Dickerson brings you the latest weekly industry, legislative and carrier updates.

Updates on COVID-19 coverage and CAA RxDC reporting
Carrier Updates
Thursday, May 11 2023
As a reminder, the federal COVID-19 public health emergency is ending on May 11, 2023.

In California, COVID-19 vaccines, testing, and treatment (therapeutics) will continue to be provided and covered at $0 cost-share, in compliance with California law for fully insured health plans. We'll share more details on how coverage may change as they become available.

CAA RxDC reporting terminated group outreach
In March, we contacted current customers and brokers to request group specific information required for Kaiser Permanente to complete aggregated reports for pharmacy reporting under the Consolidated Appropriations Act (CAA), 2021. To help ensure compliance with the reporting requirements, groups were required to provide specific information via our form by April 3, 2023.

We set the April 3 deadline to allow us to identify and remediate any issues with this complex process before the Centers for Medicare & Medicaid Services’ (CMS) June 1, 2023 due date. In working with the data submitted by April 3, we found that our original outreach inadvertently omitted groups that terminated their coverage with Kaiser Permanente prior to the original outreach. We will be sending emails directly to the identified groups requesting they submit the needed information for their company by 5 p.m. PT on May 18, 2023.

To remain on track to meet the CMS submission deadline, Kaiser Permanente is only accepting data from the cohort previously omitted.