13909 - Link to Payer's Summary of COVID-19 related guidelines and policy changes AdvaMed https://www.advamed.org/issues/principles/covid-19-principles Aetna http://www.aetna.com/cpb/medical/data/1_99/0002.html https://www.aetna.com/content/dam/aetna/pdfs/aetnacom/prior-authorization-notification.pdf https://www.aetna.com/health-care-professionals/provider-education-manuals/covid-faq/billing-and-coding.html https://www.aetna.com/content/dam/aetna/pdfs/olu/officelink-updates-september-2020-olu.pdf Aetna - Oxygen policy Aetna - Oxygen qualification policy Aetna - Revised Oxygen Policy http://www.aetna.com/cpb/medical/data/1_99/0002.htm Aetna (CARES Act, Prior Auth) https://www.aetna.com/content/dam/aetna/pdfs/aetnacom/CARES-Act-Information-for-providers.pdf Aetna (Telehealth) https://www.aetna.com/health-care-professionals/provider-education-manuals/covid-faq/telemedicine.html Affinity Health Plan - COVID-19 Testing https://www.affinityplan.org/uploadedFiles/Affinityv3/Providers/Support/Files/Pharmacy/2020_Final_COVID_19_Testing_Guidance.pdf Alabama Medicaid https://medicaid.alabama.gov/alert_detail.aspx?ID= https://medicaid.alabama.gov/documents/1.0_ALERTS/1.0_2020/1.0_ALERT_Durable_Medical_Equipment_Program_Updates_8-19-20.pdf Alabama Medicaid AL https://medicaid.alabama.gov/news_detail.aspx?ID= https://medicaid.alabama.gov/alert_detail.aspx?ID= https://medicaid.alabama.gov/alert_detail.aspx?ID= https://medicaid.alabama.gov/documents/1.0_ALERTS/1.0_2020/1.0_ALERT_COVID-19_Emergency_Expiration_Date_Extended_Oct31_9-10-20.pdf https://medicaid.alabama.gov/alert_detail.aspx?ID= Alabama Medicaid AL - 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COVID-19 Testing Asuris Health Northwest - COVID-19 Testing - Medicare Adv. Asuris Medicare Advantage- COVID-19 Testing Asuris Northwest - COVID-19 Testing http://www.policy.asuris.com/lab/lab74.pdf Asuris Northwest Health https://www.asuris.com/provider/library/policies-guidelines/reimbursement-policy/virtual-care AvMed https://www.avmed.org/documents/ /4380806/Coronavirus+Response+%28Refresh%29_V7+%2803-27-2020%29.pdf/927e7c1a-ffc7-4048-8d37-442e422a925f https://www.avmed.org/documents/ /4380806/Coronavirus+QA_Benefits++Coverage_V7.pdf/6826bf32-ec39-4019-8310-79bf7f7bae11 https://www.avmed.org/documents/ /4380806/Coronavirus+Extension+%28Refresh%29_V1+%2807-13-2020%29.pdf/9a804deb-fedb-465e-9db9-ab2af3fa6032 https://www.avmed.org/documents/ /4380806/Coronavirus+Extension+%28Refresh%29_V1+%2809-22-2020%29.pdf/5da5d80f-b37d-4ad6-8231-8f49850850a3 BCBS Blue Cross Blue Shield ALL STATES - Scroll to interactive map on webpage https://www.bcbs.com/coronavirus-updates BCBS Empire NY Prior Auth https://providernews.empireblue.com/article/prior-authorization-requirements-for-the-below-codes-january-1-2021 BCBS Federal Employees Program (FEP) https://www.fepblue.org/get-care/telehealth BCBS FEP Federal Employees Plan https://www.fepblue.org/coronavirus-updates?utm_source=(redirect)&utm_medium=vanity&utm_campaign=coronavirus#latest BCBS HMSA - 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Billing Guidelines for COVID-19 https://www.bcbsm.com/content/dam/microsites/corpcomm/provider/the_record/2020/may/Record_0520b.shtml BCBS of Michigan MI - Covered Telehealth Services https://www.bcbsm.com/content/dam/public/shared/documents/coronavirus/provider/alerts/cms-telehealth-codes.pdf BCBS of Michigan MI - Telehealth https://www.bcbsm.com/content/dam/microsites/corpcomm/provider/BCNPN/Assets/archive/2020/06/2020_06_MedicalPolicyUpdates.pdf BCBS of Michigan MI - telehealth billing https://www.bcbsm.com/content/dam/public/shared/documents/coronavirus/provider/alerts/telehealth-billing-changes-new-faq.pdf BCBS of Michigan MI Prescription limits https://www.bcbsm.com/content/dam/public/shared/documents/coronavirus/provider/covid-19-temp-quantity-limits-some-prescriptions.pdf BCBS of Minnesota https://www.bluecrossmn.com/about-us/newsroom/coronavirus-how-we-are-responding-covid-19 https://www.bluecrossmn.com/sites/default/files/DAM/2020-06/P11GA_12332836-General%20Coding%20007_Televideo%20Consultations-Telehealth%20Telemedicine%20Services_03.04.2019%20(002)_.pdf BCBS of Minnesota MN https://www.bluecrossmn.com/about-us/newsroom/news-releases/blue-cross-and-blue-shield-minnesota-accelerates-80-million-advance https://www.bluecrossmn.com/healthy/public/portalcomponents/PublicContentServlet?contentId=P11GA_26920249 https://www.bluecrossmn.com/sites/default/files/DAM/2020-10/Final%20CPT%2099072%20Not%20Separately%20Reimbursed%20QP106-20.pdf BCBS of Minnesota MN - Telehealth https://www.bluecrossmn.com/sites/default/files/DAM/2020-05/Final%20Preventive%20Care%20Provided%20via%20Telehealth%20QP45-20.pdf BCBS of Minnesota MN ShareCare https://www.bluecrossmn.com/sites/default/files/DAM/2020-04/Final%20Sharecare%20Telemedicine%20QP41-20-merged%20%281%29%20% %29.pdf BCBS of Mississippi https://webstatic.bcbsms.com/pdf/COVID-19_Pandemic_Telemedicine_Policy_4.27.20_w_links.pdf BCBS of Mississippi - Antigen Testing https://www.bcbsms.com/medical-policy-search#/policy-detail?id=70583767-dd31-4ec7-bdaa-8a39e13dc922 BCBS of Mississippi - COVID-19 Antigen Testing BCBS of Mississippi MS https://www.bcbsms.com/coding-policy-search#/policy-detail?id=c375fa08-3e11-429f-8ea4-0b2a1e93d2ce BCBS of Mississippi MS - COVID-19 Antigen Testing BCBS of Mississippi MS - COVID-19 Testing https://www.bcbsms.com/medical-policy-search#/policy-detail?id=e211242a-2a26-41c3-8026-df68ee2afcd4 BCBS of Montana MT https://www.bcbsmt.com/provider/education-and-reference/news?lid=k8cxumar https://www.bcbsmt.com/provider/education-and-reference/news-and-updates https://www.bcbsmt.com/provider/education-and-reference/covid-19 BCBS of Montana MT - Telemedicine https://www.bcbsmt.com/provider/education-and-reference/news?lid=k96y3d0r BCBS of Motana https://www.bcbsmt.com/provider/education-and-reference/news?lid=keqzqozy BCBS of Nebraska (Telehealth) https://www.nebraskablue.com/Member-Services/Find-a-Doctor/Telehealth BCBS of Nebraska NE - COVID-19 Testing https://www.nebraskablue.com/Employers/Employer-Updates/COVID-19-Testing-and-Treatment-Update BCBS of Nebraska NE HYDOXYCHLOROQUINE AND CHLOROQUINE https://medicalpolicy.nebraskablue.com/policy/397/1 BCBS of New Mexico NM https://www.bcbsnm.com/provider/covid-19-preparedness.html BCBS of New York NY https://www.bsneny.com/content/dam/COMMON/non-secure/provider/drug-therapy-guidelines/B-C-D/chloroquine-hydroxychloroquine.pdf BCBS of North Carolina https://www.bluecrossnc.com/provider-news/updates-covid-19-provider-and-member-support-measures-0 BCBS of North Carolina https://www.bluecrossnc.com/sites/default/files/document/attachment/services/public/pdfs/medicalpolicy/investigational_%28experimental%29_services.pdf BCBS of North Carolina NC https://www.bluecrossnc.com/provider-news/blue-cross-nc-waive-customer-costs-covid-19-treatment https://www.bluecrossnc.com/provider-news/blue-cross-nc-speeding-payments-providers https://www.bluecrossnc.com/provider-news/extension-authorizations-previously-approved-elective-procedures https://www.bluecrossnc.com/provider-news/notice-non-participating-providers-not-balance-bill-members-covid-19-services https://www.bluecrossnc.com/provider-news/guidance-covid-19-treatment-and-waiver-member-cost-sharing https://www.bluecrossnc.com/provider-news/covid-19-measures-extended https://www.bluecrossnc.com/provider-news/updated-coding-guidance-visits-determine-if-covid-19-testing-needed https://www.bluecrossnc.com/sites/default/files/document/attachment/services/public/pdfs/medicalpolicy/skilled_nursing_services.pdf https://www.bluecrossnc.com/provider-news/updates-covid-19-provider-and-member-support-measures-1 https://www.bluecrossnc.com/provider-news/updates-covid-19-provider-and-member-support-measures-2 https://www.bluecrossnc.com/sites/default/files/document/attachment/services/public/pdfs/medicalpolicy/gene_expression_testing_for_breast_cancer_prognosis.pdf BCBS of North Carolina NC https://www.bluecrossnc.com/provider-news/updates-covid-19-provider-and-member-support-measures-3 BCBS of North Carolina NC - Bundling https://www.bluecrossnc.com/sites/default/files/document/attachment/services/public/pdfs/medicalpolicy/bundling_guidelines.pdf BCBS of North Carolina NC Experimental or Investigational Services BCBS of North Carolina NC Telehealth BCBS of North Dakota - Extended Coverage https://www.bcbsnd.com/providers/news-resources/healthcare-news/covid-19-extended-coverage-update0 BCBS of North Dakota ND https://www.bcbsnd.com/coronavirus/expanded-benefits https://www.bcbsnd.com/providers/news-resources/healthcare-news/july-2020-fee-schedule-update-covid-19-disease-2020 https://www.bcbsnd.com/providers/news-resources/healthcare-news/covid-19-extended-coverage-update https://www.bcbsnd.com/providers/news-resources/healthcare-news/covid-19-provider-updates BCBS of North Dakota ND - Billing and Coding https://www.bcbsnd.com/coronavirus/covid-19providers/billing BCBS of North Dakota ND - Nebulizers https://www.bcbsnd.com/providers/policies-precertification/medical-policy/nebulizers BCBS of North Dakota ND - Pulse Oximetry https://www.bcbsnd.com/providers/policies-precertification/medical-policy/home-pulse-oximetry-device BCBS of North Dakota ND - Telehealth Remote Patient Monitoring https://www.bcbsnd.com/providers/news-resources/healthcare-news/telehealth-services-update--remote-patient-monitoring--rpm- BCBS of Northeastern New York NY https://www.bsneny.com/content/neny/provider/news/coronavirus.html BCBS of Oklahoma https://www.bcbsok.com/provider/pdf/april2020-ok-blue-review-provider-newsletter.pdf