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© 2021 Palmetto GBA, LLC

We frequently update our articles to reflect the latest changes and updates to Medicare, and strongly recommend you visit this article at link below to confirm you have the latest version.

Published Date:12/01/2016

Printed Date: 9/22/2015

URL: http://palmgba.com/marlowe/redesign6/article.html

Emergency and Disaster Instructions

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When a natural disaster, extreme weather or emergency occurs that affects providers and the Medicare beneficiaries that they serve, special emergency-related policies and procedures may be implemented. For detailed information on these policies and procedures, please see the following resources:

  • For information when an applicable 1135 waiver (PDF, 580 KB) has been granted
  • For information on the Medicare Fee-For-Service Emergency-Related Policies and Procedures (PDF, 1.22 MB) where no 1135 waivers are required

This section provides information regarding the 2019-Novel Coronavirus (COVID-19). CMS has developed helpful information regarding the 2019-Novel Coronavirus (COVID-19).

COVID-19 Vaccines

  • COVID-19 Vaccine Resources: What Partners Need to Know Now
  • COVID-19 Vaccine Policies & Guidance
  • COVID-19 Vaccine Toolkit

Coronavirus-Overview

  • CMS Current Emergencies: Coronavirus
  • CMS Coronavirus Waiver and Flexibilities
  • Centers for Disease Control and Prevention: Coronavirus (COVID-19)
  • USA.gov has the latest information about what the U.S. Government is doing in response to COVID-19
  • Read CMS' Coronavirus Press Releases
  • Coronavirus (COVID-19) Partner Resources

