Helping Our Health Care Community on the Front Lines of COVID-19

AmeriHealth New Jersey is monitoring the latest news from medical and regulatory experts to offer guidance to businesses. Refer to this page for important resources as we navigate this unprecedented situation together.

Delivering care

Providing greater access. To ensure you can continue to deliver high-quality care to your patients, we are:

• Expanding use of telemedicine for primary care and specialty care doctors, therapists (occupational, physical, speech), nutritional counselors, and behavioral health specialists with reimbursement at in-office visit rates.
• Supporting preventive well visits for Commercial members via telemedicine (visits are eligible for reimbursement and require audio and visual capabilities).
• Offering free COVID-19 testing for patients at in-network physician offices, urgent care centers, emergency rooms, drive-thru testing sites, and by home health agencies.
• Covering in-network, inpatient, acute care treatment for COVID-19 treatment, medical, or behavioral health, with no-copays.
• Waiving requirements that members must be homebound to receive COVID-19 testing at home by a visiting nurse.
• Providing coverage for respiratory equipment and supplies.
• Covering FDA-approved antibody tests as they become available in approved healthcare settings.

Provider News Center. All the services we have made available to your patients can be found on our Provider News Center. This site is continually updated to provide reliable information on COVID-19 care and coverage. Visit the site.

Support for your business

Helping with administrative processes. To make it easier for you to care for your patients, we are:

• Waiving prior authorizations for in-network inpatient admissions from an emergency department as well as transfers to in-network post-acute facilities.
• Extending pre-certifications for elective procedures by six months.
• Modifying early refill restrictions on prescriptions.
• Having individual and group conversations with many provider offices in our network to understand their challenges, communicate our ongoing efforts around COVID-19, and answer questions.

PEAR portal and IndexPro^TM. This new self-service reporting platform is available to providers who participate in our value-based programs. The tools give you a total picture of the patients you are serving, assist you in identifying trends and cost drivers, and helps you focus on improving your performance. Visit the site.

Staying informed

Legislative updates. AmeriHealth New Jersey is working closely with state and federal agencies to understand new and pending legislation related to COVID-19 and how it affects health insurance coverage. Check out this summary of the current legislation.

Check back often. As we continue to make changes to our normal business practices, we will keep you informed through this site and the Provider News Center. Questions? Contact us.

General news

• Visit the newsroom for the latest AmeriHealth New Jersey news on COVID-19
• View our most common COVID-19 questions and answers