https://www.bcbsok.com/provider/covid-19-preparedness.html https://www.bcbsok.com/covid-19-producers/alerts-announcements/09-16-2020-telehealth-cost-share-waivers-extended BCBS of Oklahoma - OK https://www.bcbsok.com/covid-19-producers/alerts-announcements/06-26-2020-telehealth-treatment-waivers-extended BCBS of Oklahoma OK https://www.bcbsok.com/provider/pdf/covid-19-faqs-4-2-20.pdf https://www.bcbsok.com/provider/pdf/medicare-covid-19-faqs.pdf BCBS of Rhode Island https://www.bcbsri.com/providers/sites/providers/files/policies/2020/04/2020%20Telemedicine%20Telehealth%20and%20Telephone%20Services%20-%20Temporary%20Policy%20-%20Effective%203.18.20%204.6.20.pdf https://www.bcbsri.com/providers/sites/providers/files/policies/2020/04/Temporary%20Cost%20Share%20Waiver%20Encounter%20for%20Testing%20during%20Pandemic%20Final.pdf https://www.bcbsri.com/providers/sites/providers/files/policies/2020/04/2020%20TEMPORARY%20%28COVID-19%29%20Coronavirus%20Diagnostic%20Testing.pdf https://www.bcbsri.com/providers/sites/providers/files/policies/2020/03/2020%20Telemedicine%20Telehealth%20and%20Telephone%20Services%20-%20Temporary%20Policy%20-%20Effective%203.18.20%20-%20Update%203.27.pdf https://www.bcbsri.com/providers/sites/providers/files/policies/2020/03/2020%20Telemedicine%20Telehealth%20and%20Telephone%20Services%20-%20Temporary%20Policy%20-%20Effective%203.18.20_Final.pdf https://www.bcbsri.com/providers/sites/providers/files/policies/2020/03/2020%20Temporary%20Coronavirus%20Laboratory%20Testing_3.pdf https://www.bcbsri.com/providers/sites/providers/files/policies/2020/04/TEMPORARY%20Cost%20Share%20Waiver%20for%20Treatment%20for%20Confirmed%20Cases%20of%20COVID-19.pdf BCBS of Rhode Island - COVID-19 Telehealth after Jan 1 2021 https://www.bcbsri.com/providers/update/telemedicinetelephone-services-policy-changes-effective-january-1 BCBS of Rhode Island - COVID-19 Testing https://www.bcbsri.com/providers/sites/providers/files/policies/2020/11/2020%20TEMPORARY%20COVID-19%20Diagnostic%20Testing%2011.15.20.pdf BCBS of Rhode Island - COVID-19 Testing (situations when non-covered) https://www.bcbsri.com/providers/sites/providers/files/policies/2020/11/2020%20TEMPORARY%20COVID-19%20Diagnostic%20Testing%2011.25.20.pdf BCBS of Rhode Island RI Telehealth https://www.bcbsri.com/providers/update/extension-telemedicine-policy-2 https://www.bcbsri.com/providers/sites/providers/files/policies/2020/09/2020%20TEMPORARY%20Telemedicine%20Telehealth%20and%20Telephone%20Services%20During%20the%20COVID-19%20Crisis%20-%209_8_2020.pdf https://www.bcbsri.com/providers/sites/providers/files/policies/2020/09/2020%20TEMPORARY%20Telemedicin_Telehealth%20and%20Telephone%20Preventive%20Medicine%20Evaluation%20and%20Management%20Visits%20and%20Annual%20Wellness%20Visits%20During%20the%20COVID19%20Crisis%209_8_2020.docx.pdf https://www.bcbsri.com/providers/sites/providers/files/policies/2020/09/2020%20TEMPORARY%20COVID-19%20Diagnostic%20Testing%209.20.pdf BCBS of Rhode Island RI Testing https://www.bcbsri.com/providers/sites/providers/files/policies/2020/08/2020%20TEMPORARY%20COVID-19%20Diagnostic%20Testing%208.26.pdf BCBS of Rhode Island RI https://www.bcbsri.com/providers/sites/providers/files/policies/2020/04/2020%20Telemedicine%20Telehealth%20and%20Telephone%20Services%20-%20TEMPORARY%20Policy%20-%20Effective%203.18.20_0.pdf https://www.bcbsri.com/providers/sites/providers/files/policies/2020/04/TEMPORARY%20-%20Preventive%20Medicine%20Evaluation%20%20Management%20and%20Annual%20Wellness%20Exams%20During%20the%20COVID-19%20Crisis%20Final%20V.1.pdf https://www.bcbsri.com/providers/update/evicore-authorizations-covid-19-update https://www.bcbsri.com/providers/sites/providers/files/policies/2020/04/2020%20TEMPORARY%20Coronavirus%20%28COVID-19%29%20Diagnostic%20Testing_0.pdf https://www.bcbsri.com/providers/sites/providers/files/policies/2020/04/2020%20Telemedicine%20Telehealth%20and%20Telephone%20Services%20-%20TEMPORARY%20Policy%20-%20Effective%203.18.20%20as%20of%204.15.pdf https://www.bcbsri.com/providers/sites/providers/files/policies/2020/04/TEMPORARY%20-%20Preventive%20Medicine%20Evaluation%20%20Management%20and%20Annual%20Wellness%20Exams%20During%20the%20COVID-19%20Crisis%20Final%20docx_0.pdf https://www.bcbsri.com/providers/update/suspension-prior-authorization-requirements-during-covid-19-pandemic https://www.bcbsri.com/providers/update/temporary-medicare-advantage-referral-requirement-waiver https://www.bcbsri.com/providers/sites/providers/files/policies/2020/05/2020%20TEMPORARY%20Telemedicine%20Telehealth%20and%20Telephone%20Services%20During%20the%20COVID-19%20Crisis%20%E2%80%93%20Effective%205.13.2020.pdf https://www.bcbsri.com/providers/sites/providers/files/policies/2020/06/2020%20TEMPORARY%20Telemedicine%20Telehealth%20and%20Telephone%20Services%20During%20the%20COVID-19%20Crisis%20%20.2020.pdf https://www.bcbsri.com/providers/update/extension-telemedicine-policy https://www.bcbsri.com/providers/sites/providers/files/policies/2020/07/2020%20TEMPORARY%20Telemedicine%20Telehealth%20and%20Telephone%20Services%20During%20the%20COVID-19%20Crisis%20%20Effective%205.13.2020%20% .20.pdf https://www.bcbsri.com/providers/sites/providers/files/policies/2020/07/TEMPORARY%20Encounter%20for%20Determination%20of%20Need%20for%20COVID-19%20Diagnostic%20Testing.7.24.2020%20.pdf BCBS of Rhode Island RI - COVID-19 Testing https://www.bcbsri.com/providers/sites/providers/files/policies/2020/10/2020%20TEMPORARY%20COVID-19%20Diagnostic%20Testing%2010.15.20.pdf https://www.bcbsri.com/providers/sites/providers/files/policies/2020/10/2020%20TEMPORARY%20COVID-19%20Diagnostic%20Testing%2010.29.20.pdf BCBS of Rhode Island RI - diagnonstic testing BCBS of Rhode Island RI - Telehealth https://www.bcbsri.com/providers/sites/providers/files/policies/2020/08/2020%20TEMPORARY%20Telemedicine%20Telehealth%20and%20Telephone%20Services%20During%20the%20COVID-19%20Crisis%20Ext%20of%20EO%209.2.20.pdf https://www.bcbsri.com/providers/sites/providers/files/policies/2020/08/2020%20TEMPORARY%20Telemedicine%20Telehealth%20and%20Telephone%20Services%20During%20the%20COVID-19%20Crisis%20-%20Effective%203.18.2020%20Ext%20to%2012.31.pdf https://www.bcbsri.com/providers/sites/providers/files/policies/2020/08/2020%20Early%20Intervention%20Services.pdf BCBS of Rhode Island RI - Telemedicine https://www.bcbsri.com/providers/sites/providers/files/policies/2020/10/2021%20Telemedicine_Telephone%20Services%20Medical%20Policy%20for%20Commercial%20Products%20%20Effective%201_1_2021.pdf BCBS of Rhode Island RI - Telemedicine - Medicare Advantage https://www.bcbsri.com/providers/sites/providers/files/policies/2020/10/2021%20Telemedicine_Telephone%20Services%20for%20BlueCHiP%20for%20Medicare%20Products%20during%20COVID%20PHE.pdf BCBS of Rhode Island RI - Testing https://www.bcbsri.com/providers/sites/providers/files/policies/2020/08/2020%20TEMPORARY%20COVID-19%20Diagnostic%20Testing%208.19.pdf BCBS of South Carolina https://www.southcarolinablues.com/web/public/brands/sc/members/live-healthy/blog/categories/Health/covid-19-virtual-visits-telehealth/ BCBS of South Carolina SC https://www.southcarolinablues.com/web/public/brands/sc/about-us/newsroom/news-releases/2020/waive-cost-sharing-in-network-covid-19-treatment/ https://www.southcarolinablues.com/web/public/brands/sc/members/covid-19/benefit-plan-changes/ https://web.southcarolinablues.com/news.aspx?article_id=1272 BCBS of Tennessee TN https://bcbstupdates.com/provider-faq/?cm_sp=cta-_-callout_button-_-Offsite_Updates_Coronavirus https://www.bcbst.com/docs/providers/bluealert/2020/BlueAlert-may.pdf https://bcbstupdates.com/were-prepared-to-support-our-members-and-communities/ https://bcbstupdates.com/provider-faq/ BCBS of Texas - Telehealth https://www.bcbstx.com/provider/pdf/tx_using_telemed_telehealth_covid19.pdf BCBS of Texas - Telemedicine BCBS of Texas TX https://www.bcbstx.com/covid-19/whats-covered https://www.bcbstx.com/provider/pdf/ptotsttelehealth_covid19.pdf https://www.bcbstx.com/provider/pdf/tx_provider_faq_covid19.pdf https://www.bcbstx.com/provider/covid-19-medicare.html https://www.bcbstx.com/covid-19-producers/alerts-announcements/06-26-2020-telehealth-treatment-waivers-extended BCBS of Texas TX - Telehealth https://www.bcbstx.com/provider/pdf/txcpcp01_telemed_and_telehealth_01012021.pdf https://www.bcbstx.com/provider/pdf/claimstelephonemedicalservices_covid19.pdf BCBS of Vermont https://www.bcbsvt.com/health-and-wellness/coronavirus-update https://www.bcbsvt.com/sites/default/files/2020-04/cpp_31_temporary_cost_sharing_for_covid19_acute_outpatient_treatment_4.17.20_jp_ds_signed.pdf https://www.bcbsvt.com/sites/default/files/2020-04/covid-19-medical-policy-04.17.20.pdf https://www.bcbsvt.com/bcbsvt-temporaryemergency-payment-policies BCBS of Vermont VT https://www.bcbsvt.com/sites/default/files/2020-06/Prior%20Approval%20Expansion%20FINAL%20%282%29.pdf https://www.bcbsvt.com/sites/default/files/2020-07/Investigational-Services_20200716.pdf https://www.bcbsvt.com/provider/communications/news-from-blue-cross-and-blue-shield-of-vermont https://www.bcbsvt.com/sites/default/files/2020-09/CPP_30%20Waiver%20of%20Cost%20Share%20for%20COVID-19-Related%20Testing%208.31.20%20FINAL.pdf BCBS of Vermont VT - Temporary COVID-19 Policies BCBS of Vermont VT - Waiver Timelines BCBS of Western New York NY https://www.bcbswny.com/content/wny/provider/news/blue-bulletin/expanding-patient-care-through-telehealth-during-COVID-19.html BCBS of Wyoming WY https://www.bcbswy.com/docs/providers/updates/E-bulletin_provider_update_COVID19_4_03_20.pdf