General Information and Updates

  • Coronavirus (COVID-19) Partner Resources

CMS MLN Connects

  • MLN Connects - Thursday, August 27, 2020: COVID-19: Training to Strengthen Nursing Home Infection Control Practices
  • MLN Connects - Thursday, August 20, 2020: Routine Provider Inspections Resume
  • MLN Connects - Thursday, August 13, 2020: COVID-19: CMS/CDC Nursing Home Training Series Webcast – August 13
  • MLN Connects - Thursday, August 6, 2020: Physician Fee Schedule Proposed Rule Listening Session: Register Now
  • MLN Connects Special Edition - Tuesday, August 4, 2020: PFS, OPPS, and IRF: FY 2021 Payment Rules
  • MLN Connects Special Edition - Friday, July 31, 2020: FY 2021 Medicare Payment Policies for IPFs, SNFs, and Hospices
  • MLN Connects Special Edition - Thursday, July 30, 2020: Payment for COVID-19 Counseling, Reporting Hospital Therapeutics, Out-of-Pocket Drug Costs
  • MLN Connects - Thursday, July 30, 2020: COVID-19 Impacts on Medicare Beneficiaries – Updated Data
  • MLN Connects Special Edition - Thursday, July 23, 2020: COVID-19: New Resources to Protect Nursing Home Residents
  • MLN Connects for Thursday, July 23, 2020: Telemedicine Hack: 10-Week Learning Community for Ambulatory Providers
  • MLN Connects for Thursday, July 16, 2020: Nursing Homes & COVID: Five Things to Know, Additional Resources, Training
  • MLN Connects for Thursday, July 9, 2020: ICD-10-CM Diagnosis Codes: FY 2021
  • MLN Connects Special Edition - Monday July 6, 2020: News
  • MLN Connects for Thursday, July 2, 2020: Attend Nursing Home Training Series Webcasts
  • MLN Connects Special Edition - Friday, June 26, 2020: News
  • MLN Connects for Thursday, June 25, 2020: COVID-19: New Data Details Impacts on Medicare Beneficiaries
  • MLN Connects Special Edition - Friday, June 19, 2020: COVID-19: Using the CR Modifier and DR Condition Code
  • MLN Connects for Thursday, June 18, 2020: COVID-19 Diagnostic Laboratory Tests: Billing for Clinician Services
  • MLN Connects for Thursday, June 11, 2020: COVID-19: Reopening Health Care Facilities
  • MLN Connects for Thursday, June 4, 2020: MLN Connects for June 4, 2020
  • MLN Connects Special Edition - Monday, June 1, 2020: COVID-19: Using the CR Modifier and DR Condition
  • Special Edition MLN Connects - Friday, May 29, 2020: New COVID-19 FAQs on Medicare Fee-for-Service Billing
  • MLN Connects for Thursday, May 28, 2020: MLN Connects for May 28, 2020
  • MLN Connects for Thursday, May 21, 2020
  • Special Edition MLN Connects - Friday, May 15, 2020: COVID-19 deadlines, new releases, and important calls
  • MLN Connects for Thursday, May 14, 2020: IPPS/LTCH PPS: FY 2021 Proposed Rule
  • Special Edition MLN Connects - Tuesday, May 12, 2020: COVID-19: Additional Waivers, Price Transparency, and the CMS
  • Special Edition MLN Connects - Friday, May 8, 2020: COVID-19: Nursing Home Reporting, Updated Telehealth Video, Pharmacies & Other Suppliers Can Enroll as Labs, IRF Flexibilities
  • MLN Connects for April 30, 2020: COVID-19: Lessons from the Front Lines
  • Special Edition MLN Connects - April 27, 2020: COVID-19: CMS Reevaluates Accelerated Payment Program and Suspends Advance Payment Program 
  • MLN Connects for April 23, 2020: Report Clinical Trial  Data to Fight COVID-19 & Earn MIPS Credit 
  • Special Edition MLN Connects - April 20, 2020: COVID-19: Nursing Home Transparency, Recommendations for Areas with Low Incidence of Disease 
  • Special Edition MLN Connects - April 17, 2020: COVID-19: RHC & FQHC Flexibilities, Increased Payment for Lab Tests, Hospital Waivers, Call Audio and Transcript
  • Special Edition MLN Connects - Wednesday, April 15, 2020: COVID-19: Reprocessing Hospital Claims, Essential Diagnostic Services, Non-Invasive Ventilators  
  • Special Edition MLN Connects - Friday, April 10, 2020: COVID-19: Infection Control, Maximizing Workforce, Updated Q&A, CS Modifier for Cost-Sharing, Payment Adjustment Suspended  
  • MLN Connects for Thursday, April 9, 2020: Important COVID-19 Updates 
  • Special Edition MLN Connects - Tuesday, April 7, 2020: COVID-19: Telehealth Video, Coinsurance and Deductible Waived, ASC Attestations, Ambulance Modifiers, Lessons From Front Lines, MLN Call Today  
  • Special Edition MLN Connects – Friday, April 3, 2020: COVID-19: Telehealth Billing Correction, Nursing Home Recommendations, Billing for Multi-Function Ventilators, New ICD-10-CM Diagnosis Code  
  • MLN Connects Special Edition - Tuesday, March 31, 2020: COVID-19: Regulatory Changes, Telehealth Billing, and Specimen Collection Codes  
  • MLN Connects Special Edition - Monday, March 30, 2020: COVID-19: Financial Relief, Nursing Home Telehealth, Quality Reporting, Clinical Laboratories, Hospital Data Sharing  
  • MLN Connects for Thursday, March 26, 2020: COVID-19: New Targeted Plan for Health Care Facility Inspections  
  • MLN Connects Special Edition - Thursday, March 26, 2020: COVID-19: Enrollment Relief, Open Payments, Beneficiary Notices  
  • Special Edition MLN Connects – Monday, March 23, 2020: COVID-19: Relief for Quality Reporting Programs and Provider Enrollment  
  • Special Edition MLN Connects - Friday, March 20, 2020: COVID-19: Telehealth and Non-Essential Procedures  
  • MLN Connects for Thursday, March 19, 2020: Medicare FFS Response to the Public Health Emergency on the Coronavirus (COVID-19)
  • Special Edition MLN Connects - Tuesday, March 17, 2020: COVID-19: President Trump Expands Telehealth Benefits for Medicare Beneficiaries During COVID-19 Outbreak  
  • Special Edition MLN Connects - Monday, March 16, 2020: COVID-19: FFS Response and Nursing Home Visitor Guidance  
  • Special Edition MLN Connects - Friday, March 13, 2020: COVID-19: Test Pricing, Diagnostic Lab Tests, Pricing & Codes, and EHB Coverage  
  • MLN Connects for Thursday, March 12, 2020: 2019 Novel Coronavirus Guidance 
  • Special Edition MLN Connects - Monday, March 9, 2020: COVID-19 Response: CMS Issues FAQs to Assist Medicare Providers  
  • Special Edition MLN Connects - Friday, March 6, 2020: CMS Develops Additional Code for Coronavirus Lab Tests  
  • Special Edition MLN Connects - Wednesday, March 4, 2020: CMS Announces Actions to Address Spread of Coronavirus  
  • MLN Connects for Thursday, February 27, 2020: COVID-19 Coding Guidance 
  • MLN Connects for Thursday, February 20, 2020: Bill Correctly for Medicare Telehealth Services

