This update applies to Medicare Advantage (except Dual-Eligible Special Needs Plans [D-SNPs]) plans.
Member cost-sharing waiver (copay, coins, deductible) will not apply for Medicare Advantage members, for services performed on Sept 1,2019 and thereafter.
Which services are included?
1. Transitional Care Management (TCM)
2. Chronic Care Management (CCM)
Providers and members still have to meet the Medicare Criteria in order to perform these services. Member has to consent in advance and that consent has to be documented in the patient’s medical record.
Which Codes are included?
You are able to check out announcement on Empire BCBS click on the link here.