How can I submit a claim form for my OTC COVID-19 at-home tests? For Medicare Advantage plans, you must submit claims for COVID-19 vaccine and the administration of the vaccine to the CMS Medicare Administrative Contractor (MAC) for payment. Reimbursement Process Link or Description: Your Blue Cross and Blue Shield of Texas (BCBSTX) health plan gives you access to the care you need during the COVID-19 pandemic. Blue Shield and Blue Shield Promise cover these types of tests: 1Tests ordered by a healthcare provider means that a licensed and authorized healthcare provider has requested that you obtain a test for COVID-19. SENIOR BLUE BASIC (HMO) BLUESAVER (HMO) SENIOR BLUE 601 (HMO) SENIOR BLUE SELECT (HMO) SENIOR BLUE 651 (HMO) FREEDOM NATION (PPO) FOREVER BLUE VALUE (PPO) FOREVER BLUE 751 (PPO) OPTIONAL SUPPLEMENTAL DENTAL PRESCRIPTION DRUG INFORMATION PLANNING FOR MEDICARE UNDERSTANDING BASICS 2022 RESOURCES 2022 RESOURCES MEDICARE CENTERS HEALTH PROGRAMS Visit covidtests.gov, and click the blue "Order Free At-Home Tests" button. These tests can be for diagnostic or screening purposes, such as a screening before a procedure. If you purchase a test outside of your preferred network, your insurance company can cap your reimbursement fee at $12meaning that even if your COVID test costs upwards of $30, you will. You may have to pay out of pocket at the time of purchase, but keep your receipt to submit a claim online. Please also use one of the following applicable place of service codes that describes the location of the drive-through or temporary testing site. OTC at-home tests purchased from a private reseller, online auction, or resale marketplace like eBay are not covered. up to $12 per test under the safe harbor (for plans that provide access to the tests . When reporting the telehealth modifier, if applicable, please place the telehealth modifier after the license modifier. Test-related fees:Most plans cover all fees related to the administration of the COVID-19 test during the public health emergency. If you were not reimbursed correctly, or your advisory shows that a member is responsible for a copayment, you can either: At this time, there are no changes to our licensure requirements. Reverse transcription-polymerase chain reaction (RT-PCR) or antigen testing to detect the presence of SARS-CoV-2 for the diagnosis of COVID-19 is covered when ordered by a health care provider who is making an individualized clinical assessment of the patient in accordance with current standards of medical practice. 3If you receive your health insurance through your employer, association, trust, etc., please contact your employer, plan sponsor, or benefits administrator to see whether you have a fully-insured or a flex-funded group plan. Claims submission and reimbursement for all COVID-19 testing. Reimbursement Process Link or Description: Using a paper claim form allows you to submit reimbursement for multiple purchases and for multiple members at the same time. We extended the filing limit for initial claim submissions. In alignment with guidance from the Division of Insurance, we have resumed the normal authorization processes forall servicesfor our commercial and Federal Employee Program members, and will start requiring authorization for Medicare Advantage members on July 1, 2021. As of April 1, for the duration of the COVID-19 public health emergency, we have added a 10-day supply limit to these medications for: This supply limit applies to members who use our standard Blue Cross Blue Shield of Massachusetts formulary. There is a limit of . When you provide any services by phone, do not bill the specific telephonic CPT codes. Your plan includes COVID-19 tests, treatment, and care. Some self-funded group plans may not cover all the costs when seeing an out-of-network provider. They apply to commercial, Federal Employee Program, and Medicare Advantage members. According to the CDC, serologic testing: * Detection of specific antibody in serum, plasma, or whole blood that indicates new or recent infection provides presumptive laboratory evidence of COVID-19 illness, according to the Council of State and Territorial Epidemiologists (CSTE) interim case definition for COVID-19. Member Discounts Take advantage of member-only discounts on health-related products and services. You can be reimbursed for up to 8 tests per covered member, per month without a prescription. COVID-19 testing thats ordered by a healthcare provider who is licensed to order these tests. We have plans to help keep you covered. Your plan will provide this coverage through reimbursement to you. Network of Preferred Providers: Some examples of authorized tests include: See a complete