Health Care Facilities

  • New and Expanded Flexibilities for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) During the COVID-19 Public Health Emergency (PHE) (SE20016 [PDF, 253 KB])
  • New Waivers for Inpatient Prospective Payment System (IPPS) Hospitals, Long-Term Care Hospitals (LTCHs), and Inpatient Rehabilitation Facilities (IRFs) due to Provisions of the CARES Act (SE20015 [PDF 179 KB])
  • Letter requesting hospitals report data in connection with their efforts to fight the 2019 Novel Coronavirus (COVID-19) (PDF, 416 KB)
  • Accelerated and Advanced Payments Fact Sheet (PDF, 100 KB)
  • Guidance for Infection Control and Prevention of Coronavirus Disease 2019 (COVID-19) in Nursing Homes-Revise (PDF, 151 KB)
  • Guidance for Use of Certain Industrial Respirators by Health Care Personnel (3/10/20)
  • Guidance for Infection Control and Prevention Concerning Coronavirus Disease 2019 (COVID-19) in Home Health Agencies (3/10/20)
  • Guidance for Infection Control and Prevention Concerning Coronavirus Disease 2019 (COVID-19) in Dialysis Facilities (3/10/20)
  • Emergency Medical Treatment and Labor Act ( EMTALA ) Requirements and Implications Related to Coronavirus Disease 2019 (COVID-19) (3/9/20)
  • Guidance for Infection Control and Prevention Concerning Coronavirus Disease 2019 (COVID-19) by Hospice Agencies (3/9/20)
  • Guidance for Infection Control and Prevention Concerning Coronavirus Disease (COVID-19): FAQs and Considerations for Patient Triage, Placement and Hospital Discharge (3/4/20)
  • Information for Healthcare Facilities Concerning 2019 Novel Coronavirus Illness (2019-nCoV) (2/6/20)  

All Health Professional Guidance

  • Medical Review Administrative Relief Related to the Novel Coronavirus (COVID-19) Pandemic
  • Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19) ( SE20011  [PDF, 226 KB])
  • CMS COVID-19 Frequently Asked Questions (FAQ) on Medicare Fee-for-Service (FFS) Billing (last update 6/25/2020) (PDF, 934 KB)  

Telehealth

  • Medicare Coverage and Payment of Virtual Services Video
  • Special Edition MLN Connects – Friday, April 3, 2020
  • MLN Connects Special Edition - Tuesday, March 31, 2020
  • President Trump Expands Telehealth Benefits for Medicare Beneficiaries During COVID-19 Outbreak Tuesday, March 17, 2020
  • Medicare Telemedicine Health Care Provider Fact Sheet Tuesday, March 17, 2020
  • Medicare Telehealth Frequently Asked Questions (FAQs) Tuesday, March 17, 2020 (PDF, 111 KB)
  • Telehealth Benefits in Medicare are a Lifeline for Patients During Coronavirus Outbreak Monday, March 9, 2020
  • Telehealth Services MLN Booklet (PDF, 2.71 MB)
  • General Provider Telehealth and Telemedicine Tool Kit (PDF, 289 KB)

