EMERGENCY NOTIFICATIONS

Attention Providers

September 15, 2022: The governor of Oklahoma has declared an emergency in response to drought conditions, lifting normal requirements at least 30 days for Cigna Medicare Advantage customers in all counties in Oklahoma.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of September 12, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice.

For questions regarding the requirements, the September 15, 2022 Disaster Notification Memorandum for Oklahoma[PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

September 15, 2022: The governor of New York has declared a disaster in response to polio, lifting normal requirements at least 30 days for Cigna Medicare Advantage customers in all counties in New York.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of September 9, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or expire November 7, 2022.

For questions regarding the requirements, the September 15, 2022 Disaster Notification Memorandum for New York [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

September 15, 2022: The governor of Illinois has declared a state of disaster in response to asylum seekers arriving from Texas, lifting normal requirements at least 30 days for Cigna Medicare Advantage customers in all counties in Illinois.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of September 14, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or expire November 11, 2022.

For questions regarding the requirements, the September 15, 2022 Disaster Notification Memorandum for Illinois [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

September 8, 2022: The governor of New Mexico has declared a state of emergency in response to extreme heat, lifting normal requirements at least 30 days for Cigna Medicare Advantage customers Sandoval county in New Mexico.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of August 31, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or expire September 9, 2022.

For questions regarding the requirements, the September 8, 2022 Disaster Notification Memorandum for New Mexico [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

September 8, 2022: The governor of California has declared a state of emergency in response to extreme heat, lifting normal requirements at least 30 days for Cigna Medicare Advantage customers in all counties in California.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of August 31, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or expire September 9, 2022.

For questions regarding the requirements, the September 8, 2022 Disaster Notification Memorandum for California [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

September 7, 2022: The governor of Georgia has declared a state of emergency in response to flooding, lifting normal requirements at least 30 days for Cigna Medicare Advantage customers in Chattooga and Floyd counties in Georgia.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of September 4, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or expire October 4, 2022.

For questions regarding the requirements, the September 7, 2022 Disaster Notification Memorandum for Georgia [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

September 2, 2022: The governor of Mississippi has declared, and President Biden has approved, a state of emergency in response to a water crisis, lifting normal requirements at least 30 days for Cigna Medicare Advantage customers in Hinds county in Mississippi.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of August 30, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice.

For questions regarding the requirements, the September 2, 2022 Disaster Notification Memorandum for Mississippi [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

August 26, 2022: The governor of Texas has renewed the disaster declaration in response to the border crisis, lifting normal requirements at least 30 days for Cigna Medicare Advantage customers in Bee, Brewster, Brooks, Chambers, Colorado, Crane, Crockett, Culberson, DeWitt, Dimmit, Duval, Edwards, Frio, Galveston, Goliad, Gonzales, Hudspeth, Jackson, Jeff Davis, Jim Hogg, Jim Wells, Kenedy, Kimble, Kinney, Kleberg, La Salle, Lavaca, Live Oak, Mason, Maverick, McCulloch, McMullen, Medina, Menard, Midland, Pecos, Presidio, Real, Refugio, San Patricio, Schleicher, Sutton, Terrell, Throckmorton, Uvalde, Val Verde, Victoria, Webb, Wharton, Wilbarger, Wilson, Zapata, and Zavala counties in Texas.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of May 31, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice.

For questions regarding the requirements, the August 26, 2022 Disaster Notification Memorandum for Texas [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

August 24, 2022: The governor of Texas has declared a state of disaster in response to flooding, lifting normal requirements at least 30 days for Cigna Medicare Advantage customers in Camp, Culberson, Dallas, Duval, Ellis, El Paso, Henderson, Hopkins, Hudspeth, Kaufman, Kerr, Live Oak, Marion, Montague, Navarro, Pecos, Rains, Smith, Tarrant, Upshur, Van Zandt, Webb, and Wood counties in Texas.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of August 23, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice.

For questions regarding the requirements, the August 24, 2022 Disaster Notification Memorandum for Texas [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

UPDATED September 2, 2022

August 16, 2022: The governor of Illinois has declared a state of emergency in response to the monkeypox virus, lifting normal requirements at least 30 days for Cigna Medicare Advantage customers in all counties in Illinois.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of August 1, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or expire October 27, 2022.

