December 22, 2020
On December 16, 2020, Commissioner Schmidt published an open letter to providers of health services in the state about the administration of COVID-19 testing to residents. In the letter, she reminded providers of the fact that the FFCRA and CARES requires health pans and insurers must provide coverage for diagnostic COVID-19 testing, including the administration of the tests, without cost sharing. Federal law allows the provider to be reimbursed at a rate negotiated with the plan or insurer, or absent such an arrangement, at a rate listed by the provider on its public website. The commissioner admonished providers against engaging in price gouging practices when charging insurers and plans for these services.
Group health plan sponsors should be aware of these developments.
Commissioner Schmidt’s Letter to Providers »