Alternative Care Setting Services Covered as In-Network

On April 9, 2020, Gov. Sununu issued Emergency Order #30 which establishes temporary requirements for health care provided in alternative care settings (ACS). Such settings include schools, auditoriums, convention centers, ambulatory surgical centers, nursing facilities or rehabilitation hospitals. Further, the order requires all insurers to treat all medically necessary, covered ACS services as in-network (and reimburse at the in-network rate) and explains that out-of-network providers who are reimbursed as in-network under this order are prohibited from balance billing the member.

Employers should be aware of these updates.

Emergency Order #30 »