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Ex. AGY-ST-INSURANCE-BANKING-059 Context (guidance or announcement) Primary source read

OCI Bulletin of October 13, 2020

Telemedicine Coverage Request Related to COVID-19

Mark V. Afable, Commissioner of Insurance · Wisconsin; Office of the Commissioner of Insurance (Sector regulator)

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The COVID Project
Context, not an order

This record is guidance or an announcement kept for context. It is not counted among the orders in force.

The record

Jurisdiction
Wisconsin; Office of the Commissioner of Insurance · Wisconsin
Level
Sector regulator
Authority
Wis. Stat. § 601.41; Emergency Order #2 directive to OCI
Issued
2020-10-13 Oct. 13, 2020
Effective
2020-10-13
End
During the fall 2020 public health emergency (read as 2021-03-31)
In force
Oct. 13, 2020 to Mar. 31, 2021
Quarters
2020 Q42021 Q1
Limitation types
Health care orders
Addressees
  • health plan issuers and interested parties
Functions reached
  • IN health plan issuers
  • TM telehealth and CB payers of Wisconsin providers (industries 01-04)
Character
context
Collection
State insurance and banking regulators AGY-ST-INSURANCE-BANKING

Operative words

On October 1, 2020, Governor Tony Evers and Department of Health Services Secretary-designee Andrea Palm issued Emergency Order #2 regarding aid to healthcare facilities providing treatment for COVID-19. The Office of the Commissioner of Insurance (OCI) was directed to 'continue working with health insurers to minimize out-of-network barriers for insured patients seeking telemedicine services.' OCI is issuing this Bulletin in compliance with that directive. As outlined in the emergency order, COVID-19 is placing a strain on the capacity of healthcare facilities and the contagious nature of the disease may result in non-COVID-19 related health treatments being canceled or delayed. Because of these issues, Health Plan Issuers are once again strongly encouraged to remove any barriers to their insureds utilizing telemedicine services.

Enforcement

Wis. Stat. § 601.64

Notes

Records the fall 2020 emergency order and its finding that non-COVID-19 treatments were 'being canceled or delayed.'

Retrieval note

Cite it as context and cite the underlying order, statute or emergency rule it describes as the instrument. (Bulletins whose operative text imposes a mandatory duty on licensees under the regulator's own authority are excluded from this downgrade and listed separately for review.)).

A record of The COVID Project. The instrument's text is the source's; the summary fields are The COVID Project's reading of it. Not legal advice.