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March 04, 2020 at 02:23 PM
Missouri — a state with a conservative Republican governor — has put out a bulletin asking health carriers to waive any co-payment requirements or other cost-sharing requirements related to related to testing for Covid-19 pneumonia.
The Missouri Department of Commerce and Insurance is also asking health insurers and managed care companies to prepare their provider networks for a Covid-19-related surge in cases, and to cover out-of-network on in in-network basis if their regular networks are not able to provide enough care.
Resources
- A copy of the Missouri is available here.
- A copy of the Missouri telehealth coverage statute is available here.
- An article about New York’s Covid-19 emergency rules is available here.
Chlora Lindley-Myers, the director of the Missouri department, has put those requests in Insurance Bulletin 20-03.
Lindley-Myers is also asking carriers to:
- Adjust their formularies, or covered drug lists, to compensate for any disruptions caused by the Covid-19 outbreak.
- Prepare to cover any Covid-19 immunizations that become available with no cost-sharing.
- Keep utilization review programs from creating any barriers to people who might be infected with the virus that causes Covid-19, the severe acute respiratory syndrome coronavirus 2 (SARS CoV-2), getting care.
Much of the language in the Missouri bulletin is identical to the language in a circular letter that the New York Department of Financial Services posted Tuesday.
The Missouri bulletin leaves out some provisions from the New York letter that deal with matters such as surprise billing and coverage for ambulance services.
But the Missouri bulletin includes an additional section asking carriers to report on how they’re responding to the bulletin.
The Missouri bulletin lists Amy Hoyt, the department’s health insurance counsel, as the contact person.
New York state has a Democratic governor, Andrew Cuomo, and often takes a more different approach to regulating insurers than other states do.
Mike Parsons, Missouri’s governor, is a Republican who endorsed Donald Trump in the 2016 presidential election.
Missouri is one of the states that has joined the Interstate Insurance Product Regulation Commission and lets the commission’s Interstate Insurance Product Regulation Compact handle its life, annuity, long-term care insurance and disability insurance product filings.
