![]() This guidance outlines policies related to audio-visual telehealth, audio-only telehealth, remote patient monitoring (RPM), Store and Forward, virtual check-ins, virtual patient education, and virtual emergency care. This guidance supersedes guidance issued in June 2021. Providers may use this guidance to prepare for upcoming policy changes tied to the end of the COVID-19 PHE as it applies to dates of service on or after May 11, 2023. Options to Support Members with Limited or Lack of Access to Devices and Services.Skilled Nursing Facility Billing for Audio-Visual Telehealth.Hospital Inpatient Billing for Audio-Visual Telehealth.FFS Billing for Telehealth by Site and Location.Telephonic (Audio-only) Reimbursement Overview.General Billing Guidelines for Dual Eligible Enrollees.Place of Service Code to be Used when Billing for Telehealth, Store-and-Forward, and RPM Applicable When Billing Professional Claims.Modifiers to be Used When Billing for Telehealth, Store-and-Forward, and RPM.eConsults (Interprofessional Consultations).Telemedicine or Audio-Visual Telehealth.This guidance does not change any other NYS Medicaid program requirements, with respect to authorized services or provider enrollment, and does not expand authorization to bill NYS Medicaid beyond service providers who are currently enrolled to bill Medicaid fee-for-service (FFS) or contracted with a Medicaid Managed Care (MMC) Plan. Providers must document in the chart of the NYS Medicaid member why audio-only services were used for each audio-only encounter. Audio-only visits must contain all elements of the billable procedure codes or rate codes and all required documentation. To support the use of telehealth services, the NYS Medicaid program will continue to cover services delivered via audio-visual telehealth, when appropriate, such member chooses to receive telehealth services in lieu of an in-person visit, visit must contain all elements of the billable procedure codes or rate codes and all required documentation.Īudio-only services will also continue to be covered when audio-visual services are not available or when the member chooses audio-only services in lieu of audio-visual telehealth or an in-person visit. In recognition of the changing landscape of healthcare delivery and in preparation for the COVID-19 PHE unwind, the NYS Department of Health (DOH) sought feedback from providers and NYS Medicaid members on their experience with telehealth to inform our post PHE policy. Remote services help address workforce shortages, access to specialists, infection control, transportation issues, and dependent care challenges. Although some barriers still exist and not all services are appropriate for remote delivery, telehealth has been largely beneficial in many service areas. Throughout the COVID-19 PHE, NYS Medicaid providers shifted traditional in person care to remote delivery, where possible. This guidance is intended to clarify the New York State (NYS) Medicaid program telehealth policy, including use of audio-only technology, following the federally declared Coronavirus Disease 2019 (COVID-19) Public Health Emergency (PHE), which ends on May 11, 2023. New York State Medicaid Update - February 2023 Comprehensive Guidance Regarding Use of Telehealth including Telephonic Services After the Coronavirus Disease 2019 Public Health Emergency Special Edition Volume 39 - Number 3 Comprehensive Guidance Regarding Use of Telehealth including Telephonic Services After the Coronavirus Disease 2019 Public Health Emergency All Health Care Professionals & Patient Safety.Clinical Guidelines, Standards & Quality of Care.Health & Safety in the Home, Workplace & Outdoors.Birth, Death, Marriage & Divorce Records.
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