Ambetter Member Plan Benefits Resume for Telehealth Services as of August 1, 2023

Fecha: 28/07/23

Since the federal Public Health Emergency (PHE) related to the COVID-19 pandemic ended on May 11, 2023, Ambetter from Western Sky Community Care is committed to providing a smooth transition for both our members and providers as we resume business as usual.

During the PHE, Ambetter followed guidance from Centers for Medicaid and Medicare (CMS) and instituted temporary waivers for select services to ensure critical care could be quickly delivered to our members during a time of heightened need. Beginning August 1, 2023, these temporary waivers will expire, and we will no longer cover over-the-counter and/or COVID home testing kits.

While we will continue to communicate any updates to our business practices directly to our provider partners, we always highly recommend that providers verify member eligibility, benefits, and prior authorization requirements before rendering services.