Aetna OfficeLink Updates 6/1/2021

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Protecting Workers:

Guidance on Mitigating and Preventing the Spread of COVID-19 in the Workplace

The Centers for Disease Control and Prevention (CDC) has issued new guidance relating to recommended precautions for people who are fully vaccinated, which is applicable to activities outside of healthcare and a few other environments. OSHA is reviewing the recent CDC guidance and will update our materials on this website accordingly. Until those updates are complete, please refer to the CDC guidance for information on measures appropriate to protect fully vaccinated workers.

COVID-19 news from UnitedHealthcare 3/30/2021

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Need Expert Advice

The Texas Medical Association is launching a new “Ask the Expert” virtual series to bring members direct access to professional experts who can answer questions on legal, practice management, advocacy, and regulatory topics.

Join them each month as a TMA staff expert hosts a virtual meeting to discuss their area of expertise and answer questions from attendees

TMA "Ask the Expert"

THRIVE

THRIVE CareAllies’ Provider Newsletter May 2021

Education inside: Obtain Assistance with Coding Accuracy and Documentation, one-on-one education, coding reference tools. Get set up for remote access, email [email protected].

Resource Material inside: 

  • CoVid Vaccine Flyers
  • Call us first: Poster, Wallet Card, Wearable Button, etc. 
  • NO-SHOW: Poster and Wallet Card (customizable)

Email CareAllies at [email protected] with any topic suggestions for this (your) newsletter.

THRIVE

COVID-19 Coverage Assistance Fund (CAF)

MGMA Washington Connection May 6, 2021

This week, the HHS Health Resources and Services Administration (HRSA) announced the creation of the COVID-19 Coverage Assistance Fund (CAF). This new program will reimburse providers the cost of administering COVID-19 vaccines to patients specifically enrolled in certain short-term, limited duration and benefit health plans that either do not cover vaccinations or cover them with patient cost-sharing. Providers can request claims reimbursement electronically through the CAF Portal and will be reimbursed at the national Medicare rate for vaccine administration, and for patient charges related to COVID-19 vaccination, including co-payments, deductibles, and co-insurance for vaccine administration.

As a reminder to those practices that have received more than $10,000 from the Provider Relief Fund (PRF), registration is now open for the PRF
Reporting Portal. According to HRSA, the portal is only open for registration. MGMA will update members once the portal is open for reporting.

Re: Cigna MA Referrals

This is a cut and paste from:

(Revised 04/26/21) The current Public Health Emergency (PHE) period has been extended through 07/20/2021. https://www.phe.gov/emergency/news/healthactions/phe/Pages/COVID-15April2021.aspx

Referral Requirements

In-Network Providers: Referral requirements (if required by customer’s benefit plan) are waived for in-network provider services through 07/20/2021.

Out of Network Providers: Referral requirements (if required by customer’s benefit plan) are waived for out-of-network provider services through 07/20/2021.

Cigna MA Referral Requirements

COVID-19 news from UnitedHealthcare, April 20th, 2021

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News from UHC

UnitedHealthcare remains committed to delivering timely news and updates to help you stay informed of fast-changing COVID-19 circumstances. Here’s a quick overview of the recent extension of the national public health emergency period, as well as billing updates and resources to help you answer patient questions about COVID-19 vaccines. For the complete article follow this link to the InK Files. 

PHE Extended

HHS Secretary Xavier Becerra has renewed the public health emergency (PHE) for COVID-19 effective April 21, 2021. This extension will effectively continue all telehealth waivers and other flexibilities pursuant to this determination. As with previous determinations, the renewed PHE will terminate 90 days after its effective date on Tuesday, July 20, 2021, unless it is further extended. The Biden administration has previously indicated that it intends to continue extending the COVID-19 PHE at least for the remainder of 2021.

MGMA ~ Drew Voytal