Physicians/Specialists
Facilities/Hospitals
Ancillary
Pharmacy
Publication Date: 
2020-10-20

The Centers for Medicare and Medicaid Services (CMS) will be reinstating the Medicare 2 percent sequestration payment reduction on Jan. 1, 2021.

As previously communicated, CMS temporarily suspended the Medicare Sequestration Alignment policy, and Blue Cross and Blue Shield of North Carolina (Blue Cross NC) adjusted its processes to align with that decision. With the reinstatement by CMS, the following applies to members on Medicare Advantage plans offered and administered by Blue Cross NC, including Experience Health.

  • For dates of service of May 1, 2020, through Dec. 31, 2020, Blue Cross NC will not apply the Medicare 2 percent sequestration reduction in payments being made to providers.
  • For dates of service on or after Jan. 1, 2021, the Medicare 2 percent sequestration reduction will be applied.

For more information on our COVID-19 measures, visit the COVID-19 provider landing page.