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the fqhc provides services to seniors, including in-home health and community-based services. during the covid-19 pandemic, fqhcs have received a significant number of requests from patients who are receiving telehealth services for various medical conditions. some of these requests are for services that are not covered by the medicare and medicaid programs, such as in-home health services. some providers are unable to provide needed services because of the current pandemic. during the covid-19 pandemic, the fqhc faces a shortage of qualified workers to provide services to patients. in response, the fqhc is providing telehealth services for free. the fqhc will make services available to beneficiaries who apply for a free service and are not likely to be charged by any other provider.
according to the facts presented, a physician’s assistant would offer free covid-19 antibody testing to patients, including federal health care program beneficiaries, who contemporaneously undergo other medically necessary blood tests performed by the physician’s assistant. the physician’s assistant’s stated purpose for the arrangement is to increase patient awareness of antibodies to promote donations of covid-19 blood plasma, which could be used for certain experimental convalescent plasma therapy treatments for covid-19. the physician’s assistant would not charge any patient or other payor for the covid-19 antibody tests. patients and physicians would be able to access covid-19 antibody testing results through the physician’s assistant’s patient portal, and the results from the antibody testing program also would be reported to the centers for disease control and prevention and state public health agencies to further support covid-19 surveillance and response efforts. the physician’s assistant also would disclose the results of the covid-19 antibody tests, including the date of the covid-19 test, the patient’s name and age, and the test result to the beneficiary.
in addition, we understand that some providers may provide free or reduced-cost goods or services to actual or potential referral sources to mitigate the impact of the covid-19 outbreak on patient care or the provider’s ability to provide patient care.
according to the facts presented, a hospital provides free covid-19 testing to all patients who are hospitalized and do not have active insurance coverage for hospital services. the hospital’s stated purpose for providing free covid-19 testing is to ensure the safety of all patients. the laboratory’s role is to provide blood work for the covid-19 testing, but it does not collect, process, or analyze blood or other specimen samples for covid-19 testing.
according to the facts presented, a hospital has a comprehensive telehealth platform with an integrated wellness and primary care delivery model. the hospital would not charge patients or any other payors for covid-19 testing performed through the telehealth platform, which includes an inpatient call center and several clinics, as well as a virtual medical home (vmh) for medicare advantage plan enrollees and medicare beneficiaries enrolled in medicare in addition to medicaid. the hospital’s stated purpose for providing free covid-19 testing is to ensure the safety of its patients. the telehealth platform is not available for other health-related services. patients and physicians would be able to access covid-19 testing results through the hospital’s patient portal and through the hospital’s vmh, and the results from the telehealth platform also would be reported to the centers for disease control and prevention and state public health agencies to further support covid-19 surveillance and response efforts.
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