Telehealth/telemedicine - new modifier FQ, eff 1/1/2022 and billing for POS 10

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Apple Health (Medicaid) Provider Alert

Attention providers

What changed?

New modifier for audio-only
Effective for claims with dates of service on and after January 1, 2022, the Health Care Authority (HCA) will require the use of the new FQ modifier when billing for services provided via audio-only modality.

New place of service (POS) code 10 and revised definition of POS 2
Effective for claims with dates of service on and after April 4, 2022, HCA will implement the following new place of service (POS) code 10 and the revised definition of POS 02 when billing the HIPPA-compliant telemedicine (audio-visual) or telehealth (audio-only).

Note: Providers whose billing systems are ready to bill using the new POS 10 prior to April 4, 2022, may begin to do so effective for claims with dates of service on and after January 1, 2022.

Online resources
HCA has published updates to the following online resources which are now located on HCA’s Provider billing guides and fee schedules webpage, Billing guides and fee schedules, under Telehealth: