Overview

To support our clients during the COVID-19 pandemic, we provide below links to the Governor’s Executive Orders and California County directives and mandates (please see here for our New York Executive Orders and agency guidance). Given the rapidly changing environment, we will update this page frequently. We hope you find these resources helpful as we navigate these uncharted waters.

See the California coronavirus (COVID-19) response here.

Executive Orders and Guidance

Proclamation of a State of Emergency (3/4/2020)

• Continuing Temporary Suspension and Modification of Laws Relating to the Disaster Emergency
  - Executive Order N-53-20 (04/17/2020)
  - Executive Order N-52-20 (04/17/2020)
  - Executive Order N-51-20 (04/16/2020)
  - Executive Order N-50-20 04/15/2020)
  - Executive Order N-49-20 (04/14/2020)
  - Executive Order N-48-20 (04/09/2020)
  - Executive Order N-47-20 (04/07/2020)
  - Executive Order N-46-20 (04/07/2020)
  - Executive Order N-45-20 (04/04/2020)
  - Executive Order N-44-20 (04/03/2020)
  - Executive Order N-43-20 (04/03/2020)
  - Executive Order N-42-20 (04/02/2020)
  - Executive Order N-41-20 (04/01/2020)
  - Executive Order N-40-20 (03/30/2020)
  - Executive Order N-39-20 (03/30/2020)
  - Executive Order N-38-20 (03/27/2020)
  - Executive Order N-37-20 (03/27/2020)
  - Executive Order N-36-20 (03/24/2020)
  - Executive Order N-35-20 (03/21/2020)
  - Executive Order N-34-20 (03/20/2020)
  - Executive Order N-33-20 (03/19/2020)
  - Executive Order N-32-20 (03/18/2020)
  - Executive Order N-31-20 (03/17/2020)
  - Executive Order N-30-20 (03/17/2020)
  - Executive Order N-29-20 (03/17/2020)
  - Executive Order N-28-20 (03/16/2020)
  - Executive Order N-27-20 (03/15/2020)
  - Executive Order N-26-20 (03/13/2020)
  - Executive Order N-25-20 (03/12/2020)

Office of the Governor

• Governor Newsom Announces Cross-Sector Partnerships to Support Distance Learning and Bridge the Digital Divide (04/20/2020)
• Governor Newsom Visits Project Roomkey Site in Santa Clara County to Highlight Progress on the State’s Initiative to Protect Homeless Individuals from COVID-19 (04/18/2020)
• Governor Newsom Taps California Business, Labor, Health Care and Community Leaders for New Task Force on Business and Jobs Recovery (04/17/2020)
• Governor Newsom Announces New Initiatives to Support California Workers Impacted by COVID-19 (04/15/2020)
• Governor Newsom Outlines Six Critical Indicators the State will Consider Before Modifying the Stay-at-Home Order and Other COVID-19 Interventions (04/14/2020)
• California, Oregon & Washington Announce Western States Pact(04/13/2020)

CA Initiatives

• Californians for All
  - Call for all Californians who are able to volunteer.
• California Health Corps
  - California is calling on healthcare providers, behavioral health professionals, and health care administrators to help with additional health care sites to treat people affected by COVID-19.
• Project Roomkey (04/03/2020)
  - An initiative to secure hotels and motels for extremely vulnerable individuals experiencing homelessness to help flatten the curve and preserve hospital capacity
  - Governor Newsom Visits Project Roomkey Site in Santa Clara County to Highlight Progress on the State’s Initiative to Protect Homeless Individuals from COVID-19 (04/18/2020)
  - Request for Approval of Non-Congregate Sheltering (03/27/2020)
  - Project Roomkey: FEMA Approval Letter for Local Governments (04/02/2020)
  - Project Roomkey Fact Sheet
  - Emergency Non-Congregate Sheltering: Approval and Reimbursement of Costs Frequently Asked Questions (FAQ)
• Onward California
  - Resource for Californians impacted by job loss during the COVI-19 pandemic

State Agency COVID-19 Guidance

California Health & Human Services Agency

• Los Angeles Surge Hospital to Begin Accepting COVID-19 Patients (04/06/2020)
• California Strengthens Health Care Delivery System’s Capacity to Respond to COVID-19 (03/25/2020)

