Blue Cross and Blue Shield of North Carolina (Blue Cross NC)
implemented a number of measures to support members and providers during
the COVID-19 pandemic. Blue Cross NC continues to reevaluate the
expiration dates for those measures based on the current state of the
pandemic and public health data. New updates are marked in red below. We will continue to reevaluate all measures as we approach expiration dates.
New update – The following measure is extended through June 30, 2021 (previous date was Dec. 31, 2020):
Virtual Care: Blue Cross NC will continue its
expanded virtual care policy. Under this policy, visits to providers
that previously required an in-person encounter can be performed
virtually and will be paid at parity with office visits as long as they
are medically necessary, meet criteria in the updated Blue Cross NC
Telehealth Corporate Reimbursement Policy, and occur on or after March
6, 2020. This includes virtual care encounters for patients that can
replace in-person interactions across appropriate care settings,
including outpatient clinics, hospitals, and the emergency departments.
This measure applies to all Blue Cross NC commercial plans and Medicare
Advantage plans offered and administered by Blue Cross NC, including
Experience Health. For coding guidance, please click here.
Blue Cross NC has been covering
telehealth for more than 20 years and will continue to do so after the
pandemic. We’re continuing to look at data to determine a permanent
telehealth policy to best serve our members and health care providers.
We plan to announce the permanent policy in early 2021.
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