list of authorized tests on the FDA's web page. Please refer to your specific benefits or contact your employer, plan sponsor, or benefits administrator for more information. Patient symptoms are expected to improve with cognitive rehabilitation. If you havent yet paid the provider, the check goes to the provider. To avoid paying any extra fees, please use. These services can help you see if your symptoms may be related to COVID-19 or something else. Licensed independent clinical social worker, Psychiatric and state psychiatric hospital. To bill for telehealth/video services during the state of emergency. Consumers can either purchase the testing kits at no cost or submit receipts for. FEP to eliminate restrictions on prescription drug refills, waive pre-authorization, deductibles and copays for diagnostics, treatment, Blue Cross and Blue Shield Federal Employee Program Waives Cost Shares and Prior Authorization to Support Members Care for Coronavirus, Site-Neutral Payments Would Save Nearly $500 Billion Over 10 Years, Blue Cross Blue Shield Association Statement on Medicare Advantage Risk Adjustment Validation Rule, Blue Cross Blue Shield Association Policy Solutions Could Lower Health Care Costs by $767 Billion, Blue Cross Blue Shield Companies Form Synergie Medication Collective, a New Venture to Radically Improve Affordability and Access to Costly Medications for Millions of Americans, Congress Passes Meaningful Changes to Expand Mental Health Support, Improve Maternal Health, and Lower Costs for Consumers, Blue Cross and Blue Shield of Louisiana Offers Services to Members Affected by Hurricane Ida, Blue Cross Of Idaho And The Blue Cross Of Idaho Foundation For Health Commit To Expanding Health Equity Across Idaho, Blue Cross Blue Shield of Wyoming Announces New Board Member, James G. Springfield Named President of Blue Cross and Blue Shield of Texas. See the Notification of Enforcement Discretion for telehealth. Premera Blue Cross Blue Shield of Alaska is here to support members, employers, and healthcare providers during the coronavirus (COVID-19) outbreak. Please remember that COVID-19 testing and vaccination requirements vary worldwide. What are the limits to reimbursement for OTC COVID-19 at-home tests? For more information about HSAs, eligibility, and the laws current provisions, you should ask you financial or tax adviser, or check with your HSA administrator for more details. Effective May 1, 2021, for members of our fully-insured employer and individual plans, as well as self-funded plans, Anthem will reimburse for the administration of COVID-19 FDA-approved vaccines at a rate of $40 per administration. COVID-19 test Note: Cost share waive for to COVID-19 treatment expires on 08/31/2021. California Physicians' Service DBA Blue Shield of California 1999-2023. If you purchased an OTC at-home test between March 11, 2021, and January 31, 2022, the Department of Health Care Services (DHCS) will reimburse beneficiaries the retail cost with a receipt. For Federal Employee Program (FEP) members, member cost is removed for inpatient acute care hospitals, inpatient rehab facilities, long-term acute care hospitals, and skilled nursing facilities for services related to COVID-19. Testing and Treatment Coverage COVID-19 Testing Coverage Website: High-technology radiology and obstructive sleep apnea testing and treatment There are no age limits for members who need care through telehealth or phone services. 800-942-0954 (main). Federal Employee Program (FEP) members Information requested will include: Reimbursement for tests purchased before January 15, 2022: Reimbursement Process Link or Description: Your plan may require you to sign an attestation that the test was purchased: Your plan may require reasonable documentation of proof of purchase with a claim for reimbursement for the cost of an OTC COVID-19 test. After the vaccine: what to expect. WASHINGTON The Blue Cross and Blue Shield Federal Employee Program (FEP) announced today that it will waive cost-sharing for coronavirus diagnostic testing, waive prior authorization requirements for treatment and take other steps to enhance access to care for those needing treatment for COVID-19 to ensure its members can swiftly access the right care in the right setting during the outbreak. Phone Number: Standard office visit copays may apply based on your plan benefits. That being said, I called my insurance provider, Blue Cross Blue Shield of Texas (BCBSTX) to ask if I could submit a claim for my test from last week. The following resources provide you with the information needed to administer Blue Cross and Blue Shield of Texas (BCBSTX) plans for your patients. To bill for telehealth, follow the same telehealth billing guidelines as you would for an in-person visit and include the following modifiers with the applicable place of service as outlined in the COVID-19 Temporary payment policy: Bill fortelephonicservices using the additional billing guidelines and applicable place of service codes in our COVID-19 Temporary payment policy. