CMS Resources for COVID-19 Response

Resources

• CMS Guidance for Insurers on Reimbursement of At-Home COVID-19 Tests

• CMS Announces Additional Payment for Administering in-Home COVID-19 Vaccinations to Medicare Beneficiaries

• CMS Increases Medicare Payment for COVID-19 Monoclonal Antibody Infusions

• Trump Administration Acts to Ensure Coverage of Life-Saving COVID-19 Vaccines & Therapeutics

• CMS Issues Urgent Call to Action Following Drastic Decline in Care for Children in Medicaid and Children’s Health Insurance Program Due to COVID-19 Pandemic

• CMS Clarifies COVID-19 Relief Funds Won’t Penalize Future Medicare Pay

• CMS Outlines Telehealth Reimbursement for 2020-21 eCQM Programs

• Trump Administration Encourages Reopening of Healthcare Facilities

• CMS Relaxing More Value-Based Model Requirements in Wake of Pandemic

• CMS Increases Medicare Payment for High-Production Coronavirus Lab Tests 

• Guidance on Re-opening Health Care Facilities to Provide Non-Emergent Non-COVID Healthcare – Phase 1 
• Federal Disaster Resources 
• 2021 Medicare Advantage and Part D Rate Announcement Fact Sheet  

Updated Guidance for MA and Part D Plan Sponsors

• 4/21/20: www.cms.gov/files/document/updated-guidance-ma-and-part-d-plan-sponsors-42120.pdf

CMS Guidance to Part D Plans Allows Pharmacist Authorization of  Emergency Refills When Prescribers Are Unavailable

On Friday, April 3, 2020, CMS issued guidance to Part D plans that the agency will exercise its enforcement discretion to allow pharmacists to authorize emergency refills when prescribers are not available to provide refill renewal prescriptions, when consistent with State emergency declarations.

• Notification of PDE Prescriber ID Editing and States of Emergencies

CMS Update: Coronavirus Waivers and Flexibilities

• https://www.cms.gov/about-cms/emergency-preparedness-response-operations/current-emergencies/coronavirus-waivers 

Medicare Advantage and Part D Plans: CMS Flexibilities to Fight COVID-19

• https://www.cms.gov/files/document/covid-ma-and-part-d.pdf 

CMS Medicare Part D Preliminary Guidance

• 3/13/2020: CMS Takes Action Nationwide to Aggressively Respond to Coronavirus National Emergency
   
• 3/10/2020: CMS Issues Guidance to help Medicare Advantage and Part D Plans Respond to COVID-19
   
• 3/10/2020: CMS Memo to Medicare Advantage Organizations, Part D Sponsors, and Medicare-Medicaid Plans