PRESS RELEASE NO. PR23-32
April 27, 2023
The Director of the Department of Public Health & Social Services, and Bureau of Health Care Financing Administration (BHCFA) provides notice of the following cost sharing assurances in the SPA GU-23-0002 and pursuant to 42 CFR 447.57:
- Guam Medicaid assures that coverage of COVID-19 vaccines and administration of the vaccines is provided to beneficiaries without cost sharing pursuant to section 1916(a)(2)(H) and section 1916A(b)(3)(B)(xii) of the Act and that reimbursement to qualified providers for such coverage is not reduced by any cost sharing that would otherwise be applicable under the state plan.
- Guam Medicaid assures that coverage of COVID-19 testing consistent with the Centers for Disease Control and Prevention (CDC) definitions of diagnostic and screening testing for COVID-19 and its recommendations for who should receive diagnostic and screening tests for COVID- 19 is provided to beneficiaries without cost-sharing pursuant to section 1916(a)(2)(I) and 1916A(b)(3)(B)(xiii) of the Act and that reimbursement to qualified providers for such coverage is not reduced by any cost sharing that would otherwise be applicable under the state plan.
- Guam Medicaid assures that coverage for COVID-19 treatment for individuals who are diagnosed with or presumed to have COVID-19 is provided to beneficiaries without cost sharing, pursuant to section 1916(a)(2)(I) and section 1916A(b)(3)(B)(xiii) of the Act and that reimbursement to qualified providers for such coverage is not reduced by any cost sharing that would otherwise be applicable under the state plan.
- Guam Medicaid assures that coverage of items and services for treatment of a condition that may seriously complicated the treatment of COVID-19 for individuals who are diagnosed with or presumed to have COVID-19 is provided to beneficiaries without cost sharing, pursuant to section 1916(a)(2)(I) and section 1916A(b)(3)(B)(xiii) of the Act and that reimbursement to qualified providers for such coverage is not reduced by any cost sharing that would otherwise be applicable under the state plan.
A copy can be obtained between the hours of 8:00 a.m. to 5:00 p.m., Monday through Friday at the following locations:
- DPHSS BHCFA office – Ran Care Building, Ste C3; 761 S. Marine Corps Drive, Tamuning
- DPHSS BHCFA Program Integrity Section Office – Castle Mall Building, Ste 5; 130 University Drive, Mangilao
Also, a copy of the proposed SPA will be posted on the Guam DPHSS website, and for more information or inquiries, please call Ms. Teresita C. Gumataotao, BHCFA Administrator, at (671) 300-7340 or email at teresita.gumataotao@dphss.guam.gov / Ms. Catherine Angcao, BHCFA Quality Improvement Coordinator, at (671) 735-7470 or email at catherine.angcao@dphss.guam.gov.
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