The Texas Health and Human Services Commission has issued a letter providing guidance to Home and Community Support Services Agencies (HCSSAs) for mitigating staffing shortages in a post-COVID-19 vaccination environment. The letter outlines contingency and crisis capacity strategies to address staffing shortages, including implementing back-up services, hiring additional staff, and sharing staff between different COVID-19 cohorts. In crisis situations, HCSSAs may allow asymptomatic, fully vaccinated staff with higher-risk exposure to COVID-19 to continue working, provided they follow transmission-based precautions and use full PPE. HCSSAs should also consider human resources policies that allow staff to not work when risks cannot be mitigated and if staff become symptomatic. The letter includes a staffing contingency checklist and guidance on allowing asymptomatic staff with COVID-19 exposure to work.
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