Types of Eligible Costs
- Force Account Labor (Permanent, Part-time, Seasonal, Re-assigned, Disaster Hires, Backfill Employees)
- Overtime costs only for regularly budgeted staff
- Force Account Equipment and Leased Equipment
- Material (Purchased supplies and/or taken from stock)
- Contract Services
- Mutual Aid - mutual aid agreement must reference compensation
Management, control and reduction of immediate threats to public health and safety:
- Emergency Operation Center costs
- Training specific to the declared event. This may include PPE training, medical shelter operations, etc.
- Disinfection of eligible public facilities
- Technical assistance to local governments or eligible PNPs on emergency management and control of immediate threats to public health and safety
Primary Medical Care Facilities
- Emergency and inpatient clinical care for COVID-19 patients, including, but not limited to emergency medical transport, triage and medically necessary tests and diagnosis, necessary medical treatment, prescription costs.
- Purchase, lease and delivery of specialized medical equipment
- Purchase and delivery of PPE, durable medical equipment and consumable medical supplies
- Medical waste disposal
- Certain labor costs associated with medical staff providing treatment to COVID-19 patients
Temporary and Expanded Medical Facilities (used to treat COVID-19 patients, non-COVID-19 patients, or both)
- All eligible items and stipulations for Primary Medical Care Facilities
- Lease, purchase, construction or alteration costs as reasonable and necessary to provide medical care services
- Mobilization and demobilization costs with setting up and closing the temporary or expanded medical facility
- Operating costs including equipment, supplies, staffing, wraparound services and clinical care not covered by another funding source
- Maintenance of a temporary or expanded medical facility in an operationally read but unused status available for surge capacity for COVID-19 readiness and response
- Administrative activities and associated costs necessary for the provision of essential medical services at temporary and expanded medical facilities and Alternate Care Sites (see FEMA ACS Warm Sites Fact Sheet for information on eligible costs to maintain a minimum operational lever of an ACS warm site).
For more information on Medical Care cost eligibility, see FP 104-010-04 Public Assistance Medical Care Policy for COVID-19
(e.g. when existing facilities are reasonably forecasted to become overloaded in the near future and cannot accommodate needs)
- All sheltering must be conducted in accordance with standards and/or guidance approved by HHS/CDC and must be implemented in a manner that incorporates social distancing measures
- For non‐congregate medical sheltering see detailed section below.
Purchase and distribution of food, water, ice, medicine, and other consumable supplies:
Purchase and distribution of food, water, ice, medicine, and other consumable supplies, to include personal protective equipment and hazardous material suits (refer to FEMA: COVID-19: Purchase and Distribution of Food Eligible for Public Assistance).
- Feeding: FEMA has approved implementation of Emergency Feeding through September 24, 2020, unless the duration of the Public Health Emergency declared by the Secretary of Health and Human Services ends earlier. The approval includes food and prepared meals for individuals who are high-risk (people over 65 or have certain underlying health conditions) who are quarantined or are self-isolated and unable to obtain and/or prepare meals independently; and individuals who do not have the resources to prepare or obtain meals, facing food insecurity and have not signed up for, or are not eligible for public nutrition programs, such as the U.S. Department of Agriculture (“USDA”) Food and Nutrition Service (“FNS”) Supplemental Nutrition Assistance Program (“SNAP”), or Nutrition Programs. All efforts will be made to register those assisted into these more traditional nutrition assistance programs, thereby, further stabilizing the situation and ensuring FEMA eligibility. For additional FEMA guidance, see:FEMA Response re MA req Extend NCS Approval FEMA-4496-DR-MA (1 Sept 2020), FEMA Response MA Extend EmergFeeding FEMA-4496-DR-MA (27 Jul 20), FEMA Response re Req for Ext to Food Distro_FEMA-4498-DR-MA (27 Jun 20), FEMA Response re Food Distro Request FEMA-4496-DR-MA (27 Apr 20), FEMA Response re Req for Ext to Food Distro_FEMA-4496-DR-MA (28 May 20) & Emergency Feeding Program Internal Control Plan Template. Communities looking to implement local emergency feeding programs should review this guidance carefully and reach out to MEMA using this form: Submit Question to the MEMA Recovery Team
- PPE:Effective September 15, 2020, the most recent guidance from FEMA maintains that “Purchase and Distribution of Personal Protective Equipment (PPE) that is directly related to the performance of otherwise eligible emergency work, or is provided to healthcare workers, patients with confirmed or suspected COVID-19 infection, and first responders.
