WHAT'S NEW

What's New

  • LDA Legislative Session 2020 Successes +

    Thanks to the hard work and determination of your LDA leadership, the LDA lobbying team moved forward during the hectic, 28-day legislative session with two of our pieces of insurance Read More
  • DentaQuest and MCNA Both Louisiana Medicaid MCOs +

    The Louisiana Department of Health (LDH) announced in February its intent to contract with two dental administrators for Medicaid. The Department selected DentaQuest USA Insurance Company, Inc. and MCNA Insurance Read More
  • Coronavirus (COVID-19) Information +

    Business Information and HR ResourcesFREE C.E. ResourcesInsurance InformationLDA/LDS Endorsed Company ResourcesManaging Stress and AnxietyPatient InformationPPE Lists Gathered by LDA and LDHLA Department of Health Approved Testing SitesVolunteer Opportunities   ADA Read More
  • LDA Partnered with TDSC for Incredible Member Savings +

    The Dentists Supply Company – TDSC.com To Order Supplies – tdsc.com/louisiana  or call 1-888-253-1223 Membership just keeps getting better! Your newest benefit? Significant savings on dental supplies. LDS has partnered with The Read More
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coronavirus

Business Information and HR Resources

FREE C.E. Resources

Insurance Information

LDA/LDS Endorsed Company Resources

Managing Stress and Anxiety

Patient Information

PPE Lists Gathered by LDA and LDH

LA Department of Health Approved Testing Sites

Volunteer Opportunities


 

ADA Return to Work Toolkit

LDH Recommended Testing Sites for COVID-19

 


Updated Clarification from LA Department of Health Regarding the 4/20 Memo to Begin "Time Sensitive" Procedures 4/27
(Note: Page 2, Allowable Procedures)

4-20-20 Memo from LA Department of Health

Please read the dental section on pages 4 and 5 and take note:

Time-Sensitive Dental Conditions:
3 (a) Subject to paragraph (b) below, dental providers are allowed to treat time-sensitive dental conditions, provided that the facility and/or healthcare provider ensure that the attached algorithms 2 and 3 and CDC Guidelines are followed for screening patients and for treating patients.

B. Any dental procedure in which a delay will not adversely affect the particular patient or the underlying disease process should continue to be postponed.

C. Each dental facility or dental provider that performs any dental procedure shall be required to contact the patient within 10-14 days after the procedure to determine whether the patient has signs/symptoms of COVID-19 or has tested positive for COVID-19 since the procedure. Such contact shall be documented in the patient’s medical record. The dental facility or dental provider shall make recommendations to the patient who has signs/symptoms of COVID-19, including appropriate testing. Further, the dental facility or dental provider shall immediately inform the Office of Public Health, via electronic notification, if any such patient has tested positive for COVID-19.

Algorithms 2 and 3 Attachments



LDA FAQs - Employer Obligations and Personnel Issues

ADA FAQs on Federal Employment Law, Safety, and Legislation

 

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.

 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 Centers for Disease Control and Prevention “recommends dentists who are concerned about a potential or imminent shortage of personal protective equipment monitor its health care supply webpage for updated guidance.”  Dentists can email additional questions related to SARS-CoV-2 and COVID-19 to This email address is being protected from spambots. You need JavaScript enabled to view it.. The ADA also urges dentists to view the CDC's COVID-19 situation webpage for current insight.

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.

ADA resource center for dentists: https://success.ada.org/en/practice-management/patients/infectious-diseases-2019-novel-coronavirus?utm_source=adaorg&utm_medium=VanityURL


Patient Information

CBS This Morning Video (Safe to Go to the Dentist): https://www.cbs.com/shows/cbs_this_morning/video/e5mN_l1Vvpm94iY8hAJUhXmOfsUDOqNZ/is-it-safe-to-go-to-the-dentist-amid-covid-19-/

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 Healthy 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


Business Information and HR Resources

Louisiana Loan Portfolio Guaranty Program to Offer Loans for Small Businesses Up to $100,000

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.

LDA legal council has provided information on Business Interruption and COVID-19.

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.

Article: First-quarter unemployment tax payments deferred for Louisiana employers

Resources from Louisiana Workforce Commission: Information for employers and workers in Louisiana, including unemployment insurance assistance, can be found at http://www.laworks.net/PublicRelations/COVID_19_Information.asp. This link also includes an email for the Rapid Response Unit which helps with temporary or permanent layoffs due to COVID-19, Andre France - This email address is being protected from spambots. You need JavaScript enabled to view it.. There is also a link to the American Job Center, which is a listing of job centers in the state: http://www.laworks.net/Downloads/WFD/AJC_Contacts.pdf

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/



Insurance Information

Professional Liability
Updated 4/7/20: These two  professional liability carriers are providing premium relief to their customers and the LDA is recommending that members check with their malpractice insurance carriers if not insured by these carriers. Click here for more info.  If you have any questions or need assistance, contact Stormy Blair at This email address is being protected from spambots. You need JavaScript enabled to view it. or (985) 674-3880. 

