COVID-19 Information
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The MAC is continuously monitoring the coronavirus situation and updating our website. See below for the latest news affecting your patients, your practice, and financial information that could affect you and your employees.
The Michigan Association of Chiropractors is a professional association advocating for the rights of chiropractors and their patients across the state of Michigan. We are NOT a state agency or regulatory body. We are merely informing our membership regarding what they are allowed to do during this difficult and confusing time.
The information we provide during this pandemic is derived in conjunction with our governmental relations and legal experts, developed after examination of all official releases of information from the State of Michigan and in consultation with said experts and representatives from state government. Please refer to our emails and website for the latest information, free from speculation and the rumors currently circulating in the wake of official state actions.
Rest assured that we will continue to advocate for the profession at the highest levels, with the health and well-being of you and your patients, as well as the overall stability of the health care system, foremost in our efforts.
COVID-19 Toolkit >> Updated 12/28/2021
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MIOSHA Emergency Rule (New - June 20, 2021). Read the MAC Matters article here.) To see the CDC's Risk Assessment click here.
Vaccine Exemptions (Michigan K-12, Universities/Colleges) (Updated August 24, 2021)
OSHA Healthcare Emergency Temporary Standard
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Is Your Office Covered by the ETS? MAC Matters article.
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If covered, read the OHSA Summary here.
About the OSHA ETS
- ETS Regulatory Text (29 CFR 1910, Subpart U)
- Materials Incorporated by Reference
- News Release
- Fact Sheet – Subpart U – COVID-19 Healthcare ETS
- Is Your Workplace Covered by the ETS? (Flow Chart)
- FAQs
- Executive Order
Implementing the OSHA ETS
Interim U.S. Guidance for Risk Assessment and Work Restrictions for Healthcare Personnel with Potential Exposure to SARS-CoV-2
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Return to Work Criteria for Healthcare Personnel with SARS-CoV-2 Infection (Interim Guidance updated 12/23/2021)
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Michigan Department of Health and Human Services: Return to Work & Health Monitoring for Health Care Professionals (Updated February 19, 2021)
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Updated Healthcare Infection Prevention and Control Recommendations in Response to COVID-19 Vaccination
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Michigan Department of Health and Human Services COVID-19 Public Health Frequently Asked Questions (Updated May 20, 2021)
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COVID-19 Vaccine Info and MAC Statement on Patient Choice
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Bureau of Professional Licensing Clarification for Licensees (November 16, 2020)
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MDHHS When to Wear a Mask (Updated August 10, 2021)
COVID-19 Preparedness & Response Plan For Lower and Medium Exposure Risk Employer
MIOSHA: KEEPING A SAFE WORKPLACE (Recommendations for Employers - see also MIOSHA Emergency Rules below) (November 6, 2020)
MAC Memo on Public Act 238 of 2020
In a Nutshell… Public Act 238 of 2020:
- Prohibits an employee who tests positive for COVID-19 or displays the principal symptoms of COVID-19 from reporting to work until certain conditions are met.
- Prohibits an employee who has close contact with an individual who tests positive for COVID-19 or with an individual who displays the principal symptoms of COVID-19 from reporting to work until certain conditions are met.
- Prohibits an employer from discharging, disciplining, or otherwise retaliating against an employee who complies with the return to work conditions prescribed under the bill, opposes a violation of the bill, or reports health violations related to COVID-19.
- Allows an employee aggrieved by a violation of the bill to bring a civil action for appropriate injunctive relief or damages and to award to a plaintiff who prevails in an action brought under the bill damages of at least $5,000.
County Orders
Under MCL 333.2453, “If a local health officer determines that control of an epidemic is necessary to protect the public health, the local health officer may issue an emergency order to prohibit the gathering of people for any purpose and may establish procedures to be followed by persons, including a local governmental entity, during the epidemic to insure continuation of essential public health services and enforcement of health laws.”
After the MSC decision invalidating Governor Whitmer’s executive orders was announced, several Michigan counties issued local emergency orders regarding coronavirus safety measures, including Oakland County, Ingham County, Wayne County, the City of Detroit, Washtenaw County, and St. Clair County (advisory, not a mandate).
We expect that this list is not all-inclusive, and other county, city, and/or other local orders may be forthcoming. Be sure to check with your local health department(s) to see if they have issued any emergency orders in the wake of the recent MSC decision.
