Health Insurance
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COVID-19 telehealth services
The Department of Managed Health Care (DMHC) issues instructions to covered health plans regarding telehealth services. During the COVID-19 state of emergency, a health plan may not exclude coverage for certain types of services or categories of services…
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COVID-19 PrEP-AP enrollment
The California Department of Public Health has issued instructions regarding the Pre-Exposure Prophylaxis Assistance Program (PrEP-AP) to minimize exposure to COVID-19 and maintain coverage. For clients with expiring eligibility or expired eligibility back to March 1, PreP-AP is…
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COVID-19 ADAP enrollment
The California Department of Public Health has issued instructions regarding the AIDS Drug Assistance Program (ADAP) to minimize exposure to COVID-19. For clients with expiring eligibility or expired eligibility back to March 1, ADAP is extending eligibility for…
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Covered California opening enrollment
In response to COVID-19, effective Friday March 20, Covered California opened the health insurance exchance to any eligible uninsured individuals who need health care coverage through the end of June. After selecting a plan, coverage will begin on…
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COVID-19 screening and testing for commercial health insurance
The California Department of Insurance (CDI) has issued a directive to all insurers providing commercial health coverage regarding steps to ensure that cost does not interfere with availability of COVID-19 testing. CDI directs all insurers providing commercial health…
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COVID-19 screening and testing for health plans
The California Department of Managed Care (DMHC) has issued a directive to all commercial health plans and full service Medi-Cal plans regarding steps to ensure that cost does not interfere with availability of COVID-19 testing. DMHC directs all…
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Health plan social distancing measures — telehealth and pharmacy
The California Department of Managed Health Care Social Services (DMHC) encourages health plans to take measures regarding telehealth and pharmacy visits in response to COVID-19. Health plans should expedite any pre-authorization or pre-certification requirements for contracted providers to…
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Reimbursement for telehealth services
The California Department of Managed Health Care Social Services (DMHC) has ordered that health plans reimburse providers at the same rate regardless of the modality of delivery. For services provided by telehealth, a health plan may not impose…
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Health services during self-isolation orders
The California Department of Managed Health Care Social Services (DMHC) has issued guidance regarding health plan services during self-isolation orders. Health plans must continue to provide health care services and perform health plan functions. Plans may delay some…