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5/12/2023
Testing for SARS-CoV-2 (Coronavirus Disease 2019 (COVID-19)) For AmeriHealth Pennsylvania Members (Updated May 12, 2023)
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The purpose of this communication is to provide advance notice regarding information and procedure codes related to testing for SARS-CoV-2 (Coronavirus Disease 2019 (COVID-19)) for AmeriHealth Pennsylvania members. Additionally, this Company document identifies when coverage is provided for clinical purposes, and the nonco​vered instances such as public health surveillance and screening. 


Testing for SARS-CoV-2 (Coronavirus Disease 2019 (COVID-19)) For AmeriHealth Pennsylvania Members (Updated May 12, 2023)8e6011b3-4c59-4ed2-920c-c5d19a50e6d8
5/12/2023
Testing for SARS-CoV-2 (Coronavirus Disease 2019 (COVID-19)) for AmeriHealth New Jersey Members (Updated May 12, 2023)
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The purpose of this communication is to provide advance notice regarding information and procedure codes related to testing for SARS-CoV-2 (Coronavirus Disease 2019 (COVID-19)) for AmeriHealth New Jersey members. Additionally, this Company document identifies when coverage is provided for clinical purposes, and the nonco​vered instances such as public health surveillance and screening. ​

Testing for SARS-CoV-2 (Coronavirus Disease 2019 (COVID-19)) for AmeriHealth New Jersey Members (Updated May 12, 2023)d4d08b64-c6d0-4f16-8a95-0038faf1febb
5/12/2023
Coverage of the COVID-19 Vaccination for AmeriHealth Members (Updated on May 12, 2023)
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This communication provides notice regarding information and procedure codes related to the coverage of SARS-CoV-2 (Coronavirus Disease 2019 (COVID-19)) vaccines and administration of the vaccines that have been granted US Food and Drug Administration (FDA) approval and/or have received an Emergency Use Authorization​ (EUA). Coverage of SARS-CoV-2 vaccines granted an EUA shall remain in effect during the applicable EUA declaration, unless the specific EUA for a SARS-CoV-2 vaccine has been terminated and/or revoked. 

Coverage of the COVID-19 Vaccination for AmeriHealth Members (Updated on May 12, 2023)5521c38e-217b-4f40-a2d4-9ff843539d39
5/12/2023
Pharmaceutical Prophylaxis and Treatments of COVID-19 for AmeriHealth Pennsylvania Members (Updated May 12, 2023)
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The purpose of this document is to communicate the Company's coverage position for Pharmaceutical Prophylaxis and Treatments of COVID-19 for AmeriHealth Pennsylvania members. This communication addresses pharmaceutical prophylaxis and treatments of COVID-19 that have been granted FDA approval and/or have received an Emergency Use Authorization (EUA). Coverage for the pharmaceutical treatments granted an EUA shall remain in effect during the applicable EUA declaration, unless the specific EUA for a treatment have been terminated and revoked.
Pharmaceutical Prophylaxis and Treatments of COVID-19 for AmeriHealth Pennsylvania Members (Updated May 12, 2023)16d6bac6-c902-48ab-85c1-be5fa3d49f1e
5/12/2023
Pharmaceutical Prophylaxis and Treatments of COVID-19 for AmeriHealth New Jersey Members (Updated May 12, 2023)
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The purpose of this document is to communicate the Company's coverage position for Pharmaceutical Prophylaxis and Treatments of COVID-19 for AmeriHealth New Jersey Members members. This communication addresses pharmaceutical prophylaxis and treatments of COVID-19 that have been granted FDA approval and/or have received an Emergency Use Authorization (EUA). Coverage for the pharmaceutical treatments granted an EUA shall remain in effect during the applicable EUA declaration, unless the specific EUA for a treatment has been terminated and revoked.
Pharmaceutical Prophylaxis and Treatments of COVID-19 for AmeriHealth New Jersey Members (Updated May 12, 2023)cdc0cebd-d38f-4200-8473-7c22ad59e9ec
4/1/2023
4/01/2023 CPT & HCPCS Quarterly Code Update Coverage Determinations for Commercial Products
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The intent of this document is to communicate Commercial Product coverage determinations for services identified through the Quarterly Code Update process. The procedure codes that represent these services will become effective on 04/01/2023, unless otherwise noted. For more information related to these services, please refer to specific policies when applicable.​​​​​​​​
4/01/2023 CPT & HCPCS Quarterly Code Update Coverage Determinations for Commercial Productsbeae40b0-d40d-4181-a2d8-4ea8d3f88344
11/7/2022
Laboratory Testing, Vaccination, and Treatment for Monkeypox for AmeriHealth Members (Updated November 7, 2022)
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​The purpose of this document is to communicate the Company's coverage positions for laboratory testing, vaccination, and treatment for monkeypox.
Laboratory Testing, Vaccination, and Treatment for Monkeypox for AmeriHealth Members (Updated November 7, 2022)43fa7913-ddd2-4177-a501-bf8af89f0635
1/4/2021
1/1/2021 CPT & HCPCS Annual Code Update Coverage Determinations for Commercial Products
0
The intent of this document is to communicate Commercial Product coverage determinations for services identified through the Annual Code Update process. 
1/1/2021 CPT & HCPCS Annual Code Update Coverage Determinations for Commercial Productse9ec2c0c-fb3f-4dc8-ba77-76f1d77bff75
7/17/2020
​Respiratory Equipment and Related Supplies (Updated April 16, 2021)
1
The purpose of this News Article is to provide advance notice during the COVID-19 outbreak related to respiratory equipment and related supplies.
Respiratory Equipment and Related Supplies (Updated April 16, 2021)5B5700A06FC104F9852585A70077812F
4/29/2020
Direct Supervision Requirements for Incident to Services Performed by Certified Registered Nurse Practitioners (CRNPs) and Physician Assistants (PAs) in Response to COVID-19 (Updated December 15, 2021)
1
The purpose of this News Article is to provide advance notice regarding direct supervision requirements for Incident to services performed by Certified Registered Nurse Practitioners (CRNPs) and Physician Assistants (PAs) in response to Coronavirus Disease 2019 (COVID-19).
Direct Supervision Requirements for Incident to Services Performed by Certified Registered Nurse Practitioners (CRNPs) and Physician Assistants (PAs) in Response to COVID-19 (Updated December 15, 2021)CE6C7792C6B95201852585590043BD99
4/22/2020
Coverage of Preventive Well Visits through Telemedicine in Response to COVID-19 for AmeriHealth New Jersey Members (Updated October 7, 2021)
1
The purpose of this News Article is to provide advance notice regarding coverage for preventive well visits through telemedicine for our AmeriHealth New Jersey members in response to Coronavirus Disease 2019 (COVID-19).
Coverage of Preventive Well Visits through Telemedicine in Response to COVID-19 for AmeriHealth New Jersey Members4CC21DED3CAC6D35852585520045435C