For Federal Employee Program (FEP) members: Member cost share will also be removed for inpatient acute care hospitals, inpatient rehab facilities, long term acute care hospitals, and skilled nursing facilities for services related to COVID-19. You can request an authorization to cover more. When you provide telehealth or telephonic services, bill on a facility claim using a professional revenue code with the telehealth services outlined in our COVID-19 Temporary payment policy. For assisted reproductive technology services listed in our medical policy that require prior authorization: Chiropractic services It may take several weeks to add this benefit. The cost share protections do not extend to in-patient care. There is no place to enter a place of service. For dates of service between March 1, 2020 and May 31, 2020, you’ll have 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. ® Registered Marks of Blue Cross Blue Shield of Massachusetts. Detailed information on billing and codes, as well as updates to our policies are available on Provider Central. Remember, hospitals have taken steps to reduce the risk of spreading coronavirus and improve the safety of in-person visits. We’ll reimburse providers at the same rate as we would reimburse a face-to-face visit, as long as it meets clinical standards, for the duration of the Massachusetts public health emergency. For Federal Employee Program (FEP) members: I don’t have health insurance. When you provide any telephonic services, do not bill the specific telephonic CPT codes. *UB-04 billers do not need to submit place of service code. Team Blue can help you find remote treatment. Call your doctor's office to reschedule any canceled appointments. Are you prepared to continue to operate your business in a pandemic? You can use Dental Connect for Providers to verify member eligibility and benefits. Removing all member cost share (copayments, co-insurance, and deductibles) for a medically necessary telephone (telephonic) call visit in place of an office visit, and a virtual/video appointment (telehealth) services for COVID-19 and non-COVID-19-related services. What should I do to protect myself and my family. Members can register for Teladoc by visiting fepblue.org/coronavirus. Do you cover tests for return to work, school, travel or other activities? Can I add telehealth services as a covered benefit? Member cost share is being waived for all Teladoc visits (COVID-19 and non-COVID-19) during this emergency period. We can open our state slowly, but thoughtfully. Have you updated APR-DRG Grouper ICD-10 codes to support COVID-19 related claims? Will you be able to cover my employees’ health care costs in a pandemic? There is no supply issue at this time. - urgent care centers This policy update applies to all medical providers. Please call your doctor and be prepared to share with them where you have traveled and with whom you have been in close contact. Be sure to bill using CPT A0426, A0428, A0433, or A0434 (non-emergent transports) and the appropriate modifier shown below to represent the direction of the transfer. *In accordance with state guidance, these phone/telehealth visits will be reimbursed at the same rate as face-to-face care for participating providers for both medical and behavioral health care, as long as they meet clinical standards. Please visit Mass.gov. Are prior authorizations required for inpatient services during the Massachusetts declared COVID-19 related state of emergency? Blue Cross also has waived cost share for all telehealth (both medical and behavioral) services, not just those related to COVID-19, including services delivered by phone as well as video. Find COVID-19 information in 30+ languages, created in partnership with Harvard Health Publishing. Blue Cross Blue Shield of Massachusetts will reimburse telehealth covered claims that received though the BlueCard program. For members using the National Preferred Formulary (managed by Express Scripts, Inc.), there are new quantity limits for these medications. Just be sure to bring the bug spray and sunscreen. It’ll be one less trip that you need to take. You can either wait for our systems to identify the claim and correct it, or call Provider Service and ask us to reprocess the claim at one of the following toll-free numbers. We will not allow for greater than a 90-day supply to avoid stockpiling or potential shortages. The Commonwealth of Massachusetts has created an interactive map of testing sites on its COVID-19 resource web page. Most important, I want you to know that all of us at Blue Cross are here for you during this challenging time. As of March 31, 2020, the end dates have been extended 120 days for auto approved authorizations in the system. This is where we celebrate those who spread kindness. Rele nimewo Sèvis Manm nan ki sou kat Idantitifkasyon w lan (Sèvis pou Malantandan Rele 1-800-472-2689 TTY: 711 ). Our company is financially stable and has a healthy reserve fund, should we need it, to finance our operations. You must have JavaScript enabled to use this form. Members can register for Teladoc by visiting fepblue.org/coronavirus. At the same time, Blue Cross Blue Shield of Massachusetts continues to monitor and comply with all applicable state and federal regulations, including regulation of opioid prescribing and dispensing. I need to seek care for an unexpected illness. The U.S. Department of Health and Human Services and the Office of Civil Rights have relaxed HIPAA requirements related to the use of telehealth services during the COVID-19 nationwide public health emergency. In collaboration with our pharmacy partners we will continue to monitor the supply of medications and will be flexible in allowing alternative medications should a there be a shortage of medications in our formulary. ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia con el idioma. and SM Service Marks are the property of their respective owners. If your coverage already includes our telehealth benefit, please use our Well Connection platform. Primary Care Providers (PCPs) … Enjoy the sun, enjoy the surf. Thank you, and be safe. For the duration of the Massachusetts health emergency, these visits will be reimbursed at the same rate as face-to-face care, for participating providers — and come with no copayments and no deductible cost, up to your existing annual dollar premium. First, continue regular contact with the health care provider who helps you manage your condition. Blue Cross offers health insurance for travelers that provides extended coverage, called GeoBlue®. For other providers offering telehealth services not on Teladoc, the applicable office visit cost share will apply (unless COVID-19 related). Simply ask for your additional fill when placing your order. The cost is 50-cents per employee per month. Bill all covered services that you render either by telehealth/video or telephone as if you are performing an in-person service using the codes that are currently on your fee schedule. Hospitals have taken steps to reduce the risk of spreading coronavirus and keep you safe during your visit. The cost is 50-cents per employee per month. Blue Cross is financially stable. We’ve waived member co-pays, co-insurance, and deductibles for all mental health covered services by video or phone with in-network providers,* for the duration of the Massachusetts health emergency. I bill on a UB-04. Is the account fee for telehealth waived as well? According to medical experts, symptoms of COVID-19 may include fever, dry cough and shortness of breath. When reporting the telehealth modifier, if applicable, please place the telehealth modifier after the license modifier. 2019-nCoV Coronavirus, SARS-CoV-2/2019-nCoV (COVID-19), any technique, multiple types or subtypes (includes all targets). Members with the Blue Cross pharmacy benefit with a current prescription for chloroquine or hydroxychloroquine are encouraged to refill their prescription. UWAGA: Osoby posługujące się językiem polskim mogą bezpłatnie skorzystać z pomocy językowej. New authorization requests will continue to have 365 days for the service to be completed. Will you be lifting restrictions for unlicensed and not independently licensed therapists so more people can have access to teletherapy? Medical Policy. For chiropractic services that require prior authorization through WholeHealth Networks, Inc. (WHN): High-technology radiology and obstructive sleep apnea testing and treatment ® Registered Marks are property of their respective owners. I’m experiencing chest pain/trouble breathing/worsening belly pain/slurred speech/sudden muscle weakness/balance problems/feeling faint. All Blue Cross Blue Shield of Massachusetts contracted doctors and health care providers can provide care remotely, using any technology, for medically necessary covered services (COVID-19 AND non-COVID-19 related) to our members. For providers not in the Teladoc network, the applicable cost share will apply (unless COVID-19 related). We have convened a cross-functional group of leaders and associates who are evolving our plans to meet the needs of this event. This is in place for the duration of the Massachusetts state of emergency. Does this apply to self-insured accounts? For members with this telehealth benefit, we're waiving cost sharing for telehealth visits conducted through Well Connection. Quick Links. There is no change to the timely filing guidelines for Indemnity claims. Learn more about our Total Care and Blue Distinction® Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Retroactive to March 6, 2020, we are waiving member cost share (copayments, deductible, co-insurance) for medically necessary inpatient acute care hospital services when the claim includes a diagnosis of COVID-19. Office Resources. How you will bill for telephonic services depends upon your specialty. No. For the duration of the Massachusetts health emergency, we’re removing copayments, co-insurance, or deductibles for all medically necessary COVID-19 related care, care received at: - doctor’s offices For the duration of the Massachusetts state of emergency and effective for dates of service retroactive to March 16, 2020, in-network providers may deliver all medically necessary covered services (COVID-19 AND non-COVID-19 related) via any modality.