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Covid-19 Resources

Covid-19 coverage support for providers

Bookmark and visit this page frequently for updated information and resources.
You can also access this page by visiting healthpartners.com/providercovid19.

We are your partner and together we can keep our communities healthy amid COVID-19. Protecting the health, safety, and security of our patients, colleagues, providers, and our members is at the forefront of everything we do and it’s never been more important than right now.

 

Covid-19 Resources

 

Reimbursement Information

COVID-19 Vaccine and Monoclonal Antibodies

The Centers for Medicare & Medicaid Services (CMS) announced that Medicare payment for COVID vaccinations administered to Medicare Advantage and Medicare Cost beneficiaries during calendar years 2020 and 2021 will be reimbursed through the Medicare FFS program at no cost to beneficiaries. Beneficiaries can receive the vaccination through any FFS provider or supplier that participates in Medicare and is eligible to bill under Part B. Claims from providers should be submitted to the CMS Medicare Administrative Contractor (MAC) for payment. Review the CMS Memo-COVID-19 Vaccine-Significant Cost Determination for further information.

During the Public Health Emergency, HealthPartners will follow CMS reimbursement rates* and clams submission guidelines for COVID-19 Vaccines and Monoclonal Antibodies for Members in other HealthPartners Products as outlined here: www.cms.gov/medicare/medicare-part-b-drug-average-sales-price/covid-19-vaccines-and-monoclonal-antibodies.

 

COVID-19 Diagnostic Testing and Specimen Collection Reimbursement

Unless specifically agreed otherwise, HealthPartners reimbursement rates for contracted and non-contracted providers, facilities and reference labs are based upon the Centers for Medicare and Medicaid Services (“CMS”) rates. As new codes are developed by CMS, HealthPartners will add those codes and the associated rates to its fee schedule(s).

COVID Testing is Not Covered Out-of-Network for HealthPartners Medicaid (MHCP) Members

For effective dates of service 3/1/2022 and beyond, Out-of-Network COVID lab testing is not covered for HealthPartners MHCP members/patients. MHCP members/patients in need of COVID lab testing for work, school and travel must use in-network providers.

Additionally, this means that in-network lab providers must be used for tests administered at in-network provider locations.

The HealthPartners MHCP network can be searched using the FindCare tool via the following weblinks:

PDF versions of the Provider and Pharmacy network directories can also be found on the HealthPartners Public Programs website.

 

Local and State Resources

 

National Resources