Baker-Polito Administration Announces COVID-19 Testing Billing Protections for Uninsured Individuals

The Baker-Polito Administration issued a public health order to prevent uninsured individuals from receiving surprise bills and copays due to a COVID-19 test. 


The Federal Families First Coronavirus Response Act (FFCRA) provides protections for insured individuals. Those include a requirement that providers must issue testing without imposing any cost-sharing requirements.


Currently, providers can submit claims for reimbursement related to testing for uninsured individuals to the COVID-19 Claims Reimbursement to Health Care Providers and Facilities for Testing and Treatment of the Uninsured Program, administered by the federal Health Resources and Services Administration.


Massachusetts has received reports of some providers choosing not to bill the portal, leading to uninsured individuals receiving, at times, large bills for testing. 


The public order issued this week requires that when testing uninsured individuals, providers either bill the federal portal for reimbursement or provide tests at no cost.