Under the updated guidance, which applies to all health care settings, asymptomatic HCP with higher-risk exposures are not subject to work restrictions, unless they are moderately to severely immunocompromised. They must, however, be tested for COVID-19 24 hours after the exposure, and if negative, on days 3 and 5 after the exposure. The new guidance does not apply to ACFs, which will be subject to separate guidance anticipated in the near future.

Feb. 4^th guidance for nursing homes, ACFs, home care, hospice, diagnostic and treatment centers, and other health care providers supersedes Jan. 4^th return to work guidance and aligns with CDC guidance.

Guidance issued to provide clarity to nursing homes, ACFs, and home care providers regarding return to work requirements.

The state and federal guidance differ in scope and approach. Members are advised to follow the DOH guidance with respect to fully vaccinated personnel who are infected with COVID-19, in the context of a critical staffing shortage. Until DOH issues further clarification, members should consider following CDC guidance when they are not experiencing critical shortages and with respect to HCP who are exposed but not infected.