Department of Health Care Services (DHCS)

PROVIDERS & PARTNERS

• Family PACT Provider FAQs during COVID-19 (04/20/2020)
• APL 20-009 Older/At-Risk Individuals – Guidelines to Reduce Isolation and Promote Health While Sheltering at Home (04/15/2020)
• APL 20-007 Community Based Adult Services - Flexibilities in Managed Care (04/13/2020)
• Family PACT Update: Injectable Birth Control Administration Guidelines (04/14/2020)
• Subacute Care Unit Flexibilities During the COVID 19 Emergency (04/10/2020)
• Coverage of Emergency COVID-19 Inpatient or Outpatient Services (04/08/2020)
• APL 20-008 Mitigating Secondary Health Effects - Managed Care (04/07/2020)
• ACEs Mitigating Secondary Health Effects - Fee-For-Service (04/07/2020)
• SPA 20-0024 Request for COVID-19-Related State Plan Amendments (04/03/2020)
• Every Woman Counts: COVID-19 Program Update (04/03/2020)
• Joint Guidance on Non-Discrimination in Medical Treatment for COVID-19 (03/30/2020)
• Guidance for Family PACT Providers, including Telephonic Client Enrollment and Re-certification (03/26/2020)
• Guidance for Medi-Cal Dental Providers (03/25/2020)
• Guidance Relating to Non-Urgent, Non-Essential or Elective Procedures (03/24/2020)
• FFS and Managed Care Telehealth and Virtual Communication Guidance (03/24/2020)
• Guidance for Targeted Case Management Providers (03/24/2020)
• Reimbursement for Telehealth Services: APL 19-009 Supplement (03/18/2020)
• OCR to Waive HIPAA Penalties for “Good Faith” use of Telehealth (03/30/2020)
• Information for Indian Health Care Providers regarding the Novel Coronavirus (COVID-19)
• Updated Managed Care Memo, Includes Telehealth (03/16/2020)
• Medi-Cal Payment for Medical Services Related to the 2019-Novel Coronavirus (COVID-19) (03/16/2020)
• Guidance for Fee-for-Service Pharmacy Benefit (03/12/2020)
• Guidance for NEMT and NMT Providers (03/14/2020)

BEHAVIORAL HEALTH

• DHCS COVID-19 Frequently Asked Questions: Medication-Assisted Treatment and Telehealth (04/07/2020)
• Narcotic Treatment Program FAQ (04/03/2020)
• Medication-Assisted Treatment and Telehealth FAQ (03/26/2020)
• IN 20-009 – Guidance on COVID-19 for Behavioral Health (03/19/2020)
• Driving-Under-the-Influence (DUI) programs FAQ (03/17/2020)
• General Behavioral Health FAQ (03/13/2020)
• Mental Health Rehabilitation Centers (MHRCs) and Psychiatric Health Facilities FAQ (03/13/2020)

ELIGIBILITY & BENEFITS

• Breast and Cervical Cancer Treatment Program (BCCTP) Presumptive Eligibility Flexibilities due to COVID-19 (04/17/2020)
• MEDIL I 20-08: Access to Medi-Cal Care During COVID-19 Emergency (04/10/2020)
• Presumptive Eligibility (PE) Coronavirus (COVID-19) Application Step-by-Step Guide - Interim Process for Qualified Providers (04/10/2020)
• CHIP SPA: Child, Pregnancy Coverage Rules Eased (03/13/2020)
• MEDIL I 20-06 Public Health Crisis or Disaster Reminders for Medi-Cal (03/12/2020)

HOME AND COMMUNITY BASED SERVICES

• COVID-19 Guidance for Home and Community-Based Service (HCBS) Providers (03/15/2020)
• Guidance to PACE Organizations for responding to Novel Coronavirus (COVID-19) (03/13/2020)

FEDERAL REQUESTS & WAIVERS

• Section 1135 Waiver Request for Additional COVID-19-Related Flexibilities (04/10/2020)
• Section 1115 Waiver Request for Additional COVID-19-Related Flexibilities (04/03/2020)
• CMS Approves First Wave of CA 1136 Waivers for COVID-19 (03/23/2020)
• DHCS Section 1135 Waiver Request – Additional Flexibilities (03/19/2020)
• DHCS Section 1136 Wavier Request for COVID-19 Flexibilities (03/16/2020)

