May 2021 Client Newsletter
HHS Public Health Emergency (PHE) Extended
The Secretary of HHS, has extended the Public Health Emergency (PHE) another 90 days to July 19th. That means that many of the copays will continue to be paid by insurers.
Below is an overview of how United Healthcare indicates that extension affects temporary provisions for COVID-19 testing and testing-related services.
- Individual Exchange, Individual and Group Market health plans: From Feb. 4, 2020 through the national public health emergency period, UnitedHealthcare is waiving cost sharing for in-network and out-of-network COVID-19 tests and testing-related services, including testing-related telehealth visits.
- Medicare Advantage: From Feb. 4, 2020 through the national public health emergency period, UnitedHealthcare is waiving cost sharing for in-network and out-of-network tests for COVID-19.
- Medicaid: State-specific rules and other state regulations may apply. For Medicaid and other state-specific regulations, please refer to your state-specific website or your state’s UnitedHealthcare Community Plan website, if applicable.
NJ Medicaid Re-Enrollment Starting
NJ Medicaid will begin conducting provider re-enrollment in April 2021, as required by Federal law. Re-enrollment, also known as re-validation, is required of all Medicaid providers every five years.
The re-enrollment process will be completed by provider type in monthly stages and providers will receive written notice from Gainwell Technologies (NJ Medicaid’s fiscal agent) 30 days prior to receiving a re-enrollment packet. Each re-enrollment application packet will include a cover letter with a mandatory return date and each packet will include the required forms and documentation required.
If any client that participates with NJ Medicaid receives a re-enrollment packet, please notify Robin right away. NJ Medicaid doesn’t specify which month a particular provider type will be sent the re-enrollment application. Just that this process is starting April 2021.
Horizon & Virtual Credit Cards (VCC) vs. EFT
Given Horizon’s sudden change to pay using VCC’s, if you do not accept credit cards, or do not want to pay the unconscionable fee to use VCCs, you can contact NaviNet to transition to EFT.