https://www.bcbswy.com/providers/updates/ https://www.bcbswy.com/docs/providers/updates/COVID-19_Billing_Guidance_14_May_2020.pdf BCBS of Wyoming WY - Telemedicine https://www.bcbswy.com/provider_updates/telemedicine-update/ BCBS or Rhode Island RI - TImely Filing https://www.bcbsri.com/providers/sites/providers/files/policies/2020/08/2020%20TEMPORARY%20Timely%20Filing%20Extension%20Policy-%20Additional% %20Days%20During%20the%20COVID-19%20Crisis.pdf BCBS Rhode Island RI - Prior Authorization https://www.bcbsri.com/providers/update/prior-authorization-changes-effective-december-1 BCBS Rhode Island RI - Telehealth https://www.bcbsri.com/providers/update/updated-temporary-telemedicinetelehealth-and-telephone-services-during-covid-19-crisis-0 https://www.bcbsri.com/providers/update/extension-telemedicine-policy-3 BCBS Rhode Island RI - Testing https://www.bcbsri.com/providers/sites/providers/files/policies/2020/10/2020%20TEMPORARY%20COVID-19%20Diagnostic%20Testing%2010.1.20.pdf BCBS Wellmark https://www.wellmark.com/Provider/CommunicationAndResources/COVID-19/Testing.aspx BCBS Western New York NY https://www.bcbswny.com/content/wny/provider/news/coronavirus.html Blue Cross Blue Shield of Michighan BCBS MI - Telehealth Blue Cross of Idaho - Telehealth https://providers.bcidaho.com/resources/pdfs/providers/alerts/063020SOITelehealth.pdf Blue Cross of Idaho (Telehealth) https://providers.bcidaho.com/resources/pdfs/providers/alerts/060320TeleHlthExpnsnMed.pdf Blue Cross of Idaho ID - COVID Testing https://providers.bcidaho.com/resources/pdfs/medical-management/Medical%20Policy%20PDF/2%20-%20Med/02.04.573_08-05-20.pdf Blue Shield New York Northeastern NY https://www.bsneny.com/content/neny/provider/news/blue-bulletin/expanding-patient-care-through-telehealth-during-COVID-19.html Blue Shield of California CA https://www.blueshieldca.com/bsca/bsc/wcm/connect/provider/provider_content_en/guidelines_resources/COVID-19-network-providers-info https://www.blueshieldca.com/bsca/bsc/public/common/PortalComponents/provider/StreamDocumentServlet?fileName=PRV_Ident_Microorg.pdf https://news.blueshieldca.com/2020/04/06/blue-shield-of-california-offers-financial-support-to-healthcare-providers-in-response-to-covid-19-crisis https://www.blueshieldca.com/bsca/bsc/public/broker/PortalComponents/StreamDocumentServlet?fileName=COVID-19%20Fact%20Sheet%20FINAL%20043020.pdf Blue Shield of New York Northeastern - Telehealth https://www.bsneny.com/content/neny/about/news/latest/blueshield-extends-telehealth-coverage.html Boston Medical Center HealthNet Plan https://www.bmchp.org/I-Am-A/Provider/COVID-19-Resources California Medicaid CA Medi-Cal http://files.medi-cal.ca.gov/pubsdoco/newsroom/newsroom_30339_25.asp?utm_source=iContact&utm_medium=email&utm_campaign=medi-cal-newsflash&utm_content=DCN+30339_25 http://files.medi-cal.ca.gov/pubsdoco/newsroom/newsroom_30339_27.asp https://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/ph202011.aspx?_cldee=bXVuZGVyd29vZEBjYW5hcnlpbnNpZ2h0cy5jb20%3d&recipientid=contact-02a30c91edf5ea11a815000d3a33fb78-c54d029b297946ab9cb28b320cb51a12&esid=553643da-e20f-eb11-a813-000d3a33febe California Medicaid Medi-Cal http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/ph202005.asp#a1 http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/gm202005.asp California Medicaid Medi-Cal CA http://files.medi-cal.ca.gov/pubsdoco/newsroom/newsroom_30339_53.asp https://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/ph202009.aspx?_cldee=bXVuZGVyd29vZEBjYW5hcnlpbnNpZ2h0cy5jb20%3d&recipientid=contact-02a30c91edf5ea11a815000d3a33fb78-56749f2d57f54b5ca170e68c80e5d1c3&esid=508f6a6c-5bf8-ea11-a815-000d3a5bbb60#a8 California Medicaid Medi-Cal CA COVID-19 Testing https://files.medi-cal.ca.gov/pubsdoco/newsroom/newsroom_30717_05.aspx?_cldee=cHRlbGdlbmVyQGNhbmFyeWluc2lnaHRzLmNvbQ%3d%3d&recipientid=contact-cc79ed83ecf5ea11a815000d3a33fb78-9ca9a5aa502c484eae89974ecdd1de01&esid=39215757-8336-eb11-a813-0022480a0054 CalOptima - Prior Authorization https://www.caloptima.org/~/media/Files/CalOptimaOrg/508/COVID19/2020-09-29_ProviderAlert_PriorAuthGuidance_508.ashx Capital Blue (DC) https://www.capbluecross.com/wps/portal/cap/provider/covid-19-information/telehealth Capital Blue (Washington DC BCBS) https://www.capbluecross.com/wps/portal/cap/provider/covid-19-information Capital Blue BCBS https://www.capbluecross.com/wps/portal/cap/home/explore/resource/coronavirus/ CareCentrix https://ha2.edelivery-view.com/Public/CCX1000/1338_CareCentrix%20COVID-19%20Related%20Policy%20Changes%20Related%20to%20DME_FINAL-merged.pdf https://ha2.edelivery-view.com/Public/CCX1000/1338_CareCentrix%20COVID-19%20Related%20Policy%20Changes_v2_04102020_Final.pdf CareFirst BCBS https://provider.carefirst.com/providers/news/2020/03/carefirst-launches-new-coronavirus-resource-center/ https://individual.carefirst.com/individuals-families/news/2020/04/carefirst-bluecross-blueshield-to-offer-170m-in-p/ Carefirst BCBS https://individual.carefirst.com/individuals-families/about-us/coronavirus-resource-center.page CareFirst BCBS https://provider.carefirst.com/carefirst-resources/provider/pdf/drug/Albuterol-limit-policy-only-criteria.pdf CareOregon https://www.careoregonadvantage.org/providers/covid-19 CareSource https://www.caresource.com/documents/oh-multi-p- -covid-19-temporary-telehealth-services-all-mp-oh-ma-oh-d-snp/ https://www.caresource.com/documents/oh-multi-p- -covid-19-temporary-telehealth-services-oh-mcd-mycare/ https://www.caresource.com/documents/in-exc-p- -covid-19-temporary-telehealth-services/ https://www.caresource.com/documents/oh-med-p- -covid-19-temporary-health-services-update-network-notification/ https://www.caresource.com/documents/in-med-p- -covid-19-temporary-telehealth-services/ https://www.caresource.com/documents/in-med-p- -v-2-covid-19-temporary-telehealth-services-network-notification-update/ https://www.caresource.com/documents/oh-med-p-116668-covid-19-temporary-telehealth-services-network-notification-update/ CDPHP https://www.cdphp.com/members/wellness/common-health-topics/cold-and-flu/corona-virus/coverage CenCal https://www.cencalhealth.org/coronavirus/ https://www.cencalhealth.org/providerservicesfaq/ Centene https://www.centene.com/news/centene-launches-provider-support-program-to-help-with-small-business-loan-applications.html https://www.centene.com/news/centene-equips-critical-medicaid-providers-with-telehealth-resources.html Centene - Diagnostic Testing https://www.trilliumohp.com/content/dam/centene/policies/clinical-policies/CP.MP.183.pdf Central Califonia Alliance for Health CCAH https://www.ccah-alliance.org/COVID-19_provider_info.html CIGNA https://www.cigna.com/newsroom/news-releases/2020/cigna-waives-customer-cost-sharing-for-covid-19-treatment-and-deploys-clinical-teams-to-increase-virtual-care-capacity https://static.cigna.com/assets/chcp/resourceLibrary/medicalResourcesList/medicalDoingBusinessWithCigna/medicalDbwcCOVID-19.html https://static.cigna.com/assets/chcp/pdf/coveragePolicies/pharmacy/ph_2016_coveragepositioncriteria_covid_19_therapeutics.pdf CIGNA - COVID-19 Billing Guidelines https://static.cigna.com/assets/chcp/secure/pdf/resourceLibrary/clinReimPolsModifiers/R33_COVID_19_Interim_Billing_Guidelines.pdf CIGNA - Billing Guidelines CIGNA - COVID-19 Testing https://static.cigna.com/assets/chcp/pdf/coveragePolicies/medical/mm_0557_coveragepositioncriteria_covid-19_in_vitro_diagnostic_testing.pdf CIGNA - NCCI Edits https://static.cigna.com/assets/chcp/secure/pdf/resourceLibrary/clinReimPolsModifiers/R09_NCCI_editing_for_facilities.pdf CIGNA - Virtual Care https://static.cigna.com/assets/chcp/secure/pdf/resourceLibrary/clinReimPolsModifiers/Notifications/R31_Virtual_Care.pdf CMS https://www.cms.gov/outreach-and-educationoutreachffsprovpartprogprovider-partnership-email-archive/2020-03-31-mlnc-se https://www.cms.gov/newsroom/press-releases/cms-issues-new-wave-infection-control-guidance-based-cdc-guidelines-protect-patients-and-healthcare CMS - 1135 Waivers https://www.cms.gov/files/document/cms-waivers-and-covid-19-response.pdf CMS - Medicare temporary policy changes https://www.cms.gov/files/document/summary-covid-19-emergency-declaration-waivers.pdf CMS Medicare https://www.cms.gov/newsroom/press-releases/trump-administration-announces-expanded-coverage-essential-diagnostic-services-amid-covid-19-public Colorado CO Medicaid https://www.colorado.gov/pacific/hcpf/known-issues#COVIDEAPG Colorado Medicaid https://www.colorado.gov/pacific/sites/default/files/Last%20Week%20in%20Review%20-%202019%20Novel%20Coronavirus%20COVID-19%20Updates%204-13-2020.pdf Colorado Medicaid CO https://www.colorado.gov/pacific/sites/default/files/Bulletin_0520_B2000448.pdf https://www.colorado.gov/pacific/sites/default/files/Last%20Week%20in%20Review%20-%202019%20Novel%20Coronavirus%20%28COVID-19%29%20Updates%204-27-2020.pdf https://www.colorado.gov/pacific/sites/default/files/Bulletin_1020_B2000453.pdf https://www.colorado.gov/pacific/sites/default/files/Provider%20News%20%26%20Resources%20-%20Issue%206%20%2011-06-2020.pdf Commonwealth Care Alliance https://www.commonwealthcarealliance.org/getmedia/6ed003aa-f6d7-4862-9b7b-fcfab1e40f75/COVID-19-DME-Provider-Letter Community Care of OK https://www.ccok.com/providers/Telemedicine.asp Community First Health Plan https://www.cfhp.com/news/provider-notice-chip-copay-for-covid-19/ https://www.cfhp.com/covid-19-procedure-codes-implemented-retroactively/ Community Health Options Community Health Plan of Washington WA https://www.chpw.org/for-providers/covid-19-faqs-and-bulletins/ CommunityCare of Oklahoma OK - Telehealth https://www.ccok.com/pdf/providers/payment-policies/Telehealth%20Medicine(3).pdf Connecticare https://www.connecticare.com/provider/GlobalFiles/forms/CodingGuidanceforCOVID-19.pdf ConnectiCare https://www.connecticare.com/provider/headlines.aspx?hid=2c2750e4-a963-47b5-b19a-1a1715e96ee9 https://www.connecticare.com/provider/headlines.aspx?hid=36c1ba50-ef38-4289-ba7f-6f08169d6a60 Connecticut Medicaid https://www.ctdssmap.com/CTPortal/Information/Get%20Download%20File/tabid/44/Default.aspx?Filename=Hosp_IM_040820.pdf&URI=Important_Message%2fHosp_IM_040820.pdf Connecticut Medicaid CT https://www.ctdssmap.com/CTPortal/Information/Get%20Download%20File/tabid/44/Default.aspx?Filename=COVID_19_IM.pdf&URI=Important_Message%2fCOVID_19_IM.pdf Connecticut Medicaid CT Husky Health https://www.huskyhealthct.org/providers/provider_updates.html Contra Costa Health Services https://cchealth.org/healthplan/providers/covid19-waiver.php County Care (Cook County IL) http://www.countycare.com/providers/coronavirus County Care (Cook County IL) Prior Auth http://www.countycare.com/Media/Default/pdf/2020/COVID-19_Prior_Auth_Provider_Notice_V3-041020.pdf DakotaCare https://www.dakotacare.com/services/for-providers/guidance-on-coverage-and-billing-for-providers-during-covid-19/ Delaware Medicaid https://dpr.delaware.gov/wp-content/uploads/sites/93/2020/03/Hydroxychloroquine-Stockpiling-Letter.pdf https://dhss.delaware.gov/dhss/dmma/files/dmma_covid19_guidance.pdf https://www.fda.gov/media/136534/download Delaware Medicaid https://medicaidpublications.dhss.delaware.gov/dotnetnuke/DesktopModules/Bring2mind/DMX/API/Entries/Download?Command=Core_Download&EntryId=1095&language=en-US&PortalId=0&TabId=94 ECRI https://www.ecri.org/coronavirus-covid-19-outbreak-preparedness-center?_hsenc=p2ANqtz-9qwe0Syv7AuWqFpGz8opD67fO4vx8QwRMr9lklSgypc20YqCkS9PN3iRZGJGoJ7tDN6fnet-Cn_mKmoaaJKA7k1kDv6g&_hsmi=84920073 Emblem Health https://www.emblemhealth.com/providers/clinical-corner/um-and-medical-management/covid19 https://www.emblemhealth.com/content/emblemhealth/home/providers/clinical-corner/um-and-medical-management/providers-covid19/covid19-update.html https://www.emblemhealth.com/providers/clinical-corner/um-and-medical-management/providers-covid19/covid19-update Empire BCBS https://www.empireblue.com/coronavirus/?brandcd=EBCBS EviCore https://www.evicore.com/insights/ask-evicore-covid19-support Excellus & Premera BCBS - No Coverage for PPE https://provider.excellusbcbs.com/resources/news/article?articleId=7509883&classPK=284083459 Excellus BCBS https://provider.excellusbcbs.com/documents/ /127121/EXC-PRV-Telemedicine+and+Telehealth.pdf/98bfd6be-4a62-e018-2f88-647a453ed228?t=1585325226638 https://provider.excellusbcbs.com/documents/ /224494/April+2020+Connection+Newsletter.pdf/5f2cdab3-a746-459d-16fc-37967db7bdb9?t=1586362063128#page=9 https://provider.excellusbcbs.com/documents/ /127121/EXC-PRV-Telemedicine+and+Telehealth.pdf/98bfd6be-4a62-e018-2f88-647a453ed228?t=1587484986207 https://provider.excellusbcbs.com/documents/ /127109/COVID+impacted+drugs_policy.pdf/0bac669f-54a1-8a76-5c18-cec708aef252?t=1592325869913 https://provider.excellusbcbs.com/coronavirus Excellus BCBS - COVID-19 Testing https://provider.excellusbcbs.com/resources/news/article?articleId=7472879&classPK=283712017 Excellus BCBS - Pharmacy Drugs https://provider.excellusbcbs.com/documents/ /127109/COVID+impacted+drugs_policy+05012020.pdf/0bac669f-54a1-8a76-5c18-cec708aef252?t=1588092412564 Excellus Extension of Cost Share Waiver https://provider.excellusbcbs.com/resources/news/article?articleId=7570531&classPK=284999263 Fallon Health/Beacon https://www.fchp.org/en/find-insurance/navicare/coronavirus.aspx https://www.fchp.org/en/coronavirus.aspx FDA https://www.fda.gov/medical-devices/emergency-situations-medical-devices/emergency-use-authorizations FDA (PPE) https://www.fda.gov/medical-devices/emergency-situations-medical-devices/medical-devices-and-covid-19-coronavirus-pandemic FDA Drug Compounding Guidance https://www.fda.gov/media/137125/download First Choice Health https://www.fchn.com/learn/coronavirus-information-updates/providers FirstCare Health Plan http://www.firstcare.com/FirstCare/media/First-Care/PDFs/Provider%20docs/Certain-COVID-19-Procedure-Codes-Implemented-Retroactively.pdf FirstChoice/SelectHealth of SC http://www.selecthealthofsc.com/provider/covid-19.aspx Florida Blue BCBS of FL https://www.floridablue.com/sites/floridablue.com/files/docs/Modifier_Reference_Payment_Policy_10-011_2020.pdf Florida Medicaid https://ahca.myflorida.com/docs/COVID-19_Medicaid_FAQs.pdf Florida Medicaid FL https://ahca.myflorida.com/Medicaid/pdffiles/provider_alerts/2020_09/SFY19-20_DRG-EAPG_3M_Group_090420.pdf Florida Medicaid FL AHCA https://ahca.myflorida.com/Medicaid/pdffiles/provider_alerts/2020_04/Medicaid_Coverage_Coronavirus_Laboratory_Testing_Update_New_Procedure_Codes_Rapid_Testing_20200427.pdf Freedom Health https://www.freedomhealth.com/dlsecure/?_id=69023724 Gateway Health https://www.gatewayhealthplan.com/coronavirus/provider-covid-19-updates Gateway Health Plan (PA) https://www.gatewayhealthplan.com/Portals/0/provider_updates/COVID_06_08.pdf HAP https://portal.hap.org/bam/viewPolicy.do?id= https://portal.hap.org/bam/viewPolicy.do?id= https://portal.hap.org/bam/viewPolicy.do?id= https://portal.hap.org/bam/viewPolicy.do?id= https://portal.hap.org/bam/viewPolicy.do?id= HAP https://portal.hap.org/bam/viewPolicy.do?id= HAP - Telehealth https://portal.hap.org/bam/viewPolicy.do?id= https://portal.hap.org/bam/viewPolicy.do?id= Harvard Pilgim - COVID Antibody Testing https://www.harvardpilgrim.org/pls/portal/docs/PAGE/PROVIDERS/MEDMGMT/MEDICAL_CLINICALPOLICIES/COVID19%20ANTIBODY_VER.A_15AUG20_P.PDF Harvard Pilgrim https://www.harvardpilgrim.org/pls/portal/docs/PAGE/PROVIDERS/MANUALS/PAYMENT%20POLICIES/H-2%20LAB-PATH_030220.PDF https://www.harvardpilgrim.org/pls/portal/docs/PAGE/PROVIDERS/MANUALS/PAYMENT%20POLICIES/H-6%20TELEMEDICINE_INTERIM_032420.PDF https://www.harvardpilgrim.org/portal/page?_pageid=253,13264087&_dad=portal&_schema=PORTAL https://www.harvardpilgrim.org/portal/page?_pageid=253,13324081&_dad=portal&_schema=PORTAL https://www.harvardpilgrim.org/provider/wp-content/uploads/sites/7/2020/09/MAdv-COVID-19-Antibody-Testing-MP.pdf Harvard Pilgrim - Antibody Testing for COVID-19 https://www.harvardpilgrim.org/provider/wp-content/uploads/sites/7/2020/09/COVID19-Antibody-MP.pdf Harvard Pilgrim - COVID-19 https://www.harvardpilgrim.org/provider/news-center/covid-19-information-and-resources/ Harvard Pilgrim - COVID-19 Reminders and Resources https://www.harvardpilgrim.org/provider/covid-19-reminders-and-resources-3/ https://www.harvardpilgrim.org/provider/covid-19-reminders-and-resources-4/ Harvard Pilgrim - Non-covered Services https://www.harvardpilgrim.org/provider/wp-content/uploads/sites/7/2020/07/H-3-NON-COVERED-SRVS-PM.pdf Harvard Pilgrim - Telehealth https://www.harvardpilgrim.org/provider/wp-content/uploads/sites/7/2020/07/H-6-TELEMEDICINE_INTERIM-PM.pdf Harvard Pilgrim COVID-19 Antibody Testing Health New England https://healthnewengland.org/Portals/_default/Shared%20Documents/providers/Telehealth%20Telemedicine%20Services-Payment%20Policy.pdf https://healthnewengland.org/Portals/_default/Shared%20Documents/providers/Laboratory-Professional-Services.pdf Health New England - COVID-19 Testing https://healthnewengland.org/Portals/_default/Shared%20Documents/providers/Antibody-Testing-SARS-CoV-2.pdf Health Partner Plans HPP https://www.healthpartnersplans.com/media/100497563/pc-420nm-006-covid-19-telehealth-services.pdf Health Partners Plans https://www.healthpartnersplans.com/providers/resources/covid-19-resources-for-providers Health Plan of San Mateo https://www.hpsm.org/provider/provider-news-updates/urgent-messages https://www.hpsm.org/provider-covid-resources/content-page-2 https://www.hpsm.org/docs/default-source/provider-notices/cost-sharing-waiver-for-covid-19-testing-and-treatment.pdf?sfvrsn=3ceca088_6 Health Plan of San Mateo - Home Health Prior Auth https://www.hpsm.org/docs/default-source/provider-notices/20201016---hhc-pa-requirement-changes---final.pdf?sfvrsn=dad7ba36_4 HealthFirst - Testing https://www.hfproviders.org/documents/root/1037-20_NY-MCO-Website-Info-COVID-testing-Healthfirst-CVS-Guidance_FINAL.pdf HealthNet https://healthnet.com/portal/home/content/iwc/home/articles/Important_Notices.action HealthNet (Centene) https://www.healthnet.com/content/healthnet/en_us/covid-19-updates/providers.html HealthPartners https://www.healthpartners.com/ucm/groups/public/@hp/@public/documents/documents/entry_223042.pdf HealthPartners (MN, IA, WI, ND, SD) https://www.healthpartners.com/ucm/groups/public/@hp/@public/documents/documents/entry_224837.pdf Highmark https://securecms.highmark.com/content/medpolicy/en/highmark/de/commercial/policies/Miscellaneous/Z-102/Z-102-002.html Highmark BCBS https://www.highmark.com/hmk2/newsroom/2020/pr04022020COVID19.shtml https://securecms.highmark.com/content/medpolicy/en/highmark/pa/commercial/policies/Laboratory/L-258/L-258-001.html https://content.highmarkprc.com/Files/ClaimsPaymentReimb/ReimbPolicies/rp-041.pdf https://securecms.highmark.com/content/medpolicy/en/highmark/pa/commercial/policies/Durable_Medical_Equipment/E-32/E-32-017.html https://securecms.highmark.com/content/medpolicy/en/highmark/pa/commercial/policies/Laboratory/L-258/L-258-002.html https://www.highmark.com/hmk2/newsroom/2020/pr04202020OpioidCOVID.shtml https://content.highmarkprc.com/Files/ClaimsPaymentReimb/ReimbPolicies/rp-046.pdf