1135 WAIVER GUIDANCE

• Provision of Care in Alternative Settings, Hospital Capacity, and Blanket Section 1135 Waiver Flexibilities for Medicare and Medicaid Enrolled Providers Relative to COVID-19 (04/10/2020)
• Information Regarding the Use of Subcutaneous Depot Medroxyprogesterone Acetate During the 2019 Novel Coronavirus Public Health Emergency (04/09/2020)
• Fee-for-Service Pharmacy: Flexibilities for Off-Label/Investigational Drugs in COVID-19-Related Treatment(04/03/2020)
• Medi-Cal Fee-For-Service (FFS) Prior Authorization Section 1135 Waiver Flexibilities Relative to the 2019-Novel Coronavirus (COVID-19) (04/02/2020)
• Emergency Guidance for Medi-Cal Managed Care Health Plans in Response to COVID-19 (03/27/2020)
• State Fair Hearing Timeframe Changes - Fee For Service (03/26/2020)
• State Fair Hearing Timeframe Changes - Behavioral Health (03/26/2020)
• State Fair Hearing Timeframe Change - Managed Care (03/26/2020)
• Guidance for Emergency Medi-Cal Provider Enrollment

APPENDIX K REQUESTS

• Appendix K Approval Letter (04/02/2020)
• Appendix K for 1915c Waivers: DDS (04/02/2020)
• Appendix K for 1915c Waivers: HCBA (04/02/2020)
• Appendix K for 1915c Waivers: ALW (04/02/2020)
• Appendix K for 1915c Waivers: HIV/AIDS (04/02/2020)
• Appendix K for 1915c Waivers: MSSP (04/02/2020)
• Flexibility for California Community Transitions (03/26/2020)

California Department of Public Health (CDPH)

• Guidance Documents: Coronavirus Disease 2019
• Community Outreach Resources & Communications: Coronavirus Disease 2019 (COVID-19)
• California COVID-19 Hospital Data and Case Statistics
• CDPH News Releases

ALL FACILITIES LETTERS

• AFL 20-44 Expanding Access to Testing: Updated Interim Guidance on Prioritization for Coronavirus Disease 2019 (COVID-19) Laboratory Testing (04/19/2020)
• AFL 20-43 SNF Coronavirus Disease 2019 (COVID-19) Daily Reporting (04/19/2020)
• AFL 20-42 Coronavirus Disease (COVID-19) APH Reporting (04/17/2020)
• AFL 20-41 Prohibition on charging for federally supplied assets or pharmaceuticals from the Strategic National Stockpile (SNS) (04/16/2020)
• AFL 20-40 Suspension of Specified Regulatory Requirements for Nurse Assistant Training Programs (NATPs) (04/14/2020)
• AFL 20-39 Coronavirus Disease 2019 (COVID-19) Optimizing the Use of Personal Protective Equipment (PPE) (04/13/2020)
• AFL 20-38 Visitor Limitations Guidance (04/10/2020)
• AFL 20-37 ASC Ventilator Inventory Survey (04/08/2020)
• AFL 20-36.1 Guidance for Decontamination and Reuse of N95 Filtering Facepiece Respirators (04/07/2020)
• AFL 20-35 Suspension of Professional Certification Requirements for Certified Nurse Assistants (CNAs) (04/05/2020)
• AFL 20-34 Suspension of Regulatory Enforcement of Specified ADHC Requirements (04/02/2020)
• AFL 20-33 Interim Guidance for Transfer of Residents with Suspected or Confirmed Coronavirus Disease (COVID-19) (04/01/2020)
• AFL 20-32 Suspension of Regulatory Enforcement of Specified Skilled Nursing Facility Requirements (03/30/2020)
• AFL 20-31.1 Suspension of Regulatory Enforcement of Specified Skilled Nursing Facility Requirements (03/30/2020)
• AFL 20-30 Suspension of Regulatory Enforcement of Specified PCC and MHCU Requirements (03/26/2020)
• AFL 20-29 Regulatory Update for Social Worker Definition and Services (03/26/2020)
• AFL 20-28 Announcement: Extension of the Deadline to Apply for Patient Needs and Workforce Shortage Waivers (03/23/2020)
• AFL 20-27.1 Guidance for Limiting the Transmission of Coronavirus Disease 2019 (COVID-19) in Adult Day Health Centers (03/23/2020)
• AFL 20-26 Suspension of Regulatory Enforcement of Hospital Requirements (03/20/2020)
• AFL 20-25.2 Preparing for Coronavirus Disease 2019 (COVID-19) in California Skilled Nursing Facilities (04/15/2020)
• AFL 20-24 Guidance for Procedures and Transfer of Deceased Persons with Confirmed or Suspected Coronavirus Disease 2019 (COVID-19) (03/16/2020)
• AFL 20-23 California Coronavirus Disease 2019 (COVID-19) Health Care System Mitigation Playbook (03/20/2020)
• AFL 20-22.1 Guidance for Limiting the Transmission of COVID-19 in Long-Term Care Facilities (03/11/2020)

