On Friday, April 11, CMS released additional guidance regarding implementation of the FFCRA and CARES Act.
The FAQ is a joint publication from the DOL, HHS and Treasury Departments and answers questions regarding the coverage of diagnostic services for COVID-19 and other coverage related questions. It confirms that the requirements apply to most group health plans: small and large, fully insured and self-funded, non-federal governmental plans, church plans, grandfathered and ACA. The FAQ further outlines the services covered: COVID-19 tests and related items and services furnished in an office visit, urgent care or emergency room visit.
For example, if a patient is tested for other respiratory illnesses prior to a COVID-19 test, those services must also be covered without cost-sharing. The order includes both network and non-network providers.
The FAQ also discusses:
- Waiver of the 60-day material modification notice for changes in benefits due to COVID-19;
- Telehealth services under an HSA; and
- COVID-19 services through an EAP or employer clinic.
Similar Fact Sheets & FAQs for addition reading:
Affordable Care Act Implementation FAQs
The Center for Consumer Information and Insurance Oversight FAQs