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.
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