Update: Interfacility Transfer Coverage Date Extended

August 5, 2020

We continue to monitor the COVID-19 pandemic and are committed to helping customers and members stay informed.

What’s new: We’ve extended our Interfacility Transfer projected end date from July 31, 2020, to Sept. 30, 2020. We continue to make it easier to transfer our members from acute-care facilities to in-network, medically necessary alternative post-acute facilities.

As always, members should call the number on their ID card for answers to their specific benefit questions.

Initiative	Effective Date	Projected End Date
COVID-19 Testing	3/7/20	Cost-share waiver ends with the end of the Health and Human Services (HHS) public health emergency
COVID-19 Testing-related visits	3/18/20	Cost-share waiver ends with the end of HHS public health emergency
Telehealth/Telemedicine	3/18/20	Cost-share waiver extended through 8/31/20 For Medicare (not Part D) and Medicare Supplement plans, cost-share waiver extended through 12/31/20
COVID-19 Treatment	4/1/20	Cost-share waiver extended through 8/31/20
Interfacility Transfer	4/1/20	9/30/20*
Prior Authorization extended on previously approved elective surgeries, procedures, therapies and behavioral health services	Services scheduled between 1/1/20 and 6/30/20	12/31/20
Chest CT Scan	3/2/20	End of HHS public health emergency

*Date change/extension

Note: By rule of the New Mexico Office of Superintendent of Insurance, there is currently no end date for mandatory cost-share waiver for COVID-19 testing, COVID-19 testing-related visits (in person or telemedicine), COVID-19 treatment (in person or telemedicine), and testing/treatment for COVID-related pneumonia and influenza (in person or telemedicine). This New Mexico rule applies to fully insured and Interagency Benefits Advisory Council (IBAC) members.