Originally published on Texas Medical Association’s Website.
The following deadlines and extensions are in effect during the COVID-19 pandemic.
Practices that received funds from the Coronavirus Aid, Relief, and Economic Security (CARES) Act before April 24 have until June 3 to accept the terms and conditions and submit revenue information to receive an additional payment.
Aetna is moving its provider portal to Availity (from NaviNet) effective May 31. After that date, you’ll lose access to Aetna on NaviNet, including electronic transactions. Aetna also:
- Has extended coverage for commercial telemedicine service, including audio-only visits, through Aug. 4; and
- Will no longer waive cost sharing for any in-network telemedicine visits for commercial plans starting June 4.
Blue Cross Blue Shield of Texas has extended access to telemedicine/telehealth services with no cost sharing for all medically necessary, covered services and treatments through June 30. That access was set to expire May 31.
Cigna will extend certain cost-share waivers, including customer cost-sharing for telemedicine screenings for COVID-19, and other benefits through at least July 31.
Several Medicaid and Children’s Health Insurance Program(CHIP) flexibilities, including paying for Texas Health Steps (THSteps) medical checkups via telemedicine and CHIP copay waivers, will be extended through June 30. Payments had been set to expire May 31.
Medicare’s 2020 Quality Payment Program (QPP) registration window is open for the Merit-Based Incentive Payment System (MIPS) web interface reporting method and Consumer Assessment of Healthcare Providers and Systems survey through June 30.
Medicare’s 2019 QPP final performance feedback, which includes your overall MIPS score (0-100 point scale) and 2021 Medicare payment adjustment (bonus or cut) worth up to 7%, is expected July 1 via the QPP portal. Physicians who did not submit any 2019 MIPS data or who filed an application for an exception due to COVID-19 should not receive a 2021 payment cut.
Find each payer’s effective and expiration dates of waivers on this chart on the Texas Medical Association’s COVID-19 Resource Center.