1/17/2024 0 Comments Blue medicare timely filingThe providers also need to meet storage and record-keeping requirements. To receive free supplies of the COVID-19 vaccine(s), providers must sign an agreement with the CDC, agree to vaccinate individuals regardless of the type of coverage they have and not balance bill the patient. In addition to state efforts, the federal government has also announced requirements for providers. This site also includes the TDH’s draft vaccination plan, currently under review with the CDC. You can find details about the TDH’s continued recruitment efforts on their COVID-19 vaccine distribution website. In April 2020, the TDH began contacting all licensed physicians and pharmacists in Tennessee, including providers, pharmacies and urgent care sites on the Tennessee Immunization Information System (TennIIS) list. If you have questions about these vaccines, please refer to the CDC website. Please use the appropriate codes when billing the vaccines and administration codes. Our reimbursement for vaccine administration will be consistent with the current CMS rates. Submit administration claims according to your regular professional services contract. Submit claims to TennCare's Pharmacy Benefit Manager (PBM). If pharmacy coverage is through BlueCross, submit claims through the BlueCross PBM. Submit administration claims according to your regular health department contract. Submit administration claims to us according to your regular hospital contract. Our in-network providers should file these claims as follows: We’ll cover the cost to administer the vaccines to BlueCare Tennessee members, including CoverKids members. BlueCare is permanently waiving readmission penalties for COVID-19 hospital stays, unless there’s evidence of an unsafe discharge.We’ve permanently added flu testing and COVID-19 tests to BlueCare's exclusive lab exception list.We paid for COVID testing prior to inpatient admission separately, even if within the 72-hour window where it would normally be included in the DRG. ![]() Until the national PHE ended on May 11, we reviewed requests on a case-by-case basis and made accommodations as appropriate.
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