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. These actions will apply to all FEP members of the 36 U.S. and Puerto Rico-based BCBS companies, including those members located overseas, when applicable. All rights reserved. Check with your insurer for the most up-to-date information for your specific plan. Establishing a network of preferred providers that will enable you to go directly to a designated pharmacy or retailer to obtain free tests. If you have a plan with out-of-network covered benefits, Blue Shield will cover both in-network and out-of-network copays, coinsurance, and deductibles for COVID-19 covered treatment benefits during this time. FEP will also eliminate any cost share for prescriptions for up to a 14-day supply. The claim entered day 179 of the 180-day timeline on Feb. 29, 2020. . 3. Who can order a test? Network of Preferred Providers: 1-800-316-BLUE (2583), Dental Network Management For example: Find out what your coverage is for OTC at-home tests. COVID-19 Temporary payment policy (includes telehealth). Legal | Privacy Policy, OptumRx Over-the-Counter Test Reimbursement Form. *Blue Plan members receiving care in Massachusetts are covered according to their Home plans benefits and coverage. Y0118_22_338A1_C 09272022 Members will receive test kits from network pharmacies at no cost. California Physicians' Service DBA Blue Shield of California 1999-2023. Since the vaccine is supplied free, we will not reimburse separately for the vaccine, regardless of the modifier. At-home COVID-19 testing. For Sparrow Health System inquiries, please call 517-364-8432 or (toll-free) 877-275-0076. (Medical and Mental Health) Network Management and Credentialing Services COVID-19 Testing Coverage Website: What's the difference between the booster shot and the additional dose? https://www.priorityhealth.com/covid-19/vaccine, COVID-19 Testing Coverage Website: News & updates Consumers who have questions or concerns that cannot be directly resolved with their insurer can contact DIFS Monday through Friday 8 a.m. to 5 p.m. at 877-999-6442 or file a complaint online at Michigan.gov/DIFScomplaints. If a member purchases a kit from an out-of-network provider or retailer, the member must submit a member reimbursement form. UnitedHealthcare (UHC) about potential out-of-pocket costs from out-of-network providers. for tests purchased on or after January 15, 2022. Network of Preferred Providers: If you havent used Dental Connect before, youll need toregister for Dental Connect using partner codeBCMA01DPS(this is an important step for registration; Blue Cross Blue Shield of Massachusetts sponsors monthly fees for this service. In a statement, Blue Cross Blue Shield said, "We are also working on . You are now leaving the blueshieldca.com website, Coverage information for general COVID-19 testing. Some plans may also have access to Teladoc or NurseHelp 24/7 as other options for virtual care. Below are the codes for providers and laboratories to test patients for COVID-19. Similarly, for at-home tests paid for or reimbursed by Blue Shield, you should not seek reimbursement from an FSA, HSA, or HRA for the cost (or the portion of the cost). UB-04 billers do not need to enter place of service codes when billing for telephonic services. Under the rule, insurance providers are . Outside of an emergency situation, you should seek care from in-network providers to save money. If you plan to provide a previously approved service to a patient in 2021, please call our Clinical Intake Department at the appropriate number and we will create a new authorization or update the existing one. Network of Preferred Providers: https://www.paramounthealthcare.com/covid-19/at-home-covid-testing-kits, COVID-19 Testing Coverage Website: Call the customer service number on your member ID card. Log in and to go Office Resources>Billing & Reimbursement>Fee schedules. Coverage is available when the pharmacy offers OTC COVID-19 tests and has them in stock. Please submit the vaccine administration procedure code and vaccine/toxoid code on the same claim. Wait for our systems to identify the claim and correct it, Call Provider Service and ask us to reprocess the claim at one of the following toll-free numbers. We are following guidelines from the Blue Cross Blue Shield Association regarding coverage for Federal Employee Program members. For