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Extension of Cost-Share Waiver for In-Network Outpatient Behavioral Health Services for Essential Workers to Nov. 27

Audience: Behavioral health providers and facilities

On September 29, 2020, the New York State Department of Financial Services issued an extension of its emergency regulation and circular letter, which waives member cost-share for outpatient mental health services provided to essential workers during the COVID-19 state of emergency through November 27, 2020. 

Under the extension, health plans are prohibited from imposing copayments, coinsurance, or deductibles for outpatient mental health visits rendered by in-network outpatient mental health service providers. However, collecting deductibles is permissible from members with coverage under a high deductible health plan until the member has met the deductible amount. 

Please refer to our May 27, 2020 communication for additional information, including claims billing information for our members who are considered “essential workers” as well as a list of professions considered “essential” by New York state standards. 

Contact your Behavioral Health Provider Relations representative if you have any questions regarding this information. 

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