COVID-19 info for our Massachusetts providers

05/06/2020

Here is some important coronavirus (COVID-19) information for our Massachusetts providers. We have:

  1. Temporarily suspended preauthorization and concurrent review for inpatient services for Massachusetts hospital admissions for members covered under Massachusetts, policies for a period of 60 days beginning April 6, 2020. We ask hospitals to notify us of a patient’s hospitalization within 48 hours of admission, and when a patient has been discharged.
  2. Temporarily extended the timelines for appeals for 90 days beginning April 6, 2020.
  3. Provided coding and billing guidance and policies for the COVID-19 pandemic.
  4. Implemented an expedited credentialing process. Providers should clearly indicate that the credentialing request for the physician and/or location is related to COVID-19 care.

We are also following standard business processes to meet prompt payment standards and are taking steps to minimize pending of claims.

Please see COVID-19 resources on our provider website for more details.

Also, make sure to use our “Find a facility” search on our online provider directory to look for in-network skilled nursing facilities, rehabilitation hospitals, long-term acute care hospitals and home health care agencies in Massachusetts.

The above information complies with the guidelines issued by Massachusetts authorities in response to the COVID-19 pandemic.

 

While we believe the information in this communication is accurate as of the date published, it is subject to correction or change during the rapidly evolving response to the COVID-19 outbreak.