COVID-19 News and Updates

MCO Guidance on COVID-19 Flexibilities on Face-to-Face Requirements As of August 13, 2020

DMAS is granting the extension of certain Covid-19 related flexibilities on face-to-face requirements until January 31, 2021 in order to maintain adequate provider and MCO staffing availability, maximize member access to care, maintain health, safety and welfare, and minimize viral spread through community contact.

 

 

COVID‐19 Response ‐ DMAS Behavioral Health Providers & Stakeholders (August 24, 2020)

Department of Medical Assistance Services presentation regarding COVID-19 updates for Behavioral Health providers.

 

 

COVID-19 Continuations Until 8/31/20 and 10/22/20 (8/24/2020)

This memo sets out interim guidance from the Department of Medical Assistance Services (DMAS) to extend federal and state authorities that allow regulatory flexibilities to providers during the public health emergency presented by the COVID-19 (novel coronavirus).

 

 

Coverage of COVID-19 Antibody Lab Tests (August 11, 2020)

The purpose of this memorandum is to inform providers that DMAS fee for service (FFS) and all contracted managed care plans will cover two new COVID-19 antibody-testing codes.

 

 

Developmental Disabilities (DD) and Commonwealth Coordinated Care (CCC) Plus Waivers: Provider Flexibilities Related to COVID-19 (August 10, 2020)

This memo is a part of a series that sets out the Agency's guidance on the flexibilities available to providers in light of the public health emergency presented by the COVID-19 virus.

 

 

COVID-19 Policy Continuation and Timeline (7/15/2020)

This memo sets out guidance from the Department of Medical Assistance Services (DMAS) on requests that have been made to extend federal and state authorities that allow regulatory flexibilities to providers during the public health emergency presented by the COVID-19 (novel coronavirus), as well as end-dates of certain flexibilities.

 

 

COVID-19 Payment Increase for Medallion 4 Providers of Certain Evaluation and Management Codes (7/2/2020)

The purpose of this memo is to inform you that the Department of Medical Assistance Services (DMAS) has directed all Medallion 4.0 Managed Care Organizations (MCOs) to provide MCO contracted physicians and non-physician professional providers who provided Evaluation and Management (E&M) services between March 1, 2020 and June 30, 2020 a temporary uniform payment increase of 29% for these services.

 

 

Clarifications and Changes: Group-Based Service Delivery in Behavioral Health and Addiction and Recovery Treatment Services (ARTS) during the COVID-19 State of Emergency (7/1/2020)

This fourth memo for Behavioral Health and ARTS providers is part of a series of memos that set out the Agency’s guidance on the flexibilities available to providers in light of the public health emergency presented by the COVID-19 virus.

 

 

Virginia Medicaid Agency Announces Emergency Relief for Providers

The Virginia Department of Medical Assistance Services (DMAS) announced today that Governor Ralph Northam has approved an estimated $30 million in emergency support for primary care doctors, pediatricians and other providers who offer general health care services to Virginia Medicaid members during the COVID-19 public health crisis.

 

 

Coronavirus relief funds (June 22, 2020)

The U.S. Department of Health and Human Services (HHS) is allocating $15 billion to providers who participate in Medicaid and the Children’s Health Insurance Program (CHIP) and have not received a payment from the Provider Relief Fund General Allocation. The deadline to submit applications is July 20, 2020. DMAS encourages providers to apply even if you are uncertain whether you are eligible.

 

 

COVID-19 Facility Closure and Reopening List from DMAS

 

 

Governor's Executive Orders for Access to Medicaid Covered Health Care Services in Response to Novel Coronavirus (COVID-19) (June 16, 2020)

Please find links to the Governor's Executive Orders for Access to Medicaid Covered Health Care Services in Response to Novel Coronavirus (COVID-19), and Licensing of Health Care Professionals in Response to Novel Coronavirus (COVID-19).

 

 

Behavior Therapy Provider Flexibility Update (6/15/2020)

This third memo relevant to Behavioral Health and ARTS providers is one in a series of memos that set out DMAS guidance on the flexibilities available to providers in light of the public health emergency presented by the COVID-19 virus.

