Commercial payers update guidelines
By HME News Staff
Updated Fri May 8, 2020
WASHINGTON - AAHomecare has updated its Third-Party Payer and MCO Tracking resource to include recent updates from several payers. Aetna has updated its home oxygen policy guidelines to state that requirements for qualifying Pa02 laboratory test values for home oxygen will be waived for COVID-19 infected persons. Anthem has waived prior authorization requirements in 13 states for home respiratory equipment including oxygen supplies, CPAP and ventilators, along with the requirement for authorization to exceed quantity limits on gloves and masks. CareCentrix has updated its guidance on several requirements, including order delivery, quantity changes and face-toface requirements. AAHomecare reminds suppliers that the resource is for summary and comparison purposes only and says to check with payers to confirm this information.
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