As the healthcare landscape continues to evolve at a rapid pace as a result of the COVID-19 pandemic, state and federal government entities have taken many actions to help support clinicians during these unprecedented circumstances. These efforts come in the form of financial relief for providers impacted by the pandemic and the removal of bureaucratic barriers, which traditionally slow down the delivery and access to patient care.
Advanced and Accelerated Medicare Payments – CMS has expanded the advanced and accelerated payment program, normally reserved for Medicare providers impacted by natural disasters. Providers, Hospitals, and Suppliers enrolled in Medicare can request up to a 100% (or more for Critical Access Hospitals) advancement on payments for a 3- month period. Medicare would recoup this advance by offsetting future payments. For more information, CLICK HERE.
Provider Enrollment Requirements – CMS has waived certain requirements of the Medicare enrollment process and suspended Medicare revalidation during the health emergency. States now have the option to waive licensure requirements to allow providers to practice out of state. For more information, CLICK HERE.
States Waive Prior Authorization for Medicaid – States are working with CMS to implement 1135 waiver authority to make temporary changes to Medicare, Medicaid, and CHIP programs. Many states have chosen to waive prior authorization requirements for state Medicaid programs and are asking private insurers to consider the same. For more information, CLICK HERE.
As the situation related to the COVID-19 pandemic continues to develop day by day, ADVOCATE remains committed to keeping you informed on the issues impacting medical groups as they develop.
Manager of Regulatory Affairs