) requires businesses to close?"
The short answer is no, there is no business income coverage. Before business income responds, there must be damage to property leading to the cessation of a business. This requirement applies to business income dependent property losses and civil authority losses covered by business income policies. Additionally, there is a specific property exclusion applicable to viruses that may (generally will) apply.
The above is true of “standard" business income forms; there may be some proprietary forms that respond, but these are rare and not likely found in policies for small businesses.
Insurance brokers do not have authority to make coverage decisions as that ability rests solely with the insurance carrier. Additionally, given the rapidly evolving COVID-19 situation there may be pending or future legislation introduced with the intent to override, alter or amend current policy language. Therefore, all claims should be submitted to the carrier for determination of coverage.
From the National Institute of Mental Health:
- Under Stress? We’re Here to Help: refers to the well-being directory, the handbook, and a resource sheet on identifying stress.
- The Good, the Bad and the Ugly [Webinar] An on-demand webinar that addresses how to identify stress, recognize the physical and mental impacts of stress, and how to manage the negative types of stress.
- Mindfulness Techniques May Help You Reduce Your Stress [video series]
- Keeping Calm in the Coronavirus: You’ve Got This!
- Got Grief? Four tasks to help you recover from the coronavirus blues
Louisiana's COVID-19 Health Care Volunteer Form
This is a partnership with the LA Department of Health and higher education institutions in Louisiana to mobilize Louisiana students and graduates in health care professions. They are looking for volunteers with backgrounds in the fields of medicine, nursing, allied health professions, dentistry, counseling, mental/behavioral health, laboratory science, among others. The group created an online portal to sign up volunteers.
The LA Department of Health Website also has a registration form for both medical and non-medical volunteers:
Department of Labor Issues Regulations on Exemptions for Small Businesses Under the Families First Coronavirus Response Act
Hello, Fellow Dentists:
Under the FMLA provisions, employers could be required to pay for up to 10 weeks of leave, but only for those employees who must care for their children because their school or child care center is closed.
An authorized officer of the business has to determine that the business meets one or more of these criteria, and the business must document that it meets those criteria. That documentation should be kept on file by the business for four years but it does not need to be sent to the DOL.