February 2nd, 2022 — BCBSWY closely monitors COVID-19 developments and how the virus could impact our customers and provider partners. Here’s the latest information – be sure to check back frequently for updates.

Provider Covid-19 Updates: 

COVID-19 Reimbursement Vaccine Codes: 

Blue Cross Blue Shield of Wyoming welcomes the arrival of safe and effective vaccines as a critical component in the national and local COVID-19 response. BCBSWY will waive all cost-sharing for any fees charged to administer the vaccines.   

Screening for COVID-19 Diagnosis Guidance:

Asymptomatic and pre-surgical COVID-19 diagnostic testing is covered when medically appropriate and supported by the accepted standards of current medical practice. To ensure proper reimbursement for COVID-19 diagnostic tests, please follow the guidelines set out in the diagnostic guide.

COVID-19 Test Billing Guidance:

The Families First Coronavirus Response Act (the FFCRA) and the Coronavirus Aid, Relief, and Economic Security Act (the CARES Act) require health plans to cover diagnostic testing of COVID-19. Coverage must be provided without any cost-share, prior authorization, or medical management requirements. The table provided in the billing guide will help to understand which billing codes are appropriate for these services.

Telemedicine Services: 

The Centers for Medicare & Medicaid Services (CMS) and the Place of Service Workgroup has approved two changes for the National Place of Service (POS) code related to telemedicine services.

Telemedicine Services Matrix: 

Effective Feb. 17, 2022, BCBSWY has updated our telemedicine guidance. BCBSWY will permit telephonic and telemedicine visits to occur to the patient’s home.

COVID-19 Cost-Share Waiver:

BCBSWY is discontinuing the member cost share for COVID-19 treatment effective 1/1/22. Member cost-share will apply for inpatient hospital stays beginning in 2022, even if admission was in 2021.

Over-The-Counter At-Home Covid-19 Tests Update:   

The Biden administration on Jan.10 announced that starting Jan.15, 2022, commercial insurance companies and group health plans will be required to provide coverage for authorized over-the-counter (OTC) COVID at-home testing products at a $0 cost-share for members for up to eight individual tests per member each month.

Over-The-Counter Pharmacist Update:

Find the most updated information on OTC at-home tests and what tests are covered for timely and accurate claims processing.

Information for Health Professionals: 

The Centers for Disease Control & Prevention offers a wealth of resources and tools surrounding the importance of vaccination. 

Covid-19 Vaccination Resources from the CDC:

COVID-19 Booster Shot Eligibility
COVID-19 Vaccination Program Provider Requirements and Support
COVID-19 Vaccine Data Systems
COVID-19 Vaccines Strategy

For More Information on Covid-19 Visit the CDC Website.

Provided guidance from the CDC FAQ.

 

Continuing to support family, friends and neighbors. Together, we’ll keep Wyoming strong.

 

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