COVID vaccine coverage obligations

THE STATE OF WYOMING Mark Gordon Department of Insurance Jeffrey P. Rude Governor Commissioner 106 E. 6th Ave. ▪ Cheyenne, Wyoming 82002 Administration (307) 777-7401 ▪ Fax (307) 777-2446 ▪ https://doi.wyo.gov/ ▪ Licensing (307) 777-7319 ▪ Consumer Affairs (307) 777-7402 Memorandum TO: ALL COMPANIES WRITING HEALTH INSURANCE IN WYOMING FROM: Jeff Rude, Wyoming Insurance Commissioner DATE: October 3, 2023 RE: Coverage of COVID-19 Vaccines ________________________________________________________________________________________ The Wyoming Department of Insurance (DOI) is reminding companies of their obligation to provide coverage of COVID-19 vaccines including the recently updated mRNA COVID-19 VACCINE recommended by Advisory Committee on Immunizations Practices (ACIP) on September 12, 2023. Pursuant to Sections 3202 and 3203 of the CARES Act, vaccines received from a network provider must be covered without cost-sharing within 15 business days after the date on which an application recommendation is made by U.S. Preventive Services Task Force (USPSTF) with an effective rating of “A” or “B”B or ACIP regarding the qualifying coronavirus preventive service. Wyoming DOI urges issuers to act as quickly as possible and take the necessary measures to streamline any claim system, billing, coding or overall coverage issues prior to the 15 days, but no later than October 9, 2023. Wyoming DOI is steadfast in their mission of ensuring all insureds receive the benefits of the insurance they pay for, this includes access to vaccines that could reduce the potential for hospitalizations and death. Questions regarding this memorandum may be directed to Jill Reinking, Senior Health Policy Analyst, 307-777- 7401, jill.reinking3@wyo.gov.