https://securecms.highmark.com/content/medpolicy/en/highmark/pa/commercial/policies/Miscellaneous/Z-102/Z-102-002.html https://securecms.highmark.com/content/medpolicy/en/highmark/pa/medicare-advantage/policies/Miscellaneous/Z-102/Z-102-001.html https://securecms.highmark.com/content/medpolicy/en/highmark/wv/commercial/policies/Miscellaneous/Z-102/Z-102-003.html Highmark BCBS - Nebulizers https://securecms.highmark.com/content/medpolicy/en/highmark/pa/commercial/policies/Durable_Medical_Equipment/E-32/E-32-018.html Highmark BCBS - Services not separately reimbursed Highmark BCBS (Telehealth) Highmark BCBS Delaware DE https://securecms.highmark.com/content/medpolicy/en/highmark/de/commercial/policies/Laboratory/L-258/L-258-005.html Highmark BCBS Medical Policy (Waivers) https://content.highmarkprc.com/Files/Region/hbs/NewsletterNotices/MPU/mpu-july-20.pdf Highmark Telehealth HMSA https://hmsa.my.salesforce.com/sfc/p/#1N000002CAOI/a/3m000000MZh9/G.8uAx7PE33aJoNJPp0tyIWQkeacxj9aTOjVvPAfNxE HMSA BCBS - Services not Covered https://prc.hmsa.com/s/article/Codes-That-Do-Not-Meet-Payment-Determination-Criteria HMSA Hawaii HI https://hmsa.my.salesforce.com/sfc/p/#1N000002CAOI/a/3m0000001B7c/WgS_lwl3HRKx1qg.eqcBslWqAgVwl6xMIRYsaSCmlSA Horizon BCBS https://www.horizonblue.com/providers/covid-19-information/waiving-pre-certification-prior-authorization-requirements-acute-inpatient-facility-admissions Horizon BCBS https://www.horizonblue.com/sites/default/files/COVID-19_Resource_Guide_Brokers_Groups_Customers.pdf Horizon BCBS of New Jersey NJ https://www.horizonblue.com/providers/covid-19-information/covid-19-frequently-asked-questions https://www.horizonblue.com/providers/policies-procedures/policies/reimbursement-policies-guidelines/telemedicine-services https://www.horizonblue.com/providers/covid-19-information Horizon BCBS of New Jersey NJ - COVID-19 Antibody Testing https://www.horizonblue.com/providers/policies-procedures/policies/reimbursement-policies-guidelines/covid-19-antibody-testing Humana https://www.humana.com/coronavirus/coverage-faqs https://www.humana.com/provider/coronavirus https://www.humana.com/provider/medical-resources/claims-payments/claims-payment-policies https://www.humana.com/provider/coronavirus/state-covid-information Humana (Telehealth Claims Payment) http://casproviders.org/wp-content/uploads/2020/05/HumanaCOVID-19-Telehealth-and-Other-Virtual-Services-Policy.pdf Humana (Telehealth) https://www.humana.com/provider/coronavirus/telemedicine ICD10 (new CPT codes related to COVID-19) https://www.icd10monitor.com/news-alert-two-new-cpt-codes-effective-immediately Idaho Medicaid https://www.idmedicaid.com/MedicAide%20Newsletters/April%202020%20MedicAide.pdf https://coronavirus.idaho.gov/wp-content/uploads/sites/127/2020/03/DHW-List-of-Waived-Rules.pdf Idaho Medicaid Provider Stabilization Funding https://coronavirus.idaho.gov/wp-content/uploads/2020/11/IDHW_CFAC.pdf IHCP Indiana IN http://provider.indianamedicaid.com/ihcp/Bulletins/BT202088.pdf Illinois Medicaid https://www.illinois.gov/hfs/MedicalProviders/notices/Pages/default.aspx https://www.illinois.gov/hfs/MedicalProviders/notices/Pages/prn200406a.aspx https://www.illinois.gov/hfs/Pages/coronavirus.aspx Illinois Medicaid IL https://www.illinois.gov/hfs/MedicalProviders/notices/Pages/prn200408b.aspx https://www.illinois.gov/hfs/MedicalProviders/notices/Pages/prn200410b.aspx Independence BCBS https://www.ibx.com/pdfs/custom/edge/ibx-covid-faqs.pdf http://medpolicy.ibx.com/policies/mpi.nsf/f12d23cb982d59b485257bad00552d87/85256aa800623d7a8525853b004adafb!OpenDocument https://www.ibx.com/htdocs/custom/covid-19-providers/index.html http://medpolicy.ibx.com/policies/mpi.nsf/f12d23cb982d59b485257bad00552d87/85256aa800623d7a852585a60011b38f!OpenDocument http://medpolicy.ibx.com/policies/mpi.nsf/f12d23cb982d59b485257bad00552d87/85256aa800623d7a852585a60011d3b5!OpenDocument http://medpolicy.ibx.com/policies/MedAdvMPI.nsf/6a827f8172ac2f8185257d3100532b7a/85257d39006e7945852585a600120e06!OpenDocument Independence BCBS - Commercial http://medpolicy.ibx.com/policies/mpi.nsf/872889ed03971afc8525750800571e91/a957c168ad6f9248852585a700776fbf!OpenDocument Independence BCBS - Pulse Oximeters (consumer grade) http://medpolicy.ibx.com/policies/mpi.nsf/872889ed03971afc8525750800571e91/c8d6fa9af15929a88525857e004faa79!OpenDocument Independence BCBS Medicare Advantage http://medpolicy.ibx.com/policies/MedAdvMPI.nsf/e201542931d27cc785257d3100532b7f/3da83620971f87d38525853d00609c94!OpenDocument http://medpolicy.ibx.com/policies/mpi.nsf/872889ed03971afc8525750800571e91/7c2b0a8895ab145c8525853d005f4d71!OpenDocument Independent Health https://www.independenthealth.com/Portals/0/PDFs/ProvidersPublic/Billing%20Guidelines%20for%20Primary%20Care%20Telehealth%20Preventive%20Visits.pdf Indiana Medicaid http://provider.indianamedicaid.com/ihcp/Bulletins/BT202040.pdf http://provider.indianamedicaid.com/ihcp/Bulletins/BT202043.pdf http://provider.indianamedicaid.com/ihcp/Bulletins/BT202064.pdf https://calendar.in.gov/site/fssa/event/ihcp-covid-19-response-updated-policies-will-apply-throughout-the-public-health-emergency/ Indiana Medicaid IHCP Coding Update http://provider.indianamedicaid.com/ihcp/Bulletins/BT202057.pdf Indiana Medicaid IHCP Signature Requirements http://provider.indianamedicaid.com/ihcp/Bulletins/BT202055.pdf Indiana Medicaid IHCP Telehealth http://provider.indianamedicaid.com/ihcp/Bulletins/BT202056.pdf Indiana Medicaid IN http://provider.indianamedicaid.com/ihcp/Bulletins/BT202044.pdf http://provider.indianamedicaid.com/ihcp/Banners/BR202016.pdf http://provider.indianamedicaid.com/ihcp/Bulletins/BT202048.pdf http://provider.indianamedicaid.com/ihcp/Bulletins/BT202061.pdf http://provider.indianamedicaid.com/ihcp/Bulletins/BT202062.pdf Indiana Medicaid IN Prior Authorization http://provider.indianamedicaid.com/ihcp/Bulletins/BT202096.pdf Inland Empire Health Plan https://www.iehp.org/en/providers/plan-updates?target=coronavirus-advisory Iowa Medicaid https://dhs.iowa.gov/sites/default/files/2129-MC-FFS-CVD_Timely_Filing.pdf?041620201746 Johns Hopkins https://www.hopkinsmedicine.org/johns_hopkins_healthcare/downloads/Policies/cor_027_telemedicine_telehealth_V3_2018.pdf Johns Hopkins - Telehealth https://hpo.johnshopkins.edu/healthcare/policies/898/ /policy_43195.pdf?_=0.910916028688 Kaiser Permanente (WA) https://wa-provider.kaiserpermanente.org/static/pdf/hosting/clinical/criteria/pdf/cell_free_fetal_dna_analysis_for_trisomies.pdf Keystone BCBS https://www.keystonefirstpa.com/pdf/provider/communications/fastfacts/2020/coronavirus-dme-prior-authorization.pdf LA Care (Telehealth) http://www.lacare.org/members/getting-care/urgent-care/telehealth Lifewise / Premera https://www.lifewiseor.com/medicalpolicies/2.04.518.pdf Louisiana Medicaid LA http://ldh.la.gov/assets/docs/BayouHealth/Pharmacy/PharmFacts/PharmacyFacts_7.24.20.pdf Maine Medicaid https://content.govdelivery.com/accounts/MEHHS/bulletins/284cebe https://content.govdelivery.com/accounts/MEHHS/bulletins/285c1d2 https://content.govdelivery.com/accounts/MEHHS/bulletins/29bb421 Maine Medicaid MaineCare https://content.govdelivery.com/accounts/MEHHS/bulletins/28b8e67 Maine Medicaid ME https://content.govdelivery.com/accounts/MEHHS/bulletins/28711a1 https://content.govdelivery.com/accounts/MEHHS/bulletins/29ec426 Maine Medicaid ME - COVID-19 Coding and Billing https://www.maine.gov/dhhs/sites/maine.gov.dhhs/files/inline-files/Updated-Coding-Billing-Guidance-August-2020_0.pdf Maine Medicaid ME - COVID-19 Testing https://content.govdelivery.com/accounts/MEHHS/bulletins/2acb458 Maine Medicaid ME MaineCare https://content.govdelivery.com/accounts/MEHHS/bulletins/2884418 https://www.maine.gov/dhhs/oms/pdfs_doc/COVID-19/MaineCare-Telehealth-Summary-New-Codes-and-Info-04022020.pdf https://content.govdelivery.com/accounts/MEHHS/bulletins/28a2d9a Massachusetts Medicaid MA https://www.mass.gov/doc/aoh-47-diagnostic-laboratory-and-remote-patient-monitoring-codes-corrected/download MassHealth https://www.mass.gov/doc/lab-51-diagnostic-tests-for-covid-19-0/download https://www.mass.gov/info-details/masshealth-coronavirus-disease-2019-covid-19-providers McLaren Health Plan https://www.mclarenhealthplan.org/Uploads/Public/Documents/HealthPlan/documents/Provider%20Forms/MCL20190506ProviderNetworkUpdateMarch2020SPECIALEDITION.pdf McLaren Health Plan (MI) https://www.mclarenhealthplan.org/mhp/coronavirus-mhp-providers MDwise https://www.mdwise.org/for-providers MDWise https://www.mdwise.org/for-providers/announcements/novel-coronavirus-sars-testing Medica https://www.medica.com/-/media/documents/provider/provider-alerts/2020/provider-alert-03262020.pdf?la=en&hash=547970CE0306F1A6E80B692BDDAE1580 https://www.medica.com/-/media/documents/provider/medica-covid-19-preparedness-provider-faq.pdf?la=en&hash=58AA2956226B0969670E49A29B841259 https://www.medica.com/-/media/documents/group/employer/worksite-wellness/covid-19-employer-faq.pdf?la=en&hash=E5815C3981F964630C8C80955CB2F0A0 https://www.medica.com/-/media/documents/provider/covid-19-preparedness-provider-faq.pdf?la=en&hash=71B81851C5046B016DD910711E6D18F4 https://www.medica.com/-/media/documents/provider/provider-covid-19-special-edition.pdf?la=en&hash=7D801F8D076F5686253A239824C19983 Medica https://www.medica.com/-/media/documents/provider/covid-19-testing.pdf?la=en&hash=ADA9836AB9582B58D07613220B641038 Medica - COVID Testing Medica - COVID-19 Testing Medica - Testing Medica Pharmacy Qty Limits https://www.medica.com/-/media/documents/provider/provider-alerts/2020/provider-alert-04282020.pdf?la=en&hash=8FADB8976013DECD4D932C1A2145F506 