Covered California

• Special-Enrollment Period Due to Coronavirus
• California Responds to COVID-19 Emergency by Providing Path to Coverage for Millions of Californians (03/20/2020)

Department of Insurance

• Insurer Notice: Access to Telehealth (03/30/20)
• 60-Day Grace Period for Insurance Premium Payments Due to the Disruption Caused by the Novel Coronavirus (COVID-19) Outbreak (All Lines of Insurance) (03/18/2020)
• Insurer Notice: Expired Drivers Licenses, Vehicle Registrations, and Insurance (03/18/2020)
• Insurer Notice: Prescription Refills (03/18/20)
• Insurer Notice: COVID-19 Screening and Testing (elimination of co-pays, deductibles, and other costs related to screening and testing for COVID-19) (03/05/2020)

Department of Social Services

• This site includes comprehensive information and guidance including county letters, all county welfare director letters, all county information notices, and program manager letters.
• Information about the Coronavirus Disease 2019 (COVID-19) for In-Home Supportive Services Providers (03/16/2020)

PROVIDER INFORMATION NOTICES FOR LICENSED FACILITIES

Community Care Licensing Division (CCLD)

• PIN 20-09-CCLD Updated Statewide Waivers for Licensing Requirements Due to Coronavirus Disease 2019 (COVID-19) (04/02/2020)
• PIN 20-08-CCLD Guidelines for Providers Requesting Stores to Waive Supply Limitations Due to Coronavirus Disease (COVID-19) (04/14/2020)
• PIN 20-07-CCLD Suspension of All Annual Inspections to Allow Technical Assistance for Licensees Regarding the Coronavirus Disease 2019 (COVID-19) (03/21/2020)
• PIN 20-06 CCLD Cancellation of all Community Care Licensing Meeting (03/18/2020)
• PIN 20-05 CCLD Community Care Licensing Division E-Mail Address for Coronavirus Disease 2019 (COVID-19) - Related Questions (03/11/2020)
• PIN 20-04 CCLD Governor's Proclamation of a State of Emergency to Address Novel Coronavirus (COVID-19) (03/06/2020)

Adult and Senior Care (ASC) Program

• PIN 20-10-ASC Informational Call Regarding COVID-19 Social Distancing, Isolations and Disinfection Procedures (03/30/2020)
• PIN 20-09-ASC Notice of Tele-Inspections and Rapid Assistance and Support Team (RAST) Tele-Visits (03/26/2020)
• PIN 20-04-ASC Guidance on 2019 Novel Coronavirus or COVID-19 (03/05/2020)

Children’s Residential Program (CRP)

• PIN 20-07-CRP Trauma Informed Resources for Providers, Caregivers and Children Related to Coronavirus Disease 2019 (COVID-19) (03/16/2020)
• PIN 20-06 CRP Recommendations and Best Practices for Providers Related to Coronavirus Disease (04/02/2020)
• PIN 20-05 CRP Notice of Tele-Inspections (04/02/2020)
• PIN 20-04-CRP Statewide Waivers for Licensing Requirements due to Coronavirus Disease 2019 (04/03/2020)
• PIN 20-02-CRP Coronavirus Information and Guidelines for Children's Residential Facilities (03/04/2020)

Home Care Services Bureau (HCS)

• PIN 20-01-HCS Survey to Determine Home Care Organization Personnel Availability (04/07/2020)