- Funding or stockpiling a supply of eligible PPE is limited to a supply that is projected for up to 60 days from date of purchase.
- Funding for storing eligible PPE is limited to what is necessary to store a projected 60-day PPE supply.”
Non-Congregate Medical Sheltering:
FEMA has issued approval of non-congregate sheltering for the state and local governments for the individuals meeting the following criteria:
- Individuals who test positive for COVID-19, or are symptomatic for COVID-19, as documented by a medical professional, who do not require hospitalization, but need isolation (including those exiting from hospitals) and cannot do so safely in their current living situation without causing undue risk to themselves or others.
- Individuals who have been exposed to COVID-19 (as documented by a state or local public health official, or medical health professional) that do not require hospitalization but need quarantine and cannot do so safely in their current living situation without causing undue risk to themselves or others.
- First-responders, medical workers, nursing facility workers, and 24/7 congregate care workers, and other personnel working with high-risk individuals, who, through their missions, can reasonably expect to be exposed to COVID-19 and may, therefore, be asymptomatic carriers, but who continue to work and cannot safely live at home without posing a risk to their families.
- First-responders, medical workers, nursing facility workers, and 24/7 congregate care workers who work with high-risk individuals, including children, youth and adults with disabilities and who can reasonably expect to be exposed to COVID-19 by moving to and from work within the Community or by living at home and therefore cannot safely live at home without posing a significant risk to “high-risk” population that they care for.
- Individuals who are asymptomatic, but are at high-risk, such as people over 65 or who have certain underlying health conditions (respiratory, compromised immune systems, chronic disease), and who require quarantine as a social distancing measure and cannot do so safely in their current living situation without causing undue risk to themselves or others.
- If you have a question about sheltering other populations, please click the link below to submit a question.
- FEMA approval is limited to emergency non-congregate sheltering costs that are reasonable and necessary to address the public health needs resulting from FEMA-4496-DR-MA.
- FEMA approval is limited to costs associated with sheltering individuals through September 30, 2020, unless the public health needs should sooner terminate. The Applicant must obtain FEMA’s approval for any time extensions, which should include a detailed justification for the continuing need for emergency non-congregate sheltering.
- FEMA approval is limited to costs associated with the provision and operation of emergency non-congregate shelters and does not include the approval of costs for the conversion of the proposed or any other facility for emergency medical care. Minor repairs or upgrades to existing facilities are fine, anything beyond that please click the link below and ask a question.
- The state and local governments must follow FEMA’s Procurement Under Grants Conducted Under Exigent or Emergency Circumstances guidance and include a termination for convenience clause in its contracts for sheltering and related services, such as food, security services, and care for those with disabilities or access and functional needs.
- FEMA will not approve Public Assistance funding that duplicates funding by another federal agency, including the U.S. Department of Health and Human Services or Centers for Disease Control and Prevention.
- State and local governments must comply with, and enable FEMA to comply with, applicable environmental and historic preservation laws, regulations, and executive orders or funding may be jeopardized.
The Applicant must maintain tracking mechanisms to provide sufficient data and documentation to establish the eligibility of costs for which it is requesting Public Assistance funding (including the need for non-congregate sheltering of each individual, length of stay, and costs). As with any activity, lack of sufficient support documentation may result in FEMA determining that some or all of the costs are ineligible. If you have any questions click here.
- Household pet sheltering and containment actions related to household pets in accordance with CDC guidelines
- Movement of supplies and persons
- Security and law enforcement
- Communications of general health and safety information to the public
- Search and rescue to locate and recover members of the population requiring assistance