Ending of Federal Public Health Emergency
Thursday, May 4, 2023
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Posted by: Diane Berg
Updated Co-Payment and Telemedicine Guidance for Medical and Behavioral Health Providers Florida Medicaid Health Care Alert May 4, 2023 Provider Type(s): ALL Ending of Federal Public Health Emergency: Updated Co-Payment and Telemedicine Guidance for Medical and Behavioral Health Providers The purpose of the alert is to notify providers that the following flexibilities will end on May 11, 2023, with the end of the federal public health emergency (PHE). Co-Payments: During the federal PHE the Agency for Health Care Administration (Agency) waived all co-payments. Effective May 11, 2023, co-payments will be reinstated in accordance with Agency policy with the exception of COVID-19 vaccinations, testing, and treatment. These services will be available without co-payments or cost sharing through September 30, 2024. For all other services, the flexibility will end effective May 11, 2023. Telemedicine: Telemedicine Definition Telemedicine is the practice of health care delivery by a practitioner who is in a site other than the site where a recipient is located, using interactive telecommunications equipment that minimally includes real time, two-way interactive communication between a recipient and a practitioner using audio and video equipment. During the federal PHE, the Agency provided expansive coverage for telemedicine services. Effective May 11, 2023, Florida Medicaid will cover telehealth services in accordance with the Agency’s promulgated Telemedicine rule and will no longer cover audio-only telehealth services. Florida Medicaid will continue to cover store-and-forward and remote patient monitoring services. As a reminder, Statewide Medicaid Managed Care (SMMC) plans may provide more expansive coverage than what is in Agency rule, including telemedicine and waiving co-payments. However, SMMC plans may not be more restrictive than Agency rule. For questions or further information, providers can call the Florida Medicaid Helpline at 1-877-254-1055.
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Florida Women in Nephrology Chair
FSN President
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