COVID-19 Resources

CCHN has created this page for CHCs to gather and provide up to date information related to the COVID-19 public health emergency. If you have any suggestions for this page or specific questions please don’t hesitate to reach out to anyone at CCHN. 

Policy Resources

CCHN Summary of State and Federal Policies for CHCs re: COVID-19 Response

This document is a summary of state and federal policies recently enacted to help in the response to the novel coronavirus, COVID-19. The policies summarized here include executive orders, directives, emergency rules, legislation, and other official guidance that impacts Colorado’s CHCs and their operations and funding. CCHN staff are updating this document regularly.

Summary of COVID-19 Stimulus Bills

Updated April 2021

This document contains brief summaries and additional resources for federal COVID-19 relief packages that have been passed.

Consolidated Appropriations Act of 2021 Summary (Stimulus #4)

American Rescue Plan Act Summary (Stimulus #5)

Click on any of the below for additional resources and information

COVID-19 Vaccine

(Last Reviewed: February 5, 2021)

CCHN FAQs on Vaccine Issues: This information changes rapidly. This represents CCHN’s best understanding as of the writing of this FAQ. CCHN will continue to add to this document. Please continue to refer to CDPHE’s website for vaccine planning information: CCHN has a “no wrong door” approach, so please reach out to Holly,, or another CCHN staff member with any questions.

CHC Vaccine Reimbursement by Coverage Type

The Centers for Medicare & Medicaid Services (CMS) issued an Interim Final Rule in November 6, 2020, which describes plans for reimbursement for COVID vaccine administration in Medicare, Medicaid, CHIP, and private insurance. This document summarizes those interim regulations and provides other details. CCHN will update this document with new information as it is released.

Other Vaccine Resources

CDPHE COVID-19 Vaccine Website

CDC COVID Vaccination FAQ

Statewide standing orders: Pfizer and Moderna

CDC Toolkit: Considerations for Planning Curbside/Drive-Through Vaccination Clinics

CDPHE Off-Site Vaccination Clinic Operational Playbook

CDPHE Communications Toolkit

HRSA COVID-19 Vaccine FAQs

CDPHE Vaccine Provider Toolkit

340B Pharmacy Program

(Last Reviewed: February 5, 2021)

FAQs from Office of Pharmacy Affairs: The Office of Pharmacy Affairs (OPA) has posted FAQs on the 340B pharmacy program as it relates to COVID-19. 

340B Flexibilities During Disasters: This page provides guidance for 340B providers participating in relief efforts during a declared public health emergency. Provisions of the guidance include:

  • In a declared emergency, an abbreviated health record may be adequate for purposes of the 340B Program.
  • In the event of a declared emergency, where volunteer health professionals are providing health care, emergency documentation should be generated to make the relationship between the provider and the covered entity clear and to make clear the covered entity’s responsibility for providing care.

Agricultural Worker Resources

(Last Reviewed: February 5, 2021)

Ag Worker Access Campaign Task Force Resources: COVID-19 resources compiled by the National Center for Farmworker Health include Voucher Program meeting notes; COVID Resources from NC and PA, including guidelines, protocols, and a Letter to Grower; HRHCare Transportation sample protocols; Indigenous Language resources; FJ letter sent to DOL, DOS, and DHS outlining recommendations to protect H-2A workers from COVID-19; and UFW articles. Resources will continue to be added as they are made available.

COVID-19 Resources for Agriculture: Resources from the UC Davis Western Center for Agricultural Health and Safety related to COVID-19 as it affects agricultural workers, including frequently asked questions for growers and farmworkers, and audiovisual COVID-19 videos in Mixteco and Spanish.

Agricultural Workers and Employers: Interim Guidance from CDC and the U.S. Department of Labor: This guidance includes information regarding screening and monitoring workers, infection control plans, and special considerations for shared housing, shared transportation, and children.


(Last Updated: March 20, 8:15 AM)

Billing Information: Updates on policies, codes and other important information for providers will be posted on the new COVID-19 Provider Information web page. Communications will continue to be sent out via bulletins and newsletters. Please sign up for updates on the Provider News web page.

