CommercialCoverageMedium impact
Home health telehealth update
UPMC Health Plan·Physical Therapy, Occupational Therapy·Education
Effective date
Apr 1, 2022
We identified it
Jun 20, 2026
Summary
UPMC Health Plan has permanently expanded telehealth coverage to include home health services effective April 1, 2022. Services must include both audio and video components and cover skilled nursing, therapy services, and home health aide services.
Action Required
Immediately: Billing team should verify telehealth modifier usage for home health services billed to UPMC Health Plan. Ensure all home health telehealth visits include documentation of both audio and video components. Update billing procedures to reflect permanent coverage for skilled nursing, physical therapy, occupational therapy, speech therapy, medical social work, and home health aide services delivered via telehealth.