Outpatient prescription drugs, except for the dispensing fee for FDA-licensed or authorized outpatient antiviral drugs for treatment of COVID-19.Īll claims submitted must be complete and final.Any treatment without a COVID-19 primary diagnosis, except for pregnancy when the COVID-19 code may be listed as secondary.In addition, the following services are excluded: Services not covered by traditional Medicare will also not be covered under this program. Administration fees related to FDA-licensed or authorized vaccines.Ĭlaims will be subject to Medicare timely filing requirements.Dispensing fees for FDA-licensed or authorized outpatient antiviral drugs for treatment of COVID-19.Treatment: office visit (including telehealth), emergency room, inpatient, outpatient/observation, skilled nursing facility, long-term acute care (LTAC), rehabilitation care, home health, durable medical equipment (e.g., oxygen, ventilator), emergency ambulance transportation, non-emergent patient transfers via ambulance, and FDA-licensed, authorized, or approved treatments as they become available for COVID-19 treatment.Testing-related visits including in the following settings: office, urgent care or emergency room or telehealth.
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