We remain dedicated to meeting counseling and therapy needs during this local and national state of emergency concerning the Coronavirus (COVID-19). Please see our Coronavirus (COVID-19) Preparedness Plan for important information on the steps we are implementing to help protect our clients, staff, and fellow community members from potential exposure to the coronavirus and other communicable illnesses.
We thank you for your understanding and for doing your part to support the prevention of exposure and spreading of illness within our community. Please contact us if you have any questions or concerns. We are here to help.
~ The Achieve Team
BCBSAZ continues to cover individuals and groups for certain telemedicine services as required by Arizona’s telemedicine mandate. Telemedicine healthcare includes services to treat the following conditions, and is covered based on the diagnosis codes submitted on the claim: Mental health disorder and Substance abuse.
Telemedicine services may be covered but is not required for self-funded employer group members and out-of-area BlueCard members. Telemedicine is not a covered benefit for FEP members. Employers that self-fund their health plans make their own decisions whether to cover these services, though Blue Cross Blue Shield of Arizona is strongly encouraging them do so.
Cigna has covered telehealth since 2017. Additionally, Cigna has made some temporary revisions to telehealth requirements to support continuity of care during the concerns regarding the coronavirius. The following changes are effective March 17, 2020 through May 31, 2020.
Behavioral telehealth sessions are available to patients with Cigna coverage and are administered in accordance with their behavioral health benefits. Prior to services, you should verify behavioral health benefits and eligibility, including services administered by a third-party administrator, by calling the number on the back of the patient ID card. An “S” identifier on the bottom left of the card can help you identify if your services are administered by a third-party administrator. While telephonic sessions are not typically covered in accordance with our Medical Necessity Criteria, Cigna is making an exception during this interim period. As appropriate, telephonic sessions may be provided to patients who do not have access to technology to participate in telehealth sessions.
Telehealth/virtual visits are covered for UnitedHealthcare/UBH/Optum members with mental health benefits. Each provider must determine what services can be safely and effectively delivered based on the unique clinical needs of the individual patient and patient location when services are delivered. If, at any time, the provider determines that an individual receiving telemental health care via virtual visits is at potential risk due to the delivery model, referral and treatment in the traditional setting must be secured.
In order to make it easier for members to receive appropriate behavioral health treatment during this challenging time, UnitedHealthcare/UBH/Optum is encouraging providers and members to observe social distancing, self or mandated quarantine rules as outlined by the CDC and use HIPAA-approved telehealth technology as long as this method will effectively support the individual member's behavioral health needs. For members who do not have access to HIPAA-approved technology required to conduct a video-enabled virtual session, telephonic sessions may be provided as appropriate to support the individual’s behavioral health needs.