Providers Who Bill for Laboratory Tests: New HCPCS codes U0001 and U0002 have been released for dates of service on or after February 4, 2020. Providers who test members for the 2019 Novel Coronavirus (COVID-19) using the Centers for Disease Control and Prevention (CDC) 2019 Novel Coronavirus Real Time RT-PCR Diagnostic Test Panel may bill using code U0001. Providers may use code U0002 to bill for non-CDC laboratory tests for COVID-19. Billing with these specific codes will allow for better tracking of the public health response for COVID-19. Claims for U0001 and U0002 will initially suspend for EOB 0000 – “This claim/service is pending for program review.” Suspended claims will be released when the Colorado interChange is updated.

Board and Staff Resources

(Last Reviewed: February 5, 2021)

Health Center Boards and Novel Coronavirus (COVID-19) – resource from NACHC

This document discusses how health center boards are exercising their governance duties related to COVID-19. Examples include ensuring there are plans in place, considering resource needs and long-term strategic implications, ensuring they can stay connected and continue to meet monthly, and continuing to serve as community ambassadors.

NACHC has gathered many resources on their COVID-19 webpage. Topics include:

  • Vaccines
  • Data
  • Personal Protective Equipment and Testing
  • Finances
  • Social Determinants of Health
  • Telehealth
  • Operations

Colorado Department of Public Health and Environment (CDPHE)

(Last Updated: March 2, 2021)

Coronavirus Disease 2019 (COVID-19) in Colorado

The Colorado Department of Public Health and Environment (CDPHE) has assembled COVID-19 resources for healthcare providers and local public health agencies. This includes information on the following:

  • Alternate Care Site (ACS) Health Center Medical Staff Training COVID Nursing Care
  • COVID-19 Workforce Virtual Toolkit
  • Dental Procedures
  • Emergency medical services
  • Health Alert Network (HAN) Messages
  • How to conduct a facility health screening
  • Long-term & residential care facilities
  • Outbreak resources
  • Patient Care
  • Prevention and Preparation
  • Veterinarian practices
  • Water quality
  • Colorado COVID-19 Serological Testing
  • Accessibility
  • Labor, delivery and breast feeding guidance


(Last Reviewed: February 5, 2021)

Requirements for CHCs re Charging, Collecting, and Waiving Fees and Co-Pays: CCHN compiled information on federal, state, and/or other payer requirements that CHCs should follow related to charging and collecting fee and co-pays. This includes any special considerations specific to COVID-19. This is CCHN’s understanding, but this should not be considered legal advice. In the document you will find:

  • A summary of requirements
  • Federal and state references to waiving fees and co-pays
  • Emergency rules under COVID-19
  • Summary of private payers from CHPA

Culturally Competent Care, Health Equity, and COVID-19

(Last Reviewed: February 5, 2021)




General Equity




Race and Ethnicity

Drive Through Clinics

(Last Reviewed: February 5, 2021)

NACHC Sample Drive-Through Clinic Resources: The National Association of Community Health Centers (NACHC) has put together a resource packet CHCs can utilize for drive-through clinics. The packet includes a script for patient phone calls, sample procedures, a patient screening tool, a patient self-monitoring tool, and a sample budget for setting up a drive-through clinic.


(Last Reviewed: February 5, 2021)

FTCA Requirement FAQs from HRSA

Hazard Pay

(Last Reviewed: February 5, 2021)

SHRM Hazardous Duty Pay Policy: By Position and Location

SHRM Article – When Disasters Strike: Pay, Leave, and Related Issues

U.S. Department of Labor Definition of Hazard Pay: Hazard pay means additional pay for performing hazardous duty or work involving physical hardship. Work duty that causes extreme physical discomfort and distress which is not adequately alleviated by protective devices is deemed to impose a physical hardship. The Fair Labor Standards Act (FLSA) does not address the subject of hazard pay, except to require that it be included as part of a federal employee’s regular rate of pay in computing the employee’s overtime pay. Office of Resources Management – Hazard Pay Compensation Policy.

