Revised Telemedicine Policy and Billing Guide, Effective 11/2/2022

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Apple Health (Medicaid) Provider Alert

Attention providers:

The Health Care Authority (HCA) has published a revised Telemedicine Policy and Billing Guide, effective November 2, 2022. Revisions to this billing guide include, but are not limited to, all the following:

  • Added definitions for facility and nonfacility to provide clarity on the difference between them
  • Added a statement that providers should explain to clients that personal health information may be disclosed when services are provided using telehealth technology
  • Added documentation requirements for originating and distant sites regarding the location of the provider and the duration of the service
  • Clarified billing requirements for nonfacility providers using place of service (POS) 02 or 10
  • Removed the requirement for an associated office visit under Store and Forward

See the What has changed table in the revised guide for further details.