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Governor’s Executive Order Requires Coverage for Telehealth
Posted on: 3/20/2020

Even as coronavirus disease 2019 (COVID-19) spreads and daily life is increasingly disrupted, ISMS continues to advocate for you – and we are already showing results.

coronavirus

Earlier this week, ISMS and the Illinois Health and Hospital Association (IHA) sent a letter to Governor Pritzker urging him to ensure coverage and payment parity for telehealth services rendered during this crisis. Yesterday, Gov. Pritzker announced an executive order that does just that.

The governor’s order requires all insurance plans regulated by the state, both public and private, to cover all clinically appropriate, medically necessary services delivered via telehealth by in-network providers. It also prohibits the use of prior authorization requirements for these services, waives patient cost-sharing in most cases, and takes other steps to promote the effective use of telehealth under these extraordinary circumstances.

For more information about what the order means for you and your practice, review our new guideline, Telemedicine Tips for COVID-19. We are exploring many aspects of how recent changes impact billing and patient care. Expect more updates as they become available.

These critically important changes will not only help to reduce the risk of infection for patients and their care teams, but also minimize crowding in healthcare facilities and conserve supplies of personal protective equipment. ISMS applauds Gov. Pritzker's swift action on this matter.

Additionally, the US Department of Justice Drug Enforcement Agency (DEA) clarified that DEA-registered practitioners can issue prescriptions for all Schedule II – V controlled substances to patients for whom they have not conducted an in-person medical evaluation, subject to certain conditions.

ISMS will continue to keep members informed as the COVID-19 pandemic develops, and is still working hard to advocate for you and your patients. As you encounter unique challenges during this time that might benefit from our advocacy, please let us know via email.



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