This expert perspective includes recommended communication strategies—and some examples—for how states can elevate coverage options and help ensure that more residents can access health insurance during these uncertain times.
COVID-19 Testing and Care
(e.g., coverage and access, provider and plan reimbursement)
|If you have materials you are willing to share with other states through this page, or if there are topics of particular concern that you would like addressed, please contact SHVS.|
STATE HEALTH AND VALUE STRATEGIES RESOURCES
SHVS/Manatt Health/Georgetown CHIR. Implications of Health Care Provisions for States in the Second COVID Stimulus Bill Webinar slides and recording that explores the key health care provisions in the second COVID-19 stimulus bill.
SHVS/Manatt Health.State Medicaid and CHIP Strategies to Respond to the COVID-19 Public Health Crisis This expert perspective, written by experts at Manatt Health, discusses strategies state Medicaid and CHIP agencies can pursue as part of their response to COVID-19.
SHVS/Manatt Health Responding to COVID-19: State Strategies for Medicaid and Commercial Health Insurance Oversight Webinar recording and slide deck from webinar hosted on March 18, 2020.
STATE TEMPLATES AND TOOLKITS
CMS. Section 1135 Waiver Flexibilities This page includes federal background information on Section 1135 waivers and a CMS-developed template for states and territories.
CMS. Federal Disaster Resources This page catalogs CMS’s approved COVID-19 State Section 1135 waivers.
CMS. 1115 Application Process This page includes guidance and a template for COVID-19 1115 waiver demonstrations.
CMS. State Plan Flexibilities This page includes guidance and templates for the Medicaid State Plan Disaster Relief SPA and CHIP Disaster Relief SPA.
Kaiser Family Foundation. Medicaid Emergency Authority Tracker: Approved State Actions to Address COVID-19 This page includes details on Section 1135 waivers and 1915 (c) Waiver Appendix K strategies.
FEDERAL STATUTE AND GUIDANCE
CMS. Trump Administration Engages America’s Hospitals in Unprecedented Data Sharing This letter requests that hospitals report testing data to HHS and bed capacity and supplies to CDC’s National Healthcare Safety Network on a daily basis.
Congress. H.R. 6201 Families First Coronavirus Response Act Second COVID-19 response / stimulus bill.
CMS. The Center for Consumer Information & Insurance Oversight Fact Sheets & Frequently Asked Questions (FAQs) Compilation of COVID-19 FAQs on private insurance issues
CMS. COVID-19 Resources for States Compilation of resources for state on Medicare, Medicaid, and CHIP, including transcripts and recordings of all-state calls.
CMS. Coronavirus Waivers and Flexibilities Resources on waivers and flexibilities available to states and providers.
CMS. Podcasts and Transcripts: COVID-19 Stakeholder Calls Recordings and transcripts of CMS calls on COVID-19 with states and other stakeholders.
Internal Revenue Service (IRS). High-deductible health plans can cover coronavirus costs
CMS. FAQs on Catastrophic Plan Coverage and the Coronavirus Disease 2019 (COVID-19) CCIIO guidance on COVID-19 coverage and catastrophic plans.
Internal Revenue Service (IRS). HIGH DEDUCTIBLE HEALTH PLANS AND EXPENSES RELATED TO COVID-19 IRS Notice allowing HDHPs to waive cost-sharing for COVID-19 testing & treatment.
The Commonwealth Fund/Georgetown’s Center on Health Insurance Reforms (CHIR) What Are State Officials Doing to Make Private Health Insurance Work Better for Consumers During the Coronavirus Public Health Crisis? A state-by-state compendium of actions related to COVID-19 coverage.
ASTHO. COVID-19 Includes an ineractive map: States in Action: COVID-19 Response Interactive Map
STATE EXAMPLES AND MODELS
The Commonwealth Fund/Georgetown’s Center on Health Insurance Reforms (CHIR). State Action Related to COVID-19 Coverage of Critical Services by Private Insurers Interactive 50-state map on state DOI actions re: COVID-19
California. DHCS COVID‑19 Response CA developed a robust, centralized COVID-19 resource page that provides guidance related to providers, HCBS, and federal requests/waivers.
Massachusetts. MassHealth Coverage and Reimbursement Policy for Services Related to Coronavirus Disease 2019 MA developed a managed care plan bulletin that outlines requirement’s for coverage and billing related to COVID-19.
Massachusetts. March 15 2020 Telehealth Order In MA, through executive order, Governor Baker expanded access to telehealth services in all commercial insurers and MassHealth programs, waived all cost-sharing for any medically necessary treatment delivered via telehealth related to COVID-19 at in-network providers, waived any prior authorization barriers needed to obtain medically necessary telehealth services, and established a 24-hour process to allow medical professionals to receive a license to practice in Massachusetts.
New York. Department of Financial Services Adopts New Emergency Regulation Requiring Insurance Companies to Waive Cost Sharing for In-Network Telehealth Visits NY waived cost-sharing for telehealth visits with in-network providers.
New York. Continuing Temporary Suspension and Modification of Laws Relating to the Disaster Emergency NY allowed out-of-state providers and providers in New York that are not currently registered to provide telehealth services.