COVID-19 Center

ResourceContent

​​​​​​​​​​​​We continue to closely monitor the outbreak of COVID-19 and will publish resources and updates to assist you in providing care to our members, your patients. ​
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2023 Updates

• Updated coverage for COVID-19 vaccine​​​ October 9, 2023
• Medicaid Redetermination: Help your patients continue their health care coverage​​ June 7, 2023
• National Public Health Emergency ends May 11: Updates on COVID-19 policy changes May 3, 2023​​
• COVID-19 tests for public health screening and surveillance are not covered March 1, 2023

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Provider Resources

COVID-19 webpages

Providers:

• AmeriHealth New Jersey

Members:

• AmeriHealth New Jersey
• AmeriHealth Pennsylvania

Administrative

Temporary facility changes:

• AmeriHealth New Jersey
• AmeriHealth Pennsylvania

Policy information

• News & Announcements

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Articles

Acute care prior authorization

• COVID-19 (Coronavirus): Prior authorizations for acute care resume (March 31, 2022)

Claim adjustments

• COVID-19 (Coronavirus): Member cost-share claims processing for PCP, specialist, and behavioral health telemedicine services for AmeriHealth Pennsylvania members (October 26, 2021)
• COVID-19 (Coronavirus): Member cost-share claims processing for testing and treatment for AmeriHealth Pennsylvania members (October 28, 2021)
• COVID-19 (Coronavirus): Member cost-share claims processing for AmeriHealth New Jersey members (October 28, 2021)
• COVID-19: Suspension of timely filing requirements extended (August 17, 2022)

Credentialing procedures

• COVID-19 (Coronavirus): Temporary credentialing procedures (May 6, 2020)

CRNP/PA requirements

• COVID-19 (Coronavirus): CRNP and PA direct supervision requirements (October 29, 2021)

CT chest imaging

• COVID-19 (Coronavirus): Update to AIM guidelines to allow CT for diagnosis of COVID-19 pneumonia (December 2, 2020)

DME waiver

• COVID-19 (Coronavirus): Certain DME requirements waived (April 27, 2021)
• COVID-19 (Coronavirus): Certain DME requirements reinstated (July 1, 2021)

Drug program formulary updates

• COVID-19 (Coronavirus): AmeriHealth drug program formulary updates (April 29, 2020)

Pulse oximeters

• Help monitor COVID-19 patients at home with pulse oximeters (October 27, 2021)

Respiratory equipment

• COVID-19 (Coronavirus): Coverage for respiratory equipment and related supplies (July 1, 2021)

Stress test

• COVID-19 (Coronavirus): Pharmacologic nuclear stress testing (July 15, 2021)

Telemedicine

• COVID-19 (Coronavirus): Temporary claims processing code J3490 added to allow payment for primary care telemedicine visits (October 5, 2020)
• COVID-19 (Coronavirus): Telemedicine services for AmeriHealth Pennsylvania members (October 1, 2021)
• COVID-19 (Coronavirus): Member cost-share claims processing for PCP, specialist, and behavioral health telemedicine services for AmeriHealth Pennsylvania members (October 26, 2021)
• COVID-19 (Coronavirus): Member cost-share claims processing for AmeriHealth New Jersey members (October 28, 2021)
• COVID-19 (Coronavirus): Telemedicine services for AmeriHealth New Jersey members (October 29, 2021)

Testing and treatment

• COVID-19 (Coronavirus): Billing and coding for testing (October 27, 2021)
• COVID-19 (Coronavirus): Member cost-share claims processing for AmeriHealth New Jersey members (October 28, 2021)
• COVID-19 (Coronavirus): Member cost-share claims processing for testing and treatment for AmeriHealth Pennsylvania members (October 28, 2021)
• COVID-19 (Coronavirus): Infusion drug treatment (December 28, 2021)
• COVID-19 (Coronavirus): Specimen collection by medical professionals (January 8, 2021)
• COVID-19 (Coronavirus): Member coverage for testing (October 29, 2021)
• COVID-19 (Coronavirus): Member coverage for treatment (October 29, 2021)
• COVID-19 (Coronavirus): Urgent Care providers cost-share waiver (December 28, 2021)
• COVID-19 tests for public health screening and surveillance are not covered (March 1, 2023)

Travel recommendations

• COVID-19 (Coronavirus): Travel recommendations and precautions (June 30, 2020)

Vaccines

• COVID-19 (Coronavirus): How to become a vaccinator (March 30, 2021)
• COVID-19 (Coronavirus): Vaccine coverage and reimbursement (November 11, 2021)
• Encourage flu vaccinations (September 25, 2020)
• COVID-19 (Coronavirus): Vaccine information (November 11, 2021)
• COVID-19 (Coronavirus): Non-traditional providers (March 10, 2021)
• COVID-19 (Coronavirus): Vaccine reporting requirements (March 10, 2021)

Well visits

• COVID-19 (Coronavirus): Well visits for adult and pediatric members (July 1, 2021)

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