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TO:  All Providers

RE:   BMI Recording for Telemedicine Visits

The Alabama Medicaid Agency (Medicaid) is implementing a Telemedicine Policy effective June 1,

2023. The Telemedicine Policy and detailed information will be in Chapter 112 of the July 2023 publication of the Provider Billing Manual. The Telemedicine Policy is found at the following link:

https://medicaid.alabama.gov/documents/4.0_Programs/4.1_Covered_Services/4.1_Telemedicine_Policy_4-26-23.pdf

The BMI recording will continue to be required for office visits including the telemedicine visits. The BMI is required at least once per calendar year on all claims with procedure codes 99201-99205, 99211- 99215, and 99241-99245 and EPSDT procedure codes 99382-99385 and 99392-99395. To be eligible for reimbursement for the telemedicine visits, the provider must file the claim with the appropriate place of service and modifier GT for audio and visual telecommunications or FQ for audio only telecommunications.  

During telemedicine visits, providers should use subjective data to calculate the BMI which can include providers asking the recipient for his or her height and weight during the visit. The BMI should be calculated, based on the information provided by the recipient, and appended to the claim for reimbursement. The BMI should also be documented in the recipient’s medical record.

Note: Claims not billed correctly are subject to post-payment review and recoupments.

Providers with billing questions may visit www.medicaid.alabama.gov or contact the Gainwell

Technology 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 © 2022 American Medical Association and © 2022 American Dental Association (or such other date publication of CPT and CDT). All rights reserved. Applicable FARS/DFARS apply.