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Special Health Coverage Access Opportunities

Friday, March 27, 2020

TargetHIV

From the ACE TA Center Listserv

Federal and state updates, including new Special Enrollment Periods

In recent days, a variety of federal and state actions have been taken to support continued access to health care and coverage during this public health emergency. The landscape continues to evolve, and we encourage you to stay in touch with your state health department and Ryan White HIV/AIDS Program (RWHAP), including its AIDS Drug Assistance Program (ADAP), to make sure you are getting the most accurate and timely local updates.

Federal updates and resources include:

Other federal resources: 

Centers for Medicare & Medicaid Services (CMS) guidance to help Medicare Advantage and Medicare Part D plans respond to COVID-19

State updates and resources:

A number of states have moved quickly to expand access to health insurance and remove barriers to care. We encourage you to check with your state health department for the most up-to-date information. 

A number of additional states have also implemented or encouraged implementation of other state actions. Other state actions related to private health insurance include (but are not limited to):

  • Lifting cost-sharing requirements for COVID-19 testing and treatment
  • Allowing for early prescription refills
  • Lifting prior authorization limits for COVID-19-related tests
  • Increasing access to telehealth

To see the full list and details about what changes have taken place, visit the Commonwealth Fund

Additionally, many major commercial insurance plans have put policies in place to support access to COVID-19 testing and/or treatment.

Have a question about this or other health coverage policy updates? Email the ACE TA Center.

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