Medicaid Alabama AL https://medicaid.alabama.gov/documents/2.0_Newsroom/2.3_Publications/2.3.4_Insider_Archive/2.3.4_20_October.pdf Medicaid California CA Medi-cal - Testing not subject to 10% fee reduction https://files.medi-cal.ca.gov/pubsdoco/newsroom/newsroom_30339_81.aspx?utm_source=iContact&utm_medium=email&utm_campaign=medi-cal-newsflash&utm_content= .81 Medicaid Oregon OR - COVID-19 Testing https://www.oregon.gov/oha/HSD/OHP/Announcements/testing-coverage1020.pdf Medicaid Pennsylvania PA https://www.dhs.pa.gov/docs/Publications/Documents/FORMS%20AND%20PUBS%20OMAP/MAB2020100101.pdf Medicaid Rhode Island RI http://www.eohhs.ri.gov/Portals/0/Uploads/Documents/MA%20Provider%20Updates/pu333.pdf Medi-Cal Medicaid CA California Medical Mutual of Ohio https://www.medmutual.com/-/media/MedMutual/Files/Providers/COVID19-PROVIDER-FAQ32020-FINAL.ashx https://provider.medmutual.com/pdf/TelemedicineReimbursementPolicy.pdf Medstar Family Choice (Washington D.C.) https://ct1.medstarhealth.org/content/uploads/sites/43/2020/06/Policy-110-UM-Process-July-2020.pdf?opt_id=oeu1593059964464r0.5837818839247457 Michigan Medicaid https://www.michigan.gov/documents/mdhhs/2024-Co-Pay-P_685483_7.pdf Michigan Medicaid MI https://www.michigan.gov/documents/mdhhs/2031-DMEPOS-P_696758_7.pdf https://www.michigan.gov/documents/mdhhs/2044-Telemedicine-P_696436_7.pdf https://www.michigan.gov/documents/mdhhs/2040-Eligibility-P_698728_7.pdf https://www.michigan.gov/documents/mdhhs/2049-Lab-P_697953_7.pdf https://www.michigan.gov/documents/mdhhs/2055-Lab-P_698966_7.pdf https://www.michigan.gov/documents/mdhhs/MSA_20-59_701122_7.pdf Minnesota Medicaid https://www.dhs.state.mn.us/main/idcplg?IdcService=GET_FILE&RevisionSelectionMethod=LatestReleased&Rendition=Primary&allowInterrupt=1&noSaveAs=1&dDocName=dhs-321272 https://www.dhs.state.mn.us/main/idcplg?IdcService=GET_FILE&RevisionSelectionMethod=LatestReleased&Rendition=Primary&allowInterrupt=1&noSaveAs=1&dDocName=dhs-321268 Minnesota Medicaid MN https://www.dhs.state.mn.us/main/idcplg?IdcService=GET_FILE&RevisionSelectionMethod=LatestReleased&Rendition=Primary&allowInterrupt=1&noSaveAs=1&dDocName=dhs-320006 https://mn.gov/dhs/partners-and-providers/news-initiatives-reports-workgroups/long-term-services-and-supports/news/dsd-covid-faq.jsp https://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_137531 Minnesota Medicaid MN - COVID-19 Provider Manual Changes Minnesota MN Medicaid https://www.dhs.state.mn.us/main/idcplg?IdcService=GET_FILE&RevisionSelectionMethod=LatestReleased&Rendition=Primary&allowInterrupt=1&noSaveAs=1&dDocName=dhs-327746 Mississippi Medicaid https://ms.allianthealth.org/docs/help/Alliant%20Provider%20Communication%20During%20COVID-19%20Response.pdf https://www.ms-medicaid.com/msenvision/servlet/DocumentViewerServlet?docType=lateBreakingNews&fileName=all_late_breaking_news.pdf Missouri Medicaid https://dss.mo.gov/mhd/providers/pages/provtips.htm#200401-cpap https://dss.mo.gov/mhd/providers/pages/provtips.htm#200617-co-payments Missouri Medicaid (Signatures/CPAP, 1135) https://dss.mo.gov/mhd/providers/pages/provtips.htm#200403radiologyrev Missouri Medicaid MO https://dss.mo.gov/mhd/providers/pages/provtips.htm#200727-registered-behavior-tech-update Missouri Medicaid MO - COVID-19 Testing https://dss.mo.gov/mhd/providers/pages/provtips.htm#201109 Missouri Medicaid MO HealthNet https://dss.mo.gov/mhd/providers/pages/provtips.htm#200409 Missouri Medicaid MO Healthnet https://dss.mo.gov/mhd/providers/pages/provtips.htm#200421-lab-testing-codes Missouri MO Medicaid HealthNet https://dss.mo.gov/mhd/providers/pages/provtips.htm#200515-pharmacy https://dss.mo.gov/mhd/providers/pdf/bulletin42-41.pdf Missouri MO Medicaid HealthNet - Signature Requirements https://dss.mo.gov/mhd/providers/pages/provtips.htm#200511-dme Moda - Telehealth https://www.modahealth.com/pdfs/reimburse/RPM073_COVID-19TelehealthExpansion.pdf Moda Health Moda Health (OR) Moda Health Plan - Telehealth https://www.modahealth.com/pdfs/reimburse/RPM052_TelehealthTelemedicine.pdf ModaHealth - Telehealth Molina https://www.molinahealthcare.com/providers/il/PDF/Duals/Molina-COVID-Provider-FAQ-3-20-2020.pdf https://www.molinahealthcare.com/providers/il/PDF/Duals/Molina-COVID_Provider_FAQ.pdf Molina - OH Telehealth https://www.molinahealthcare.com/-/media/Molina/PublicWebsite/PDF/Providers/oh/medicaid/comm/Telehealth_PB_final_for_web.pdf Molina Telehealth https://www.molinahealthcare.com/providers/il/PDF/Duals/Telehealth%20COVID-19%20Expansion%20-% %20-%20v5clean.pdf Montana Medicaid https://medicaidprovider.mt.gov/ Montana MT Medicaid - COVID-19 Testing Not Covered (Plan First) https://medicaidprovider.mt.gov/Portals/68/docs/providernotices/2020PN/provnoticeremovalofcodesforcovid19testandtreatwithservicecodelist11122020.pdf MVP https://www.mvphealthcare.com/wp-content/uploads/download-manager-files/2020-63-medical-policy-updates-effective-october-1-2020.pdf MVP Health Care https://www.mvphealthcare.com/providers/covid19 MVP New York NY https://www.mvphealthcare.com/wp-content/uploads/download-manager-files/2020-36ny-ny-covid-19-update-5-7-2020.pdf NC Medicaid HCBS 1915 Waiver Flexibilities Appendix K https://medicaid.ncdhhs.gov/blog/2020/11/19/special-bulletin-covid-19-143-capc-and-capda-home-and-community-based-services Nebraska Medicaid http://dhhs.ne.gov/Pages/Medicaid-Provider-Bulletins.aspx http://dhhs.ne.gov/Documents/PSE-COVID-Guidance.pdf http://dhhs.ne.gov/Documents/COVID-19%20General%20Statewide%20Telehealth%20FAQ.pdf Nebraska Medicaid NE http://dhhs.ne.gov/Medicaid%20Provider%20Bulletins/Provider%20Bulletin%2020-09.pdf Neighborhood Health Plan https://www.nhpri.org/wp-content/uploads/2020/04/Temporary-COVID-19-Telemedicine.Telephone-only-Services-4.13.20.pdf https://www.nhpri.org/wp-content/uploads/2020/09/Temporary-COVID-19-Testing-Treatment-Services-Payment-Policy-09.02.20.pdf Neighborhood Health Plan - Prior Auth https://www.nhpri.org/wp-content/uploads/2020/07/Temporary-COVID-19-Prior-Authorization-Policy07.27.20.pdf Neighborhood Health Plan - Prior Authorization https://www.nhpri.org/wp-content/uploads/2020/11/Temporary-COVID-19-Prior-Authorization-Policy-10.22.20-1.pdf Neighborhood Health Plan - Rhode Island RI Neighborhood Health Plan - Telehealth https://www.nhpri.org/wp-content/uploads/2020/07/Temporary-COVID-19-TelemedicineTelephone-only-Preventive-Medicine-Services7.27.20.pdf Neighborhood Health Plan of Rhode Island https://www.nhpri.org/wp-content/uploads/2020/06/Temporary-COVID-19-Testing-Treatment-Services-Payment-Policy-06.24.20-1.pdf https://www.nhpri.org/wp-content/uploads/2020/07/Temporary-COVID-19-Prior-Authorization-Policy-7.13.20.pdf https://www.nhpri.org/wp-content/uploads/2020/07/Temporary-COVID-19-Testing-Treatment-Services-Payment-Policy-07.13.20.pdf https://www.nhpri.org/wp-content/uploads/2020/07/Temporary-COVID-19-Telemedicine.Telephone-only-Services-7.13.20.pdf https://www.nhpri.org/wp-content/uploads/2020/07/Temporary-COVID-19-TelemedicineTelephone-only-Preventive-Medicine-Services-07.13.20.pdf https://www.nhpri.org/wp-content/uploads/2020/07/Temporary-COVID-19-TelemedicineTelephone-only-Preventive-Medicine-Services-7.17.20.pdf Neighborhood Health Plan of Rhode Island - Telemedicine https://www.nhpri.org/wp-content/uploads/2020/06/Temporary-COVID-19-Telemedicine.Telephone-only-Services-06.04.20.pdf Neighborhood Health Plan of Rhode Island RI https://www.nhpri.org/wp-content/uploads/2020/05/Temporary-COVID-19-Telemedicine.Telephone-only-Services-05.07.20.pdf https://www.nhpri.org/wp-content/uploads/2020/05/Telemedicine-Services-Payment-Policy-05.07.20.pdf https://www.nhpri.org/wp-content/uploads/2020/05/Temporary-COVID-19-Testing-Treatment-Services-Payment-Policy-05.13.20.pdf https://www.nhpri.org/wp-content/uploads/2020/05/Temporary-COVID-19-Testing-Treatment-Services-Payment-Policy-05.21.20-1.pdf Neighborhood Health Plan Rhode Island RI https://www.nhpri.org/wp-content/uploads/2020/04/Temporary-COVID-19-Prior-Authorization-Policy-4.05.20.pdf https://www.nhpri.org/wp-content/uploads/2020/04/Temporary-COVID-19-Testing-Treatment-Services-Payment-Policy.pdf Neighborhood Health Plan RI https://www.nhpri.org/wp-content/uploads/2020/04/Temporary-COVID-19-Testing-Treatment-Services-Payment-Policy-4.22.20.pdf Neighborhood Health Plan RI - Prior Auth https://www.nhpri.org/wp-content/uploads/2020/04/Temporary-COVID-19-Prior-Authorization-Policy-4.28.20.pdf Nevada Medicaid http://dhhs.nv.gov/Reports/Press_Releases/2020/Medicaid_offers_new_COVID-19_testing_coverage_for_uninsured_Nevadans/ https://www.medicaid.nv.gov/Downloads/provider/web_announcement_2312_20200922.pdf Nevada Medicaid NV https://www.medicaid.nv.gov/Downloads/provider/web_announcement_2270_20200804.pdf Nevada Medicaid Teleheatlh New Hampshire Medicaid https://www.dhhs.nh.gov/ombp/medicaid/covid19.htm NICE https://www.nice.org.uk/guidance/ng159 Nice Health National Institute for Health and Care Excellence https://www.nice.org.uk/guidance/ng165/chapter/diagnosis-and-assessment North Carolina Medicaid NC https://medicaid.ncdhhs.gov/blog/2020/04/14/special-bulletin-covid-19-44-pharmacy-claims-flexibility-available-prevent-spread https://medicaid.ncdhhs.gov/blog/2020/09/22/special-bulletin-covid-19-135-expectation-comply-infection-control-and-prevention https://medicaid.ncdhhs.gov/blog/2020/09/23/special-bulletin-covid-19-136-nc-medicaid-receives-approval-expanded-flexibilities https://medicaid.ncdhhs.gov/blog/2020/09/22/special-bulletin-covid-19-134-clarification-covid-19-temporary-rate-increases-and North Carolina NC Medicaid