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What services are ineligible for reimbursement?

What services are ineligible for reimbursement?

Services not covered by traditional Medicare will also not be covered under this program. In addition, the following services are ineligible for reimbursement:

  • Any treatment without a COVID-19 primary diagnosis, except for pregnancy when the COVID-19 code may be listed as secondary.
  • Hospice services.
  • Outpatient prescription drugs, except for the dispensing fee for FDA-licensed or authorized outpatient antiviral drugs for treatment of COVID-19.

All claims submitted must be complete and final.

Eligibility Questions
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