assisted reproductive technology services listed in ourmedical policythat require prior authorization: Durable medical equipment If you would like to find a new mental healthcare provider in your network, learnhow to find one. Effective January 1, 2021, AIM will return to standard processes and authorize services for 60 days. Make informed decisions about your health and the health of your community. We are in the process of determining what the end of the Massachusetts public health emergency means to our business and our provider partners. An antibody test determines whether the person has had COVID-19 and therefore may have some level of immunity. The top things you should know about COVID-19 vaccines. Providers should document ALL of the following for coverage: Inpatient cognitive rehabilitation for cognitive impairment resulting from COVID-19 is not covered unless the patient otherwise meets criteria for inpatient level of care. How am I reimbursed for at-home tests if I use FSA, HSA, or HRA funds? . California Physicians' Service DBA Blue Shield of California 1999-2023. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. If you have any questions, call the number on the back of your Blue Cross ID . If a vaccine administration service is provided with an evaluation and management service that: This applies to professional and facility claims. Are at-home COVID-19 tests eligible items for reimbursement under an FSA, HSA, or HRA? Members who already have coverage for problem-focused exams (D0140) will have no cost share (deductible, copayment, or co-insurance).*. We highly recommend you review the host countrys COVID-19 requirements before you travel. Should I still postpone preventive visits/routine checkups or specialist care? Call us toll-free Monday through Friday 8 a.m. to 5 p.m. at877-999-6442. Questions about medical or prescription coverage? Coverage for Medi-Cal and Cal MediConnect members, Local updates on COVID-19 from the State of California, Vaccine information from the Centers for Disease Control and Prevention (CDC). Yes, but coverage for testing varies by plan. Member cost still applies for an in-person, outpatient visits and for inpatient and residential services. Reimbursement Process Link or Description: This update also includes the ICD-10 vaping-related disorder code. These may include fees for other tests or other services unrelated to the COVID-19 test. Phone Number: Blue Shield provides coverage for OTC COVID-19 at-home tests purchased prior to January 1, 2022, with a healthcare provider order. If your tests cost more than $12 per test, you will not be reimbursed for the difference. No, COVID-19 Testing Coverage Website: You can request an authorization to cover more. https://www.hioscar.com/at-home-covid-test-reimbursement, COVID-19 Testing Coverage Website: What should I do with it? Get reimbursed for your over-the-counter COVID-19 tests OTC tests purchased at retail locations cost, on average, $12 for a single test and $24 for a double test kit. Reimbursement for tests purchased before January 15, 2022: Please note that Blue Shield does not offer tax advice for HSAs. Follow the instructions below to submit your claim online. Phone Number: My at-home test comes with more than one test per package. Or purchase in-store at an in-network pharmacy counter with their Humana ID card as outlined in the FAQ. Reimbursement for tests purchased before January 15, 2022: There is no change to the timely filing guidelines for Indemnity claims. You will be reimbursed the costs of diagnostic OTC testing, regardless of where the tests are obtained (in- or out-of-network). Members may have out-of-pocket costs for unrelated fees, depending on their plan benefits. This helps make sure you dont have to pay more out-of-pocket. Here are some additional ways Horizon BCBSNJ members can receive advice and support: Members can talk to licensed nurses who can assist them with symptoms that are consistent with suspected COVID-19 infection. Learn more about potential out-of-pocket costs from out-of-network providers. The following drugs are not covered outside of the clinical trial setting: We lifted limits on early refills of most prescription medications, allowing members to obtain one additional fill of their existing prescription. The Blue Cross Blue Shield (BCBS) Association, a federation of 35 independent health insurance companies that collectively cover one in three Americans, has voiced concern with the COVID-19 test . Feel free to ask your doctors office what safety steps they are taking to protect patients during the pandemic. Bill for administration of first dose of CPT 91300 (Pfizer-BioNtech COVID-19 vaccine), Bill for