CDC Info
- When to Quarantine
- When You Can Be Around Others After You Had or Likely Had COVID-19
- Guidance for Cleaning and Disinfecting
- Reopening Guidance for Cleaning and Disinfecting
- Science Brief: SARS-CoV-2 and Surface (Fomite) Transmission for Indoor Community Environments (April 5, 2021)
- CDC Get Your Clinic Ready
- Health Professionals FAQ
- Use of Cloth Face Coverings to Help Slow the Spread of COVID-19
- Interim Public Health Recommendations for Fully Vaccinated Persons (Updated May 13, 2021)
- When You've Been Fully Vaccinated: How to Protect Yourself and Others (Updated July 27, 2021)
- International Travel During COVID-19 (Updated April 2, 2021)
- Requirement for Proof of Negative COVID-19 Test or Recovery from COVID-19 for All Air Passengers Arriving in the United States (All air passengers coming to the United States, including U.S. citizens, are required to have a negative COVID-19 test result or documentation of recovery from COVID-19 before they board a flight to the United States. See the Frequently Asked Questions for more information.)
- Order
- Analysis from National Law Review
- Travel Recommendations by Destination
ChiroArmor, CHUSA, NCMIC, and Other COVID-19 Resources
- Patient Information Handout
- Phone Screening Tool
- Hand Hygiene Infection Control OSHA
- Infection Control
- OSHA Compliance Prevention Strategies for COVID-19
- Exposure Control Policy
- Exposure to COVID-19 in the Practice: What Should I Do by Scott Munsterman, DC
- Telehealth Visit Policy
- ChiroHealthUSA Article: "Now Open!" by Ray Foxworth, DC. Contains strategies to ensure that our patients don’t touch anything in our offices until they reach the adjusting table.
- NCMIC Article: What Can You Do to Work on Your Practice Right Now?
State of Michigan Information
- Requirements for Residential Care Facilities
- Michigan Department of Licensing and Regulatory Affairs Guidance for health care professionals, click HERE and HERE
- COVID-19 Q&A
- MEDC: Relief for Small Business Program
- For Patients: I think I have been exposed to COVID-19, what should I do?
World Federation of Chiropractic Advice for Chiropractors
Clinical Compass
Tools You Can Use
- COVID-19 Patient Screening Questionnaire: PDF - DOC
- SHRM: Sample Notice of Temporary Layoff or Furlough Due to Coronavirus
Webinars
* Note: Please be aware that information is changing rapidly in a lot of these areas and not all information in prerecorded webinars may be updated.
- Telehealth
- Does Telehealth work in Chiropractic Offices During the Pandemic - The Chirocode Institute, Dr. Evan Gwilliam
The Swiftly Changing Telehealth Environment. Handouts. - NCMIC, Dr. Tim Bertelsman
Telehealth 201: Making it work in chiropractic practice. ChiroHealthUSA webinar with Dr. Scott Munsterman, DC. Includes links to sample documents, including Informed Consent for Telehealth, Telehealth Note 99212, and Telehealth Note 97110.
- Does Telehealth work in Chiropractic Offices During the Pandemic - The Chirocode Institute, Dr. Evan Gwilliam
- ChiroHealthUSA Library including webinars such as:
PPP Loans and Other Financial Information >> Updated 9/15/2021
HHS Announces New $25.5 Billion Round of COVID-19 Provider Funding (MAC Matters)
Journal of Accountancy: SBA stops accepting new PPP applications from most lenders as general funds run out
SBA: PPP Loan Forgiveness Information.
Includes info on forgiveness terms for first- and second-draw loans, how and when to apply for forgiveness, and forgiveness forms and instructions.
JD Supra: A PPP Borrower’s Predicament - When The SBA Denies Loan Forgiveness - Contest It - Appeal!
