Education event

Continuity of Care in a Disaster Webinar
Understanding the CMS 1135 Waiver and CDPH Licensing Program Flex

Registration is now closed, please call the Education Department at (916) 552-7637.
July 10, 2018
10:30 a.m. – 12:00 p.m., Pacific Time


When disasters occur, treating patients is a hospital’s first priority. However, state laws and regulations can make it challenging to expedite necessary, often lifesaving care. Health care providers may need to admit more patients than they have licensed beds, or they may not be able to qualify all patients for Medicare before rendering treatment. This webinar will explain the Centers for Medicare & Medicaid Services (CMS) 1135 Waiver and the California Department of Public Health’s (CDPH) Program Flex, which allows providers in emergency situations to deliver care without the worry of noncompliance.

Representatives from CMS, CDPH and CHA will provide participants with the guidance they need to maintain operations in a disaster, and offer business-related considerations for hospitals pre- and post-disaster. 

Join us and learn when and how to utilize the 1135 Waiver and Program Flex as well as prepare a plan for business continuity in the event of a crisis.

Recommended for:

Chief operating officers, chief financial officers, chief nursing officers, compliance officers and chief risk officers.


The 1135 Waiver: Preparing for an Emergency​

  • Purpose and limitations of 1135 Waivers
  • Waiver authority and examples
  • Qualifications, application process and review
  • Expectations of waived providers

Temporary Program Flex Requests​

  • AFL 18-09 requesting increased patient accommodations, including medical surge tent use
  • Submitting requests via Form CDPH 5000 A
  • Review and approval process
  • Examples of submitted requests

Business Continuity Considerations​

  • Financial recovery planning
  • Business interruption insurance
  • Workforce considerations
  • Disaster declaration vs. public health emergency
  • Eligibility for assistance


Andrea Barandas, Health Program Specialist, CDPH, Licensing and Certification Division

Karen Fuller, State Oversight Branch Manager, CMS, Western Division of Survey & Certification, San Francisco Regional Office

 David Lum, Health Insurance Specialist, CMS, Western Division of Survey & Certification, San Francisco Regional Office

Ron Yaw, Vice President, Finance and Economic Analysis, California Hospital Association


Full participation in the webinar is required to receive professional continuing education (CE) credit. The registrant must complete an online evaluation, attest to participation and, when required, provide a professional license number.

Health Care Executives — CHA is authorized to award 1.5 hours of pre-approved ACHE Qualified Education credit for this program toward advancement, or recertification, in the American College of Healthcare Executives. Participants in this program who wish to have the continuing education hours applied toward ACHE Qualified Education credit must self-report their participation. To self-report, participants must log into their MyACHE account and select ACHE Qualified Education Credit.


Members $135
Nonmembers $185
Multiple staff can participate from one location for one tuition fee.

Members are CHA member hospitals, CHA associate members and government agencies. Nonmembers are limited to non-hospital health care providers, clinics, post-acute facilities, and consultants, insurance companies, law firms and other entities that serve hospitals. Education programs and publications are a membership benefit and are not available to eligible nonmember California hospitals.

Cancellation Policy/Late Payment: A $50 non-refundable processing fee will be retained for each cancellation. Cancellations must be made in writing seven or more business days prior to the scheduled session and emailed to No refunds will be made after these dates. Substitutions are encouraged. Please note that payment is due on or before the program. Payments not received by the program date may be subject to a 10% late fee. In the unlikely event the program is cancelled, CHA will fully refund paid participants within 30 days.

Special Accommodations or Questions: If you require special accommodations pursuant to the Americans with Disabilities Act, or have other questions, please call (916) 552-7637.