{"id":168,"date":"2020-04-02T18:42:13","date_gmt":"2020-04-02T18:42:13","guid":{"rendered":"https:\/\/sites.sandiego.edu\/cpil-blog\/?p=168"},"modified":"2020-04-02T18:42:13","modified_gmt":"2020-04-02T18:42:13","slug":"department-of-managed-health-care-dmhc-issues-an-all-plan-letter-encouraging-health-plans-take-actions-to-help-slow-the-spread-of-covid-19","status":"publish","type":"post","link":"https:\/\/sites.sandiego.edu\/cpil-blog\/2020\/04\/02\/department-of-managed-health-care-dmhc-issues-an-all-plan-letter-encouraging-health-plans-take-actions-to-help-slow-the-spread-of-covid-19\/","title":{"rendered":"Department of Managed Health Care (DMHC) issues an All Plan Letter encouraging health plans take actions to help slow the spread of COVID-19"},"content":{"rendered":"<h3>By Taylor C. Brewer<\/h3>\n<p>On March 12, 2020, acting general counsel, Sarah Ream, of the Department of Managed Health Care (Department) issued a <a href=\"https:\/\/perma.cc\/357V-CPRE\">letter<\/a> to all health care service plans in response to the COVID-19 pandemic. The letter addresses the <a href=\"https:\/\/perma.cc\/8XMH-Y4EE\">declaration <\/a>of a pandemic by the World Health Organization (WHO) and the<a href=\"https:\/\/perma.cc\/E23A-526Q\"> state of emergency<\/a> issued by California Governor Gavin Newsom on March 4, 2020. The Department encourages health plans to assist with medically appropriate \u201csocial distancing\u201d in the delivery of health care services pursuant to WHO, the Centers for Disease Control and Prevention (CDC), and the California Department Public Health recommendations. In addition to this, the All Plan Letter also outlines further actions health care service plans should take to further prevent the spread of the virus.<\/p>\n<p>The first action outlined is the expansion of telehealth healthcare delivery. The Department encourages the health plans to expedite or relax the preauthorization requirements that allow contracted providers to have covered telehealthcare, as defined in Business and Professions Code section 2290.5. In addition, the Department asks that the plans waive applicable cost-sharing for care delivered via telehealth in spite of a cost-share being applicable if the provider had delivered the care in-person. This recommendation was further discussed in a prior <a href=\"https:\/\/perma.cc\/LU9K-5SZF\">letter<\/a> issued on March 5, 2020, which directs all plans to immediately reduce cost-sharing (including, but not limited to, co-pays, deductibles, or coinsurance) to zero for all medically necessary screening and testing for COVID-19, including hospital (including emergency department), urgent care visits, and provider office visits where the purpose of the visit is to be screened and\/or tested for COVID-19.<\/p>\n<p>The March 12 All Plan Letter also recommends that plans decrease the need for in-person pharmacy visits by providing coverage for outpatient prescription drug benefits. To do this the Department encourages plans to allow enrollees to receive 90-day supply maintenance of drugs, as indicated by section 1300.67.24(d)(3)(D), Title 28 of the California Code of Regulations. The letter also advises plans to suspend prescription drug refill limitations and waive delivery charges for home delivery of prescriptions.<\/p>\n<p>Since the issuance of the March 12letter, the Department has furthered these recommendations by issuing a <a href=\"https:\/\/perma.cc\/B6SE-MGTY\">March 18, 2020, All Plan Letter<\/a> <u><a href=\"https:\/\/perma.cc\/2MQT-VBG8\">directing<\/a><\/u> health plans to reimburse providers for care provided through telehealth at the same rate as in-person care and ensuring enrollee cost-sharing is not changed for telehealth services.<\/p>\n<a class=\"synved-social-button synved-social-button-follow synved-social-size-32 synved-social-resolution-single synved-social-provider-facebook nolightbox\" data-provider=\"facebook\" target=\"_blank\" rel=\"nofollow\" title=\"Follow us on Facebook\" href=\"https:\/\/www.facebook.com\/CPILUSD\" style=\"font-size: 0px;width:32px;height:32px;margin:0;margin-bottom:5px;margin-right:5px\"><img loading=\"lazy\" decoding=\"async\" alt=\"Facebook\" title=\"Follow us on Facebook\" class=\"synved-share-image synved-social-image synved-social-image-follow\" width=\"32\" height=\"32\" style=\"display: inline;width:32px;height:32px;margin: 0;padding: 0;border: none;box-shadow: none\" src=\"https:\/\/sites.sandiego.edu\/cpil-blog\/wp-content\/plugins\/social-media-feather\/synved-social\/addons\/extra-icons\/image\/social\/circle\/64x64\/facebook.png\" \/><\/a><a class=\"synved-social-button synved-social-button-follow synved-social-size-32 synved-social-resolution-single synved-social-provider-twitter nolightbox\" data-provider=\"twitter\" target=\"_blank\" rel=\"nofollow\" title=\"Follow us on Twitter\" href=\"https:\/\/twitter.com\/cpilusd\" style=\"font-size: 0px;width:32px;height:32px;margin:0;margin-bottom:5px\"><img loading=\"lazy\" decoding=\"async\" alt=\"twitter\" title=\"Follow us on Twitter\" class=\"synved-share-image synved-social-image synved-social-image-follow\" width=\"32\" height=\"32\" style=\"display: inline;width:32px;height:32px;margin: 0;padding: 0;border: none;box-shadow: none\" src=\"https:\/\/sites.sandiego.edu\/cpil-blog\/wp-content\/plugins\/social-media-feather\/synved-social\/addons\/extra-icons\/image\/social\/circle\/64x64\/twitter.png\" \/><\/a>","protected":false},"excerpt":{"rendered":"<p>By Taylor C. Brewer On March 12, 2020, acting general counsel, Sarah Ream, of the Department of Managed Health Care (Department) issued a letter to all health care service plans in response to the COVID-19 pandemic. The letter addresses the <a class=\"more-link\" href=\"https:\/\/sites.sandiego.edu\/cpil-blog\/2020\/04\/02\/department-of-managed-health-care-dmhc-issues-an-all-plan-letter-encouraging-health-plans-take-actions-to-help-slow-the-spread-of-covid-19\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1013,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[132906,132907],"tags":[133095,134298,127655,132908,132937,133093,134296,22272],"coauthors":[132864],"class_list":["post-168","post","type-post","status-publish","format-standard","hentry","category-department-of-managed-health-care","category-major-projects-department-of-managed-health-care","tag-cdc","tag-corona-virus","tag-covid-19","tag-dmhc","tag-insurance","tag-pandemic","tag-teleheathcare","tag-who"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Department of Managed Health Care (DMHC) issues an All Plan Letter encouraging health plans take actions to help slow the spread of COVID-19 - Consumer Protection Policy Center - Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sites.sandiego.edu\/cpil-blog\/2020\/04\/02\/department-of-managed-health-care-dmhc-issues-an-all-plan-letter-encouraging-health-plans-take-actions-to-help-slow-the-spread-of-covid-19\/\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:locale\" content=\"en_US\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:type\" content=\"article\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:title\" content=\"Department of Managed Health Care (DMHC) issues an All Plan Letter encouraging health plans take actions to help slow the spread of COVID-19 - Consumer Protection Policy Center - Blog\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:description\" content=\"By Taylor C. Brewer On March 12, 2020, acting general counsel, Sarah Ream, of the Department of Managed Health Care (Department) issued a letter to all health care service plans in response to the COVID-19 pandemic. 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