CareSource has provided links to your state’s department of health, and we encourage you to monitor your state’s guidance.
CareSource’s response to COVID-19 may vary by plan and state requirements. Please check your plan’s Updates & Announcements page frequently for specific guidance from CareSource.
|West Virginia Department of Health & Human Resources|
Marketplace Updates & Announcements
2020 Date COVID-19: Anti-Stockpiling Quantity Limits – UPDATE 05/07/2020 COVID-19: Prior Authorization Guidance 05/01/2020 COVID-19: Anti-Stockpiling Quantity Limits – This notification has been revised. See notification dated 05/07/2020. 04/24/2020 COVID-19: Temporary Expansion for Molecular Diagnostic Testing for Influenza Virus Infection and Streptococcus A and B 04/16/2020 COVID-19: CDC Health Alert on Chloroquine 04/07/2020 COVID-19: Temporary Telehealth Services 03/27/2020 Protecting Members and Reducing the Spread of COVID-19 03/25/2020
CareSource monitors state and federal guidance on COVID-19, and we recognize that rules related to services, coverage and requirements may change quickly as the situation evolves. We will continue to update information for our provider partners.
Requirements may vary by plan. Please check your Updates & Announcements page frequently for specific plan guidance.
CareSource has business continuity plans in place to protect our members from disruptions in service. We are in communication with state and local health departments to ensure we are prepared to maintain full operations across the organization. In addition, we are working with our vendor partners to ensure they have adequate business continuity plans in place.
We are following all CDC guidance and protocols to prevent workplace exposures to COVID-19.
For COVID-19 coding information, providers should reference the Centers for Medicare & Medicaid Services (CMS) and the State Department of Medicaid or Department of Insurance to properly code for COVID-19.
On March 9, 2020, CareSource announced that all members, regardless of their plan, are able to receive COVID-19 testing with no out-of-pocket costs. Specifically, CareSource will partner with laboratories that have successfully verified and are currently using COVID-19 diagnostic tests in accordance with the Centers for Disease Control and Prevention (CDC). Providers are advised to use their judgment to determine whether a COVID-19 test should be ordered for a patient. For the latest news and guidance on the virus testing and treatment, please visit the Centers for Disease Control and Prevention (CDC) website.
CareSource covers COVID-19 testing and treatment services. To ensure accurate reimbursement for covered services, please reference the Centers for Medicare & Medicaid Services (CMS) and the State Department of Medicaid or Department of Insurance to properly code for COVID-19.
In the event that a drug shortage occurs, CareSource will work with our members and network pharmacies to ensure members have access to the medications required. In the event that an in-network pharmacy is unable to provide the necessary medication(s), CareSource will work with members to obtain necessary medications, including at an out-of-network pharmacy, if necessary.
CareSource currently provides telehealth services to ensure our members can have access to health care services, particularly in situations where reducing the risk of infection and spread of disease is of utmost importance. CareSource partners with MyIdealDOCTOR™ to provide telehealth services. MYidealDOCTOR lets members see a board-certified physician anywhere, anytime using their phone, mobile app or computer.
CareSource24®, CareSource’s 24/7/365 Nurse Advice line, provides members with unlimited access to talk with a caring and experienced staff of registered nurses about symptoms or health questions. CareSource patients can find the CareSource24 phone number on their member ID card.
CareSource will partner with laboratories that have successfully verified and are currently using COVID-19 diagnostic tests in accordance with the Centers for Disease Control and Prevention (CDC). Please visit the Centers for Disease Control and Prevention (CDC) and your state health department website for guidance on testing.
In the event an immunization becomes available, CareSource will cover COVID-19 vaccinations at no cost-sharing for all covered members.