Medicare Advantage Plans Can Count Telehealth Professionals Toward Network Adequacy Standards In 2021
The Medicare Advantage 2021 final rules include changes to telehealth that will allow plans to count telehealth clinical professionals in 12 specialty areas towards meeting network adequacy standards. The specialty areas are dermatology, psychiatry, cardiology, otolaryngology, neurology, ophthalmology, allergy and immunology, nephrology, primary care, gynecology/OB/GYN, endocrinology, and infectious diseases. The changes are intended to make telehealth more widely available in Medicare Advantage, give members access to the latest telehealth technologies, and increase plan choices for beneficiaries residing in rural areas.
The Centers for Medicare & Medicaid Services (CMS) is strengthening network adequacy rules for Medicare Advantage plans by . . .