PPP Loan Information (on June 1, 2021, the PPP loan program closed to new applicants)
PPP Loan Application (Revised March 3, 2021)
PPP "Second Draw" Loan Application (Revised March 3, 2021)
PPP Loan Application for Self-Employed Workers and Sole Proprietors Who File Schedule C (First Draw)
PPP Loan Application for Self-Employed Workers and Sole Proprietors Who File Schedule C (Second Draw)
PPP Loan Frequently Asked Questions (Updated March 12, 2021)
SBA Guidance: Second Draw PPP Loans
SBA Guidance: Paycheck Protection Program
SBA Guidance on Accessing Capital for Minority, Underserved, Veteran
and Women-Owned Business Concerns
SBA Top-line Overview of First Draw PPP
SBA Top-line Overview of Second Draw PPP
SBA PPP: HOW TO CALCULATE MAXIMUM LOAN AMOUNTS FOR FIRST DRAW
PPP LOANS AND WHAT DOCUMENTATION TO PROVIDE – BY BUSINESS TYPE (Updated March 12, 2021)
SBA PPP Second-Draw Loans: How to Calculate Revenue Reduction and Maximum Loan Amounts Including What
Documentation to Provide (Updated March 12, 2021)
NFIB PPP Second-Draw Tip Sheet
NFIB FFCRA Tax Credit Tip Sheet
NEW! PPP Loan Changes to Help Sole Proprietors, Independent Contractors, the Self-Employed, and the Smallest of Small Businesses! (Added 2/23/2021)
PPP Lender Match
PPP Loan Forgiveness Information
On Sunday, December 27, 2020, President Trump signed into law a massive coronavirus relief / government spending bill. This bill alters the PPP loan program, including allowing for a second round of funding for some businesses and a streamlined loan forgiveness application for loans less than $150,000.
UPDATED PPP Loan Forgiveness Form 3508S ($150,000 or less)
Application (Includes Instructions)
PPP Loan Forgiveness Form 3508EZ (No Reduction in FTEs)
Application (Includes Instructions)
UPDATED PPP Loan Forgiveness Form 3508
Application (Includes Instructions)
SBA/Treasury PPP Loans FAQs (Updated October 7, 2020)
SBA/Treasury FAQs on PPP Loan Forgiveness (Updated October 14, 2020)
MAC Analysis of H.R. 133
(December 29, 2020). Contains preliminary analysis of relevant provisions in the recently signed COVID relief bill, including info on PPP "second draw" loans, favorable tax info, and more.
CARES Act Provider Relief Fund
- HHS Page, includes access to the The CARES Act Provider Relief Fund Payment Attestation Portal
- CARES Act Provider Relief Fund General Distribution FAQs (Updated April 1, 2021)
- Provider Relief Fund Post-Payment Notice of Reporting Requirements (January 15, 2021)
- Medical Economics: CARES Act compliance for physicians: The provider relief fund, explained
- Taxation of Provider Relief Funds
Provider Relief Fund Reporting Portal - User Guide
MAC Information
- Work Share and Other Potential Employer Benefits (NEW)
- Chiropractic and Telehealth: The Many Ways Telehealth Can Benefit Your Patients (Updated April 9, 2020)
- MAC FAQ Document
- MAC MT Update
- SBA Lenders (from SBA, listed by state. Scroll down to Michigan)
- Briefing on tax relief in the CARES Act, provided by MAC accountants, Maner Costerisan
New - FAQs: Expanded FMLA and Paid Sick Leave Under the Families First Coronavirus Response Act (PDF) (As of January 1, 2021, paid sick leave and expanded FMLA is no longer required. However, if employers decide to provide them, there are still tax credits available. For more, click here.)
SBA Paycheck Protection Program Loans
- HOW TO CALCULATE MAXIMUM LOAN AMOUNTS – BY BUSINESS TYPE
- U.S. Treasury Department Overview of Small Business Paycheck Protection Program
- SBA.U.S. Department of Treasury Paycheck Protection Program Loans FAQs (Updated May 13, 2020)
- U.S. Chamber of Commerce Coronavirus Emergency Loans Small Business Guide and Checklist
- SBA page on the Paycheck Protection Program
- Loan Application and Instructions
- Guidance for Borrowers
- Forbes: Frequently Asked Questions On Small Business Loans In Coronavirus Relief CARES Act
Small Business Administration EIDL
Targeted EIDL Advance Frequently Asked Questions - NEW (as of February 1, 2021)
- SBA Disaster Loan: SBA Three Step Process
- SBA Disaster Loan Application: Form 5C (Sole Proprietors)
- SBA Disaster Loan Application: Form 5 (All Others)
- SBA Disaster Loan Supporting Documentation
- SBA Disaster Loan: Apply Online
Targeted EIDL Advance Mapping Tool
SBA Coronavirus Relief Options
CARES Act Provider Relief Fund
- HHS Page, includes access to the The CARES Act Provider Relief Fund Payment Attestation Portal
- CARES Act Provider Relief Fund General Distribution FAQs
- Reporting Requirements and Auditing
- Taxation of Provider Relief Funds
Doctor Resources
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