 

 

COVID-19 information (June 4 update)

HealthKeepers, Inc. is closely monitoring COVID-19 developments how they will impact our Anthem HealthKeepers Plus members and our health care provider partners. Our clinical team is actively monitoring external queries and reports from the CDC to help us determine what action is necessary on our part.

 

 

Reimbursement for outpatient physical therapy, occupational therapy and speech therapy services via telehealth

Effective April 28, 2020, per guidance received from the Department of Medical Assistant Services (DMAS) and to continue to support provider and members during the COVID-19 pandemic, HealthKeepers, Inc. reimburses for outpatient physical therapy, occupational therapy, and speech therapy services, including evaluations, via telehealth for Anthem HealthKeepers Plus members.

 

 

Listen now! Webinar recording available from HealthKeepers, Inc. for network providers on SBA loans and other federal relief programs in response to COVID-19

We are committed to helping care providers learn how you can secure resources to support yourselves and your business during the COVID-19 crisis. On April 30, 2020, we hosted a webinar to share information and resources with network providers regarding opportunities to access loans through the U.S Small Business Administration (SBA) and other federal programs in response to the economic impact of COVID-19 on care providers that are also small employers.

 

 

Developmental Disabilities (DD) and Commonwealth Coordinated Care (CCC) Plus Waivers: Provider Flexibilities Related to COVID-19

A memo from Karen Kimsey, Director, Department of Medical Assistance Services (DMAS) to all providers participating in the Virginia Medicaid and FAMIS programs.

 

 

Federal resources available for health care providers and employers in the federal CARES Act

During the COVID-19 crisis, care providers are working to keep the country running while navigating the financial impact it is having on them. Anthem, Inc., the parent company of HealthKeepers, Inc., advocated for Congress to provide sufficient funding for hospitals to be able to address those in need of care, and we strongly support federal and state efforts to address the financial needs of care providers.

 

 

COVID-19 update: HealthKeepers, Inc. suspends select prior authorization rules and announces significant policy adjustments in response to unprecedented demands on health care providers

HealthKeepers, Inc. recognizes the intense demands facing doctors, hospitals and all health care providers in the face of the COVID-19 pandemic. Today, unless otherwise required under state and federal mandates, HealthKeepers, Inc. health plans will suspend select prior authorization (PA) requirements, member cost sharing, claims review and handling protocols to allow health care providers to focus on caring for patients diagnosed with COVID-19 who are enrolled in Anthem HealthKeepers Plus.

 

 

Clarifications and Changes: Behavioral Health and ARTS Provider Flexibilities Related to COVID-19

Behavioral Health and ARTS providers are advised of the following new flexibilities and requirements. This guidance is in addition to the first memo dated March 19, 2020, “Provider Flexibilities Related to COVID‑19."

 

 

Guidelines for Providers of Behavioral Health and Developmental Services Following the Issuance of Executive Order 53 on March 23, 2020

Virginia Department of Behavioral Health & Developmental Services: Guidelines for Providers of Behavioral Health and Developmental Services Following the Issuance of Executive Order 53 on March 23, 2020.

 

 

DMAS COVID-19 Frequently Asked Questions (March 26, 2020)

Virginia Medicaid is Taking Action to Fight COVID-29

 

 

Changes related to COVID-19 (March 25, 2020)

HealthKeepers, Inc. continues to closely monitor COVID-19 developments and how the novel coronavirus will impact our members and providers.

 

 

Provider Flexibilities Related to COVID-19 (March 19, 2020)

This memo sets out the Agency’s initial guidance on the flexibilities available to providers in light of the public health emergency presented by the COVID-19 virus.

 

 

Authorizations extended for LTSS services due to COVID-19

HealthKeepers, Inc. will automatically extend current authorizations for LTSS services for Anthem HealthKeepers Plus members that are scheduled to expire prior to May 11, 2020 for an additional 60 days.