Based on current COVID-19 trends, the Department of Health and Human Services has planned for the federal public health emergency (PHE) for COVID-19 to expire on May 11, 2023. In support of the PHE ending, Humana has been updating its COVID-19 policies accordingly.
Suspension of Medicare sequestration
Humana complied with all legislation impacting Medicare Sequestration withholding during the COVID-19 PHE, resulting in the following:
- Suspending the application of Sequestration withholding for dates of service 05/01/2020–03/31/2022.
- Resuming Sequestration withholding at 1% for dates of service 04/01/2022–06/30/2022.
- Returning Sequestration withholding to 2% effective with dates of service beginning on 07/01/2022.
As additional legislation impacts the future application of Medicare Sequestration, Humana will again implement measures to apply Sequestration withholding in compliance with the legislation.
Credentialing:
During the PHE, the Humana credentialing team applied any federal or state emergency regulations for COVID-19, including such items as:
- Waiving site visit requirements.
- Approving licensed providers to practice outside of their licensed state.
- Placing a hold on the de-credentialing process (only for providers missing information).
These were temporary credentialing changes based on the emergency regulations. The normal procedures apply now that the emergency regulations are lifted.
If there are additional ways we can support you and your healthcare organization, please call our Provider Relations department at 866-427-7478 or contact your Humana representative.