Aetna Better Health - Bulletin Updates

April 21, 2020

Please review the attached provider notifications sent via fax blast recently by Aetna Better Health:

  • Bulletin No 171 Temporary Changes in Prior Authorization/Precertification and Admissions Protocols for Aetna Better Health of Michigan  
  • Bulletin No 171 FAQ Temporary Changes in Prior Authorization/Precertification and Admissions Protocols for Aetna Better Health of Michigan  

In addition, please review the attached MSA COVID 19 Bulletins.

  •  MSA 20-13 COVID 19 Response:  Telemedicine Policy Expansio
  •  MSA 20-18 COVID 19 Response: Relaxing of Hospital Transfer and Related Transportation Policy
  • MSA 20-27 COVID 19 Response: Policy for Designated COVID 19 Regional Hubs

 

 ABH is sharing the latest CMS COVID19 Telehealth and End-Stage Renal Toolkit links

Under President Trump’s leadership to respond to the need to limit the spread of COVID-19, CMS has broadened access to Medicare telehealth services so that beneficiaries can receive a wider range of services from their doctors without having to travel to a healthcare facility. CMS is expanding this benefit on a temporary and emergency basis under the 1135 waiver authority and Coronavirus Preparedness and Response Supplemental Appropriations Act. Under this new waiver, Medicare can pay for office, hospital, and other visits furnished via telehealth across the country and including in patient’s places of residence starting March 6, 2020. A range of providers, such as doctors, nurse practitioners, clinical psychologists, and licensed clinical social workers, will be able to offer telehealth to their patients. These benefits are part of the broader effort by CMS and the White House Task Force to ensure that all Americans – particularly those at high-risk of complications from the virus that causes the disease COVID-19 are aware of easy-to-use, accessible benefits that can help keep them healthy while helping to contain the community spread of this virus. 

Each toolkit contains electronic links to reliable sources of information on telehealth and telemedicine, which will reduce the amount of time providers spend searching for answers and increase their time with patients. Many of these links will help providers choose learn about the general concept of telehealth, choose telemedicine vendors, initiate a telemedicine program, monitor patients remotely, and develop documentation tools. Additionally, the information contained within each toolkit will also outline temporary virtual services that could be used to treat patients during this specific period of time.

You can find the Telehealth Toolkit for General Practitioners Here: https://www.cms.gov/files/document/general-telemedicine-toolkit.pdf

You can find the End-Stage Renal Disease Providers Toolkit Here: https://www.cms.gov/files/document/esrd-provider-telehealth-telemedicine-toolkit.pdf

CMS continues to monitor the developing COVID-19 situation and assess options to bring relief to clinicians. To keep up with the important work the Task Force is doing in response to COVID-19 click here www.coronavirus.gov. For complete and updated information specific to CMS, please visit the Current Emergencies Website.