For questions regarding the requirements, the August 16, 2022 Disaster Notification Memorandum for Illinois Updated September 2, 2022 [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

August 16, 2022: The governor of California has declared a state of emergency in response to the monkeypox virus, lifting normal requirements at least 30 days for Cigna Medicare Advantage customers in all counties in California.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of August 1, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice.

For questions regarding the requirements, the August 16, 2022 Disaster Notification Memorandum for California [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

August 11, 2022: The acting governor of Missouri has declared a state of emergency and President Biden has declared a major disaster in response to severe storms and flooding, lifting normal requirements at least 30 days for Cigna Medicare Advantage customers in all counties in Missouri.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of July 25, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or expire on September 24, 2022.

For questions regarding the requirements, the August 11, 2022 Disaster Notification Memorandum for Missouri [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

UPDATED September 2, 2022

August 9, 2022: The state of Texas has issued a state of emergency in response to wildfires, lifting normal requirements at least 30 days for Cigna Medicare Advantage customers in Anderson, Andrews, Aransas, Armstrong, Atascosa, Austin, Bailey, Bandera, Bastrop, Baylor, Bee, Bell, Bexar, Blanco, Borden, Bosque, Brazoria, Brazos, Brewster, Briscoe, Brown, Burleson, Burnet, Caldwell, Calhoun, Callahan, Cameron, Castro, Childress, Cochran, Coke, Coleman, Collin, Collingsworth, Colorado, Comal, Comanche, Concho, Cooke, Coryell, Cottle, Crane, Crockett, Crosby, Dallam, Dallas, Dawson, Deaf Smith, Delta, DeWitt, Dickens, Dimmit, Donley, Eastland, Ector, Edwards, Ellis, Erath, Falls, Fannin, Fayette, Fisher, Floyd, Foard, Fort Bend, Freestone, Frio, Gaines, Galveston, Garza, Gillespie, Glasscock, Goliad, Gonzales, Grimes, Guadalupe, Hale, Hall, Hamilton, Hansford, Hardeman, Hartley, Hays, Henderson, Hidalgo, Hill, Hockley, Hood, Hopkins, Howard, Hunt, Hutchinson, Irion, Jackson, Johnson, Jones, Karnes, Kaufman, Kendall, Kent, Kerr, Kimble, King, Kinney, Knox, La Salle, Lamar, Lamb, Lampasas, Lavaca, Lee, Leon, Limestone, Live Oak, Llano, Loving, Lubbock, Lynn, Madison, Martin, Mason, Matagorda, Maverick, McCulloch, McLennan, McMullen, Medina, Menard, Midland, Milam, Mills, Mitchell, Montague, Montgomery, Moore, Motley, Navarro, Nolan, Ochiltree, Oldham, Palo Pinto, Parker, Parmer, Pecos, Polk, Presidio, Rains, Randall, Reagan, Real, Red River, Reeves, Refugio, Roberts, Robertson, Rockwall, Runnels, San Jacinto, San Saba, Schleicher, Scurry, Shackelford, Sherman, Somervell, Starr, Stephens, Sterling, Stonewall, Sutton, Swisher, Tarrant, Taylor, Terrell, Terry, Tom Green, Travis, Trinity, Upton, Uvalde, Val Verde, Van Zandt, Victoria, Walker, Waller, Ward, Washington, Webb, Wharton, Wichita, Wilbarger, Willacy, Williamson, Wilson, Winkler, Yoakum, Zapata, and Zavala counties in Texas.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of as of July 8, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice.

If you do not receive further notification, it will expire for Archer, Bowie, Camp, Carson, Cass, Chambers, Clay, Culberson, Denton, Duval, Franklin, Grayson, Gregg, Harris, Harrison, Haskell, Hudspeth, Jack, Jeff Davis, Jefferson, Jim Hogg, Jim Wells, Kleberg, Liberty, Marion, Nueces, Potter, San Patricio, Smith, Upshur, Wise, and Wood counties (previously included in the declaration) September 28, 2022.

For questions regarding the requirements, read the August 9, 2022 Disaster Notification Memorandum for Texas Updated September 2, 2022 [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

July 19, 2022: The state of Virginia has issued a State of Emergency in response to flooding, lifting normal requirements at least 30 days for Cigna Medicare Advantage customers in Buchanan County in Virginia.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of July 13, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or expire on August 12, 2022.

