The health of our plan members and the safety of those who deliver care are our top priorities. COVID-19 is a rapidly evolving national health emergency, and we’re working closely with national, state and local health organizations.
On this page, we will post COVID-19-related updates to our operational processes, as well as other relevant information that will be pertinent to your provision of care to Peoples Health patients during this time. We’re monitoring the COVID-19 health emergency closely and updating this site with new information as it’s available. Be sure to check back frequently for updates.
Last updated: 04/09/2020 10:47 a.m.
LATEST COVID-19 NEWS
Home Health Agencies
Home health agencies can provide more services to patients using telehealth within the 30-day episode of care, so long as it’s part of the patient’s plan of care and does not replace needed in-person visits as ordered on the plan of care. We acknowledge that the use of such technology may result in changes to the frequency or types of in-person visits outlined on existing or new plans of care. For more information, please visit the CMS website.
Prior Authorization for Drugs
Congress passed the CARES Act on March 20, which reduces prior authorization requirements for certain prescription medications when a provider is not available to help with the authorization. We are working with the federal government to better understand the requirements of the new law and will have better information in early April.
COVID-19 Treatment Cost-Sharing
Peoples Health is waiving patient cost-sharing for any COVID-related treatment provided through May 31, 2020. The waiver applies to all locations of services and from both in-network and out-of-network providers.
COVID-19 Testing-Related Telehealth Visits
From March 18, 2020, and throughout this national emergency, we will waive patient cost-sharing for in-network and out-of-network COVID-19 testing related telehealth visits, including both interactive audio/video and audio only.
Expanded Provider Telehealth Access
Peoples Health is waiving the CMS originating site restriction and audio-video requirement for patients from March 18, 2020, until June 18, 2020. Eligible care providers can bill for telehealth services performed using interactive audio/video or audio only, except in the cases where we have explicitly denoted the need for interactive audio/video such as with PT/OT/ST, while a patient is at home.
Cost Share Waived for In-Network Telehealth Services
We will also waive cost-sharing for in-network, non-COVID-19 telehealth services for medical, outpatient behavioral and PT/OT/ST services from March 31, 2020, until June 18, 2020.
For medical and outpatient behavioral telehealth visits, providers can utilize both interactive audio/video and audio-only. For PT/OT/ST provider visits, interactive audio/video technology must be used.
Cost-sharing will be waived for in-network telehealth visits. According to plan benefits, out-of-network providers also qualify for telehealth. Patient benefit and cost-sharing will apply, if applicable.
Peoples Health is closely monitoring the drug supply chain to determine if any coverage changes are necessary.
Early Prescription Refills
Your Peoples Health patients can fill existing prescriptions early (up to a 90-day refill) through direct pharmacy or mail order. To get an early refill, patients can call the pharmacy number on their ID card or speak directly to a pharmacist.