Colorado Department of Personnel and Administration – Personnel Board Rules and Personnel Directors Administrative Procedures (Section 3-51 is about Hazardous Duty)

Health Coverage

(Last Updated: February 26, 2021)

Colorado Re-Opened Enrollment for Individual Marketplace Health Insurance 
On January 28, 2021, President Biden issued an Executive Order to re-open enrollment on, the federal marketplace, in recognition of the COVID-19 pandemic. Colorado matched this order by re-opening enrollment in Colorado’s state-marketplace, Connect for Health Colorado, from February 8 to May 15, 2021. Uninsured Coloradans can enroll in coverage at any point during this time with coverage beginning on the first day of the month following enrollment. CCHN’s Covering Kids and Families team will share more information with Outreach and Enrollment Managers as available.  

Health Resources and Services Administration (HRSA) and National Association of Community Health Centers (NACHC)

(Last Reviewed: February 5, 2021)

Novel Coronavirus (COVID-19) Information and Resources for Community Health Centers from  NACHC: The website includes advocacy alerts, important updates and FAQs, and a sign up for a the COVID-19 networking group.

HRSA Novel COVID-19 Frequently Asked Questions: These questions are updated regularly

Infection Control

(Last Reviewed February 5, 2021)

ECRI COVID-19 Resource Center: This site includes preparation and patient handling checklists, equipment and alternative supplier lists, patient care equipment evaluations, including portable ventilators, recommendations for infection control, and links to Centers for Disease Control and World Health Organization. Some resources of note:

Updated Infection Control Toolkit from ECRI: Requires a free ECRI login, email for access)

How to optimize PPE: Due to the limited supply of PPE and the unknown availability of additional resources through the State EOC, it is imperative to optimize the use of PPE or utilize the following alternative suggestions to PPE. The following four links provide information on the optimization and alternatives to PPE:

Coronavirus COVID-19 Resource from the Centers for Disease Control

Tools for monitoring staff symptoms


(Last Reviewed February 5, 2021)

COVID-19 Public Health Emergency Response and 42 CFR Part 2 Guidance From SAMHSA: The increased need for telehealth services during the COVID-19 public health emergency has led to instance in which providers may not be able to obtain written patient consent for disclosure of substance use disorder records. In these cases, the prohibitions on use and disclosure of patient identifying information under 42 C.F.R. Part 2 would not apply to the extent that, as determined by the provider(s), a medical emergency exists.

Drug Enforcement Administration, Diversion Control Division COVID-19 Information Page

American Society of Addiction Medicine (ASAM) National Practice Guidelines – OUD and Alcohol Withdrawal Management: ASAM released updates in March 2020 to the following guidelines:

NHSC and CHSC Requirements under COVID-19

(Last Reviewed February 5, 2021)

Colorado Health Services Corps Contract Obligations: The Primary Care Office has shared with CCHN that any disruption to normal practice time directly related to the COVID will “count” under the CHSC provider direct care contract requirements for the time being. If furloughs or layoffs occur, then the PCO will suspend contracts for up to a year. 

NHSC and Nurse Corps: At the discretion of the NHSC or Nurse Corps site/institutions loan repayment recipients can request approval for shifting their clinical service to telehealth to accommodate infection control, social distancing, or other appropriate measure to assist in meeting recommended outbreak reduction/control measures. Additional details on this and other flexibilities are available on the NHSC COVID-19 FAQs page.


(Last Reviewed February 5, 2021)

OIG Portal for COVID-19 Resources


(Last Reviewed February 5, 2021)

TRACIE Healthcare Emergency Preparedness Information Gateway Novel Coronavirus Resources: This page highlights resources identified or developed to address current response and recovery operations to novel coronavirus 2019 (COVID-19).

Oral Health

(Last Reviewed February 5, 2021)

OSHA COVID-19 webpage: provides information for workers and employers about COVID-19. The information includes links to interim guidance and other resources for preventing exposures and infection. 

Patient Resources

(Last Reviewed February 5, 2021)

StayAtHomeCO Guide: The Governor announced new stay at home guide for Coloradans.  It includes free resources to support Coloradans while they are at home from wellness, services, education, entertainment, and more. 

