In addition, the following services are excluded: Services not covered by traditional Medicare will also not be covered under this program. Administration fees related to FDA-licensed or authorized vaccines.Ĭlaims will be subject to Medicare timely filing requirements.Dispensing fees for FDA-licensed or authorized outpatient antiviral drugs for treatment of COVID-19.Treatment: office visit (including telehealth), emergency room, inpatient, outpatient/observation, skilled nursing facility, long-term acute care (LTAC), rehabilitation care, home health, durable medical equipment (e.g., oxygen, ventilator), emergency ambulance transportation, non-emergent patient transfers via ambulance, and FDA-licensed, authorized, or approved treatments as they become available for COVID-19 treatment.Testing-related visits including in the following settings: office, urgent care or emergency room or telehealth.Specimen collection, diagnostic and antibody testing.Reimbursement under this program will be made for qualifying testing for COVID-19, for treatment services with a primary COVID-19 diagnosis, and for qualifying COVID-19 vaccine administration fees, as determined by HRSA (subject to adjustment as may be necessary), which include the following: Providers may submit claims for individuals in the U.S. You agree to program terms and conditions (PDF - 123 KB) and may be subject to post-reimbursement audit review.You agree not to balance bill the patient.
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