Click HERE to download ASPA’s May 2021 Newsletter in PDF format.
ASPA is experiencing mail carrier issues and have addressed our concerns to the US Post Office, which they are working on resolving this matter. We apologize for any inconvenience and thank you for your patience and understanding. Arizona State Physicians Group is designed to support the practices of our providers. The services provided to you by ASPA and its employees are made possible by your continued membership and prompt payment of annual membership dues. Payment can be submitted by use of credit card online at www.azspa.com or mailing in a check. If you have any questions, or would like to receive invoices electronically please contact Xitlaly Solis at 602-265-2524, ext. 221, or send your request to xitlaly@azspa.com
ASPA introduces Imperial Health: this plan will start June 1, 2021. There are two plan types under Imperial Health, they are a Medicare Advantage and a Market Place Plan. ASPA has faxed and E-mailed the Opt In’s for these Plans. If you haven’t received anything and would like to opt in, please contact Karen Ellington at karen@azspa.com.
The US Department of Health and Human Services, through the Health Resources and Services Administration (HRSA), has launched the COVID-19 Coverage Assistance Fund (CAF). This new program is providing reimbursements on a rolling basis directly to eligible health care providers for claims associated with administering COVID-19 vaccines to beneficiaries whose health insurance does not cover vaccine administration fees, or does but typically with patient cost-sharing. Review and share the program fact sheet for a quick look at the program.
Providers can now begin submitting eligible claims for COVID-19 vaccine administration fees to the HRSA COVID-19 Coverage Assistance Fund Portal.
Provider Webcasts – Register Now
Two informational webcasts are being held to present an overview of the enrollment, claims submission, and payment processes. Register for one today.
- May 6, 2021 at 2 p.m. ET – Register here
- May 12, 2021 at 2 p.m. ET – Register here
Who is eligible for reimbursement?
Health care providers that have administered a COVID-19 vaccine authorized by the FDA to underinsured individuals on or after December 14, 2020 can request claims reimbursement through the program.
Reimbursement may be requested electronically and, subject to available funding, will be reimbursed at the national Medicare rate for the vaccine administration fee or for patient cost-sharing related to COVID-19 vaccination, including co-payments for vaccine administration, deductibles for vaccine administration, and co-insurance.
How are reimbursement rates determined?
Reimbursement pricing and policies for vaccine administration fees will be priced based on national Medicare rates and are outlined below:
For dates of service through March 14, 2021:
- Administration of a single-dose COVID-19 vaccine – $28.39
- Administration of the first dose of a COVID-19 vaccine requiring a series of two or more doses – $16.94
- Administration of the final dose of a COVID-19 vaccine requiring a series of two or more doses – $28.39
For dates of service on or after March 15, 2021:
- Administration (per dose) of a COVID-19 vaccine – $40.00
How will payments be distributed?
Reimbursements will be delivered by the SSI Group. Your organization’s payment will be sent via Automated Clearing House (ACH).
Questions?
Contact the CAF Support Line at (833) 967-0770; for TTY (888) 970-2920. Hours of operation are 8 a.m. to 8 p.m. Monday – Friday ET.