Resources for Populations Disproportionately Impacted by COVID-19: The US Department of Health and Human Services (HHS) and the Federal Emergency Management Agency (FEMA) have compiled a list of federal resources for Region 8 to support populations disproportionately impacted by COVID-19. The purpose of the document is to help state and local agencies find resources and information that are available at the federal level. The document includes resources from the Administration for Children and Families, Administration for Community Living, Centers for Medicare and Medicaid Services, Health Resources and Services Administration, Substance Abuse and Mental Health Services Administration, Food and Drug Administration, Office for Civil Rights, and FEMA.

Provider Resources

(Last Reviewed March 2, 2021)

CHAMPS Coronavirus Disease 2019 (COVID-19) Resources webpage
In response to the novel Coronavirus, CHAMPS has created a page of resources pertinent to the prevention, slowing of infection rate, and treatment of this illness. This page will be updated as new resources become available. Please contact the CHAMPS Programs Coordinator, Population Health if you have any questions about these materials or would like to share any other useful resources.

COVID-19 Just-In-Time ECHO for Primary Care: ECHO Colorado, a leader in developing primary care practice support and clinical education across the state, has developed an effort with numerous statewide key stakeholders to support primary care practices and safety net practices in managing the outbreak of COVID-19. ECHO Colorado has developed a program that is offered three times per week with all Colorado health providers eligible to participate. The virtual sessions offer these practices a connection with a multidisciplinary team and are structured to share a range of topics as a COVID-19 toolkit, followed by questions and case review.

COVID-19: Geriatrics and Long-Term Care: Dr. Joseph G. Ouslander, co-creator of INTERACT, published a COVID-19 special article and editorial in the Journal of the American Geriatrics Society.

School-Based Health Centers

(Last Reviewed February 5, 2021)

COVID-19 Resources from the Colorado Association for School-Baed Health Centers: The page includes resources, best practices, and workflows. 

Scope of Project

(Last Reviewed February 5, 2021)

HRSA Scope of Project Considerations for COVID-19 the Public Health Emergency: To support CHCs with scope of project questions HRSA has compiled several resources onto one page. The page also includes an outline of several questions for CHCs to consider when determining if something is within the scope of project.

Requesting a Change in Scope to Add Temporary Service Sites in Response to Emergency Events (PAL 2020-05): This PAL outlines the process and criteria for CHCs to request a temporary site. On April 15, 2020, HRSA released an updated version of the PAL to clarify what can and can’t be done. Changes to the PAL include: 

  • Rearranges information so it is all within the PAL and there is no additional attachment.
  • Clarifies that CHCs can be impacted by an emergency absent physical displacement of CHC or the community it serves (Page 1). The PAL considers a CHC impacted if any part of the CHC’s service area is within the geographic area of the declared emergency (Page 3).
  • Adds clarification that if the time for the temporary site needs to exceed 90 days the CHC can ask for an extension from their Project Officer (Page 1 and 8).
  • Removes reference to providing staff or resources to assist sites operated by other CHCs under section about non-impacted CHCs.
  • Adds section to further clarify that non-impacted CHCs cannot add temporary sites outside the service area (Page 5).
  • Provides information on limits of FTCA for volunteers (Page 6).
  • Adds table on when to use each criteria (Page 7).

Telehealth Resources

(Last Reviewed February 5, 2021)

CCHN has a dedicated page for Telehealth Resources 


(Last Updated: June 16, 2020, 10:32 AM)

CCHN Summary of Funding Sources to pay for COVID Testing and Treatment (June 10, 2020)

CCHN’s Resources for Becoming a Community COVID-19 Testing Site: Includes a summary of CDPHE’s Community Testing Playbook, CHC site-specific considerations, and suggested next steps.

