In an effort to combat the COVID-19 public health emergency (PHE), the Dept. of Health and Human Services (HHS) developed the Uninsured Program to provide claims reimbursement to health care providers for: (1) testing uninsured individuals for COVID-19; (2) treating uninsured individuals with COVID-19; and (3) administering COVID-19 vaccinations to…
Articles Posted in COVID-19
Coverage by Insurance Companies and Group Health Plans of Over-the-Counter COVID-19 Tests – New Requirement Issued by Biden-Harris Administration as of January 15, 2022
As of January 15, 2022, to increase access to free testing for many Americans, the Biden-Harris Administration has required private insurance companies and group health plans to cover over-the-counter COVID-19 tests approved by the U.S. Food and Drug Administration (FDA). Consumers of over-the-counter COVID-19 tests will be paid either up…
Biden Administration Extends Suspension of Mandatory 2% Medicare FFS Payment Sequestration
President Biden recently signed the Act to Prevent Across-the-Board Direct Spending Cuts, and for Other Purposes (the “Act”) (available here) into law. The Act extends the temporary suspension of certain mandatory Medicare FFS claim payment reductions until December 31, 2021. By way of background, the Budget Control Act of 2011…
Update on Provider Relief Fund Reporting Requirements
On January 15, 2021, the Department of Health and Human Services (“HHS”) issued updated guidance on reporting requirements related to use of Provider Relief Fund (“PRF”) monies. HHS will be issuing further updates, which will impact how providers are required to report and whether providers will be allowed to retain…
Department of Labor Revises FFCRA Regulations and Redefines “Health Care Provider”
The Department of Labor (DOL) recently issued a temporary rule (the “Revised Rule”) that revised the regulations implementing the Families First Coronavirus Response Act (“FFCRA”). These revisions went into effect on September 16, 2020. By way of background, the FFCRA created two new emergency paid leave requirements, the Emergency Family…
CMS Issues Proposed Rules for 2021 Medicare Physician Fee Schedule and the Outpatient Prospective Payment System
The Centers for Medicare and Medicaid Services (CMS) has issued two new proposed rules. First, CMS has issued a proposed rule for the 2021 Medicare Physician Fee Schedule (PFS Proposed Rule). The rule will be published on August 17, 2020. You can access the unpublished version here. Second, CMS issued…
HHS Provider Guidance Regarding Use of Provider Relief Fund Payments and Reporting Requirement
The Department of Health and Human Services (HHS) has issued new FAQs regarding how Provider Relief Fund (PRF) payments may be spent and when recipient-providers must report their use of funds. Under the Terms/Conditions that apply to recipients of PRF funds, each provider is required to have a written policy…
Senate Passes Paycheck Protection Program Reform Bill to Provide Greater Flexibility to Small Businesses
This blog is intended to supplement our prior guidance regarding Paycheck Protection Program (PPP) loan forgiveness, found here. On June 3, 2020, following the House of Representatives’ approval, the U.S. Senate passed bill H.R. 7010 (i.e., the Paycheck Protection Program Flexibility Act of 2020 (the “Bill”)). Subsequently, President Trump signed…
SBA Issues Rules for Paycheck Protection Program Loan Forgiveness – With Pending Legislation to Afford Borrowers Enhanced Flexibility for Forgiveness
On May 21, 2020, the U.S. Small Business Administration (SBA), in consultation with the Department of Treasury, issued two Interim Final Rules pertaining to loan forgiveness under the Paycheck Protection Program (PPP). The first Interim Final Rule, entitled SBA Loan Review Procedures and Related Borrower and Lender Responsibilities, provides rules…
MI Governor Whitmer Issues Executive Order to Re-Open Healthcare Facilities to Perform Non-Essential Medical and Dental Procedures
On May 21, 2020, Michigan Governor Whitmer issued Executive Order (EO) 2020-96, which permits outpatient healthcare facilities (e.g., primary care physician offices and dental offices) to re-open and perform non-essential medical and dental procedures. EO 2020-96, in part, rescinds prior EO 2020-17 as of May 28, 2020 at 11:59 p.m.,…