Labs

  • COVID-19 Laboratory Test Pricing
  • CMS Frequently Asked Questions (FAQs) , CLIA Guidance During the COVID-19 Emergency (PDF, 72 KB)
  • Notification to Surveyors of the Authorization for Emergency Use of the CDC 2019-Novel Coronavirus (2019-nCoV) Real-Time RT-PCR Diagnostic Panel Assay and Guidance for Authorized Laboratories on the CMS website

Billing and Coding

  • Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) (MM11640 [PDF, 203 KB])
  • Update to the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) for Vaping Related Disorder and 2019 Novel Coronavirus (COVID-19) ( MM11623 [PDF, 166 KB])

Finance

  • CMS Accelerated and Advance Payment Repayment & Recovery Frequently Asked Questions
  • CMS Fact Sheet: Repayment Terms For Accelerated and Advance Payments Issued to Providers and Suppliers During Covid-19 Emergency
  • Repayment of Coronavirus Accelerated and Advance Payments
  • COVID-19 Accelerated/Advance Payment (AAP) Repayment FAQ
  • CMS Reevaluates Accelerated Payment Program and Suspends Advance Payment Program
  • April 2020 Integrated Outpatient Code Editor (I/OCE) Specifications Version 21.1 ( MM11680 [PDF, 178 KB])

Provider Enrollment

  • Provider Enrollment Hotline: Temporary Provisional Medicare Billing Privileges
  • 2019-Novel Coronavirus (COVID-19) Medicare Provider Enrollment Relief Frequently Asked Questions (FAQs) on the CMS website (PDF, 124 KB)

Palmetto GBA COVID-19 Education

  • Part A COVID-19 Resources: April 16, 2020

  • Part A COVID-19 Blanket Waiver Updates: Webcast Recording

  • Part A Medicare Telehealth Expansion for COVID-19 Webcast Briefing: Webcast Recording

  • Palmetto GBA's Commitment To The Community During COVID-19

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MLN Connects Special Edition - Wednesday, October 28, 2020 10/29/2020
Update: Submission of Medicare GME Affiliation Agreements During COVID-19 Public Health Emergency Extended to January 1, 2021 10/16/2020
CARES Act Provider Relief Fund: General Information Open in New Window10/15/2020
Learn About the Provider Relief Fund Phase 3 Open in New Window10/15/2020
Provider Relief Fund CMS Phase 3 Fact Sheet Open in New Window10/15/2020
COVID-19 Accelerated/Advance Payment (AAP) Repayment FAQ 10/14/2020
Accelerated/Advance Payment Request Form 10/09/2020
Repayment of Coronavirus Accelerated and Advance Payments 10/08/2020
Submit Medicare GME Affiliation Agreements during COVID-19 PHE by January 1 10/01/2020
New Waivers for Inpatient Prospective Payment System (IPPS) Hospitals, Long-Term Care Hospitals (LTCHs), and Inpatient Rehabilitation Facilities (IRFs) due to Provisions of the CARES Act Open in New Window09/15/2020
MLN Connects Special Edition - Friday, August 28, 2020 08/28/2020
MLN Connects for Thursday, August 27, 2020 08/27/2020
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MLN Connects Special Edition - Tuesday, August 4, 2020 08/04/2020
Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19) Open in New Window07/31/2020
MLN Connects Special Edition - Thursday, July 30, 2020 07/30/2020
Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19) Open in New Window07/27/2020
RHC Productivity Standard Exceptions 07/21/2020
Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment Open in New Window07/10/2020
Modifiers Used During the COVID-19 Public Health Emergency (PHE) 07/09/2020
New Point of Origin Code for Transfer from a Designated Disaster Alternate Care Site Open in New Window07/06/2020
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COVID-19 Blanket Swing Bed Waiver for Addressing Barriers to Nursing Home Placement for Hospitalized Individuals Open in New Window05/22/2020
Medicare FFS Claims: 2% Payment Adjustment Suspended (Sequestration) 05/20/2020
Hospitals: Physician Time Studies During the COVID-19 PHE 05/15/2020
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Palmetto GBA's Commitment To The Community During COVID-19 03/18/2020
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