administration of second dose of CPT 91300 (Pfizer-BioNTech COVID-19 vaccine), Bill for administration of first dose of CPT 91301 (Moderna-COVID-19 vaccine), Bill for administration of second dose of CPT 91301 (Moderna-COVID-19 vaccine), Bill for administration of CPT 91303 (Janssen COVID-19 Vaccine). These changes, which have been approved by the Office of Personnel Management, will ensure that nearly 6 million federal employees, retirees and their families have comprehensive, accessible care. Providers who are approved under this process will receive a Welcome Letter with their effective date. All Michiganders are eligible to order free at-home COVID-19 tests from the federal government at COVIDTests.gov. Member Reimbursement: If members purchased an OTC COVID-19 test on or after January 15, 2022, they can submit for a reimbursement of up to $12 per test. . The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. In 2020, we extended time-limited authorizations through the end of the year for specific outpatient procedures that our members may not have been able to receive due to the COVID-19 emergency. Standard office visit copay may apply. Cognitive impairments resulted from COVID-19 that was either clinically diagnosed or diagnosed through PCR/Antigen testing. For dates of service between March 1, 2020 and May 31, 2020, you had 150 days from the date of service or the date of discharge (for inpatient stays) to submit your claims for HMO/POS, Medicare Advantage, and PPO members. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. The DOI asked insurers to continue covering these medications for rheumatologic or dermatologic conditions under their current policies. Member cost will be the same as an in-person office visit, and cost will not be waived for a COVID-19 diagnosis. Virtual visits are covered. Blue Shield of California has neither reviewed nor endorsed this information. Reimbursement Process Link or Description: Health plans are offered by Blue Shield of California. COVID-19 Vaccine Information | CareFirst BlueCross BlueShield At-Home Rapid Tests Are Now Covered Over-the-counter COVID-19 tests are now covered for qualifying members. OTC at-home tests must have been purchased on or after January 1, 2022. Type OTC or Home in the search bar to narrow the results for at-home tests. Can I get reimbursed for multiple packages? To request reimbursement for a fully self-administered FDA authorized test purchased from a non-preferred pharmacy or other retailer between January 15, 2022 and January 31, 2022, submit this form: 5Self-funded group plans are not required to cover these costs. Members should call the number on the back of their ID card. During the federal public health emergency, Blue Shield will continue to waive out-of-pocket costs for copays, coinsurance, and deductibles for: There are no prior approvals needed for COVID-19 screenings, evaluations, or testing. Members may have out-of-pocket costs for unrelated fees, depending on their plan benefits. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. When testing patients in a drive-through or other temporary setting (such as a tent), please use the following codes for claims with dates of service on or after March 1, 2020.These codes apply to all commercial, Medicare Advantage, and Federal Employee Program (FEP) members. Claims submission and reimbursement for testing. Please bill members for their cost share once the claim has processed When you are checking eligibility, Online Services will show the standard telehealth cost share. The member will be responsible for any unrelated fees charged by an out-of-network provider. Most diagnostic and screening tests are covered for the majority of Blue Shield members. We will mail you an explanation of benefits that outlines what Blue Shield paid and what remaining balance you may owe, if any. 8 At-Home Rapid tests per 30 days. These tests are available without out-of-pocket cost at locations specified by your insurance company. For members using the National Preferred Formulary (managed by Express Scripts, Inc.), there are new quantity limits for these medications. You can get up to 8 individual tests per calendar month from participating pharmacies and healthcare providers during the COVID-19 public health emergency. Health plans are offered by Blue Shield of California. Serologic testing for the presence of SARS-CoV-2 IgM/IgG antibodies is covered for FDA and Emergency Use Authorization tests (as described above) when ordered by a health care provider who is making an individualized clinical assessment of the patient in accordance with current standards of medical practice, including the Centers for Disease Control (CDC) and Massachusetts Department of Public Health (DPH) guidelines. FEP will determine coverage for the vaccine once it becomes available. Bill the same as you would for in-person visits, and include the following modifiers with the applicable place of service code*: modifier GT, 95, G0, or GQ via synchronous/asynchronous telehealth audio and/or video telecommunications systems to differentiate a telehealth (telemedicine) encounter from an in-person encounter with the patient. You can also log in to your online account to learn what benefits your plan covers or call the customer service number at the number on your ID card. This applies to tests purchased on or after January 15. