April 13, 2021 at 1:00 PM CT

UPDATE – Johnson & Johnson COVID-19 vaccine news

As of April 13, 2021, the FDA and CDC are recommending a pause in the use of the Johnson & Johnson (Janssen) COVID-19 vaccine due to a very rare and severe blood clot in some individuals who received it. Safety is a top priority for the CDC, and the use of this vaccine is on hold until these cases and analysis can be further reviewed and assessed later this week. Review this update for more information and how claims will be handled during this time.

COVID-19 billing and temporary provision updates

The COVID-19 Billing Guide and Summary of COVID-19 Temporary Program Provisions are handy references to current program and billing information.

COVID-19 Telehealth Services

Last update: April 8, 2021, 12:50 p.m. CT

Date Expansion and Cost Share Updates for Telehealth Services

UnitedHealthcare will reimburse appropriate claims for telehealth services in accordance with the member’s benefit plan. For certain markets and plans, UnitedHealthcare is continuing its expansion of telehealth access, including temporarily waiving the Centers for Medicare & Medicaid Services (CMS) originating site requirements. Additional telehealth information may vary by network plan, so please review each section carefully for details.

Telehealth

A visit with the provider who uses an audio-video or audio-only telecommunications system.

Virtual Check-Ins

A brief check-in with the provider using a recorded video and/or images submitted by the patient.

Electronic Visits

Communication between a patient and his/her provider through an online patient portal.

PT, OT and ST Telehealth

Specific CPT® codes are eligible for reimbusement.

Chiropractic Therapy

Specific CPT® codes are eligible for reimbursement.

Home Health and Hospice

Details on eligible services and reimbursement.

Remote Patient Monitoring

Details on eligible services and reimbursement.

Resources

We’re listening.

We’re committed to keeping you up to date on COVID-19 – we’re monitoring your inquiries and working hard to answer your questions. Let us know how we’re doing.

We’ll be making daily updates to this site. Be sure to check back often for the latest information. 


Disclaimer:

The benefits and processes described on this website apply pursuant to federal requirements and UnitedHealthcare national policy during the national emergency.  Additional benefits or limitations may apply in some states and under some plans during this time.

We will adjudicate benefits in accordance with the member’s health plan.

Medicaid Providers: UnitedHealthcare will reimburse out-of-network providers for COVID-19 testing-related visits and COVID-19 related treatment or services according to the rates outlined in the Medicaid Fee Schedule.