ALL COUNTY LETTERS (ACLs)

• ACL No. 20-45 Extended Foster Care Program Flexibilities (04/18/2020)
• ACL No. 20-44 Emergency Care And Placement Needs Of Children And Nonminor Dependents (04/17/2020)
• ACL No. 20-43 Resource Family Approval (RFA) Program (04/17/2020)
• ACL No. 20-41 Personal Protective Equipment for IHSS Providers (04/17/2020)
• ACL No. 20-42 Options for Conducting IHSS Initial Assessments (04/16/2020)
• ACL No. 20-40 HSS Provider Paid Sick Leave (04/14/2020)
• ACL No. 20-34 IHSS Provider Enrollment Process (04/10/2020)
• ACL No. 20-33 Placement Preservation in Case Child or Provider Tests Positive (03/31/2020)
• ACL No. 20-31 Documenting Child Welfare and Probation Contacts (3/30/2020)
• ACL No. 20-29 IHSS Emergency Back-up Providers (3/30/2020)
• ACL No. 20-28 Emergency Response Investigations (3/28/2020)

ALL COUNTY WELFARE DIRECTOR LETTERS

• CalWORKs Home Visiting Program (04/07/2020)
• CalFresh Emergency Allotments (04/02/2020)
• Waiver of Rules to Support Timely Processing of Applications (04/02/2020)
• Interim Housing and Homeless Program Guidance (03/31/2020)
• Updated Attendance and Reporting Requirements for CalWORKs Stage One Child Care (03/31/2020)
• CalWORKs Employment Services (03/30/2020)
• CalFresh and CalWORKs Implementation Of Executive Order N-29-20 (03/27/2020)
• Interim Housing and Homeless Program Guidance (03/19/2020)
• Tribal TANF COVID-19 Guidance (03/16/2020)
• CalWORKs, CalFresh, Housing and Homelessness Programs, Refugee Cash Assistance/Refugee Support Services (03/13/2020)

OTHER

• Guidance for Homeless Assistance Providers on Novel Coronavirus (COVID-19) (03/10/2020)

Department of Managed Health Care

• APL 20-017 – General Licensure Regulation: Extension of Phase-In Period For Expedited Exemption Requests (04/16/2020)
• APL 20-014 - Mitigating Negative Health Outcomes due to COVID-19 (04/07/2020)
• APL 20-013 - Billing for Telehealth Services; Telehealth for the Delivery of Services (04/07/2020)
• Guidance Relating to Non-Discrimination in Medical Treatment for Novel Coronavirus 2019 (COVID-19) (03/30/2020)
• APL 20-010 Special Enrollment Period; Coverage Effective Dates (03/21/2020)
• APL 20-009 – Reimbursement for Telehealth Services (03/18/2020)
• APL 20-008 Mitigating Secondary Health Effects - Managed Care (04/07/2020)
• APL 20-007 (OPL) “Social Distancing” Measures in Response to COVID-19 (03/12/2020)
• APL-20-006 COVID-19 Screening and Testing (03/05/2020)

California Office of Emergency Services (CalOES)

Business, Consumer Services and Housing Agency

• Guidance and Frequently Asked Questions on Residential and Commercial Eviction Limitations and Moratoriums During the COVID-19 Pandemic (04/07/2020)

Telehealth Guidance

Office of the Governor

• Executive Order N-43-20 (04/03/2020)

Legislature

• AB-1494 Medi-Cal: Telehealth: State of Emergency
  - Last year, California passed a bill that removed barriers to Medicaid reimbursement for community health clinics (CHCs) during states of emergency for telephonic services, and when services are provided in the beneficiary’s home.

CMS

• Section 1135 Flexibilities Requested in March 16, 2020 and March 19, 2020 Communications (03/23/2020)
  - CMS response to requests for waivers pursuant to section 1136 of the Social Securiy Act to address the challenges posed by COVID-19.