For questions regarding the requirements, the July 19, 2022 Disaster Notification Memorandum for Buchanan County, Virginia [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

June 15, 2022: The state of Colorado has issued a state of emergency in response to wildfires, lifting normal requirements at least 30 days for Cigna Medicare Advantage customers in La Plata and Teller counties in Colorado.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of May 13, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or expire on June 11, 2022.

For questions regarding the requirements, read the June 15, 2022 Disaster Notification Memorandum for La Plata County, Colorado [PDF] and the June 15, 2022 Disaster Notification Memorandum for Teller County, Colorado [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

June 8, 2022: The state of Kansas has issued a state of emergency in response to severe winter storms and straight-line winds, lifting normal requirements at least 30 days for Cigna Medicare Advantage customers in the counties of Barton, Clark, Comanche, Edwards, Ellis, Ford, Graham, Gray, Hodgeman, Kiowa, Lane, Meade, Ness, Pawnee, Phillips, Rooks, Rush, Stafford, Trego, and Wallace counties in Kansas.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of March 17, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or expire on March 22, 2022.

For questions regarding the requirements, read the June 8, 2022 Disaster Notification Memorandum for Kansas [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

May 24, 2022: The state of Florida has issued a State of Emergency in response to a major structural collapse, lifting normal requirements at least 30 days for Cigna Medicare Advantage customers in Miami-Dade county in Florida.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of June 24, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or expire on July 14, 2022.

For questions regarding the requirements, read the May 24, 2022 Disaster Notification Memorandum for Miami-Dade County Florida [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

May 13, 2022: The state of New Mexico has issued a state of emergency in response to wildfires, lifting normal requirements at least 30 days for Cigna Medicare Advantage customers in Colfax, Lincoln, Mora, San Miguel, and Valencia counties in New Mexico.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of April 5, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or expire on June 2, 2022.

For questions regarding the requirements, read the May 13, 2022 Disaster Notification Memorandum for New Mexico [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

May 4, 2022: The state of New Mexico has issued a state of emergency in response to wildfires, lifting normal requirements at least 30 days for Cigna Medicare Advantage customers in Valencia County in New Mexico.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of April 11, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or expire on May 21, 2022.

For questions regarding the requirements, read the May 4, 2022 Disaster Notification Memorandum for Valencia County, New Mexico [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

May 4, 2022: The state of New Mexico has issued a state of emergency in response to wildfires, lifting normal requirements at least 30 days for Cigna Medicare Advantage customers in San Miguel County in New Mexico.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of April 6, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or expire on May 21, 2022.

For questions regarding the requirements, read the May 4, 2022 Disaster Notification Memorandum for San Miquel County, New Mexico [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

April 28, 2022: The state of Georgia has issued a state of emergency in response to severe weather, lifting normal requirements at least 30 days for Cigna Medicare Advantage customers in all counties in Georgia.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of April 16, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or expire on May 15, 2022.

For questions regarding the requirements, read the April 28, 2022 Disaster Notification Memorandum for Georgia [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

April 11, 2022: The state of Texas has issued a state of emergency in response to exceptional drought conditions, lifting normal requirements at least 30 days for Cigna Medicare Advantage customers in Andrews, Angelina, Archer, Armstrong, Atascosa, Bailey, Baylor, Borden, Bosque, Bowie, Brewster, Briscoe, Brown, Callahan, Cameron, Camp, Carson, Cass, Castro, Cherokee, Childress, Clay, Coke, Coleman, Collin, Collingsworth, Comanche, Cooke, Coryell, Cottle, Crosby, Culberson, Dallam, Dawson, Deaf Smith, Delta, Denton, Dickens, Dimmit, Donley, Duval, Eastland, Erath, Fannin, Fisher, Floyd, Foard, Franklin, Frio, Gaines, Garza, Gray, Grayson, Hall, Hamilton, Hansford, Hardeman, Harrison, Hartley, Haskell, Hemphill, Hidalgo, Hill, Hood, Hopkins, Houston, Howard, Hunt, Hutchinson, Jack, Jeff Davis, Johnson, Jones, Kaufman, Kent, King, Knox, Lamar, Lamb, Lampasas, La Salle, Lipscomb, Live Oak, Loving, Lubbock, Lynn, Marion, Martin, Maverick, McLennan, McMullen, Midland, Mills, Mitchell, Montague, Moore, Morris, Motley, Nacogdoches, Nolan, Ochiltree, Oldham, Palo Pinto, Panola, Parker, Parmer, Pecos, Potter, Presidio, Rains, Randall, Red River, Reeves, Roberts, Rockwall, Runnels, Rusk, San Augustine, San Saba, Scurry, Shackleford, Shelby, Sherman, Somervell, Stephens, Sterling, Stonewall, Swisher, Tarrant, Taylor, Terrell, Terry, Throckmorton, Titus, Upton, Val Verde, Van Zandt, Ward, Webb, Wheeler, Wichita, Wilbarger, Winkler, Wise, Young, and Zavala counties in Texas.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of February 21, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or expire on March 23, 2022.

