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COVID-19 Policy Guidance

By Reid Horton | COVID-19 Reimbursement, Reimbursement | Comments are Closed | 15 January, 2021 | 0

CMS

  • CMS COVID-19 page
  • CMS COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers
  • CMS COVID-19 Frequently Asked Questions (FAQs) on Medicare Fee-for-Service (FFS) Billing
  • CMS MLN SE20016: New and Expanded Flexibilities for RHC and FQHCs During the COVID-19 Public Health Emergency (12.3.2020)
  • CMS MLN11791: Therapy Code Update during the PHE (includes telephonic and virtual visits) 5.26.2020
  • CMS List of Telehealth Codes (including temporary live video and audio only codes added during the PHE) 12.2.2020

DHCS/DMHC

  • DHCS COVID-19 page
  • DHCS Requirements and Procedures for Emergency Medi-Cal Provider Enrollment
  • Medi-Cal Payment for Telehealth and Virtual/Telephonic  Communications  (Jan 2021)
  • CPCA COVID-19 Weekly Update Call Recording (4.2.2020) and Presentation Slides
    (approval for FQHC/RHC telehealth to the patient home addressed around 10 minutes and 22.5 minutes in)
  • DMHC APL 20-009 – Reimbursement for Telehealth Services (3/18/2020)
  • DMHC APL 20-013 Telehealth Services (4/07/2020)

Managed Care and Commercial Payers COVID-19 Response

This pandemic-related resource library is updated all the time. While it’s not exhaustive, it does provide quick and easy access to a wide range of general reimbursement guidelines related to COVID-19.

    • Aetna – COVID-19 Response
    • American Dental Association (with payer responses on page 9) – COVID-19 Coding and Billing Interim Guidance
    • American Medical Association – Special coding advice during
      COVID-19
    • Anthem Blue Cross – COVID-19 Response
    • Beacon Health Options – COVID-19 Response and Beacon ABA COVID19 FAQ
    • Blue Cross Blue Shield – COVID-19 Response
    • Blue Shield of CA Promise Health Plan – COVID-19 Response
    • California Health & Wellness – COVID-19 Response
    • Central California Alliance for Health – COVID-19 Response
    • Cigna – COVID-19 Response
  • Community Health Group – COVID-19 Response
  • Gold Coast Health Plan – COVID-19 Response
  • Health Plan of San Joaquin – COVID-19 Response and Telehealth Billing Update
  • Health Plan of San Mateo – COVID-19 Response
  • HealthNet – COVID-19 Response
  • IEHP – COVID-19 Response
  • Magellan – COVID-19 Response and Q/A Document
  • Molina California – COVID-19 Response
  • Partnership HealthPlan – COVID-19 Response
  • San Francisco Health Plan – COVID-19 Response
  • Santa Clara Family Health Plan – COVID-19 Response
  • TriCare – COVID-19 Response
  • United Healthcare (including the Community Plan) – COVID-19 Response
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The California Telehealth Resource Center (CTRC) and all resources and activities produced or supported by the CTRC are made possible by grant number U1UTH42520-01-01 from the Office for the Advancement of Telehealth, Health Resources and Services Administration, DHHS. This information or content and conclusions are those of the CTRC and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS, or the U.S. Government. The information and tools presented on the California Telehealth Resource Center’s (CTRC) website are intended for general information purposes only and are not intended or implied to be a substitute for professional legal and billing advice. We recommend discussing billing and legal decisions with your organization’s compliance officer to ensure agreement or consulting with an attorney regarding any legal issue. All materials are strictly for informational and educational purposes only.
  • About CTRC
    • Our Mission
    • How We Do it
    • Our Team
    • Our Advisory Board
  • Tools and Resources
    • For Providers
    • Payment & Regulation
      • Digital Health Payment Guide
        • Digital Health Services Payment Guide Door 1
        • CTRC Digital Payment Guide – Door 2
    • Rural Health
    • Artificial Intelligence
    • Remote Physiological Monitoring
    • School-Based Telehealth
    • Patient Resources
    • Videos
    • Sustainability Calculator
    • Equipment Selection Tool
    • CTRC Blogs
    • CTRC Newsletters
  • Training and Education
    • CTRC Telehealth Online Courses
    • TeleHealth Course Finder
    • National Consortium of TRCs
    • Telehealth Summit
  • Events Calendar
  • Contact Us
California Telehealth Resource Center