Lexology March 15, 2020
Coronavirus disease 2019 (COVID-19) is a rapidly spreading global health problem. Over the past week, state and federal regulators have issued guidance and imposed requirements on health insurance companies and managed care plans (health insurers) to broaden and tailor coverage to COVID-19. This alert serves as a guide to assist our clients with understanding the new Ohio and federal regulatory requirements and expectations.
Federal Guidance
Medicare Advantage Plans
The Centers for Medicare & Medicaid Services (CMS) issued guidance to Medicare Advantage Organizations (MA Plans) as to their obligations and permissible flexibilities related to the emergency caused by COVID-19.
i. Medicare Advantage Special Requirements
Under federal law, if a governor declares a state emergency under 42 CFR 422.100(m), Medicare beneficiaries in...
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