CA | This Notice sets forth best practices for health insurers’ reimbursement policies for billing and coding of claims for HIV preexposure prophylaxis (PrEP) and associated integral services by participating providers. State and federal preventive care law under the federal Affordable Care Act prohibits cost sharing, including deductible, copayment, and coinsurance, for recommended preventive services, including PrEP. This cost sharing prohibition extends not just to recommended preventive services, but also to items and services that are integral to providing recommended preventive services.
Home » Bulletins » California Issues Notices Regarding Health Insurer HIV Preexposure Prophylaxis (PrEP) and Integral Services Reimbursement Guidelines