COVID-19 Resources

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Partner and Fraud-Related COVID-19 Resources

HHS Office of Inspector General (OIG)

HHS-OIG COVID-19 Portal

HHS-OIG COVID-19 Fraud Alert

HHS-OIG COVID-19 Fraud Alert Information Page

HHS-OIG COVID-19 Questions Submissions Email: OIGComplianceSuggestions@oig.hhs.gov

HHS-OIG Study: Hospital Experiences Responding to the COVID-19 Pandemic: Results of a National Pulse Survey March 23-27, 2020

HHS-OIG: OIG Policy Statement Regarding Application of Certain Administrative Enforcement Authorities Due to Declaration of Coronavirus Disease 2019 (COVID-19) Outbreak in the United States as a National Emergency (April 3, 2020)

HHS-OIG: FAQs–Application of OIG's Administrative Enforcement Authorities to Arrangements Directly Connected to the Coronavirus Disease 2019 (COVID-19) Public Health Emergency (updated May 14, 2020)

HHS-OIG: Message from leadership on minimizing burdens on providers (March 30)

HHS-OIG Recently Added Work Plan Items (many relating to COVID-19)

HHS-OIG Work Plan: Audit of CARES Act Provider Relief Funds

HHS-OIG Work Plan: Nursing Home Oversight During the COVID-19 Pandemic


Centers for Medicare and Medicaid Services (CMS)

CMS: Current Emergencies Website

CMS: CMS Issues Blanket Waivers of Sanctions under the Physician Self-Referral Law

CMS-CPI: Part D Plan Guidance, Minimizing Face-to-Face Contact for Rx Delivery and Dispensing

CMS Telehealth Coverage and Payment Video

CMS News Alert March 26, 2020 – Summary of CMS Actions Taken in Response to COVID-19

Center for Medicare and Medicaid Services (CMS) Coronavirus (COVID-19) Partner Toolkit

CMS: 2019-Novel Coronavirus (COVID-19) Medicare Provider Enrollment Relief Frequently Asked Questions (FAQs)

CMS: COVID-19 Checklists and Tools to Accelerate Relief for State Medicaid & CHIP Programs

CMS: CMS Announces Relief for Clinicians, Providers, Hospitals and Facilities Participating in Quality Reporting Programs in Response to COVID-19

CMS: COVID-19 Response News Alert: CMS Frequently Asked Questions (FAQs) for State Medicaid and Children’s Health Insurance Program (CHIP) Agencies

CMS: COVID-19 Response News Alert: CMS Issues Frequently Asked Questions on Catastrophic Health Coverage and the Coronavirus

CMS: Current Emergencies Website


Department of Justice (DOJ)

Department of Justice Coronavirus Fraud News

Department of Justice, Offices of the United States Attorneys Newsroom, Coronavirus Crime Topic

Department of Justice: Report COVID-19 Fraud

National Center for Disaster Fraud (NCDF)

DOJ Bureau of Justice Assistance: Coronavirus Emergency Supplemental Funding Program Solicitation FY 2020 Formula Grant Solicitation

DOJ Bureau of Justice Assistance: Coronavirus Emergency Supplemental Funding Program Allocations

Memo from the Attorney General (April 6, 2020), “Litigating Pre-Trial Detention Issues During the COVID-19 Pandemic”

Memo from the Attorney General (April 3, 2020), "Increasing Use of Home Confinement at Institutions Most Affected by COVID-19"

Memo from the Attorney General (March 26, 2020), “Prioritization of Home Confinement As Appropriate in Response to COVID-19 Pandemic”

Memo from the Attorney General (March 24, 2020), “Department of Justice COVID-19 Hoarding and Price Gouging Task Force”

Memo from the Deputy Attorney General (March 24, 2020), “Department of Justice Enforcement Actions Related to COVID-19”

Expedited Antitrust Procedure and Guidance for COVID-19 – Joint DOJ/FTC Announcement

Attorney General Barr Urges the Public to Report COVID-19 Fraud

Memo from the Attorney General to United States Attorneys

Memo from Deputy Attorney General Jeffrey Rosen Directing US Attorneys to Appoint Coronavirus Fraud Coordinator (March 19, 2020)

Attorney General Barr Urges the Public to Report COVID-19 Fraud

Attorney General Barr Memo to U.S. Attorneys Prioritizing COVID-19 Fraud

Federal Bureau of Investigation (FBI): Coronavirus webpage

FBI Fraud Warning: FBI Warns Health Care Professionals of Increased Potential for Fraudulent Sales of COVID-19-Related Medical Equipment

