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TO: All Providers
RE: Telemedicine Delivery of Services
The Alabama
Medicaid Agency (Medicaid) is implementing a Telemedicine Policy effective June
1, 2023. The Telemedicine Policy, including all telemedicine applicable
chapters, will be included in the July 2023 publication of the Provider Billing
Manual.
2023
Telemedicine Policy: https://medicaid.alabama.gov/content/4.0_Programs/4.1_Covered_Services.aspx
Additionally,
the following Telemedicine allowances will be discontinued effective May 31,
2023:
- Use of the modifier “CR” (catastrophe/disaster related) and place of
service “02” on claims
- Interprofessional Telephone/Internet/Electronic Health Record Consultations:
CPT codes 99446 - 99449 and 99451 – 99452
- Allowances for Telemedicine during COVID that are not included in the Telemedicine Policy
Medicaid will
continue to allow audio-only telecommunications to be reimbursed at parity for
dates of services rendered through September 30, 2023. On October 1,
2023, new rates for audio-only telecommunications will be established.
This audio-only
telecommunications method can only be used in lieu of the audio and video telecommunications
method where telemedicine services are approved by Medicaid.
Providers must
place the ‘FQ’ modifier on the claim to designate that the service was rendered
via an audio-only telecommunications method.
*FQ-
THE SERVICE WAS FURNISHED USING AUDIO-ONLY COMMUNICATION
TECHNOLOGY.
Providers with
billing questions should contact the Gainwell Technologies Provider Assistance
Center at: 1-800-688-7989.
The Current Procedural Terminology (CPT) and Current Dental Terminology
(CDT) codes descriptors, and other data are copyright © 2023
American Medical Association and © 2023 American Dental Association (or such other date publication of CPT
and CDT). All rights reserved. Applicable FARS/DFARS apply.