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Md. insurance regulator issues guidance for providers on COVID-19

The Maryland Insurance Administration has issued a bulletin on frequently asked questions health care providers may have regarding state insurance regulations for COVID-19 services.

The bulletin details what insurance plans are subject to emergency regulations issued by the agency. It also answers questions about cost-sharing waivers and questions about prior authorization for testing for or treating the virus.

“Care denied as experimental is considered a denial based on medical necessity,” the bulletin adds. “A carrier is required to expedite an internal review and … (Commissioner Al Redmer Jr.) has the authority to require carriers to provide or reimburse for contractual benefits.”

On March 10, the insurance administration announced emergency regulations for all carriers, which can be found here.


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