Here is some important coronavirus (COVID-19) information for our Massachusetts providers. We have:
- 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.
- Temporarily extended the timelines for appeals for 90 days beginning April 6, 2020.
- Provided coding and billing guidance and policies for the COVID-19 pandemic.
- 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.