Updated 6/1/20: COVID-19 Malpractice and Employer’s Liability Concerns

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.

If you are a Brown & Brown insured, contact Stormy Blair, Vice President, at This email address is being protected from spambots. You need JavaScript enabled to view it., This email address is being protected from spambots. You need JavaScript enabled to view it.  or (888) 503-5547 for more information or to file a claim.

Feel free to contact us at www.bbgulfstate.com/asp, This email address is being protected from spambots. You need JavaScript enabled to view it. or 1-888-503-5547 for more information or to file a claim.

 
Managing Stress and Anxiety
 
From the CDC: 
 
Other resources provided by the ADA:
  1. Under Stress? We’re Here to Help: refers to the well-being directory, the handbook, and a resource sheet on identifying stress.
  2. 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.
  3. Mindfulness Techniques May Help You Reduce Your Stress [video series]
  4. Keeping Calm in the Coronavirus: You’ve Got This!
  5. Got Grief? Four tasks to help you recover from the coronavirus blues


Volunteer Opportunities
 

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:
https://www.lava.dhh.louisiana.gov/.

Article: https://www.nola.com/news/coronavirus/article_ad68fd94-71d6-11ea-8814-4fd3e5dc2921.html



 Department of Labor Issues Regulations on Exemptions for Small Businesses Under the Families First Coronavirus Response Act

Hello, Fellow Dentists:

On April 1, the ADA issued an interim recommendation that dentists keep their offices closed to all but urgent and emergency procedures until April 30 at the earliest.

Dentists around the country continue to navigate the unprecedented business challenges presented by the COVID-19 pandemic. The American Dental Association has learned more from the Department of Labor about what business and employment provisions could mean for you.  

The second legislative package Congress developed in response to the coronavirus pandemic, H.R. 6201, the Families First Coronavirus Response Act (FFCRA), included provisions regarding emergency paid sick leave and the expansion of Family and Medical Leave Act (FMLA).

Under the paid sick leave provisions, employers could be required to pay two weeks of sick leave to employees under certain circumstances, including:

  1. The employee is subject to a federal, state, or local quarantine or isolation order;
  2. The employee has been advised by a health care provider to self-quarantine;
  3. The employee is experiencing symptoms of COVID-19 and seeking a medical diagnosis;
  4. The employee is caring for an individual to which points 1 or 2 apply;
  5. The employee is caring for a child if the child’s school or place of care has been closed; or,
  6. The employee is experiencing any other substantially similar condition specified by the Secretary of Health and Human Services in consultation with the Secretaries of Labor and the Treasury.

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.

However, H.R. 6201 gave the Secretary of Labor the authority to exempt businesses with fewer than 50 employees from the requirement that they provide paid sick leave and extended family medical leave when the child’s school or place of care has been closed if “such requirements would jeopardize the viability of the business as a going concern.”

The ADA and other dental organizations sent a letter to the Department of Labor (DOL) asking that small dental practices be included under this exemption. We additionally asked that the Secretary “not require each dental practice to apply for an exemption.”

On April 1, the DOL issued a rule implementing H.R. 6201. This rule says that a small business with fewer than 50 employees may claim the exemptions if:

  1. The leave would cause the small employer’s expenses and financial obligations to exceed available business revenue and cause the small employer to cease operating at a minimal capacity;
  2. The absence of the employee or employees would pose a substantial risk to the financial health or operational capacity of the small employer because of their specialized skills, knowledge of the business, or responsibilities; or,
  3. The small employer cannot find enough other workers who are able, willing, and qualified, and who will be available at the time and place needed, to perform the labor or services the employer or employees requesting leave provide, and these labor or services are needed for the employer to operate at a minimal capacity.  

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.

The ADA has checked with the DOL and they have confirmed that dental office owners are not required to pay paid sick leave or extended family leave—if the employee has a child whose school or daycare is closed due to COVID-19—as long as they meet at least one of the three criteria above.

The DOL has additional information for employers and employees on COVID-19 that can be found here.

The ADA will keep you informed on relevant legislative updates in the weeks to come. For more COVID-19 resources, visit ADA.org/virus.

Stay well,
Chad P. Gehani, DDS
ADA President


 
 
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5637 Bankers Ave.
Baton Rouge, LA 70808
(225) 926-1986  |  (800) 388-6642
(225) 926-1886  Fax
info@ladental.org

Links with this symbol are password protected for LDA members only.
5637 Bankers Ave.
Baton Rouge, LA 70808
(225) 926-1986  |  (800) 388-6642
 Fax (225) 926-1886
info@ladental.org