Community Health Choice is monitoring the Coronavirus disease (COVID-19) and providing the most updated information from the Centers for Disease Control and Prevention (CDC), Texas Department of State Health Services, and the Harris County Public Health Department. We will update this page as more information becomes available.
Most current as of September 18, 2020
People of ANY AGE with the following conditions are NOW DEFINED TO BE AT INCREASED RISK of severe illness from COVID-19. Please read the full list and more specific advice from the CDC.
At INCREASED RISK for severe illness from COVID-19:
MAY be at an INCREASED RISK for severe illness from COVID-19:
The Centers for Disease Control and Prevention (CDC) issued a Health Advisory on May 14, 2020 informing healthcare providers of a Multisystem Inflammatory Syndrome in Children (MIS-C) Associated with COVID-19 infection. The Health Advisory and additional information provided by the CDC provide a case definition for this syndrome and a recommendation for healthcare providers to report patients meeting the case definition to local, state, and territorial health departments to enhance knowledge of risk factors, pathogenesis, clinical course, and treatment of this syndrome.
Case Definition for Multisystem Inflammatory Syndrome in Children (MIS-C):
Additional information is available on the Health Advisory and the CDC pages as well as the CDC’s 24 hour Emergency Operations Center:
CDC’s 24-hour Emergency Operations Center at 770-488-7100. After-hour phone numbers for health departments are available at the Council of State and Territorial Epidemiologists website https://resources.cste.org/epiafterhours.
The American Academy of Pediatrics issued a statement on the importance of prioritization of well care services including childhood Immunizations and provided guidance on telehealth for pediatric well care. Recommendations include:
Visit the following websites for additional information and resources:
CHIP – Office copayments are waived from March 13, 2020 until further notice or guidance from HHSC.
Marketplace/D-SNP – Copayment and Member cost-share waiver is limited to testing (U0001 and U0002) and CDC recommended treatment for COVID-19, telemedicine services, and inpatient admissions with a primary diagnosis of COVID-19 through October 23, 2020.
Coinsurance and deductibles will apply per plan benefits for all other services, including inpatient admissions without a primary diagnosis of COVID-19.
Community is encouraging our Members to use telemedicine whenever possible. Please continue to encourage use of telemedicine services.
Community is waiving copay and Member cost-share for telemedicine services of any modality for any reason.
Marketplace and DSNP Members: Continue zero cost telemedicine services through Teladoc.
Marketplace and DSNP Members: Waive Member copay / cost-share for telemedicine services provided by network providers through October 23, 2020.
CHIP Members: Waive Member copay / cost-share for telemedicine services provided by network providers until further notice.
STAR Members: Access to and coverage of telemedicine services provided by network providers.
Whether Members are admitted for COVID-19 related treatment or an unrelated condition, Community is committed to assisting with our Members’ discharge needs. Providing timely clinical information will help us to support your staff and prevent gaps of service, i.e., home health.
Safe discharge to home is a priority to us for member health and well-being and to prevent hospital readmission. Community receiving timely physician documentation, preferably a history and physical and physician progress notes, is essential for us to partner with your staff in this regard. Our goal is to assist Members after they leave your facility with care coordination following discharge.
To read what Community is sharing with Members about COVID-19, please click here.
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