Throughout the COVID-19 pandemic, commercial and government payers have issued waivers and policy changes to help physicians care for as many patients as possible.
But each plan has different effective and expiration dates for telemedicine, testing, and treatment changes. And most commercial plans can opt in or out of government-program adjustments such as waiving cost-share for treatment.
If you’re trying to keep track of each payer’s policies, the Texas Medical Association has created a chart that shows when each change began – and is scheduled to end – for government and commercial plans.
The chart includes information on Medicaid and Medicare as well as Texas Department of Insurance (TDI)-regulated commercial plans and ERISA (federally regulated) policies. It is based on details posted on each plan’s website and will be updated frequently. TMA recommends you contact each patient’s plan directly.
The chart is one of several tools TMA has published to help you navigate the constantly changing payer landscape during the pandemic.
TMA’s Practice Viability Toolkit details multiple ways to keep your practice’s finances healthy. It includes a section on each payer’s policies.
The webinar, Payer Updates in the Time of COVID-19, offers guidance in sorting through the inconsistent patchwork of varying COVID-19 billing and coding policies. It is accredited for 0.5 AMA PRA Category 1 Credits™.
You can find the payer chart, toolkit, webinar, and other resources and information on the practice viability section of the TMA COVID-19 Resource Center.
Last Updated On
May 12, 2020