We hope you are staying well during this time. We wanted to highlight a few news updates both COVID-19 related and industry news related.
As a reminder, Contact your legislators today and ask them to pass The Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act (HR 4932/S. 2741). This is bipartisan legislation that would expand the use of telehealth services and ease restrictions on telehealth coverage under the Medicare program. Click here to send a letter directly to your Congressional Members.
In other news, TRICARE has issued the final rule to add PTAs and OTAs as TRICARE authorized providers for PT or OT services under the supervision of a TRICARE-authorized PT or OT in accordance with Medicare’s rules for supervision and qualification. General supervision requires the PT or OT to be available if needed by the PTA or OTA but does not require the PT or OT to be in the office suite or on the premises. Tricare may still implement CQ and CO modifiers. This will be effective April 16, 2020. Read more about the final rule from the GAO.
As a reminder, AIM auths are scheduled to go-live on 04/01/2020 for the following plans:
Anthem Medicaid IN, NY, WI
Anthem Commercial CO, NV
Anthem Medicare CA, CO, CT, GA, IN, KY, ME, MO, NH, NM, NY, OH, TN, TX, VA, WA, WI.
For services that are scheduled on or after 04/01/2020, providers must use AIM to obtain authorization for outpatient rehabilitation services. The online portal can be used 24/7 to place authorization requests, and many times, the determination is made at the time of submission! Visit here to register today!
As always, we are here to help. Be well.
Click here to read how we’ve taken our security more seriously in this article with our President and Co-Founder, Danielle Pantalone and Paobox!