Fidelis Care’s telehealth coverage and reimbursement approach described throughout also applies to our network of participating behavioral health providers, including all individual practitioners currently contracted with Fidelis Care (including but not limited to licensed clinical social workers, psychologists, licensed mental health counselors, licensed marriage and family therapists, and ABA providers) as well as facilities delivering OMH and OASAS licensed programs.
As guidance continues to evolve over time, OMH licensed or funded programs should continue to monitor updates available here: https://omh.ny.gov/omhweb/guidance/ as well as referencing recently published guidance here: https://omh.ny.gov/omhweb/guidance/omh-covid-19-disaster-emergency-faqs.pdf . OASAS licensed or funded programs should continue to monitor updates available here: https://oasas.ny.gov/keywords/coronavirus .
Fidelis Care will continue to monitor changes in state and federal regulations related to any expansion of, additional approval, or change in regulation regarding telehealth services.
Consistent with DFS Circular Letter 10 and the subsequent executive orders extending these provisions, Fidelis Care is waiving member cost share (deductible, copay, and coinsurance) on all in network outpatient mental health and substance use treatment effective May 2nd, 2020.
In-network Providers are reminded not to collect member cost share for outpatient mental health and substance use treatment during this timeframe, and if such cost share was inaccurately collected, to issue member refunds.Claims processing has been updated to waive member liability reflected in provider payments when a behavioral health diagnosis is included on the claim.Fidelis has applied this provision not only to members who are or were employed as ‘essential’, but to all members. This provision is currently scheduled to expire on January 23, 2021, subject to additional state directives.