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Agencies Release Guidance on COVID-19 Legislation

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

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