https://medicaid.ncdhhs.gov/meetings-and-notices/proposed-medicaid-and-nc-health-choice-policies North Carolina NC Medicaid - Temporary reimbursement increase for DME https://medicaid.ncdhhs.gov/blog/2020/10/21/special-bulletin-covid-19-139-covid-19-temporary-provider-rate-increases-and North Dakota Medicaid ND http://www.ndhealth.gov/microlab/docs/COVID_19_2020_04_28_HAN.pdf Oklahoma Medicaid OK OHCA https://www.okhca.org/providers.aspx?id=112 Oregon Medicaid https://www.oregon.gov/oha/hsd/ohp/pages/covid-19.aspx https://content.govdelivery.com/accounts/ORDHS/bulletins/287d9f7 Oregon Medicaid OR - COVID-19 Testing Oxford UHC - Supply Policy https://www.uhcprovider.com/content/dam/provider/docs/public/policies/oxford/supply-policy-ohp.pdf PacificSource https://pacificsource.com/providers/ https://www.pacificsource.com/_template/t_twoColumn.aspx?id=126&terms=210 Paramount https://www.paramounthealthcare.com/assets/documents/medicalpolicy/pg0474_telehealth_services_covid-19_elite.041420.1.pdf https://www.paramounthealthcare.com/assets/documents/medicalpolicy/pg0469-covid_19-diagnostic-screening_testing.03242020.pdf https://www.paramounthealthcare.com/assets/documents/medicalpolicy/pg0473_telehealth_services-covid_19_advantage.041320.1.pdf https://www.paramounthealthcare.com/assets/documents/provider-bulletins/cv19_paramountprovider_medicaidpolicyupdates__aln-dec-jlb.pdf https://www.paramounthealthcare.com/assets/documents/medicalpolicy/pg0475_telehealth_services_covid-19_commercial.041020.1.pdf Paramount - Telehealth Paramount - Telehealth Commercial Paramount - Telehealth Med. Advantage Paramount - Testing Paramount (Telehealth - commercial) Paramount (Telehealth - Elite) Paramount Elite - Telehealth Paramount Health Care Paramount Health Plan Paramount Health Plan - Diagnostic Testing Paramount Health Plan - Telehealth Paramount Healthcare - Telehealth https://www.paramounthealthcare.com/assets/documents/medicalpolicy/pg0473_advantage_telehealth_services.111520.pdf Paramount Telehealth Paramount Testing Paramount/Promedica https://www.paramounthealthcare.com/assets/documents/provider/rm016-covid-19-emergency-reimbursement_elite-and-comm.pdf https://www.paramounthealthcare.com/assets/documents/provider/mrx-covid-19-provider.pdf Partnership Health Plan California CA http://www.partnershiphp.org/Providers/Medi-Cal/Documents/OnDemandTrainingWebinars/Telehealth%20COVID-19%20Webinar_FINAL.pdf Partnership Health Plan of California CA http://www.partnershiphp.org/Providers/Medi-Cal/Documents/OnDemandTrainingWebinars/Flyers%20and%20Bulletins/COVID-19%20Billing%20Guidelines_FINAL.pdf Pennsylvania Medicaid PA https://www.dhs.pa.gov/providers/Quick-Tips/Documents/PROMISeQuickTip243.pdf Peoples Health https://www.peopleshealth.com/providers/covid-19-updates-for-providers/ Premera BCBS https://www.premera.com/ak/provider/coronavirus-19-faq/ https://www.premera.com/paymentpolicies/cmi_155547.pdf Premera BCBS of Alaska AK https://www.premera.com/ak/producer/coronavirus-19-faq/ Premera Blue Cross https://www.premera.com/wa/provider/news/company-updates/telehealth-expansion/ Premera Blue Cross Blue Shield https://www.premera.com/medicalpolicies/5.01.605.pdf Premera Lifewise COVID-19 Antibody Testing Presbyterian https://www.phs.org/providers/Documents/PHP-Submitting-COVID-Claims.pdf Prevea https://www.prevea360.com/Document-Library/PDF/Providers/P360-COVID19-Provider-Comm.aspx Prevea 360 Health Plan https://www.prevea360.com/Document-Library/PDF/Providers/P360-COVID-19-Wkly-Comm-041620.aspx Priority Health https://www.priorityhealth.com/covid-19/about/providers Priority Health - Telehealth https://www.priorityhealth.com/about-us/for-the-media/news-release/priority-health-launches-virtual-first-coverage-option PriorityHealth https://www.priorityhealth.com/about-us/for-the-media/news-release/0-cost-share-treatment-for-covid-19-and-virtual-visits Providence - Clinicians have ultimate say for certain DME during COVID-19 https://s3-us-west-2.amazonaws.com/images.provhealth.org/Providence-Images/PHP_Diabetes_Insulin_Infusion_Pumps_External_and_Implanted_CMS_Only.pdf Providence (CPAP) https://s3-us-west-2.amazonaws.com/images.provhealth.org/Providence-Images/PHP_Sleep_Disorder_Treatment_Positive_Airway_Pressure_CMS_Only.pdf Providence (Oxygen) https://s3-us-west-2.amazonaws.com/images.provhealth.org/Providence-Images/PHP_Home_Oxygen_Therapy_and_Equipment_for_Lung_Disease_and_Hypoxia.pdf Providence Health Plan https://healthplans.providence.org/~/media/Files/Providence%20HP/pdfs/providers/Documents/670%20Telehealth%20Services%20DURING%20COVID19%20CRISIS.pdf https://healthplans.providence.org/~/media/Files/Providence%20HP/pdfs/providers/Documents/Coding%20Policy%20Alert%20Covid19%20Update%20March%2026%202020.pdf https://s3-us-west-2.amazonaws.com/images.provhealth.org/Providence-Images/PHP_Investigational_and_Non_covered_Medical_Technologies_All_LOB.pdf Providence Health Plan - COVID Testing https://s3-us-west-2.amazonaws.com/images.provhealth.org/Providence-Images/PHP_Direct_to_Consumer_Testing.pdf Providence Health Plan - CPAP Providence Health Plan - Home Oxygen Providence Health Plan - Update to Experimental/Non-Covered Policy Providence Health Plan/CPAP Providence Health Plan/Oxygen PSNet https://psnet.ahrq.gov/issue/acr-recommendations-use-chest-radiography-and-computed-tomography-ct-suspected-covid-19 QualChoice https://documents.qualchoice.com/area/shared/medicalpolicies.aspx?alpha=T&sop=BI529%3a00 QualChoice (AR) Quartz https://quartzbenefits.com/docs/default-source/sound/qa01214-(0320)-coronavirus-covid-faq---032520-final.pdf?sfvrsn=6065a121_4 Quartz Health https://quartzbenefits.com/docs/default-source/providers/telehealth-visit.pdf?sfvrsn=145a2edf_14 Quest Diagnostics https://www.questdiagnostics.com/home/Covid-19/HCP/ Regence BCBS - Antibody Testing http://blue.regence.com/trgmedpol/lab/lab74.pdf Regence BCBS - COVID-19 Testing http://blue.regence.com/medicare/lab/m-lab74.pdf Regence BCBS Ausris COVID-19 Antigen Testing Regence BCBS Health Plan - Telehealth https://www.regence.com/provider/library/policies-guidelines/reimbursement-policy/virtual-care-new Regence BCBS Medicare Advantage - Testing Regence BCBS Testing https://www.regence.com/provider/library/policies-guidelines/reimbursement-policy/covid19-testing-medicare-advantage https://www.regence.com/provider/library/policies-guidelines/reimbursement-policy/covid19-testing Regence COVID-19 Testing Rhode Island Medicaid RI http://www.eohhs.ri.gov/Portals/0/Uploads/Documents/MA%20Provider%20Updates/pu330.pdf http://www.eohhs.ri.gov/Portals/0/Uploads/Documents/MA%20Provider%20Updates/pu331.pdf Rocky Mountain Health Plan https://www.rmhp.org/i-am-a-provider/covid-19-resources/telehealth-faq Rocky Mountain Health Plan (Prior Auth) https://www.rmhp.org/i-am-a-provider/covid-19-resources/covid-19-preauthorization-for-providers Sanford Health Plan https://www.sanfordhealthplan.org/-/media/files/documents/providers/hp-3544-covid-19-shp-provider-faqs-4-16-20.pdf Scott & White https://swhp.org/Portals/0/Files/Forms/Providers/262-COVID-19-Telehealth-and-Telemedicine.pdf Security Health Plan https://www.securityhealth.org/-/media/Provider/COVID-Provider-FAQ-FINAL-4-7-20.pdf?la=en&hash=D77B4F08710CE345AFDF08EE79CA5B5D https://www.securityhealth.org/-/media/Provider/COVID-Provider-FAQ-FINAL-4-7-20.pdf Security Health Plan (WI) https://www.securityhealth.org/-/media/Provider/COVID-Provider-FAQ-FINAL-4-7-20.pdf?la=en&hash=D77B4F08710CE345AFDF08EE79CA5B5D&hash=D77B4F08710CE345AFDF08EE79CA5B5D Security Helath Plan (WI) South Carolina Medicaid https://www.scdhhs.gov/press-release/coronavirus-disease-2019-covid-19-temporary-policy-updates https://www.scdhhs.gov/press-release/coronavirus-disease-2019-covid-19-update-temporary-telehealth-coverage-changes-0 South Carolina Medicaid SC https://www.scdhhs.gov/press-release/coronavirus-disease-2019-covid-19-temporary-durable-medical-equipment-updates https://www.scdhhs.gov/pro-alert/coronavirus-disease-2019-covid-19-provider-faq-page-telehealth-fee-schedule-now-available https://content.govdelivery.com/accounts/SCDHHS/bulletins/287b3d2 South Carolina Medicaid SC - Retainer Payments https://content.govdelivery.com/accounts/SCDHHS/bulletins/2a3493c South Dakota Medicaid SD https://dss.sd.gov/docs/medicaid/providers/ProviderBulletins/2020/9.14.20_Provider_Bulletin_FAQ_Update.pdf South Dakota Medicaid SD - COVID-19 Telehealth https://dss.sd.gov/docs/medicaid/providers/ProviderBulletins/2020/11.02.20_Provider_Bulletin_FAQ_Update_November_2020%20.pdf South Dakota SD Medicaid https://dss.sd.gov/docs/medicaid/providers/ProviderBulletins/2020/06.15.20_Provider_Bulletin_FAQ_Updates.pdf SummaCare https://www.summacare.com/coronavirus-provider-faqs SummaCare OH https://mailchi.mp/b9424d831728/covid-19-coronavirus-provider-information-4245342 Sunflower Health Plan https://www.sunflowerhealthplan.com/newsroom/kmap- .html https://www.sunflowerhealthplan.com/newsroom/kmap- .html Sunshine Health (FL) https://www.sunshinehealth.com/providers/coronavirus-information.html Superior Health Plan (TX Medicaid) https://www.superiorhealthplan.com/providers/coronavirus.html TennCare https://www.tn.gov/tenncare/information-statistics/tenncare-information-about-coronavirus.html https://www.optumrx.com/content/dam/openenrollment/pdfs/Tenncare/home-page/recent-tenncare-updates/2020/Provider%20Notice%204.1.2020.pdf TennCare TN https://providers.amerigroup.com/Public%20Documents/TNTN_CAID_PU_TennCareMemoCOVID19.pdf Texas Medicaid Signature Requirements http://www.tmhp.com/News_Items/2020/05-May/05-07-20%20Waiver%20Extension%20for%20DME%20Certification%20and%20Receipt%20Form.pdf