Personal Contact Information for Lab Tests
Request from the governor and DORA to provide accurate and complete labeling of test samples, to include:

  1. Patient’s name, date of birth, sex, race, ethnicity, and address (including city and county)
  2. Name and address of responsible physician or other health care provider
  3. Name of disease or condition
  4. Laboratory information – test name, collection date, and specimen type
  5. Such other information as is needed to locate the patient for follow up, such as the patient’s telephone number


(Last Reviewed February 5, 2021)

Help Colorado Now Website

FTCA for Volunteers: For liability protections to apply, the volunteer must be a health care professional who is licensed or certified to provide clinical services. This would include Licensed Practical Nurses (LPNs) and Medical Assistants (MAs) who are licensed or certified. Volunteers who are not licensed or certified are not eligible for volunteer health professional (VHP) coverage. VHPs are not automatically eligible for liability protections under the Health Center FTCA Program. Deemed health centers must apply for such protections for their individual volunteers through a VHP deeming sponsorship application. See Program Assistance Letter (PAL) 2020-03: Calendar Year 2021 Volunteer Health Professional Federal Tort Claims Act (FTCA) Deeming Sponsorship Application Instructions. The deemed health center must submit to HRSA and receive approval of a VHP deeming sponsorship application for each individual volunteer.


(Last Reviewed February 5, 2021)

What You Should Know About COVID-19 and the ADA, the Rehabilitation Act, and Other EEO Laws: Provides approaches employers may adopt as they plan for employees returning to the workplace, including providing information to all employees about who to contact with requests for disability accommodation or other flexibilities and inviting employees to make any requests in advance that the employer will consider on an individualized basis.

Paid Sick Time Requirements – State and Federal

State Requirements: From the CO Department of Labor and Employment: Under normal circumstances, Colorado wage law does not require employers to provide time off due to illness or injury. However, the Colorado Health Emergency Leave with Pay (HELP) rules has been put into place due to COVID-19. The HELP rules do not apply to CHCs unless staff fall under one of the covered fields:

  • Applies to any employer in the field of leisure and hospitality, food services, child care education at all levels, home health care (working with high-risk individuals), operating a nursing home, or operating a community living facility.
  • Must provide up to four days of paid sick leave for an employee with A) flu-like symptoms and B) who is being tested for COVID-19. Sick leave ends if an employee receives a negative COVID-19 test result.
  • These rules do not require an employer to offer additional days of paid sick leave if it already offers all employees an amount of paid leave sufficient to cover four days. However if an employee has exhausted paid leave allotted but then has flu-like symptoms or is being tested for COVID-19 then he or she is entitled to additional paid sick days.

Federal Requirements 

Families First (FFCRA) Information:

NACHC COVID-19 Human Resource Issue Resource Packet: NACHC has released a complete COVID-19 FQHC Employment Issues/Human Resource Guidance and Resource packet to support CHC workforce leadership in navigating their COVID-19 response. This packet contains FAQs regarding paid and family leave, legal guidance on emerging and immediate human resource/employment, and additional resources relevant to federally qualified health centers (FQHCs). Within the document you can find:

  • Links to Additional Resources – On Page 1
  • Frequently Asked Questions – Begins on Page 2
  • High level legal overview – Begins Page 15

Emergency Paid Sick Leave and Emergency Family Leave Established in FFCRA: This document shared by NACHC reflects information available as of March 25, 2020, and provides details on the following topics:

  • Employers to whom FFCRA Applies – Page 4
  • Types of Emergency Leave – Page 5
  • Payment for FFRCA Leave –  Page 5
  • Emergency Paid Sick Leave – Page 6

The document linked here, also from NACHC, provides a nice breakdown of which employees are eligible for the types of leave provided by the legislation. The power point, linked here, provides a flow chart for determining how leave is applied based on an individual employees circumstances.

The US Department of Labor has shared answers to commonly asked questions about the FFCRA, available here. It includes the definition of health care providers that may be excluded.

Updated Information on Grants, Loans, and Other Cashflow Options: NACHC has released updated resources to addressed grants, loans, and other cashflow during the COVID-19 pandemic. These are evolving documents and will continue to be updated with new information as it becomes available. Please contact with questions. 