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. Practitioners must use modifier GT, 95, G0, or GQ to designate that that they are providing services via synchronous/asynchronous telehealth audio and/or video telecommunications systems rather than an in-person encounter. Federal Employee Program Then, complete and submit the online form. You will be reimbursed for over-the-counter COVID-19 diagnostic tests purchased on or after January 15, 2022. Therefore, Medicare PDP plans do not cover medical testing. However, at-home COVID-19 tests are not qualified medical expenses when the costs are reimbursed by Blue Shield. Log in to anthem.com, go to Claims & Payment, and choose Submit a Claim. Get an in-person test at a Washington or Alaska testing location . Please refer to the COVID-19 Temporary payment policy for telehealth billing guidelines. UB-04 billers do not need to enter a place of service when billing for services provided by phone. Contact the provider to find out how they want to be reimbursed. Over-the-counter tests for things like return to work or school, travel and recreational event requirements may not be covered unless you have symptoms or have been exposed. If you're a Medicare or Medicaid Participant: For information about insurance coverage for at-home COVID-19 tests, please see the Centers for Medicare and Medicaid Services FAQ. Screening tests for domestic travel are covered for most plans. cRequired for employment purposes. Blue Cross Blue Shield said it is also working on a system that would allow members to avoid the reimbursement process. In keeping with CMS guidance issued September 2, 2020 and for the duration of the COVID-19 public health emergency, Blue Cross will cover, without a healthcare professionals order, the cost of one diagnostic test for COVID-19 and one diagnostic test each for influenza virus or similar respiratory condition for Medicare members when performed in conjunction with a COVID-19 test and needed to obtain a final COVID-19 diagnosis. See our COVID-19 Temporary payment policy, Do not bill 87635 and U0002 on the same day for the same patient. In addition, ground ambulance transport to and from the locations listed below is covered to help our healthcare delivery system optimize inpatient capacity. Since the vaccine is supplied free, we will not reimburse separately for the vaccine, regardless of the modifier. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. See the information below to determine if your insurer is reimbursing for these tests. Choose your plan type to learn more about the available no-cost options Individual & Family Medicare Medicaid Stay Healthy and Informed You can bill all services for which you are contracted using the telehealth codes with the telehealth modifier. Reimbursement for tests purchased before January 15, 2022: Standard out-of-pocket costs will apply for treatments received. Find out which COVID-19 tests are available to members and where to get tested. Virtual visits are covered. In response, Blue Cross will expand telehealth to ease access to appropriate medical services for our customers. If you are interested in a rewarding position helping Michiganders apply today! Members covered through Medicaid plans: 1-800-711-5952. This applies to both diagnostic and screening tests. Medi_22_194_LS_IA_092722 Licensees of the Blue Cross and Blue Shield Association. https://www.humana.com/coronavirus/coverage-faqs. We've remove dmember cost(copayments, co-insurance, and deductibles) for all telehealth services, including behavioral health. The temporary cost share waiver for non-COVID medical and behavioral telehealth service will expire, reinstating member cost. You can find a list of community-based testing sites here. We want to help ease stress during these uncertain times. Be sure to seek non-emergency care from in-network providers if you have an HMO plan. SECTION 2 - PATIENT INFORMATION Reason for the test cI was exposed to someone with COVID-19. Coverage for COVID-19 testing outside