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The HRSA COVID-19 Uninsured Program reimburses eligible claims for COVID-19 testing, treatment, and vaccination for individuals with limited Medicaid benefits if the Medicaid plan does not cover these services. For more information, see the CMCS Informational Bulletin (PDF - 317 KB). ARPA also required Medicaid limited COVID-19 testing plans to cover COVID-19 treatment.

117-2) included a requirement that most Medicaid limited-benefit plans cover COVID-19 vaccine administration, effective March 11, 2021. The American Rescue Plan Act of 2021 (ARPA, P.L. However, as previously stated, HRSA’s COVID-19 Uninsured Program is not a health plan.

HRSA recognizes that the use of B97.29 as the primary diagnosis as described above is different from the ICD-10-CM Official Coding Guidelines – Supplement for Coding encounters related to COVID-19 Coronavirus Outbreak. To address this issue, HRSA has established separate guidance for this program to use B97.29 as the primary diagnosis when COVID-19 is the primary reason for treatment except for pregnancy for which providers would use O98.5 as the primary diagnosis and B97.29 as the secondary diagnosis (similar to how U07.1 is used). For dates of services or discharges prior to April 1, 2020, there is no equivalent diagnosis to indicate COVID-19 is the primary reason for treatment.For dates of service or discharges on or after April 1, 2020, providers will use primary diagnosis U07.1 to indicate COVID-19 is the primary reason for treatment except for pregnancy for which providers will use O98.5 as primary diagnosis and U07.1 as the secondary diagnosis.HRSA has developed the following guidance for claims reimbursement submission: Rather, the program provides billing guidance to allow providers to identify and submit only claims eligible for reimbursement under this program, which is exclusively for reimbursing providers for COVID-19 testing of uninsured individuals and treatment for uninsured individuals when COVID-19 is the primary reason for treatment, or for vaccine administration to uninsured individuals. The HRSA COVID-19 Uninsured Program does not provide coding guidance to providers. Therefore, the program is not subject to HIPAA requirements. § 160.103 in that the program has no relationship with individuals that would legally obligate the program to pay claims for some or all of the health care provided to those individuals. The HRSA COVID-19 Uninsured Program is a claims reimbursement program for health care providers which does not meet the definition of a “health plan” as defined in section 1171(5) of the Social Security Act and in 45 C.F.R. 117-2), which allocated funding to reimburse providers for COVID-19 testing of the uninsured. The American Rescue Plan Act of 2021 (ARPA, P.L.A portion of the funding is also used to reimburse providers for administering Food and Drug Administration (FDA)-authorized or licensed COVID-19 vaccines to uninsured individuals. Within the Provider Relief Fund, a portion of the funding supports health care-related expenses attributable to COVID-19 testing for the uninsured and treatment of uninsured individuals with COVID-19.116-260), which appropriated an additional $3 billion (collectively, the Provider Relief Fund). 116-139), which appropriated an additional $75 billion in relief funds and the Coronavirus Response and Relief Supplemental Appropriations Act (CRRSA) (P.L. 116-136), which provided $100 billion in relief funds, including to hospitals and other health care providers on the front lines of the COVID-19 response the Paycheck Protection Program and Health Care Enhancement Act or PPPHCEA (P.L. The Coronavirus Aid, Relief, and Economic Security (CARES) Act (P.L.116-139), which each appropriated $1 billion to reimburse providers for conducting COVID-19 testing for uninsured individuals 116-127) and the Paycheck Protection Program and Health Care Enhancement Act or PPPHCEA (P.L. The Families First Coronavirus Response Act or FFCRA (P.L.The following parts of bipartisan legislation provide funding for the program: This program provides reimbursements on a rolling basis directly to eligible providers for claims attributed to the testing, treatment, or vaccine administration for COVID-19 for uninsured individuals. The Administration is providing support to health care providers fighting the COVID-19 pandemic through the COVID-19 Claims Reimbursement to Health Care Providers and Facilities for Testing, Treatment, and Vaccine Administration for the Uninsured Program (HRSA COVID-19 Uninsured Program).

Uhc medicare advantage timely filing limit 2022