UnitedHealthcare is temporarily expanding the dates through which we are waiving the Centers for Medicare & Medicaid Services (CMS) originating site requirements for Medicare Advantage, Medicaid, and Individual and fully insured Group Market health plan members. We are also updating the cost-share waiver period for in-network telehealth services. The date changes vary by the health plan, so please review each section for details.

We appreciate all the work that you continue to do to care for your patients during the national public health emergency period. As we extend some of our temporary measures, we wanted to share these updates with you. For more COVID-19 information visit UHCprovider.com/covid19.

This is a general overview of updates that apply to our Medicare Advantage and Individual and fully insured Group Market health plans. State-specific and Medicaid rules, regulations, date limitations, or exclusions may also apply, so please review our site and your state’s site for the latest applicable information. If no state-specific guidance is available, UnitedHealthcare guidelines will apply.

Extending Temporary Telehealth Expansion and Reimbursement Through Sept. 30, 2020

To help you deliver care and be reimbursed for telehealth services, for certain markets and plans we’re temporarily continuing to waive the Centers for Medicare & Medicaid Services (CMS) originating site requirement for members through Sept. 30, 2020.*

And, UnitedHealthcare will temporarily reimburse providers for telehealth visits at parity with the rate they would receive for an in-person visit.

Depending on whether a claim is for a Medicare Advantage, Medicaid, Individual, and fully insured Group Market health plan members, those policies may require slightly different modifiers, date of service limitations, or place of service indicators for a telehealth claim to be reimbursed. For more details, please visit UHCprovider.com/covid19.

Extending Telehealth Cost Share Waivers

UnitedHealthcare is also continuing its expansion of telehealth including temporarily waiving member cost share for telehealth visits for medical, outpatient behavioral, physical, occupational and speech therapy, chiropractic therapy, home health, hospice, and remote patient monitoring services, with opt-in available for self-funded employers.

  • For COVID-19 in- and out-of-network telehealth services, UnitedHealthcare is waiving cost-share through the national public health emergency period.
  • For COVID-19 in-network only telehealth services, UnitedHealthcare will extend the cost-share waiver from July 25, 2020, through Sept. 30, 2020.*
  • For non-COVID-19 in-network only telehealth services, UnitedHealthcare will extend the cost-share waiver through Sept. 30, 2020.*

* This date is subject to change based on direction from CMS.

Updated COVID-19 Testing Guidance

We updated our COVID-19 Testing Guidance to include FDA-authorized virus detection and antibody tests. We’ve also updated and streamlined the testing section of our website, making it easier for you to find the information you need.

Note from your Revenue Cycle Management partner at ebix, Inc. – We are always at the forefront of industry insights and believe this announcement will be of interest to you.

https://www.uhcprovider.com/en/resource-library/news/Novel-Coronavirus-COVID-19.html?cid=em-providernews-pca-1-20-01746-jun20