FBI - Tips

The FBI is advising: “Be aware that criminals are attempting to use malicious websites and apps that appear to share virus-related information to gain and lock access to your devices until payment is received. Criminals will likely continue to use new methods to exploit COVID-19 worldwide. Report scams and attempted fraud at ic3.gov.” https://www.ic3.gov/default.aspx


Other Federal Agencies, State Agencies and Organizations

Official Federal Government Coronavirus (COVID-19) Website

COVID-19 Related Executive Orders

Official CDC COVID-19 Website

Official FDA COVID-19 Website

FDA Emergency Use Authorizations Website

Official Department of Labor COVID-19 Website

Federal Trade Commission: Avoid Coronavirus Scams

Drug Enforcement Administration (DEA) Emergency PHE Regulatory Change Site

United States Postal Inspection Service: Coronavirus Related Scams

National Association of Attorneys General (NAAG) COVID-19 Resources

National Conference of State Legislatures (NCSL) Coronavirus (COVID-19) Resources for States

National Governors Association (NGA), Coronavirus: What You Need to Know

NGA, Coronavirus State Action Tracking

National Association of Insurance Commissioners (NAIC) COVID-19 Resource Center

NAIC State Bulletins & Alerts Database

NAIC COVID-19 Issue Brief

NAIC also hosted a Special Webex Session on COVID-19 (3/20/2020)

NAIC Webex Session Materials: https://naic.org/documents/2020-naic-spring-national-meeting-covid-19-special-session-materials.pdf

Kaiser Family Foundation: Coronavirus (COVID-19) Mainpage

Kaiser Family Foundation (KFF): State Data and Policy Actions to Address Coronavirus

Kaiser Family Foundation (KFF): State COVID-19 Health Policy Actions

  • Topics tracked: Waive Cost Sharing for COVID-19 Treatment

               Free Cost Vaccine When Available

               State Requires Waiver of Prior Authorization Requirements

               Early Prescription Refills

               Marketplace Special Enrollment Period

               Section 1135 Waiver

               Paid Sick Leave

Kaiser Family Foundation (KFF): Private Health Coverage of COVID-19: Key Facts and Issues

Kaiser Family Foundation(KFF): COVID-19 Coronavirus Tracker

The National Whistleblower Center calls for a federal coronavirus fraud task force

National Whistleblower Center letter: https://aboutblaw.com/Pwb

Coalition Against Insurance Fraud COVID-19 insurance fraud response center

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COVID-19 Fraud Cases

April 16, 2020 – Southern District of Georgia: Operator of durable medical equipment company charged in multi-million-dollar telemedicine kickback scheme

April 10, 2020 -  Georgia Man Arrested for Attempting to Defraud the Department of Veterans Affairs in a Multimillion-Dollar COVID-19 Scam

March 30, 2020 – New Jersey: Georgia Man Arrested for Orchestrating Scheme to Defraud Health Care Benefit Programs Related to COVID-19 and Genetic Cancer Testing

March 30, 2020 – New Jersey: Brooklyn Man Arrested for Assaulting FBI Agents and Making False Statements About His Possession and Sale of Scarce Medical Equipment

March 25, 2020 – California, Central District: Southland Man Arrested on Federal Charges Alleging Fraudulent Investment Scheme Featuring Bogus Claims of COVID-19 Cure

March 22, 2020 – Texas, Western District: Justice Department Files its First Enforcement Action against COVID-19 Fraud

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State COVID-19 Resources and Anti-Fraud Efforts

Please download the COVID-19 State Resources.

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COVID-19 Policy and Regulatory Topics

CMS

Final Rule: Medicare Program: Contract Year 2021 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, and Medicare Cost Plan Program May 22, 2020.

Interim Final Rule: Medicare and Medicaid Programs, Basic Health Program, and Exchanges: Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency and Delay of Certain Reporting Requirements for the Skilled Nursing Facility Quality Reporting Program (main page). May 8, 2020.

Interim Final Rule: Medicare and Medicaid Programs: Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency (main page). April 6, 2020.

