This article is for providers who perform the services listed
We’re continuing to extend time-limited authorizations for outpatient procedures our members may not have been able to receive due to the COVID-19 emergency. All other administrative requirements related to these services continue to apply.
For the duration of the Massachusetts public state of emergency, we are granting extensions for the services listed below.
Assisted reproductive technology services
For assisted reproductive technology services listed in our medical policy that require prior authorization:
- We will extend existing authorizations for the period of January 1, 2020-June 30, 2020 to December 31, 2020.
- We will give new authorization requests 180 days for the service to be completed. After that time, an authorization extension would be required.
Neuropsychological testing services
For neuropsychological testing services listed in our medical policy that require prior authorization, we typically give the member 365 days to complete the authorized services. However, we’ve decided to extend existing authorizations for the period of March 1, 2019 – December 31, 2019 to December 31, 2020.
New authorization requests will continue to have 365 days for the service to be completed. After that time, an authorization extension would be required.
Added modifiers for non-emergency ground ambulance services
We have updated our previous April 20, 2020 article about our temporary coverage for non-emergency ground ambulance services to include the following modifiers:- NJ*: Skilled nursing facility to freestanding end-stage renal disease (ESRD) facility
- JN*: Freestanding end-stage renal disease (ESRD) facility to skilled nursing facility
*Note: Federal Employee Program member benefits may differ. Please visit fepblue.org.
Resources
April 20 news article (Non-emergency ground ambulance transports covered temporarily)
April 22 news article (COVID-19: Extending authorizations for specific services)
Questions
If you have questions, please contact our Clinical Coordination department at 1-800-327-6716.
MPC_030620-1N-108