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New Requirement for Medicare Providers Caring for Members in Special Needs Plans

EmblemHealth·Provider News
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Starting January 1, 2023, providers caring for EmblemHealth and ConnectiCare Medicare Special Needs Plan members must obtain patient consent before conducting face-to-face virtual encounters. This adds a new documentation requirement for telehealth visits with SNP members.

Action Required

Action needed
Before January 1, 2023: Providers and front desk staff must update telehealth procedures to obtain and document patient consent for all face-to-face virtual encounters with EmblemHealth and ConnectiCare Special Needs Plan members. Update EMR templates to include consent documentation field. Add consent form to telehealth workflow checklist.

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