CMS Press Release on Regulatory Changes in Response to COVID-19

CMS Fact Sheet on Regulatory Changes in Response to COVID-19


CMS: COVID-19 Related Section 1135 Waivers: 

CMS: Coronavirus Waivers & Flexibilities

CMS Section 1135 Waivers Information Page

Section 1135 Waiver Flexibilities

Section 1135 Waiver Flexibilities - Michigan Coronavirus Disease 2019 (4/6)

Section 1135 Waiver Flexibilities – District of Columbia Coronavirus Disease 2019 (4/3)

Section 1135 Waiver Flexibilities - Nebraska Coronavirus Disease 2019 (4/2)

Section 1135 Waiver Flexibilities - Alaska Coronavirus Disease 2019 (4/2)              

Section 1135 Waiver Flexibilities - Arkansas Coronavirus Disease 2019 (4/2)

Section 1135 Waiver Flexibilities - Georgia Coronavirus Disease 2019 (4/1)

Section 1135 Waiver Flexibilities - Tennessee Coronavirus Disease 2019 (3/31)

Section 1135 Waiver Flexibilities - South Carolina Coronavirus Disease 2019 (3/31)

Section 1135 Waiver Flexibilities - Texas Coronavirus Disease 2019 (3/30)

Section 1135 Waiver Flexibilities - Montana Coronavirus Disease 2019 (3/30)

Section 1135 Waiver Flexibilities - Vermont Coronavirus Disease 2019 (3/30)

Section 1135 Waiver Flexibilities - West Virginia Coronavirus Disease 2019 (3/30)

CMS Approves 34th State 1135 Waiver (3/27)

CMS Approves Medicaid Section 1135 Waivers for 11 Additional States in Response to COVID-19 (3/23)

CMS Approves Washington State’s Request for 1135 Medicaid Waivers (3/19)

CMS Approves First State Request for 1135 Medicaid Waiver in Florida (3/17)

Medicare: CMS Press Release: Financial Relief for Medicare Providers

Medicare: 2019-Novel Coronavirus (COVID-19) Medicare Provider Enrollment Relief Frequently Asked Questions (FAQs)

Medicare: Kaiser Family Foundation (KFF) FAQs on Medicare Coverage and Costs Related to COVID-19 Testing and Treatment


Telehealth

CMS Video: Medicare Coverage and Payment of Virtual Services

CMS: Billing for Professional Telehealth Distant Site Services During the Public Health Emergency — Revised

CMS: Billing for Professional Telehealth Services During the Public Health Emergency

CMS: Long-Term Care Nursing Homes Telehealth and Telemedicine Tool Kit

U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG) Policy Statement on Telehealth Cost-Sharing During COVID-19 Outbreak

HHS-OIG Telehealth Factsheet

HHS-OIG Waiving Telehealth Cost-Sharing FAQ


COVID-19 Coding

CMS Dear Clinician Letter (PDF) (4/6/20)

CMS: Fact sheet:  Expansion of the Accelerated and Advance Payments Program for Providers and Suppliers During COVID-19 Emergency (PDF) (3/30/20)

CMS: Frequently Asked Questions to Assist Medicare Providers (PDF) UPDATED (3/23/20)

CMS: Fact sheet: Medicare Coverage and Payment Related to COVID-19 (PDF) UPDATED (3/23/20)

CMS: Fact sheet: Medicare Telemedicine Healthcare Provider Fact Sheet (3/17/20)

CMS: Medicare Telehealth Frequently Asked Questions (3/17/20)

CMS: MLN Matters article:  Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (PDF) (3/17/20)

CMS: Frequently Asked Questions about Medicare Fee-for-Service Emergency-Related Policies and Procedures Without an 1135 Waiver (PDF) (3/16/20)

CMS: Frequently Asked Questions about Medicare Fee-for-Service Emergency-Related Policies and Procedures With an 1135 Waiver (PDF) (3/16/20)

CMS: Fact sheet:  Medicare Administrative Contractor (MAC) COVID-19 Test Pricing (PDF) (3/13/20) 

CMS: Fact sheet:  Medicaid and CHIP Coverage and Payment Related to COVID-19 (PDF) (3/5/20)

CMS: COVID-19: New ICD-10-CM Code and Interim Coding Guidance (2/20/20)

CMS: New Specimen Collection Codes for Laboratories Billing for COVID-19 Testing

CMS: New ICD-10-CM diagnosis code, U07.1, for COVID-19

CMS: Billing for Multi-Function Ventilators (HCPCS Code E0467) under the COVID-19 Public Health Emergency and Otherwise


COVID-19 Testing/Labs

CMS: New Specimen Collection Codes for Laboratories Billing for COVID-19 Testing


Medicare Advantage

CMS Interim Final Rule: Medicare and Medicaid Programs; Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency (main page)

CMS: 2021 Medicare Advantage and Part D Rate Announcement Fact Sheet


Pharmacy and Part D

CMS Interim Final Rule: Medicare and Medicaid Programs; Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency (main page)

CMS: 2021 Medicare Advantage and Part D Rate Announcement Fact Sheet

CMS-CPI: Part D Plan Guidance, Minimizing Face-to-Face Contact for Rx Delivery and Dispensing

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