Medicare Coverage and Payment Related to COVID-19/FAQ Document

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare

On March 5, 2020, CMS posted a Medicare Coverage and Payment Related to COVID-19 Fact Sheet to address coverage and payment related to COVID-19 for both traditional Medicare as well as Medicare Advantage (Medicare Part C) and Medicare Part D (prescription drug benefit).  Topics addressed in this Fact Sheet include:

  • Diagnostic tests
  • Vaccines
  • Inpatient Hospital Care Services
  • Inpatient Hospital Quarantines
  • Ambulatory Services in a Hospital or Other Location
  • Telehealth and Other Communication-Based Technology Services
  • Requests for Prescription Refills
  • Emergency Ambulance Transportation
  • Medicare Advantage Coverage
  • Medicare Advantage Cost Sharing – “Surprise Billing”
  • Part D Coverage
  • Prior Authorization

March 6th saw the posting of COVID-19 FAQs.  This 9-page document is similar to the Fact Sheet however it provides answers to specific questions.  The Press Release corresponding to the FAQ also provides an updated list of CMS’ actions to date (hyperlinks to the info included).