Work-Share Program Information: This program, as part of the Colorado Employment Security Act, permits employers to allow for staff to work reduced hours and be paid part of their regular unemployment benefits. Employees participating in the program are paid a portion of their unemployment benefits based on the percentage of reduced hours. This program provides employers an alternative to laying off employees. All employees are can be in the work share program, or employees from a particular unit can be in the program.

For employers to be eligible to take advantage of this program, they must have a positive percent of excess. This means an employer must have paid as much in premiums as the state has paid former employees in benefits. Percent excess was mailed to employers last November. Employers will be charged for any unemployment benefits paid; however, this charge will be less than if an employer completely laid off an employee.

Additional Eligibility Requirements:

  • You are applying to be in the Program instead of laying off your employees.
  • You are reducing the hours of at least 2 employees in a certain unit. You would have laid off at least that many employees.
  • You are reducing the work hours of that group by at least 10% but no more than 40%.
  • You will not hire or have other employees work in that group.
  • Your employees’ collective-bargaining agent (union), if any, must agree to the plan.
  • You cannot get rid of or reduce employees’ benefits that you currently provide. These include health insurance, retirement/pension benefits, vacation pay and holidays, sick leave, and any other similar benefits you normally provide.

How to Apply:

Fill out the Request for Approval of Work Share Plan. Submit your completed form via email or send it to the address located at the bottom of the form. The application will be reviewed, and a letter will be mailed to let you know whether your plan is approved. Each work-share plan is effective on the date of approval and runs for 12-months or 52-weeks from that date.

Per this program, employees work can be reduced by at least 10 percent but no more than 40 percent and receive unemployment to cover the amount their work is reduced.

COVID-19 HR and People Operations Prep Document from LifeLabs Learning:LifeLabs Learning has gathered 650+ HR Leaders from different companies to share ideas, policies, and templates.

Responding to COVID-19 in the Workplace – HUB International: HUB International has developed the following FAQs to help HR leaders and business owners respond to the many employee relations issues resulting from the coronavirus crisis. These FAQs address many of the complex challenges facing our clients. Some content has been taken from federal publications, such as EEOC and DOL FAQs. For information on business insurance and risk management issues, visit the HUB coronavirus resource center.

NACHC Reduced Workflows and Staffing Guidance for Non-Clinical Operations: This packet from NACHC contains procedures and workflows informed by health centers who are implementing reduced and/or telework staffing models specific to non-clinical services and functions

New resources from the HHS Assistant Secretary for Preparedness and Response (ASPR): ASPR has released several resources to provide tips and general guidance to mitigate the impacts of healthcare provider grief related to a patient’s or colleague’s death and to maintain workforce efficiency and individual well-being.

Guidance for Rehiring Staff and Unemployment: As Coloradans in non-essential roles return to their workplace, many are concerned about their safety in the workplace. This resource addresses how employers can respond to staff who have safety concerns, what categories of staff are able to decline a return to their positions, and choices for CHCs who are participating in the Paycheck Protection Program who have had a reduction in full-time staff.  

Workforce Virtual Toolkit: TRACIE has a curated list of resources to assist in the workforce response to COVID-19 called COVID-19 Workforce Virtual Toolkit: Resources for Healthcare Decision-Makers Responding to COVID-19 Workforce Concerns. This free virtual toolkit includes guidance, sample policies, and training resources for CHC leadership, providers, and frontline staff. Highlights include:

  • COVID-19 Workforce Training Resources – Including training for behavioral health, nurses, pharmacy, and more.
  • Workforce Surge Planning Guidance – This resource highlights strategies that local healthcare workforce decision-makers could adopt to optimize healthcare workforce assets, assess ongoing staffing needs, and identify resources to meet patient surge during the COVID-19 pandemic.
  • Workforce Protection Resources – These resources related to workforce protection during the COVID-19 pandemic response. It includes checklists and trainings in relation to both preparedness and response. These may be useful for professionals tasked with ensuring the health and safety of the healthcare workforce.
  • COVID-19 Workforce Resilience/Sustainability Resources – This Topic Collection focuses on plans, tools, templates, and other immediately implementable resources to help with COVID-19 preparedness, response, recovery, and mitigation efforts, focusing on workforce resilience and sustainability.

Additional Resources