of the United States depends on your plan benefits and the reason for testing. All rights reserved. Members will be required to fill out a COVID-19 self-test claim submission sheet and submit it via us mail along with UPC packaging label and receipt. Where can I go for more details about COVID-19? How can I continue seeing my mental health care provider? In that case, you would be able to submit reimbursement for up to four packages, or eight tests total, for each member on your plan. https://www.hioscar.com/at-home-covid-test-reimbursement, Network of Preferred Providers: Medicare Prescription Drug Plan (PDP) if you also have Medicare Part B coverage. COVID-19 booster recommendations Out-of-pocket costs for COVID-19 testing: in-network vs. out-of-network. To access your member services, please visit your BCBS company. Two COVID-19 updates effective July 1, 2021: Change to telehealth cost share and authorization requirements, Update to bamlanivimab pharmaceutical treatment for COVID-19, Lab claims must include ordering clinician NPI starting July 1, Medicare sequestration suspended through December 31, 2021, Were committed to reducing health care inequities, Revised reimbursement for COVID-19 vaccination administration codes available, Monthly communications aim to reduce vaccine hesitancy, Updated coverage guidelines for COVID-19 testing, Medicare Advantage telehealth cost share & COVID-19 vaccine billing, Updates to vaccine and pharmaceutical treatment codes for COVID-19, Blue Cross Blue Shield of Massachusetts joins national effort to help vaccinate seniors in underserved communities, Were helping to fund free rides for COVID-19 vaccine access, Provider reimbursement for COVID-19 vaccination administration codes are available, Facts may help patients understand and embrace COVID-19 vaccine, COVID-19 Information page updates: Cognitive rehab, testing coverage, and diagnosis codes, Updated billing guidelines and fees for COVID-19 lab testing codes, Telehealth and telephonic codes billing reminder, Updates to COVID-19 vaccine administration codes and pharmaceutical treatment, COVID-19 - Authorization requirements waived until March 31, Vaccines and pharmaceutical treatment for COVID-19, Updates to Medicare Advantage services effective Jan 1, Claims with COVID diagnoses require positive test in chart, COVID-19: Inpatient acute care auth requirements waived until Dec 31, COVID-19: Use appropriate diagnoses when billing for COVID testing, COVID-19: Coverage guidelines for laboratory tests, COVID-19: Coverage guidelines for pharmaceutical treatments, COVID-19: Auths extended; non-emergent transport modifiers, Dental Blue will offer assistance for PPE costs for dentists, Telehealth & online digital codes for FEP & Medicare Advantage, New supports for our members mental health, COVID-19: Continued coverage for early intervention services, COVID-19: Resuming provider audits and claim reviews, Increased fees for COVID-19 lab & specimen collection codes, COVID-19-We're extending our prior authorization waiver, Dental care strategies in the age of COVID-19, How were helping during COVID-19 emergency, COVID-19 payment policy, lab testing codes, claim reminders, COVID-19: APR-DRG Grouper ICD-10 code update, Patients with asthma can get early refill of their controller med, COVID-19: Extending authorizations for specific services, COVID-19: Expedited credentialing process; provider audits on hold, Non-emergency ground ambulance transports covered temporarily, COVID-19: How to bill for drive-through testing, Medicare Advantage reimbursement will be temporarily adjusted, Blue Cross Blue Shield of Massachusetts Telehealth Claims Skyrocket During Coronavirus Pandemic, Member costs waived for inpatient COVID-19 services, Chloroquine, hydroxychloroquine coverage update, Coverage for dental telephone or video consultations, Dentists and oral surgeons: How were helping during COVID-19 emergency, the original hydroxychloroquine policy still applies, Frequently Asked Questions on the Revocation of the Emergency Use Authorization for Hydroxychloroquine Sulfate and Chloroquine Phosphate (PDF, 125 KB), Massachusetts Standard Form for Medication Prior Authorization Requests, Medical Policy 660: Cognitive Rehabilitation, Notification of Enforcement Discretion for telehealth, use of reverse transcription-polymerase chain reaction (RT-PCR) or antigen testing to detect the presence of SARS-CoV-2 for a diagnosis of COVID-19 infection, Serologic testing for the presence of antibodies for known or suspected current or prior COVID-19 infection, Public Health Emergency Credentialing Application, Contact your local plan.
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