The federal government will end the COVID-19 emergency declarations on May 11, 2023. This means starting May 12, 2023, standard health plan provisions will apply with cost shares as applicable for COVID-19 testing, related services and vaccine administration. Read more
Case Management/Care Plan Oversight Services
Billing and Reimbursement
Policy Number: RP-P-008
Last Updated: Nov. 1, 2021
Case Management codes and Care Plan Oversight Services codes are not separately reimbursed. They are considered content of service and no additional reimbursement is allowed, regardless of whether they are submitted with another E and M service. Denied charges are a provider’s liability.