Are ambulance providers and other emergency medical service providers eligible for reimbursement for treatment services? Will claims for presumptive diagnoses be eligible for reimbursement under this program?
For the HRSA COVID-19 Uninsured Program, eligible treatment claims are determined as follows:
- Treatment claims for services or discharges prior to April 1, 2020, are eligible for reimbursement if the primary diagnosis is B97.29 OR if the primary diagnosis is pregnancy O98.5- and the secondary diagnosis is B97.29.
- Treatment claims for services or discharges on or after April 1, 2020, are eligible for reimbursement if the primary diagnosis is U07.1 OR if the primary diagnosis is pregnancy O98.5- and the secondary diagnosis is U07.1.
Eligibility Questions
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