For questions regarding the requirements, read the April 11, 2022 Disaster Notification Memorandum for Texas - effective February 21, 2022 [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

April 11, 2022: The state of Texas has issued a state of emergency in response to exceptional drought conditions, lifting normal requirements at least 30 days for Cigna Medicare Advantage customers in Andrews, Baylor, Borden, Brewster, Cameron, Carson, Castro, Childress, Collingsworth, Cottle, Culberson, Dallam, Dawson, Deaf Smith, Dimmit, Fisher, Foard, Gray, Hansford, Hardeman, Hartley, Haskell, Hemphill, Hidalgo, Howard, Hutchinson, Jones, Knox, Lamar, Martin, Maverick, Midland, Moore, Motley, Ochiltree, Oldham, Pecos, Potter, Presidio, Randall, Roberts, Scurry, Sherman, Stonewall, Terrell, Throckmorton, Upton, Ward, Wheeler, Wichita, Wilbarger, and Winkler counties in Texas counties in Texas.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of January 6, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or expire on February 5, 2022.

For questions regarding the requirements, read the April 11, 2022 Disaster Notification Memorandum for Texas - effective January 6, 2022 [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

April 11, 2022: The state of Georgia has issued a state of emergency in response to severe weather, lifting normal requirements at least 30 days for Cigna Medicare Advantage customers in all counties in Georgia.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of April 5, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or expire on April 15, 2022.

For questions regarding the requirements, read the April 11, 2022 Disaster Notification Memorandum for Georgia [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

April 11, 2022: The state of Florida has issued a state of emergency in response to severe weather, lifting normal requirements at least 30 days for Cigna Medicare Advantage customers in Clay, Highlands, Marion, and Putnam counties in Florida.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of March 12, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or expire on May 11, 2022.

For questions regarding the requirements, read the April 11, 2022 Disaster Notification Memorandum for Florida [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

April 6, 2022: The state of Arkansas has issued a state of emergency in response to severe weather, lifting normal requirements at least 30 days for Cigna Medicare Advantage customers in all counties in Arkansas.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of February 2, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or expire on March 25, 2022.

For questions regarding the requirements, read the April 6, 2022 Disaster Notification Memorandum for Arkansas [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

March 25, 2022: The state of Texas has issued a state of emergency in response to severe weather, lifting normal requirements for at least 30 days for Cigna Medicare Advantage customers in Bastrop, Cass, Cooke, Grayson, Guadalupe, Houston, Jack, Madison, Marion, Montague, Nacogdoches, Panola, Rusk, Upshur, Williamson, and Wise counties in Texas.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of March 21, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or expire on April 21, 2022.

For questions regarding the requirements, read the March 25, 2022 Disaster Notification Memorandum for Texas [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

UPDATED September 15, 2022

March 24, 2022: The state of Texas has issued a state of emergency in response to wildfires, lifting normal requirements at least 30 days for Cigna Medicare Advantage customers in Andrews, Aransas, Archer, Bee, Bell, Blanco, Borden, Bosque, Brewster, Brooks, Brown, Cameron, Coke, Coleman, Comanche, Concho, Cooke, Crane, Crockett, Culberson, Dawson, Dimmit, Duval, Eastland, Ector, Edwards, Erath, Gaines, Garza, Grayson, Hemphill, Hidalgo, Hood, Howard, Hudspeth, Jeff Davis, Jim Hogg, Jim Wells, Kenedy, Kimble, Kleberg, Live Oak, Martin, Mason, Maverick, McCulloch, Medina, Menard, Midland, Nueces, Palo Pinto, Parker, Pecos, Potter, Presidio, Randall, Reagan, Real, Refugio, Roberts, Runnels, Starr, Taylor, Terrell, Tom Green, Upton, Wichita, Willacy, Williamson, Winkler, Wise, Zapata, and Zavala counties in Texas.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of February 23, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice.

