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TO:  All Physicians, FHQCs, RHCs, ADPH, and Other

          Telemedicine Originating Site Facilities

Effective April 1, 2020, the Alabama Medicaid Agency (Agency) will begin paying an origination site facility fee of $20.00. The origination fee will be limited to one per date of service per recipient.

Providers must bill the procedure code Q3014 – telemedicine origination site facility fee on a CMS-1500 or UB-04 claim.

Federally Qualified Health Centers and Rural Health Clinics should bill Q3014 independent of the encounter rate on a CMS-1500 claim form.

Telemedicine covered procedure codes, provider type, and form requirements remain unchanged. For details, see Chapter 28 (Physician) in the Provider Billing Manual by visiting https://medicaid.alabama.gov/content/Gated/7.6.1G_Provider_Manuals.aspx.

The Agency will review and verify that requirements for the origination fee are being met.  Payments to providers that do not meet the specifications may be subject to recoupment. For questions regarding the Physician program, please contact Beth Huckabee at elizabeth.huckabee@medicaid.alabama.gov.

    The Current Procedural Terminology (CPT) and Current Dental Terminology (CDT) codes descriptors, and other data are copyright © 2020  

       American Medical Association and © 2020 American Dental Association (or such other date publication of CPT and CDT). All rights reserved. 

       Applicable FARS/DFARS apply.