DMAS has issued a Medicaid Memo on Provider Flexibilities Related to COVID-19 today. This memo sets out the agency’s initial guidance on the flexibilities available to providers in light of the public health emergency presented by the COVID-19 virus. These flexibilities include expanded telehealth coverage, as well as the waiver of certain program requirements, including specified service authorizations and prescription drug limitations. DMAS is also waiving specific provider requirements. These flexibilities are relevant to the delivery of covered services related to COVID-19 detection and treatment, as well as maximizing access to care and minimizing viral spread through community contact.

VCHA-VCAL encourages members to review the memo including the sections related to:

• Billing for COVID-19 Testing
• Billing for COVID-19 Related Services
• Coverage of Targeted Services Delivered Via Telehealth
• Pharmacy Benefit Changes in Response to COVID 19
• Waiving Service Authorization Requirements on Select Services
• Waiver Face-to-Face Requirements – CCC Plus Managed Care Program
• CCC Plus Waiver
• Behavioral Health Services (Applicable across MCOs and FFS)