Telehealth Updates

Insurance Copay/Deductible/Coinsurance Waived  Telehealth Telephone Billing Information
Cigna No Effective 03/17-05/31/2020: Included a benefit of patient’s plan only. Effective 03/17-05/31/2020: patients can be seen if telehealth is an included benefit of patient’s plan.Telephonic can be provided if patient does not have access to technology for telehealth. Can provide applied behavior analysis, medication management, outpatient therapy. Bill MOD 95** in field 24-D to specify Telehealth. Place of Service 02.
Aetna Aetna Commercial patients pay $0 for covered telemedicine visits until 06/04/2020 All providers can perform until 06/06/2020 even if not credentialed Until 06/04/2020 Aetna will cover minor acute evaluation and management services care services rendered via telephone. A visual connection is not required. For behavioral health visits – a synchronous audiovisual connection is still required. Televideo & Teleaudio: 90791, 90792, 90832, 90833, 90834, 90836, 90837, 90838, 90839, 90840, 90845, 90846, 90847, 90853, 90863, S9480
BCBS All copays, coinsurances, deductibles waived until 05/15/2020 Effective 03/16/2020:. Only MD, APRN’s covered still. Does not apply to AR state, public employees, self-funded plan, or BADV Effective 03/16/2020:. All License Covered now. DOES NOT APPLY TO AR STATE, PUBLIC EMPLOYEES Self Funded Plan, or BADV Telephone Visits 99441 (10 Min $16.38), 99442 (11-20 min $32.61), 99443 (21-30 Min $48.74 Place of service 02 Telehealth, 11 office, 12 HOME will be accepted. Telemedicine: MOD GT or 95 Must be used. Can not bill 99205 or 99215.
Qualchoice All copays, coinsurances, deductibles waived until 06/30/2020 All Providers can perform telehealth from 03/17/2020-06/30/2020 All Providers can perform Telehealth from 03/17/2020-06/30/2020 Attestation Forms being waived from 03/16-06/15.
Optum Standard coinsurances/Deductible/Copays apply All providers can perform until 04/30/2020 if the patient’s plan covers telehealth All providers can perform until 04/30/2020 if the patient’s plan covers telehealth Modifiers GT or GQ with Modifier 95. Location 02
Medicare Standard coinsurances/deductible/copays apply Effective 03/06/2020 all providers can perform telehealth CPT CODE 99421 (5-10 min), 99422 (11-20 Min), 99423 (21 or more minutes). Clinical Psychologist can also provide the following G2061 (5-10 Min), G2062 (11-20 min), G2063 (21 or more min.)
Medicaid No 60-day window from 03/18/2020: Physicians may use telemedicine to diagnose, treat, and, when clinically appropriate, prescribe a non-controlled drug to the patient. 60-day window from 03/18/2020 Modified GT, Place of service 02. CAN ONLY BILL 90832 U4 GT, 90834 U4 GT, 90837 U4 GT
Ambetter Zero member liability From 03/17/2020-06/30/2020 all providers can see patients via telehealth. From 03/17/2020-06/30/2020 all providers can see patients via telehealth.