FAQs for COVID-19 Claims Reimbursement to Health Care Providers and Facilities for Testing, Treatment and Vaccine Administration

For dates of service or admittance on or after February 4, 2020 (aligning with Medicare coverage of COVID-19 services), reimbursement is made for qualifying testing for COVID-19, treatment services with a primary COVID-19 diagnosis, or for qualifying COVID-19 vaccine administration, as determined by HRSA (subject to adjustment as may be necessary), including the following:

• Specimen collection, diagnostic and antibody testing.
• Testing-related visits including in the following settings: office, urgent care or emergency room or telehealth.
• Treatment, including office visit (including telehealth), urgent care, emergency room, inpatient, outpatient/observation, skilled nursing facility, long-term acute care (LTAC), acute inpatient rehab, home health, DME (e.g., oxygen, ventilator), emergency ambulance transportation, non-emergent patient transfers via ambulance, and FDA-licensed, authorized, or approved treatments as they become available for COVID-19 treatment.
• Dispensing fees for FDA-licensed or authorized outpatient antiviral drugs for treatment of COVID-19.
• Administration fees related to FDA-authorized or licensed vaccines.

Claims are subject to Medicare timely filing requirements.