Texas Medicaid TX - COVID-19 Testing http://www.tmhp.com/news/2020-10-23-covid-19-testing-procedure-codes- -and- -are-now-benefits-cshcn https://www.tmhp.com/news/2020-11-30-covid-19-testing-procedure-code- -now-benefit Texas Medicaid TX - Telehealth Texas Medicaid TX - Temporary Policy Extensions https://www.bcbstx.com/provider/pdf/existingpriorauthorizationsextensions-covid19.pdf Texas Medicaid TX - Waivers and timelines http://www.tmhp.com/news/2020-10-23-multiple-medicaid-covid-19-flexibilities-extended-through-november-30-2020 Texas Medicaid TX = Testing https://www.bcbstx.com/provider/pdf/procedurecode87426_covid19.pdf TExas MEdicaid TX Testing https://www.bcbstx.com/provider/pdf/procedurecodes830199001_covid19.pdf Total Health https://thcmi.com/PDF/providers/PDF/Provider_COVID19.pdf TRICARE https://www.tricare-west.com/content/hnfs/home/tw/prov/res/provider_news/covid-19-outbreak--reimbursement-for-testing.html TriCare https://www.tricare.mil/CoveredServices/BenefitUpdates/Archives/06_10_2020_How-_TRICARE_Is_Responding_to_COVID19 TriCare - Telehealth (East) https://www.humanamilitary.com/provider/education-and-resources/quick-access/policy-updates-and-alerts/temporarytelemedicinebenefit-061720 TRICARE East Humana https://www.humanamilitary.com/provider/education-and-resources/quick-access/policy-updates-and-alerts/ TriCare West (HealthNet) https://www.tricare-west.com/content/hnfs/home/tw/prov/res/provider_news/aba-parent-caregiver-guidance-via-telemedicine-extended-beyond-m.html TriCare West HealthNet https://www.tricare-west.com/content/hnfs/home/tw/prov/res/provider_news/copayment-waiver-for-covid-19-testing.html Tricare/ Humana Military - Serology Testing https://www.humanamilitary.com/provider/education-and-resources/quick-access/policy-updates-and-alerts/serology-100620 Trusted Health Plan https://www.trustedhp.com/pdf/THP-Provider-Notice-COVID-19.pdf Tufts https://tuftshealthplan.com/documents/providers/guidelines/pharmacy-medical-necessity-guidelines/chloroquine-hydroxychloroquine https://tuftshealthplan.com/documents/providers/guidelines/medical-necessity-guidelines/hospice https://tuftshealthplan.com/covid-19/provider/coronavirus-updates-for-providers Tufts Health Plan https://tuftshealthplan.com/provider/provider-news/2020/covid-19-codes Tufts Health Plan - Telehealth https://tuftshealthplan.com/documents/providers/payment-policies/telemedicine Tufts Health Plan - Telemedicine UHA Health Insurance HI - COVID-19 Testing https://uhahealth.com/uploads/forms/form-mis-covid19-serology-testing.pdf UHC Community Plan United Healthcare - Telehealth https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medicaid-comm-plan-reimbursement/UHCCP-Telehealth-and-Telemedicine-Policy-( ).pdf UHC United Healthcare - OSA/CPAP Policy https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medadv-coverage-sum/sleep-apnea-diagnosis-treatment.pdf UHC United Healthcare Community Plan UHC United Healthcare Oxford https://www.uhcprovider.com/content/dam/provider/docs/public/policies/index/oxford/telemedicine-ohp.pdf United Healthcare https://www.uhc.com/health-and-wellness/health-topics/covid-19/coverage-and-resources https://www.unitedhealthgroup.com/newsroom/2020/2020-04-07-uhg-accelerates-payments-support-providers.html?cid=em-other-covid-19email5-apr20 https://view.yourhealth-wellnessteam.com/?qs=e6a3c4340ef91fa7277120cdabc6922c7842e0bf09cc264b34fa81b701834ebeb107f48165c6971ea52c958ca906423bec858bc848d4413e25d2c177d2cea434fdc8a488f0cc8b17e7c3005d494c0597 https://www.uhcprovider.com/en/resource-library/news/Novel-Coronavirus-COVID-19.html?cid=em-providernews-covid-19nationalemail5-may20 United Healthcare https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medadv-coverage-sum/telemedicine-telehealth-services.pdf https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medadv-coverage-sum/respiratory-therapy-pulmonary-rehabilitation-pulmonary-services.pdf United Healthcare - Community Plan - Telehealth United Healthcare - COVID-19 Testing - Billing Guidelines https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medadv-guidelines/c/clinical-diagnostic-laboratory-services.pdf United Healthcare - COVID-19 Testing Codes United Healthcare - Max Qty Per Day https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medicaid-comm-plan-reimbursement/UHCCP-Maximum-Frequency-Per-Day-Policy-( ).pdf United Healthcare - Pulmonary Rehab Changes United Healthcare - Summary of COVID-19 Dates by Program https://www.uhcprovider.com/content/dam/provider/docs/public/resources/news/2020/covid19/COVID-19-Date-Provision-Guide.pdf United Healthcare - UHC https://www.uhcprovider.com/content/provider/en/viewer.html?file=%2Fcontent%2Fdam%2Fprovider%2Fdocs%2Fpublic%2Fresources%2Fnews%2F2020%2Fnetwork-bulletin%2Fmay-2020-network-bulletin.pdf United Healthcare Community Plan (Medicaid) - Telehealth United Healthcare Community Plan UHC United Healthcare Community Plan UHC Medicaid - Telehealth United Healthcare -Prior Auth https://www.uhcprovider.com/en/resource-library/news/Novel-Coronavirus-COVID-19/pa-covid19-updates.html United Healthcare UHC - COVID-19 Waivers (follow CMS) United Healthcare UHC - Respiratory Therapy/Pulmonary Rehab United Healthcare UHC Prior Authorization https://www.uhcprovider.com/en/resource-library/news/Novel-Coronavirus-COVID-19/pa-covid19-updates/prior-auth-updates.html Univera https://provider.univerahealthcare.com/documents/ /127124/UNI-PRV-Telemedicine+and+Telehealth.pdf/92361136-ba1d-e581-22d5-8e0b831005e9?t=1585324970522 https://provider.univerahealthcare.com/resources/news/article?articleId=241314599&classPK=241314601 https://provider.univerahealthcare.com/resources/news/article?articleId=309989742&classPK=309989744 Univera - COVID-19 Testing https://provider.univerahealthcare.com/resources/news/article?articleId=7472962&classPK=283712082 Univera Extension of Cost Share Waiver https://provider.univerahealthcare.com/resources/news/article?articleId=7570443&classPK=284999297 Univera Healthcare https://provider.univerahealthcare.com/documents/ /127124/UNI-PRV-Telemedicine+and+Telehealth.pdf/92361136-ba1d-e581-22d5-8e0b831005e9?t=1587484970993 University of Utah - Telemedicine https://uhealthplan.utah.edu/medicalpolicy/pdf/admin-017.pdf University of Utah Health Plans https://uhealthplan.utah.edu/for-providers/coronavirus/ https://uhealthplan.utah.edu/medicalpolicy/pdf/admin-017-temporary-covid19-telemedicine-policy.pdf https://uhealthplan.utah.edu/for-providers/newsletters/may_2020.pdf University of Utah UT UPMC https://embed.widencdn.net/pdf/plus/upmc/22cs5qhtzm/Appendix-A-Covid-Benefits-and-Cost-Sharing.pdf Vermont Medicaid https://dvha.vermont.gov/covid-19 VIrginia Medicaid http://dmas.virginia.gov/files/links/5324/1135%205_20%20FINAL.pdf?utm_medium=email&utm_source=govdelivery VIrginia Medicaid VA https://coverva.org/covid19/index.cfm?utm_campaign=summercovid19provider&utm_medium=email&utm_source=govdelivery Viva Health https://www.vivahealth.com/Download.aspx?ID= &Type=doc Viva Health - Telehealth https://www.vivahealth.com/Download.aspx?ID= VIVA Health Plan https://www.vivahealth.com/Download.aspx?ID= Washington D.C. Medicaid DC https://www.dc-medicaid.com/dcwebportal/documentInformation/getDocument/ https://www.dc-medicaid.com/dcwebportal/documentInformation/getDocument/ Washington D.C. Medicaid DC - Temp. Rate Increase for certain services https://www.dc-medicaid.com/dcwebportal/documentInformation/getDocument/ Washington DC Capital Medicaid - COVID-19 Testing https://www.dc-medicaid.com/dcwebportal/documentInformation/getDocument/ Washington DC Medicaid https://www.dc-medicaid.com/dcwebportal/documentInformation/getDocument/ Washington Medicaid - HCA https://content.govdelivery.com/accounts/WAHCA/bulletins/2854d25 https://content.govdelivery.com/accounts/WAHCA/bulletins/28596b4 https://content.govdelivery.com/accounts/WAHCA/bulletins/28af28e Washington Medicaid HCA https://content.govdelivery.com/accounts/WAHCA/bulletins/2a316ef Washington Medicaid HCA COVID-19 Testing https://content.govdelivery.com/accounts/WAHCA/bulletins/2ada382 Washington State Medicaid Apple Health HCA https://content.govdelivery.com/accounts/WAHCA/bulletins/2881286 WEA Trust https://www.weatrust.com/DesktopModules/Bring2mind/DMX/Download.aspx?Command=Core_Download&EntryId=1439&language=en-US&PortalId=0&TabId=186 WellCare https://www.wellcare.com/en/Florida/COVID-19/Provider https://www.wellcare.com/en/Georgia/COVID-19/Medicaid-Provider/Billing-Guidance Wellmark BCBS https://www.wellmark.com/Provider/CommunicationAndResources/COVID-19/Telehealth.aspx https://www.wellmark.com/Provider/CommunicationAndResources/COVID-19/FAQ.aspx https://www.wellmark.com/about/newsroom/2020/05/27/covid-19-benefits-extended West Virginia Medicaid WV - COVID-19 Testing for Uninsured https://www.wvmmis.com/SiteAssets/Lists/MedicaidNews/AllItems/COVID-19%20Non-Insured%20Patient%20Billing%20Options.pdf West Viriginia Medicaid WV https://www.wvmmis.com/SiteAssets/Lists/MedicaidNews/AllItems/COVID-19_WVCHIP%20Providers.pdf https://www.wvmmis.com/SiteAssets/Lists/MedicaidNews/AllItems/WV%20Medicaid%20COVID-19%20Response%20for%20Non-Insured%20Patients%20Coronavirus%20Testing.pdf https://www.wvmmis.com/SiteAssets/Lists/MedicaidNews/AllItems/TeleHealth%20Webinar%20Questions%20and%20Response%20Updated.pdf WPS - Telehealth https://www.wpshealth.com/resources/files/telehealth-telemedicine-temporary-internal.pdf Health Plan Policy Changes for COVID-19 Payer

This procedure appears on the selected insurer prior authorization source.