CMS Response Initiatives in Guam and CNMI After Super Typhoon Bavi

The Centers for Medicare & Medicaid Services (CMS) has unveiled new resources and waivers to aid in the response to the Public Health Emergency declared in Guam and the Commonwealth of the Northern Mariana Islands (CNMI) due to Super Typhoon Bavi. These initiatives are crucial for maintaining access to healthcare services for those impacted by the natural disaster.

Following the Public Health Emergency declared on July 9, 2026, CMS is providing essential support. Facilities in Guam and CNMI benefit from blanket waivers and flexibilities backdated to July 2, 2026. Providers needing adjustments due to typhoon effects can submit requests through the CMS 1135 Waiver/Flexibility Request and Inquiry Form, ensuring regulatory compliance while addressing immediate needs.

CMS has also developed a Disaster Toolkit to support State Medicaid and Children’s Health Insurance Program (CHIP) agencies. This toolkit, featuring various flexibilities and authorities, ensures Medicaid and CHIP coverage continuity during disaster scenarios. Detailed information is available at medicaid.gov, helping agencies maintain compliance with regulatory requirements.

The Kidney Community Emergency Response (KCER) program has been activated by CMS to address dialysis patient needs, partnering with End-Stage Renal Disease (ESRD) Network 17. Together, they assess dialysis facility operations and manage resources like backup generators and alternate water supplies. The network also provides guidance on maintaining an emergency supply kit with essential personal and medical information.

CMS is allowing the replacement of durable medical equipment, prosthetics, and supplies for Medicare beneficiaries affected by the typhoon. This initiative ensures beneficiaries can continue to manage their health needs. Assistance for these replacements is available by contacting 1-800-MEDICARE, streamlining the claims and replacement process.

Regarding Medicare Part D, policies ensure continued access to medications by allowing out-of-network pharmacy use and removing "refill too soon edits" under emergency circumstances. These measures, outlined in the Prescription Drug Benefit Manual, are part of CMS's effort to maintain effective medication management during disasters.

CMS also highlights the potential waivers of certain HIPAA Privacy Rule provisions during emergencies, maintaining compliance while ensuring privacy. The HHS Office for Civil Rights provides guidance on staying compliant, including resources for interpretation and translation services. CMS remains actively engaged with local authorities to facilitate recovery and provides resources on emergency preparedness at phe.gov. For more information, visit cms.gov/newsroom.