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New Guidance on Health Plans' COVID-19 Coverage Obligations | Sheppard Mullin Richter & Hampton LLP

New Guidance on Health Plans' COVID-19 Coverage Obligations | Sheppard Mullin Richter & Hampton LLP
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New HHS & Treasury: Health Plans' COVID-19 Coverage Obligations

Tuesday, March 2, 2021
On February 26, 2021, the Departments of Labor, Health and Human Services (HHS), and the Treasury issued Frequently Asked Questions (FAQs) on the implementation of the Families First Coronavirus Response Act (“FFCRA”), the Coronavirus Aid, Relief, and Economic Security Act (the “CARES Act”), and other health coverage issuesrelated to COVID-19.
COVID-19 Diagnostic Testing
FFCRA requires group health plans and health insurance issuers offering group or individual health insurance coverage, including grandfathered health plans (collectively, “Plans”) to cover certain items and services related to the testing and diagnosis of COVID-19 without cost-sharing, prior authorization, or other medical management requirements. The CARES Act expanded the range of diagnostic items and services that Plans must cover. The CARES Act also requires Plans to reimburse any provider of COVID-19 diagnostic testing at an amount that equals th ....

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