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New Presumptive Eligibility for COVID-19: Aid Code – V2

Originally published April 7, 2020 and updated on April 23, 2020 and May 13, 2020

As the State of California responds to coronavirus disease 2019 (COVID-19), the Department of Health Care Services (DHCS) is creating aid code V2 to allow individuals to seek the necessary diagnostic testing, testing-related services and treatment services, including all medically necessary care related to COVID-19, such as the associated office, clinic, or emergency room visits at no cost to them. These services will be paid up to the maximum reimbursement fee-for-service (FFS) rate, in the FFS delivery system.

The new Presumptive Eligibility (PE) aid code V2 will be available to individuals with no insurance or currently have private insurance that does not cover diagnostic testing, testing-related and treatment services, including all medically necessary care for COVID-19, that do not qualify for any Medi-Cal programs (with the exception of individuals who have not met their Medi-Cal Share of Cost obligation) and are a California resident.  Aid code V2 provides access to COVID-19 diagnostic testing, testing-related services and treatment services, including all medically necessary care related to COVID-19, such as the associated office, clinic or emergency room visit, without regard to immigration status, income, or resources and will have date specific eligibility.

For guidance on how to process the PE for COVID-19 Application, please reference the Presumptive Eligibility (PE) for Coronavirus (COVID-19) Application Step-by-Step Guide.

Questions
Refer to the Presumptive Eligibility (PE) for Coronavirus (COVID-19) FAQ.

Questions concerning PE for COVID-19 should be sent to COVID19Apps@dhcs.ca.gov.

Billing Instructions for PE for COVID-19 were published on April 24, 2020.

References
Additional Guidance on Presumptive Eligibility (PE) for Coronavirus (COVID-19)