For questions regarding the requirements, read the March 24, 2022 Disaster Notification Memorandum for Texas Updated September 15, 2022 [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

March 24, 2022: The state of Oklahoma has issued a state of emergency effective February 3 in response to severe weather, lifting normal requirements for at least 30 days for Cigna Medicare Advantage customers in all counties.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of February 2, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or expire on February 7, 2022.

For questions regarding the requirements, read the March 24, 2022 Disaster Notification Memorandum for Oklahoma [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

March 24, 2022: The state of Missouri has issued a state of emergency effective February 1 in response to severe weather, lifting normal requirements for at least 30 days for Cigna Medicare Advantage customers in all counties.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of February 1, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or expire on March 3, 2022.

For questions regarding the requirements, read the March 24, 2022 Disaster Notification Memorandum for Missouri [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

UPDATED July 1, 2022

March 23, 2022: The state of Florida has issued a state of emergency effective March 4 in response to severe weather, lifting normal requirements for at least 30 days for Cigna Medicare Advantage customers in Bay, Calhoun, and Gulf counties.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of March 4, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or expire on August 28, 2022.

For questions regarding the requirements, read the March 23, 2022 Disaster Notification Memorandum for Florida Updated July 1, 2022 [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

March 21, 2022: The state of Tennessee has issued a state of emergency effective February 3 in response to severe weather, lifting normal requirements for at least 30 days for Cigna Medicare Advantage customers in Crocket, Fayette, Haywood, Lauderdale, Shelby, Tipton and Weakley counties,Tennessee.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of February 3, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or expire on April 10, 2022.

For questions regarding the requirements, read the March 21, 2022 Disaster Notification Memorandum for Tennessee [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

UPDATED March 21, 2022: The state of Kansas has issued a state of emergency in response to severe weather, lifting normal requirements for at least 30 days for Cigna Medicare Advantage customers in Barton, Brown, Clay, Cloud, Doniphan, Edwards, Ellis, Ellsworth, Ford, Geary, Gove, Graham, Grant, Gray, Greeley, Hamilton, Haskell, Hodgeman, Jewell, Kearny, Lane, Lincoln, Logan, Marshall, Meade, Mitchell, Morris, Morton, Nemaha, Ness, Norton, Osborne, Ottawa, Pawnee, Phillips, Republic, Rice, Riley, Rooks, Rush, Russell, Saline, Scott, Sheridan, Smith, Stafford, Stanton, Stevens, Sumner, Trego, Wabaunsee, Wallace, Washington, Wichita, and Wyandotte counties in Kansas.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of December 15, 2021:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or expire on March 19, 2022.

For questions regarding the requirements, read the Updated March 21, 2022 Disaster Notification Memorandum for Kansas [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

March 18, 2022: The state of Illinois has issued a state of emergency effective February 1 in response to severe weather, lifting normal requirements for at least 30 days for Cigna Medicare Advantage customers in all counties.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of February 1, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or expire on February 4, 2022.

For questions regarding the requirements, read the March 18, 2022 Disaster Notification Memorandum for Illinois [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

February 1, 2022: The state of Virginia has issued a state of emergency in response to severe weather, lifting normal requirements for customers in all counties in Virginia.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of January 27, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or expire on February 26, 2022.

For questions regarding the requirements, read the February 1, 2022 Disaster Notification Memorandum for Virginia [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

February 1, 2022: The state of South Carolina has issued a state of emergency in response to severe weather, lifting normal requirements for customers in all counties in South Carolina.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of January 14, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or expire on February 2, 2022.

For questions regarding the requirements, read the February 1, 2022 Disaster Notification Memorandum for South Carolina [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

February 1, 2022: The state of North Carolina has issued a state of emergency in response to severe weather, lifting normal requirements for customers in Bronx, Kings, Nassau, North Carolina, Putnam, Queens, Richmond, Rockland, Suffolk, and Westchester counties in North Carolina.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of January 13, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice.

