For Medicare Advantage members, we will continue to cover both COVID-19 and non-COVID-19 related telehealth services with no member cost-share through the end of the public health emergency, currently set to expire January 21, 2021. This date may be extended based on NYS and/or federal requirements.

Your opinions and suggestions are very important to us. As the result of the suggestions that we received regarding the upcoming coding guideline changes communicated in our bulletin issued October 9, 2020, additional revenue codes will be removed from the CPT/HCPCS coding requirement list effective January 1, 2021.

We would like to clarify the use of modifier CG (policy criteria applied) when submitting claims for COVID-19 viral and antibody testing. This applies to all Health Plan products and lines of business.