27 Mar CMS Issues Guidance on Telehealth Expansion
The Centers for Medicare and Medicaid Services (CMS) has issued a fact sheet regarding the steps it has taken to encourage commercial insurers to cover telehealth services:
- The HHS Office for Civil Rights released a Notification of Enforcement Discretion to waive certain regulatory requirements under HIPAA during the current public health emergency.
- CMS has asked states to consider whether state licensing laws could be relaxed to allow more in-state and out-of-state providers to offer telehealth services in the state during a national emergency. Over 30 states have already updated their provider licensing requirements in response to COVID-19.
- CMS will not enforce any health insurance issuer, in the individual or group market, that changes their health insurance product mid-year to increase coverage for telehealth services or reduce cost-sharing requirements for telehealth, even if the specific services covered by the change are not related to COVID-19.
- CMS will continue to take enforcement action against any health insurance issuer that tries to limit or eliminate other benefits to offset the costs of increasing telehealth benefits.
- CMS will not take enforcement action against any health insurance issuer that alters its emergency plans to provide pre-deductible coverage for telehealth services, even if the specific services covered by the change are not related to COVID-19. This discretion applies when a national emergency declaration is in effect, as it is currently.
You can find the full CMS release HERE.