For questions regarding the requirements, read the February 1, 2022 Disaster Notification Memorandum for North Carolina [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

February 1, 2022: The state of New York has issued a state of emergency in response to severe weather, lifting normal requirements for customers in Bronx, Kings, Nassau, New York, Putnam, Queens, Richmond, Rockland, Suffolk, and Westchester counties in New York.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of January 28, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or will expire on February 27, 2022.

For questions regarding the requirements, read the February 1, 2022 Disaster Notification Memorandum for New York [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

February 1, 2022: The state of New Jersey has issued a state of emergency in response to severe weather, lifting normal requirements for customers in all counties in New Jersey.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of January 28, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice.

For questions regarding the requirements, read the February 1, 2022 Disaster Notification Memorandum for New Jersey [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

February 1, 2022: The state of Maryland has issued a state of emergency effective January 28 in response to severe weather, lifting normal requirements for customers in Caroline, Cecil, Dorchester, Kent, Queen Anne’s, Somerset, Talbot, Wicomico and Worcester counties.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of January 28, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice.

For questions regarding the requirements, read the February 1, 2022 Disaster Notification Memorandum for Maryland [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

January 31, 2022: The state of Georgia has issued a state of emergency effective January 15 in response to severe weather, lifting normal requirements for at least 30 days for Part C customers in Georgia in Baldwin, Banks, Barrow, Bartow, Bibb, Bleckley, Burke, Butts, Carroll, Catoosa, Chattooga, Cherokee, Clarke, Clayton, Cobb, Columbia, Coweta, Crawford, Dade, Dawson, DeKalb, Douglas, Elbert, Emanuel, Fannin, Fayette, Floyd, Forsyth, Franklin, Sulton, Gilmer, Glascock, Gordon, Greene, Gwinnett, Habersham, Hall, Hancock, Haralson, Harris, Hart, Heard, Henry, Houston, Jackson, Jasper, Jefferson, Jenkins, Johnson, Jones, Lamar, Laurens, Lincoln, Lumpkin, Madison, McDuffie, Meriwether, Monroe, Morgan, Murray, Newton, Oconee, Oglethorpe, Paulding, Peach, Pickens, Pike, Polk, Putnam, Rabun, Richmond, Rockdale, Screven, Spalding, Stephens, Talbot, Taliaferro, Towns, Treutlen, Troup, Twiggs, Union, Upson, Walker, Walton, Warren, Washington, White, Whitfield, Wilkes, and Wilkinson counties.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will, as of January 15, 2022:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or until January 22, 2022.

For questions regarding the requirements, read the January 31, 2022 Disaster Notification Memorandum for Georgia [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

January 2, 2022: The state of Virginia has issued a state of emergency effective January 2 in response to severe weather, lifting normal requirements for at least 30 days for Part C customers in all counties in Virginia.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or until January 31, 2022.

For questions regarding the requirements, read the January 2, 2022 Disaster Notification Memorandum for Virginia [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

December 30, 2021: The state of Colorado has issued a state of emergency effective December 30 in response to severe weather, lifting normal requirements for at least 30 days for the affected Boulder county area.

In order to ensure that Cigna Medicare Advantage customers have access to the services needed, Cigna will:

  • Waive in full, requirements for gatekeeper referrals where applicable;
  • Temporarily reduce plan-approved out-of-network cost-sharing to in-network cost-sharing amounts;
  • Waive the 30-day notification requirement to enrollees as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the enrollee;
  • Allow Part A and Part B and supplemental Part C plan benefits to be furnished at specified non-contracted facilities (note that Part A and Part B benefits must, per 42 CFR §422.204(b)(3), be furnished at Medicare certified facilities).

The declaration will remain effective until further notice, or until January 31, 2022.

For questions regarding the requirements, read the December 30, 2021 Disaster Notification Memorandum for Colorado [PDF] or contact the Provider Customer Service Center at 1 (800) 230-6138 for assistance.

 

The Centers for Medicare & Medicaid Services requires Medicare Advantage Organizations (MAOs) and Part D Plan sponsors to maintain access to the Part A/B, supplemental Part C, and Part D benefits (as applicable) for beneficiaries in areas affected in the event of a Presidential emergency declaration, a Presidential (major) disaster declaration, a declaration of emergency or disaster by a Governor, or an announcement of a public health emergency by the Secretary of Health and Human Services.