Department of Health Care Services (DHCS)

• Medi-Cal Payment for Telehealth and Virtual/Telephonic Communications Relative to the 2019-Novel Coronavirus (COVID-19) (03/24/2020)
• Emergency Telehealth Guidance – COVID-19 Pandemic (03/18/2020)

Department of Insurance

• Commissioner Lara directs health insurance companies to provide increased telehealth access during COVID-19 emergency (03/30/2020)
• Emergency Notification Filing Requirements (03/18/2020)

Department of Managed Health Care

• APL 20-009 – Reimbursement for Telehealth Services (03/18/2020)
• APL 20-013 - Billing for Telehealth Services; Telehealth for the Delivery of Services (04/07/2020)

California Health & Human Services Agency

• EMSA Policy to Implement the Emergency Proclamation of the Governor on Authorization of Out of State Medical Personnel (03/24/2020)

California OES

• California Requests Federal Government Waiver to Cover Medi-Cal Recipients and Expand Tele-Health Options (03/17/2020)

Labor and Employment Guidance

Labor & Workforce Development Agency

• EDD Registers Historic Number of Processed Unemployment Insurance Claims for Workers Impacted by COVID-19 Pandemic (04/16/2020)
• Cal/OSHA Guidance on Requirements to Protect Workers from Coronavirus
• FAQs on Laws Enforced by the California Labor Commissioner’s Office (04/07/2020)
• Work Sharing Program
• Guidance on Conditional Suspension of California WARN Act Notice Requirements under Executive Order N-31-20 (03/30/2020)

California Legislative Analyst’s Office

• Federal COVID-19 Response Actions Affecting Older Adults and Persons with Disabilities (04/16/2020)
• State Options to Expand Unemployment Benefits (04/09/2020)
• Unemployment Insurance For Workers Impacted By COVID-19 (03/30/2020)

Federal

• Families First Coronavirus Response Act

Emergency Funding

Federal Emergency Management Agency (FEMA)

• President Donald J. Trump Approves Major Disaster Declaration for California (03/22/2020)
• California Covid-19 Pandemic (DR-4482)

California Legislative Analyst Office

• This COVID-19 issues page looks at how recent actions by the federal government affect California as well as how the coronavirus emergency may affect the state budget more broadly.
• State Funding Actions Related to COVID-19 (04/20/2020)
• Federal COVID-19 Response Actions Affecting Older Adults and Persons with Disabilities (04/16/2020)
• Federal Stimulus Funds for Transit (04/15/2020)
• State Budget Effects of Recent Federal Actions to Address COVID-19 (04/15/2020)
• Nutrition Programs in COVID-19 Recovery Actions (04/10/2020)
• COVID-19: Federal Health-Related Response (04/07/2020)
• Update on State and School District Reserves (04/05/2020)
• COVID-19 and California’s Evolving Fiscal Outlook (03/18/2020)

California Local Directives and Mandates

• County of Alameda Shelter-in-place, March 16
• County of Contra Costa Shelter-in-place, March 16
• County of Fresno Shelter-in-place, March 18
• County of Humboldt Shelter-in-place, March 19
• County of Los Angeles notice of canceling gatherings, March 18
• County of Marin Shelter-in-place, March 16
• County of Mendocino Shelter-in-place, March 18
• County of Monterey Shelter-in-place, March 17
• County of Napa Shelter-in-place, March 18
• County of Orange updated notice, March 18
• County of Placer Shelter-in-place, March 19
• County of Riverside notice of canceling gatherings of more than ten individuals, March 16
• County of Sacramento Shelter-in-place, March 19
• County of San Benito Shelter-in-place, March 18
• County of San Diego notice of canceling gatherings, March 12
• City and County of San Francisco Shelter-in-place, March 16
• County of San Luis Obispo Shelter-in-place, March 18
• County of San Mateo Shelter-in-place, March 31
• County of Santa Clara Shelter-in-place, March 16
• County of Santa Clara Order Seeking PPE Inventory Disclosure, April 8
• County of Santa Cruz Shelter-in-place, March 16
• County of Solano Shelter-in-place, March 18
• County of Sonoma Shelter-in-place, March 17
• County of Ventura Shelter-in-place for vulnerable residents, March 18
• County of Yolo Shelter-in-place, March 18
• County of Yuba Shelter-in-place, March 19

City Emergency Orders

• Berkeley
• Beverly Hills
• Concord
• Elk Grove
• Folsom
• Fresno
• Los Angeles
• Milpitas
• Newark
• Oakland
• Palm Springs
• Riverside
• Rocklin
• San Diego
• San Jose
• Santa Clara
• Santa Monica
• Vallejo