Coverage of COVID Testing | 2022 Health Plan Compliance Deadlines

ACA Compliance Bulletin – Agencies Issue FAQs on Coverage of Covid-19 Testing

On Feb. 4, 2022, the Departments of Labor (DOL), Health and Human Services (HHS) and the Treasury (Departments) jointly issued FAQs (FAQs Part 52) regarding coverage of over-the-counter (OTC) COVID-19 tests.

These FAQs modify and clarify the guidance in FAQs Part 51, which specified that plans and issuers must cover OTC COVID-19 tests available without an order or individualized clinical assessment by a health care provider.

Plans and issuers must cover over the counter Covid-19 tests without cost sharing, prior authorization or other medical management requirements during the public health emergency.

Your group health insurance carrier will be reaching out to employer groups about their unique process regarding network pharmacies, coverage maximums and member reimbursement for recently purchased tests.

For additional information read this article.

Compliance Overview – 2022 Health Plan Compliance Deadlines

Employers must comply with numerous reporting and disclosure requirements throughout the year in connection with their group health plans. This Compliance Overview explains key 2022 compliance deadlines for employer-sponsored group health plans. It also outlines group health plan notices that employers must provide each year.

Some of the compliance deadlines summarized are tied to a group health plan’s plan year. For these requirements, the chart shows the deadline that applies to calendar year plans. For non-calendar year plans, these deadlines will need to be adjusted to reflect each plan’s specific plan year.

For additional information read this article.