Sec. 3. Waiving cost sharing under the Medicare program for certain visits relating to testing for COVID–19
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Section 1833 of the Social Security Act ( 42 U.S.C. 1395l ) is amended— in subsection (a)(1)— by striking and before
(CC); and by inserting before the period at the end the following: , and
(DD)with respect to a specified COVID–19 testing-related service described in paragraph
(1)of subsection
(cc)for which payment may be made under a specified outpatient payment provision described in paragraph
(2)of such subsection, the amounts paid shall be 100 percent of the payment amount otherwise recognized under such respective specified outpatient payment provision for such service, ; in subsection (b), in the first sentence— by striking and before
(10); and by inserting before the period at the end the following: , and
(11)such deductible shall not apply with respect to any specified COVID–19 testing-related service described in paragraph
(1)of subsection
(cc)for which payment may be made under a specified outpatient payment provision described in paragraph
(2)of such subsection ; and by adding at the end the following new subsection: For purposes of subsection (a)(1)(DD): A specified COVID–19 testing-related service described in this paragraph is a medical visit that— is in any of the categories of HCPCS evaluation and management service codes described in subparagraph (B); is furnished during any portion of the emergency period (as defined in section 1135(g)(1)(B)) beginning on or after the date of the enactment of this subsection; and results in an order for or administration of a diagnostic test described in section 1852(a)(1)(B)(iv)(IV). For purposes of subparagraph (A), the categories of HCPCS evaluation and management services codes are the following: Office and other outpatient services. Hospital observation services. Emergency department services. Nursing facility services. Domiciliary, rest home, or custodial care services. Home services. A specified outpatient payment provision described in this paragraph is any of the following: The hospital outpatient prospective payment system under subsection (t). The physician fee schedule under section 1848. The prospective payment system developed under section 1834(o). Section 1834(g), with respect to an outpatient critical access hospital service. The payment basis determined in regulations pursuant to section 1833(a)(3) for rural health clinic services. . The Secretary of Health and Human Services shall provide for an appropriate modifier (or other identifier) to include on claims to identify, for purposes of subparagraph
(DD)of section 1833(a)(1), as added by subsection (a), specified COVID–19 testing-related services described in paragraph
(1)of section 1833(cc) of the Social Security Act, as added by subsection (a), for which payment may be made under a specified outpatient payment provision described in paragraph
(2)of such subsection. Notwithstanding any other provision of law, the Secretary of Health and Human Services may implement the provisions of, including amendments made by, this section through program instruction or otherwise.
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Sec. 3
Waiving cost sharing under the Medicare program for certain visits relating to testing for COVID–19
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