Community Providers COVID-19 Resource Page
COVID-19 Response from TriWest Healthcare Alliance
In the wake of the COVID-19 (Coronavirus) pandemic, TriWest Healthcare Alliance continues to monitor the situation in cooperation with the Department of Veterans Affairs (VA) and its effect on the Patient-Centered Community Care (PC3) program. TriWest will use this web page to update providers on the latest information regarding the pandemic.
TriWest and VA Delay CCN in Region 4
In response to COVID-19 (Coronavirus) and its impact on the health care system, the Department of Veterans Affairs (VA) and TriWest agreed to a 60-day delay for the start of health care delivery under the new Community Care Network (CCN) contract in Region 4. The new start date for rollout is delayed until June 8, 2020. TriWest and VA intend to fully deploy CCN throughout all of Region 4 by Aug. 31 2020.
Using Telehealth to Treat Veterans
TriWest has determined at this time that under PC3, providers who wish to utilize virtual or phone visits to treat patients and provide continued care while staying in compliance with the Centers for Disease Control and Prevention (CDC) guidelines may do so, as long as the provider has an authorization on file first. VA has provided a waiver for all specialties under PC3 where virtual visits for the initial and subsequent appointments are now allowed in light of the ongoing pandemic.
Please follow the Telehealth guidelines in Telehealth Quick Reference Guide.
COVID-19 Billing Guidelines
TriWest is using the following guidelines regarding billing for COVID-19 tests, as well as telehealth treatment, for Veterans:
- Once available for community testing, TriWest will pay for HCPCS code (U0001) and code (U0002) to cover the Centers for Disease Control and Prevention (CDC) 2019 Novel Coronavirus Real Time RT-PCR Diagnostic Test. These codes can be billed as ancillary services and will NOT require a Request for Service (RFS).
- If a Veteran contacts you and has flu-like symptoms, such as fever, cough, or shortness of breath, please advise him/her to call their local VA Medical Center (VAMC) or MyVA311 (844-698-2311) if you cannot meet their needs through telehealth or an office screening. It is important that we all encourage Veterans with COVID-19 symptoms to call before visiting their provider office or going to their local VAMC or clinic.
Enroll in Electronic Claims for Faster Claims Payments
COVID-19 is impacting business processes across the world including TriWest and our claims processing partner WPS Military and Veteran Health (WPS MVH). While on-site resources have been reduced to limit the spread of COVID-19, our teams are dedicated to reducing the impact on processing claims for our community providers. Some of that impact that we are trying to mitigate includes potential processing and payment delays for non-electronic claim submissions.
If you have not already enrolled in the option to submit your claims electronically, you are encouraged to do so now by visiting WPS MVH. Filing electronically will help speed up your claims processing.
For more information regarding COVID-19 guidance for providers, review this new fact sheet from VA.
PLEASE VISIT THIS PAGE FOR CURRENT UPDATES! (Last updated March 27, 2020)